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Challenges Early Childhood Educators Encounter When Balancing Play-Based Learning With Preparation For Standardized Testing, Shanette Damar Mcbride

Walden Dissertations and Doctoral Studies

The problem addressed through this study was that emphasis is being placed on standardized testing, which is causing early childhood educators to feel pressured to eliminate or reduce playtime in their classrooms. Framed by Vygotsky’s theory of social development and Lave and Wenger’s situated learning framework, the purpose of this basic qualitative study was to explore the experiences of early childhood educators in a southcentral U.S. state regarding the challenges they face in balancing a play-based learning curriculum and the support they need, while emphasizing information about standardized testing. The data were collected from semistructured interviews with 12 certified kindergarten …

Strategies For Reducing Employee Turnover In Retail Business, Mia Bulger

Walden Dissertations and Doctoral Studies

Strategies for Reducing Employee Turnover in Retail Business by Mia S. Bulger MS, University of Phoenix, 2022 BS, Clark Atlanta University, 2005 Qualitative Pragmatic Inquiry Business Research Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration Walden University August 2026

Strategies For Managing Change In Home Health Care Businesses, Halbert Brown

Walden Dissertations and Doctoral Studies

Home health care agencies may experience financial hardship when regulatory inspections result in deficiencies and administrative penalties. Home health company (HHC) leaders are concerned because ineffective change management strategies may contribute to ongoing regulatory deficiencies, penalties, and reduced business performance. Grounded in Lewin’s change management theory, the purpose of this qualitative pragmatic inquiry project was to explore change management strategies some HHC owners successfully implemented to reduce administrative deficiencies and penalties to augment business performance and profitability. The participants were six leaders from HHC firms in the southwestern region of the United States who had developed effective strategies to improve …

Mexican Women Caregivers’ Support For Family Members With Type 2 Diabetes, Andrea Mesa

Walden Dissertations and Doctoral Studies

Type 2 diabetes (T2D) is a persistent public health challenge in the United States, disproportionately affecting Hispanic populations. Mexican-origin women often serve as primary caregivers for relatives living with diabetes, yet their voices and lived experiences remain underrepresented in research. This study addressed the limited understanding of how cultural values and caregiving roles influence diabetes management within Hispanic families. The purpose of this qualitative phenomenological study was to explore the lived experiences of Mexican-origin women aged 40 to 60 who care for a family member with T2D. Guided by the theory of planned behavior and social cognitive theory, the study …

Relationship Between Hospital Case Management Leadership Style And Employee Engagement, Malinda Ellis

Walden Dissertations and Doctoral Studies

Employee engagement among hospital-based nurse case managers is important because these nurses support discharge planning, utilization management, care coordination, and safe patient transitions. Although leadership style has been studied in nursing, limited research has examined its relationship to engagement among nurse case managers. The purpose of this quantitative, nonexperimental, correlational study, using House’s path-goal theory, was to examine the relationship between transformational, transactional, and laissez-faire leadership styles and employee engagement among hospital-based nurse case managers. Data were collected from 89 registered nurse case managers in acute care settings in the United States, who completed the Multifactor Leadership Questionnaire, Short Form, …

Openness To Experience And Creative Capacity Among Active First Responders, William Reagan

Walden Dissertations and Doctoral Studies

Because emergency services demand adaptive, creative problem-solving within procedurally rigid cultures, this study examined whether Openness to Experience predicted creative capacity among active first responders and whether age or tenure moderated that relationship. A cross-sectional design used N = 117 first responders from eight agencies. Openness was measured with the Big Five Inventory-2 (percentile ranks); creativity was assessed with the Divergent Association Task (DAT; n = 116) and the Consensual Assessment Technique (CAT; n = 111). Covariates were age, tenure, rank, gender, and, for 46 participants at one agency, a dispatch-derived operational exposure score. In the full sample, Openness did …

Sbirt Staff Education To Registered Nurses In The Emergency Department, Rosemary Thuet

Walden Dissertations and Doctoral Studies

Summary The project hospitals have, on average, 2,400 emergency department (ED) visits a month. Although patients receive a social screening, there are no specific assessments to determine if the person is at risk for alcohol use disorder (AUD). The lack of screening is a missed opportunity to provide a Screening, Brief Intervention and Referral to Treatment (SBIRT) assessment of over 2,400 patients a month or 48,000 people annually. Although several screening tools could be used for an SBIRT assessment, the recommendation of ED nursing leadership is to implement the tool known as the CAGE Questionnaire (Cut down, Annoyed, Guilty, and …

Staff Education To Improve Behavioral Health Integration In Primary Care, Nelly Endah Atu

Walden Dissertations and Doctoral Studies

This staff education project addressed a persistent gap in the delivery of integrated physical and mental healthcare for patients with co-occurring conditions. Fragmented care in primary care contributes to untreated mental health needs, increased patient distress, higher costs, and poor outcomes. The aim of this project was to develop, deliver, and evaluate a staff education program equipping nurses, nurse practitioners, and interdisciplinary team members with the knowledge, skills, and practical strategies needed to improve behavioral health integration in primary care. The practice question was, among interdisciplinary staff in a community health setting, did the implementation of an evidence-based, ADDIE-designed staff …

Lived Experiences And Competencies Of Mental Health Professionals Supporting Postpartum Mothers’ Mental Health And Well-Being, Shaynie Wolski

Walden Dissertations and Doctoral Studies

Perinatal mood and anxiety disorders (PMADs), including depression, anxiety, obsessive-compulsive disorder, posttraumatic stress disorder, and postpartum psychosis, affect postpartum individuals and their families. Limited research has examined the lived experiences and competencies of licensed mental health professionals who address PMADs, potentially limiting counselor educators’ ability to prepare counselors for postpartum mental health needs. Guided by hermeneutic phenomenology and informed by Ecological Systems Theory, the purpose of this qualitative study was to answer the guiding question: What are the lived experiences of licensed mental health professionals in recognizing, assessing, and treating PMADs among postpartum clients? Semi-structured interviews were conducted with eight …

Staff Education To Implementation Of Fall Prevention Education To Improve Fall Prevention Knowledge Among Nurses And Cnas In A Nursing Home, Margret Nkechi Anabaronye

Walden Dissertations and Doctoral Studies

This project was a staff education initiative designed to enhance fall-prevention knowledge among nurses and certified nursing assistants (CNAs) in a nursing home setting. The practice problem addressed was the high incidence of patient falls among older adults, which is a persistent safety concern in caregiving facilities since it leads to injury, decreased quality of life, and heightened healthcare costs. The project aimed to determine whether implementing a fall-prevention educational initiative would enhance staff knowledge and confidence levels on fall prevention. Analytical strategies used in this project included quantitative pre- and posttests and descriptive statistics to measure changes in participants’ …

Lived Experiences Of Clinical Psychologists: Personal Coping Strategies To Address Emotional Exhaustion, Ayushi Shrestha

Walden Dissertations and Doctoral Studies

Emotional exhaustion is a key element of burnout among clinical psychologists. However, there are limited qualitative studies that examine how psychologists experience and cope with it. This study explored how licensed clinical psychologists experience and cope with emotional exhaustion. The study used Orem’s Self-Care Deficit Theory to explore how clinicians perceive, interpret, and respond to emotional demands. Semi structured interviews with licensed clinical psychologists experiencing emotional exhaustion were used to collect data. Data were analyzed using an interpretative phenomenological analysis approach, including descriptive and pattern coding to identify themes. Five themes were identified: workplace and organizational stressors; emotional experience of …

Unfolding Dynamics Of Distractor Suppression Through Reaching Movement Trajectories, Shinhae Ahn

Arts & Sciences Graduate Student Theses and Dissertations

Efficient visual search requires prioritizing relevant information while suppressing salient but irrelevant distractors that compete for attention. Previous studies have shown that attentional suppression of salient distractors can be modulated by perceptual grouping (Ma & Abrams, 2023) and distractor salience (Stilwell et al., 2023; 2024). However, prior work has relied primarily on discrete keypress or oculomotor measures, such as reaction time, accuracy, and first saccadic destination. Although these measures provide important evidence about whether distractors interfere with or are suppressed during visual search, it still remains unclear how distractor-induced spatial biases emerge and change over the course of the target …

Implementing Custom Pro And Nps Tools In Private Practice: Balancing Simplicity And Clinical Value In A Retrospective Study, Paul Bonilla, Juan Pablo Flanagan, Anesu K. Murambadoro, Victoria Elizondo, Michael Sander

School of Medicine Publications

Background: The authors describe the development of a custom survey centered around the Three C’s and Net Promoter Scores in a high-volume surgical private practice with limited resources and no research coordinator. This paper aims to examine whether an abbreviated survey can serve as a practical alternative to lengthy validated PROMs in tracking post-surgical recovery outcomes in a private practice setting.

Methods: A retrospective, de-identified analysis was conducted on prospectively collected patient-reported outcome surveys administered via email preoperatively and 120-days postoperatively. Of 2,908 surveys administered, 101 patients undergoing four high-volume procedures (CTR, meniscectomy, TKR, hernia) with matched pre- and post-operative …

Racial Trauma And Posttraumatic Growth: Implications For Counselors, Margaret M. Poandl, Nowoola Awopetu, Paul C. Harris Dr.

Journal of Counselor Preparation and Supervision

Racial trauma is ubiquitous among Black, Indigenous, and People of Color (BIPOC) and people who belong to other marginalized groups. It is likely that counselors will work with individuals who have experienced racial trauma. Aligned with the counseling profession’s values, counselors can take a strengths-based approach that incorporates facilitation of a historical trauma posttraumatic growth (HT-PTG) framework. This paper presents evidence-informed practices that can foster growth on individual and collective levels. A case example is provided that integrates individual- and collective-level interventions bidirectionally, along with implications for counselor training pedagogically, through supervision, and continuing education. Counselors can identify, encourage, and …

The Safe Fishbowl Model: Psychological Safety By Design In Counseling Skills Training, Mike Mariska

Journal of Counselor Preparation and Supervision

Skills training in counselor education can be constrained by performance anxiety, which may reduce participation, limit deliberate practice repetitions, and shift demonstrations to the instructor. This applied-practice manuscript introduces the SAFE (Structured Avatar and Feedback Experience) Fishbowl model, a simulation architecture designed to address performance anxiety while scaling participation. SAFE Fishbowl integrates rotating counselor roles, a real-time coaching loop, structured observation grounded in experiential learning theory, and purposeful debriefing. An implementation example for group counseling leadership skills is provided, along with adaptation guidance across multiple skill domains and delivery modalities. Descriptive course-evaluation feedback illustrates feasibility and perceived usefulness. Implications include …

A Mixed Methods Analysis Of Cacrep Accreditation Standards: Implications For The 2024 Cacrep Academic Quality Standards, David Moran

Journal of Counselor Preparation and Supervision

This embedded mixed methods study examined the frequency of CACREP standards cited as ‘not met’ by the CACREP Board of Directors and explored counselor educators’ experiences with program evaluation. Frequency analysis revealed that Section 4 standards were disproportionately cited, yet applied consistently across diverse institutional types and delivery formats. Qualitative interviews with 16 counselor educators identified four themes: The Paradox of Agency, Faculty Workload Challenges, Performative Compliance vs. Authentic Improvement, and Faculty Experience with Program Evaluation. Findings suggest that while accreditation decisions are unbiased, the evaluation process imposes substantial strain on faculty resources. These results have …

Integrating Consensual Non-Monogamy In Counselor Education: Practical Guidelines And A Pilot Descriptive Study, Yun-Zhuo (Zoey) Liu, Lena Salpietro

Journal of Counselor Preparation and Supervision

Consensual non-monogamy (CNM) is a prevalent and diverse relationship structure, yet mononormative assumptions persist in counselor training and practice, contributing to stigma and inadequate care. Research indicates that counselors’ CNM-specific knowledge and attitudes are critical to positive therapeutic outcomes (Schechinger et al., 2018), highlighting the need for clear guidance. In response, this paper presents Guidelines for Incorporating CNM in Counseling Curricula. Three domains are grounded in multicultural and social justice principles: foundational knowledge and terminology, challenging bias and promoting self-reflection, and application informed by attachment theory. Additionally, findings from a survey of counselor educators (N = 54) are presented. Results …

U.S. Service Member To Counseling Student, Nicole Marie Arcuri Sanders, Kellie Forziat-Pytel

Journal of Counselor Preparation and Supervision

This qualitative descriptive study examines the absence of military career pathways for licensed mental health counselors (MHCs) and the impact of this structural limitation on service members' career transitions. Findings indicate that both combat and non-combat veterans pursued mental health counseling due to personal service-related mental health experiences and dissatisfaction with available care while in service. Despite these challenges, many participants expressed a strong desire to continue serving their country as professional counselors. Over half of the participants reported separating from the military because no occupational role existed for licensed MHCs. At the same time, most indicated they would have …

The Expert Myth: Impostor Phenomenon And Research Identity In Counselor Education, Kristi B. Cannon, Kelly Coker, Trent Hepting, Lidian Ramirez-Fiol, Robyn T. Simmons

Journal of Counselor Preparation and Supervision

Imposter Phenomenon (IP) affects counselor educators across career stages, yet it is often conceptualized as an individual deficiency rather than a systemically reinforced experience. This article frames IP in counselor education through the lens of the Expert Myth—a systemic pattern within academic culture that reinforces the expectation that faculty must consistently present as fully knowledgeable, productive, and self-assured to be regarded as credible. We examine how institutional cultures, publish-or-perish pressures, and inadequate mentorship structures create and reinforce imposter feelings, particularly among marginalized faculty and those navigating researcher identity development. Drawing on existing literature, we propose that meaningful intervention requires systemic …

Modernizing Career Counseling In Counselor Education: A Conceptual Exploration, Yuhyun Park, Se Hoon Kim, Rasheed Adeyemo, Sarah Ebner, Mallory Redmond, Breeana Donayre, Carly Steves

Journal of Counselor Preparation and Supervision

Career development is often confined to a single course despite its relevance across counseling practice. This conceptual article reframes it as an integrative foundation for counselor preparation, supervision, and professional identity. It examines connections among work, mental health, education, disability, relationships, and social context across counseling specializations. The article also considers doctoral training and the ethical use of artificial intelligence in career-related practice. Recommendations address curriculum design, supervision, and future research on integrated career preparation.

The Lived Experiences Of Queer And Trans Counselor Educators In Cacrep Programs, Erin Pitts, Kathleen Brown-Rice, Maribeth F. Jorgensen

Journal of Counselor Preparation and Supervision

Queer and trans professionals historically experience discrimination, persecution, and oppression in the workplace. While counselor education has ethical and accreditation standards requiring multicultural inclusion and competence, there is limited research that explores the experiences of queer and trans counselor educators in the workplace. We used an interpretive phenomenological approach to explore the experiences of queer and trans faculty working in CACREP programs. Four participants completed semi-structured interviews, resulting in four themes: 1) career journey, 2) visibility matters, 3) if not us then who, and 4) work in progress. Implications for counselor education programs are offered related to identifying and addressing …

Developing Grief-Informed Counselors: A Reflexive Thematic Analysis Of Counselors-In-Training’S Learning Experiences, Katherine Atkins, Sonya Lorelle, Jennifer Slawson

Journal of Counselor Preparation and Supervision

Grief remains underrepresented in counselor education despite its relevance across the lifespan and its inclusion in the 2024 Council for Accreditation of Counseling and Related Educational Programs (CACREP) standards. This qualitative study explored how counselors-in-training (CITs) conceptualized grief and their developing professional role following participation in a structured grief education series. Eleven master’s-level CITs engaged in didactic instruction, experiential grief interventions, and reflective focus groups. Using reflexive thematic analysis, four interrelated themes were constructed that addressed grief conceptualization, counselor role development, integration of the personal self, and educational supports for grief competence. Findings reflected shifts toward relational, culturally responsive, and …

Political Interest And News Media Literacy Among University Students: Case Of The U.S.-Vietnam Comprehensive Strategic Partnership (2023), Nhat Anh Nguyen, Ngoc Thuy Duong Le

Journal of Media Literacy Education Pre-Prints

In today’s complex media environment, the ability to critically evaluate news plays an essential role in shaping political interest, especially among youth. Although media literacy has been extensively investigated in relation to civic outcomes, the particular link between news media literacy (NML) and political interest is still little known. This paper investigates this link among Vietnamese university students by means of the U.S.-Vietnam Comprehensive Strategic Partnership as a prominent foreign policy instance. Drawing on Potter’s (2004) cognitive model and Maksl et al.'s (2015) NML scale, this study primarily employs a quantitative approach using survey data (N = 410), complemented by …

Relational Reasoning Across Cultures: Consistency And Variation In South Korea, The United States, And China, Alexandra Carstensen, Minju Kim, Youngon Choi, Caren M. Walker

Psychology Faculty Articles and Research

Abstract reasoning in early childhood is often described as following a “relational shift,” over which children become increasingly sensitive to relations. However, recent work has challenged the generality of this account, showing that children in the US and China follow distinct trajectories in a relational match-to-sample task. This difference aligns with multiple cultural and linguistic factors implicated in relational reasoning, where the US and China appear at opposite ends of a continuum, focusing on objects (US) versus relations (CN). This raises the possibility that differences in culture and language may shape variation in the development of abstract reasoning. Here, we …

The Impact Of Japan’S Security Policy Expansion On Great Power Competition In Southeast Asia: The Case Of Indonesia, Rafyoga Jehan Pratama Irsadanar

Global: Jurnal Politik Internasional

This paper discusses how fragmented perceptions of threat impact the outcome of international security cooperation. It analyses the impacts of Japan’s expanding security posture in Southeast Asia, specifically focusing on the Japan-China great power rivalry in the region. While previous research has examined Japan’s intention to intensify its security engagement with Southeast Asian countries, this paper aims to study the broader impact of Japan’s expanding security cooperation on the region's security constellation. To achieve this objective, the paper employs Japan-Indonesia security and defence cooperation as a case study. The research found that, despite strengthening bilateral relations, the increasing Japan-Indonesia security …

Explaining Safety Challenges And Their Relationships Using A Qualitative-Fuzzy Dematel Approach: A Surface Mine Case Study, Neda Molamehdizadeh, Gholam Hossein Halvani, Hossein Ebrahimi, Ali Asghar Farshad, Seyedeh Melika Kharghani Moghadam, Saber Moradi Hanifi

Journal of Sustainable Mining

Safety in surface mining operations is a major organizational management challenge due to the inherently hazardous nature of mining activities. This study aimed to explain safety challenges and identify their interrelationships through a combined qualitative-fuzzy DEMATEL approach in a surface mine in Yazd Province, Iran. The research was carried out in two sequential phases: first, key safety challenges were identified through qualitative interviews with employees, supervisors, and safety experts; then, the relationships among these challenges were analyzed and prioritized using the fuzzy DEMATEL technique. The main challenges identified included insufficient specialized training, inadequate safety equipment, weak organizational safety culture, and …

Belonging, Safety, And Well-Being: An Ecological Systems Review Of School-Based Supports For Transgender And Gender-Diverse Students, Lauren Deluca

Educational Specialist, 2020-current

Transgender and gender-diverse (TGD) youth continue to experience significant challenges in school belonging, safety, and mental health outcomes within K-12 educational settings. At the same time, literature highlights the important role affirming school environments play in promoting resilience and well-being among TGD students. The purpose of this systematized review was to synthesize the current literature examining the school-based factors associated with belonging, safety, and well-being for TGD students across ecological systems, as well as identify the barriers that hinder educators in implementing affirming practices in schools, and how school professionals navigate these barriers. Guided by Minority Stress Theory and Ecological …

A Systematized Review On Key Considerations For Trauma Informed Practices For K-12 Students Experiencing Trauma That Impact Behavioral Outcomes, Sarah Caufield

Educational Specialist, 2020-current

Across different socioeconomic statuses, geographic locations, and racial or ethnic backgrounds, trauma can affect students in nearly every school across the U.S. While children show vastly different behavioral responses to these experiences of trauma, their experiences affect their behavior in the classroom and, in turn, their ability to succeed academically. Ultimately, the goal of this systematized review was to answer the question, “what are key considerations for trauma informed practices for K-12 students experiencing trauma that impact behavioral outcomes?”. This was done through a systematized review of current literature and studies in surrounding interventions to use with students who have …

Supporting Karen Refugee Student Learning Through Trauma-Informed Practices, Rachel P. Wilson

Graduate Teacher Education

This writing explored how trauma-informed practices could best support Karen refugee students in the classroom. The Karen are a small community with a diverse traumatic history (Delang, 2003). Because of this, research explored ways to create a safe and welcoming environment to promote student learning. A review of literature was used to determine the trauma-informed strategies that are most effective in supporting student learning for Karen refugees. Research was conducted across fifteen different sources, which were all original and peer reviewed. A combination of qualitative, quantitative, and mixed methods studies were used to determine the most effective trauma-informed practices. Five …

Dnp Final Report: Medication Errors: Decreasing From Day One Through Online Learning Module And Incident Reporting, Marsha Pohorelsky

DNP Final Reports

Medication administration errors remain a significant patient safety concern in healthcare and nursing education. This Doctor of Nursing Practice (DNP) quality improvement project evaluated the implementation of a standardized medication safety learning module and incident reporting process to improve medication safety awareness, medication administration competency, and error reporting among second-semester Bachelor of Science in Nursing (BSN) students. Guided by the Johns Hopkins Nursing Evidence-Based Practice Model and Kotter's 8-Step Change Model, the project incorporated medication safety education, simulation-based learning, and near-miss reporting to promote a culture of safety. Although competency outcomes were similar to previous student cohorts, participants demonstrated increased …