Digital Commons Network^™

Sos (Save Our Skin)- A Hospital Acquired Pressure Injury Reduction Quality, Nicholas A. La Mar

Master's Projects and Capstones

Problem: Hospital-acquired pressure injuries (HAPIs) are a significant source of preventable harm. Often associated with increased patient morbidity, reduced quality of life, and substantial financial costs. In 2023, a Northern California level II trauma center reported 44 HAPI cases, with 25% occurring in the telemetry units. Despite a hospital-wide reduction in HAPIs in 2024, telemetry units accounted for 33% of the cases in the first quarter of 2025, highlighting a need for targeted intervention.

Context: The project was conducted in four adult inpatient telemetry units of a 241-bed level two trauma center. The units faced challenges with inconsistent adherence to …

Fostering Academic, Social-Emotional, And Civic Growth Through Discussion-Based Pedagogy In Secondary Classrooms, Ethan O'Brien

Masters Projects

Discussion-based pedagogy provides students with opportunities to practice collaborative and critical thinking skills that have proven impactful on reading and writing scores, interpersonal communication skills, and civic engagement. However, inexperienced discussion facilitators—as well as instructors who may not have clear purposes or objectives for discussion in their classrooms—may not be familiar with best practices and strategies for structuring rigorous, equitable, and engaging student talk. This project begins by investigating potential factors contributing to students' lack of interpersonal skills in the classroom, and ultimately identifies discussion-based pedagogy as a key solution. A theoretical basis for the merits of discursive learning is …

She Chose Her Fate: The Genderqueer Women Of Tolkien And Freedom Beyond The Patriarchal Binary, Alicia Fox-Lenz, Grace Moone, Leah Hagan

Online Midwinter Seminar (OMS)

No abstract provided.

“Her Hair Was Held A Marvel Unmatched”: The Significance Of Long, Blonde Hair In Tolkien’S Imagination, Sara Brown

Online Midwinter Seminar (OMS)

No abstract provided.

Estate Planning: Planning For The Transfer Of A Personal Residence, Thomas M. Porcano

Tax Adviser

No abstract provided.

Staff Education On Depression Screening In Young Adults, Irene Micere Njeru

Walden Dissertations and Doctoral Studies

Summary This doctoral project was on staff education. The practice problem was a knowledge deficit regarding depression screening by staff nurses at a local acute inpatient psychiatric facility. The practice-focused question was as follows: Will education on depression screening for young adults (18-to-28-year-olds) increase knowledge on the use of evidence-based depression screening tools by nursing staff in an inpatient psychiatric crisis facility? The purpose of the doctoral project was to educate staff nurses at a local acute inpatient psychiatric facility on the PHQ-9 depression screening tool for individuals aged 18 to 28 years. The project included a PowerPoint presentation, a …

The Lived Experience Of The Orgasm Gap In U.S. Cisgender Women In Heterosexual Relationships, Alina Beverly Vergara-Hegi

Walden Dissertations and Doctoral Studies

Women are not orgasming as often as men in heterosexual sexual encounters. Research has confirmed that sociocultural influences, gender differences, sexual perceptions, sexual miseducation, and relationship dynamics contribute to women’s negative sexual experiences. What has been missing is a better understanding of the experience of the orgasm gap and the role of gender ideology in women’s sexual experiences. This study explored the lived experience of the orgasm gap and gender ideology in nine cisgender women in long-term heterosexual relationships. Critical feminist theory was used as the lens to explore the meaning of sexual inequities in intimate long-term relationships. Using interpretative …

The Relationship Between Federal Employees' Viewpoints On Intrinsic Meaningful Work In The Extrinsic Work Unit Environment And Job Satisfaction., Sandra Kunz

Walden Dissertations and Doctoral Studies

Managers are concerned with low job satisfaction since it is a prediction of decreased productivity and increased turnover. Framed within the two-factor theory, the purpose of this quantitative correlational post-facto study was to examine the relationship between intrinsic meaningful work in the extrinsic work unit environment and job satisfaction. The participants were 1,378 U.S. federal employees from the Office of Personnel Management who completed the Federal Employee Viewpoint Survey in 2023. The results of the multiple linear regression were significant, F(2, 1375) = 900.817, p < .001, R² = .567. Recommendations for managers include aligning employees with positions that reflect their skills and interests, enhancing communication regarding the significance of individual contributions, seeking out employee feedback, and resolving any work environment challenges to foster greater job satisfaction. The implications for positive social change include the possibility for managers to advance effective leadership and communication, thereby enhancing the work environment for employees and the quality of service to customers.

Evaluating Virtual Group Coaching’S Impact On Self-Determination In Spinal Cord Injury, Alana Scalzo, Ms, Otr/L

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Introduction: Spinal cord injury (SCI) is a lifelong condition that requires effort and adjustment for managing physical, psychological, and social well-being to have the ability to engage in meaningful activities. As people living with SCI have higher rates of isolation and social disconnect, it is important to study group level approaches for addressing mental health.

Objectives: To determine the impact of virtual group coaching to enhance occupational performance, satisfaction, self-efficacy and relationship closeness in people living with SCI.

Methods: A quasi-experimental single-group pre/post-test design was used. Adults with SCI were recruited through online flyers, social media, newsletters, support groups, clinics, …

The Efficacy Of Virtual Group Coaching On The Self-Determination Of People With Ehlers-Danlos Syndrome, Janine E. Rajauski, Ms, Otr/L

Post-Professional Occupational Therapy Doctorate Culminating Presentations

INTRODUCTION
The Ehlers-Danlos Syndromes (EDS) are a family of 13 genetic connective tissue disorders that affect negatively physical and psychosocial health which in turns have been found to decrease their quality of life and self-determination (Baeza-Velasco et al., 2019; Bennet et al., 2021; Estrella & Fraizer, 2024; Tinkle et al., 2017; Palomo-Toucedo et al., 2020). Limited supports and services, including occupational therapy, are available for those with EDS (Estrella & Frazier, 2024; McDonald et al., 2023; Reychler et al., 2021). Those with EDS have requested better services to support their self-determination (Estrella & Frazier, 2024). Coaching has shown positive impacts …

Sex, Stress And Hormones : The Role Of Modifiable Risk Factors In The Kinetics Of Alzheimer’S Disease, Hannah Marie Edwards

Arts & Sciences Graduate Student Theses and Dissertations

Alzheimer’s Disease (AD) is a neurodegenerative disease hallmarked by the presence of amyloid- plaques and tau tangles in the brain. The process of the disease begins decades prior to the onset of symptoms and is thought to be driven first by a buildup of amyloid- peptide in the extracellular space, triggering a cascade of pathology and symptomology culminating in loss of cerebral volume and cognitive impairment. Women are diagnosed with AD at a rate 2/3 higher than their male counterparts, even when controlling for age. While most driving factors of the disease are thought to be genetic, roughly 40% of …

Adaptive Leadership And Employee Retention During Disruptive Times In Real Estate, Susej Koral Corrales Bethancourt

Walden Dissertations and Doctoral Studies

Some real estate agency owners in Panama lack adaptive leadership strategies to retain employees during market disruptions. The real estate industry and agency owners are especially vulnerable to financial fluctuations and market volatility, which can lead to increased employee turnover and decreased organizational performance. This qualitative pragmatic inquiry explored the adaptive leadership strategies used by Panamanian real estate agency owners to retain employees during disruptive periods. Guided by Heifetz and Linsky’s adaptive leadership theory, the project addressed the central research problem through semistructured interviews with six real estate owners and managers with at least 4 years of leadership experience. Participants …

How People With Borderline Personality Disorder Experience Addiction During The Process Of Treatment, Michael Paul Onesto

Walden Dissertations and Doctoral Studies

This study explored the lived experience of Borderline Personality Disorder (BPD) and substance use as a maladaptive coping mechanism during recovery, raising the question of whether recovery itself fosters comorbidity. The study was grounded on several theories, including Linehan’s biosocial model, the Cox and Klinger alcohol motivation model, the affect regulation model, and the self-medication hypothesis. These theories argue that substance use arises from emotional vulnerability, invalidating environment, and affect regulation efforts. The study employed a phenomenological qualitative approach to guide data collection and analysis. Interviews from 20 BPD patients and mental health care providers were completed. The thematic analysis …

The Challenges Faced By Postrelease Offenders In Rural Mississippi, Whitney Starks

Walden Dissertations and Doctoral Studies

Reintegration after incarceration has long been a subject of scholarly inquiry, particularly regarding barriers to employment, housing, and mental health services. However, limited research addresses the reintegration experiences of postrelease offenders in rural regions, where access to essential resources is often restricted. This qualitative single case study is an exploration of the challenges and service needs of formerly incarcerated individuals living in rural Mississippi. Using purposive and snowball sampling, six participants were selected based on residency in rural counties, a nonviolent criminal history, and at least one year of successful community reentry. The conceptual framework was guided by the assess, …

The Experience Of Living With Infertility Among Women Of Color, Claudia Calvario

Walden Dissertations and Doctoral Studies

Infertility affects individuals across all cultural and socioeconomic backgrounds; however, the lived experiences of women of color navigating infertility remain underrepresented in research, health care, and policy. The purpose of this interpretative phenomenological analysis (IPA) study was to explore the lived experiences of infertility among women of color. The specific aims of the study were to (a) understand the significance of cultural values in shaping these experiences, with a focus on cultural norms surrounding motherhood and fertility, and (b) gain insight on the ways in which women of color seek assistance. The conceptual framework integrated the biopsychosocial model, stress and …

Reducing The School-To-Prison Pipeline Through Restorative Practices And Culturally Responsive Teaching, William Clifford Banks Iii

Masters Projects

Research has shown there is a growing trend that students of color end up becoming incarcerated due to the school-to-prison pipeline. Students of color are being targeted by exclusionary policies at a higher rate than their white counterparts. School districts must reevaluate their discipline measures and adopt new policies that work to build positive relationships and communities within them. This project provides the groundwork for implementing restorative practices and culturally responsive teaching in schools, with the hope of building stronger community ties and reducing exclusionary discipline policies. The project provides research that supports the implementation of restorative practices and culturally …

Coloring Outside The Lines: Factors Facilitating Divergent Thinking, Michelle Baca Reinke

Master's Theses

Divergent thinking involves producing a multitude of unique and diverse ideas. The ability to “color outside the lines” is crucial to business, education, and social domains. The flexibility, originality, and fluency dimensions of divergent thinking are commonly assessed using the Alternative Uses Task, which involves generating uses for common objects. Prior research suggests that high identification (first-person perspective) with schema-inconsistent experiences increases flexibility, while semantic density (degree of conceptual associations) impacts originality and fluency inversely. However, their combined effects across multiple divergent thinking dimensions remain unexplored. The present research investigated the interactive effects of identification (high, low), schema consistency (consistent, …

Effectiveness Of Cognitive-Behavioral Therapy For Generalized-Anxiety Disorders In Adolescents: A Systematic Review Using Pico Framework, Rajwa D. Suryanto, Prodio E. Gaharani, Salam Salsabila, Calista Aziz, Fitri A. Khaerani, Salsabila Athaya, Lulu A. Setyowati, Elisya Kartadikaria, Muhammad I. Djamaluddin, Renata B. Soewahju, Dian A. Pitaloka

Pharmacology and Clinical Pharmacy Research

A number of teenagers experience various levels of mental disorders, ranging from mild stress to Generalized Anxiety Disorder (GAD). According to the World Health Organization (WHO), approximately 264 million people suffer from anxiety disorders, including GAD, and this condition is a significant leading cause of suicide incidents, ranking sixth among serious mental health issues. From a societal perspective, Cognitive Behavioral Therapy (CBT) has the advantage of cost-effectiveness by minimizing the use of medications and enhancing productivity in education for adolescents receiving CBT. This study aims to conduct a systematic review of the existing literature on GAD in adolescents, using the …

Relationship Between Processing Speed And Perceptual Reasoning Index Scores In Contact Vs Noncontact Child Sex Offenders, Mylena Smith

Walden Dissertations and Doctoral Studies

Child sexual offending remains a critical societal issue with complex psychological and behavioral underpinnings. Although prior research has emphasized recidivism and risk assessment, there is limited information regarding neurocognitive functioning and its potential role in terms of differentiating contact versus noncontact offender subtypes. This quantitative cross-sectional study involved examining whether cognitive functioning, measured using the Processing Speed Index (PSI) and Perceptual Reasoning Index (PRI) via the Wechsler Adult Intelligence Scale predicted offender subtype among 90 adult males who completed psychosexual evaluations. Additionally, the study involved testing whether age moderated the relationship between cognitive indices and offender subtype classification. Guided by …

Beyond The Individual: Community Socioecological Correlates Of Mass Shootings In A Cross-Sectional Analysis, Barbara (Basia) E. Lopez

Walden Dissertations and Doctoral Studies

Mass shootings represent an urgent and persistent threat to public safety in the United States, yet most research has focused on individual-level characteristics, leaving community-level socioecological conditions comparatively underexamined. This study addressed this gap in knowledge through an examination of the statistical correlations between community-level characteristics and mass shooting incidence using Ostrom’s social-ecological systems theory as a guiding framework. A cross-sectional quantitative design was employed using secondary data from The Violence Project, the U.S. Census Bureau, Neighborhood Atlas National Data Archive, and publicly available law enforcement and policy records. Multiple regression analysis was performed to test both main and interaction …

Relationship Between Doctor Communication And Patient Satisfaction In Inpatient Units In California, Sandra Viehoever

Walden Dissertations and Doctoral Studies

Effective doctor communication is an important determinant of patient satisfaction in inpatient units. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures patient satisfaction and influences reimbursement rates under the Hospital Value-Based Purchasing Program. The purpose of this retrospective quasi-experimental quantitative study was to examine the possible relationship between doctor communication and patient satisfaction in inpatient units in California. The Donabedian framework provided the theoretical framework to examine possible relationships between the variables. Publicly available data were collected from 290 hospitals in California that participated in the HCAHPS survey between July 2022 and June 2023. Results of …

The Treatment Experiences Of Female Domestic Violence Offenders Who Have Completed Court-Mandated Counseling Programs, Chelsea S. King

Walden Dissertations and Doctoral Studies

Domestic violence is a significant societal problem. However, aspects of domestic violence (DV) perpetrated by women are often overlooked or inadequately addressed in existing counseling and intervention programs, leaving counselor educators ill-equipped to effectively train counselors to treat this specific population. The research question addressed the treatment experiences of female DV offenders who completed court-mandated counseling programs. Given the limited current research on female domestic violence offender treatment, Heidegger’s hermeneutic phenomenological methodology was employed to further understand the perspectives of participants, potentially identifying areas of improvement and addressing the needs of female program participants. Semistructured interviews were completed with six …

Lived Experiences Of Police Officers With Vicarious Sexual Trauma, Resiliency, And Departmental Support, Joseph Schreiner

Walden Dissertations and Doctoral Studies

This qualitative study involved addressing lived experiences of police officers who investigate sex crimes. Vicarious sexual trauma experienced by officers can lead to both short- and long-term issues for these individuals, particularly if they are left unaddressed. The constructivist self-development and resiliency theories were used to examine these experiences. Specifically, this study involved investigating how police officers perceived vicarious sexual trauma and viewed the accessibility and practicality of mental health and wellness resources provided by their departments. It was guided by two research questions, which were addressed through 12 semistructured interviews, which were thematically analyzed and interpreted. Five themes emerged …

Minority Female Political Representation In Westchester County Politics: A View From Minority Female Elected Office Holders, Dwanita Michelle Crosby

Walden Dissertations and Doctoral Studies

African American women have historically been underrepresented in political leadership, a disparity largely attributed to the persistent absence of structured support systems—particularly mentorship—that promote advancement across federal, state, and local levels. Existing literature highlights gender and racial disparities in political trajectories but often overlooked the specific role of mentorship in shaping leadership outcomes for African American women at the municipal level. This gap was particularly critical given the increasing civic engagement and influence of African American women in local governance. The purpose of this general qualitative study was to examine how mentorship shaped the political journeys of African American women …

Prediction Of Collegial Relationships And Teachers’ Commitment To Stay In A Compulsory Swedish School, Chermaine Clunie

Walden Dissertations and Doctoral Studies

The problem addressed in this study was the high annual teacher turnover rate of 30% in a Swedish compulsory school, which significantly exceeded national averages. The purpose of this quantitative study was to investigate the relationship between the quality of collegial relationships, as measured by emotional support, task-related support, and feedback from colleagues which are subscales of the workplace social support (WSS) scale, and Swedish teachers’ commitment to stay in their current teaching positions in a Swedish compulsory school, measured on a continuous scale, using a 5 point Likert scale. The study was grounded in Blau’s social exchange theory, which …

Staff Education To Enhance The Use Of Alternatives To Restrictive Interventions When Managing Aggressive Behaviors, Anthony Obinna Madu

Walden Dissertations and Doctoral Studies

This is a DNP staff education project executive summary aimed at increasing staff knowledge on the use of alternatives to restrictive interventions when managing aggressive behaviors in an inpatient psychiatric unit.

A Force To Be Reckoned: Strategic Equity Sense Leadership Of Unit-Level Higher Education Leaders, Jin M. Mims

LMU Theses and Dissertations

The #BlackLivesMatter (#BLM) movement in 2020 pressured higher education institutions to address their oppressive and exclusive systems. As these institutions communicated their diversity, equity, and inclusion, (DEI) commitments and processes, it was those who took charge to facilitate the operational and cultural change for their respective area through the DEI lens, those who assumed DEI roles in their designated units, actualized the ground-level work of designing and implementing DEI programs and policies to produce the institutional progress reported by the university’s executive leadership. I will refer to those change agents as Unit-level DEI Officers (UDOs). Meanwhile, the current body of …

Impact Of Firefighters' Work Schedule On Cardiovascular Disease Risk, Wellbeing And Safety In Firefighters: Protocol For The Swift Study, A Multidisciplinary Prospective And Cross-Sectional Study, Walaa F. Abdelmoaty, Shelby L. Watkins, Aanuoluwakiitan Ayeni, David A. Hurtado, Andrew W. Mchill, Jeremy J. Biggs, Kurt T. Hegmann, Steven A. Shea, Todd Bodner, Nicole P. Bowles

Psychology Faculty Publications and Presentations

Firefighters face frequent physical and psychosocial stressors, increasing their risk for hypertension. Rising call volumes with a stable workforce have heightened occupational burdens. To meet their occupational demands while increasing time off-duty, fire departments across the country have switched from a 24 hours on 48 hours off (termed ‘24/48’) work schedule to one that increases the number of consecutive days off (eg, 1 day on, 3 days off, 2 days on, 3 days off (termed ‘1/3/2/3’) or 48 hours on 96 hours off (termed ‘48/96’)). However, these schedule changes come at the expense of increasing time on-duty, which may have …

"Things That Were, Things That Are, And Things That Yet May Be": The Matter Of Time In The Faërie Realms Of Tolkien's The Lord Of The Rings, Noelia Ramos

Journal of Tolkien Research

Tolkien’s feelings and relationship to Celtic themes are more nuanced than a simple binary of aversion versus passion. As he professed to Stanley Unwin—"Needless to say they are not Celtic!" (Letters #19)—his stance encompassed both resistance and fascination. His essay On Fairy-Stories, originally delivered as the Andrew Lang Lecture in 1939, can be seen as an early foundation for concepts later developed in The Lord of the Rings (1954–1955). In this context, the concept of fiction and the secondary world—particularly regarding the nature of time—is notably prominent, drawing parallels to the Celtic Otherworld.

This study aims to analyze …

Impact Of Aspiration Thrombectomy On Microvascular Obstruction In Patients With St-Segment Elevation Myocardial Infarction, Mahmoud Ismaiel, Mohamed Shehata, Tamer Elwasify, Mohamed Hosny, Amir Anwar, Tarek A.N. Ahmed, Abdalla Elagha

Journal of the Saudi Heart Association

Background and objective:

Primary percutaneous coronary intervention (PPCI) is the gold standard for myocardial reperfusion in ST-segment elevation myocardial infarction (STEMI). Numerous studies have shown that thrombus aspiration can prevent distal embolization and reducing the risk of microvascular obstruction (MVO). Cardiac magnetic resonance (CMR) is considered the gold standard for the evaluation of MVO. The aim of this study is to evaluate the effect of thrombus aspiration in STEMI patients as an adjunctive technique to primary PCI in reducing the incidence and extent of MVO evaluated by CMR.

Methods

Ninety-three patients with heavy thrombus burden were enrolled in this study; …