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Postpandemic Perspectives Of Teleassessments In Clinical Psychology, Jacklin B. Cardentey May 2025

Postpandemic Perspectives Of Teleassessments In Clinical Psychology, Jacklin B. Cardentey

Walden Dissertations and Doctoral Studies

Teleassessments gained prominence as a viable means of conducting psychological assessments in the wake of the COVID-19 pandemic. This study was an exploration of teleassessment use catalyzed by the pandemic, with a focus on the postpandemic era. The aim was to identify the factors influencing perceptions and strategies used in effective postpandemic teleassessment adoption, including factors that influence licensed psychologists’ perceptions of effective teleassessments and strategies adopted to maintain quality practices since face-to-face restrictions were lifted. The significance of this inquiry extended to various stakeholders, including mental health care practitioners, policymakers, and the public, all of whom have a vested …


Early Adolescent Intervention: A Therapy Group For Girls, Madelyn A. Ohm May 2025

Early Adolescent Intervention: A Therapy Group For Girls, Madelyn A. Ohm

Educational Specialist, 2020-current

As mental health concerns are on the rise, especially among adolescents, it is important to consider promoting early intervention. Paying attention to the nuances surrounding personal identity and interpersonal relationships during adolescence is crucial. Dialectical-Behavior Therapy (DBT) skills encompass just what is needed to address said nuances, including interpersonal effectiveness skills, emotion regulation skills, distress tolerance, and mindfulness. Thus, the proposed DBT group and therapeutic manual designated for adolescent girls summarizes and explores suggestions for early intervention of mental health services. This, alongside the careful attention to the population’s specific needs and noted modules, allows for the exploration of mental …


Not All Superheroes Wear Capes: Understanding The Lives Of Asian American Student Caregivers, Angela Ji May 2025

Not All Superheroes Wear Capes: Understanding The Lives Of Asian American Student Caregivers, Angela Ji

Educational Specialist, 2020-current

There exists an invisible army of children who sacrifice their childhoods and shoulder responsibilities expected of adults; these children are called young caregivers. Young caregivers provide significant assistance for their family on a regular basis. The existing literature shows that youth caregiving is associated with negative physical and mental health impacts that vary depending on the cultural background associated with families. It is also clear that the complexities and nuances of different ethnic groups influence the lived experiences of young caregivers. Unfortunately, there is limited information exploring racial and cultural implications of caregiving for children. This study sought to address …


Connection Over Control: A Radically Open-Dialectical Behavior Therapy-Based Counseling Group For Avoidantly Attached College Students, Tara Pollnitz May 2025

Connection Over Control: A Radically Open-Dialectical Behavior Therapy-Based Counseling Group For Avoidantly Attached College Students, Tara Pollnitz

Educational Specialist, 2020-current

Attachment avoidance is marked by a deep-seated mistrust of others, excessive self-reliance, and suppression of attachment needs. Feelings of boredom, disengagement, and uncertainty regarding how to proceed with treatment are common among practitioners treating avoidant clients. In this paper, the author examines attachment avoidance as a clinical concern, presents a conceptualization of attachment avoidance as a process related to emotional overcontrol, and explores the potential impact of intervention during college to provide a rationale for a counseling group to address attachment avoidance through radically open dialectical behavior therapy. Subsequently, the origins and theoretical foundation of radically open dialectical behavior therapy …


Mothers Supporting Mothers: A Psychotherapy Group For Postpartum Mothers Struggling With Substance Use, Brittany Hook May 2025

Mothers Supporting Mothers: A Psychotherapy Group For Postpartum Mothers Struggling With Substance Use, Brittany Hook

Educational Specialist, 2020-current

One topic that is not talked about enough is women’s health and more specifically postpartum women. This is apparent especially when it comes to postpartum care and the diverse experiences women face. The silence around postpartum women’s experiences can be frightening at times. The mental health of postpartum mothers can be overlooked and can lead to concerns of suicide ideation, increase substance use and a decrease in overall wellbeing. When substance abuse is in the picture for postpartum women, a treatment option that can be effective is group counseling. An evidence-based modality that works off the humanistic theory is motivational …


A Psychocosocial Behavior Modification That Impacts Social Belonging In College Students, Julia Roland May 2025

A Psychocosocial Behavior Modification That Impacts Social Belonging In College Students, Julia Roland

Dissertations, Theses, and Projects

Disparities in educational attainment have been at the forefront of many educational leaders' minds. For those in higher education, finding solutions to eliminate these disparities is critical to their viability. Research on these disparities has led to an encouraging discovery centered around the psychological construct of social belonging. Studies have been finding evidence that a student's sense of social belonging impacts their academic success in college. Furthermore, researchers have discovered an intervention that fosters a student's sense of belonging. This intervention has been shown to increase a student's sense of belonging at college and, in turn, has increased the students' …


Empowering Schools: Suicide Prevention Education For School Nurses, Navjot K. Singh May 2025

Empowering Schools: Suicide Prevention Education For School Nurses, Navjot K. Singh

Doctor of Nursing Practice (DNP) Projects

Background: Suicide among adolescents and youth is a serious public health issue that requires immediate intervention to reduce ideation and death. The increasing rate of suicide among children and adolescents has a profound effect on families, friends, and the community.

Problem: Suicide among school aged children and adolescents can create significant challenges for school nurses, who are often the first contact for students who recognize suicidal ideation and mental health crises. This issue is particularly significant for the Alameda school nurses in California, as they play a significant role in identifying and supporting students in a crisis.

Methods: A …


The Lived Experiences Of Covid-19 Grief, Loss, And Coping Strategies For Black Family Caregivers Of Covid Orphans, Allison Dalrymple-Mason May 2025

The Lived Experiences Of Covid-19 Grief, Loss, And Coping Strategies For Black Family Caregivers Of Covid Orphans, Allison Dalrymple-Mason

Walden Dissertations and Doctoral Studies

Black family caregivers in the United States experienced disproportionately high mortality rates due to COVID-19, resulting in many Black children becoming orphans. The unexpected loss placed a burden on these family caregivers, who navigated their grief while taking on new caregiving responsibilities. Limited studies explored how Black family caregivers experienced the meaning of COVID grief, loss, and coping strategies. The purpose of this qualitative phenomenological study was to gain an understanding of the meaning of grief, loss, and coping strategies for Black family caregivers of COVID orphans, guided by Worden’s task-based approach to supporting people bereaved by COVID-19 and Folkman’s …


A Novel Game-Based Assessment Of Risk-Taking Propensity: Development And Psychometric Evidence, Danielle L. Head May 2025

A Novel Game-Based Assessment Of Risk-Taking Propensity: Development And Psychometric Evidence, Danielle L. Head

UNLV Theses, Dissertations, Professional Papers, and Capstones

Risk-taking propensity is defined and measured in different ways across the literature, resulting in assessment issues related to construct validity (Bran & Vaidis, 2020). Multimethod assessment approaches can bolster construct validity by capturing more facets of risk-taking propensity (Meyer et al., 2001). Risk-taking propensity is assessed through self-report questionnaires (Zhang et al., 2019), which exhibit good test-retest reliability (Frey et al., 2017) and predictive validity (Beauchamp et al., 2017), and behavioral tasks (Aklin et al., 2005), which are less psychometrically sound, lacking convergent validity and test-retest reliability (Frey et al., 2017). Guided by evidence-centered design principles (Mislevy, 2013), a novel …


Performance Optimization-Focused Family Behavior Therapy To Address Verbal And Physical Aggression In An Adolescent Diagnosed With Bipolar I Disorder: A Case Report, Sierra Ann Ramirez Jarvis May 2025

Performance Optimization-Focused Family Behavior Therapy To Address Verbal And Physical Aggression In An Adolescent Diagnosed With Bipolar I Disorder: A Case Report, Sierra Ann Ramirez Jarvis

UNLV Theses, Dissertations, Professional Papers, and Capstones

Bipolar disorder is a chronic and debilitating condition characterized by fluctuations in mood that significantly interfere with day-to-day functioning. While symptom onset typically occurs in early adulthood, manifestations can occur at an earlier developmental stage. Early intervention has been shown to be effective in decreasing long-term negative outcomes and decreasing symptom severity in serious mental illness (SMI) populations, and as such, early intervention treatment programs may have particular benefits for individuals who are early in the course of bipolar disorder. However, there is little information regarding the effectiveness of these programs. This thesis reports a case of an adolescent client, …


The Relationship Between Positive And Negative Experiences With Sport Culture And Psychiatric Symptoms In Collegiate Athletes, Angelos Tsalafos May 2025

The Relationship Between Positive And Negative Experiences With Sport Culture And Psychiatric Symptoms In Collegiate Athletes, Angelos Tsalafos

UNLV Theses, Dissertations, Professional Papers, and Capstones

Although mental health professionals have indicated their interest in understanding the relationship between sport culture and mental health, this relationship has yet to be examined using psychometrically validated scales. In this study, the Semi-Structured Interview for Consideration of Sport Culture in Therapy Scale (SSICSCTS; see Donohue et al., 2006) was administered to 59 Club and National Collegiate Athletics Association (NCAA) athletes. This scale assesses how athletes experience importance (Sport Culture Importance Scale; SCIS) and negative experiences (Sport Cultural Problems Scale; SCPS) in sport culture. Participants were also assessed for psychiatric symptomology using a well-established scale, i.e., the Symptom Checklist 90-Revised …


The Lasting Impact Of Belonging: Exploring The Relationship Between Undergraduate Experiences And Black Alumni Contributions, Kauna Greene May 2025

The Lasting Impact Of Belonging: Exploring The Relationship Between Undergraduate Experiences And Black Alumni Contributions, Kauna Greene

Graduate Theses & Dissertations

Black alumni at predominantly white institutions (PWIs) remain underrepresented in alumni engagement and philanthropic research, despite a long and well-documented tradition of Black philanthropy. This qualitative, phenomenological study examines the relationship between undergraduate experiences and the post-graduation engagement of Black alumni from a private PWI in the Mid-Atlantic region of the United States. Guided by Strayhorn's (2019) theory of sense of belonging, the study investigates what motivates Black alumni to contribute financially, non-financially (through mentorship, event attendance, and volunteering), or not at all, and how undergraduate feelings of belonging shape those decisions. Data were collected through an anonymous online survey …


Clustering Of Internet Behaviors And Associated Mental Health Outcomes Among U.S. Adolescents, Aakansha Singh May 2025

Clustering Of Internet Behaviors And Associated Mental Health Outcomes Among U.S. Adolescents, Aakansha Singh

UNLV Theses, Dissertations, Professional Papers, and Capstones

In recent years, the Internet has become an integral part of daily life, influencing education, work, and recreation. As of 2024, approximately two-thirds of the global population is online, with an estimated one-third of users under the age of 18. Given the potential long-term effects of excessive Internet use on health and well-being, adolescents represent a critical population for monitoring online behaviors. This study used baseline data from the SHARE project and conducted a latent class analysis (LCA) to identify patterns of Internet use among a sample of adolescents and the relationship of class membership with mental health outcomes, including …


Time To Listen: Engaging Latino Autistic Adults And Parents As Partners In Advancing Autism Research, Cecilia Montiel-Nava, Chenoa Navarro, Jessica Abouchard, Ana C. Ramirez, Victoria Villareal, Susana Perez Kantor, Valerie Neeley, Alberto Allegre, Antonio F. Pagán, María Cecilia Montenegro May 2025

Time To Listen: Engaging Latino Autistic Adults And Parents As Partners In Advancing Autism Research, Cecilia Montiel-Nava, Chenoa Navarro, Jessica Abouchard, Ana C. Ramirez, Victoria Villareal, Susana Perez Kantor, Valerie Neeley, Alberto Allegre, Antonio F. Pagán, María Cecilia Montenegro

Psychological Science Faculty Publications

The limited representation of Latino autistic individuals and their families in research studies limits our understanding of how autism presents and is experienced across diverse communities, emphasizing a need for more inclusive research methodologies and participant recruitment strategies. Our project aimed to explore how participatory research methods can be effectively implemented to develop culturally valid measurement tools and research protocols that accurately capture the experiences of bilingual/bicultural Latino autistic individuals and their families. This study used a phenomenological framework design guided by community-based Participatory research and the social model of disability principles. Two trained researchers conducted three focus groups with …


There’S A Crisis Brewing In Higher Education, Caroline M. Graham May 2025

There’S A Crisis Brewing In Higher Education, Caroline M. Graham

Dissertations, 2020-current

This dissertation addresses the increasing need to enhance crisis preparedness among student affairs practitioners in higher education. With the growing frequency and complexity of campus crises—ranging from mental health emergencies to incidents of violence, the preparedness and self-efficacy of those in student support roles are paramount. This three-manuscript dissertation explores crisis intervention training, crisis self-efficacy, and the lived experiences of student affairs practitioners navigating campus crises. The first manuscript provides a conceptual overview of the gaps in current crisis intervention training within graduate programs, advocating for the integration of core competencies informed by accreditation standards and professional associations. The second …


Unmasking Masculinities In Counseling: From Conformity To Connection, Kyle R. Rose May 2025

Unmasking Masculinities In Counseling: From Conformity To Connection, Kyle R. Rose

Dissertations, 2020-current

This dissertation explored the entanglements of professional counseling and masculinities across three manuscripts, to contribute to (1) healthier forms of gender expression within and beyond the spectrum of masculinities for individuals, (2) the counseling profession’s role in transforming hegemonic masculinity within communities, and (3) larger movements to subvert the patriarchy throughout society. The first manuscript is a conceptual article that presented the Relational Cultural Privileged Identity Counseling (RCPIC) model, an integrative framework designed to help counselors address hegemonic masculinity within the therapeutic relationship. Drawing from Relational-Cultural Theory (RCT) and Privileged Identity Exploration (PIE), this model provided a roadmap for compassionate …


Lgbtqia+ Competency In Counseling: Understanding Current Trends, Educational Experiences, And Counselor Identity Implications, Tyler Puryear May 2025

Lgbtqia+ Competency In Counseling: Understanding Current Trends, Educational Experiences, And Counselor Identity Implications, Tyler Puryear

Dissertations, 2020-current

This dissertation presents is made up of three manuscripts. The first is a systematized review that synthesizes current literature to better understand the definition, development, and gaps in LGBTQIA+ competency. Eleven major themes were identified: competency frameworks, cultural humility over competence, competence in practice, barriers, intersectionality, subgroups, advocacy, allyship, pedagogy, language, and counselor attitudes. Findings suggest the field must move beyond static competency models toward a cultural humility framework. The qualitative study used constructivist grounded theory (CGT) to explore how recent graduates from counseling programs experienced learning about LGBTQIA+ counseling topics. Five themes emerged: faculty influence on learning, experiential learning …


Clinician Training, Support, And Self-Efficacy In Supporting Patients With Severe Persistent Mental Illness, Jaclyn Sharkey May 2025

Clinician Training, Support, And Self-Efficacy In Supporting Patients With Severe Persistent Mental Illness, Jaclyn Sharkey

Dissertations, 2020-current

Abstract

Severe and Persistent Mental Illness (SPMI) has existed long before the contemporary definitions that prevail in the present day. However, traditional perspectives and treatment of SPMI illness have been influenced primarily by the medical model of treatment, resulting in a diagnosis that feels demoralizing and inhibitive for the individual suffering, particularly if they do not share in this belief. The expansion of community-based programs for SPMI patients has provided many opportunities for counselors to work with these clients, however, training and research on how to address population-specific needs is severely lacking within counseling programs and counselor research. As the …


Navigating The Labyrinth: Transition Planning Process For Reintegration Of Inmates With Chronic Illnesses And Disabilities, Courtney Ashley Dean May 2025

Navigating The Labyrinth: Transition Planning Process For Reintegration Of Inmates With Chronic Illnesses And Disabilities, Courtney Ashley Dean

Walden Dissertations and Doctoral Studies

Most offenders face challenges with successfully reintegrating, especially those living with chronic illness and/or disabilities. Transition interventions employed by mental health professionals are not universal and vary from facility to facility. While recidivism, community stigmatization, reoffending, and reconviction are explored in extant literature, little has been done to examine the difficulties faced by the professionals who work with this population as they get ready to plan for transitioning this disenfranchised group back into society. This study is an exploration of the role of professional counselors in facilitating successful transition planning for inmates living with chronic illnesses and/or disabilities. Guided by …


Examining Validity And Reliability Evidence For The Multicultural Neuropsychological Scale (Muns) Party Subtest Scores, Madyson Hernandez May 2025

Examining Validity And Reliability Evidence For The Multicultural Neuropsychological Scale (Muns) Party Subtest Scores, Madyson Hernandez

Masters Theses, 2020-current

Neuropsychological tests were developed primarily for Westernized, Educated, Industrialized, Rich, and Democratic (WEIRD) populations (Henrich, 2020; Fernández & Abe, 2018). According to the American Academy of Clinical Neuropsychology (AACN) Relevance 2050 Initiative project, approximately sixty percent of Americans will be deemed unsuitable for neuropsychological testing because test norms are primarily based on European Americans who speak English (AACN, 2015). To aid in effective cross-cultural neuropsychological assessment, The Multicultural Neuropsychological Scale (MUNS; Fernández et al., 2018) was developed to be easily translatable to various languages. The MUNS is a 40-minute neuropsychological test battery that examines cognitive abilities such as reading fluency, …


Characteristics Of Parent-Adolescent Relationships As Predictors Of Adolescents’ Future Emotion Regulation Abilities, Jaclyn H. Snyder May 2025

Characteristics Of Parent-Adolescent Relationships As Predictors Of Adolescents’ Future Emotion Regulation Abilities, Jaclyn H. Snyder

Masters Theses, 2020-current

Adolescence is a critical period for the development of emotion regulation skills and parents play a pivotal role in the shaping of such skills. Indeed, several characteristics of the parent-child relationship have been implicated in adolescents’ emotional development. Namely, parental acceptance of adolescents’ emotions, the quality of parent-child attachment, and the tactics parents utilize to resolve conflict with their child appear to be significant sources of influence. The current study aimed to examine each of these three factors as possible predictors of adolescents’ emotion regulation abilities later in life. Additionally, this study sought to understand the relative strength of these …


Power Impacts Target Goals And Responses To Racism, Urmi Chatterjee May 2025

Power Impacts Target Goals And Responses To Racism, Urmi Chatterjee

Masters Theses, 2020-current

Racial microaggressions are harmful to people of color (POC) and inhibit their social functioning in the long term. Explicit forms of racism have been focused on in previous studies on interpersonal racial interactions. While studies have found the effect of confrontation on POC who experience subtle racism, other forms of responses to racism lack research. Are responses influenced by how powerful targets are? What happens when a powerful target experiences subtle racism? This study shows how power shapes the strategies people of color use to respond to subtle racism. We used a negotiation framework between three types of goals and …


Adapting A Contingency Contract Across Environments For Interfering Behaviors And Coping Skills, Samantha N. Eckstein May 2025

Adapting A Contingency Contract Across Environments For Interfering Behaviors And Coping Skills, Samantha N. Eckstein

Masters Theses, 2020-current

The purpose of this study was to examine the effects of taking an already successful contingency contract for an individual and adapting it to two separate environments to determine the effects on interfering behaviors and the utilization of coping skills. An AB design was utilized to allow for comparison of effects between conditions (i.e., control and treatment). The independent variable was the contingency contract(s) used across all settings and there were three dependent variable measures. These were the effects on interfering behaviors, skills demonstrated, and the utilization of coping skills. There is not enough evidence shown in the data to …


Family-Based Health Promotion To The Early Phases Of Pediatric Acute Lymphoblastic Leukemia Treatment: A Qualitative Review, Anna Van Asselt, Renee Gilbert, Hide Okuno, Ann M. Davis, Keith J. August, Carolyn R. Bates, Robert C. Gibler May 2025

Family-Based Health Promotion To The Early Phases Of Pediatric Acute Lymphoblastic Leukemia Treatment: A Qualitative Review, Anna Van Asselt, Renee Gilbert, Hide Okuno, Ann M. Davis, Keith J. August, Carolyn R. Bates, Robert C. Gibler

Research Days

Introduction: Excessive weight gain during early phases of Acute Lymphoblastic Leukemia (ALL) treatment elevates risk for long-term morbidities, late effects, and secondary cancers. Behavioral factors including physical inactivity and poor diet quality play a significant role in weight outcomes. Existing health behavior and obesity interventions do not address challenges that children and families face during cancer treatment. The current study qualitatively investigated caregiver, child, and multi-disciplinary expert perspectives on health behavior engagement and intervention content for the future adaptation of NOURISH-ALL.

Method: Caregivers (N=11) and youth with ALL (N=6) in the first year of treatment completed semi-structured interviews …


Mourning And Melancholia In The Lord Of The Rings, Ali Mirzabayati May 2025

Mourning And Melancholia In The Lord Of The Rings, Ali Mirzabayati

Journal of Tolkien Research

This paper analyzes how Denethor and Théoden respond differently to the deaths of their sons in J.R.R. Tolkien's The Lord of the Rings. Initially consumed by grief, Théoden embraces hope with Gandalf's support, while Denethor descends into despair. Employing Freud's essay "Mourning and Melancholia" (1917), we examine how Théoden and Denethor illustrate differing reactions to mourning and melancholy in the face of loss. Recognizing developments in psychoanalytic theory, the paper moves beyond simple binaries to offer a nuanced exploration of grief and attachment in Tolkien's narrative.


Perceiving The Perceiver: “Viewing” Sauron Through The Gestalt Theory Of Perception, Cameron Bourquein May 2025

Perceiving The Perceiver: “Viewing” Sauron Through The Gestalt Theory Of Perception, Cameron Bourquein

Journal of Tolkien Research

This paper uses Gestalt theory, the Gestalt laws of perception, and the reception theory of Wolfgang Iser to elucidate the character “Sauron” as he appears in The Lord of the Rings, The Rings of Power, and Tolkien’s wider legendarium. It argues firstly that Sauron’s high degree of indeterminacy and ambiguity suggests he can be read as a gestalt entity, one the reader creates by mentally constructing a whole from (seemingly) disparate parts. Building on the semiotics work of Nagy (2013), it argues that Sauron in The Lord of the Rings can be read as gestalt across the spatial, …


The Moderating Effect Of Political Ideology On The Relationship Between Locus Of Control And Covid-19-Related Anxiety And Stress, Sarah Boomhower May 2025

The Moderating Effect Of Political Ideology On The Relationship Between Locus Of Control And Covid-19-Related Anxiety And Stress, Sarah Boomhower

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic created a mental health crisis within the United States. Previous research examining locus of control and mental health issues during the pandemic revealed that individuals with an external locus of control exhibited increased mental health symptoms. Research also found that political attitudes played a role regarding COVID-19 with liberal-leaning individuals and Democrats reporting higher levels of emotional distress during the pandemic. The purpose of this quantitative, nonexperimental, correlational study was to determine the extent to which political ideology moderates the relationship between locus of control and COVID-19-related anxiety and stress. Locus of control was the theoretical foundation …


Psychologists’ Competency And Training Regarding Treating Transgender And Non-Conforming Youth With Gender Dysphoria, Amydth Chumacero May 2025

Psychologists’ Competency And Training Regarding Treating Transgender And Non-Conforming Youth With Gender Dysphoria, Amydth Chumacero

Walden Dissertations and Doctoral Studies

There is limited evidence-based research on required competency, training, assessment, and treatment practices for psychologists who treat transgender and non-conforming (TGNC) youth with gender dysphoria. Eleven licensed psychologists with at least 5 years of experience treating TGNC youth were recruited through social media and snowball recruiting to participate in this qualitative Delphi study. Using multicultural competency theory as a guide, these experts were asked to develop a consensus regarding the minimum competencies and training to treat TGNC youth, as well as what they thought the standards should be for assessment and treatment. Data were collected in three rounds of online …


Serving Minority Women Survivors Of Intimate Partner Violence, Consuelo Valentina Riso May 2025

Serving Minority Women Survivors Of Intimate Partner Violence, Consuelo Valentina Riso

Educational Specialist, 2020-current

Intimate partner violence (IPV) is a widespread public health concern that disproportionately affects women, particularly those belonging to minorities. In the United States, the prevalence of IPV among Latina women is influenced by intersecting factors such as immigration status, socioeconomic stressors, cultural values, and systemic barriers. Research and community initiatives addressing IPV among Latina women have included crisis hotlines, domestic violence shelters, advocacy programs, and bilingual services within community health centers. Research also highlights that culturally tailored services yield better outcomes than trauma-informed approaches alone.

Additionally, online interventions are emerging as promising tools to expand safe, accessible, and bilingual support, …


Effects Of Healthcare Administrators And Icu Nurses’ Perspectives Of Leader Bullying On Work And Physical Six Sigma/Lean Training, Agha Raza May 2025

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) …