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Articles 1381 - 1410 of 16251
Full-Text Articles in Entire DC Network
Tensions And Transformations: Equity, Diversity, And Inclusion In A Diverse Urban School Division, Lesley Eblie Trudel, Kishi Anderson Leachman, Wayne Davies
Tensions And Transformations: Equity, Diversity, And Inclusion In A Diverse Urban School Division, Lesley Eblie Trudel, Kishi Anderson Leachman, Wayne Davies
Journal of Educational Research and Practice
This study examines how equity, diversity, and inclusion (EDI) are understood and implemented within a large, diverse, urban school division in Canada. Using a mixed-methods approach and grounded in theoretical perspectives, including critical race theory, intersectionality, the ecology of inclusive education, and collective efficacy theory, we gathered insights from surveys and focus groups with educators, administrators, clinicians, educational assistants, caregivers, and students. Findings suggest that, while support for EDI is broad, the implementation is inconsistent and shaped by systemic barriers, resource constraints, and unclear leadership. We highlight the need for shared language, coordinated supports, and ongoing professional learning and instructional …
Implementing Evidence-Based Strategies For Falls Prevention, Gregory Njong
Implementing Evidence-Based Strategies For Falls Prevention, Gregory Njong
Walden Dissertations and Doctoral Studies
Older adults are particularly susceptible to post-fall injuries and loss of independence. This project was implemented to decrease the number of resident falls within a long-term care setting by enhancing the knowledge and daily routine of direct-care personnel. Falls remain one of the most frequent and severe safety concerns. Although policies on fall prevention are in place, workers often inconsistently incorporate risk evaluation and fail to identify all the causes of a fall. The purpose of this project was to determine whether a structured educational program could raise the level of knowledge about fall-prevention and provide safer care practices. The …
Staff Education To Acute Care Nursing Staff On Physical Medicine And Rehabilitation, Melissa Marie Emeott
Staff Education To Acute Care Nursing Staff On Physical Medicine And Rehabilitation, Melissa Marie Emeott
Walden Dissertations and Doctoral Studies
For this Doctor of Nursing Practice project in physical medicine and rehabilitation (PM&R), the focus was on enhancing education for acute care nurses about the benefits of inpatient rehabilitation for appropriate patients. The practice problem was the underutilization of inpatient rehabilitation despite its proven benefits in improving patient outcomes and reducing readmissions. With this project, I aimed to educate nurses on identifying suitable candidates for inpatient rehabilitation, thereby improving patient care transitions and outcomes. The practice-focused question revolved around assessing the effectiveness of educational interventions in increasing nurse knowledge and referral rates to inpatient rehab. Analytical strategies included pre- and …
Executive Summary: Multi-Departmental Resilience And Stress Reduction Program, Joy Adeyemi
Executive Summary: Multi-Departmental Resilience And Stress Reduction Program, Joy Adeyemi
Walden Dissertations and Doctoral Studies
Background: Primary care nursing faces an escalating burnout crisis threatening patient safety and organizational sustainability. Internal data reveals 68% of primary care nurses report high emotional exhaustion scores on the Maslach Burnout Inventory (MBI), significantly exceeding the national average of 45%. Annual voluntary turnover of 28% results in direct replacement costs exceeding $750,000, with associated increases in absenteeism (15% higher) and overtime costs (22% higher) compared to regional benchmarks. Purpose: This quality improvement project implemented a comprehensive multi-departmental resilience and stress reduction program to reduce nurse burnout, improve retention, and enhance patient safety outcomes in a primary care setting serving …
Hospital-Acquired Infections Evidence-Based Standards Of Hand Hygiene, Terry Hosch
Hospital-Acquired Infections Evidence-Based Standards Of Hand Hygiene, Terry Hosch
Walden Dissertations and Doctoral Studies
Abstract Hospital-acquired infections (HAIs) remain a challenge for healthcare organizations despite being preventable. Implementing and monitoring evidence-based hand-washing standards can help reduce the spread of germs and HAIs. The cost of HAIs continues to rise, affecting finances, patient length of stay, and outcomes. HAIs add $28 billion to $45 billion annually to U.S. healthcare costs. The purpose of this quantitative correlational study was to examine and evaluate HAIs (dependent variable) and hand hygiene compliance (independent variable), as well as the impact on healthcare organizations' financial performance, patient length of stay, and outcomes. The study employed Donabedian's theoretical framework, which comprises …
Development Of A Clinical Practice Guideline For Diabetic Ketoacidosis (Dka) Management In The Intensive Care Unit, Kushom Gurung Leftwich
Development Of A Clinical Practice Guideline For Diabetic Ketoacidosis (Dka) Management In The Intensive Care Unit, Kushom Gurung Leftwich
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a critical gap in care at a 24-bed, combined, intensive care unit (ICU): The absence of a standardized, evidence-based clinical practice guideline (CPG) for managing diabetic ketoacidosis (DKA). DKA is a life-threatening emergency requiring timely, coordinated, and evidence-driven management. Despite its prevalence, the project site ICU lacked formal guidelines, resulting in fragmented care delivery and inconsistent treatment practices. Project site leadership expressed concerns that the absence of a unified protocol contributed to increased workload for nurses and physicians with frequent interruptions for order verification and delays that compromised patient safety and care …
Thirty-Day Hospital Readmissions For Medicare Patients In Urban And Rural Counties Of North Carolina And Wisconsin Based On Gender And Race, Narda J. Rogers
Thirty-Day Hospital Readmissions For Medicare Patients In Urban And Rural Counties Of North Carolina And Wisconsin Based On Gender And Race, Narda J. Rogers
Walden Dissertations and Doctoral Studies
Abstract Thirty-day hospital readmissions continue to be an increasing problem for healthcare administrators due to quality and costs. This study was conducted to examine whether gender and race were related to 30-day readmissions in urban and rural counties of North Carolina and Wisconsin. Research questions included the dependent variable of 30-day acute hospital readmissions and the independent variables of race (Black and White) and gender (male and female). The framework was Donabedian’s quality of care model consisting of three components: structure, process, and outcomes. Centers for Medicare and Medicaid Services secondary data were gathered in 2022 from 595,294 patients in …
Investigating The Impact Of Health Information Exchange On Hospital Performance: Evidence From The United States, C. Christopher Lee, Ruoqing Zhang
Investigating The Impact Of Health Information Exchange On Hospital Performance: Evidence From The United States, C. Christopher Lee, Ruoqing Zhang
International Journal of Applied Management and Technology
This study examines the impact of health information exchange (HIE) participation on hospital performance in the United States, focusing on profitability, efficiency, and quality. Analyzing data from 3,294 hospitals over 3 years (2014–2016) and using multiple regression models, the results showed a positive association between HIE participation and improved performance. HIE membership is linked to increased profitability, enhanced efficiency, and certain quality enhancements, particularly in larger, metropolitan, for-profit hospitals. However, the relationship with quality outcomes is less conclusive. The comprehensive analysis considers various control variables, and the findings of this study offer valuable insights for hospital managers and policymakers and …
Younger African American Men’S Beliefs And Attitudes Toward Prostate Cancer Screening, Linda Teemer-Baker
Younger African American Men’S Beliefs And Attitudes Toward Prostate Cancer Screening, Linda Teemer-Baker
Walden Dissertations and Doctoral Studies
Prostate cancer screening has been a focus of scholars since the late 20th century, as researchers have sought to address persistent disparities in early detection and mortality rates among African American men. Researchers have demonstrated that cultural beliefs, mistrust of the medical system, and limited access to healthcare significantly influence prostate cancer screening behaviors within this population. However, researchers have yet to establish how younger African American men specifically interpret prostate cancer risk and how their beliefs and attitudes shape decisions regarding screening participation. The purpose of this study was to explore the beliefs, perceptions, and attitudes of younger African …
Childhood Events And Counseling Experiences Of Chinese And Korean American Transracial Adoptees, Mele Kramer, Lee Stadtlander
Childhood Events And Counseling Experiences Of Chinese And Korean American Transracial Adoptees, Mele Kramer, Lee Stadtlander
Journal of Social, Behavioral, and Health Sciences
From the 1950s through 2024, transracial adoptions—particularly of Korean and Chinese children—have been increasingly prevalent in Western societies. While these adoptions provided children with opportunities to grow up in loving and supportive families, they also introduced unique challenges related to identity, cultural integration, and self-esteem. This basic qualitative study aimed to explore the lived experiences of Chinese and Korean transracial adoptees (TRAs) within their adoptive families, in their interactions with counseling, and their perceptions of the effectiveness of counseling interventions. The study was grounded in Relational-Cultural Theory (RCT) and the Openness to Communication framework to examine the experiences of 19 …
Strategies To Improve Employee Retention And Organizational Performance In Healthcare, Paula Faye Guillory
Strategies To Improve Employee Retention And Organizational Performance In Healthcare, Paula Faye Guillory
Walden Dissertations and Doctoral Studies
A lack of effective strategies to improve employee retention and organizational performance is a concern for healthcare leaders. Without such strategies, organizations may incur costs through recruitment and training, reduce productivity due to workflow disruption and knowledge gaps, damage employee morale by increasing workloads for remaining employees, and harm the organization’s reputation, potentially affecting patient relationships, hindering growth, and eroding any competitive advantage. Grounded in Penrose’s resource-based view theory, this qualitative pragmatic inquiry was to identify and explore the effective strategies healthcare leaders use to improve employee retain and organizational performance. Participants were six leaders of healthcare organizations located in …
Staff Education Project To Improve Management Of Depression, Maryjane Henshaw
Staff Education Project To Improve Management Of Depression, Maryjane Henshaw
Walden Dissertations and Doctoral Studies
I designed this Doctor of Nursing Practice staff education project to enhance the ability of primary care nurses at a mental health outpatient clinic to manage depression in patients who are non-compliant with treatment. Currently, nurses lack structured training in recognizing and addressing depression, which contributes to inconsistent care, increased relapse and readmission rates, lower patient satisfaction, and greater healthcare utilization. This project aimed to provide evidence-based education to close a critical gap in practice that affects care quality, continuity, nurse confidence, and patient outcomes. The guiding practice-focused question was: In primary care nurses at a mental health outpatient clinic, …
Strategies To Provide Organizational Support To Neurodivergent Employees On Work Teams, Keila Yaremis Molina González
Strategies To Provide Organizational Support To Neurodivergent Employees On Work Teams, Keila Yaremis Molina González
Walden Dissertations and Doctoral Studies
Ineffective strategies for supporting neurodivergent employees can lead to decreased productivity, talent loss, and stifled innovation, ultimately harming a company's operational efficiency. Industry training managers who struggle to improve productivity, retention, and innovation may find their businesses facing instability as a result. . Grounded in attribution theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective strategies used by industry training managers to support neurodivergent employees to increase productivity, talent retention, and innovation. The participants were nine industry training managers who had implemented supportive strategies. Data were collected through semistructured interviews, public websites, and …
Staff Education To Increase Nurses’ Knowledge And Comprehension Of Psychiatric Advance Directives, Lenora Johnson
Staff Education To Increase Nurses’ Knowledge And Comprehension Of Psychiatric Advance Directives, Lenora Johnson
Walden Dissertations and Doctoral Studies
Psychiatric advance directives (PADs) are binding documents through which a patient who has severe mental illness can specify their treatment preferences before becoming mentally ill in a crisis. PADs support patient autonomy, shared decision-making, and reduce the reliance on coercive or involuntary treatments. However, patient record reviews in this practice setting revealed that PAD documentation was not frequently practiced, and nurses were not even aware of or confident enough to assist patients in preparing these directives. This DNP project was designed to bridge this gap by implementing a formal staff education program that would improve the knowledge and awareness of …
Male Veteran Sexual Trauma Survivors' Experiences Of Military Culture And Institutional Betrayal, Karen James Lewis
Male Veteran Sexual Trauma Survivors' Experiences Of Military Culture And Institutional Betrayal, Karen James Lewis
Walden Dissertations and Doctoral Studies
The phenomenon of Military sexual trauma (MST) among male survivors is significantly underreported and lacking in scholarly research. The purpose of this qualitative generic study was to explore male veteran MST survivors’ perspectives on military culture and institutional betrayal. Cultural spillover theory provided the framework, emphasizing that a culture that legitimizes violence to achieve its goals has the potential to foster illegitimate violence within that culture. The primary research question in this study was: What are the perceptions and experiences of male veteran MST survivors on military institutional culture and MST? Six semi-structured interviews were conducted via Zoom with male …
Associations Between Medicare Advantage Supplemental Dental Benefits And Voluntary Disenrollment, Carly J. Bressler-Archambeau
Associations Between Medicare Advantage Supplemental Dental Benefits And Voluntary Disenrollment, Carly J. Bressler-Archambeau
Walden Dissertations and Doctoral Studies
Dental health is a critical component of overall well-being but is not a mandatory benefit in the Traditional Medicare or Medicare Advantage programs. Few researchers explore whether the generosity of supplemental benefits in Medicare Advantage, such as dental coverage, are associated with better beneficiary experience and retention in the program. The purpose of this quantitative study was to explore the potential associations between supplemental dental benefits generosity and voluntary disenrollment in Medicare Advantage plans. Penchansky and Thomas’ theory of access (1981) and Rivera-Hernandez et al.’s (2021) Medicare Advantage plan choice and retention framework were used to understand the associations between …
Improving Staff Knowledge And Competency In Saint Louis University Mental Status Dementia Screening, Arteece Noel Crum
Improving Staff Knowledge And Competency In Saint Louis University Mental Status Dementia Screening, Arteece Noel Crum
Walden Dissertations and Doctoral Studies
Summary Early recognition of cognitive decline is vital to improving outcomes and maintaining patient safety across healthcare settings. The Saint Louis University Mental Status (SLUMS) screening tool assists nurses in detecting early cognitive changes; however, inconsistent administration and interpretation of the screening tool can reduce its effectiveness. A gap in staff knowledge regarding scoring, education-level adjustments, and documentation accuracy was identified at the practice site. To address this gap in practice, I developed and implemented a staff education program focusing on SLUMS administration and evidence-based clinical response to abnormal scores. The practice-focused question guiding this Doctor of Nursing Practice project …
Comparison Of Two Clinical Education Models On Confidence, Resilience, Organizational Commitment, And Stress And Burnout Of New Graduate Registered Nurses, Lenore Reilly
Walden Dissertations and Doctoral Studies
The transition to independent clinical practice is a stressful experience that may lead many new graduate RNs (NGRNs) to leave their first role within a year. Effective clinical education can help prepare NGRNs for the dynamic environment of the acute care setting. The purposes of this study, guided by Meleis’s transitions theory, were to determine if there was (a) a difference in confidence in NGRNs who experienced a dedicated education unit (DEU) and NGRNs who experienced a traditional clinical education model (TCEM), (b) a difference in resilience in NGRNs who experienced a DEU and NGRNs who experienced a TCEM, (c) …
Novice Teacher Voice Of Preservice Preparation To Support Low-Ses Students, Edna Richardson Richardson Billingsley
Novice Teacher Voice Of Preservice Preparation To Support Low-Ses Students, Edna Richardson Richardson Billingsley
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was that there is a gap in the literature about the preparation of mid to lower elementary novice teachers to teach students with low-socioeconomic status (low-SES) in several districts throughout the Southern United States. Grounded in social justice theory, the purpose of the basic qualitative design was to explore lower to middle elementary teachers' perceptions on their preservice preparation to teach low-SES students. For this basic qualitative design, 12 novice teachers participated in semistructured interviews. Data were analyzed through thematic analysis with the following three top themes emerging: (a) poor preparation towards …
Bridging The Knowledge Gap Of Nursing Staff Understanding Patient Medication Discharge Instructions, Tracy L. Outlaw
Bridging The Knowledge Gap Of Nursing Staff Understanding Patient Medication Discharge Instructions, Tracy L. Outlaw
Walden Dissertations and Doctoral Studies
The project, a Doctor of Nursing Practice (DNP) staff education project, addresses a gap in nursing practice by focusing on the need for comprehensive knowledge and effective communication skills among nursing staff regarding antidepressant discharge instructions. The practice-focused question is as follows: How does a structured educational program on antidepressant pharmacology and communication strategies impact staff knowledge and satisfaction compared to standard discharge practices? The primary purpose of the project is to improve nursing staff knowledge and communication through a systematic, phased approach that aligns with project management principles through the lens of project management theory, thereby increasing and sustaining …
Impact Of Staff Education On Cultural Competency Knowledge And Skills, Okechukwu Cyril Akunwafor
Impact Of Staff Education On Cultural Competency Knowledge And Skills, Okechukwu Cyril Akunwafor
Walden Dissertations and Doctoral Studies
Summary The Doctor of Nursing Practice (DNP) project involved implementing a cultural competency staff education program at an outpatient mental health clinic. The identified practice problem was poor cultural competence practices knowledge among staff, resulting in poor patient engagement and a low patient satisfaction rate. Improving cultural competency in nursing practice was necessary to facilitate therapeutic trust, increase patient treatment adherence, and enhance staff compliance with Culturally and Linguistically Appropriate Services (CLAS). The practice-focused question guiding the DNP project was: Does implementing staff education impact their knowledge of cultural competence and confidence in adhering to CLAS? Data were collected through …
Experiences And Training Of Early Childhood Education Directors, Rochelle Elaine Nadeau
Experiences And Training Of Early Childhood Education Directors, Rochelle Elaine Nadeau
Walden Dissertations and Doctoral Studies
In Colorado, early childhood education (ECE) directors are often not fully prepared to lead and develop high-quality teaching teams, which is integral to offering high-quality programming to children and families in the early years of development. Framed by transformational leadership theory, the purpose of this basic qualitative study was to explore Colorado ECE directors' experiences with training and support, and the resources needed to develop ECE directors to lead high-quality programming . Data were collected through semistructured interviews with 13 Colorado ECE directors from center-based programs that serve children from birth to 8 years. Thematic analysis using open coding yielded …
Staff Education To Improve Cultural Competence In Mental Health Care, Mariam Farah
Staff Education To Improve Cultural Competence In Mental Health Care, Mariam Farah
Walden Dissertations and Doctoral Studies
This doctoral project addressed a gap in staff cultural competence at a mental health and addiction services center in the Midwest. I conducted this project to design, implement, and evaluate a staff educational program to improve staff knowledge, cultural awareness, and communication skills. The guiding practice-focused question was: Among staff at the Midwest mental health and addiction services center, how does a structured cultural competence education program compare to current practices in improving staff knowledge of cultural awareness? A 2-day educational session was held to accommodate participation within regular work schedules without interfering with the project site organization’s services. Arrangements …
Enhancing Ptsd Diagnostic Accuracy Among Immigrant Patients Through Staff Education On The Harvard Trauma Questionnaire, Elijah Machogu Mabururu
Enhancing Ptsd Diagnostic Accuracy Among Immigrant Patients Through Staff Education On The Harvard Trauma Questionnaire, Elijah Machogu Mabururu
Walden Dissertations and Doctoral Studies
This doctor of nursing practice (DNP) project is a staff education initiative addressing the underdiagnoses of post-traumatic stress disorder (PTSD) among immigrant patients. The project was developed in response to inconsistent screening practices, lack of standardized tools, and limited provider confidence in assessing PTSD in culturally diverse populations. The purpose is to equip clinical staff with the knowledge and skills to apply the HTQ appropriately and consistently, thereby improving diagnostic accuracy and supporting equitable access to mental healthcare. The practice-focused question guiding this project was: Can an educational intervention using the HTQ improve staff’s ability to identify PTSD symptoms among …
Primary Teachers’ Implementation Experiences Transitioning From Balanced Literacy To Science Of Reading, Rachael Spires
Primary Teachers’ Implementation Experiences Transitioning From Balanced Literacy To Science Of Reading, Rachael Spires
Walden Dissertations and Doctoral Studies
In a suburban charter elementary school in the southeastern region of the United States, primary grade teachers were not fully implementing new strategies for all five components of the science of reading (SoR) during the shift from balanced literacy in the reading wars. The purpose of this basic qualitative study was to explore primary grade teachers’ experiences with implementing new strategies to support the five components of the SoR. Guided by Hall and Hord’s concerns-based adoption model (CBAM), data were collected from a purposeful sample of 15 primary grade level teachers at the charter school, who participated in semistructured interviews. …
Chatgpt In Campus Life: Exploring Adoption Through Theory Of Planned Behavior And Trust Dynamics", Mamta Brahmbhatt Prof. (Dr.), Ravi Rajai Dr.
Chatgpt In Campus Life: Exploring Adoption Through Theory Of Planned Behavior And Trust Dynamics", Mamta Brahmbhatt Prof. (Dr.), Ravi Rajai Dr.
International Journal of Applied Management and Technology
ChatGPT, a sophisticated generative machine learning chatbot, has impressed users with its groundbreaking capabilities, showcasing improved conversational skills and exceptional professional knowledge and contextual awareness. A plethora of scholars is investigating ChatGPT via various technology adoption frameworks, including the theory of planned behavior. The current study seeks to augment existing knowledge by investigating the behavioral intention to use ChatGPT for academic purposes, utilizing the theory of planned behavior (TPB) in conjunction with an additional variable of trust, while reassessing the formerly established associations among the components thereof within the framework of early technology adopters. The participants were students from several …
A Comprehensive Framework To Enhance Holistic Care For Postpartum Single Mothers, Stephanie Dumas
A Comprehensive Framework To Enhance Holistic Care For Postpartum Single Mothers, Stephanie Dumas
Walden Dissertations and Doctoral Studies
Abstract Postpartum depression remains a significant challenge for single mothers who face emotional, financial, and social barriers with limited support. In Palm Beach County, Florida, where many households are led by single parents, existing services are often uncoordinated and lack trauma-informed approaches that address the realities of mothers during the postpartum period. The purpose of this qualitative action research study was to explore the perceptions of human services professionals regarding the trauma-informed and holistic care interventions needed to support single mothers experiencing postpartum depression. The Garbhasanskar holistic care framework, which emphasizes emotional well-being, mindfulness, and the creation of safe and …
Understanding The Influence Of The Warrior And Guardian Mentalities On Police Behavior Through The Perspectives Of Police Training Personnel, Loren Eric Peterson
Understanding The Influence Of The Warrior And Guardian Mentalities On Police Behavior Through The Perspectives Of Police Training Personnel, Loren Eric Peterson
Walden Dissertations and Doctoral Studies
Research on police culture often contrasts the “warrior” mentality, linked to aggression and control, with the “guardian” mentality, which emphasizes empathy, restraint, and community trust. Yet little research explores how police academy instructors, who shape officers’ professional identities, understand and teach these opposing orientations. This phenomenological study examined how Oklahoma police academy instructors perceive the influence of warrior and guardian mentalities on officers’ decision making and behavior in use of force encounters. Grounded in symbolic interaction theory, the study explored how meaning, socialization, and thought interact to construct officers’ self-concepts and guide behavior under pressure. Fifteen semi-structured interviews were conducted, …
Effect Of Servant Leaders’ Humility, Active Listening, And Trust-Building On Employee Engagement In U.S. Private Financial Organizations, Sunny Sung Phd, Tom Butkiewicz Ph.D.
Effect Of Servant Leaders’ Humility, Active Listening, And Trust-Building On Employee Engagement In U.S. Private Financial Organizations, Sunny Sung Phd, Tom Butkiewicz Ph.D.
International Journal of Applied Management and Technology
Ineffective leadership characteristics hinder employee engagement in the financial industry, leading to negative organizational outcomes. The purpose of this quantitative, correlational, cross-sectional study was to examine the relationship between servant leaders’ humility, active listening, and trust-building and employee engagement in U.S. private financial organizations. The servant leadership theory of serving followers and the social exchange theory of reciprocity grounded this study. Using simple random sampling, the participants comprised190 employees from private financial organizations in the United States. They completed the Servant Leadership Scale-7; Servant Leadership Assessment Instrument factors 6 and 7; the hearing, understanding, remembering, interpreting, evaluating, and responding (HURIER) …
Contrapower Harassment And Stress Experienced By Online Psychology Instructors, Sarah D. Hull
Contrapower Harassment And Stress Experienced By Online Psychology Instructors, Sarah D. Hull
Walden Dissertations and Doctoral Studies
Previous researchers have found that face to face bullying by students directed towards postsecondary education faculty may result in negative mental and emotional impacts. The virtual environment provides a unique opportunity for student-to-faculty bullying behaviors, known as cyberbullying, to occur. Researchers have not yet studied how psychology faculty in particular experience stress when cyberbullied by students. The purpose of this qualitative study, rooted in phenomenological design, was to improve the understanding of how psychology faculty who are cyberbullied by students experience stress. Contrapower harassment theory was used to ground these research questions and design. The research questions examined the experiences …