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Attitudes And Perceptions Among African Americans About Dating Individuals With Bipolar Disorder, Casey Michelle Johnson Jan 2019

Attitudes And Perceptions Among African Americans About Dating Individuals With Bipolar Disorder, Casey Michelle Johnson

Walden Dissertations and Doctoral Studies

Individuals who experience bipolar disorder may have difficulty acquiring and maintaining relationships due to the stigma associated with mental illness. The purpose of this generic qualitative study was to examine the attitudes and perceptions of African American men and women regarding their experiences of dating and relationships with individuals who suffer from bipolar disorder. The theory used in this study was equity theory. The research question for this study explored how African American adults experience relationship acquisition and maintenance with a partner who has been diagnosed with bipolar disorder. For this generic qualitative study, there were 12 respondents. Participants were …

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Nurse Faculty Perceptions Of Role Stress And Faculty-To-Faculty Incivility, Anne Kraft Kleinhesselink Jan 2019

Nurse Faculty Perceptions Of Role Stress And Faculty-To-Faculty Incivility, Anne Kraft Kleinhesselink

Walden Dissertations and Doctoral Studies

The purpose of this study was to determine the relationship between nurse faculty perceptions of role stress and faculty-to-faculty incivility using the stressor-emotion model of counterproductive work behaviors. A convenience sample of 79 nurse faculty from 39 undergraduate nursing programs in Iowa responded to an online survey. The survey consisted of two instruments: Workplace Incivility Civility Scale and Role Strain Scale. Findings revealed 76 participants perceived incivility as a problem and identified stress (n = 64) and demanding workloads (n = 54) as contributing factors. Pearson correlation results revealed a positive relationship between experienced incivility and nurse faculty perceptions of …

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The Influence Of Food Insecurity, Low-Income, And Race On Diabetes Self-Management Practices Among Women With Diabetes, Jill La Capria Jan 2019

The Influence Of Food Insecurity, Low-Income, And Race On Diabetes Self-Management Practices Among Women With Diabetes, Jill La Capria

Walden Dissertations and Doctoral Studies

Diabetes is a chronic condition affecting more than 30 million adults living in the United States. Diabetes self-management (DSM) can prevent or delay the complications of diabetes and improve clinical outcomes; however, data show that low-income, food insecurity, female gender, and race contribute to challenges performing effective DSM. The health belief model was the theoretical framework for this cross-sectional study, which examined how food insecurity, low-income, and race affect DSM activities in women with diabetes. The sample population from the 2017 Behavioral Risk Factor Surveillance System survey consisted of 1,842 women with diabetes who were 18 years of age or …

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Faculty Incivility And Academic Nurse Administrator Job Satisfaction, Kimberly S. Lindquist Jan 2019

Faculty Incivility And Academic Nurse Administrator Job Satisfaction, Kimberly S. Lindquist

Walden Dissertations and Doctoral Studies

Academic nurse leaders hold an essential role in preparing future nurses who have the skills and abilities to meet complex healthcare system. However, vacancies in academic leadership positions are on the rise and may be connected to faculty incivility which affects job satisfaction of academic nurse leaders. The purpose of this descriptive correlational study, guided by Herzberg'€™s two-factor theory, was to explore the relationships between perceptions of and experiences with faculty incivility and job satisfaction in a population of academic nurse leaders. Leader perceptions of and experiences with faculty incivility were measured using the Workplace Civility/Incivility Survey and leader job …

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Approved Victim Contact And Treatment Outcomes Among Domestic Violence Offenders, Brian Timothy Longworth Jan 2019

Approved Victim Contact And Treatment Outcomes Among Domestic Violence Offenders, Brian Timothy Longworth

Walden Dissertations and Doctoral Studies

Batterer intervention programs (BIPs) were developed to address high recidivism rates and low treatment completion rates in domestic violence offenders. Segregation between these offenders and their victims has been traditional in BIPs, but there has been no research exploring if this separation is related to treatment outcome. This research explored the relation between offender contact with their children or victims and outcomes including recidivism and treatment completion. Most domestic violence interventions are psychoeducational in nature and are based on the cognitive behavioral theory premise that if an individual'€™s thinking process can be changed, a change in actions can result. This …

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The Effect Of Early Childhood Abuse On Educational Attainment, Onzie Luke Jan 2019

The Effect Of Early Childhood Abuse On Educational Attainment, Onzie Luke

Walden Dissertations and Doctoral Studies

The purpose of this study was to fill a gap in the literature regarding survivors of child abuse and their capacity to continue their educational pursuits beyond high school. Thus, this study explored the lived experience of self-identified abuse survivors who were enrolled in higher education. The theoretical bases for this study included Bandura'€™s social cognitive theory, Rotter'€™s theory of locus of control and Heider'€™s and Weiner'€™s theory of attribution. Open-ended interviews were conducted with 15 survivors of child abuse enrolled in an undergraduate or graduate degree program at an online or brick and mortar university. The interviews were then …

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The Benefit Of Leadership Using First Choice For New Graduate Nurse Retention, Jodie Marie Lyons Jan 2019

The Benefit Of Leadership Using First Choice For New Graduate Nurse Retention, Jodie Marie Lyons

Walden Dissertations and Doctoral Studies

The United States has a nursing shortage that is projected to grow to over 500,000 by the year 2030. This is an issue for leaders because the nursing shortage affects health care organizations sustainability. The purpose of this qualitative descriptive phenomenological study was to identify and report the lived experiences of new graduate nurses (NGNs) in oncology and whether unit of first choice (UFC) effected their intention to remain after 2 years of practice. The research question considered the lived experiences of NGNs in oncology units who either had oncology as their UFC or were placed on an oncology unit …

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Addresing Challenges In Caring For Morbidly Obese By Learning About Bariatric Care, John Abayomi Makanjuola Jan 2019

Addresing Challenges In Caring For Morbidly Obese By Learning About Bariatric Care, John Abayomi Makanjuola

Walden Dissertations and Doctoral Studies

Obesity is a public health issue linked to high morbidity and mortality among critically ill patients. There are approximately 15.5 million morbidly obese adults in the United States. The purpose of the project was to develop and implement an educational program using evidence-based protocols for bariatric care to educate nurses and caregivers regarding best practices when attending to obese patients. The practice-focused question examined whether learning about evidence-based bariatric care would improve the knowledge of nurses and caregivers caring for morbidly obese patients in an acute care setting. The theoretical foundation was Bandura'€™s self-efficacy theory. A questionnaire using a Likert …

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Relationships Between Sle Disease Activity And Damage, Depression And Work Productivity Impairment In The Georgians Organized Against Lupus Study, Karen Mancera-Cuevas Jan 2019

Relationships Between Sle Disease Activity And Damage, Depression And Work Productivity Impairment In The Georgians Organized Against Lupus Study, Karen Mancera-Cuevas

Walden Dissertations and Doctoral Studies

Systemic lupus erythematous (SLE) is an autoimmune and inflammatory disease that can affect all organs of the body. The purpose of this quantitative cross-sectional study was to examine SLE-related issues associated with depression and work-productivity impairment, and to assess if depression mediated the relationship between SLE disease activity and damage and work-productivity impairment. Participants were 257 residents of the state of Georgia in the United States with SLE and were recruited from the Georgians Organized Against Lupus study. Bandura'€™s social cognitive theory was the guiding theoretical framework of the study. Findings showed that the majority of participants worked full time …

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Advanced-Beginner Registered Nurses' Perceptions On Growth From Entry Level, Brenda Mason Jan 2019

Advanced-Beginner Registered Nurses' Perceptions On Growth From Entry Level, Brenda Mason

Walden Dissertations and Doctoral Studies

Many entry-level nurses are not prepared to handle medical emergencies. Although responsible for managing the care of individuals with complex medical conditions, many of these nurses compromise the safety of patients due to a lack of experience and an inability to apply clinical judgment. The purpose of this study was to explore the perceptions of registered nurses about their transition from entry-level to advanced beginner. Bandura's social cognitive theory, along with Colaizzi's descriptive method of data analysis, provided a basis for this phenomenological study. Research questions focused on challenges that entry-level nurses have experienced with problem-solving and complex patient care …

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Fostering Self-Care And Nurse Resilience, Cheryl Jean Mcnamara Jan 2019

Fostering Self-Care And Nurse Resilience, Cheryl Jean Mcnamara

Walden Dissertations and Doctoral Studies

Role expectations and stressful work environments place nurses at high risk for burnout. Nurses at an urban hospital were experiencing unhealthy work environments and not engaging in self-care to promote health and wellbeing. The purpose of this project was to evaluate the effectiveness of an existing quality improvement (QI) initiative developed to encourage nurses to engage in self-care. Pender'€™s health promotion model supported the premise that despite barriers, nurses will engage in self-care. A survey elicited responses from 1,248 participating registered nurses on the extent of their engagement with self-care and perceived effect on their health, health knowledge, stress level, …

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Decreasing Hospital Admission Rates In Long-Term Care, Melanie R. Meissner Jan 2019

Decreasing Hospital Admission Rates In Long-Term Care, Melanie R. Meissner

Walden Dissertations and Doctoral Studies

Each year, hospitalizations from long-term care (LTC) settings occur, in part, due to underdeveloped nursing assessment skills, ineffective communication with primary care providers (PCPs), and delayed intervention. Through staff development nursing education, the quality and timeliness of care can be improved. The practice question that guided this doctoral project focused on whether evidence-based research information would assist in decreasing LTC-to-hospital admission rates through improved nursing assessment skills and better communication with PCPs. Using the logic model, the effectiveness of a program was evaluated and the impact of interventions on a predicted outcome was determined. Sources of evidence included obtaining best …

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Phenomenological Study On Social Workers With Children With Special Needs, Natasha Yvette Mike Jan 2019

Phenomenological Study On Social Workers With Children With Special Needs, Natasha Yvette Mike

Walden Dissertations and Doctoral Studies

Parents with children with special needs experience challenges when caring for their children. These challenges may be uniquely affected by the parent'€™s employment. Because social workers are in professional roles, understanding their lived experiences provides awareness of the needed services and resources that help social workers maintain effectiveness in their home and work life. This phenomenological study explored the lived experiences of social workers who have children with special needs. Bronfenbrenner'€™s ecological theory guided this study. Criterion and snowball sampling were used to recruit 8 participants. Data were gathered through 3 in-depth semistructured interviews. Moustakas phenomenology method was used to …

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Program Evaluation Of The Rn Clinical Learning And Development Specialist, Brittany Montecuollo Jan 2019

Program Evaluation Of The Rn Clinical Learning And Development Specialist, Brittany Montecuollo

Walden Dissertations and Doctoral Studies

The purpose of this project was to evaluate the impact of a quality improvement strategy to implement an RN clinical learning and development specialist (CLDS) with the intent to reduce high turnover in novice nurses and low nurse engagement. The CLDS served as expert, role-model, coach, and mentor. Benner'€™s model of novice-to-expert was used as the conceptual framework to monitor progression of nurses mentored by the CLDS. The Institute for Healthcare Improvement model for improvement was reviewed to assess the effectiveness of the CLDS on turnover rates and nurse engagement. At the time of program evaluation, the CLDS role had …

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Developing A Preceptor Training Program For Registered Nurses In A Teaching Hospital, Persephone Annis Munnings Jan 2019

Developing A Preceptor Training Program For Registered Nurses In A Teaching Hospital, Persephone Annis Munnings

Walden Dissertations and Doctoral Studies

In a report on the nursing shortage, the American Association of Colleges of Nursing cited insufficient preceptors as one of the factors influencing the decreased intake of nursing students to registered nurse (RN) programs, thus compounding the shortage issue. The site selected for this project was a teaching hospital that annually facilitates hundreds of nursing students for clinical practice. Graduate nurses rotating through the hospital are assigned to work with RNs within their assigned units. The purpose of this doctoral project was to develop a preceptor training program for RNs in a teaching hospital. The practice-focused question examined whether RNs …

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Parenting Styles And Children's Usage Of The Internet In The Digital Age, Micere Sidi Oden Jan 2019

Parenting Styles And Children's Usage Of The Internet In The Digital Age, Micere Sidi Oden

Walden Dissertations and Doctoral Studies

Research is limited on the differences between mothers and fathers on traditional and Internet parenting styles, particularly fathers' Internet parenting styles. Baumrind's parenting styles typology guided this quantitative, cross-sectional assessment of mothers and fathers of children age 6-13 years old on 4 dimensions of the Parenting Style Scale; 6 subscales of the Internet Parenting Style Instrument, hours a child spent on the Internet for school versus entertainment, and several key demographics to examine canonical correlation dimensions relating traditional and Internet parenting styles and to examine differences in styles between mothers and fathers. A convenience sample (N =129) was collected from …

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Achieving Improved Glycemic Control Among Hispanic Type 2 Diabetic Adults, Morenike Oyegbami Jan 2019

Achieving Improved Glycemic Control Among Hispanic Type 2 Diabetic Adults, Morenike Oyegbami

Walden Dissertations and Doctoral Studies

Type 2 diabetes is a major chronic health disease in the United States. A main concern of clinicians treating patients with Type 2 diabetes is poor glycemic control. The goal of this project was to improve glycemic control in Type 2 diabetic Hispanic adult patients in a private family practice clinic through the implementation of biweekly telephonic intervention focused on diabetes management by an advanced practice nurse/nurse practitioner. The project was guided by the chronic care model as a framework. The intervention was conducted over a 12-week period with 50 patients, ages 18 to 65. Data were collected from chart …

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Noise Pollution/Reduction Education For Frontline Staff In The Acute Care Setting, Lopa Patel Jan 2019

Noise Pollution/Reduction Education For Frontline Staff In The Acute Care Setting, Lopa Patel

Walden Dissertations and Doctoral Studies

Noise levels in hospital settings have risen beyond the recommended range of 35-40 decibels, resulting in poor patient healing outcomes and other health conditions ranging from sleep deprivation, anxiety, agitation, delirium, depression, and high heart rate and blood pressure. These negative patient health experiences are evidenced by poor scores for the Hospital Consumer Assessment of Healthcare Providers and Systems, which are indicators of patients' perceptions of care. This project explored whether an educational activity for 48 direct care staff, who include registered nurses and nursing assistants, in a cardiac unit on the impact of noise pollution on patient healing would …

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An Interprofessional Collaborative Approach To Fall Prevention Education, Lisa Prince-Clark Jan 2019

An Interprofessional Collaborative Approach To Fall Prevention Education, Lisa Prince-Clark

Walden Dissertations and Doctoral Studies

Hospital falls among medical-surgical inpatients are a safety concern. Inpatient falls that lead to significant injuries may be reduced by fall intervention education, which can lead to the preparedness of the patient and care providers. Orlando's deliberative nursing process theory and the plan-do-check-act model were applied to address the project practice-focused question that explored whether the education of staff nurses on fall prevention interventions would reduce the incidence of falls during a 2-month period. The purpose of the project was to implement and evaluate nursing staff education on the Morse fall scale, an evidence-based fall-prevention intervention. Evaluation of staff nurse …

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Diffusion Of Innovations And Labor Market Challenges: A Multiple Case Study From Angola, Édney Marco Cardoso Dos Santos Jan 2019

Diffusion Of Innovations And Labor Market Challenges: A Multiple Case Study From Angola, Édney Marco Cardoso Dos Santos

Walden Dissertations and Doctoral Studies

A gap exists in the literature between general diffusion of technological innovations and socioeconomic development that results in an ambiguous connection between theory, academia, and professional practice. To inform governments in sub-Saharan Africa on how to achieve the diffusion of innovation for economic development through the voices of regional stakeholders, this qualitative multiple case study was conducted to gain deeper understanding on the views of stakeholders on rapid technology diffusion and its implication on labor market challenges within their regions of Angola. Information from semistructured interviews with 8 adult participants, male and female, born and residing in impoverished communities in …

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The Effectiveness Of Two Types Of Adjunct Acupuncture Exposures On In Vitro Fertilization Outcomes, Lindsey Vacovsky Jan 2019

The Effectiveness Of Two Types Of Adjunct Acupuncture Exposures On In Vitro Fertilization Outcomes, Lindsey Vacovsky

Walden Dissertations and Doctoral Studies

One out of every 8 couples experiences infertility. Few publications exist examining the association between the addition of adjunctive therapies when applied to the in vitro fertilization (IVF) procedure and pregnancy outcome. The purpose of this study was to compare the effectiveness of 2 types of adjunct acupuncture exposures on IVF outcomes by applying the concept of the epidemiology triad. The association between the type of adjunct acupuncture exposure received (the independent variable) and pregnancy (the outcome) was determined via binary logistic regression using SPSS software. Medical records of women having received the IVF procedure along with adjunct acupuncture were …

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Impact Of Work-Related Electronic Communications Behavior Outside Of Normal Working Hours, Beulah Lavell Williams Jan 2019

Impact Of Work-Related Electronic Communications Behavior Outside Of Normal Working Hours, Beulah Lavell Williams

Walden Dissertations and Doctoral Studies

Employers' reliance on asynchronous electronic communications, connective technology devices, and remote work arrangements has led employees to feel preoccupied with staying connected after-hours to be responsive to work-related demands. The purpose of this transcendental phenomenological study was to describe the lived experiences of professional workers who coped with constant pressure to monitor and immediately respond to work-related electronic communications during nonwork hours. The conceptual framework was supported by boundary and border theory and the constructs of work-life balance, flexible work arrangements, information and communication technology. Data were collected using semistructured interviews with 16 professional workers near Washington, DC. Moustakas's modified …

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Lived Experience Of Tongans With Obesity And Diabetes, Gladys Adjei-Poku Jan 2019

Lived Experience Of Tongans With Obesity And Diabetes, Gladys Adjei-Poku

Walden Dissertations and Doctoral Studies

People of Pacific Island descent are afflicted by obesity and diabetes more than other populations. Although interventions have succeeded in reducing these conditions among other groups, they have been unsuccessful among Tongans and other Pacific Islanders. Furthermore, little is known about the cultural perspectives of this population with a high rate of obesity and diabetes. Accordingly, this descriptive phenomenological study was conducted to investigate the lived experiences of Tongans with obesity and diabetes in a western metropolitan area of the United States to understand their predisposition toward these conditions and suggest appropriate interventions. Purposive sampling was used to recruit 11 …

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Socioeconomic Impacts: Exploring Relationships Between Parenting Styles And Emotional Intelligence In Odd, Radhia Afif Jan 2019

Socioeconomic Impacts: Exploring Relationships Between Parenting Styles And Emotional Intelligence In Odd, Radhia Afif

Walden Dissertations and Doctoral Studies

Children diagnosed with Oppositional Defiant Disorder (ODD) are at a higher risk to develop other serious problems based on reoccurring symptoms such as; aggression, hostility, and lack of empathy for others. Based on the emotional intelligence theory, it may be possible that understanding emotional intelligence in children with ODD could help reduce future psychological and social problems. This quantitative study addresses the problem of poor or low Emotional Intelligence (EI) in children diagnosed with ODD. A correlation between parenting style, as defined by Baumrind's parenting style theory, and the development of emotional intelligence has been found in current research. However, …

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Reducing Door-To-Provider Times By Using Nurse Practitioners In Triage, Megan Lynnell Anderson Jan 2019

Reducing Door-To-Provider Times By Using Nurse Practitioners In Triage, Megan Lynnell Anderson

Walden Dissertations and Doctoral Studies

Increased patient wait times it the emergency department (ED) have been linked to poor patient outcomes and adverse health care events. The purpose of this quality improvement project was to determine if placing a nurse practitioner (NP) in the triage area would reduce door-to-provider times and improve patient throughput within the ED. The primary question for this quality improvement project was whether the use of NPs in the triage area would improve patient throughput and decrease wait times in the ED. A secondary question identified was if implementing an NP in the triage area would decrease patient length of stay …

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Factors Affecting Employee Intentions To Comply With Password Policies, Ernest Tamanji Anye Jan 2019

Factors Affecting Employee Intentions To Comply With Password Policies, Ernest Tamanji Anye

Walden Dissertations and Doctoral Studies

Password policy compliance is a vital component of organizational information security. Although many organizations make substantial investments in information security, employee-related security breaches are prevalent, with many breaches being caused by negative password behavior such as password sharing and the use of weak passwords. The purpose of this quantitative correlational study was to examine the relationship between employees’ attitudes towards password policies, information security awareness, password self-efficacy, and employee intentions to comply with password policies. This study was grounded in the theory of planned behavior and social cognitive theory. A cross-sectional survey was administered online to a random sample of …

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Primary Care And Behavioral Health Services In A Federally Qualified Health Center, Svetoslav A. Arsov Jan 2019

Primary Care And Behavioral Health Services In A Federally Qualified Health Center, Svetoslav A. Arsov

Walden Dissertations and Doctoral Studies

Between 2013 and 2016, 8.1% of U.S. adults 20 years and older suffered from depression, but only 29% of them sought help. This project addressed the low depression screening rate in a Federally Qualified Health Center (FQHC) that supported integrated care. The purpose of the project was to evaluate the integration of behavioral health into primary care in an FQHC through the rate of depression screenings. Two theoretical frameworks, the find-organize-clarify-understand-select/plan-do-study-act model and the Centers for Disease Control and Prevention's framework for program evaluation in public health were combined into a list of questions and data validity tests that were …

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Suicide Attempts And Their Contributing Factors Among African American Veterans, Gervline Blaise Jan 2019

Suicide Attempts And Their Contributing Factors Among African American Veterans, Gervline Blaise

Walden Dissertations and Doctoral Studies

Suicide is one of the leading causes of death in the United States. The rate of suicide attempts among veterans in the United States has increased tremendously since 2001, which has left the Department of Veterans Affairs deeply concerned. The purpose of this study was to examine if there is an association between suicide attempts among African American/Black veterans and mental health support, income level, marital status, education level, and unemployment status. This quantitative study used the socio-ecological model to explain the association of the contributing factors to suicide attempts. Descriptive statistics, chi-square, and logistic regression were used to analyze …

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On-Campus Employment And Retention Of First-Time, Full-Time College Students, Joel Bluml Jan 2019

On-Campus Employment And Retention Of First-Time, Full-Time College Students, Joel Bluml

Walden Dissertations and Doctoral Studies

Retention of 1st-year students is a challenge facing higher education and remains relevant for all stakeholders. Low persistence negatively affects individual students, institutions, and society as a whole. Nationally, a significant number of students have reported working while in college, particularly 1st-generation, low socioeconomic status (SES), and racial and ethnic minority students, those same groups who are at higher risk of experiencing low retention rates. Guided by Tinto's interactionalist model of student departure, binary logistic regression analyses of archival data were used in this retrospective prediction study. The focus was to determine how on-campus employment (OCE), 1st-generation, low-SES, and racial …

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Experiences Of Parents With Chronically Ill Children Regarding The Affordable Care Act, Kimberly Vaunterice Bracey Jan 2019

Experiences Of Parents With Chronically Ill Children Regarding The Affordable Care Act, Kimberly Vaunterice Bracey

Walden Dissertations and Doctoral Studies

Ways in which the implementation of the Patient Protection and Affordable Care Act (ACA) affect parents with chronically ill children are not well understood. The purpose of this phenomenographic study was to gain greater insight into the perceived experiences of parents of chronically ill children regarding implementation of the ACA in a southern state. Argyris's intervention theory provided the framework for the study. Face-to-face interviews were conducted with a purposeful sample of 12 female parents who are caregivers of chronically ill children. Data were analyzed and coded to identify categories and themes. Findings indicated that parents view physicians and policymakers …

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