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Experience Versus Education: Empathy In Substance Use Disorder Counselors, Frances Malcolm Horn-Charnesky Jan 2019

Experience Versus Education: Empathy In Substance Use Disorder Counselors, Frances Malcolm Horn-Charnesky

Walden Dissertations and Doctoral Studies

Empathy is one of the most important skills a mental health counselor can have. For instance, empathy plays a key role in retention and engagement in therapy for substance use disorder (SUD), which leads to improved client outcomes. Historically, SUD treatment has been provided by those in recovery with little formal education about counseling. Currently, academic requirements for SUD counselors vary, and most master'€™s level education programs rarely address SUDs. To determine whether SUD experience alone is related to empathy, a 2x2 factorial ANOVA was used in this study to examine the relationship between two independent variables (education status and …

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Women's Entrepreneurial Leadership Practices And Enterprise Longevity: A Multiple Case Study, Debra Howard Jan 2019

Women's Entrepreneurial Leadership Practices And Enterprise Longevity: A Multiple Case Study, Debra Howard

Walden Dissertations and Doctoral Studies

Women entrepreneurs are emerging in the national economy as important players, yet gender bias and stereotypes still exist in organizations that prevent firms from taking advantage of women'€™s potential as leaders in entrepreneurial ventures. At the same time, traditional leadership models are lacking in diversity and unanswered questions remain regarding the role of gender in entrepreneurial leadership and enterprise sustainability. The purpose of this qualitative study, which used an exploratory, multiple-case research design, was to gain insight into the leadership practices of women entrepreneurial leaders and the implications of these practices for enterprise longevity 5 years after their business'€™s start-up …

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The Perceived Impact Of Alternative Specialized Education Services On Former Teen Mothers, Malinda Starr Hudson Jan 2019

The Perceived Impact Of Alternative Specialized Education Services On Former Teen Mothers, Malinda Starr Hudson

Walden Dissertations and Doctoral Studies

Many teen parents face challenges when completing secondary education resulting in unsustainable family units. Previous researchers focused on services to teen mothers while completing secondary education, with little addressing the long-term impact of Alternative Specialized Education Services (ASES) as the former teen mother matured. This phenomenological study explored the perceptions of 8 former teen mothers (ranging in age from 20 to 54) of ASES'€™ impact on their values and decision-making as they matured. Program theory was the overarching framework and values clarification the interpretive lens. Data were inductively coded and subjected to interpretive phenomenological and thematic analysis. Four themes emerged: …

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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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School-Based Social Work And Socioemotional Learning Interventions In Alternative Education Programs, Heather Oosterhoff Jan 2019

School-Based Social Work And Socioemotional Learning Interventions In Alternative Education Programs, Heather Oosterhoff

Walden Dissertations and Doctoral Studies

Active school social workers are tasked with teaching social-emotional learning to students, including high need youth placed in alternative education settings. Multitiered systems of support provide a framework utilized by school systems to identify and address all student needs. However, a gap in research exists for evidenced-based social-emotional learning practices for students falling within Tier 3 of the multitiered systems of support framework, particularly those separated from the mainstream population and educated in alternative programs. This study explored how school social workers address the social-emotional learning needs of students in alternative education settings within the state of Illinois. The qualitative …

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Experiences Of African American Lesbians Who Attended A Historically Black College Or University, Lee Kimball Outlaw Barmore Jan 2019

Experiences Of African American Lesbians Who Attended A Historically Black College Or University, Lee Kimball Outlaw Barmore

Walden Dissertations and Doctoral Studies

The lived experiences of African American lesbians who attended historically Black colleges and universities (HBCUs) have not received sufficient empirical attention; therefore, this study was conducted to understand and describe their experiences. The study followed a qualitative phenomenological approach. The multidimensional identity model, developed by Reyolds and Pope, was used as the framework through which to understand the participants' experiences. Semistructured, 40 to 60-minute interviews were conducted with 6 women who identified as African American lesbians and attended HBCUs. Initial hand and subsequent NVivo coding of interview data led to the development of the following 7 themes: (a) either African …

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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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Demographic, Behavioral, And Cultural Factors On Chlamydia Trachomatis Infection, Philis Grace Palmer Jan 2019

Demographic, Behavioral, And Cultural Factors On Chlamydia Trachomatis Infection, Philis Grace Palmer

Walden Dissertations and Doctoral Studies

Chlamydia trachomatis is a sexually transmitted disease, and its incidence has been increasing in recent years in the U.S. population. Certain demographic factors have been identified as posing an increased risk to acquire this disease. The purpose of this mixed-methods research was to examine how population demographics (quantitative section) and cultural and behavioral factors (qualitative section) affect risk for contracting chlamydia trachomatis in the Miami-Dade, Florida area. The theory of reasoned behavior was the theoretical framework of the study. The quantitative component used secondary data from Jackson Health System (2012- 2018) pertaining to 333 Miami-Dade young adult individuals with incidents …

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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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Efficacy, Risks, And Ethics Of Aversive Or Positive Therapy In Identical Twins, Jacqueline Salerno Jan 2019

Efficacy, Risks, And Ethics Of Aversive Or Positive Therapy In Identical Twins, Jacqueline Salerno

Walden Dissertations and Doctoral Studies

Aversion therapy has reemerged as a treatment for self-injurious behavior (SIB) but remains unpopular, as it is perceived to be unethical. The purpose of this mixed-methods sequential explanatory study was to investigate the effectiveness of positive therapy and aversion therapy in the treatment of twins with SIB as well as to understand the lived experiences of their caretakers regarding treatment ethics. The frameworks used included classical and operant conditioning as well as utilitarian ethics theory. Quantitative research questions focused on changes in SIB, aggressive and prosocial behaviors with treatment, while the qualitative research question focused on the perceptions of caretakers …

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Social Networks And Sense Of Community Effects On Psychological Distress Among Community X Residents, Marci A. Salone Jan 2019

Social Networks And Sense Of Community Effects On Psychological Distress Among Community X Residents, Marci A. Salone

Walden Dissertations and Doctoral Studies

A certain community within the southern region of Texas has consistently been linked to escalating poverty, high crime rates, low educational achievement, and poor physical and mental health. For the purpose of this research, this community will be referred to as Community X. Although some researchers have found that sense of community and supportive social networks are associated with healthy mental and physical functioning, others have suggested that in a debilitated community social networks can facilitate psychological distress and a strong sense of community is difficult to develop. Guided by Bronfenbrenner's ecological model, the purpose of this quantitative correlational study …

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Evaluating The Discharge Process Improvement Initiative In Reducing The Length Of Stay, Maria Reina Ventura Siazon Jan 2019

Evaluating The Discharge Process Improvement Initiative In Reducing The Length Of Stay, Maria Reina Ventura Siazon

Walden Dissertations and Doctoral Studies

Extended hospital length of stay (LOS) causes increased health care costs and incidence of never events, such as hospital-acquired infections, pressure ulcers, and falls, which are not reimbursed by Medicare. This study examined if there would be a statistically significant decrease in the LOS of patients after the implementation of a discharge process improvement initiative (DPII), The model for improvement and small tests of change concept were used to guide the DPII at a hospital in northern California. Sources of data included archival data obtained from the hospital's quality improvement department that showed LOS prior to and after the implementation …

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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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Firearm Risk Regression Analysis For Law Enforcement Officer Firearm Usage Utilizing Factors In The M-Pulse And Mmpi-2rf, Jesse Stout Jan 2019

Firearm Risk Regression Analysis For Law Enforcement Officer Firearm Usage Utilizing Factors In The M-Pulse And Mmpi-2rf, Jesse Stout

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to determine to what extent the 4 M-PULSE scale scores (interpersonal difficulties, unprofessional conduct, discharge of weapon, and inappropriate use of weapon) account for variance in the MMPI-2RF (aggression and antisocial) subscales scores. Archival data was provided by a private business that conducts these screenings for multiple law enforcement organizations (local and state). Law enforcement candidates (N = 127) were evaluated by a private business during the prehiring psychological screening process using the M-PULSE and MMPI-2RF to assess their risk factors for employment as law enforcement officers. Using Social Learning theory as the …

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