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Implementation Of The Crafft Cannabis Screening Tool, Barbara Loeprich Jan 2018

Implementation Of The Crafft Cannabis Screening Tool, Barbara Loeprich

Walden Dissertations and Doctoral Studies

Cannabis use among teenagers in Canada is a concern because of the long-term and irreversible effects cannabis has on the developing body and mind. Nurses can be instrumental in screening for cannabis abuse by implementing a tool to assess for substance use disorder (SUD) and triage drug users to appropriate treatment. This project focused on how to implement the CRAFFT screening tool while gaining insight of the practitioner's knowledge base about the tool and how SUD is being screened for, currently. The CRAFFT screening tool aligns with the DSM-IV's SUD diagnosis criteria, allowing for efficient identification of those at risk …

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Advanced Cancer Patients' Medical Decision-Making While Experiencing Financial Toxicity, Heather L. Morel Jan 2018

Advanced Cancer Patients' Medical Decision-Making While Experiencing Financial Toxicity, Heather L. Morel

Walden Dissertations and Doctoral Studies

Financial toxicity (FT) is the impact that out of pocket (OOP) costs of cancer care have on patients' well-being, leading to lower quality of life, less compliance with prescribed therapy, and poorer outcomes, including increased mortality. The purpose of this study was to understand the impact of FT on advanced cancer patients' lives and their health care decision-making. Fuzzy trace theory provided the framework for examining how patients use gist and verbatim when making health care decisions while experiencing FT. Gist refers to main ideas that are often infused with emotional overlays that people use to make risky decisions, while …

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The Role Of Family Structure In The Abuse Of Children, Ramona Okonya Jan 2018

The Role Of Family Structure In The Abuse Of Children, Ramona Okonya

Walden Dissertations and Doctoral Studies

Every year, about 1 million children are abused in the United States and an average of 4.5 of those children die daily at the hands of caretakers, parents, relatives, or friends. Using the ecological model as a guide, the purpose of this study was to investigate the relationship between family structure and specific types of child maltreatment utilizing cases from an agency in Montgomery, Alabama, in 2012-2013. Approximately 727 cases of child maltreatment were reviewed. Logistic regression results indicate married and common law families' children are 1.83 times more likely to experience sexual abuse than the reference category (single) (OR= …

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The Novice Licensed Professional Counselor's Perceived Preparedness To Use Self-Disclosure, Nicole Pfaff Jan 2018

The Novice Licensed Professional Counselor's Perceived Preparedness To Use Self-Disclosure, Nicole Pfaff

Walden Dissertations and Doctoral Studies

Self-disclosure is used by feminist, humanistic, client-centered, and a variety of other counselors to build therapeutic alliances with clients. However, little research has been conducted on counselors' perceptions of their preparedness to use self-disclosure. This exploratory multiple-case study used attachment theory as a framework to explore the perceptions of novice licensed professional counselors' preparedness to use self-disclosure. The 12 participants who participated in face-to-face interviews practiced as licensed professional counselors in Delaware, New Jersey, or Pennsylvania. The participants described how they learned, practiced, and used self-disclosure. After analyzing interview data through cycle coding and peer review, themes emerged showing participants' …

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Comparing Job Satisfaction Between Certified And Noncertified Substitute Teachers, Katie Schkolenko Jan 2018

Comparing Job Satisfaction Between Certified And Noncertified Substitute Teachers, Katie Schkolenko

Walden Dissertations and Doctoral Studies

A rural, mid-sized district is experiencing great difficulty in the recruitment and retention of substitute teachers despite increased recruitment efforts. Such difficulty has resulted in numerous disruptions to the educational process. Despite their integral role in the educational process, research on substitute teachers remains absent from the literature. The purpose of this quantitative study was to assess the job satisfaction of substitute teachers with regard to differences between the two subgroups of certified and noncertified substitute teachers. This study was based on the two-factor theory. The research questions addressed the overall job satisfaction of substitute teachers, whether teacher job satisfaction …

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Employee Turnover And Its Effect On Remaining Colleague Motivation, Glenn Eric Windom Jan 2018

Employee Turnover And Its Effect On Remaining Colleague Motivation, Glenn Eric Windom

Walden Dissertations and Doctoral Studies

Voluntary employee turnover is damaging to the sustainability of child protective services (CPS) organizations, as 60% of social workers who contemplated leaving their organizations quit during the year of consideration. The purpose of this exploratory case study was to examine the strategies CPS leaders used to reduce voluntary employee turnover and motivate employees. The conceptual framework for this study included the motivational hygiene theory and the behavior engineering model. The target population consisted of 9 CPS leaders from a large metropolitan area in Southern California who had specific knowledge of voluntary employee turnover. Data collection involved face-to-face semistructured interviews, company …

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Incorporating Technology To Decrease Heart Failure Readmission Rates, Vernell Thames Jan 2018

Incorporating Technology To Decrease Heart Failure Readmission Rates, Vernell Thames

Walden Dissertations and Doctoral Studies

The rate of hospital readmissions within 30 days of discharge of heart failure (HF) patients affects patient outcomes, the financial stability of the health care facility, and the economy. Hospitals focus on strategies that will decrease the HF readmission rates by cultivating evidence-based interventions that improve patients' transition from the hospital to the community, including promoting self-management of their condition. The purpose of this quality improvement project was to develop, implement, and evaluate the use of health information technology along with written forms of plans of care to assist HF patients in managing their care, divert the HF patients to …

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Child Sexual Abuse And Prenatal Care: Understanding Screening, Modifications, And Proper Care, Wendy Abbott-Egnor Jan 2018

Child Sexual Abuse And Prenatal Care: Understanding Screening, Modifications, And Proper Care, Wendy Abbott-Egnor

Walden Dissertations and Doctoral Studies

Research has shown that 1 in 9 women in prenatal care have a history of childhood sexual abuse. Pregnant women with a history of childhood sexual abuse are at increased risk of depression, somatization, preterm contractions, posttraumatic stress symptomology, and re-traumatization. The purpose of this study was to bridge the gap in literature between research and practice. Data was collected from practitioners regarding the care and treatment of pregnant women with a childhood sexual abuse history. It was hypothesized that screening practices and modification to care and treatment based on practitioner knowledge of prior sex abuse history will vary by …

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The Lived Experiences Of Counselors Working With Youth With Problem Sexual Behaviors, Beverly Crump Jan 2018

The Lived Experiences Of Counselors Working With Youth With Problem Sexual Behaviors, Beverly Crump

Walden Dissertations and Doctoral Studies

Youth, between the ages of 12 and 17, account for the majority of sexual assaults in the United States. Counselors who work with youth with problem sexual behaviors need to have appropriate clinical skills to the degree to which clinical services increase the probability of effective results and are consistent with current professional knowledge. The purpose of this transcendental phenomenological study was to explore the lived experiences of counselors who work with youth with problem sexual behaviors. A purposeful sample of 8 licensed professional clinical counselors employed at a mental health agency in one city in Ohio shared their experiences …

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A Faith-Based Organization's Engagement Of An African American Community In Disaster Preparation, Tronda L. Douglas Jan 2018

A Faith-Based Organization's Engagement Of An African American Community In Disaster Preparation, Tronda L. Douglas

Walden Dissertations and Doctoral Studies

Researchers have revealed that rural African American communities, which have been adversely impacted by disasters, could minimize personal injuries and property damage by being prepared before a disaster strikes. Data from past studies have shown that social networks, such as faith-based organizations (FBOs), have been instrumental in assisting rural African American communities recover from disasters such as floods and fires. This exploratory qualitative case study addressed the research question: How a rural, FBO organized resources to build a community based, all-volunteer fire department. The conceptual framework for this study incorporated concepts from social network theory and social capital theory. Purposeful …

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Transition Of Care Guideline For Reducing Heart Failure Hospital Readmission, Geeti Farrahi Jan 2018

Transition Of Care Guideline For Reducing Heart Failure Hospital Readmission, Geeti Farrahi

Walden Dissertations and Doctoral Studies

Heart failure (HF) patients are among the populations with the highest rates of hospital readmission within 30 days of discharge. Because of the 2010 Health Care Reform legislation, healthcare organizations are subject to financial penalty when a patient population exhibits excess readmissions. A significant reason for readmission of HF patients is a gap in the transition of care from hospital to home. The purpose of this doctoral project was to develop a practice guideline of best practices for transitioning HF patients from hospital to home. The transitional care model and care transitions intervention provided the theoretical underpinnings for developing this …

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How Servant Leadership Impacts Interpersonal Conflict Between Employees And Their Supervisors, Thomas Brandon Fields Jan 2018

How Servant Leadership Impacts Interpersonal Conflict Between Employees And Their Supervisors, Thomas Brandon Fields

Walden Dissertations and Doctoral Studies

Managing interpersonal conflict between employees and their supervisors continues to be a challenge for all employees. Researchers have studied how leadership styles relate to conflict management in organizations, but little is known about how servant leadership relates to conflict management in the workplace. Servant leadership is a management style in which one motivates his or her employees by serving them. The purpose of this dissertation was to investigate how 7 servant leadership dimensions exhibited by supervisors correlated with 5 conflict management styles used by employees when employees had a conflict with their supervisor. A web-based survey invitation was shared with …

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Predicting Certification Success For The Family Nurse Practitioner, Tammy Lee Gravel Jan 2018

Predicting Certification Success For The Family Nurse Practitioner, Tammy Lee Gravel

Walden Dissertations and Doctoral Studies

High-stakes licensure or certification examinations are required for many health professions disciplines to ensure safe entry-level practice. Accrediting agencies set a benchmark for graduates' first-time licensure or certification success as a measure of program effectiveness. Failures of graduates on licensure or certification examinations may directly affect the school's recruitment and retention of qualified students and faculty, as well as institutional financial viability. A health science university has added Health Education System, Inc. (HESI) standardized examinations using computer adaptive testing into the family nurse practitioner (FNP) master's program to support certification success, although research on these advanced practice examinations as related …

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Assessing Nurses' Safety Attitudes In Preventing Clabsi, Seraphine Ikwueme Jan 2018

Assessing Nurses' Safety Attitudes In Preventing Clabsi, Seraphine Ikwueme

Walden Dissertations and Doctoral Studies

Central line-associated bloodstream infection (CLABSI) has been widely studied because of its impact on patient morbidity, mortality, and overall health care costs. Research has shown that nurses' attitudes and perceptions regarding safety are critical to developing and maintaining clinical environments that are safe, prevent CLABSI, and assure better health outcomes. The practice-focused question for this project sought to determine the safety attitudes exhibited by registered nurses on a medical-surgical unit at the practice site. The Stetler model was used as a framework to guide the study. The Safety Attitude Questionnaire (SAQ) measured attitudes and perceptions regarding teamwork, safety, job satisfaction, …

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Perceptions Of People's Experiences Regarding Gun Violence, Charles M. Ndikum Jan 2018

Perceptions Of People's Experiences Regarding Gun Violence, Charles M. Ndikum

Walden Dissertations and Doctoral Studies

Gun violence is a problem in many communities across the United States that are characterized by poverty, and lack of quality education, yet little is known about the experiences of victims of gun violence in these places. The purpose of this phenomenological study was to better understand how people who have been victims of gun violence perceive problems and solutions associated with the production, distribution, and ownership of guns. Based on the theoretical framework of Rousseau's social contract theory, this study explored gun violence from the perspectives of 10 victims whose lives were directly or indirectly affected by gun violence …

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Nursing Faculty's Integration Of Quality And Safety Competencies As A Curricular Framework, Florianne Mereigh-Frederick Jan 2018

Nursing Faculty's Integration Of Quality And Safety Competencies As A Curricular Framework, Florianne Mereigh-Frederick

Walden Dissertations and Doctoral Studies

The call to better prepare nurses in safety and quality performance resulted from the concern of the Institute of Medicine regarding egregious gaps and errors in U.S. hospitals that resulted in serious injuries and patient deaths. Quality and safety education for nursing (QSEN) competencies were set forth in 2005 to enhance nursing curricula and nursing students' preparation for practice; however, QSEN's integration and implementation have been gradual and inconsistent. This qualitative interpretive study was guided by Senge's principles of the learning organization and Benner's professional development model. Using face-to-face interviews, the perspectives of 9 full-time nursing faculty members at 2 …

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Strategies To Sustain A Physician-Led Primary Care Practice, Ashley Polidori Jan 2018

Strategies To Sustain A Physician-Led Primary Care Practice, Ashley Polidori

Walden Dissertations and Doctoral Studies

Since 2008, physician-led primary care practices have decreased as physician's encounter sustainability challenges because of government regulations and the requirements of the Affordable Care Act. The problem is that some physician-led primary care practice leaders lack strategies to sustain a medical practice longer than 5 years. The purpose of this study was to explore strategies primary-care practice leaders use to sustain a practice longer than 5 years. This study followed a case study design, including a purposeful sampling of 3 physician-led primary care practice leaders in southern Indiana. Open-ended semistructured interviews were conducted and triangulated with company policies and procedures …

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A Case Study Of Overcrowding In A County Jail In The Southeast United States, Marquice Robinson Jan 2018

A Case Study Of Overcrowding In A County Jail In The Southeast United States, Marquice Robinson

Walden Dissertations and Doctoral Studies

For the past several decades, the county jail in a large metropolitan city in the southeast United States has been overcrowded, which has resulted in violence within the jail, excessive costs to the Sheriff's Office, and a requirement of Federal oversight of the jail from 2005 to 2015. In spite of these events, little is understood about why jail overcrowding is prevalent in the county and what impacts overcrowding may have on the communities around the jail. Using Shaw and McKay's social disorganization theory as the foundation, the purpose of this case study was to understand the unique circumstances around …

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Motivation Strategies For Improving Consistency In Live-Entertainment Employees' Performances, Anthony G. Ricotta Jan 2018

Motivation Strategies For Improving Consistency In Live-Entertainment Employees' Performances, Anthony G. Ricotta

Walden Dissertations and Doctoral Studies

The lack of discrete motivation strategies to improve the consistency of employees' performances was the problem that instigated this research. The purpose of this single-case study was to explore the motivation strategies live-entertainment artistic directors (ADs) use to improve consistency in the artists' performances. Data were collected within an international live-entertainment company to uncover whether artists self-determined the approach to improving consistency in performance or whether consistency occurred from strategies developed by the ADs. Data were collected from face-to-face interviews with ADs and senior ADs and performance evaluations of employees, and then analyzed using Miles, Huberman, and Saldana's data analysis …

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Changes In Beliefs About Aggression In Baton Rouge Youth Peace Olympics Participants, Shonta Manuel Jan 2018

Changes In Beliefs About Aggression In Baton Rouge Youth Peace Olympics Participants, Shonta Manuel

Walden Dissertations and Doctoral Studies

Youth violence in the Baton Rouge inner-city area continues to create heightened concerns for the communities as well as the financial and healthcare systems. Even though violence prevention programs are in place in the area, no decline has been recorded in those who are being affected by violence. Due to lack of research in this field, a need for a sound research study exists to understand how Youth Peace Olympics (YPO) community-based program may be related to changes in attitudes about aggression and violence. A correlational cross-sectional research design was used to evaluate participants' beliefs about aggression, measured using the …

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Religious Orientation And Communication As Predictors On Military Spouses' Perception Of Marital Happiness After A Second Deployments, Stephanie Santana Jan 2018

Religious Orientation And Communication As Predictors On Military Spouses' Perception Of Marital Happiness After A Second Deployments, Stephanie Santana

Walden Dissertations and Doctoral Studies

Military spouses are often left at home when their service member deploys to areas outside the United States. These deployments can have a lasting impact on the military spouses' perception of marital happiness. Communication problems can occur within the marriage and military spouses may use their religious orientation to alleviate the stress that comes from deployments. This quantitative study used an online survey method to conduct bivariate correlations and multiple regression analysis from a sample of 128 military spouses. This study focused on the family stress theory and used the Kansas Marital Satisfaction Scale, Extrinsic and Intrinsic Religious Orientation Scale, …

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Increasing Patients' Understanding Of Prescribed Medication Adherence, Valarie Finley Thomas Jan 2018

Increasing Patients' Understanding Of Prescribed Medication Adherence, Valarie Finley Thomas

Walden Dissertations and Doctoral Studies

The cost of healthcare in the United States has increased due to growing numbers of patients who live with chronic health problems, such as heart disease. The cost of healthcare is compounded by the cost in terms of complications of cardiovascular disease secondary to medication non-adherence. Education about medication use and adherence, safety, and side effects was needed for patients in a cardiovascular unit to improve adherence to medications as prescribed. Results of a health care provider (HCP) and nursing staff needs assessment provided by the site showed the need for improved cardiovascular medication education. The project focused question asked …

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Associations Between Substance Abuse And Mental Illness Among Sexual Minority Adults, Blanche O. Wright Jan 2018

Associations Between Substance Abuse And Mental Illness Among Sexual Minority Adults, Blanche O. Wright

Walden Dissertations and Doctoral Studies

Sexual minorities (lesbians, gays, and bisexuals) have a greater risk for substance abuse and mental illness than sexual majorities (heterosexuals). Associations between substance abuse and mental illness among sexual minority adults have not been widely studied. The purpose of this quantitative cross-sectional study was to use the 2015 National Survey on Drug Use and Health data from the Substance Abuse and Mental Health Administration to study the association of substance abuse (alcohol; hard drugs such as heroin, cocaine, methamphetamine; and hallucinogens), prescribed drugs (pain relievers, tranquilizers, sedatives, stimulants, psychotherapeutic, and inhalants, as well as marijuana) and mental illness (no past …

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Relational Aggression Among Adolescent African American Females, Latoshia S. Daniels Jan 2018

Relational Aggression Among Adolescent African American Females, Latoshia S. Daniels

Walden Dissertations and Doctoral Studies

Relational aggression includes manipulative behaviors such as gossiping, spreading rumors, or practicing exclusion to intentionally destroy a peer's social reputation. Aggressive behaviors such as those found in relational aggression contribute to unsafe school environments. Research on relational aggression has increased in recent years, yet there is minimal research on relational aggression among African American adolescent females. The research questions were What is social workers' understanding of relational aggression? and How do social workers' cultural awareness and general understanding of African American females' relationships and interpersonal connections impact their ability to connect with their clients in the therapeutic relationship? The purpose …

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Leadership Strategies To Improve Volunteer Retention, Rudene Pauline Glass Jan 2018

Leadership Strategies To Improve Volunteer Retention, Rudene Pauline Glass

Walden Dissertations and Doctoral Studies

Nonprofit leaders face challenges retaining volunteers to support their organizations' human resources. The shortage of volunteers threatens nonprofit sustainability with increasing personnel cost for maintaining quality services. Grounded by Burns's transformational leadership theory, the purpose of this multiple case study was to explore strategies nonprofit leaders from southeastern Michigan used to improve volunteer retention. Data were collected through face-to-face semistructured interviews with 3 nonprofit leaders and a review of organizational documents such as volunteer implementation plans, strategic plans, and volunteer committee notes. Data were analyzed using a methodological triangulation process of sorting comments, which involved a chronological review of the …

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Therapists' Comfort Level In Providing Psychotherapy In Home-Based Therapy Settings, Jacqueline A. Ramirez Jan 2018

Therapists' Comfort Level In Providing Psychotherapy In Home-Based Therapy Settings, Jacqueline A. Ramirez

Walden Dissertations and Doctoral Studies

Home-based psychotherapy has expanded in the mental health community; however, little was known about the therapists' comfort level in a home-based venue. The purpose of this quantitative study was to assess therapists' comfort level (TCL) in providing psychotherapy in a home-based setting and how therapeutic competency (TC), therapeutic relationship (TR), and advanced therapeutic training (ATT) related to the comfort level. The social-ecological systems theory and the theory of comfort served as the theoretical frameworks. The present study used the Therapist Comfort Scale, Counseling Competencies Scale-Revised, the Scale to Assess Therapeutic Relationship in Community Mental Health Care-Clinician, and a demographic questionnaire. …

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Progression Of Clinical Self-Efficacy Among Baccalaureate Nursing Students, Christine Lee Hamilton Jan 2018

Progression Of Clinical Self-Efficacy Among Baccalaureate Nursing Students, Christine Lee Hamilton

Walden Dissertations and Doctoral Studies

Clinical self-efficacy, or the confidence that nursing students have in their ability to successfully perform nursing clinical skills, is imperative for the safe and effective practice of nursing. A gap in knowledge exists about the change in clinical self-efficacy as baccalaureate nursing (BSN) students move through a nursing program, in which they learn and practice clinical skills in laboratory and clinical settings. Guided by Bandura's social cognitive theory, the purpose of this quantitative study was to determine the relationship between clinical experience within a nursing program and the reported clinical self-efficacy of BSN students in the sophomore, junior, and senior …

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Effects Of Cinema On Juror Decision Making, Jededia Higgins Jan 2018

Effects Of Cinema On Juror Decision Making, Jededia Higgins

Walden Dissertations and Doctoral Studies

Previous research has demonstrated how different forms of media, such as news, television, and music, can affect an individual's perceptions and attitudes. However, little research exists on how these effects may have an impact in the courtroom beyond pre-trial publicity. This could pose a threat to the constitutional right of a fair trial; and understanding this threat may be vital to impartiality in the trial process. Using cultivation theory and the CSI effect as a theoretical basis, this study examined how attitudes toward, and perceptions about, mock trial vignettes were affected by exposure to entertainment media in the form of …

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Teacher Descriptions Of Oppositional Defiant Disorder And Bully-Victim Behavior Among Middle School Male Students, Randy Heller Jan 2018

Teacher Descriptions Of Oppositional Defiant Disorder And Bully-Victim Behavior Among Middle School Male Students, Randy Heller

Walden Dissertations and Doctoral Studies

While current psychological theory and research suggest conceptual associations between bullying and behavioral disorders, there is a gap in the literature examining such relationships. Although contemporary theories of aggression describe emotional, social, and cognitive risk factors that are common both, associations between bully-victim patterns and ODD have not been studied to date. This exploratory study addressed this gap by surveying 27 teachers to assess their reports of aggressive behaviors and socioemotional patterns of 58 male middle school students who were identified through school investigations as involved in bullying incidents. Between-group differences for students classified as bullies, victims, or bully-victims were …

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Custodial Parental Perceptions And Experiences Of Noncustodial Parents And Child Support, Breanne Marie Nguyen Jan 2018

Custodial Parental Perceptions And Experiences Of Noncustodial Parents And Child Support, Breanne Marie Nguyen

Walden Dissertations and Doctoral Studies

Child support is a means to financially support children, yet fewer than half of children eligible for child support receive full payment, with many receiving none. Child support nonpayment is a national concern that has led to negative repercussions for non-intact families, the community, and economic system. In some cases, noncustodial parents have an inability to pay. The purpose of this descriptive, phenomenological study was to understand custodial parental perceptions and experiences of noncustodial parent's inability to pay their child support. Social learning theory served as the conceptual framework for the study. In-depth interviews were conducted with a sample of …

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