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U.S. Individuals' Perceptions Of Government Electronic Surveillance After Passage Of The Usa Patriot Act, Floyd Edwards Jan 2018

U.S. Individuals' Perceptions Of Government Electronic Surveillance After Passage Of The Usa Patriot Act, Floyd Edwards

Walden Dissertations and Doctoral Studies

Since the implementation of the USA Patriot Act in October 2001, public trust in the U.S. federal government to protect individuals' right to privacy has been affected negatively. Many studies have addressed this topic, but few have delved deeply into the reasons behind the distrust. The purposes of this qualitative study were, to explore the perceptions and attitudes of U.S. citizens regarding the effect of the USA Patriot Act on their right to privacy, to determine whether a loss of trust in the government occurred, and to identify the factors contributing to the lack of trust. The theoretical foundation for …

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Preference For Internet Therapy Versus Traditional Therapy To Treat Postpartum Depression, Megan E. Ford Jan 2018

Preference For Internet Therapy Versus Traditional Therapy To Treat Postpartum Depression, Megan E. Ford

Walden Dissertations and Doctoral Studies

A growing body of research has emerged about effective treatments for postpartum depression, specifically how the internet could become a pivotal and vital option for women with postpartum symptoms. With that in mind, the purpose of this quantitative study was to investigate whether women suffering from postpartum depression preferred traditional therapy treatment or internet therapy treatment. The nonexperimental survey design was used to assess differences between groups related to stigma, satisfaction with treatment, and perceived quality of treatment received. Data collected from a sample of 78 adult females, who had previously received postpartum depression therapy treatment, indicated there was no …

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Maternal Socioeconomic Status And Human Papilloma Virus Vaccine Uptake, Shawn Lockett Jan 2018

Maternal Socioeconomic Status And Human Papilloma Virus Vaccine Uptake, Shawn Lockett

Walden Dissertations and Doctoral Studies

There are more than 79 million people in the U.S. currently infected with human papillomavirus (HPV), with an estimated 14 million new infections annually. There is a lack of knowledge about the maternal socioeconomic influences and uptake of the HPV vaccine series. Infection with HPV can cause cervical cancer in women, and there are over 11,000 cervical cancer diagnoses in the U.S. responsible for 4000 deaths annually. Vaccination coverage to prevent HPV infection does not meet the Healthy People 2020 goals of an 80% vaccination rate in the U.S. In this study, associations were tested between maternal SES variables and …

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Implementation Of A Diabetic Resource Toolkit In A Veterans Administration Emergency Department, Caroline Hairston Jan 2018

Implementation Of A Diabetic Resource Toolkit In A Veterans Administration Emergency Department, Caroline Hairston

Walden Dissertations and Doctoral Studies

Diabetes is the 7th leading cause of death in the United States. Uncontrolled diabetes and lack of self-care knowledge leads to increased emergency department (ED) visits, utilizing limited health care resources. The practice-focused question asked whether a patient-focused diabetic self-care toolkit could decrease the number of diabetes-related ED visits. The purpose of this project was to reduce the number of diabetes-related ED visits and was supported by the social cognitive theory. The sources of evidence included the facility's ED Information System (EDIS) data and a patient survey developed by the project lead. There were 149 participants (135 males and 14 …

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Managing Employee Motivation Through The Process Of Government Furloughs, Kim Charisc Hill Jan 2018

Managing Employee Motivation Through The Process Of Government Furloughs, Kim Charisc Hill

Walden Dissertations and Doctoral Studies

Budget constraints will cause federal furloughs to continue through 2035. Federal furloughs such as the one in 2012-2013, affected 800,000 out of 2.7 million federal employees. This dramatic workforce reduction caused remaining employees to experience stress and morale issues in the workplace. The purpose of the research was to understand how managers comprehend and experience the impact of extrinsic and intrinsic motivation on remaining employees' performance and attitudes during the furlough process. The theoretical foundation and conceptual framework were designed using both intrinsic and extrinsic motivation concepts and theories. Aspects of self-determination theory and hierarchy motivation theory were used to …

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Staff Education Module For Bar Code Medication Administration, Francoise Juste Jan 2018

Staff Education Module For Bar Code Medication Administration, Francoise Juste

Walden Dissertations and Doctoral Studies

Bar Code Medication Administration (BCMA) is a technology-supported nursing tool that has become the standard of practice for medication administration. When used effectively and efficiently, this tool has the potential to reduce medication errors in acute care settings. In a pediatric unit at a major urban hospital in the northeast region of the United States, the absence of a BCMA nursing staff educational module affected the use of this safety tool leading to an increase of medication errors. The purpose of this DNP project was to develop a comprehensive educational module to promote BCMA in the pediatric unit of the …

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Identity Style Preference And Marriage Among Black Americans, Russell Klumpp Jan 2018

Identity Style Preference And Marriage Among Black Americans, Russell Klumpp

Walden Dissertations and Doctoral Studies

Blacks marry less and divorce more than any other racial demographic in the United States. The purpose of this quantitative study was to examine identity style preferences in relation to attitudes toward marriage and marital satisfaction among Black Americans. Identity style is the way in which a person approaches and processes information that has the potential to affect self-identity. Identity style theory suggests there are three primary styles (informative, normative, and diffuse-avoidant) and that each person will eventually settle upon a preferred style. All participants in this study were United States citizens, over the age of 18, and self-identified as …

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Trauma-Informed Education Toolkit For Screening Pediatric Victims Of Sexual Abuse And Maltreatment, Analena Michelle Lunde Jan 2018

Trauma-Informed Education Toolkit For Screening Pediatric Victims Of Sexual Abuse And Maltreatment, Analena Michelle Lunde

Walden Dissertations and Doctoral Studies

The complex challenges facing the sexual assault nurse examiners program in a midwest state are underreporting, late reporting, and poor coordination of care for pediatric victims of child maltreatment with sexual abuse. The main objective of this quality improvement project was the identification of necessary practice-related approaches to care to decrease barriers associated with reporting suspicions of abuse or neglect. An evidence-based, multidisciplinary assessment clinical toolkit that followed clinical components of trauma-sensitive, child-centered screenings triggering a coordinated response to conduct a forensic medical exam within 96 hours of the alleged incident was evaluated. During 3 rounds of surveys following the …

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Interoperability Performance Among Campus Law Enforcement Agencies, Tammie Ann Massirer Jan 2018

Interoperability Performance Among Campus Law Enforcement Agencies, Tammie Ann Massirer

Walden Dissertations and Doctoral Studies

The September 11, 2001 terrorist attacks exposed considerable breakdowns in communications interoperability and information sharing among first responders. Multijurisdictional responses to the active-shooter incidents at the University of Texas in 2010; Sandy Hook Elementary of Newtown, Connecticut in 2012, and the Reynolds High School shooting of Multnomah County, Oregon in 2014 were replete with interoperability failures as well. Recent multijurisdictional response events continue to illuminate difficulties with first-responder interoperability and minimal research exists to promote understanding of the interoperability challenges of university police departments. The purpose of this study was to explore the barriers that impede communications of campus based …

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Impediments Of Self-Managed Type 2 Diabetes In Mgbidi Women, Nigeria, Augustina Oha Jan 2018

Impediments Of Self-Managed Type 2 Diabetes In Mgbidi Women, Nigeria, Augustina Oha

Walden Dissertations and Doctoral Studies

Type 2 diabetes is a complex metabolic disorder characterized by hypoglycemia or hyperglycemia that affects fat, protein, and carbohydrate metabolism. Researchers have identified that for individuals with Type 2 diabetes, staying on interventions for diabetes self-management is sometimes difficult and challenging. It is an increasing public health concern, especially in certain minority populations and in many developing and developed nations. This is especially true for the population of women 40 years and older in Mgbidi, Nigeria. In the Enugu State of Nigeria, women bear most of the burden of Type 2 diabetes when compared to the males in the state. …

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Relationship Between Remission Of Symptoms And Screening For Depression, Juliann Molecavage Jan 2018

Relationship Between Remission Of Symptoms And Screening For Depression, Juliann Molecavage

Walden Dissertations and Doctoral Studies

Depression is the leading cause of disability in the United States. Insufficient evidence is available about the types of follow-up care that may be most effective. The purpose of this quantitative, retrospective cohort study was to determine whether remission of depression symptoms was associated with recommended follow-up care when controlling for age, gender, and number of previous episodes of depression, and whether symptom reduction was more likely for those who completed a course of treatment from a mental health specialist in comparison to those who were treated by their primary care providers (PCPs) when controlling for the same variables. The …

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Sport-Related Concussion And Lower Extremity Musculoskeletal Injuries In High School Athletes, Lisa Koperna Jan 2018

Sport-Related Concussion And Lower Extremity Musculoskeletal Injuries In High School Athletes, Lisa Koperna

Walden Dissertations and Doctoral Studies

Sport-related injuries (SRI) can be foreseen and averted when mechanisms and risk factors are completely understood. An appreciation of the relationship between sport-related concussion (SRC) and lower extremity musculoskeletal injuries (LEMI) is emerging amid professional and collegiate athletes. However, findings of such a relationship in adults may not be generalizable to younger populations, and the literature has not addressed this relationship in adolescents. The purpose of this cross-sectional quantitative study was to examine the relationship between SRC and LEMI in high school athletes. The dynamic model of etiology in sport injury provided the study's conceptual framework. A de-identified secondary dataset …

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Leaders' Strategies To Support And Accommodate Employees With High-Functioning Autism, Jonathan Pierce Jan 2018

Leaders' Strategies To Support And Accommodate Employees With High-Functioning Autism, Jonathan Pierce

Walden Dissertations and Doctoral Studies

Leaders often lack strategies to create supportive and accommodating workplaces that capitalize on the unique skillset of autistic employees. Research has shown that employers benefit from creating supports; however, there is a lack of research on how or why organization leaders provide support and accommodations. The purpose of this descriptive case study was to identify leaders' strategies for supporting autistic employees. The research question centered on managements' support and accommodations for employees while capitalizing on their strengths. The conceptual framework included labor process to address management extracting benefits from labor, and resource-based theory to examine gaining a competitive advantage by …

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Social Media Marketing Among Small Retail Clothing Businesses, Irene Michel Abrons Jan 2018

Social Media Marketing Among Small Retail Clothing Businesses, Irene Michel Abrons

Walden Dissertations and Doctoral Studies

Social media marketing influences consumer trust in businesses, and trust accounts for about 37% of consumer purchasing decisions. The purpose of this multiple case study research was to identify the barriers to social media marketing that owners of small retail clothing businesses must overcome to be competitive. The conceptual framework was the technology acceptance model. Collected data consisted of company documents and semistructured interviews with 3 small retail clothing business owners in Chicago, Illinois, who had experience with social media marketing. Data analysis consisted of an open coding approach and member checking. The study revealed the small business owners who …

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The Relationship Between Isolation, Distress, And Medical Care Among Transgender Coloradoans, Charles Tinnell Jan 2018

The Relationship Between Isolation, Distress, And Medical Care Among Transgender Coloradoans, Charles Tinnell

Walden Dissertations and Doctoral Studies

In Colorado in 2014, suicidal ideation or suicide attempts occurred up to 10 times more frequently among transgender persons than the general population. This reality occurred within a milieu of stigma that included transgender persons' negative perceptions of healthcare, a higher incidence of psychological distress, and an uncertain role for social isolation in their well-being. The purpose of this quantitative study was to explore the interactions between social isolation, supportive medical care, and psychological distress within the framework of Meyer's minority stress theory. Data were acquired from the 2014 Colorado Transgender Health Survey conducted by the One Colorado Education Fund …

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Video Game Development Strategies For Creating Successful Cognitively Challenging Games, Walter K. Williams Jan 2018

Video Game Development Strategies For Creating Successful Cognitively Challenging Games, Walter K. Williams

Walden Dissertations and Doctoral Studies

The video game industry is a global multibillion dollar industry with millions of players. The process of developing video games is essential for the continued growth of the industry, and developers need to employ effective strategies that will help them to create successful games. The purpose of this explorative qualitative single case study was to investigate the design strategies of video game developers who have successfully created video games that are challenging, entertaining, and successful. The technology acceptance model served as a conceptual framework. The entire population for this study was members of a video game development team from a …

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Intensive Outpatient Treatment Program For Patients With Depressive Disorder: A Parental Perspective, Emmanuel Akpan Jan 2018

Intensive Outpatient Treatment Program For Patients With Depressive Disorder: A Parental Perspective, Emmanuel Akpan

Walden Dissertations and Doctoral Studies

Psychosocial support from family is important in outpatient treatment programs for individuals with depressive disorder. The purpose of this phenomenological study was to explore the lived experiences and perceptions of parents of patients with depressive disorder regarding intensive outpatient treatment. The research question was what are the experiences and perceptions of parents of patients with depression regarding their role as caretakers in intensive outpatient treatment? The conceptual framework was a biopsychosocial framework and family systems theory. Content analysis was used to analyze data provided from interviews with parent participants (n = 8). Many participants reported high levels of involvement with …

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Cognitive Behavioral Substance Treatment On Latino Engagement, Motivation, And Drug Use Thinking, Santiago Zepeda Jan 2018

Cognitive Behavioral Substance Treatment On Latino Engagement, Motivation, And Drug Use Thinking, Santiago Zepeda

Walden Dissertations and Doctoral Studies

The U.S. Latino population seeking substance abuse treatment has nearly doubled over the past 10 years, yet ethnic-based research and intervention strategies are lacking. The purpose of this quantitative study was to evaluate the efficacy of the Treatment Readiness Induction Program (TRIP) among the Latino adolescent population. Cognitive behavioral therapy and the integrated judgment and decision making model provided the theoretical framework. Secondary data from 137 Latino/Latina participants were collected on engagement, motivation, and drug use thinking scales and their respective subscales to evaluate differences by gender and by a group of clients who received standard operating practice treatment (SOP) …

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Catheter-Associated Urinary Tract Infection In New York And North Carolina, Kehinde O. Abiodun Jan 2018

Catheter-Associated Urinary Tract Infection In New York And North Carolina, Kehinde O. Abiodun

Walden Dissertations and Doctoral Studies

In the United States, many hospitalized patients with indwelling urinary catheters acquire catheter-associated urinary tract infections (CAUTI) during their hospital stay. CAUTI negatively affects peoples' health and quality of life and causes a financial burden to individuals and the nation. The purpose of this quantitative cross-sectional study was to explore the relationship between gender, age, and hospital types and CAUTI incidence in New York and North Carolina over a 3-year period. The theoretical framework of choice was the Donabedian model. Simple logistic regression and hierarchical multivariable logistic regression analysis were performed on archival data that was requested from Healthcare Cost …

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Systematic Review Of Nurse Residency Programs, Abiola Olatokunbo Ajanaku Jan 2018

Systematic Review Of Nurse Residency Programs, Abiola Olatokunbo Ajanaku

Walden Dissertations and Doctoral Studies

The first 2 years of a new graduate nurses career can be stressful and traumatic. Many new graduates leave the profession within their first 2 years of employment. Organizations have sought to implement programs that will promote new graduate job retention. Nurse residency programs (NRPs) are programs geared toward fostering and nurturing new graduates once they begin their nursing careers. Residency programs can last anywhere from 3 months to 1year, depending on the nursing specialty. A key component in retaining new graduates is to facilitate a successful transition into nursing practice. This project served as a systematic review regarding the …

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Association Between Adaptive Sports Programs And Quality Of Life Among Amputee Veterans, Sean V. Seay Jan 2018

Association Between Adaptive Sports Programs And Quality Of Life Among Amputee Veterans, Sean V. Seay

Walden Dissertations and Doctoral Studies

Adaptive sports programs (ASPs) are important for enhancing the physical, psychological, and social aspects of life for amputee combat veterans while reducing the risk of depression and anger. Although the role of ASPs in improving quality of life (QoL) has been researched in relation to amputee combat veterans of World War II, the Korean War, and the Vietnam War, there has been limited examination of the role of ASPs in improving QoL among veterans of Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation Noble Eagle (OND). Therefore, the purpose of this study was to assess the effects of …

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Medical Identity Theft And Palm Vein Authentication: The Healthcare Manager's Perspective, Cruz Cerda Iii Jan 2018

Medical Identity Theft And Palm Vein Authentication: The Healthcare Manager's Perspective, Cruz Cerda Iii

Walden Dissertations and Doctoral Studies

The Federal Bureau of Investigation reported that cyber actors will likely increase cyber intrusions against healthcare systems and their concomitant medical devices because of the mandatory transition from paper to electronic health records, lax cyber security standards, and a higher financial payout for medical records in the deep web. The problem addressed in this quantitative correlational study was uncertainty surrounding the benefits of palm vein authentication adoption relative to the growing crime of medical identity theft. The purpose of this quantitative correlational study was to understand healthcare managers' and doctors' perceptions of the effectiveness of palm vein authentication technology. The …

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Effects Of Micronutrients On The Status Of Hiv-Infected African American Women, Veronica Alicia Graham Jan 2018

Effects Of Micronutrients On The Status Of Hiv-Infected African American Women, Veronica Alicia Graham

Walden Dissertations and Doctoral Studies

Weight loss among HIV-infected African American women (AAW), results in the fall of the cluster of differentiation (CD4) cell count and an increase in the viral load. There are 48,126 HIV-infected AAW who reported weight loss within the first year. AAW who report more than 10% weight loss within the first year progress to AIDS due to a deficiency in micronutrients and poor linkage to care. The phenomenon that occurs with individuals living with HIV does not necessarily occur among individuals who have cancer, heart disease, or some other life-threatening illness, and this phenomenon indicates a direct threat to the …

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Immunoglobulin Therapy And Primary Immunodeficient Patients' Health-Related Quality Of Life And Well-Being, Niedre Heckman Jan 2018

Immunoglobulin Therapy And Primary Immunodeficient Patients' Health-Related Quality Of Life And Well-Being, Niedre Heckman

Walden Dissertations and Doctoral Studies

Individuals born with primary immune deficiency diseases (PIDD) have a dysfunctional immune system, and many are treated by lifelong injections of immunoglobulin therapy. Studies have shown that these patients have low health-related quality of life (HRQOL) and well-being (WB) and that these outcomes might be improved by the availability of therapy innovated according to preferences for fewer needle sticks or a shorter infusion time. Regulators at the U.S. Food and Drug Administration (FDA) have approved therapies innovated per these preferences. However, there is limited data demonstrating how these innovations impact HRQOL and WB. Using the biopsychosocial model, the purpose of …

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Effect Of Attentional Capture And Cross-Modal Interference In Multisensory Cognitive Processing, Michael Jennings Jan 2018

Effect Of Attentional Capture And Cross-Modal Interference In Multisensory Cognitive Processing, Michael Jennings

Walden Dissertations and Doctoral Studies

Despite considerable research, the effects of common types of noise on verbal and spatial information processing are still relatively unknown. Three experiments, using convenience sampling were conducted to investigate the effect of auditory interference on the cognitive performance of 24 adult men and women during the Stroop test, perception of object recognition and spatial location tasks, and the perception of object size, shape, and spatial location tasks. The data were analyzed using univariate analysis of variance and 1-way multivariate analysis of variance. The Experiment 1 findings indicated reaction time performance for gender and age group was affected by auditory interference …

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Diabetic Adult Access To Medical Care And Race And Ethnicity In Connecticut, Natacha Bertine Jerome Jan 2018

Diabetic Adult Access To Medical Care And Race And Ethnicity In Connecticut, Natacha Bertine Jerome

Walden Dissertations and Doctoral Studies

Diabetes is among the leading causes of death in Connecticut. An approximate of 330,000 adults in Connecticut have diabetes (diagnosed and undiagnosed). Those with diabetes have almost twice the risk of premature death throughout various age groups. The purpose of this cross-sectional study was to investigate whether disparities exist in access to medical care due to race and ethnicity; among adults with diabetes in the state of Connecticut. Furthermore, this study used the Andersen's behavioral model framework. Survey data from the behavioral risk factor surveillance system (BRFSS) were also analyzed. The research study covered 3 years (2013 to 2015) of …

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Social Isolation Risk Among Older Adults Who Live Alone, Nadine Lukes-Dyer Jan 2018

Social Isolation Risk Among Older Adults Who Live Alone, Nadine Lukes-Dyer

Walden Dissertations and Doctoral Studies

As individuals age, their likelihood of experiencing mental and physical problems increases, as does their risk of developing social isolation. Behavioral, physiological, and/or psychological changes are common manifestations of social isolation. Increased morbidity and mortality are the outcome. Ecological systems theory and social baseline theory provided the framework to explore 10 older individuals' perceptions of risk for social isolation and their perceived barriers to social integration. Data for this interpretive phenomenological study were collected from participant diaries, interviews, the 6-item de Jong Gierveld Loneliness Scale (DJGLS-6), the Lubben Social Network Scale 6 (LSNS-6), a demographic survey, and a social support …

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Social And Emotional Learning Needs Of Gifted Students, Derek.Phelan Allen Phelan Jan 2018

Social And Emotional Learning Needs Of Gifted Students, Derek.Phelan Allen Phelan

Walden Dissertations and Doctoral Studies

Compared to their peers, gifted and talented (GT) students have unique social and emotional needs. As schools mandated social and emotional learning goals for each GT student, support at the state level was limited. The purpose of the study was to answer the guiding question of how students could benefit from implementing key elements in a GT social and emotional curriculum. The study was guided by Corso's approach to promoting and developing positive social-emotional behavior. Data were collected from questionnaires administered to 32 statewide GT experts. Semistructured interviews were conducted with 10 of those GT experts. Thematic data analysis followed …

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Critical Thinking And Clinical Judgment In Novice Registered Nurses, Sheila Tyne Jan 2018

Critical Thinking And Clinical Judgment In Novice Registered Nurses, Sheila Tyne

Walden Dissertations and Doctoral Studies

The health care field has become increasingly more complex, requiring new nurses to be prepared upon graduation to respond to a variety of complex situations. Unfortunately, many graduates from associate degree nursing (ADN) programs are not able to think critically upon entering the work force. This presents a major problem for the nurse and for the employer. The purpose of the study, therefore, was to gain a deeper understanding of the graduates' perceptions of their ability to critically think during their first year of clinical practice, and if they believed their program prepared them to be critical thinkers. The key …

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Exploring Perceptions Of Accountability Practices Used In Social Services, Tankiya L. Williamson Jan 2018

Exploring Perceptions Of Accountability Practices Used In Social Services, Tankiya L. Williamson

Walden Dissertations and Doctoral Studies

As required by the Government Performance Results Act of 1993, the use of performance measurements in social service organizations to measure outcome data has increased expectations of efficient outcomes in service delivery. This study addressed the problem of inefficient service delivery in nonprofit human service organizations from the perspective of direct service staff responsible for service provision. The purpose of this qualitative phenomenological study was to explore how direct service staff in nonprofit organizations perceive their individual contributions to the overall goal of providing efficient quality service. Principal agent theory framed the inquiry regarding how direct service staff working in …

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