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Health Care Leaders' Strategies To Improve Nurse Retention, Steve Brooks Jan 2017

Health Care Leaders' Strategies To Improve Nurse Retention, Steve Brooks

Walden Dissertations and Doctoral Studies

Registered nurse (RN) turnover is a significant threat to organizational performance and profitability. Nurse turnover impacts business practices by disrupting staffing and patient care. The inability of health care leaders to retain RNs in their organizations results in problems such as increased personnel costs and productivity loss. Grounded by Burns's transformational leadership theory, the purpose of this single case study was to explore strategies health care leaders used to improve RN retention. Health care leaders from Brooklyn, New York who implemented RN retention strategies in their organization comprised the population for the study. Data were collected through face-to-face semistructured interviews …

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Reducing Risks From Workplace Discrimination, Shannon B. Creighton Jan 2017

Reducing Risks From Workplace Discrimination, Shannon B. Creighton

Walden Dissertations and Doctoral Studies

In 2014, the Equal Employment Opportunity Commission reported multiple claims of workplace discrimination in the United States; the claims resulted in costly settlements. The purpose of this qualitative, multiple-case study—which used the theory of enterprise risk management as the conceptual framework—was to explore how 4 human resource managers in small-to-medium sized enterprises in the southeastern region of the United States successfully implemented proactive strategies to reduce the financial and legal risk resulting from workplace discrimination. Using Yin’s 5 steps of data analysis along with triangulation of findings from the semistructured interviews, company documents, and websites, the following 4 themes were …

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Puerto Rican Women Living With Hiv And Experiencing Intimate Partner Violence, Sharon Danesa Cuba-Rodriguez Jan 2017

Puerto Rican Women Living With Hiv And Experiencing Intimate Partner Violence, Sharon Danesa Cuba-Rodriguez

Walden Dissertations and Doctoral Studies

Puerto Rican women experience increased risk of bio-psychosocial challenges due to their ethnicity. This phenomenological study examined Puerto Rican HIV-positive women's perceptions of intimate partner violence (IPV), which consists of physical, sexual, verbal, and psychological abuse. Although HIV-positive status and IPV have been a focus of previous research, specific research examining the phenomenological experiences of HIV-positive Puerto Rican women who experienced IPV has not been studied. The basis of the study was feminist intersectionality theory, which supported the process used to explore and understand the essence of the participants' experiences. Feminist intersectionality theory examines intersecting social systems including gender, ethnicity, …

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Association Between Pediatrician Screening Practices And Age At The Time Of Autism Diagnosis Among Latino Children, Irma S. Diaz Jan 2017

Association Between Pediatrician Screening Practices And Age At The Time Of Autism Diagnosis Among Latino Children, Irma S. Diaz

Walden Dissertations and Doctoral Studies

Autism spectrum disorder (ASD) is a lifelong developmental disability that affects all ethnic groups and is twice as frequent among boys than girls. The Centers for Disease Control and Prevention stated that 1 in 68 children are diagnosed with ASD. Despite guidance from the American Academy of Pediatrics and clinical evidence that suggests that ASD can be diagnosed as early as 24 months of age, most diagnoses occur at age 4 or even later, resulting in fewer opportunities for children to receive early ASD treatment and help them reach the best outcome possible. There is limited information about the appropriate …

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Collaborative Strategies Used To Reduce Billing Administrative Cost, Stella Fayomi-Olaleye Jan 2017

Collaborative Strategies Used To Reduce Billing Administrative Cost, Stella Fayomi-Olaleye

Walden Dissertations and Doctoral Studies

Billing inefficiencies represent 80% of wasteful healthcare administrative costs that are projected to reach $45 billion by 2018. Potentially, a reduced billing administrative cost is estimated to yield an annual savings of $60 billion that could fund other societal needs such as jobs, wage increases, and education. Through the conceptual framework of iceberg change management model, this single case study explored collaborative strategies 3 healthcare billing managers in Dallas, Texas successfully used to reduce billing administrative costs. Data were collected through semistructured interviews and the review of company documents. Using Yin's procedure of examining, comparing, categorizing, and coding data, the …

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'Stand By Me' Designated Tobacco Areas On U.S. Military Installations, Robert Thomas Gobble Jan 2017

'Stand By Me' Designated Tobacco Areas On U.S. Military Installations, Robert Thomas Gobble

Walden Dissertations and Doctoral Studies

U.S. Air Force (USAF) active duty Airmenshowunusually high tobacco prevalence rates (TPR); i.e., smoke, smokeless, both(SSL-B), when compared to civilian publics in the United States. Tobacco control efforts have proven largely ineffective inlowering nicotine habits among Airmen, while outdoor designated tobacco areas (DTAs) sited near worksites and popular localeson USAF bases (USAFBs) likelyswayAirmen to continue riskynicotine habits. The aim of this inquiry was to assess whetherquantities of DTAs on USAFBs and U.S. airbases (USABs) with 4 mediator variables(quality of DTAs,sites of DTAs, execution of a tobacco cessation program, and types of tobacco cessation programs) wereassociated with TPR (SSL-B) among Airmen …

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Emergency Managers' Perceptions Of All-Hazards Pandemic Planning Effectiveness In North Texas, Timothy Goss Jan 2017

Emergency Managers' Perceptions Of All-Hazards Pandemic Planning Effectiveness In North Texas, Timothy Goss

Walden Dissertations and Doctoral Studies

All-hazards pandemic planning is the foundation of current emergency management planning doctrine, yet there is limited information and limited studies related to its effectiveness in mitigating pandemics. The North Texas emergency management community handles incidents of West Nile Virus, H1N1 influenza, and a recent Ebola incident. Despite efforts to mitigate these threats, reported cases and deaths are still occurring from both influenza and West Nile virus. The purpose of this case study was to assess the risk perceptions of emergency planners in a small emergency operation center in North Texas using the cultural theory of risk perception as the theoretical …

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Influence Of Psychological Empowerment, Leadership, And Climate On Safety Outcomes, Christine Healy Jan 2017

Influence Of Psychological Empowerment, Leadership, And Climate On Safety Outcomes, Christine Healy

Walden Dissertations and Doctoral Studies

Research has demonstrated that safety outcomes are impacted by workplace risk factors, but also supervisory practices and employee actions. An area that has not been explored is the impact of employee cognitions on safety outcomes defined as work-related injuries. Based on the conceptual framework of psychological empowerment (PE), the purpose of this study was to examine the relationship of employee cognitions as measured by PE as related to leadership and safety climate and the occurrence of work-related injury. The research examined the mediating effect of (PE) on the factors of leadership and safety climate and their relationship to work-related injury. …

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Predicting Bank Failure Using Regulatory Accounting Data, Helen Pruitt Jan 2017

Predicting Bank Failure Using Regulatory Accounting Data, Helen Pruitt

Walden Dissertations and Doctoral Studies

A liquidity shortfall in the United States triggered the bankruptcy of several large commercial banks, and bank failures continue to occur, with 50 banks failing between 2013 and 2015. Therefore, it is critical banking regulators understand the correlates of financial performance measures and the potential for banks to fail. In this study, binary logistic regression was employed to assess the theoretical proposition that banks with higher nonperforming loans, lower Tier 1 leverage capital, and higher noncore funding dependence are more likely to fail. Archival data ranging from 2012-2015 were collected from 250 commercial banks listed on the Federal Deposit Insurance …

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Rural Community Health Needs Assessment Findings: Access To Care And Mental Health, Sabrina Cherry, Ayanna Robinson, Jared Jashinsky, Grace Bagwell-Adams, Michelle Elliott, Marsha Davis Jan 2017

Rural Community Health Needs Assessment Findings: Access To Care And Mental Health, Sabrina Cherry, Ayanna Robinson, Jared Jashinsky, Grace Bagwell-Adams, Michelle Elliott, Marsha Davis

Journal of Social, Behavioral, and Health Sciences

This article highlights the qualitative results from focus groups conducted as part of a Community Health Needs Assessments in two rural Georgia communities. Four 1-hr focus groups were facilitated with 32 community stakeholders. Sessions were audio recorded and transcribed verbatim. Thematic analysis identified two primary themes: mental health and barriers to accessing health care. Focus group participants discussed mental health challenges as they related to substance abuse and suicide. Participants acknowledged barriers to access, including no health insurance, cost, eligibility gaps for government-sponsored programs, the low availability of specialty care, and poverty. Addressing mental health and access to care in …

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Sociocultural Context And Determinants Of Treatments For Hemorrhoids Among The Nigerian Police, Oyo State Command, Abolaji Azeez, Uche C. Isiugo-Abanihe Jan 2017

Sociocultural Context And Determinants Of Treatments For Hemorrhoids Among The Nigerian Police, Oyo State Command, Abolaji Azeez, Uche C. Isiugo-Abanihe

Journal of Social, Behavioral, and Health Sciences

Hemorrhoids or piles, culturally known as Jedijedi among the people of southwestern Nigeria, are an anorectal disease surrounded by misconceptions. The consequences of these misconceptions are enormous. Therefore, the main objective of the present study is to understand the sociocultural explanation of piles among selected personnel of the Nigeria Police Force. We recruited 302 police officers for the exploratory survey through a multistage sampling technique. Five key informants were interviewed at the study area based upon their professions and proximity. Data interpretation was done through chi-square and content analysis. Results indicated a high prevalence (73%) of and misconceptions about hemorrhoids …

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Happiness In Communities: How Neighborhoods, Cities And States Use Subjective Well-Being Metrics, Laura Musikanski, Carl Polley, Scott Cloutier, Erica Berejnoi, Julia Colbert Jan 2017

Happiness In Communities: How Neighborhoods, Cities And States Use Subjective Well-Being Metrics, Laura Musikanski, Carl Polley, Scott Cloutier, Erica Berejnoi, Julia Colbert

Journal of Sustainable Social Impact

This essay, the fourth and last of a series published by the Journal of Social Change, is intended as a tool for community organizers, local policy makers, researchers, students and others to incorporate subjective well-being indicators into their measurements and management of happiness and well-being in their communities, for policy purposes, for research and for other purposes. It provides case studies of community-based efforts in five different regions (São Paulo, Brazil; Bristol, United Kingdom; Melbourne, Australia; Creston, British Columbia, Canada; and Vermont, United States) that either developed their own subjective well-being index or used the Happiness Alliance’s survey instrument …

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Book Review: Social Changes In A Global World By Ulrike Schuerkens, Ligia E. Toutant Jan 2017

Book Review: Social Changes In A Global World By Ulrike Schuerkens, Ligia E. Toutant

Journal of Sustainable Social Impact

Walden University’s social change approach is an essential part of its vision and is transmitted through the academic work and knowledge of its graduates, who are trained to find solutions to critical societal challenges in pursuit of advancing the greater global good. Schuerkens’ Social Changes in a Global World can serve as a compendium for the Walden family and others interested in this topic. The author examines how social transformations and changes are connected to issues of power and political influence; how transformations and changes have been influenced by concepts of modernity, progress, and rationalization; how transformations and changes differ …

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The Relationship Between Social Change Involvement And Education, Michelle S. Brown, Beate Baltes Jan 2017

The Relationship Between Social Change Involvement And Education, Michelle S. Brown, Beate Baltes

Journal of Sustainable Social Impact

Positive social change is part of Walden University’s mission. As such, the institution sponsored the Social Change Impact Report, which includes data from three online surveys that investigated participants’ experiences with social change because factors related to involvement in social action to improve the lives of individuals and communities are not fully known. Data were collected from the Social Change Impact Report to examine the relationship between the level of education an individual has achieved and how they rate the importance of and the involvement in positive social change activities. Results of chi square and analysis of variance indicated …

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Engaging The Private Sector To Fortify Strategic Base And Port Community Resiliency In The Aftermath Of A National Crisis, Rosalie J. Wyatt Jan 2017

Engaging The Private Sector To Fortify Strategic Base And Port Community Resiliency In The Aftermath Of A National Crisis, Rosalie J. Wyatt

Walden Dissertations and Doctoral Studies

The initial 72 hours after a large-scale crisis are critical in terms of preserving life and property, and the private sector and its critical infrastructure are often called upon to assist government organizations in such events. However, little research explores the unique circumstances surrounding the relationship between public-private partnerships and community resilience in strategic communities including military installations and ports. Using Bryson, Crosby, and Stone's conceptualization of cross-sector collaboration, the purpose of this grounded theory study was to develop a theory of private sector engagement and collaboration with military base and port community leaders in response to large scale crises. …

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The Lived Experiences Of Men Attracted To Minors And Their Therapy-Seeking Behaviors, Heather Cacciatori Jan 2017

The Lived Experiences Of Men Attracted To Minors And Their Therapy-Seeking Behaviors, Heather Cacciatori

Walden Dissertations and Doctoral Studies

This study explored the lived experiences of men attracted to minors who believed they would benefit from therapy but did not seek out or attend therapeutic services; and sought to gain an understanding of how the decision to seek help or not impacted their well-being. Participants included 7 men who were recruited through the B4U-ACT online forum, which provides peer support for the minor attracted community. Participants were interviewed over Skype. Data from these interviews was analyzed and coded according to the interpretative phenomenological method as outlined by Smith et al. (2012). Five main themes emerged, providing insight as to …

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Policy Decisions And Options-Based Responses To Active Shooters In Public Schools, Vicki M. Abbinante Jan 2017

Policy Decisions And Options-Based Responses To Active Shooters In Public Schools, Vicki M. Abbinante

Walden Dissertations and Doctoral Studies

Active shooter events in K-12 schools have increased since 1990, and developing response policies to such events is a responsibility of school personnel. A paucity of data regarding options-based response practices existed with no focus on policy processes. The purpose of this qualitative multi-case study was to describe the decision-making processes used in school districts when approving the inclusion of options-based responses to active shooter events in Emergency Operations Plans (EOPs). The research questions addressed processes that shaped the development of options-based responses to active shooter policies in 3 K-12 school districts within the Midwest. The conceptual framework was informed …

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British Virgin Islands Tourists' Motives To Travel, Destination Image, And Satisfaction, Sherrine Natahsa Augustine Jan 2017

British Virgin Islands Tourists' Motives To Travel, Destination Image, And Satisfaction, Sherrine Natahsa Augustine

Walden Dissertations and Doctoral Studies

The turbulent events of the world have resulted in a decline in the number of travelers since 2011. Nevertheless, approximately one billion international tourists still travel annually.Tourist activity plays an important role in the global economic activity. The purpose of this correlational study was to examine if a relationship exists between destination images, push and pull motives to travel, and tourists' satisfaction. The target population consisted of noncitizen and nonresident tourists of the British Virgin Islands (BVI) between March 2017 and April 2017. Oliver's expectancy-disconfirmation theory that the individual will act in a particular way because the expectation that a …

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Relationship Between Admission Criteria And Program Completion In A Radiation Therapy Program, Adrienne Mae Dougherty Jan 2017

Relationship Between Admission Criteria And Program Completion In A Radiation Therapy Program, Adrienne Mae Dougherty

Walden Dissertations and Doctoral Studies

Poor completion rates in the radiation therapy associate's degree program offered through a community college did not meet the standards set by the college and damaged the program's reputation. The relationship between admission criteria and program completion was not known. The purpose of this study was to determine if there were any relationships between the admission criteria (GPA in prerequisite courses, interview scores, writing sample scores, and preadmission testing scores) and students' completion of a radiation therapy associate's degree program. This correlational study used 2 stages of Tinto's retention theory: (a) recruitment and admission to college and (b) pre-entry assessment …

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Composite Risk Behaviors That Enhance The Transmission Of Malaria In Pregnancy, John Olusegun Dada Jan 2017

Composite Risk Behaviors That Enhance The Transmission Of Malaria In Pregnancy, John Olusegun Dada

Walden Dissertations and Doctoral Studies

Malaria causes high morbidity and mortality, especially among the most vulnerable populations, including pregnant women. Malaria in pregnancy (MiP) can be prevented by compliance with the 3 core measures: sleeping under insecticide-treated nets (ITNs), 3 doses of sulfadoxine-pyrimethamine as intermittent preventive treatment (IPTp-SP), and effective case management of malaria and anemia. The purpose of this cross-sectional household survey was to examine the composite risk behaviors that enhance the transmission of MiP. Stratified and multistage sampling methods were used to select a sample of 300 pregnant women in Abuja, Nigeria. Bivariate and multivariate analysis were conducted. According to study findings, participants' …

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Elementary Teacher Perceptions Regarding The Use Of Kinesthetic Learning Strategies, Heidi Erickson Erickson Jan 2017

Elementary Teacher Perceptions Regarding The Use Of Kinesthetic Learning Strategies, Heidi Erickson Erickson

Walden Dissertations and Doctoral Studies

Researchers have shown that movement increases brain function, improves mental health, supports cognitive development for students, and reduces sedentary time, all which can influence overall health. Research concerning learning with intentional movement is limited. In the United States, Common Core State Standards (CCSS) are being mandated, and teachers are challenged to teach the standards creatively and to maximize time used for instruction. The purpose of this qualitative study was to explore the lived experiences and perceptions of elementary general education (GE) teachers who taught CCSS using a kinesthetic learning plan (KLP). Bandura's self-reinforcement and social learning theories provided the conceptual …

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Body Piercing And Health Complications Among College Students In Puerto Rico, Elsie Goicochea Jan 2017

Body Piercing And Health Complications Among College Students In Puerto Rico, Elsie Goicochea

Walden Dissertations and Doctoral Studies

The incidence and prevalence of body piercing health complications among students is a public health matter that has not been researched in Puerto Rico. College students are the most consistent participants in body piercing activities and have reported health complications resulting in visits to medical offices and emergency rooms. Based on the health belief model, which is used to explain and predict health attitudes, the purpose of this quantitative nonexperimental study was to analyze the health risks and possible complications occurring after body piercing and to investigate the association between sex and age and medical complications. Data were collected from …

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The Effect Of Health Literacy In Low Estimated Glomerular Filtration And Diabetes, Nicklett Johnston Johnston Jan 2017

The Effect Of Health Literacy In Low Estimated Glomerular Filtration And Diabetes, Nicklett Johnston Johnston

Walden Dissertations and Doctoral Studies

Health literacy is widespread, but its potential is not recognized. By not recognizing health literacy, patients have the burden of coping with diabetes with renal complications without full knowledge of their responsibility to their health. The focus of the project was to assess participants with diabetes with low health literacy and low mean glomerular filtration rate (eGFR). The project goal was achieved by the assessment of the participants' health literacy and eGFR before and after education for their diabetes, then assessed to determine if teaching the participants would improve their health literacy, lab values, and overall health. Participants were recruited …

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Exploring Lay Conceptions Of Well-Being And Their Relationship To Experienced Well-Being In Chinese Undergraduate Students, Ada Jen Jan 2017

Exploring Lay Conceptions Of Well-Being And Their Relationship To Experienced Well-Being In Chinese Undergraduate Students, Ada Jen

Walden Dissertations and Doctoral Studies

In 2012, the Chinese 18th Party Congress identified individual well-being and well-being of the nation as 2 of the most important goals for China. Well-being, the maintenance of a happy and meaningful life, is one of the major psychological health benchmarks in an individual's life. Empirical research on lay conceptions and experiences of well-being has been almost exclusively conducted in Western cultures. Understanding Chinese lay people's conceptions of well-being and the relationship of those conceptions to experienced well-being is important for optimizing individual and social well-being, and for providing a basis for positive social change in China. The primary objective …

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The Effects Of Female Genital Mutilation On Women Of Sierra Leone, Nenneh Kalokoh Kalokoh Jan 2017

The Effects Of Female Genital Mutilation On Women Of Sierra Leone, Nenneh Kalokoh Kalokoh

Walden Dissertations and Doctoral Studies

Female genital mutilation or cutting (FGM/C), a common practice among Sierra Leonean women, carries significant psychological and physical risks. Prior to this study, a substantial need existed for inquiry of the experiences and belief systems within this cultural group to better understand the effects of FGM/C on women and girls. Guided by feminist theory and the theory of cultural relativism, the goal of this phenomenological study was to review the cultural perspectives and experiences of Sierra Leonean women who underwent FGM/C to investigate their concerns about safety and their perceptions of the practices. In addition, this study explored concerns among …

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The Impact Of Transitional Justice On Conflict Resolution And The Maintenance Of Peace, Joe Lambongang Jan 2017

The Impact Of Transitional Justice On Conflict Resolution And The Maintenance Of Peace, Joe Lambongang

Walden Dissertations and Doctoral Studies

Ethnic conflicts persist in Ghana despite the efforts of governments to resolve them. Governments are increasingly concerned not only about their massive human rights abuses and wide-scale destruction of property that characterize these conflicts, but also the difficulty of resolving them and restoring permanent peace. The purpose of this qualitative exploratory case study was to provide a deeper understanding of the processes and mechanisms of transitional justice implemented in Dagbon after war broke out in 2002 and explore the conditions under which these initiatives can be more effective in resolving the conflict and maintain peace. Data were collected through individual …

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Losing New Graduate Bedside Nurses, A Practice Improvement Initiative, Beverly Elaine Miller Jan 2017

Losing New Graduate Bedside Nurses, A Practice Improvement Initiative, Beverly Elaine Miller

Walden Dissertations and Doctoral Studies

New graduate nurses (NGNs) at bedside are faced with numerous challenges, which prompt them to leave jobs in their first year. The transition from being a student to competent nurse requires a NGN to have the necessary skills and experience. Subsequently, hospitals continue to face shortages of staff because of high turnover and low retention levels. Nonetheless, evidence from reviewed literature has indicated that the use of residency programs can increase NGNs' stay at bedside, improve retention, reduce costs of operations, and return employees' turnover. The purpose of this quality improvement project was to identify the likelihood of NGNs remaining …

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Improving Nurse Mentor Retention Through The Use Of Nurse Residency Programs, Morgan Newman Jan 2017

Improving Nurse Mentor Retention Through The Use Of Nurse Residency Programs, Morgan Newman

Walden Dissertations and Doctoral Studies

Graduate nurses beginning their nursing career require a collaborative relationship with an expert nurse mentor to make this transition successful. However, high turnover among these experienced nurse mentors is causing a problematic gap in knowledge transfer, experience, and expertise in the nursing workforce. This project investigated whether nurse mentors who mentored in a Nurse Residency Program (NRP) remained with the organization longer and were more satisfied with their mentoring experience than nurse mentors who mentored outside of a NRP. The diffusion of innovations theory was used to support the project and process of dispersing information on the outcome of the …

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Religious Beliefs And Counseling Ethical Guidelines: Challenges For Catholic Counselors, Theophilus T. Okpara Jan 2017

Religious Beliefs And Counseling Ethical Guidelines: Challenges For Catholic Counselors, Theophilus T. Okpara

Walden Dissertations and Doctoral Studies

The Catholic Church tenets are in dissonance with American Counseling Association (ACA) ethical guidelines regarding same-sex sexual orientation. While homosexuality was removed from the Diagnostic and Statistical Manual II as a disorder, the Catholic Church upholds same-sex sexual acts as grave depravity and disordered. Catholic counselors may face the dilemma of adhering to their religious tenets or their professional guidelines in working with gay men and lesbian women clients. Previous research has indicated that values conflicts between religious beliefs and ACA Ethical Codes on same-sex sexual orientation have resulted in legal issues due to counselors refusing therapeutic relationships or providing …

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Leadership Styles And Leadership Effectiveness Of Outpatient Physical Therapy Clinic Managers, Adedolapo Ibiyemi Oyefeso Jan 2017

Leadership Styles And Leadership Effectiveness Of Outpatient Physical Therapy Clinic Managers, Adedolapo Ibiyemi Oyefeso

Walden Dissertations and Doctoral Studies

Outpatient physical therapy clinics (OPTC), like many other healthcare organizations, face an array of challenges in meeting the needs of the growing elderly population. The leadership behavior of OPTC managers is a key component to secure employee loyalty, accommodate increased patient demand, and implement positive organizational change. The purpose of this nonexperimental quantitative survey designed study was to investigate the relationship between the leadership styles perceived by OPTC healthcare managers and nonmanagerial employees, as measured by the Multifactor Leadership Questionnaire Short. The primary research question examined the difference between the OPTC managers' self-perceived leadership style and the nonmanagerial subordinates' perceptions …

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