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A Phenomenological Study Of Methadone Treatment By Opiate-Dependent Individuals Ages 50-55 Years, Lamart Hightower Jan 2016

A Phenomenological Study Of Methadone Treatment By Opiate-Dependent Individuals Ages 50-55 Years, Lamart Hightower

Walden Dissertations and Doctoral Studies

Today's methadone patients differ from those of the past due to increases in polydrug use, mental health issues, and medical needs. Patients requiring methadone treatment for their opiate addiction are now older than those who initially presented for treatment when methadone treatment first started. The number of older opiate users will continue to grow as the population continues to age. Although previous studies on opiate addiction focused on using methadone in treatment of younger adults, this study used phenomenological methodology to explore the lived experiences of opiate addicted methadone users between the ages of 50 to 55, an understudied population. …

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A Delphi Study Of Effective Practices For Developing Competency-Based Learning Models In Higher Education, Lisa Monica Mcintyre-Hite Jan 2016

A Delphi Study Of Effective Practices For Developing Competency-Based Learning Models In Higher Education, Lisa Monica Mcintyre-Hite

Walden Dissertations and Doctoral Studies

Currently, there is an increase in competency-based education programs in higher education institutions in response to student and employer needs. However, research is lacking on effective practices for developing competencies, assessments, and learning resources for these programs. The purpose of this qualitative Delphi study was to gather expert opinions about effective practices for developing competencies, assessments, and learning resources in competency-based programs in higher education. The conceptual framework was based on principles of andragogy, critical subjectivity, and social constructivism. Ten long-term specialists in developing competency-based programs in higher education served as participants. Data from 3 rounds of interviews were coded …

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Supervisor Perceptions Of Entry-Level Doctorate And Master's Of Occupational Therapy Degrees, Sherry Lynne Muir Jan 2016

Supervisor Perceptions Of Entry-Level Doctorate And Master's Of Occupational Therapy Degrees, Sherry Lynne Muir

Walden Dissertations and Doctoral Studies

In occupational therapy (OT), there is a push to encourage the entry-level doctorate (eOTD) over the master's of OT (MOT), without having identified which degree develops therapists who can best meet the needs of clients, while providing the fewest negative consequences for stakeholders. This collective case study assessed whether there are differences between OTs with MOT and with eOTD. Each supervisor's experiences with the two degree groups represented a separate case, then all were collectively considered. The central research question was whether OT supervisors, who have observational knowledge of clinical performance, perceived differences between MOTs and eOTDs in factors that …

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The Aftermath Of Violence: The Lived Experience Phenomena Of Assault In Nursing, Kathleen Clark Jan 2016

The Aftermath Of Violence: The Lived Experience Phenomena Of Assault In Nursing, Kathleen Clark

Walden Dissertations and Doctoral Studies

Despite the high incidence of violence directed at registered nurses while on duty, there is limited qualitative data that explores the lived experience of returning to the workplace after an assaultive incident. This phenomenological study sought to explore and analyze the phenomena of registered nurses who are employed in high-risk settings. The research questions considered the detailed descriptions of the experiences of nurses returning to the workplace. The conceptual framework was resiliency, as these participants continued to survive and thrive after the adverse assaultive events. Data were collected using in-depth interviews from purposeful sampling. Registered nurses working in the high …

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Marketing Strategies Restaurant Leaders Use To Develop Their Customer Base, Carrie Weinreich Jan 2016

Marketing Strategies Restaurant Leaders Use To Develop Their Customer Base, Carrie Weinreich

Walden Dissertations and Doctoral Studies

Surviving past the first year of operation is a growing concern for independent, full-service restaurants. Some restaurant leaders lack the marketing strategies necessary to develop a loyal customer base and survive beyond the first year of operation. The purpose of this multiple case study was to explore the marketing strategies that independent, family-oriented, full-service restaurant leaders located in the Pittsburgh, PA, metro area in business for at least 5 years have used to develop their customer base during the first year of operation. This study was guided by the 7Ps of marketing theory, which emphasizes how people, including customers and …

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A Study Of Collaborative Leadership In South Carolina Alcohol Enforcement Teams, Michael Dale George Jan 2016

A Study Of Collaborative Leadership In South Carolina Alcohol Enforcement Teams, Michael Dale George

Walden Dissertations and Doctoral Studies

In 2007 South Carolina funded 15 regional coordinators to work with local law enforcement agencies and alcohol and drug commissions to create 16 community alcohol enforcement teams to improve enforcement of underage drinking laws. Previous researchers have suggested that collaborative leadership is needed for effective teams, yet little is known about the factors that serve as barriers to and facilitators of, collaborative leadership in alcohol enforcement teams. The purpose of this phenomenological study was to explore the lived experiences of coordinators involved in leading the alcohol enforcement teams in South Carolina. The theoretical framework used was Cameron, Quinn, DeGraff, and …

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Senior Army Women's Leader Behaviors And Their Civilian Career Transition, Sharon R. Hamilton Jan 2016

Senior Army Women's Leader Behaviors And Their Civilian Career Transition, Sharon R. Hamilton

Walden Dissertations and Doctoral Studies

Female retired Army colonels (FRACs) have significant potential to contribute to civilian organizations. To take advantage of that talent, it is important to have a better understanding of their behaviors based on their dual identities as women and leaders. The purpose of this qualitative case study was to understand the under researched factors accounting for the development of FRACs' leader behaviors and the transfer of those behaviors to civilian careers. The 4 underlying meta categories of leadership behavior formed the conceptual framework. The theory of planned behavior was used to explore potential influences on FRAC leader behavior development. The 3 …

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Improving Self-Management In Patients With Chronic Conditions, Jeryl Yvette Horton Jan 2016

Improving Self-Management In Patients With Chronic Conditions, Jeryl Yvette Horton

Walden Dissertations and Doctoral Studies

Care Coordination Home Telehealth (CCHT) maintains a positive impact on the delivery of patient care in the primary care clinic at the Department of Veterans Administration Medical Center (VAMC). This quality improvement initiative targets patients with chronic conditions such as diabetes, hypertension, heart failure, and chronic obstructive pulmonary disease. These patient are frequently seen in the emergency room, and are often admitted to the hospital, where they saturate the outpatient clinics' waiting room with multiple walk-ins. CCHT has, to some extent, reduced walk-ins, emergency room visits, and hospitalization while minimizing the strain on access to care at the VAMC. Sustaining …

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Exploring Transition Factors Among Female Veterans Of Operation Enduring Freedom/Operation Iraqi Freedom (Oif/Oef), Myra Robinson Jan 2016

Exploring Transition Factors Among Female Veterans Of Operation Enduring Freedom/Operation Iraqi Freedom (Oif/Oef), Myra Robinson

Walden Dissertations and Doctoral Studies

Many transitional challenges have affected female veterans after returning from serving in the war in Iraq and Afghanistan. The number of females joining the military and becoming involved in combat has increased within the past 10 years. Research exists on the transitional challenges of male veterans. However, little research exists on the reintegration challenges faced by female veterans. As these females become veterans, they are more visible in the Veterans Affairs Health Care System. Given this increase in number of female veterans, it is important to address transitional challenges experienced by females who served in Operations Enduring Freedom and Operation …

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Factors Impacting Older Adults' Adoption Of Mobile Technology In Emergency Communications, William A. Scerra Jan 2016

Factors Impacting Older Adults' Adoption Of Mobile Technology In Emergency Communications, William A. Scerra

Walden Dissertations and Doctoral Studies

An increasing number of older adults must continue working, which requires that they maintain their competencies and work skills, including use of mobile technology (MT). However, little is known about older adult adoption of MT in relation to work. This study used Rogers's diffusion of innovation theory and Davis's technology acceptance model as a framework. The purpose of this exploratory sequential mixed methods study was to examine the experiences of older adults' who adopted MT in the emergency communications (EC) field. Participants came from an emergency services LinkedIn group. Data sources included surveys completed by 85 respondents and interviews of …

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The Impact Of School Uniforms On School Climate, Attillah N. Brookshire Jan 2016

The Impact Of School Uniforms On School Climate, Attillah N. Brookshire

Walden Dissertations and Doctoral Studies

Approximately half of the public schools in the United States require uniforms or a formal dress policy and many are intended to reduce discipline problems and improve school climate. A suburban school district in Georgia recognized that there was an increase in discipline problems in their schools that affected the school climate. In an effort to promote school safety and improve climate, stakeholders at a district campus adopted a uniform policy. The purpose of this survey study was to examine the differences in perceived school climate between a district campus with a uniform policy and a similar campus with no …

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Decoding Metacommunication Patterns From African American Single Mothers To Sons, Michael-Kamau Henderson Jan 2016

Decoding Metacommunication Patterns From African American Single Mothers To Sons, Michael-Kamau Henderson

Walden Dissertations and Doctoral Studies

With a significant number of African American single-parent families responsible for raising a generation of male children, the focus of this qualitative case study was on exploring the African American single mother-son dyad to identify metacommunicative signals delivered from mothers to sons. This study was grounded in a theoretical framework combining attachment theory and social learning theory. The research questions focused on identifying metacommunication messages passed from mothers to sons and how metacommunication patterns influence the youth's social identity. Four single mothers with adolescent sons and 4 unrelated adult sons of single mothers participated in semistructured interviews. Data were collected …

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Teacher Perspectives On Increasing Fourth-Grade Reading Behaviors, Theresa Evans Hunter Jan 2016

Teacher Perspectives On Increasing Fourth-Grade Reading Behaviors, Theresa Evans Hunter

Walden Dissertations and Doctoral Studies

Elementary students in the United States are expected to read proficiently in order to be successful on high-stakes assessments. Researchers have found that many elementary students lack the motivation to become frequent readers. The purpose of this qualitative case study was to explore the reading motivational techniques used at a local district to encourage elementary students to become frequent readers. Framed by Skinner's operant conditioning theory and the focus on motivators and their effects on learning outcomes, the research questions explored teachers' perceptions of the motivators that increase student reading in the elementary grades. Data for the study were collected …

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Teacher And School Administrator Perceptions Of Their Learning Community, Donald G. Mulligan Jan 2016

Teacher And School Administrator Perceptions Of Their Learning Community, Donald G. Mulligan

Walden Dissertations and Doctoral Studies

Charter schools are often characterized as professional learning communities (PLCs). However, researchers have noted the importance of self-reflection of school staff related to their role as a PLC because perceptions can influence the effectiveness of achieving the full implementation of a PLC. The purpose of this quantitative study was to explore the perceptions of teachers and administrators at a large New York school district's 2 charter schools concerning their school site as a learning community. This study was grounded in social constructivist leadership theory in order to analyze a professional learning community as the social unit. Research questions examined differences …

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The Effects Of Downsizing On Organizational Culture In The Newspaper Industry, Marcella Sweeney Jan 2016

The Effects Of Downsizing On Organizational Culture In The Newspaper Industry, Marcella Sweeney

Walden Dissertations and Doctoral Studies

The purpose of this case study was to explore the effects of downsizing on organizational culture based on the perceptions of contractors who work for an independent distributor in a large metropolitan city in the southern United States. Organizational culture is important to a company's overall success. Organizational culture theory was the basis for the conceptual framework of this study. Using a purposeful sampling approach and methodological triangulation of sources, 3 newspaper delivery contractors who experienced downsizing described their lived experiences. Participants completed the Organizational Culture Assessment Instrument (OCAI) and a qualitative questionnaire. The OCAI survey results were scored and …

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Tools That Measure Caring: A Systematic Literature Review Of The Impact Of Caring, Jennifer Drake Jan 2016

Tools That Measure Caring: A Systematic Literature Review Of The Impact Of Caring, Jennifer Drake

Walden Dissertations and Doctoral Studies

Technology and the complexity of the patient care can take the nurse's attention away from caring for the patient to caring for the technology. The purpose of this systematic review was to gather evidence from the literature on tools for measuring caring and the outcomes in order to make that body of knowledge easily accessible to the direct care nurse for implementation. Jean Watson's theory of human caring 'the theoretical framework that guided and informed this DNP project' focuses on human caring processes and experiences. It assumes that effective caring promotes health and outcomes of the nurse and patient. By …

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Water Management Efficiency In The Food And Beverage Industry, Maria Del C Reyes Torres Jan 2016

Water Management Efficiency In The Food And Beverage Industry, Maria Del C Reyes Torres

Walden Dissertations and Doctoral Studies

Water is critical for food production, food security, and health. Water quality management influences freshwater sustainability, land, and energy administration. Global agriculture accounts for more than 70% of all water consumption; the fertilizer, manure, and pesticide overspills are chief sources of water pollution worldwide. On a global scale, food-related waste directly impacts local food production and water resource management. The purpose of this multiple-case study on the food and beverage (FB) industry in the State of Georgia was to identify successful strategies for improving water management efficiency. The concepts of systems thinking, adaptive resource management, and integrated water resource management …

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Strategies To Obtain Maximum Usage Of Enterprise Resource Planning Systems, Edward James Schaffer Jan 2016

Strategies To Obtain Maximum Usage Of Enterprise Resource Planning Systems, Edward James Schaffer

Walden Dissertations and Doctoral Studies

Business organizations invest significant resources implementing enterprise resource planning (ERP) systems, yet some organizations utilize less than 75% of the ERP system capabilities. The purpose of this single-site case study was to explore ERP utilization strategies implemented by 4 managers in the information technology (IT) department from 1 organization that uses an ERP system in the Midwest region of the United States. The conceptual framework that grounded this study was the user participation theory. Data were collected through participant interviews and analyzed using traditional text analysis. Member checking was used to strengthen the credibility and trustworthiness of the interpretation of …

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The Impact Of Co-Teaching On The Graduation Test Scores Of Students With Disabilities, Jeannette Lynn Stach Jan 2016

The Impact Of Co-Teaching On The Graduation Test Scores Of Students With Disabilities, Jeannette Lynn Stach

Walden Dissertations and Doctoral Studies

According to the U.S Department of Education, co-teaching is an intervention used to give students with disabilities access to the general education curriculum while in the general education classroom. It's necessary to evaluate the effectiveness of co-teaching as it relates to academic performance. However, there has been a dearth of research on quantitative studies related to co-teaching and their results have been inconclusive. This quantitative study explored whether co-teaching has a positive effect on academic performance compared to collaborative teaching, and adds to the literature in this area that is considered current. On an annual basis from 2002 to 2011, …

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The Influence Of Historically Black Colleges And Universities Experience On First Year Retention, Andrea White-Mcneil Jan 2016

The Influence Of Historically Black Colleges And Universities Experience On First Year Retention, Andrea White-Mcneil

Walden Dissertations and Doctoral Studies

Student retention in higher education, specifically after the first year, has long been a focus of institutional strategies, especially among students with financial, academic, and social risk factors. The issue of retention was a priority for administration at the 4-year private Sea Port University, a historically black university in the southern United States, which is the focus of this case study. The university has shown a rapid decline in its retention rate since the period 2008 - 2012. The purpose of this study was to identify students' perceptions of factors in their Historically Black Colleges and Universities (HBCU) experience and …

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Poverty, Food Insecurity, And Obesity Among Urban And Rural Populations, Tameka Ivory Walls Jan 2016

Poverty, Food Insecurity, And Obesity Among Urban And Rural Populations, Tameka Ivory Walls

Walden Dissertations and Doctoral Studies

Over 17 million food-insecure households are associated with increasing obesity rates across the United States. Although food insecurity and obesity are distinct social concerns, the two are linked and may be influenced by poverty and geographic location. Public health authorities and state leaders responsible for the health and nutrition of rural populations in particular would benefit from this information. The purpose of this quantitative cross-sectional study was to examine whether poverty mediated the relationship between food insecurity and obesity among urban and rural adults. The study was guided by the poverty, food insecurity, and obesity conceptual framework. The study addressed …

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Equipping Teachers With Firearms To Promote Safety In U.S. Public High Schools, Sherman Lakeith Winston Jan 2016

Equipping Teachers With Firearms To Promote Safety In U.S. Public High Schools, Sherman Lakeith Winston

Walden Dissertations and Doctoral Studies

Politicians and educators have debated the merits of arming U.S. school employees to counteract possible school shootings but have not reached a shared point of view. There are few academic studies that specifically explore arming educators in public school systems. Using the general theory of agenda setting, the purpose of this multiple case study was to explore the perceptions of teachers regarding arming of educators between two independent school systems and consider whether arming educators enhances safety measures. An exploratory design was used in which data from two sample populations were compared: faculty (n = 15) from a school district …

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Socioeconomic Status As A Predictor Of Chronic Obstructive Pulmonary Disease, Hilaire Saint-Pierre Jan 2016

Socioeconomic Status As A Predictor Of Chronic Obstructive Pulmonary Disease, Hilaire Saint-Pierre

Walden Dissertations and Doctoral Studies

While epidemiological research has generated new knowledge about the treatment and prevention of chronic obstructive pulmonary disease (COPD) through smoking secession, the socioeconomic status (SES) of people with the disease has been under investigated. Thus, the purpose of this study was to determine the predictability of association between SES and COPD. This study was based on the ecological theory, which states that health and disease may have multiple underlying factors. This study was a secondary analysis of archived data from the Inter-University Consortium for Political and Social Research (ICPSR). The dataset was collected for the National Survey of Midlife Development …

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Engagement Behaviors' Impact On Course Success And Persistence Rates Of Community College Students, Van F. Whaley Jan 2016

Engagement Behaviors' Impact On Course Success And Persistence Rates Of Community College Students, Van F. Whaley

Walden Dissertations and Doctoral Studies

As enrollment in U.S. community colleges increased, both the percentage of students successfully completing courses and the percentage of students persisting to their second year decreased. This study focused on the problem of low student course success and persistence rates at a community college. The purpose of the study was to determine whether students who demonstrated engagement behavior by visiting a Center for Academic Success (CAS) either passed more courses, persisted more often, or both, than students who did not visit a CAS. Tinto's engagement theory was the theoretical framework as it postulated that students who interacted with school support …

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An Evidence-Based Strategy To Improve Influenza Vaccination Rates Among Registered Nurses In Hospitals, Terri Lynn Spoltore Jan 2016

An Evidence-Based Strategy To Improve Influenza Vaccination Rates Among Registered Nurses In Hospitals, Terri Lynn Spoltore

Walden Dissertations and Doctoral Studies

Seasonal influenza, or the flu, impacts over 3 million people each year. Within the health sector, nosocomial infection and absenteeism are frequently associated with the flu. The Centers for Disease Control and Prevention (CDC) recommend flu vaccination for all eligible individuals, especially health care workers (HCWs). Interventions associated with increased HCW vaccination include educational programs and occupational health campaigns to address misconceptions regarding vaccine safety and efficacy. This project evaluated the impact of a voluntary, web-based education module to encourage registered nurse (RN) vaccination. The logic and health belief models served as the theoretical frameworks. In a nonequivalent group design, …

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Digitally Immigrant Social Work Faculty: Technology Self-Efficacy And Practice Outcomes, Ellen M. Belluomini Jan 2016

Digitally Immigrant Social Work Faculty: Technology Self-Efficacy And Practice Outcomes, Ellen M. Belluomini

Walden Dissertations and Doctoral Studies

The problem addressed in this study was the lack of a model for technology integration in social work education to meet the needs of graduate social workers in the field. Extant research has focused on the efficacy of online or blended learning, but not on social work educators' technology literacy. The purpose of this study was to explore social work educators' self efficacy related to technology use in curriculum and pedagogy. Digitally immigrant educators, defined as those over the age of 35, were studied since this group struggles in adjustment to technology, commonly used by younger students. The conceptual framework …

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The Association Of Smoking With Low Back Pain In Adult Americans: Analysis Of The 2012 National Health Interview Survey, Bart Green Jan 2016

The Association Of Smoking With Low Back Pain In Adult Americans: Analysis Of The 2012 National Health Interview Survey, Bart Green

Walden Dissertations and Doctoral Studies

Back pain is a chronic disease epidemic and the most common chronic painful condition in Americans. It is associated with human suffering and enormous financial and social burdens. Smoking is a prevalent and harmful health behavior and is the greatest modifiable risk factor for many chronic diseases. Cigarette smoking is associated with back pain, but there is little research on this relationship among adults in the United States. Using biopsychosocial theory, this study examined (a) the prevalence of back pain (dependent variable) among smokers, former smokers, and never smokers (independent variable), and (b) the influence of age, sex, race, body …

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Methylmercury Exposure Via Canned Tuna Fish Consumption And Breast Cancer, Jennifer Bodenrader Jan 2016

Methylmercury Exposure Via Canned Tuna Fish Consumption And Breast Cancer, Jennifer Bodenrader

Walden Dissertations and Doctoral Studies

Widespread consumption of canned tuna fish since the 1950s may explain some of the increase in breast cancer prevalence in the United States and Europe. Although canned tuna is the primary source of human exposure to methylmercury, its role as an estrogen activating metalloestrogen has been overlooked in the etiology and incidence of breast cancer. Carcinogenic theory asserts that increased exposure to estrogen elevates the risk of breast cancer. The purpose of this population-based, case control study was to examine the association between canned tuna consumption, total blood mercury, and breast cancer in the NHANES 2003-2006 surveys. A multivariable logistic …

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A Case Study Of An African American Community's Perceptions Of Problems In Mathematics Education, Renee Jenkins Jan 2016

A Case Study Of An African American Community's Perceptions Of Problems In Mathematics Education, Renee Jenkins

Walden Dissertations and Doctoral Studies

African American students across income classes have been found to struggle with mathematics, impeding their ability to complete college, pursue lucrative careers, and address socioeconomic problems. Using the tenets of liberation and critical race theory, this qualitative case study explored the perceptions of a small group of 8 African American adults as to what they believe to be the root causes of mathematics achievement disparity for African American K-14 students, and what role the African American community can play in ameliorating these disparities. As most related studies are on low income communities, this study focused on an affluent African American …

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Nurse Practitioner Residency Programs: An Educational Journey, Gregory Paul Rys Jan 2016

Nurse Practitioner Residency Programs: An Educational Journey, Gregory Paul Rys

Walden Dissertations and Doctoral Studies

Primary care is in a state of crisis due to the lack of clinicians and increasing numbers of insured patients. Encouraging more students to go directly through school for their doctor of nursing practice degree and nurse practitioner (NP) certifications is one proposal to alleviate this crisis. However, this approach would deliver graduates with minimal leadership and clinical experiences directly into practice. One resolution to mitigate this concern would be an NP residency program. Evaluating the knowledge and attitudes of stakeholders prior to the implementation of a NP residency program is an important first step to this implementation plan. The …

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