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Fathers’ Perceptions Of Stress And Resiliency In Raising Children With Down Syndrome: A Qualitative Study, Latanya M. Randolph Jan 2023

Fathers’ Perceptions Of Stress And Resiliency In Raising Children With Down Syndrome: A Qualitative Study, Latanya M. Randolph

Walden Dissertations and Doctoral Studies

Little was known about how fathers perceived stress and resiliency when parenting children diagnosed with Down syndrome. Therefore, the purpose of this generic qualitative study was to explore perceptions involving stress and resiliency among fathers whose children had been diagnosed with Down syndrome and understand how stress and resiliency affected the parenting skills of those fathers who resided in Prince George's County, Charles County, or St. Mary's County in Maryland. This involved recruiting eight participants who completed semi-structured interviews where they were asked the same 10 open-ended questions. This study involved using a qualitative thematic analysis, was guided by the …

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Personal Resilience As An Interventional Strategy To Reduce Physician Burnout, Towahna D. Rhim Jan 2023

Personal Resilience As An Interventional Strategy To Reduce Physician Burnout, Towahna D. Rhim

Walden Dissertations and Doctoral Studies

AbstractPhysician burnout is prevalent in healthcare today. Contributing factors include emotional exhaustion, depersonalization, and a sense of loss of autonomy. Physician burnout negatively affects a physician’s ability to provide high quality patient care. Physician burnout indicators include poor behavior, mental decline, depression, narcotics and alcohol abuse, suicidal ideation, and suicide completion. Given the negative impact of physician burnout, it is necessary to understand what can counter this phenomenon. Through lived experiences of physicians who self-identified as burned out, the purpose of this study was to explore personal resilience as an interventional strategy to reduce physician burnout. Personal resilience is adapting …

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Heterosexual Male Sexual Assault Victims Experience Of Challenges In Reporting Their Victimization, Jessica Lynn Rundle Jan 2023

Heterosexual Male Sexual Assault Victims Experience Of Challenges In Reporting Their Victimization, Jessica Lynn Rundle

Walden Dissertations and Doctoral Studies

The purpose of this phenomenological study was to identify the gender specific challenges male sexual assault victims face when they report their victimization. Researchers can use their knowledge of these challenges reduce the stigmatization that is correlated with being a male sexual assault victim. The theoretical basis for this study was Joseph Pleck’s sex role strain paradigm, also known as the gender role strain paradigm. The research questions pertained to the psychological challenges that male sexual assault victims encounter when they begin seeking out services. The sample for this study consisted of eight heterosexual male participants who are sexual assault …

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Strategies To Improve Hospital Patient Satisfaction To Increase Performance-Based Reimbursements, Celso G. Silla Iii Jan 2023

Strategies To Improve Hospital Patient Satisfaction To Increase Performance-Based Reimbursements, Celso G. Silla Iii

Walden Dissertations and Doctoral Studies

Officials from the Centers for Medicare and Medicaid Services (CMS) created the hospital valued-based purchasing (VBP) program focused on controlling cost, inefficiencies, and quality-of-care. Hospital leaders are incentivized or penalized based on meeting quality outcomes and risk millions of dollars in reimbursement if they do not meet the quality-of-care standards specified in the CMS hospital VBP program. Grounded in the transformational leadership theory, the purpose of this qualitative multiple case study was to explore strategies hospital leaders used to improve patient satisfaction to increase VBP performance-based reimbursements. Participants included eight hospital leaders from seven hospitals in California who successfully implemented …

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Clinical Research Principal Investigators’ Perspectives Of Improving The Diversity Of Clinical Research Participants, Nadine Hyacinth Spring Jan 2023

Clinical Research Principal Investigators’ Perspectives Of Improving The Diversity Of Clinical Research Participants, Nadine Hyacinth Spring

Walden Dissertations and Doctoral Studies

Clinical trials are needed to make new medications, devices, and diagnostic tools available. Participants in these clinical trials have historically come from a homogeneous group, and there is a recognized need for increased diversity and representation in these clinical research studies. The absence of diversity in clinical trials makes it difficult for clinicians and researchers to know which medications and devices are safe and effective for specific populations. This basic qualitative phenomenological study was conducted to explore the experiences of clinical research principal investigators regarding diversity in clinical research studies and how to improve it. The theoretical framework for this …

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Perceptions Of Teachers In A Private Residential Juvenile Treatment Facility, Douglas E. Stevenson Jan 2023

Perceptions Of Teachers In A Private Residential Juvenile Treatment Facility, Douglas E. Stevenson

Walden Dissertations and Doctoral Studies

AbstractThe problem for this study was the lack of research about what teachers consider to be the successes, the risks, and the potential dangers of working in a school prison setting. The purpose of this qualitative study was to investigate teacher perceptions about successes, risks, and potential dangers of teaching in a prison school setting. This research study was guided by Deci and Ryan’s self-determination theory, which presents a framework for the study of human motivation and personality. The research question examined teachers’ perspectives about the successes, the risks, and dangers of working in a private residential juvenile treatment facility. …

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Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton Jan 2023

Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic increased the need for research and discussions about trauma, trauma-informed care (TIC), and care delivery processes. Little is known about how nurses recognize, assess, treat, and support patients who experience trauma although knowledge of TIC is important for delivering care to trauma survivors. The purpose of this qualitative descriptive study was to explore nurses’ perceptions of TIC principles and their experiences delivering care to patients with psychological trauma. Harris and Fallot’s TIC theory was used to guide the study. Purposeful sampling was used to recruit ten nurses for individual semi structured interviews using open-ended questions conducted via …

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Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams Jan 2023

Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams

Walden Dissertations and Doctoral Studies

When children enter kindergarten, they are expected to demonstrate an interrelated set of skills and competencies including pre-academic skills, cognitive abilities, socioemotional well-being, and physical health. The problem that was the focus of this study was that many students who complete prekindergarten are not ready for kindergarten. Guided by Garcia’s kindergarten readiness framework, the purpose of this basic qualitative study was to increase understanding of the perspectives of parents and prekindergarten teachers regarding their role in developing kindergarten readiness, and the factors they believe support or hinder their efforts. Eight prekindergarten teachers and 8 parents of prekindergarten students from one …

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The Perceived Impact Of Childbirth Related Ptsd And Maternal Bonding, Sheila Baez Jan 2023

The Perceived Impact Of Childbirth Related Ptsd And Maternal Bonding, Sheila Baez

Walden Dissertations and Doctoral Studies

AbstractChildbirth has been increasingly viewed as a potentially traumatic event and process impacting both mother and infant. Previous research on childbirth has concentrated on the development of postpartum depression and its impact; research on posttraumatic stress disorder (PTSD) after childbirth has been limited. However, the results of this research study suggested that the development of childbirth-related PTSD may be a far more common phenomenon than previously suggested. Bowlby’s attachment theory and Ainsworth’s further development and expansion of the theory served as a framework which investigated the experiences of 10 biological females, aged 21 and over previously diagnosed with PTSD after …

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Effective Succession Planning And Organizational Development For Behavioral Health Leadership, Amanda Brown Jan 2023

Effective Succession Planning And Organizational Development For Behavioral Health Leadership, Amanda Brown

Walden Dissertations and Doctoral Studies

High turnover rates can challenge an organization's ability to provide quality care to clients, maintain a safe environment, and achieve strategic goals. Effective retention strategies can allow the organization to grow and develop to continue to provide services for those in need. The focus of this study was identifying how an organization can improve its retention strategies, create succession plans, and decrease turnover to encourage organizational growth. The Baldrige Excellence Framework was used to guide the study, focusing on leadership, workforce, operations, and management. Data were collected through multiple sources. Semi structured interviews were used to gather data through open-ended …

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Educating Nurses On Mental Fatigue, Tawanna Ann Canty Jan 2023

Educating Nurses On Mental Fatigue, Tawanna Ann Canty

Walden Dissertations and Doctoral Studies

Education correlates with nurse performance and avoiding mental fatigue. This project attempted to answer the question, “Educating nurses on mental fatigue will increase knowledge” focusing on educating rehabilitative nurses regarding mental fatigue. The project was guided by the Analysis, Design, Develop, Implement, and Evaluate model. Twenty rehabilitative nurses were administered a pretest consisting of 10 multiple-choice test questions. They received education on mental fatigue through PowerPoint presentations and handouts. After completing the education, participants were administered a posttest with the same 10 questions. An evaluation tool consisting of six questions was completed measuring an increase in knowledge after the posttest. …

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Managerial Strategies To Improve Warehouse Safety Culture, Rasheen J. Chatmon Jan 2023

Managerial Strategies To Improve Warehouse Safety Culture, Rasheen J. Chatmon

Walden Dissertations and Doctoral Studies

An unsuccessful safety program can negatively affect warehouse efficiency, profitability, and reputation. To provide a safe work environment, warehouse leaders need guidance on establishing policies and training to ensure that all employees are adequately trained and understand the safety expectations of the organization. Grounded in high-reliability organization theory, the purpose of this qualitative single-case study was to explore managerial strategies to improve the warehouse safety culture. The participants were five warehouse managers who demonstrated the ability to successfully improve their organization's safety culture. Data were collected through virtual semistructured interviews and reviews of organizational documentation. The data were analyzed using …

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Strategic Leadership Steps For New Certified Community Behavioral Health Clinics, Keisha Stacy-Ann Davis Jan 2023

Strategic Leadership Steps For New Certified Community Behavioral Health Clinics, Keisha Stacy-Ann Davis

Walden Dissertations and Doctoral Studies

States grapple with how to address the opioid epidemic and the growing need for behavioral health (BH) services. Certified Community Behavioral Health Centers (CCBHCs) are a new industry solution to address the need for integrated and coordinated physical and BH care. New CCBHCs are funded by the Federal 223 Substance Abuse and Mental Health Services Administration’s (SAMHSA) grant. However, they must be certified by states to meet the SAMHSA criteria for continued funding. This qualitative study presents a single-case study of a Southern state’s behavioral health department’s (SSBHD) leadership strategy for certifying the CCBHCs in its state and creating a …

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Fact Finders: Exploring Perspectives Of Abuse Investigators For People With Developmental Disabilities, April Delandro Jan 2023

Fact Finders: Exploring Perspectives Of Abuse Investigators For People With Developmental Disabilities, April Delandro

Walden Dissertations and Doctoral Studies

Abuse towards people with intellectual and developmental disabilities has been a long-standing area of study. One aspect of the post abuse process that has not been thoroughly considered is the perspective of abuse investigators. This is important because abuse investigators are to ascertain the safety of an alleged victim and then gather the information necessary to resolve issues with the intent to prevent further abuse. Using the Thomas theorem of interpretation and action, this study explored the experiences of abuse investigators by delving into how investigators’ experiences influence the conduct of an investigation and how investigators perceive their role and …

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Implementing Corporate Social Responsibility Strategies To Enhance The Profitability Of Firms, Franklin Alexander De La Rosa Jan 2023

Implementing Corporate Social Responsibility Strategies To Enhance The Profitability Of Firms, Franklin Alexander De La Rosa

Walden Dissertations and Doctoral Studies

Ineffective corporate social responsibility (CSR) strategies can negatively impact a company’s competitive advantage. A lack of competitive advantage may lead a business leader to experience poor performance and lost profits. Grounded in the stakeholder theory, the purpose of this qualitative multiple case study was to explore strategies some commercial banking, loan, and savings association leaders used to ensure successful CSR programs to enhance profitability. Participants comprised four leaders in Puerto Rico who successfully established CSR strategies to improve organizational profitability. Data were collected from semistructured interviews and banking websites. Thematic analysis was used to analyze the data. Three themes emerged: …

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Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk Jan 2023

Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk

Walden Dissertations and Doctoral Studies

Individuals with disabilities make up the largest minority population in the United States. Individuals with intellectual and developmental disabilities (I/DD) make up a significant portion of this population, yet there are limited studies addressing counseling with the I/DD population. The Council for Accreditation of Counseling and Related Educational Programs has addressed the need for disability competence in their upcoming 2024 standards. The purpose of the phenomenological study was to describe lived experiences of established counselors working with adult clients diagnosed with an I/DD. A descriptive phenomenological approach was used along with the social model of disability. The study involved six …

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Vicarious Trauma And Elementary School Counselors, Erin M. Duduit Jan 2023

Vicarious Trauma And Elementary School Counselors, Erin M. Duduit

Walden Dissertations and Doctoral Studies

Vicarious trauma has been a focus of scholars for many years and demonstrates that vicarious trauma effects professional behaviorally, personally, and physiologically. This quantitative cross-sectional study explored the relationship between vicarious trauma and occupational exposure (caseload size) disrupting the cognitive structures of empathy, control, and esteem. The theoretical framework for this study was the constructivist self-development theory, which described how helping professionals develop vicarious trauma after exposure to traumatic stories. The social cognitive theory was also used for this study, explaining how elementary school counselors can increase their capacity for empathizing through modeling and experiencing empathy from others. The study …

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College Students’ Psychosocial Functioning 2 To 5 Years After Death Of A Parent, Carla C. Elbel Jan 2023

College Students’ Psychosocial Functioning 2 To 5 Years After Death Of A Parent, Carla C. Elbel

Walden Dissertations and Doctoral Studies

The purpose of this study is to examine the relationship regarding a loss of parent during adolescence with psychosocial development into early college years (18 through 22 years of age) as measured by the Modified Erikson Psychosocial Stage Inventory (MEPSI). A sample of 15 young college students, ages 18 to 22, completed the MEPSI and a second sample of young college students 18 to 22, who lost a parent, completed the MEPSI. No significant difference was found in the variance of the means; therefore, the null hypothesis was retained. A small sample t test analysis was used to compare the …

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Disparate Access To Medical Coverage Associated With Type 2 Diabetes Care In Low-Income And Rural Communities In Georgia, Crystal Alexis Symone Edwards Jan 2023

Disparate Access To Medical Coverage Associated With Type 2 Diabetes Care In Low-Income And Rural Communities In Georgia, Crystal Alexis Symone Edwards

Walden Dissertations and Doctoral Studies

Disparate access to diabetes care in rural and low-income communities among older adults has been an ongoing issue among Americans. Type 2 diabetes in low-income and rural communities has continuously burdened many residents due to age, costs of care, income, geographic location, and education levels. Researchers have demonstrated that providing resources and tools to rural and low-income communities would assist in decreasing type 2 diabetes and increase education and awareness. The purpose of this quantitative cross-sectional study using secondary data was to examine the relationship between health insurance status and lack of access to health care resources and delay of …

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Relationship Between Strategic Dexterity, Absorptive Capacity, And Competitive Advantage, Ifechide Monyei Jan 2023

Relationship Between Strategic Dexterity, Absorptive Capacity, And Competitive Advantage, Ifechide Monyei

Walden Dissertations and Doctoral Studies

Small- and medium-sized enterprise (SME) manufacturing executives and managers are concerned with the rapid technological changes involving artificial intelligence (AI), machine learning, and big data. To compete in the global landscape, effectively managing digital and artificial intelligence changes among SME manufacturing executives and managers is critical for leaders to compete in 2023 and beyond. Grounded in the dynamic capabilities view theory, the purpose of this quantitative correlation study was to examine the relationship between strategic dexterity, absorptive capacity, and competitive advantage. The participants were 66 executives and managers of SME manufacturing organizations who use big data and analytics daily and …

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Cultural Humility As A Predictor Of Intention To Leave Moderated By Authentic Leadership, Dennis Whitfield Jan 2023

Cultural Humility As A Predictor Of Intention To Leave Moderated By Authentic Leadership, Dennis Whitfield

Walden Dissertations and Doctoral Studies

The problem addressed in this research was the inappropriate treatment of multicultural individuals by their immediate supervisors and the need for a thorough examination of cultural humility in organizational settings. This quantitative study used linear regression and moderation analyses to examine the relationship between cultural humility and intention to leave moderated by authentic leadership to determine how the participants’ perception of cultural humility in their immediate supervisor predicted their intention to leave. Another purpose was to examine whether authentic leadership moderated the relationship with intention to leave. The theoretical framework for this study included cultural humility, authentic leadership, and intention …

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Strategies For Increasing Employee Engagement In Media Organizations, Mercedeez Porsché, Ellexus Byrd Jan 2023

Strategies For Increasing Employee Engagement In Media Organizations, Mercedeez Porsché, Ellexus Byrd

Walden Dissertations and Doctoral Studies

Employee engagement is crucial for the success of any organization, and disengaged employees can reduce productivity and increase costs. Media leaders are concerned with the negative impact that employee disengagement can have on firms’ profitability and competitiveness. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple-case study was to explore strategies leaders use to increase employee engagement in media organizations. Participants comprised five leaders within media organizations with a local presence in Georgia who successfully implemented strategies to increase employee engagement. Data were collected through semistructured interviews and a review of online and public platforms. Data were analyzed …

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Determining Strategies For Cost Effectiveness In Sustainable Healthcare Delivery – An Emerging Market Study, Francis Ikechukwu Igbo Jan 2023

Determining Strategies For Cost Effectiveness In Sustainable Healthcare Delivery – An Emerging Market Study, Francis Ikechukwu Igbo

Walden Dissertations and Doctoral Studies

AbstractSome South African healthcare managers and physicians find sustaining quality, cost-effective healthcare services challenging. Healthcare leaders are concerned about the high cost of healthcare as it can negatively impact sustainability and patient outcomes. Grounded in the cost-effectiveness theory and complex adaptive system theory, the purpose of this qualitative multiple-case study was to explore strategies some South African healthcare leaders use to sustain healthcare delivery in lower- and middle-income countries. The participants were five healthcare practitioners in rural areas of South Africa. Data were collected through semistructured interviews and secondary data sources. Thematic analysis of the data yielded four themes: patients’ …

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Law Enforcement Leaders’ Perceptions Of The Attributes Of Emotional Intelligence, Gordon A. Broussard Jan 2023

Law Enforcement Leaders’ Perceptions Of The Attributes Of Emotional Intelligence, Gordon A. Broussard

Walden Dissertations and Doctoral Studies

AbstractAlthough there have been numerous studies conducted on emotional intelligence and effective leadership, there is a need for increased emotional intelligence among law enforcement leaders. This study aimed at determining how law enforcement leaders perceive the importance of emotional intelligence attributes when leading their organization. A phenomenological qualitative study was used with purposive and snowball sampling of 12 participants who held senior leadership positions for over five years as chiefs and sheriffs throughout the United States. Semistructured interviews were conducted to determine participants’ perceptions of the importance of the four attributes of emotional intelligence: self-awareness, self-management, social awareness, and relationship …

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Jamaican College Administrators’ Perceptions Of Providing Accommodations For Students With Disabilities, Tracey Ann Anderson Jan 2023

Jamaican College Administrators’ Perceptions Of Providing Accommodations For Students With Disabilities, Tracey Ann Anderson

Walden Dissertations and Doctoral Studies

The problem that was explored in this study was that many students with learning disabilities are enrolled in Jamaican teachers’ colleges but were not provided with accommodations. The purpose of the study was to determine the perceived and barriers that Jamaican college administrators experience in facilitating the accommodation of students with disabilities. The conceptual framework for this study was social exclusion theory, which helped analyze the insufficiencies in integrating persons with disabilities. The research questions addressed Jamaican college administrators’ perceptions of barriers in providing accommodations for students with learning disabilities. A basic qualitative design was used for this study. Data …

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Assessing African American Perceptions Of Racial Discrimination By Law Enforcement In Rural South Georgia, Joseph Bacot Jan 2023

Assessing African American Perceptions Of Racial Discrimination By Law Enforcement In Rural South Georgia, Joseph Bacot

Walden Dissertations and Doctoral Studies

African Americans make up a very small percentage of our nation’s population. However, studies have shown that they are treated unfairly by law enforcement at higher rates than their white counterparts. The purpose of this qualitative study was to utilize a phenomenological approach to assess the perceptions of the lived experience of African Americans who claim to have been the recipients of racial discrimination by police. The study specifically focused on targeted rural areas in South Georgia to determine if “rural” life would alter how recipients perceived the overall legitimacy of policing after encountering a racially discriminatory interaction with police. …

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Early Childhood Teachers’ Perspectives Of Being A Pbis Coach, Tiesha Laquan Allen Jan 2023

Early Childhood Teachers’ Perspectives Of Being A Pbis Coach, Tiesha Laquan Allen

Walden Dissertations and Doctoral Studies

School districts across the United States have seen an increase in the number of students who need behavioral support. The problem is that early childhood teachers who serve as Positive Behavioral Interventions and Supports (PBIS) coaches have challenges implementing the PBIS framework because of lack of buy in and resources such as time and funding. This basic qualitative study was conducted to explore early childhood teachers’ perspectives of being a PBIS coach and their experiences with implementation within the school. The conceptual framework used for this study was implementation science. The research questions for this qualitative study focused on the …

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Current Practices For Forensic Assessments Of Offenders, Garet Bradford Jan 2023

Current Practices For Forensic Assessments Of Offenders, Garet Bradford

Walden Dissertations and Doctoral Studies

AbstractCurrent Practices for Forensic Assessments of Offenders by Garet Bradford MA, University of Cincinnati, 2017 BA, University of Nevada, 2014 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Forensic Psychology Walden University August 2023

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The Relationship Between Exercise Self-Efficacy, Fear-Avoidance Beliefs, And Exercise In Individual’S With Postural Orthostatic Tachycardia Syndrome, Mary Bridget Collins Jan 2023

The Relationship Between Exercise Self-Efficacy, Fear-Avoidance Beliefs, And Exercise In Individual’S With Postural Orthostatic Tachycardia Syndrome, Mary Bridget Collins

Walden Dissertations and Doctoral Studies

Postural orthostatic tachycardia syndrome (POTS) is a form of dysautonomia in which the autonomic nervous system malfunctions. An effective treatment for POTS is exercise; however, many individuals with POTS are unable to complete a standardized exercise regimen. The purpose of this study was to improve the understanding of why individuals with POTS may or may not engage in the beneficial practice of exercise by exploring factors such as low exercise self-efficacy (ESE) and elevated fear-avoidance beliefs (FAB). The theoretical foundation that grounded this study was the social learning theory (SLT) and social cognitive theory (SCT). The research questions explored the …

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Organizational Strategies For Improving The Present State Of A Behavioral Health Center Within A Historically Black College And University, Tonya Channell Cleveland Jan 2023

Organizational Strategies For Improving The Present State Of A Behavioral Health Center Within A Historically Black College And University, Tonya Channell Cleveland

Walden Dissertations and Doctoral Studies

This study aimed to explore the perceptions of university behavioral health counselors and other healthcare professionals relevant to the funding strategies and initiatives they used to help college students access the high-quality behavioral health services they need. On-campus counseling centers are valuable resources that benefit student well-being, including academic performance and retention. Understanding what factors create barriers for students who desire to seek counseling can help higher education professionals work to improve access to counseling. This qualitative case study focused on a university counseling center at a Southern Historically Black College and University serving a population of majority African American …

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