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Family Childcare Providers’ Perspectives On Participating In Quality Improvement Using National Association For Family Child Care Accreditation, Mary Muhs Jan 2022

Family Childcare Providers’ Perspectives On Participating In Quality Improvement Using National Association For Family Child Care Accreditation, Mary Muhs

Walden Dissertations and Doctoral Studies

Few family child care providers attain accreditation in the research state and little research existed as to why family childcare providers make the decision to participate or not in National Association for Family Child Care Accreditation (NAFCC). The purpose of this qualitative study was to explore perspectives and experiences of family childcare providers, in the research state, regarding the decision-making process related to their participation in NAFCC Accreditation. The conceptual framework consisted of both andragogy and growth mindset; guiding the research questions to explore providers’ perspectives and experiences about the decision-making process related to participating in quality improvement initiatives and …

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How Teachers Support Students' Nutrition And Healthy Choices To Reduce Childhood Obesity, Angela Munns Jan 2022

How Teachers Support Students' Nutrition And Healthy Choices To Reduce Childhood Obesity, Angela Munns

Walden Dissertations and Doctoral Studies

Obesity is an issue that negatively effects the health and wellbeing of children across theU.S. The problem addressed by this study was the increasing percentage of obesity among elementary students in a southeastern school district. Guided by Bandura’s social learning theory, the purpose of this basic qualitative study was to explore the perceptions of elementary teachers about increasing student obesity and the challenges they faced in teaching students about health issues in the local school setting. Ten elementary teachers who had knowledge of nutrition and awareness of the student obesity and overweight issues at the study site participated in semistructured …

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Transitional Experiences Of Young African American Women In Foster Care, Tiarra Michelle Myers Jan 2022

Transitional Experiences Of Young African American Women In Foster Care, Tiarra Michelle Myers

Walden Dissertations and Doctoral Studies

Emancipated foster youth continue to experience fewer positive outcomes after foster care despite the changes in legislation and the implementation of additional transitional living programs and supports such independent living programs. This quantitative research study followed a non-experimental, secondary data analysis to examine how independent living programs impact the outcomes for African American young women who have transitioned out of the foster care system compared to their Caucasian young women peers at age 17 and age 21. The exploratory study used data from the Children’s Bureau National Youth in Transition Database (NYTD) Cohort 2. A cross-section comparison analysis was conducted …

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Understanding The Perspectives Of African American Gay And Bisexual Men Toward Hiv, Victor Onwezi , Ikechukwu Nwanguma Jan 2022

Understanding The Perspectives Of African American Gay And Bisexual Men Toward Hiv, Victor Onwezi , Ikechukwu Nwanguma

Walden Dissertations and Doctoral Studies

There is an urgent need to stop the HIV epidemic among African American gay and bisexual men in the United States. The purpose of this basic qualitative study was to identify the health issues responsible for the HIV epidemic among African gay and bisexual men. Two theoretical frameworks that guided the study were the transtheoretical model and the syndemic theory. The study's research involved understanding African American gay and bisexual men's perspective toward HIV infections and their understanding of possible reasons HIV rates appear to increase in their community. Semi-structured telephone interviews and field notes were used to collect primary …

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Nurses’ Knowledge Of Cognitive Behavioral Therapy As A Treatment For Schizophrenia, Iwalola Stella Omojola Jan 2022

Nurses’ Knowledge Of Cognitive Behavioral Therapy As A Treatment For Schizophrenia, Iwalola Stella Omojola

Walden Dissertations and Doctoral Studies

Existing evidence indicates that medications alone are not able to fully manage the psychotic symptoms associated with schizophrenia. Inadequately treated schizophrenia not only affects a patient's physical and mental health but also can lead to the onset of more complex issues such as substance and alcohol abuse disorders, homelessness, family conflicts, and violent behavior. Cognitive behavioral therapy (CBT) can assist in bridging the gaps associated with the use of medications in the treatment of schizophrenia. The purpose of this project was to increase the knowledge of nurses working at a private healthcare facility regarding the effective utilization of CBT as …

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The Examination Of Small Chicago Nonprofit Organizations In The Voluntary Implementation Of The Sarbanes-Oxley Legislation, Patricia A. Owens Jan 2022

The Examination Of Small Chicago Nonprofit Organizations In The Voluntary Implementation Of The Sarbanes-Oxley Legislation, Patricia A. Owens

Walden Dissertations and Doctoral Studies

AbstractNonprofit organizations (NPOs) do not have a mandated requirement for implementing the Sarbanes-Oxley Act (SOX) of 2002; however, small Chicago NPOs had voluntarily implemented SOX provisions. The passage of SOX impacted the manner in which NPOs govern, provide disclosures, and audit their records. It was not known what the experiences, including facilitators or barriers, had been in that effort. The accountability mechanism theory by Ostrower and Stone provided the framework for this study. The key research questions focused on what major SOX provisions were most useful to implement and the experiences faced in the voluntary implementation of the SOX provisions. …

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Role Of Hypertension In Low-Birth-Weight Racial Disparities Among Virginian Women, Ashli Owen Jan 2022

Role Of Hypertension In Low-Birth-Weight Racial Disparities Among Virginian Women, Ashli Owen

Walden Dissertations and Doctoral Studies

Low birth weight (LBW) is a leading cause of infant mortality globally, but it disproportionately burdens the Black community in the United States, with a rate twice that of White women. Further, hypertensive disorders of pregnancy (HDsP) increase LBW incidence. The purpose of the study was to assess the association between HDsP and LBW, maternal race and LBW, and the moderation effect of HDsP on race and LBW on Black and White women in Virginia. The theoretical framework for this study was based on the lifecourse health development model, which states that health should be viewed as an outcome of …

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Strategies For The Reduction Of Cybersecurity Breaches In Hospitals, Donovan M. A. Pottinger Jan 2022

Strategies For The Reduction Of Cybersecurity Breaches In Hospitals, Donovan M. A. Pottinger

Walden Dissertations and Doctoral Studies

AbstractRecent cyberattacks in hospitals show the urgency of the need to enhance secure information technology (IT) infrastructure. Hospitals are statistically more at cyber risk than all the multiple industries against ransomware, malware, hacking and internal threats. Guided by routine activity theory, the purpose of this exploratory multiple case study was to explore strategies utilized by hospitals' IT security managers to reduce cybersecurity breaches associated with sensitive data. The participants were nine IT security managers from hospitals in the eastern United States. Data were collected via semistructured interviews and supporting documentation from the consenting participants and hospitals' websites. Through thematic analysis, …

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Experiences Of Social Workers Providing Sentencing Advocacy For Youth Of Color, Steven Robinson Jan 2022

Experiences Of Social Workers Providing Sentencing Advocacy For Youth Of Color, Steven Robinson

Walden Dissertations and Doctoral Studies

The punitive sentencing of minority youthful offenders is contrary to the juvenile justice system’s founding principles of rehabilitation. Moreover, the introduction of mitigation helps to inform the courts’ decisions on the most appropriate recourse; however, few researchers have studied the experiences of social workers who provide sentencing advocacy for minority youth. This basic qualitative study explored the experiences of social workers in Louisiana involved in addressing sentencing disparities of minority youth and the changes social workers perceive as necessary to reduce these disparities. Six social workers in Louisiana were interviewed regarding their experiences related to providing sentencing advocacy for minority …

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Success Of Online And Face-To-Face Secondary Algebra I Students, Andrea Nicole Rohde Jan 2022

Success Of Online And Face-To-Face Secondary Algebra I Students, Andrea Nicole Rohde

Walden Dissertations and Doctoral Studies

Research results from the past decade on the efficacy of online instruction for high school students varies. While many researchers suggested that younger students, mathematics students, and already struggling students who take online classes were underperforming compared to their classmates in the same course taken face-to-face (f2f), other researchers noted the advantages of online courses in providing flexibility, especially in pacing. Online education remains a popular course option for these learners despite the conflicting evidence of being able to truly support them in getting closer to graduation. Framed by Moore’s transactional distance theory, a nonequivalent group quasi-experimental design was used …

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Self-Management Support Program For Dialysis Patients, Elmer Sadiang-Abay Jan 2022

Self-Management Support Program For Dialysis Patients, Elmer Sadiang-Abay

Walden Dissertations and Doctoral Studies

AbstractChronic kidney disease (CKD) prevalence rates have been on the rise in recent years, and currently, about 37 million Americans are living with the disease. Most patients with CKD progress to end-stage renal disease (ESRD), resulting in additional treatments, including kidney transplants and hemodialysis (HD). HD treatments depend on patients’ adherence to self-management practices. The practice gap was the lack of guidelines for staff to use with ESRD patients to teach self-management strategies. This project aimed to develop an evidence-based clinical practice guideline (CPG) on a self-management support program for dialysis patients for use by health care providers at the …

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Law Enforcement Officers’ Lived Experiences With Male Victims Of Intimate Partner Violence, Selena Sanchez Jan 2022

Law Enforcement Officers’ Lived Experiences With Male Victims Of Intimate Partner Violence, Selena Sanchez

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) affects every race, culture, orientation, and sex. However, researchers focus largely on women as victims of IPV by men. Unfortunately, social and gender norms contribute to the focus on women as victims while adult heterosexual men remain underreported, underrepresented, and viewed predominantly as perpetrators. For example, 91% of men were arrested when IPV was reported, and officers responded to the call. This was referred to as gendered stigmatization. This transcendental qualitative phenomenological approach focused on the lived experiences of law enforcement officers who were called to the scene where IPV had occurred or was occurring, and …

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Examining The Utility Of Auditory Processing Tests In Clinical Neuropsychology, Behnaz Sarlak Jan 2022

Examining The Utility Of Auditory Processing Tests In Clinical Neuropsychology, Behnaz Sarlak

Walden Dissertations and Doctoral Studies

Memory loss has been a concern in patients with neurodegenerative disease, as it can cause cognitive problems such as speech and language issues. Clinicians need to use reliable, assessable, noninvasive, repeatable, and inexpensive tools to diagnose memory impairment. There is a gap in the literature on whether specific cognitive tests provide valid, reliable, cost and time-effective methods for screening for dementia. The purpose of this quantitative correlational study was to examine if the Seashore, the Speech-Sound Perception Test, the SCAN-A test, Logical Memory, Verbal Paired Associates, and Digit Span Test can predict whether an individual has been diagnosed with Alzheimer’s …

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Oncology Nurses' Development Of Coping Mechanisms To Avoid Burnout And Foster Resilience, Alberto N. Sarmiento Jan 2022

Oncology Nurses' Development Of Coping Mechanisms To Avoid Burnout And Foster Resilience, Alberto N. Sarmiento

Walden Dissertations and Doctoral Studies

Cancer is a leading cause of death in the United States. Individuals diagnosed with the disease experience physiological and psychological burdens due to its effects. As a result, cancer care constantly exposes health care professionals to challenging personal and professional demands. Effective coping mechanisms are associated with better well-being and career longevity for nurses and improved outcomes for patients. Although researchers have examined resilience and burnout among health care professionals, they have not fully considered these concepts in terms of oncology nurses' professional experiences or explored what factors may mitigate burnout for these professionals. The purpose of this qualitative study …

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Staff Perspectives Of Children With Challenging Behaviors In A Preschool Setting, Tamika D. Schaffer Jan 2022

Staff Perspectives Of Children With Challenging Behaviors In A Preschool Setting, Tamika D. Schaffer

Walden Dissertations and Doctoral Studies

Preschool children exhibiting challenging behaviors are expelled or suspended instead of identified, evaluated, and linked to appropriate services for their needs. This qualitative case study explored preschool teacher, administrator, and technical assistant perspectives related to identifying, evaluating, and linking to appropriate services children with challenging behaviors which the research questions focused on. The research frameworks were the ecological systems theory and assertive behavioral model. Purposeful sampling was used to select 10 teachers, two administrators, and two technical assistants who worked in a preschool center for at least 1 year and experienced one or more past incidents where they had to …

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Health Educator Experience: Recommendations For Physical Activity For Mental Health In Women, Patricia Schneider Jan 2022

Health Educator Experience: Recommendations For Physical Activity For Mental Health In Women, Patricia Schneider

Walden Dissertations and Doctoral Studies

Mental health issues, specifically anxiety and depression, continue to be a public health crisis in the United States. Despite the established therapies of pharmacology and cognitive behavioral therapy, not all patients seek or find relief using these methods. Therefore, other treatment strategies need to be studied. The purpose of this basic qualitative study was to understand the experiences of health educators who use physical activity as a strategy for anxiety and depression management among middle-aged women as well as their own attitudes, norms, and perceived behavioral controls. The theory of planned behavior (TPB) was leveraged as the theoretical foundation for …

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The Relationship Between Employee Engagement, Job Satisfaction, And Employee Performance In The Federal Government, Alexis L. Shellow Jan 2022

The Relationship Between Employee Engagement, Job Satisfaction, And Employee Performance In The Federal Government, Alexis L. Shellow

Walden Dissertations and Doctoral Studies

Leaders in the U.S. Federal Government face performance challenges due to disengaged employees and employees with low satisfaction. Leaders within the federal government need to understand the relationship between employee engagement, job satisfaction, and employee performance, as decreased employee performance can result in decreased productivity, increased turnover, and have negative financial implications. Grounded in Herzberg’s two-factor theory and Kahn’s engagement theory, the purpose of this quantitative correlational ex post facto study was to examine the relationship between employee engagement, job satisfaction, and employee performance within the federal government. Data from the 2019 Federal Employment Viewpoint Survey (n = 100) were …

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Risk Management In Wastewater Treatment Policy Creation And Revision, Emily Silver Jan 2022

Risk Management In Wastewater Treatment Policy Creation And Revision, Emily Silver

Walden Dissertations and Doctoral Studies

The focus of this professional administrative study was risk management in the field of wastewater treatment. The emphasis was on the creation and revision of policies to help reduce overall agency risk factors. The guiding question for the study focused on what revisions to the client organization’s safety policy and personnel policies and procedures would decrease the agency risk. A combination of both safety and policy change theories provided the basis for the study’s conceptual framework. This blended approach allowed for a more thorough and comprehensive interpretation of the collected data. In this qualitative case study, data pertinent to risk …

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The Effectiveness Of Culturally Specific Interventions On Young Adult Latina Women, Cheryl Denise Smith Jan 2022

The Effectiveness Of Culturally Specific Interventions On Young Adult Latina Women, Cheryl Denise Smith

Walden Dissertations and Doctoral Studies

Using culturally specific interventions to provide mental health support to young adult Latina women may improve mental healthcare results by furnishing resources that are culturally competent and inclusive. Young adult Latina women continue to experience disparities with mental healthcare resources such as cultural adaptability and accessibility. The purpose of this phenomenological qualitative study was to explore how culturally specific interventions could result in mental healthcare support for young adult Latina women who are experiencing mental health issues such as depression and anxiety. Bronfenbrenner's ecological system theory was used as the conceptual framework. Purposeful sampling was used to recruit 12 young …

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Effect Of Compassion Fatigue And Burn Out Education In The Nurse, Pamela Spendiff Jan 2022

Effect Of Compassion Fatigue And Burn Out Education In The Nurse, Pamela Spendiff

Walden Dissertations and Doctoral Studies

Evolving changes in healthcare have caused increased levels of pressure on registered nurses (RNs) which increases compassion fatigue (CF), secondary traumatic stress (STS) and burnout (BO) and negatively affect compassion satisfaction (CS) which may affect a nurse’s abilities and skills to provide quality care for patients and cause the RN to leave the profession. The mindfulness technique is one method which may help reduce CF, STS and BO in RNs. The purpose of this quasi-experimental study, guided by the compassion satisfaction and compassion fatigue model (CS-CF), was to determine what effect a mindfulness-based intervention (MBI) has on CF, BO and …

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Key Strategies Used To Mitigate Business Risk When Managing Offshore Outsourcing, Lauren Stewart Jan 2022

Key Strategies Used To Mitigate Business Risk When Managing Offshore Outsourcing, Lauren Stewart

Walden Dissertations and Doctoral Studies

Ineffective risk management strategies can cause negative consequences to an organization’s business processes and operational costs. When engaging in offshore outsourcing, Organizational leaders who lack effective risk management strategies encounter negative customer experiences, interrupted business processes, wasteful resources, and increased operational costs. Grounded in the resource-based view theory, the purpose of the qualitative multiple case study was to explore strategies used to mitigate business risk when managing offshore outsourcing. Four outsourcing professionals in the information technology and consulting sectors who successfully managed risks during offshore outsourcing participated in the study. Data sources were semistructured interviews and a review of publicly …

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The Impact Of Poverty And Gender-Based Disaster Education On Household Preparedness Planning In Male Latino Migrant Workers, Malikah Taylor Jan 2022

The Impact Of Poverty And Gender-Based Disaster Education On Household Preparedness Planning In Male Latino Migrant Workers, Malikah Taylor

Walden Dissertations and Doctoral Studies

Natural disasters cause catastrophic damage to a community through death, injury, and property loss. Urban areas are predisposed to these events due to their built environment and the dense population of vulnerable groups. Urban male Latino migrant workers are an at-risk population with multiple social determinants of health that should be considered when implementing risk reduction plans. Programs that do not target this entire community only enhance the vulnerability of this group. This study examined the relationship between poverty and household preparedness in this community, controlling for gender. The socioecological model provided the foundation for this retrospective secondary analysis. Statistical …

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Factors Of Employee Retention Within Youth-Serving Nonprofits In The Mid-Atlantic Region Of The United States, Meleny Thomas Jan 2022

Factors Of Employee Retention Within Youth-Serving Nonprofits In The Mid-Atlantic Region Of The United States, Meleny Thomas

Walden Dissertations and Doctoral Studies

Factors of employee retention have been widely researched and examined. However, research on factors of retention in relation to youth-serving NPOs was limited. Turnover was an issue that many organizations face, but the impacts and implications of turnover for youth-serving nonprofits may be greater. Using Herzberg’s two-factor theory of motivation, this study identified the factors that local and national NPO employees in the Mid-Atlantic region of the eastern United States provided as to why they remained at or left NPOs. The aim of this study was to identify the motivator and/or hygiene factors that employees or former employees of NPOs …

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Strategies To Reduce Flight Attendant Voluntary Turnover, Jorge Tobar Jan 2022

Strategies To Reduce Flight Attendant Voluntary Turnover, Jorge Tobar

Walden Dissertations and Doctoral Studies

Flight attendant voluntary turnover can lead to staffing shortages that can cause severe disruptions to flight schedules, damage the airlines’ reputations, and negatively affect revenues, which are significant challenges for airline leaders. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple-case study was to explore strategies airline leaders use to reduce flight attendant voluntary turnover. Data were collected from four leaders from four U.S. airlines in the southwestern United States using semistructured interviews and reviews of organizational documents. Five themes emerged from thematic analysis: improving compensation and benefits packages, implementing rewards and recognition programs, increasing supervisory support, expanding …

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Staff Education On Hepatitis C Screening Guidelines, Duy Le Trinh Jan 2022

Staff Education On Hepatitis C Screening Guidelines, Duy Le Trinh

Walden Dissertations and Doctoral Studies

Hepatitis C virus (HCV) is found worldwide, but the burden is much higher in correctional settings compared to general populations. In a detention centered located in Washington, the nurses at booking do not know who are at risk for Hepatitis C. This Doctor of Nursing (DNP) project attempted to answer the question of if educating nursing staff at the detention facility in Washington increase their knowledge of the importance of screening inmates for hepatitis C.The purpose of this project was to educate nursing staff about the risk factors for HCV so that proper screening can be done. Knowles’s adult learning …

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Mindfulness, Race-Related Stress, And Relationship Satisfaction Among African American/Black Couples, Leshai Hunt Jan 2022

Mindfulness, Race-Related Stress, And Relationship Satisfaction Among African American/Black Couples, Leshai Hunt

Walden Dissertations and Doctoral Studies

Research indicated positive correlations between relationship satisfaction and mindfulness among White couples. However, researchers had not examined the relationship between mindfulness and relationship satisfaction among African Americans/Blacks who had experienced race-related stress. Race-related stress affects African Americans/Blacks in their daily lives and relationships. The purpose of this quantitative nonexperimental study was to investigate the relationship between mindfulness, race-related stress, and relationship satisfaction among African Americans/Blacks. Mindfulness relationship theory and Africana womanism were used to guide the study. Survey data were collected from 51 African Americans/Black participants. Results of multiple regression analysis indicated that mindfulness was a statistically significant predictor of …

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Links Between Screen Tim, Montessori Preschool Exposure, And Working Memory, Paula Lyn Larsen Mamani Jan 2022

Links Between Screen Tim, Montessori Preschool Exposure, And Working Memory, Paula Lyn Larsen Mamani

Walden Dissertations and Doctoral Studies

A high-quality, foundational education offers lifelong benefits for young children. The problem is that working memory in pre-school-aged children is declining and could be impaired by the extraneous cognitive load imposed during engagement with screen media apps and/or preschool programs. Although the pedagogical practices associated with Montessori preschool programs have been found supportive of cognitive load germane to learning and improved working memory, they have not been fully considered in relation to preschoolers' screen media use. The cognitive load created by screen media apps could affect their usefulness as learning tools. The purpose of this quantitative study was to discover …

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Exploring Implementation Strategies Of Iot Technology In Organizations: Technology, Organization, And Environment, Khanhhung Hoang Pham Jan 2022

Exploring Implementation Strategies Of Iot Technology In Organizations: Technology, Organization, And Environment, Khanhhung Hoang Pham

Walden Dissertations and Doctoral Studies

AbstractAfter organizations successfully adopt the internet of things (IoT) technology, many corporate information technology (IT) leaders face challenges during the implementation phase. Corporate IT leaders' potential failures in implementing IoT devices may impede organizations from integrating IoT solutions and promoting business benefits. Grounded in technology-organization-environment (TOE) theory, the purpose of this qualitative, pragmatic inquiry study was to explore strategies that corporate IT leaders use to implement IoT technology in their organizations. The participants were six corporate healthcare IT leaders who successfully used implementation strategies for implementing IoT solutions for their organizations. Data were collected using semistructured interviews and industry security …

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College Students’ Perceptions Regarding High School Influences On Academic Buoyancy, Jeremy Travis Irwin Jan 2022

College Students’ Perceptions Regarding High School Influences On Academic Buoyancy, Jeremy Travis Irwin

Walden Dissertations and Doctoral Studies

The problem addressed by this study is the lack of student input in the development of resources to support academic buoyancy, leading to a gap in educational practices. Academic buoyancy is the ability to successfully deal with academic setbacks and challenges that are typical of the ordinary course of school life. The purpose of this study was to investigate the perceptions of recent high school students regarding the common academic setbacks and challenges they experienced in high school and how high schools could support students experiencing these challenges. Research questions examined participants’ perspective of the common academic setbacks and challenges …

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Risk Factors Associated With Community-Onset Sepsis In Latino/Hispanic Adults, Joan Ivaska Jan 2022

Risk Factors Associated With Community-Onset Sepsis In Latino/Hispanic Adults, Joan Ivaska

Walden Dissertations and Doctoral Studies

Sepsis results in a significant public health burden globally, causing 20% of adult mortality worldwide and accounting for more than one third of deaths in hospitalized adults in the United States, making it one of the top 15 leading causes of death in the United States. Community-onset sepsis (COS) comprises nearly 80% of all sepsis cases occurring in the United States each year. Despite the widespread prevalence of COS, significant gaps in knowledge exist regarding the risk factors that lead to COS and sepsis mortality in Latino/Hispanic adults in the United States. The purpose of this secondary data study was …

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