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Chronic Care Model Staff Education And Adherence With End-Stage Renal Disease Patients, Emilia K. Addo Jan 2015

Chronic Care Model Staff Education And Adherence With End-Stage Renal Disease Patients, Emilia K. Addo

Walden Dissertations and Doctoral Studies

The management and treatment of chronic diseases, such as end-stage renal disease, is often unproductive because of patients' poor adherence to treatment. The chronic care model toolkit is an Agency for Healthcare Research and Quality supported framework, associated with improved outcomes in patients living with chronic disease. The purpose of this project was to develop and plan an educational program using the chronic care model toolkit for the interdisciplinary clinical staff of a renal hemodialysis center. The goal of this project was to adapt team building between patients and their clinicians through the use of the chronic care model in …

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Third-Party Administrators In Public-Private Partnerships: A Multiple Case Study, Beata Ewa Haug Jan 2015

Third-Party Administrators In Public-Private Partnerships: A Multiple Case Study, Beata Ewa Haug

Walden Dissertations and Doctoral Studies

Local public agencies turn to public-private partnerships (PPPs) to allow greater participation by private firms in delivering public services. In the last 25 years, private organizations had been reluctant to form PPPs with local government agencies because of the complex procurement processes and the bureaucratic business environment. Guided by the decision theory and complex adaptive systems theory, the purpose of this multiple case study was to identify what information leaders within third-party administrators (TPAs) need regarding the contracting process in the formation of PPPs. The data collection process consisted of face-to-face interviews with 4 executive leaders of 3 Wisconsin state …

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Understanding Faith Leaders' Perspectives On Breast Health Interventions In The Church, Marsha Ladonna Marshall Jan 2015

Understanding Faith Leaders' Perspectives On Breast Health Interventions In The Church, Marsha Ladonna Marshall

Walden Dissertations and Doctoral Studies

The prevalence and incidence of breast cancer is an important issue that is affecting all women, but African American women have the lowest survival rates after breast cancer diagnosis. Historically, the Black church and faith leaders have been essential in promoting health in the African American community. Moreover, faith-based interventions have become more common within the African American community in addressing factors that affect survival rates such as early detection, cultural barriers, and education. Currently, there is not clear information on the perspectives faith leaders have on their experiences with implementing breast health interventions in their places of worship. This …

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Customer Satisfaction Factors In Life Insurance Growth In Ghana, Geraldine Gina Abaidoo Jan 2015

Customer Satisfaction Factors In Life Insurance Growth In Ghana, Geraldine Gina Abaidoo

Walden Dissertations and Doctoral Studies

The growth rate of life insurance in Ghana is under 1% of GDP, and life insurance company leaders must identify and implement customer satisfaction strategies that will aid business growth and sustainability. Guided by the theory of customer satisfaction management systems (CSMS), the purpose of this multiple case study was to explore customer satisfaction strategies that life insurance company leaders execute to grow and sustain the life insurance business. Twelve life insurance company leaders working in the Accra-Tema geographic area participated in face-to-face semistructured interviews for this study. Data analysis involved compiling, disassembling, reassembling, interpreting, and concluding the data. Member …

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Strategies To Overcome Barriers To A More Effective Leadership Style, David Barnwell Jan 2015

Strategies To Overcome Barriers To A More Effective Leadership Style, David Barnwell

Walden Dissertations and Doctoral Studies

Disengaged employees and leaders lacking the skills to engage their employees account for an estimated $300 billion annual loss through lowered productivity. This study focused on a leader's understanding of employee engagement as a means of increasing productivity. Utilizing the theory of leadership styles and expectancy theory for the conceptual framework, this descriptive study explored strategies small business leaders have used to develop effective leadership styles to improve workplace engagement. Interviews with a purposive sample of 20 highest-ranking executives at small businesses with between 50 and 250 employees in the Mid-Atlantic region of the United States were analyzed using the …

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Strategies For Mitigating Supply Chain Disruptions, Johnny Bowman Jr Jan 2015

Strategies For Mitigating Supply Chain Disruptions, Johnny Bowman Jr

Walden Dissertations and Doctoral Studies

Disruptions in the supply chain are becoming more common as supply chains become more complex, and supply chain managers of warehouse distribution centers need strategies to minimize the impact of disruptions. In this study, the focus of the research questions was on strategies supply chain managers could use to mitigate the impact of disruptions. The conceptual frameworks for this study were the resource dependence theory and the normal accident theory, which link supply chain disruptions with resource availability and the inability to eliminate disruptions. An exploratory case study involved exploring how supply chain managers of a warehouse distribution center in …

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A Case Study On The Process Of Passing A Radiography Registry Examination, Encarnita Antonia Chamberlain Jan 2015

A Case Study On The Process Of Passing A Radiography Registry Examination, Encarnita Antonia Chamberlain

Walden Dissertations and Doctoral Studies

This project study addressed the problem of the low percentage of a Mid-Atlantic university's radiography graduates passing their credentialing registry examination. The cohort had a 2014 pass rate of 83% while the majority of surrounding schools had pass rates of 100%. In order to become registered radiographers, graduates must be able to take what they have learned in their educational program and directly apply it to their professional skill set. The conceptual framework for the study was social constructivism, adapting and transforming what was new information to previous experiences and group activities. A qualitative case study research design was chosen, …

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Exploring Recruiting Challenges Of The Insurance Industry, Hema Chaurasia Jan 2015

Exploring Recruiting Challenges Of The Insurance Industry, Hema Chaurasia

Walden Dissertations and Doctoral Studies

Insurance companies provide financial protection to the general population, but their workforce challenges may destabilize the companies to the point of financial distress. Senior insurance company leaders lack effective strategies to recruit skilled professionals. With contingency theory and resource-based view theory as the framework, the focus in this multicase study was the exploration of the recruiting strategies of human resources (HR) managers in New York City area insurance companies. Four insurance company HR managers were recruited via a purposeful and snowball sampling method for semistructured interviews. These interviews were analyzed through a reflective interpretation process, which was guided by the …

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A Quantitative Model Studying The Effects Of Transformational Leadership On Job Satisfaction, Kenneth Uzoma Chukwuba Jan 2015

A Quantitative Model Studying The Effects Of Transformational Leadership On Job Satisfaction, Kenneth Uzoma Chukwuba

Walden Dissertations and Doctoral Studies

Hotels have lost $3.4 billion over the last 5 years because of high rates of employee turnover. Leaders must use the tools necessary to increase job satisfaction and retain professional employees. The problem was that insufficient data described the relationships between transformational leadership, gender, education, and job satisfaction for hotel professionals. The purpose of this survey study was to understand the relationship between transformational leadership and job satisfaction for the hotel professionals in the United States. A total of 248 hotel professionals from the Colorado Lodging and Hotel Association were surveyed using the Multifactor Leadership Questionnaire and the Job Satisfaction …

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An Exploration Of Wireless Networking And The Management Of Associated Security Risk, Helen Loretta Collins Jan 2015

An Exploration Of Wireless Networking And The Management Of Associated Security Risk, Helen Loretta Collins

Walden Dissertations and Doctoral Studies

The rapid expansion of wireless information technology (IT) coupled with a dramatic increase in security breaches forces organizations to develop comprehensive strategies for managing security risks. The problem addressed was the identification of security risk management practices and human errors of IT administrators, putting the organization at risk for external security intrusion. The purpose of this non-experimental quantitative study was to investigate and determine the security risk assessment practices used by IT administrators to protect the confidentiality and integrity of the organization's information. The research questions focused on whether the security risk management practices of IT administrators met or exceeded …

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African American Parent Perceptions Of Barriers To Parental Involvement, Avis Foley Jan 2015

African American Parent Perceptions Of Barriers To Parental Involvement, Avis Foley

Walden Dissertations and Doctoral Studies

Parental involvement in schools has been linked to student academic success and dropout prevention. However, some parents are disenfranchised by the educational system because they do not know how to become involved in the schools. The purpose of this study was to identify the barriers to parental involvement in a rural school district with increased dropouts and low academic success. Epstein's framework provided structure to analyze the ways parents participate in schools, classify the barriers, and organize suggestions for improvement. The research questions focused on African American parents' perceptions of barriers to parental involvement by using a focus group, interviews, …

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Bereavement And Parents Who Have Experienced The Sudden Death Of A Child, Thomas Brian Fulbrook Jan 2015

Bereavement And Parents Who Have Experienced The Sudden Death Of A Child, Thomas Brian Fulbrook

Walden Dissertations and Doctoral Studies

In studies, grief due to the loss of a child is recognized as a complex process, one whose trajectory is influenced by a variety of factors. One factor, the age of the child at the time of death, may be an important influence in the trajectory of grief. The purpose of this interpretive phenomenological study was to explore the experiences of loss for 15 bereaved mothers and fathers whose children suddenly died between the ages of 2 and 12 years. This age range was selected to explore bereavement in parents of young and preteen children because they may feel a …

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Therapeutic Foster Parents' Perspectives Of The Efficacy Of Preservice Training, Mirae Jean Grant Jan 2015

Therapeutic Foster Parents' Perspectives Of The Efficacy Of Preservice Training, Mirae Jean Grant

Walden Dissertations and Doctoral Studies

Preservice training programs offered in a city in the Pacific Northwest have not been assessed to determine whether they adequately prepare therapeutic foster parents (TFPs). This phenomenological study identified factors that influenced the impact of preservice training on parents' preparation to manage their foster children's behavior, foster parent attrition, and multiple moves of the foster children. Chamberlain, Rork, McNeil, and Christenson's work linking training programs with the success of foster children was used to frame this study. Data were generated from semistructured interviews of 12 certified local TFPs who had completed preservice training and had at least one child placed …

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Marketing Strategies To Increase Profits From Retailing Fair Trade Coffee, Emily Christine Knowles Jan 2015

Marketing Strategies To Increase Profits From Retailing Fair Trade Coffee, Emily Christine Knowles

Walden Dissertations and Doctoral Studies

Low consumer loyalty threatens the sustainability of the fair trade (FT) coffee market and corporate social responsibility investment. To provide business owners with strategies and decision-making processes to market FT coffee products successfully in the United States, this phenomenological study explored the lived experiences, perceptions, and insights of 20 FT coffee marketing managers. Planned behavior theory served as the conceptual framework. Face-to-face or Skype interviews were conducted with each of the 20 purposefully sampled FT coffee marketing managers. The data from these interviews were analyzed using Moustakas' modified van Kaam method and qualitative analytic software to collect, group, reduce, validate, …

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The Center For Total Health: Healthcare Reform In Cook County, Illinois, James Leon Miles Jan 2015

The Center For Total Health: Healthcare Reform In Cook County, Illinois, James Leon Miles

Walden Dissertations and Doctoral Studies

The Patient Protection and Affordable Care Act (PPACA) of 2010 requires hospital systems in the United States to shift the culture of patient care from a focus on sick-care to a focus on prevention and wellness care. Little is known about how hospital systems will make this culture shift while retaining quality patient care. The purpose of this case study of a pioneering hospital-based PPACA-compliant initiative was to answer the research question of how Wallace's revitalization movement theory (RMT) "a rapid culture change model"could serve as a transferable evaluation framework for PPACA prevention and wellness care compliance in hospital-based programs. …

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The Barriers Encountered In Telemedicine Implementation By Health Care Practitioners, Olantunji Obikunle Jan 2015

The Barriers Encountered In Telemedicine Implementation By Health Care Practitioners, Olantunji Obikunle

Walden Dissertations and Doctoral Studies

Patients in rural areas in the United States do not have adequate health care facilities for illnesses and injuries not serious enough for emergency care, but telemedicine could have a positive impact both economically and medically to control rapidly rising health care costs, which is a significant percentage of the gross national product. The purpose of this case study was to explore the barriers physicians encountered in telemedicine implementation. Participants included 4 physicians who took part in face-to-face interviews in a clinical setting in Ohio to explore strategies used in implementing telemedicine. The results of these interviews, coupled with observations …

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Factors That Influence Hiv Testing Among African American College Women, Brandi J. Sampson Jan 2015

Factors That Influence Hiv Testing Among African American College Women, Brandi J. Sampson

Walden Dissertations and Doctoral Studies

Human immunodeficiency virus (HIV) has become one of the world's most serious health and development challenges. It is important for African American female students who attend Historically Black Colleges and Universities (HBCUs), to engage in routine HIV testing and know their HIV status based on the high prevalence rate of HIV/AIDS among African American women and the risk of engaging in risky sexual behavior in a college. This qualitative study was developed to help gain a better understanding of how African American female students who attend HBCUs make the decision to engage in HIV testing and their attitudes toward HIV …

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Engaged Scholarship Activities Among Tenure-Track And Tenured Faculty Members, Michelle Christine Watkins Jan 2015

Engaged Scholarship Activities Among Tenure-Track And Tenured Faculty Members, Michelle Christine Watkins

Walden Dissertations and Doctoral Studies

Institutions of higher education are widely known to be places that help solve the problems of society; however, few college professors seem to practice engaged scholarship after receiving tenure. In a time of decreased funding for public higher education institutions and increased competition for students with private institutions, public higher education institutions would do well to maintain their images as community partners. In this regard, public institutions need to know whether engaged scholarship among the professoriate has decreased, why this may be occurring, and how to inspire professors to create positive social change. This qualitative case study applied Frederick Herzberg's …

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Factors Affecting Emergency Manager, First Responder, And Citizen Disaster Preparedness, Tiffany Cooks Jan 2015

Factors Affecting Emergency Manager, First Responder, And Citizen Disaster Preparedness, Tiffany Cooks

Walden Dissertations and Doctoral Studies

Despite the increased frequency of natural and man-made disasters, there is a problem in the level of preparedness of emergency managers, responders, and citizens to address them. The purpose of this grounded theory study was to explore the factors that affect these groups' preparedness to inform the development of better emergency plans to handle emergency incidences. The conceptual framework for the study was knowledge management, which was used with a grounded theory approach. The study was guided by primary research questions that focused on understanding psychological, material, temporal, organizational, and other factors that affect the preparedness of emergency managers, first …

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Managing Workplace Stress For Increased Performance In An Irish Higher Education Institution, Tommy J. Foy Jan 2015

Managing Workplace Stress For Increased Performance In An Irish Higher Education Institution, Tommy J. Foy

Walden Dissertations and Doctoral Studies

Workplace stress costs -£3.7 billion per annum in the United Kingdom and in excess of $300 billion per annum in the United States. However, little research exists on the relationships between perceptions of social support, work-life conflict, job performance, and workplace stress. The purpose of this correlational study was to provide educational leaders with the information they need to examine the existence, strength, and direction of relationships between perceptions of social support, work-life conflict, job performance, and workplace stress in an Irish higher education institution. The theoretical framework for this study consisted of a combination of reward imbalance theory, expectancy …

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Independent Retail Business Owners' Perceptions Of The Patient Protection And Affordable Care Act., Bradley A. Hall Jan 2015

Independent Retail Business Owners' Perceptions Of The Patient Protection And Affordable Care Act., Bradley A. Hall

Walden Dissertations and Doctoral Studies

Passage of the Patient Protection and Affordable Care Act (PPACA) in 2010 prompted the question of how independent businesses may react to the employer mandate in the PPACA. The law is based on the theory of managed competition and it is more likely to affect businesses with fewer employees than to affect larger businesses that already offer health insurance. The purpose of this quantitative, pre-experimental study was to examine the strategic responses of independent retail business owners in Hillsborough County, Florida, regarding their perceptions of the employer mandate in the PPACA. Before 2014, there was a great deal of non-peer-reviewed …

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Demographic Characteristics Predicting Employee Turnover Intentions, Tracy Machelle Hayes Jan 2015

Demographic Characteristics Predicting Employee Turnover Intentions, Tracy Machelle Hayes

Walden Dissertations and Doctoral Studies

In 2012, more than 25 million U.S. employees voluntarily terminated their employment with their respective organizations. Demographic characteristics of age, education, gender, income, and length of tenure are significant factors in employee turnover intentions. The purpose of this study was to determine if a relationship existed between age, education, gender, income, length of tenure, and employee turnover intention among full-time employees in Texas. The population consisted of Survey Monkey-® Audience members who were full-time employees, residents of Texas, over the age of 18, not self-employed, and not limited to a specific employment industry. For this study, a sample of 187 …

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Leaders' Risk Propensity And Delegation Of Critical Decision-Making Authority, Reginald Carlton Doctor Jan 2015

Leaders' Risk Propensity And Delegation Of Critical Decision-Making Authority, Reginald Carlton Doctor

Walden Dissertations and Doctoral Studies

A leader's unwillingness to delegate critical decision-making authority to subordinate managers and employees negatively impacts the performance of a firm. There is a lack of research that measures a leader's willingness to delegate critical decision-making authority to subordinate managers and employees based on their individual risk propensities. The purpose of this study was to provide empirical evidence of the influence risk propensity has on a leader's willingness to delegate critical decision-making authority. Specifically, this study examined the extent that risk propensity of leaders affect delegating critical decision making authority to subordinate managers and employees. The research design was a quantitative …

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Positive Psychological Capital, Need Satisfaction, Performance, And Well-Being In Actors And Stunt People, Brian Hite Jan 2015

Positive Psychological Capital, Need Satisfaction, Performance, And Well-Being In Actors And Stunt People, Brian Hite

Walden Dissertations and Doctoral Studies

Positive psychological capital (PsyCap), a second-order construct formed from optimism, hope, resilience, and self-efficacy, has predicted the performance and psychological well-being of a variety of full-time workers, and mediators of the relationships between PsyCap and performance and psychological well-being have rarely been examined. Using self-determination theory, broaden-and-build theory, and the conceptual framework of positive psychology, this study was an exploration of (a) the relationships among PsyCap, (b) basic psychological need satisfaction (i.e., autonomy, competence, relatedness), and (c) psychological well-being and performance using a sample of 103 working actors and stunt people. A serial mediation model was proposed whereby PsyCap predicted …

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Organizational Change: Evaluating The Effect Of Motivational Interviewing On Readiness To Change, Conrado Joaquin Grimolizzi-Jensen Jan 2015

Organizational Change: Evaluating The Effect Of Motivational Interviewing On Readiness To Change, Conrado Joaquin Grimolizzi-Jensen

Walden Dissertations and Doctoral Studies

Failure accompanies most organizational change efforts. Change agents' efforts focus on employee resistance or readiness to change without considering employee ambivalence. Motivational interviewing (MI) may reduce ambivalence and improve the success rate of organizational change initiatives. The purpose of this experimental research was to evaluate the effectiveness of MI to increase readiness to organizational change, to assess the influence of MI on change-related beliefs, and to investigate the relationship between beliefs and readiness to change. The theoretical framework was the transtheoretical model of change, the theory of planned behavior, and social cognitive theory. Through random assignment, 56 employees of a …

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The Role Of Social Media Technology Tools In Higher Education Instruction, Marlene Natalie Holder-Ellis Jan 2015

The Role Of Social Media Technology Tools In Higher Education Instruction, Marlene Natalie Holder-Ellis

Walden Dissertations and Doctoral Studies

Although instructors at a Western Caribbean university use technology in the instructional process, they rarely use social media tools for teaching and learning. This exploratory qualitative case study addressed faculty members' perceived role of social media technology tools in higher education instruction at the local university. The conceptual frameworks that guided this study were the theory of planned behavior and the technology acceptance model. Ten faculty members at the local university were selected through a purposeful sampling process and were interviewed. Interview transcripts were organized using an iterative coding process and were analyzed for recurring themes. Trustworthiness was established through …

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Certified Nursing Assistants' Experiences Regarding Resident-To-Resident Bullying In Nursing Homes, Cheryl Jones Jan 2015

Certified Nursing Assistants' Experiences Regarding Resident-To-Resident Bullying In Nursing Homes, Cheryl Jones

Walden Dissertations and Doctoral Studies

Elder bullying is on the rise and occurs in many contexts such as senior living communities and nursing homes, causing concern for the well-being of the residents by families, staff, themselves, and society in general. Although research has been limited, it does reveal that resident-to-resident bullying in nursing homes is a problem warranting further scholarly attention. The purpose of this study was to investigate the experiences of certified nursing assistants (CNAs) regarding resident-to-resident bullying in nursing homes. The theory of reasoned action and the theory of reflective equilibrium provided a conceptual lens from which to explore and describe the importance …

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Maternal Depression: The Impact Of Perceived Social Support And Behavioral Health Rehabilitation Provider 50 Services, Tammy Lynn Gregorowicz Jan 2015

Maternal Depression: The Impact Of Perceived Social Support And Behavioral Health Rehabilitation Provider 50 Services, Tammy Lynn Gregorowicz

Walden Dissertations and Doctoral Studies

The purpose of this study was to identify if the rate of behavioral health rehabilitation services (BHRS) impacts depressive symptoms of mothers with children receiving these services and if the perception of social support moderates the severity of depression. The stress-buffering hypothesis and Bowen's family systems theory were used for the theoretical framework. A quantitative, cross-sectional survey design was used to collect data from mothers of children receiving BHRS Provider 50 services in northeast Pennsylvania. The Beck Depression Inventory, Second Edition and Multidimensional Scale of Perceived Social Support were used to assess depression and perceived social support. A self-made demographic …

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Resiliency And Maternal Self-Efficacy Of Single African American Mothers: A Qualitative Study, Danielle Beatrice Massey Jan 2015

Resiliency And Maternal Self-Efficacy Of Single African American Mothers: A Qualitative Study, Danielle Beatrice Massey

Walden Dissertations and Doctoral Studies

Traditionally, research involving single African American mothers (SAAMs) has been conducted using problem-focused or cultural deficit models with the emphases on the disadvantages. Consequently, little is known about how these women view their experiences as single mothers concerning their resilience and maternal self-efficacy. Using a snowball sampling method, 15 SAAMs were recruited to participate in this phenomenological study. This study employed a subject-intensive theoretical framework. Face-to-face interviews (using a questionnaire), participant observation, and a focus group were the methods used to capture the essence of the SAAMs' abilities to thrive despite the challenges associated with single parenting. All encounters were …

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The Correlation Among Personality Characteristics, Stress, And Coping Of Caregivers Of Individuals With Intellectual And Developmental Disabilities, Natasha O'Connor Jan 2015

The Correlation Among Personality Characteristics, Stress, And Coping Of Caregivers Of Individuals With Intellectual And Developmental Disabilities, Natasha O'Connor

Walden Dissertations and Doctoral Studies

There is little research on the coping strategies of direct support professional caregivers working with the intellectually disabled (ID) and developmentally disabled (DD). The study was guided by Lazarus and Folkman's (1984) theory of the transactional model of stress and coping. The purpose of this study was to assess whether there is a correlation among the independent variables of coping and personality characteristics with stress as the dependent variable. A convenience sample of 69 professional caregivers was used. Data were collected using the Ways of Coping Questionnaire, Perceived Stress Scale, NEO-FFI-3, and a demographic questionnaire. A correlational analysis was conducted …

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