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Walden Dissertations and Doctoral Studies

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Health Behaviors, Hardiness, And Burnout In Mental Health Workers, Jeremiah Brian Schimp Jan 2015

Health Behaviors, Hardiness, And Burnout In Mental Health Workers, Jeremiah Brian Schimp

Walden Dissertations and Doctoral Studies

Burnout has emerged as a significant and costly issue in the modern workforce. Researchers have not fully explored the role of individual health behaviors and personality in burnout among mental health workers. The knowledge gap addressed in this study was the connection between health behaviors, what mental health workers do to take care of themselves, and hardiness, the characteristic way they perceive and interpret environmental challenges. The purpose of this study was to examine the influence of health behaviors and hardiness among mental health workers on the 3 dimensions of burnout as measured by the MBI-HSS: emotional exhaustion, depersonalization, and …

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Centering Pregnancy Implementation And Its Effect On Preterm Birth And Low Birthweight, Carole Ann Moleti Jan 2015

Centering Pregnancy Implementation And Its Effect On Preterm Birth And Low Birthweight, Carole Ann Moleti

Walden Dissertations and Doctoral Studies

Preterm birth (PTB) and low birthweight (LBW) babies are the source of a large burden of infant, neonatal, and childhood morbidity. The purpose of this project was to expand the use of the CenteringPregnancyTM Group Prenatal Care Model as an evidence-based intervention for management of both medical and psychosocial risk in low-income, ethnic and racial minorities in New York City. The standardized model developed by Schindler Rising decreases the incidence of preterm birth and low birthweight and increases the rate of breastfeeding. A CenteringPregnancyTM program implementation plan, customized to meet the needs of a multisite urban hospital system, …

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Attitudes And Behaviors Of South African Women And Psychosocial Determinants Of Gonorrhea, Takiyah White Ndwanya Jan 2015

Attitudes And Behaviors Of South African Women And Psychosocial Determinants Of Gonorrhea, Takiyah White Ndwanya

Walden Dissertations and Doctoral Studies

The incidence of gonorrhea had declined since the HIV epidemic in the late 1980s, but is now increasing globally due to the emergence of antibiotic-resistant forms of this disease. In South Africa, the incidence of gonorrhea is highest among Black women due to their high co-infection rates with HIV and other sexually transmitted infections (STIs). This study examined the psychosocial determinants of gonorrhea among Black women aged 18 - 35 in the Langa township in Cape Town, South Africa. All participants had reported at least one sexual experience and at least one positive test for gonorrhea in the past two …

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Social Support As A Mediator Between Attachment And Relapse In Women, Jamie Lynne Wong Jan 2015

Social Support As A Mediator Between Attachment And Relapse In Women, Jamie Lynne Wong

Walden Dissertations and Doctoral Studies

Prescription pain medication abuse is a developing social problem in the United States. This quantitative study, grounded in attachment theory, examined relationships between attachment, perceived social support, and relapse. It was hypothesized that significant relationships existed between (a) attachment dimensions and relapse and (b) perceived social support and relapse. A further hypothesis was that perceived social support was a mediator in the relationship between attachment and relapse. Participants were 69 adult females, each of whom completed a demographic questionnaire; the Advanced Warning of Relapse (AWARE) Questionnaire; the Experiences in Close Relationships, Revised (ECR-R); and the Personal Resource Questionnaire (PRQ). A …

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Educating Medical-Surgical/Staff Nurses To Improve Nursing Knowledge Of Patient Education, Focusing On Health Literacy, Justin Thomas Loew Jan 2015

Educating Medical-Surgical/Staff Nurses To Improve Nursing Knowledge Of Patient Education, Focusing On Health Literacy, Justin Thomas Loew

Walden Dissertations and Doctoral Studies

A primary problem faced by a majority of medical-surgical nurses is a lack of knowledge and skills necessary to improve health literacy among patients. This inadequacy among medical-surgical nurses is often linked to insufficient training on how to identify and interact with patients with lower health literacy. Improvement of patient health literacy can be realized through proper training, education, and a better application of communication strategies. The aim of this project was to improve current medical-surgical nurses' practice guidelines via the use of educational programs. The project developed pilot protocols and policies in order to improve its practical applications. The …

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Strategies Healthcare Leaders Use For Leadership Development, Julie Hunt Jan 2015

Strategies Healthcare Leaders Use For Leadership Development, Julie Hunt

Walden Dissertations and Doctoral Studies

Education and training of potential leaders are essential, and chief executive officers (CEOs) need to identify effective leadership development (LD) programs that foster successful leaders within the healthcare industry. The purpose of this multiple, exploratory case study was to explore LD strategies used by CEOs in hospitals in Central Florida, United States. The overarching research question investigated what executable LD strategies healthcare leaders needed to ensure sustainable growth and successful leaders. The human capital theory and the concepts of emotional intelligence and spiritual leadership guided this study. A purposive sample of 8 CEOs participated in semistructured face-to-face interviews to elicit …

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Underserved Patients' Perspectives On How The Ehr Impacts Their Health, Marie Mirna Lexima Jan 2015

Underserved Patients' Perspectives On How The Ehr Impacts Their Health, Marie Mirna Lexima

Walden Dissertations and Doctoral Studies

Our modern health care system requires technology that can deal with multidisciplinary and complex processes, operations, and situations. The EHR, by far, is one of the greatest health information technology innovations that satisfy these requirements because of its efficiency and the effectiveness of its features. This study sought to develop an in-depth understanding of how underserved patients' perspectives about their health and illness, can contribute to greater use of the EHR. It also sought to improve their health outcomes and maintain sustainable change in the lives of the underserved. A quantitative non-experimental design study was conducted over a 6-week period …

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Assessing The Impact Of Major Health Policies On Provider Practice, Nadine Josephs Jan 2015

Assessing The Impact Of Major Health Policies On Provider Practice, Nadine Josephs

Walden Dissertations and Doctoral Studies

Many health care stakeholders have expressed concerns with the distribution and availability of primary care physicians (PCP) across the United States. Despite programs such as Healthy People 2010 and 2020 Initiatives, statewide and local health care expansion efforts and policies; access to PCP remains a challenge for health care consumers. The purpose of this mixed method research study was to evaluate the impact of several health care access policies on the practices of primary care providers and assess their perspectives regarding disparities in access. Patton and Sawicki's policy analysis and evaluation process was the framework used in this study as …

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Diabetes Among Hispanic Immigrants: The Impact Of Age At Migration, Nancy Hahn Jan 2015

Diabetes Among Hispanic Immigrants: The Impact Of Age At Migration, Nancy Hahn

Walden Dissertations and Doctoral Studies

Diabetes is a disease that affects the Hispanic population in disproportionate numbers. With larger numbers of immigrants coming to the United States who are of Hispanic origin, the individual risk and health burden of this disease will have a major impact on the quality of life and the health care system. Research into the influence of the timing of changes in lifestyle suggested an association between specific levels of socioecological exposures and certain health conditions. This study examined that possibility. The use of the National Health Interview Survey, 2005-2011, provided adequate data for examining whether age at migration was associated …

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Medical Academia Conflict Of Interest Policy And Potential Impact On Research Funding, Michael Keith Maahs Jan 2015

Medical Academia Conflict Of Interest Policy And Potential Impact On Research Funding, Michael Keith Maahs

Walden Dissertations and Doctoral Studies

The partnership between medical academia and the pharmaceutical industry has been scrutinized for issues associated with research bias. As a result of this scrutiny, the Institute of Medicine (IOM) issued policy recommendations in 2009 directing academia to adopt comprehensive conflict of interest (COI) policies. During the same time, a slowdown of funded research into academia occurred, and it is not clear whether the IOM recommendations contributed to this problem. The purpose of this case study was to determine the extent to which compliance with the IOM policy resulted in a reduction in funded research. The Advocacy Coalition Framework (ACF) was …

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Teachers' Perceptions Of The Implementation Of The Response-To-Intervention Program, Alfred Saldivar Lopez Jan 2015

Teachers' Perceptions Of The Implementation Of The Response-To-Intervention Program, Alfred Saldivar Lopez

Walden Dissertations and Doctoral Studies

This study was designed to address teachers' difficulties implementing Response-to-Intervention (RtI) program strategies at a low-performing school in south Texas in response to students failing to meet statewide assessment standards in reading. This exploratory case study investigated the perceptions of Grades 3 and 4 teachers to assist in understanding a pathway to increase higher fidelity of RtI implementation and improve student academic performance. Knowles's theory of andragogy and Lewin's change theory provided the framework for the study. The study included interview data from 6 purposefully selected Grades 3 and 4 teachers supplemented by document reviews of professional development (PD) presentations …

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Systematic Review Of Retention Of Direct-Care Workers In Long-Term Care Facilities, Regina Evonne Goins Jan 2015

Systematic Review Of Retention Of Direct-Care Workers In Long-Term Care Facilities, Regina Evonne Goins

Walden Dissertations and Doctoral Studies

Turnover among direct-care workers in long-term care (LTC) facilities is high, and has a significant impact on residents, leaders, and owners of LTC facilities. The overall turnover costs are also substantial and constitute a significant financial burden in LTC facilities. This systematic review of the literature examined, retention strategies for direct-care workers in the LTC workforce. The information may be used to develop and provide practice recommendations that will help improve retention rates among direct-care workers in LTC facilities. The project design involved a systematic examination of English-only studies from 2001-2004, retrieved from 3 major databases: CINAHL with Medline simultaneous, …

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Investigating The English Language Arts Placement Of Struggling High School Freshmen, Pamela Burke-Haug Jan 2015

Investigating The English Language Arts Placement Of Struggling High School Freshmen, Pamela Burke-Haug

Walden Dissertations and Doctoral Studies

This qualitative case study addressed a suburban school district's placement of academically at-risk English language arts (ELA) 9th graders as the district transitions from the New Jersey Assessment of Skills and Knowledge (NJASK) to use of the unfamiliar and controversial Partnership for Assessment of Readiness for College and Careers (PARCC). Based on the theoretical frameworks of the zone of proximal development, cognitive apprenticeship, and Bandura's model of self-efficacy, the purpose was to understand the characteristics of struggling (labeled 'academic') ELA students, placement practices and perceptions of these practices, and placement improvements. A purposeful sample was recruited of 7 staff members …

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Relationship Between Product Quality And Customer Satisfaction, Albert Vitales Cruz Jan 2015

Relationship Between Product Quality And Customer Satisfaction, Albert Vitales Cruz

Walden Dissertations and Doctoral Studies

The National Safety Council (NSC) estimated that over 35,000 people died in U.S. traffic accidents. About 3.8 million traffic crash injuries requiring medical attention occurred in 2013, and the number of deaths was about the same over the last 5 years. The NSC found that product recalls, car repairs, injuries, and deaths were due to unsafe product designs or inferior product quality. These statistics underscore the challenge of producing quality vehicles while satisfying customers. The purpose of this nonexperimental study was to examine relationships among product (vehicle) quality, product cost, product safety, and consumer satisfaction. The hypotheses inquired the extent …

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Concepts About Print And Literacy Skill Acquisition Of Preschool Students, Cassandra Johnson Jan 2015

Concepts About Print And Literacy Skill Acquisition Of Preschool Students, Cassandra Johnson

Walden Dissertations and Doctoral Studies

Choosing the most effective method of teaching literacy acquisition that will improve student achievement is a challenge for many early childhood educators. The problem is the target school district where this study took place did not have a curriculum for preschool teachers to use that provided reading instruction. The purpose of this causal comparative study was to explore the relationship between Concepts About Print (CAP) scores of preschool students who received direct CAP instruction and those who received indirect instruction through indirect reading and writing activities. Guided by Marie Clay's theory, which concludes that reading difficulties among beginning readers stem …

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An Interpretative Phenomenological Analysis Of Caregivers' Support For Their Preschool Children's Language And Social Skills Development, Sheri Stein Blum Jan 2015

An Interpretative Phenomenological Analysis Of Caregivers' Support For Their Preschool Children's Language And Social Skills Development, Sheri Stein Blum

Walden Dissertations and Doctoral Studies

Some children have difficulty communicating due to a lack of age-appropriate language and social skills. Researchers have explored how music and language share features that shape language processing. The purpose of this interpretive phenomenological analysis was to explore the experiences of caregivers of preschool children who participated in a music-based program and to understand their perspectives related to children's language and social skill development. Learning style and sensory integration processing theories were used as framework to provide foundations of skills in this study. Research questions addressed caregivers' choices related to this program for their children, their experiences of their children's …

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Perceptions Of Value-Stream Costing And The Effect On Lean-Accounting Implementation, Patricia Hart Timm Jan 2015

Perceptions Of Value-Stream Costing And The Effect On Lean-Accounting Implementation, Patricia Hart Timm

Walden Dissertations and Doctoral Studies

In response to the competitive global economy, lean manufacturing has become more prevalent in the United States. Manufacturing has changed, but cost accounting has not. Lean manufacturing has the potential to change the U.S. manufacturing economy, resulting in positive economic social change, yet it requires lean accounting to increase successful implementations. This study addressed the problem of lack of adoption of lean-accounting techniques like value-stream costing in lean-manufacturing enterprises. The purpose of this nonexperimental explanatory study was to investigate factors that influence the adoption of lean accounting. Using the technology acceptance model (TAM), based on the theory of reasoned action …

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An Educational Program For Nurses On Therapeutic Misconception In The Oncology Setting, Debra Magnanelli Jan 2015

An Educational Program For Nurses On Therapeutic Misconception In The Oncology Setting, Debra Magnanelli

Walden Dissertations and Doctoral Studies

A key component of informed consent to participate in research is the understanding that research is not the same as treatment and that scientific goals have priority over therapeutic ones. However, studies have found many research participants do not understand these important differences between research and treatment, a phenomenon termed therapeutic misconception (TM). The problem addressed in this project was research nurses' lack of education regarding the existence and concepts of TM, and their struggles to assess and address research participants' TM of clinical trials. Matutina's conceptual model of TM was used to guide this project. The purpose of this …

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Health-Related Beliefs Among Low-Income African American Women And Their Perceptions About Obesity, Cenora Kimberly Akhidenor Jan 2015

Health-Related Beliefs Among Low-Income African American Women And Their Perceptions About Obesity, Cenora Kimberly Akhidenor

Walden Dissertations and Doctoral Studies

The aim of this study was to explore the health-related beliefs and perceptions of low-income African American women regarding obesity. Phenomenology served as the conceptual framework for this study. African American women, especially those in low-income brackets, have been shown to weigh more than women of other racial/ethnic groups. The consequences of these high rates are increased risks of developing chronic health disorders, such as type II diabetes and cardiovascular disease. The study sample consisted of 7 low-income obese African American women, ranging in age from 20 to 62, who resided in the Pacific Northwest. Recruitment for participation occurred via …

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Risk Factors And Food-Borne Illness: An Analysis Of Restaurant Violations In Georgia, Jovan Harris Jan 2015

Risk Factors And Food-Borne Illness: An Analysis Of Restaurant Violations In Georgia, Jovan Harris

Walden Dissertations and Doctoral Studies

Restaurant managers complete certification in food safety in order to ensure that food is handled and prepared in a manner that decreases risk factors associated with food-borne illness. However, the literature has been inconclusive concerning the connection between manager certification and the incidence of critical food-safety violations. The purpose of this quantitative study was to examine the relationship between the presence or absence of a certified food safety manager (CFSM) and the number of risk factors cited on food inspection reports and the food safety score. In addition, this study was designed to determine whether operation type (i.e., chain vs. …

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Perceptions Of Discipline Policy, Practices, And Student Incivilities Related To Senge's Five Disciplines, Nkoh Lovonne Gaston Jan 2015

Perceptions Of Discipline Policy, Practices, And Student Incivilities Related To Senge's Five Disciplines, Nkoh Lovonne Gaston

Walden Dissertations and Doctoral Studies

High occurrences of student incivilities are a growing concern in the K-12 education system. This problem may be directly impacted by systems thinking and inconsistent school policy enforcement. At a local high school, this problem affected student learning outcomes and teacher-student interpersonal relationships. The purpose of this case study was to explore the perceptions of teachers and administrators regarding consistency in discipline policies and practices, as well as student incivilities as they related to Senge's 5 disciplines. The conceptual framework for this study was Senge's 5 disciplines of organizational learning: systems thinking, mental models, team learning, shared vision, and personal …

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Reforms In Relation To Research-Based Theories Resulting In Successful Test Results, Veronica Renee Christian Jan 2015

Reforms In Relation To Research-Based Theories Resulting In Successful Test Results, Veronica Renee Christian

Walden Dissertations and Doctoral Studies

The study school in Bibb County, Georgia had a passing rate of approximately 60% on 9th grade literature and composition End of Course Tests (EOCT). An instructional paradigm was needed to help provide quality instruction and facilitate students' efforts to meet the mandate for performance. Research supports differentiated instruction (DI), instructional technology (IT), Gardner's multiple intelligences, and Vygotsky's theory of constructivism as the foundation for quality instruction. This ex post facto study used a cluster sample to explore 2 questions. One research questions explored the effect of DI enhanced with IT on students' learning in 9th grade literature and composition …

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A Grounded Theory Study Of Working Adults Navigating Advanced Degrees, Charles Valent Slider Jan 2015

A Grounded Theory Study Of Working Adults Navigating Advanced Degrees, Charles Valent Slider

Walden Dissertations and Doctoral Studies

There is considerable body of research about adults navigating advanced degrees, but little regarding adults in graduate degree programs while in full-time educational careers. Guided by Mezirow's transformative learning theory, the purpose of this study was to develop a grounded theory (GT) that reflected the lived experiences of fulltime teachers within a school district as they progressed through advanced degrees. Fourteen adult learner participants were asked to talk about their experiences as both fulltime educators and graduate students. The constant comparative analysis method was employed to analyze the data to develop a theory entitled enduring driven succeeding. The theory explained …

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Methods Used In Public Policy Decision Making By County Managers In North Carolina, Jeffrey Bryan Gowen Jan 2015

Methods Used In Public Policy Decision Making By County Managers In North Carolina, Jeffrey Bryan Gowen

Walden Dissertations and Doctoral Studies

Researchers have examined ways in which policy makers develop their decisions. The literature has not explored, however, the methodologies used by county managers to arrive at decisions, or whether they consider the medium- and long-term policy implications, or second and third order effects, of those decisions. The purpose of this study was to identify the methodologies and decision-making processes used by county managers in North Carolina. The theoretical framework was Lindblom's theory of incrementalism in decision making. Data for this phenomenological study were collected through semi-structured interviews with 10 purposefully selected county managers, and were coded and categorized to identify …

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Early Childhood Teacher Perspectives Of Developmentally Appropriate Use Of Computer Applications, Heather S. White Jan 2015

Early Childhood Teacher Perspectives Of Developmentally Appropriate Use Of Computer Applications, Heather S. White

Walden Dissertations and Doctoral Studies

There is little evidence in the literature that early childhood (EC) teachers are using developmentally appropriate practices (DAP) in implementing computer applications in their classrooms. The purpose of this study was to identify EC teachers' perspectives about the use of developmentally appropriate computer applications and to identify their perspectives on strategies for implementing change toward greater use of developmentally appropriate computer applications. The study was based upon Joseph and Reigeluth's conceptual framework of systemic change processes, which provides educators with the foundation to achieve sustainable changes. The research questions that guided this qualitative case study were designed to obtain teachers' …

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The Impact Of Caring For Seniors On The Caregiver's Stress Level, Georgina Ugochi Njoku Jan 2015

The Impact Of Caring For Seniors On The Caregiver's Stress Level, Georgina Ugochi Njoku

Walden Dissertations and Doctoral Studies

The number of Canadian seniors with 2 or more chronic health conditions living into their late 90s or older has never been greater. As such, concerns have been raised that the Canadian healthcare system will be unable to meet the growing healthcare needs of the aging population. In this project, an Advanced Practice Nursing needs assessment was used to identify the impact that caring for a senior has on caregivers' stress levels, and what resources caregivers need to in order to cope with their role. Guided by Neuman's system model theory and Rogers' diffusion of innovation model, a convenience sampling …

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A Mixed-Methods Investigation Of Heterogeneously Grouped Inclusion Students At Southeast High School, James Paul Ferry Jan 2015

A Mixed-Methods Investigation Of Heterogeneously Grouped Inclusion Students At Southeast High School, James Paul Ferry

Walden Dissertations and Doctoral Studies

Inclusion education led to academically-homogeneous grouping of students at southeast high school. Administratively, the decision was made to increase rigor, inclusion students would be grouped heterogeneously in senior economics classes. Guided by Dewey's pragmatic theory, the purpose of this sequential, explanatory, mixed method study was to investigate whether a significant difference exists in the course passing rates, end-of-course test (EOCT) scores, and graduation rates between inclusion students in heterogeneous classes and those in homogeneous classes and how participants perceived the grouping. Archival data (N = 42) on student instructional grouping, passing rates, EOCT scores, and graduation rates were analyzed using …

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The Correlation Between Virtual Communication And Employee Engagement, Ryan Nathaniel Mitchell Jan 2015

The Correlation Between Virtual Communication And Employee Engagement, Ryan Nathaniel Mitchell

Walden Dissertations and Doctoral Studies

Managers' ability to engage virtual employees (those in different geographic locations) is a determining factor of employee productivity and commitment to an organization. Since 2005, the number of U.S.-based virtual employees increased; however, research regarding virtual communication and employee engagement is limited. The purpose of this quantitative study was to examine if a significant correlation exists between employee engagement (the dependent variable) and the quantity and perceived quality of virtual management communication (the independent variables). The research question assessed the correlation among the quantity of time managers spend communicating with virtual employees, quality of virtual communication, and employee engagement. Homans's …

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The Correlation Between A Pastor's Job Experience And Church Servant Leadership Practices, Beth Ann Fylstra Jan 2015

The Correlation Between A Pastor's Job Experience And Church Servant Leadership Practices, Beth Ann Fylstra

Walden Dissertations and Doctoral Studies

Churches contribute both indirectly and directly to community economic development and social transformation. Some researchers cite lack of leadership as a factor in Christian churches in the United States experiencing declining attendance, with many churches closing. The purpose of this study was to determine the extent to which a senior pastor's past and current church leadership experience affects servant leadership practices in the pastor's current church. Servant leadership theory was this quantitative, correlational study's theoretical framework. Five research questions focused on a pastor's past and present church leadership experience and how it affects the servant leadership practices within the organization's …

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Mental Health Disorders As Predictors Of Relapse In Previously Detoxified Individuals, Toni Lee Simonson Jan 2015

Mental Health Disorders As Predictors Of Relapse In Previously Detoxified Individuals, Toni Lee Simonson

Walden Dissertations and Doctoral Studies

Researchers have shown a relationship between mental health disorders and alcohol dependence. However, only 5-10% of individuals with substance use problems co-occurring with mental health problems are correctly identified. The purpose of this research was to identify predictors of relapse using three different instruments of varying complexity: the Patient Health Questionnaire-9 (PHQ-9), the Modified Mini Screen (MMS), and the Millon Clinical Multiaxial Inventory-III (MCMI-III). Researchers have found that using alcohol produces relief, similar to a pharmacological intervention, from troublesome mental health symptoms that individuals experience. Considering this association, the self-medication hypothesis was the conceptual lens used for the study as …

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