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Walden Dissertations and Doctoral Studies

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Relationship Between Homelessness, Substance Use, Employment, Living On A Reservation And Tuberculosis Among Northern Plains Native Americans, Darla Mccloskey Jan 2023

Relationship Between Homelessness, Substance Use, Employment, Living On A Reservation And Tuberculosis Among Northern Plains Native Americans, Darla Mccloskey

Walden Dissertations and Doctoral Studies

Native Americans in the Northern Plains have a long history of tuberculosis (TB) infections. There is limited research on the causes of latent TB infections (LTBI) and TB in this population. The purpose of this quantitative study was to assess the relationship between latent TB and factors of homelessness, substance use, employment, living on a reservation, and active or latent TB among this population using the eco-social theory as the theoretical framework. Data from 146 TB cases of Native Americans living in the Northern Plains and diagnosed with TB from 1999 to 2019 were analyzed using chi-square tests that showed …


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 …


Maternal-Early-Warning-System Education To Improve Registered Nurse Knowledge Of And Appropriate Responses To Triggers, Dawn Marie Moore Jan 2023

Maternal-Early-Warning-System Education To Improve Registered Nurse Knowledge Of And Appropriate Responses To Triggers, Dawn Marie Moore

Walden Dissertations and Doctoral Studies

The maternal early warning system (MEWS) is the single most reliable response tool to improve maternal outcomes in obstetrics. Recognition and response by nurses to the MEWS triggers was worrisome at the project site as the MEWS trigger to detect changes in the clinical conditions in obstetric patients was not applied consistently at the bedside. This project was developed to evaluate whether providing an education program on the application of MEWS to nurses in obstetrics at the practicum site would improve registered nurses’ knowledge of and appropriate responses to the MEWS trigger alarms. A literature search targeting the key words …


The Lived Experiences Of Stress For People With Alcoholism Striving Toward Recovery, Gerald Okeke Jan 2023

The Lived Experiences Of Stress For People With Alcoholism Striving Toward Recovery, Gerald Okeke

Walden Dissertations and Doctoral Studies

Recovery from alcohol is an individualized process, therefore, effective treatment necessitates an understanding of the phenomenon from the perspective of individuals in recovery. This study involved an exploration of the lived experiences of stress of 10 individuals with alcoholism in their first year recovery journey, particularly with respect to access resources (e.g., helpfulness and availability). Pearlin et al.'s stress process theory and Bandura's social learning theory constituted the study's theoretical foundation; the key concepts of social stress and social learning informed the development of the research questions and the analysis of data. The major themes that emerged were spirituality, hitting …


Local Leadership Strategies To Mitigate The Effects Of The Public Charge Rule And Covid-19 Among Undocumented Immigrants, Amos Onyango Oketch Jan 2023

Local Leadership Strategies To Mitigate The Effects Of The Public Charge Rule And Covid-19 Among Undocumented Immigrants, Amos Onyango Oketch

Walden Dissertations and Doctoral Studies

AbstractScholars have focused on the effects of implementing the federal-level Public Charge Rule (PCR) and COVID-19 on undocumented immigrants' health and socioeconomic well-being. Researchers have demonstrated that many federal assistance programs that benefit the general population in the wake of the pandemic exclude undocumented immigrants due to PCR restrictions; thus, they are disproportionately affected and suffer social and socioeconomic disparity. Researchers have yet to establish consensus strategies and interventions at the local and state levels to fill the gap and support disadvantaged communities during the pandemic to ensure equitable care and mitigate harm. Thus, this study aimed to identify the …


Job Stress, Anxiety, And Depression In Mental Health Professionals: An Examination Of Experienced Vicarious Trauma And Gender Differences, Irma Perez Jan 2023

Job Stress, Anxiety, And Depression In Mental Health Professionals: An Examination Of Experienced Vicarious Trauma And Gender Differences, Irma Perez

Walden Dissertations and Doctoral Studies

AbstractMental health professionals are susceptible to an increased risk of job stress, anxiety, and depression based on the very nature of their work. The study was quantitative, focusing on profile analysis. A two-way MANOVA was performed utilizing the independent variables of gender and vicarious trauma, and three dependent variables of job stress, anxiety, and depression. The population size was 88 mental health professionals with a Bachelor’s degree or higher who work in the behavioral health field, directly servicing clients in the capacity of supervision, case management, social work, counseling, or therapy. Participants completed four self-reported questionnaires: General Work Stress Scale …


Perceptions Of Female Veterans Regarding Mental Health Services In The Veterans Administration System, Linda Kaye Perry Jan 2023

Perceptions Of Female Veterans Regarding Mental Health Services In The Veterans Administration System, Linda Kaye Perry

Walden Dissertations and Doctoral Studies

Over the past 2 decades, women’s roles in the United States military have changed which has increased their risk of developing post-traumatic stress disorder. In 2016, all military occupational specialty were opened to women which allowed women to fight and be exposed to a combat environment. As more female veterans are returning home and reintegrating into their communities, they are seeking care for combat-related post-traumatic stress disorder and combat exposure. The purpose of this generic qualitative study was to understand the female veterans’ perception of the utilization of the Veterans Health Administration when seeking care for combat-related post-traumatic stress disorder …


Evaluating The Efficacy Of Video Self-Modeling Social Skills In Children With Autism Spectrum Disorder, Brittany Londer Jan 2023

Evaluating The Efficacy Of Video Self-Modeling Social Skills In Children With Autism Spectrum Disorder, Brittany Londer

Walden Dissertations and Doctoral Studies

The inability to display social reciprocity is a hallmark criterion of autism spectrum disorder (ASD). This lack of proper social skills (i.e., eye contact, cooperative play, and reciprocal interaction) indicates the importance of purposeful interaction, about which a research gap exists. The theoretical framework for this study was social learning theory, by which Bandura (1977) posited that learning occurs by observing the behavior of others. The current study involved examining the effectiveness of an intervention conducted with children who have ASD. The purpose of the intervention was to increase children’s playground social skills by having them watch themselves at play …


Job Stress, Anxiety, And Depression In Mental Health Professionals: An Examination Of Experienced Vicarious Trauma And Gender Differences, Irma Perez Jan 2023

Job Stress, Anxiety, And Depression In Mental Health Professionals: An Examination Of Experienced Vicarious Trauma And Gender Differences, Irma Perez

Walden Dissertations and Doctoral Studies

AbstractMental health professionals are susceptible to an increased risk of job stress, anxiety, and depression based on the very nature of their work. The study was quantitative, focusing on profile analysis. A two-way MANOVA was performed utilizing the independent variables of gender and vicarious trauma, and three dependent variables of job stress, anxiety, and depression. The population size was 88 mental health professionals with a Bachelor’s degree or higher who work in the behavioral health field, directly servicing clients in the capacity of supervision, case management, social work, counseling, or therapy. Participants completed four self-reported questionnaires: General Work Stress Scale …


Influence Of Conspiracy Mindset, Trust In Science, And Political Affiliation On Covid-19 Reactance, Bonnie L. Rinato Jan 2023

Influence Of Conspiracy Mindset, Trust In Science, And Political Affiliation On Covid-19 Reactance, Bonnie L. Rinato

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic exposed extreme divisions in the social and political structure of the United States. When health organizations recommended strategies such as physical distancing, hand hygiene, sanitation of surfaces, and isolating when sick to slow the spread of the disease, Americans appeared to divide into two factions; those who followed the public health guidance and those who persistently ignored it, often voicing perceptions of loss of freedom due to the guidance. The purpose of this quantitative study was to examine the extent to which political affiliation moderated the relationship between conspiracy mindset, trust in science, and reactance responses to …


Postsecondary Education, Self-Efficacy, And Organizational Commitment Impact On Previously Incarcerated Employee Job Satisfaction, Elizabeth Sadler Roney Jan 2023

Postsecondary Education, Self-Efficacy, And Organizational Commitment Impact On Previously Incarcerated Employee Job Satisfaction, Elizabeth Sadler Roney

Walden Dissertations and Doctoral Studies

A study was conducted to determine if previously incarcerated employee age, postsecondary education (PSE) attainment, prior incarceration status, and assessed self-efficacy predict job satisfaction. It also considered if organizational commitment had a moderating effect on the predictors ability to forecast the criterion. Two underlying theories considered in this study are Bandura’s social learning theory and Vroom’s expectancy theory. The obtained sample of 22 participants included seven previously incarcerated individuals. Demographic data used as predictors were employee age, PSE attainment, and prior incarceration status. Three instruments used included the New General Self-Efficacy Survey to assess self-efficacy as a predictor, the Job …


An Exploration Of The Lived Experiences Of Special Education Teachers Engaged In Mentoring Programs For Novice Teachers, Donna M. Sowerby Jan 2023

An Exploration Of The Lived Experiences Of Special Education Teachers Engaged In Mentoring Programs For Novice Teachers, Donna M. Sowerby

Walden Dissertations and Doctoral Studies

Abstract Beginning special education teachers often leave the field within the first 3–5 years of employment. There is ample research available on mentoring programs for beginning teachers. However, limited research exists on mentoring programs for beginning special education teachers. The purpose of this qualitative study was to explore the lived experiences of novice special education teachers in urban schools to broaden the current understanding regarding their perceptions of mentoring. Self-determination theory was the conceptual framework for examining the mentoring relationships and the participants’ perceptions. Using a phenomenological approach, in-depth face-to-face interviews were used with a purposeful sample of 10 novice …


Elementary Teachers’ Perceptions Of Instructional Strategies For Reading, Erin Sponaugle Jan 2023

Elementary Teachers’ Perceptions Of Instructional Strategies For Reading, Erin Sponaugle

Walden Dissertations and Doctoral Studies

The problem investigated in this study was decreasing annual reading proficiency among students in intermediate elementary grades (Grades 3-5). Deficiencies in reading proficiency can negatively impact overall student achievement. The purpose of this study was to investigate intermediate elementary teachers’ perceptions of their instructional strategies to improve students’ reading proficiency and potentially increase Generalized Summative Assessment scores. The conceptual framework was Vygotsky’s zone of proximal development theory. The key research questions were about elementary reading teachers’ perceptions of effective instructional practices used to increase students’ reading proficiency and elementary reading teachers’ perceptions about teachers’ instructional strengths and challenges associated with …


Incorporating Mind-Body Therapies In Behavioral Health To Improve Patient Outcomes, Silvia Stark Jan 2023

Incorporating Mind-Body Therapies In Behavioral Health To Improve Patient Outcomes, Silvia Stark

Walden Dissertations and Doctoral Studies

AbstractMental health disorders are a global epidemic that continue to drain society of money, resources, and overall human life expectancy. The purpose of this qualitative case study was to analyze how a behavioral health organization that provides mind body therapies, such as yoga and meditation, in conjunction with clinical interventions to treat mental health disorders contributed to providing quality care and better patient outcomes. Currently, the behavioral health organization included mind body therapies within a clinical session and their goal was to separate yoga and meditation from a clinical session as reimbursable and evidence-based treatment for individuals with mental health …


Exploring Care Recipients’ Health Conditions Influence On Caregivers And Caregivers’ Meaning Of Care Dependence, Yolanda Suarez-Calvo Jan 2023

Exploring Care Recipients’ Health Conditions Influence On Caregivers And Caregivers’ Meaning Of Care Dependence, Yolanda Suarez-Calvo

Walden Dissertations and Doctoral Studies

Little is known about the ways in which caregivers are affected or influenced by their care recipients’ health conditions. Additionally, the meaning of care dependence for caregivers is also understudied. The purpose of this generic qualitative study was to examine caregivers’ affection/influence due to the physical and psychosocial health conditions of the individuals for whom they care. Further, the meaning of care dependence, from the perspectives of the caregivers, was sought. The theoretical framework to further this research was Montgomery and Kosloski’s (2009) caregiver’s identity theory The research question addressed the ways caregivers are affected or influenced by the care …


The Student’S Perspective Of Therapeutic Day Treatment, Krystal Vaughan Jan 2023

The Student’S Perspective Of Therapeutic Day Treatment, Krystal Vaughan

Walden Dissertations and Doctoral Studies

Attention deficit hyperactivity disorder (ADHD) has continued to be diagnosed in school-aged children at a high rate. Students with this diagnosis often display negative behaviors and poor academic performance, leading to the need for school-based interventions. Although the use of school-based interventions has shown to be moderately effective, the need to identify the student’s perspective is warranted. The purpose of this general qualitative study was to explore the effectiveness of therapeutic day treatment from the student’s perspective. While parents and teachers have found therapeutic day treatment useful, research to date from the student’s perspective is lacking. Vygotsky’s theory of cognitive …


Special Educators’ Experiences With Professional Development And Implementation Support In Using Digital Social Stories For Students With Autism, Simbi Mignon Animashaun Jan 2023

Special Educators’ Experiences With Professional Development And Implementation Support In Using Digital Social Stories For Students With Autism, Simbi Mignon Animashaun

Walden Dissertations and Doctoral Studies

Students with autism need social skills to succeed academically, which can be fostered with the use of digital social stories (DSSs). While many special educators are expected to use DSSs to teach social skills because of increased elementary autism diagnoses, a significant number of DSS users are unprepared. The problem addressed in this qualitative project study was that special educators were not receiving adequate professional development and implementation support to use DSSs to teach autism-related social skills. The purpose of this research was to explore the special educators’ experiences with professional development and implementation support. The concerns-based adoption model and …


Colonial Legacy, Education, And Employment Opportunities: The Case Of Cameroon, Frantz Batoh Jan 2023

Colonial Legacy, Education, And Employment Opportunities: The Case Of Cameroon, Frantz Batoh

Walden Dissertations and Doctoral Studies

AbstractThe history of colonialism is one of the most powerful factors affecting the development of newly independent African states and limiting their chances for successful evolution. This research involved Cameroon and employment and educational issues associated with colonialism. The division between France and Britain contributed to the establishment of bilingualism within its territories, which is a source of multiple problems today. The study involved investigating the current situation in Cameroon through the lens of colonialism and its influence on countries. Theoretical foundations for this study were the colonial and postcolonial theory, neocolonialism, and concept of postcolony. They are used to …


An Examination Of Counselor Turnover And Its Impact On Quality Behavioral Health Services, Leslie M. Beale Jan 2023

An Examination Of Counselor Turnover And Its Impact On Quality Behavioral Health Services, Leslie M. Beale

Walden Dissertations and Doctoral Studies

Behavioral health organizations often face the challenge of high employee turnover rates, which can critically affect their ability to treat mental illnesses successfully. High counselor turnover at one such organization, BHOX, threatens the provision of timely access to quality mental care. This qualitative case study examined counselor turnover and its impact on the quality of behavioral health services. The Baldrige Excellence Framework was used to guide this descriptive case study of a nonprofit behavioral health organization on the East Coast of the United States, which serves men and women struggling with mental health disorders and substance abuse addictions. The data …


The Role Of Mistrust In African American Organ Donation, Gina M. Williams Jan 2023

The Role Of Mistrust In African American Organ Donation, Gina M. Williams

Walden Dissertations and Doctoral Studies

AbstractAfrican Americans (AAs) who suffer from life-threatening organ failure often need an organ transplant to sustain or to improve their quality of life. The shortage of donor organs, and AAs willing to become organ donors, limits the number of organs available for transplant. The purpose of this study was to understand the lived experience of AAs regarding the role of mistrust and to understand its influence on their organ donation decision-making. Social cognitive theory guided this qualitative descriptive phenomenological study designed to gain an understanding of the lived experiences of the AAs related to the role of mistrust in their …


The Lived Experiences Of Black Women Pursuing Managerial Positions In Corporate America, Edo Linette Branch Jan 2023

The Lived Experiences Of Black Women Pursuing Managerial Positions In Corporate America, Edo Linette Branch

Walden Dissertations and Doctoral Studies

The cultural and historical background of Black women represents unique complexities in the journey to management. The specific problem was that Black women often faced more gender and racial biases while advancing into management positions in corporate America than their White male and female counterparts. The purpose of this qualitative, descriptive phenomenological study was to explore the lived experiences of Black women advancing into management positions who face more gender and racial biases than their White male and female counterparts in corporate America. The conceptual framework that grounded this study was the intersectionality of gender and race. The research question …


Case Manager Perspectives On Transition Services For Youth With Intellectual Disabilities, Alecha Davis Jan 2023

Case Manager Perspectives On Transition Services For Youth With Intellectual Disabilities, Alecha Davis

Walden Dissertations and Doctoral Studies

Youth with intellectual disabilities have poorer outcomes during the transition period from school to adulthood. Very few studies were found that examine the perspective of the human service case manager. The perspectives of human service case managers were examined regarding the services that are needed to help youth with intellectual disabilities transition effectively. The study's purpose was to determine the services available and those needed to help support the transition from school to work, college, or in living independently for youth with intellectual disabilities. The theoretical framework for this study was Bronfenbrenner’s ecological systems theory used to explore the errors …


Elementary Administrators' Perspectives And Experiences Of Supporting Students Through Nature-Based Learning, Amanda Marie Shelley Degoede Jan 2023

Elementary Administrators' Perspectives And Experiences Of Supporting Students Through Nature-Based Learning, Amanda Marie Shelley Degoede

Walden Dissertations and Doctoral Studies

Although nature-based learning (NBL) contributes to the development of students, itsinclusion in elementary schools is inconsistent. Researchers have established the benefits of nature to learning and child development, yet there is a gap in the literature on elementary administrators’ perspectives of and experiences with NBL. The purpose of this qualitative study was to explore elementary administrators’ perspectives of and experiences with NBL, its support of elementary student development, and its inclusion in elementary schools’ curricula and design. The research questions addressed elementary administrators’ perspectives of and experiences with NBL, how NBL supports student development, and how NBL is included in …


Relationship Between An Entrepreneur’S Self-Efficacy, Self-Leadership, And Startup Sustainability In Nigeria, Juliet Ehimuan Jan 2023

Relationship Between An Entrepreneur’S Self-Efficacy, Self-Leadership, And Startup Sustainability In Nigeria, Juliet Ehimuan

Walden Dissertations and Doctoral Studies

Self-efficacy and self-leadership have been identified as important indicators of business sustainability. Business owners and investors are concerned about sustainability because most businesses fail within the first five years. Grounded in self-efficacy and self-leadership theories, the purpose of this quantitative correlation study was to examine the relationship between entrepreneurial self-efficacy, self-leadership and startup sustainability. The participants were 156 entrepreneurs who completed the entrepreneurial self-efficacy scale and the abbreviated self-leadership questionnaire delivered via email. The multiple linear regression analysis results indicated the model was able to significantly predict startup sustainability, F(2, 129) = 432.47, p < .001, R2 = .87. Self-efficacy provided a significant contribution to the model (t = 8.424, p = < .001, β = .914). In contrast, the contribution of self-leadership was not significant (t = 0.185, p = .853, β = .20). A key recommendation is the utilization of mentoring programs and structured leadership internships that enhance self-efficacy by providing startup leaders with exposure to more seasoned corporate leaders, and successful peers who have had similar experiences to theirs. The implications for positive social change include the potential development of training and capacity-building programs that can be provided to entrepreneurs and other startup leaders to enhance their ability to sustain their startups, leading to more successful businesses, job creation, and economic growth.


The Impact Of The Spinning Babies Method On Labor Duration And Delivery Outcome, Darlene Sears Jan 2023

The Impact Of The Spinning Babies Method On Labor Duration And Delivery Outcome, Darlene Sears

Walden Dissertations and Doctoral Studies

Proper maternal positioning has been studied for many years and identified as a critical factor in reducing the risk of labor dystocia and Cesarean births. The Spinning Babies method is a nonpharmacological technique that helps to support a physiological delivery by assisting women with position changes throughout labor. However, there was no literature on the difference between the duration of labor or Cesarean section rates when utilizing the Spinning Babies exercises. This quantitative comparative study examined whether the Spinning Babies method was associated with the duration of the first and second stages of labor and the delivery outcome in low-risk …


Evaluation Of The Implementation Of Primary Prevention Guidelines For The Treatment Of Hypertension, Aramide Alayande Jan 2023

Evaluation Of The Implementation Of Primary Prevention Guidelines For The Treatment Of Hypertension, Aramide Alayande

Walden Dissertations and Doctoral Studies

AbstractHypertension is a chronic disease that is associated with increased risk of cardiovascular mortality. This Doctor of Nursing Practice project was a quality improvement initiative that addressed the gap in practice that the nurse practitioners (NPs) were not consistently following the American College of Cardiology (ACC) and American Heart Association (AHA) recommended guidelines for the treatment of hypertension. The purpose of the project was to evaluate whether the NPs were consistently using the guidelines to treat patients with hypertension after an educational intervention. The project used a before-after approach to evaluate the consistency of using the guidelines in treatment of …


Risk Factors Influencing Poliomyelitis Seroprevalence In Polio High Risk Areas Of Afghanistan, Wasan Abdulaziz Al-Tamimi Jan 2023

Risk Factors Influencing Poliomyelitis Seroprevalence In Polio High Risk Areas Of Afghanistan, Wasan Abdulaziz Al-Tamimi

Walden Dissertations and Doctoral Studies

Afghanistan is one of the remaining polio endemic countries in the world. Nearly one million children under 5 years of age have missed polio vaccination in Afghanistan from May 2018 until January 2021. This quantitative study used the socioecological model as the theoretical framework and secondary data analysis of the 2020 polio serosurvey (N = 1384) to investigate various risk factors such as gender, parental education, family origin (language/location), wealth, distance to nearest health facility, and number of polio vaccine doses on the level of antibodies (i.e., seroprevalence) against all three types of polioviruses in children of two age groups, …


Special Educators’ Experiences With Professional Development And Implementation Support In Using Digital Social Stories For Students With Autism, Simbi Mignon Animashaun Jan 2023

Special Educators’ Experiences With Professional Development And Implementation Support In Using Digital Social Stories For Students With Autism, Simbi Mignon Animashaun

Walden Dissertations and Doctoral Studies

Students with autism need social skills to succeed academically, which can be fostered with the use of digital social stories (DSSs). While many special educators are expected to use DSSs to teach social skills because of increased elementary autism diagnoses, a significant number of DSS users are unprepared. The problem addressed in this qualitative project study was that special educators were not receiving adequate professional development and implementation support to use DSSs to teach autism-related social skills. The purpose of this research was to explore the special educators’ experiences with professional development and implementation support. The concerns-based adoption model and …


Burnout And Positive Thinking Skills Among Critical Care Nurses, Evangeline Ani Jan 2023

Burnout And Positive Thinking Skills Among Critical Care Nurses, Evangeline Ani

Walden Dissertations and Doctoral Studies

AbstractBurnout is a global health problem with a significant negative impact on the physical, mental, and emotional health and well-being of critical care nurses, which in turn has serious effects on the critical care work environment. Positive thinking has the potential of transforming the work environment. The purposes of this quantitative, correlational study, guided by Lazarus’s theory of stress, were to determine (a) if there was a relationship between the use of positive thinking skills and burnout among critical care nurses, and (b) if there was a difference between the use of positive thinking skills and burnout among critical care …


Differences Between Nurse-Led Intervention Topics, Longevity, Changed Practices, And Sustainability Planning, Robin Anselm Jan 2023

Differences Between Nurse-Led Intervention Topics, Longevity, Changed Practices, And Sustainability Planning, Robin Anselm

Walden Dissertations and Doctoral Studies

Though health care providers use evidence-based interventions (EBIs), a knowledge gap exists regarding lasting change associated with doctorate-prepared nurse interventions and sustainability planning. This quantitative cross-sectional descriptive design guided by the five pillars of the United Nations sustainable development goals (SDGs) was used to examine the differences between doctorate-prepared nurses’ sustainable EBI topics, intervention longevity, changed clinical practices, and sustainability planning. The dynamic sustainability framework, the adult learning theory, and the social learning theory framed this study. The design included a survey of 1,365 nurse anesthesiologists using a questionnaire composed of the Program Sustainability Assessment Tool (PSAT) version 2 and …