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Walden Dissertations and Doctoral Studies

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Examination Of Exposure Types Association With Stigma And Impacts On Sharps Injury Reporting In Ambulatory Surgical Centers, Timothy William Lynch Jan 2023

Examination Of Exposure Types Association With Stigma And Impacts On Sharps Injury Reporting In Ambulatory Surgical Centers, Timothy William Lynch

Walden Dissertations and Doctoral Studies

Public health depends on the efficiency of work delivery among healthcare workers (HCWs) and their positive goal orientation in healthcare. Effective minimizing of needlestick and sharp injuries (NSSIs) and timely reporting are fundamental to meeting public health goals. The specific research problem addressed through this study is whether the independent variable of exposure type (needle stick injury, splash exposure injury, other sharp injuries) has an association with stigma associated with sharps injury reporting (dependent variable) among HCWs in ambulatory surgical centers. A quantitative, cross-sectional design involving secondary data analysis was used. Regression was used to analyze pre- and post-workshop survey …

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The Impact Of Economic Uncertainty On Nonprofit Leaders’ Decision To Expand Services, Shawndra Maine Jan 2023

The Impact Of Economic Uncertainty On Nonprofit Leaders’ Decision To Expand Services, Shawndra Maine

Walden Dissertations and Doctoral Studies

Nonprofit organizations (NPOs) play a pivotal role in lower socioeconomic communities. Leaders of nonprofits are frequently faced with multiple, complex, and often-competing objectives. This qualitative case study was conducted to explore and understand how economic uncertainties impact an NPO and, specifically, how economic uncertainty has affected nonprofit executives’ development of strategies and decision making regarding expanding services. Data were collected through interviews and review of secondary data and the organization’s website from the executive director, president/chief executive officer, and funders. The Baldrige Framework of Excellence was used to support the foundations of this study. The collected data were analyzed, and …

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Criminology And Violent Extremist Radicalization, Starlett Michele Martin Jan 2023

Criminology And Violent Extremist Radicalization, Starlett Michele Martin

Walden Dissertations and Doctoral Studies

After the 9/11 terrorist attacks, research on foreign terrorism became extensive in the United States while research on domestic terrorism and violent extremist radicalization was lacking. Despite the research that has been done, there was a lapse in scholarship analyzing terrorism radicalization and its relationship with criminology. The purpose of this general qualitative study was to analyze the perceptions of experts in terrorism and criminology about how factors of criminology can explain violent extremist radicalization. This study used two conceptual models of terrorism radicalization: (a) the staircase to terrorism and the (b) 4-stage model of the terrorist mindset. In addition, …

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An Examination Of The Impact Of Police Chaplain Programs And Spirituality On Police Officers’ Mental Health, Samuel Protel Maxwell Jan 2023

An Examination Of The Impact Of Police Chaplain Programs And Spirituality On Police Officers’ Mental Health, Samuel Protel Maxwell

Walden Dissertations and Doctoral Studies

Spirituality has been a fundamental aspect of treating post-traumatic stress disorder (PTSD) in many officers. PTSD affects a high percentage of officers and many of whom live a highly stressful and traumatic life even outside of work. The purpose of this qualitative study was to examine the impact of police chaplain programs and spirituality on police officers' mental health. The research question asked how a police chaplain program and spirituality impacted police officers. This study's theoretical framework was Pargament's theory. Qualitative research with a narrative analysis design was chosen to collect data from semi-structured interviews. The 10 participants, including six …

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Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill Jan 2023

Challenges In Discharge Planning For Adults Transitioning From An Inpatient Psychiatric Level Of Care Experiencing Homelessness, Deanna` R. Mccaskill

Walden Dissertations and Doctoral Studies

Mental illness and the homeless population are a growing concern in the United States. Homeless individuals utilize emergency rooms and acute inpatient stays more than those with housing. Social workers play a vital role in discharge planning, starting on the first day of admission. This action research study explored the challenges of social workers developing discharge plans for adults transitioning from an inpatient psychiatric level of care experiencing homeless. The theoretical framework implemented in this study was systems theory. Data were collected from 12 purposively selected master’s level social workers in the format of individual and focus group interviews. Eight …

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Referral Source, Visit Modality, And The Delivery Of Diabetes Education In Pennsylvania, Alan Minor Jan 2023

Referral Source, Visit Modality, And The Delivery Of Diabetes Education In Pennsylvania, Alan Minor

Walden Dissertations and Doctoral Studies

Diabetes education is a principal component of optimal diabetes care that is often underutilized despite the known benefits that include reductions in complications as well as improved glycemic control and self-management knowledge. The purpose of this quantitative study was to examine the association between the completion of diabetes education, referral source, and visit modality. Because the completion of diabetes education is multifaceted, Levesque’s theoretical framework of health access, which incorporates dimensions of the accessibility of services and the abilities of potential users in the utilization of health services, was used to ground the study. A retrospective chart review was conducted …

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Illegal Unreported And Unregulated Fishing And Overfishing Policymaking In A Caribbean Island Country, Anya J. Moses Jan 2023

Illegal Unreported And Unregulated Fishing And Overfishing Policymaking In A Caribbean Island Country, Anya J. Moses

Walden Dissertations and Doctoral Studies

Small island developing states, especially those within the Caribbean community, are faced with the challenges of overfishing and illegal, unregulated, and unreported (IUU) fishing activities. Despite global legal reforms, enforcement continues to be ineffective. In the policymaking process, the perspectives of those critically impacted are rarely taken into consideration The purpose of this qualitative study was to explore the issues leading to the lack of inclusion of fisherfolk knowledge in the policymaking process and policies that promote SDG 14. The goal was to explore the importance of fisherfolk involvement in the policymaking process. The research question focused on identifying the …

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Perceptions And Knowledge Of Information Security Policy Compliance In Organizational Personnel, Jesus M. Mosqueda Jan 2023

Perceptions And Knowledge Of Information Security Policy Compliance In Organizational Personnel, Jesus M. Mosqueda

Walden Dissertations and Doctoral Studies

All internet connected organizations are becoming increasingly vulnerable to cyberattacks due to information security policy noncompliance of personnel. The problem is important to information technology (IT) firms, organizations with IT integration, and any consumer who has shared personal information online, because noncompliance is the single greatest threat to cybersecurity, which leads to expensive breaches that put private information in danger. Grounded in the protection motivation theory, the purpose of this quantitative study was to use multiple regression analysis to examine the relationship between perceived importance, organizational compliance, management involvement, seeking guidance, and rate of cybersecurity attack. The research question for …

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Age, Race/Hispanic Origin, And Covid-19 Mortality Among Sickle Cell Disease Patients In The United States, Joe Lamont Ndula Jan 2023

Age, Race/Hispanic Origin, And Covid-19 Mortality Among Sickle Cell Disease Patients In The United States, Joe Lamont Ndula

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic remains a global health challenge, with 6.7 million deaths worldwide as of January 2023. It has illuminated the health iniquities in underserved communities and populations like those with sickle cell disease (SCD). Researchers have associated the COVID-19 outcome among SCD patients in other regions of the globe. The purpose of this retrospective cross-sectional observational study was to investigate the relationship between age, race/Hispanic origin, and COVID-19 mortality among persons with SCD in the United States from January 2020 to March 2021. The Krieger ecosocial theory of disease distribution framed the study. Data were drawn from an existing …

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Factors Associated With Intent To Quit Smoking Among U.S. Adult Smokers, Patrese Ann Nesbitt Jan 2023

Factors Associated With Intent To Quit Smoking Among U.S. Adult Smokers, Patrese Ann Nesbitt

Walden Dissertations and Doctoral Studies

Smoking and tobacco use continue to be a public health issue for over 40 million Americans, which explains the appropriateness and abundance of smoking cessation programs throughout the United States. The purpose of this quantitative correlational study was to examine the associations between independent variables of marital status, advice from a medical clinician, and use of community smoking cessation resources and the dependent variable of intent to quit smoking, controlling for race, ethnicity, gender, and age. The theory of reasoned action was used to guide the study. Data from the National Adult Tobacco Survey (N = 12,357) were analyzed using …

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Family Perceptions Of Mental Health Service Use Among Mexican Americans, Vickie Gayle Nethercott Jan 2023

Family Perceptions Of Mental Health Service Use Among Mexican Americans, Vickie Gayle Nethercott

Walden Dissertations and Doctoral Studies

AbstractMexican immigrants are less likely to use psychiatric services compared to people from other race or ethnic groups in the United States, yet little is known about the reasons why the Mexican American population are less likely to seek mental health services. A qualitative descriptive study, guided by Leininger's culture care diversity and universality care theory, was used to explore the perceptions of mental health service use and barriers to psychiatric services for Mexican American immigrants living in the United States. After institutional review board approval was obtained, flyers were placed in five churches in a northwestern U.S state where …

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Logistics Leader Strategies For Retaining Employees, Sandra Northern Jan 2023

Logistics Leader Strategies For Retaining Employees, Sandra Northern

Walden Dissertations and Doctoral Studies

Low employee retention can lead to a lack of the knowledge, skills, and abilities required for sustainable logistics operations. Logistics leaders are concerned with employee retention because turnover increases business costs, reduces operational efficiency, and decreases profitability. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies logistics leaders use to increase employee retention. The participants were three senior leaders from a logistics organization in the northeast region of the United States who possessed knowledge and experience of the research phenomena. Data were collected through semistructured interviews, company documents, publicly available data, and …

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A Meta-Analysis Of Higher Education On Professional Police Behavior Patterns, Augustine S. Nugba Jan 2023

A Meta-Analysis Of Higher Education On Professional Police Behavior Patterns, Augustine S. Nugba

Walden Dissertations and Doctoral Studies

Police misconduct has become an issue of concern among law enforcement officers and other stakeholders. Approximately, 10% of law enforcement officers commit 90% of misconduct problems, and as high as 45% of the misconduct generates citizen complaints. Thus, there has been an increasing debate on whether police officers should attain a college education or not. The purpose of this quantitative correlational study was to investigate the relationship between education level and the number of complaints filed against police officers for misconduct. This study was grounded on the cognitive development theory. The study was conducted by following the guidelines proposed by …

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Examining High School Teachers’ Perspectives With Culturally Responsive Teaching, Maria Victoria O'Brien Jan 2023

Examining High School Teachers’ Perspectives With Culturally Responsive Teaching, Maria Victoria O'Brien

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study was teachers’ inconsistent use of culturally responsive teaching (CRT) in a high school in Northern Virginia (NVHS). The purpose of the study was to examine high school teachers’ perspectives on the successes, challenges and support needed to better implement CRT at the NVHS. Ladson-Billing’s and Gay’s culturally responsive teaching theory formed the conceptual framework that guided this study. The research questions focused on teacher perspectives about the successes, challenges, and support needed with CRT. A basic qualitative design was used to capture the insights of eight high school teachers through semistructured, individual …

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A Staff Education Project On The Administration Of Clinical Practice Guidelines For The Treatment Of Obesity And Overweight Children And Adolescents, Emilia Ochiabuto Okoye Jan 2023

A Staff Education Project On The Administration Of Clinical Practice Guidelines For The Treatment Of Obesity And Overweight Children And Adolescents, Emilia Ochiabuto Okoye

Walden Dissertations and Doctoral Studies

AbstractObesity among children and adolescents has reached epidemic proportions in the United States (U.S). Nurses in pediatric settings have a critical role to play in assessing and managing childhood obesity. The partner site for this project has a childhood obesity rate of 35% compared to the national average of 19%. However, the nursing staff lacked adequate knowledge, competence, and confidence in assessing and managing childhood obesity in line with the recommended guidelines. The problem was addressed by implementing the Clinical Practice Guideline for the Treatment of Obesity and Overweight Children and Adolescents via an education program. The program’s content was …

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Evaluating U.S. Household Telemedicine Use In Primary Care Settings, Robert Osobase Jan 2023

Evaluating U.S. Household Telemedicine Use In Primary Care Settings, Robert Osobase

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic's arrival in the United States restricted access and use of telemedicine in primary care providers (PCPs) settings. Addressing this issue is crucial since telemedicine is a confirmed method of encouraging patients and PCPs to promote quality health care. This quantitative study investigated the association between age, gender, and race, and PCPs offering telemedicine and U.S. household adults using telemedicine during COVID-19 pandemic in 2021. The Donabedian framework, which considers aspects of an organization's structure, process, and outcome, served as the study's foundation, incorporating age, race, and gender as independent variables, and PCPs and US adults as dependent …

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The Effects Of Gender, Age, And Year Of Study On Occupational Therapy Students’ Social Media Competency, Vikram Pagpatan Jan 2023

The Effects Of Gender, Age, And Year Of Study On Occupational Therapy Students’ Social Media Competency, Vikram Pagpatan

Walden Dissertations and Doctoral Studies

Occupational therapy students (OTSs) who misuse social media within academic and clinical learning environments may increase the instances of ethical health care violations and breaches of professional codes of conduct. The purpose of this quantitative, cross-sectional study was to assess the social media competency (SMC) scores of OTSs based on year of study, age, and gender. As a result, the research questions were developed to compare the SMC of OTSs based on year of study, age, and gender. The study was grounded by Bandura’s social learning theory and a rationale for allowing social media use in the curriculum. An archived …

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Development Of A Standardized Novice Neonatal Nurse Orientation Program, Joanne Rau Pasinski Jan 2023

Development Of A Standardized Novice Neonatal Nurse Orientation Program, Joanne Rau Pasinski

Walden Dissertations and Doctoral Studies

Abstract Neonatal intensive care units (NICUs) are fast-paced units requiring skilled nurses to care for a unique patient population. Orientation of new nurses to the NICU can be challenging for both the orientee and the preceptor. Offering an evidence-based practice orientation program by an accredited organization that is specific to NICU can be a valuable tool for both the preceptor and the orientee as well as enhance nurse, patient, and organizational outcomes. The project question explored if use of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) 15-module nursing orientation program for RNs in a NICU increased their …

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Nursing Guideline For Specimen Handoff, Kathleen Marie Pearce Jan 2023

Nursing Guideline For Specimen Handoff, Kathleen Marie Pearce

Walden Dissertations and Doctoral Studies

AbstractThe absence of clinical practice guidelines (CPGs) and collaboration with significant stakeholders may lead to gaps in the delivery of patient care. Specimen handoff in the endoscopy unit plays a critical role in patient diagnosis and treatment plans; errors can compromise patient safety. The purpose of this project was to provide endoscopy nursing staff with a CPG to improve the accuracy of the specimen handoff process during the endoscopy procedure. The practice-focused question addressed the feasibility of developing a quality and usable CPG to improve the accuracy and efficacy of handling the specimen handoff process during endoscopy procedures. Walden University …

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Hiv Testing And Counseling Uptake Predictors Among University Students In Southwest Cameroon., Lilian Belole Motia Pencille Jan 2023

Hiv Testing And Counseling Uptake Predictors Among University Students In Southwest Cameroon., Lilian Belole Motia Pencille

Walden Dissertations and Doctoral Studies

AbstractDespite public health efforts to increase human immuno-deficiency virus testing and counseling (HTC) uptake, screening among college students remains low and understudied. The purpose of this cross-sectional correlational quantitative study was to explore the relationship between the constructs of the health belief model (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy) and HTC uptake while controlling for age, sex settlement type, relationship status, area of residence, religious affiliation, and level of education. Four hundred and eighty-seven (N = 487) university students in Southwest Cameroon were recruited using a convenience sampling method. Data were collected using …

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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 …

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Exploring Jury Nullification: Its Political History, Current, And Potential Impact On Policy, David Harold Penny Jan 2023

Exploring Jury Nullification: Its Political History, Current, And Potential Impact On Policy, David Harold Penny

Walden Dissertations and Doctoral Studies

Jury nullification (JN) is when a jury knows a defendant is legally guilty, but states they are not guilty, believing that their verdict better serves justice in that case. The problem is the violation of the Constitution’s equal protection clause for all citizens, caused by the intentional omission in most judges’ instructions to juries of JN. The purpose of the study was to fill the gap in the literature on jury behavior and address the problem of JN. The study framework is chaos theory as applied by Horowitz to jury behavior. It describes judges and lawmakers mistrust of juries associated …

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Parents’ Perceptions Of Low Involvement In An Urban Secondary School, Stephanie Pounders Jan 2023

Parents’ Perceptions Of Low Involvement In An Urban Secondary School, Stephanie Pounders

Walden Dissertations and Doctoral Studies

Parent involvement is an important contributor to students’ academic and social success in school; however, parent involvement at an urban secondary school has lagged, specifically in activities that have been shown to have a positive influence on student achievement. The research problem focused on parents’ perceptions of their participation, reasons for and against engaging in school activities, and what the school under study could do to support their involvement. The purpose of this study was to explore parents’ perceptions about their involvement in school activities as a means of identifying strategies to increase their engagement. A conceptual framework based on …

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Public-School Superintendents’ Perceptions Of Trauma-Informed School Assumptions And Principles, Denise Gay Presnell Jan 2023

Public-School Superintendents’ Perceptions Of Trauma-Informed School Assumptions And Principles, Denise Gay Presnell

Walden Dissertations and Doctoral Studies

Research shows that trauma-informed practices in schools can increase student performance and well-being. School social workers are well-suited to bring these practices to their system but are most successful when partnering with public-school superintendents. The purpose of this generic qualitative study was to understand public-school superintendents’ perceptions of trauma-informed school assumptions and principles. The study was guided by four assumptions for trauma-informed care, six principles for trauma-informed schools, ecological systems theory, and empowerment theory. Research questions were designed to ask participants about their experiences of trauma in their schools, their perceptions of the assumptions and principles, the benefits and challenges …

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Strategies To Reduce Food Waste In Restaurants, Andrea L. Ratliff Jan 2023

Strategies To Reduce Food Waste In Restaurants, Andrea L. Ratliff

Walden Dissertations and Doctoral Studies

Abstract Some restaurant business owners lack food waste strategies to maintain or increase profits. Restaurant business owners are concerned with increases in food waste leading to a loss of business profitability and may lack food waste strategies to maintain or increase profits. Grounded in stakeholder theory, the purpose of this qualitative single case study was to explore strategies restaurant business owners used to decrease food waste to maintain or increase profit. Participants in this study comprised five restaurant owners in a metropolitan suburb on the United States east coast who successfully reduced food waste in their operations to maintain or …

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Cardiomems Staff Education To Improve Use Of Pulmonary Artery Sensor Data In An Emergency Department, Betty Sue Reynolds Jan 2023

Cardiomems Staff Education To Improve Use Of Pulmonary Artery Sensor Data In An Emergency Department, Betty Sue Reynolds

Walden Dissertations and Doctoral Studies

Assessing volume status in patients with congestive heart failure (CHF) remains a difficult task. Newer technology, such as CardioMEMS, allows providers to download pulmonary artery pressure measurements from an implanted sensor. In a large rural emergency department (ED), lack of staff education on CardioMEMS made the device useless when a patient presented to the ED. The purpose of this project was to develop a staff education in-service to address the gap in practice. The theory used to guide development of an effective curricular program and instruction method was Knowles’ theory of andragogy. Application of the analysis, design, development, implementation, and …

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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 …

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Influence Of Staffing Shortages On Safety And Communication In Behavioral Health, Raven Brittany Robinson Jan 2023

Influence Of Staffing Shortages On Safety And Communication In Behavioral Health, Raven Brittany Robinson

Walden Dissertations and Doctoral Studies

At the selected behavioral health organization (BHO), leaders desire to improve patient safety and staff communication to provide quality mental health services. They need strategies to achieve these goals. The Baldrige Excellence Framework was used to identify the workforce challenges and practices that facility leaders can potentially use to improve performance to help achieve success, sustainability, and the mission of the BHO. The data sources consisted of (a) semistructured interviews with the CEO, the leader of the intake department, an intake therapist, an intake coordinator, and an RN and (b) reviews of the BHO’s website, and pertinent academic literature. Data …

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Adult Learners With Learning Disabilities’ Motivation To Succeed In Higher Education Online Learning During Covid19, Sara Michelle Rodriguez Jan 2023

Adult Learners With Learning Disabilities’ Motivation To Succeed In Higher Education Online Learning During Covid19, Sara Michelle Rodriguez

Walden Dissertations and Doctoral Studies

Many students had to transition to online learning due to the COVID-19 pandemic while other students were already enrolled in online education. Online study may hold additional struggles for students with learning disabilities. The problem addressed in this qualitative, phenomenological study was the motivating factors of online higher education students who have a learning disability during the COVID-19 pandemic. The theoretical foundation was Maslow’s hierarchy of needs. Data were gathered through 10 semistructured interviews and then analyzed through the thematic analysis yielding five themes: (a) lack of professional support, (b) resources, (c) support system, (d) consistent motivation, and (e) low …

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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 …

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