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Walden Dissertations and Doctoral Studies

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Effects Of Short-Term Intensive Insulin Therapy In Type 2 Diabetes Mellitus Management, Ernest Mwathi Jan 2020

Effects Of Short-Term Intensive Insulin Therapy In Type 2 Diabetes Mellitus Management, Ernest Mwathi

Walden Dissertations and Doctoral Studies

Diabetes is a chronic illness affecting millions of individuals in the United States and is the seventh leading cause of death. Most of the Type 2 Diabetes Mellitus (T2DM) patients manage their illness with non-insulin therapies resulting in inadequate glycemic control but there are times when they experience inadequate glycemic control and require short-term intensive insulin therapy (SIIT). Despite proven effectiveness of SIIT, there is a lack of research focusing on the effectiveness of clinical practice where providers revert their clients to non-insulin therapy after SIIT. The focus of this quality improvement (QI) project was to evaluate pre/post data and …

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Clinical Nurse Experts' Experience Of Transitioning To The Novice Nurse Educator Role, Crystal Toll Jan 2020

Clinical Nurse Experts' Experience Of Transitioning To The Novice Nurse Educator Role, Crystal Toll

Walden Dissertations and Doctoral Studies

Clinical nurse experts are often recruited into educator roles based solely on clinical expertise. Without support and mentorship, clinical nurse experts struggled with transitioning into the educator role. The purpose of this study was to understand the experience of new nurse educators’ transition from a clinical nurse expert to novice nurse educator and to examine the perceptions of supports and barriers. Transitional theory provided the conceptual framework and informed the development of the interview protocol. The research questions focused on the experience of transitioning from expert to novice and on identifying supports and barriers that influenced transition. Using a case …

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Stress And Job Satisfaction As Predictors Of Teacher Turnover Intentions, Alrick Thompson Jan 2020

Stress And Job Satisfaction As Predictors Of Teacher Turnover Intentions, Alrick Thompson

Walden Dissertations and Doctoral Studies

High teacher turnover is problematic because of the costs associated with recruiting and training new hires. However, some of the factors originating outside of the working environment that may influence teacher turnover intentions are not fully understood. The purpose of this quantitative correlational design study was to examine the extent to which job satisfaction, commuting stress, and financial stress are predictors of teacher turnover intentions. The study involved a purposive sampling of 227 teachers within a school district in the South Eastern part of the United States. Hobfoll’s conservation of resources theory provided the theoretical framework for the study. Validated …

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Influences On Ethical Decision-Making By Nurses Employed In Federal Health Care Facilities, Cecil Dean Blount Jan 2020

Influences On Ethical Decision-Making By Nurses Employed In Federal Health Care Facilities, Cecil Dean Blount

Walden Dissertations and Doctoral Studies

Healthcare professionals are tasked with making key decisions involving new and controversial approaches such as organ transplantation and life-prolonging technologies and treatments that raise various ethical issues. Suboptimal ethical choices by nurses can lead to negative patient outcomes and lower the quality of life in federal healthcare facilities. The purpose of this nonexperimental quantitative correlational study was to identify the factors that influence nurses’ ethical decision-making processes in U.S. federal healthcare facilities. The theoretical framework was based on Beauchamp and Childress’ ethical system of principlism. Three research questions addressed the nature and extent of the relationship between nurses’ Ethical Behavior …

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Need To Belong, Fear Of Missing Out, And Social Media Use: Predictors Of Perceived Social Rejection, Linda K. Perna Jan 2020

Need To Belong, Fear Of Missing Out, And Social Media Use: Predictors Of Perceived Social Rejection, Linda K. Perna

Walden Dissertations and Doctoral Studies

The decline in mental health among U.S. college students is a significant concern. Research suggests that social media use may contribute to this decline. Heavy reliance on social media has been linked to feelings of loneliness and disconnection, psychological distress, and a fear of missing out on rewarding social experiences, which may ultimately trigger feelings of social rejection. Using a foundation of need to belong theory, the purpose of this quantitative study was to examine individual differences in the need to belong, fear of missing out, and social media use as predictors of emotional and behavioral reactions to ambiguous social …

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Successful Balanced Scorecard Implementation Strategies For A Manufacturing Organization, Timothy J. Zorek Jan 2020

Successful Balanced Scorecard Implementation Strategies For A Manufacturing Organization, Timothy J. Zorek

Walden Dissertations and Doctoral Studies

Up to 90% of businesses fail to execute their business strategies. Still, the effective implementation of a performance measurement system like the balanced scorecard (BSC) often leads to the implement a more successful execution of a business strategy. The purpose of this qualitative single case study sought to explore the successful strategies used by business leaders to implement a BSC effectively. Change theory was the conceptual framework for the study. Participants consisted of 3 business leaders of a manufacturing organization in Southeast Wisconsin, who successfully implemented the balanced scorecard within their business. Data were collected from face-to-face, semistructured interviews, and …

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Probate Attorneys’ Understanding Of The Inclusion Of The Lucid Interval In Testamentary Capacity Proceedings, Jeremy Cassius Jan 2020

Probate Attorneys’ Understanding Of The Inclusion Of The Lucid Interval In Testamentary Capacity Proceedings, Jeremy Cassius

Walden Dissertations and Doctoral Studies

This study focused on the experience of probate attorneys with the lucid interval in contested will cases. There is a gap in the research for understanding the lucid interval for people who live with dementia. Dementia can affect the testamentary capacity (TC) of a testator who is signing a will because the testator may not understand all the property that is in their possession. This causes difficulties and conflict for families when a loved one dies. It can also cause the testator to be susceptible to undue influence. The present study analyzed data from interviews with 6 probate attorneys about …

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Strategies For Increasing Employee Productivity In Small Technology Consulting Businesses, Dalinda Yvonne Milne Jan 2020

Strategies For Increasing Employee Productivity In Small Technology Consulting Businesses, Dalinda Yvonne Milne

Walden Dissertations and Doctoral Studies

Unproductive employees in technology consulting small businesses negatively affect organizational output and profits. Investing in employee productivity is beneficial to ensuring an organization’s ability to improve their profits and sustainability as business leaders have an influential role in identifying and addressing the root causes of employee productivity issues in their organizations. The conceptual framework that grounded this doctoral study was Thomas Gilbert’s behavioral engineering model. The participants in this study consisted of 8 leaders in a Texas technology consulting small business with experience in increasing employee productivity. Data were collected through in-person semistructured interviews and business documents. Methodological triangulation was …

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The Need For A Balanced System And More Community-Based Programs And Interventions In Juvenile Justice Reform In Georgia, Ebony R. Bullock Jan 2020

The Need For A Balanced System And More Community-Based Programs And Interventions In Juvenile Justice Reform In Georgia, Ebony R. Bullock

Walden Dissertations and Doctoral Studies

The research problem that this study addressed was the rising juvenile crime in Fulton County, Georgia. Georgia’s juvenile justice system went through a significant overhaul in 2013 that promised to reduce juvenile crime and recidivism, create more community-based interventions and programs, reduce the number of juveniles in out-of-home placement, and save taxpayers money. Despite the efforts put into place by House Bill 242 of 2013 (HB242), there was still an increase in juvenile crime, and there were not many community-based interventions and programs put into place. The purpose of this study was to assess the impact of HB242 on juvenile …

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Sustainability Strategies Of Small Business Owners In Northcentral Texas, Danielson Ledum Dukor Jan 2020

Sustainability Strategies Of Small Business Owners In Northcentral Texas, Danielson Ledum Dukor

Walden Dissertations and Doctoral Studies

While small businesses contribute significantly to job creation in the United States, they fail financially at alarming rates. Fifty percent of small businesses survive 5 years or longer, and only one-third of small business startups survive more than 10 years. Owners of small businesses could benefit from strategies used to mitigate the small firms’ failure rate by obtaining suitable leadership values and skills, understanding the business’s nature, and engaging in financial planning. Grounded in Schumpeter’s entrepreneurship theory, the purpose of this qualitative multiple case study was to explore strategies small home health business owners used to sustain their businesses beyond …

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Assessing Contributing Factors Of Relationship Satisfaction In Polyamorous And Monogamous Relationships, Irene Kushnir Jan 2020

Assessing Contributing Factors Of Relationship Satisfaction In Polyamorous And Monogamous Relationships, Irene Kushnir

Walden Dissertations and Doctoral Studies

The purpose of this study was to analyze and compare factors contributing to relationship satisfaction in polyamorous and monogamous relationships, as measured by the Characteristics of Marriage Inventory (CHARISMA). A total of 372 participants over the age of 18 who identified as being involved in either a long-term monogamous or polyamorous relationship completed the CHARISMA questionnaire. Two multivariate analyses of variance revealed 10 out of 18 importance ratings, and 4 out of the 18 satisfactions ratings were statistically significant between relationship types. However, an analysis of variance suggested no overall difference in satisfaction between the two groups. Past research had …

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Social Connectedness And Financial Independence Strategies Supporting Nonprofit Sustainability, Christopher Edmund Maylor Jan 2020

Social Connectedness And Financial Independence Strategies Supporting Nonprofit Sustainability, Christopher Edmund Maylor

Walden Dissertations and Doctoral Studies

Leaders of nonprofit organizations (NPOs) often lack strategies to ensure the sustainability of their organizations beyond initial funding, resulting in significant risk to program continuity. Grounded in social entrepreneurship theory, the purpose of this qualitative single-case study was to explore strategies used by 3 leaders of a small NPO in the southwest region of the United States. Data were collected from semistructured interviews and a review of organizational documents. Through thematic analysis, 6 social themes emerged: optimization of business strategies, income and donor growth, program cost management, funding diversification, program licensing, and public awareness of NPO programs. The contributions to …

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Effects Of Intimate Partner Violence On Academic Motivation Among Emerging Adult Women, Cristela Maria Thorne Mitchell Jan 2020

Effects Of Intimate Partner Violence On Academic Motivation Among Emerging Adult Women, Cristela Maria Thorne Mitchell

Walden Dissertations and Doctoral Studies

For women who are victims of intimate partner violence (IPV), one avenue to gaining independence from their partners is enhanced employment opportunities from obtaining a college degree. The purpose of this study was to investigate the relationship between IPV and academic motivation among emerging adult women, and whether depressive symptoms mediate the relationship. Bandura's social learning theory, Deci and Ryan's theory of self-determination, and Seligman's theory of learned helplessness were the theoretical frameworks of the study. The study sample consisted of 225 women 19-29 years of age who were enrolled in higher education and who had experienced violence from an …

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The Experience Of Adults With Attention-Deficit/Hyperactivity Disorder In The Workplace, Josephine Laverne Harris Jan 2020

The Experience Of Adults With Attention-Deficit/Hyperactivity Disorder In The Workplace, Josephine Laverne Harris

Walden Dissertations and Doctoral Studies

Attention-deficit/hyperactivity disorder (ADHD) has been associated with children for many decades, but it can continue into adulthood. However, little research has focused on adults with ADHD or the specific processes through which such adults mitigate the challenges they face, especially in the workplace. The purpose of this qualitative, grounded theory study was to provide a better understanding of the strategies and support systems adults with ADHD use to overcome workplace challenges. Self-efficacy theory grounded the study, allowing for an understanding of the lived experiences of adults with ADHD in the workplace. The researcher conducted 12 semistructured interviews with adults with …

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Challenges For Active-Duty Military Personnel In Completing Undergraduate Degrees, Kathleen Marie Parrish Jan 2020

Challenges For Active-Duty Military Personnel In Completing Undergraduate Degrees, Kathleen Marie Parrish

Walden Dissertations and Doctoral Studies

The problem this basic qualitative study addressed was the low baccalaureate degreecompletion rate for airmen at an Air Force base in the Eastern Region of the United States (AFER). This problem is important because understanding the challenges airmen face may enable leadership to support degree completion, thus improve employment options after military service. The purpose of this study was to examine experiences of enlisted airmen completing a baccalaureate degree while serving in the military. Bean and Metzner’s theory on nontraditional student attrition was used as a framework for this study. The research questions were designed to help understand the challenges …

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Older Adults' Access To Medicaid's Home-And Community-Based Services, Joe Henry Horton Jan 2020

Older Adults' Access To Medicaid's Home-And Community-Based Services, Joe Henry Horton

Walden Dissertations and Doctoral Studies

As the U.S. population ages, the need for public policies regarding long-term care increases, as the need is unequal to demand. The purpose of this qualitative study was to explore and describe the role of senior service providers (SSPs) who have dealt with health policies from being responsible for the decision-making processes of implementing federal and state guidelines in Michigan on access and wait-listing of older adults for home and community-based services (HCBS). The theoretical foundation for this study was the social construction and policy design theory. The central research question sought perceptions of SSPs as to their ability to …

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Midwestern College Student Perceptions Of Police And The Power Of Names, Melessa Renee Henderson Jan 2020

Midwestern College Student Perceptions Of Police And The Power Of Names, Melessa Renee Henderson

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore, understand, and describe college student perceptions of the police based on if they grew up in rural or urban communities. Three aspects of college student perception of the police covered in this study are effectiveness, fairness, and legitimacy. Effectiveness may include police responsiveness and empathy as well as crime prevention and resolution. As opposed to internal biases, fairness is more external and may include equal treatment regardless of demographic differences. Lastly, legitimacy is more philosophical and revolves around the lawfulness of state power via police over a people. Researchers acknowledge that due …

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Expatriate-Teacher Turnover In The International School Industry Of China, Richard Ik Ihejieto Jan 2020

Expatriate-Teacher Turnover In The International School Industry Of China, Richard Ik Ihejieto

Walden Dissertations and Doctoral Studies

Expatriate-teacher turnover disrupts the social and academic lives of students in the international school industry of China. The human resource budgets of these schools are unsustainable and expatriate-teacher turnover significantly affects globalization and international businesses. The rate of expatriate-teacher turnover in the international school industry of China, which results in financial losses and creates anxiety for the students, necessitated an examination of expatriate-teacher turnover in the international school industry of China. This qualitative descriptive phenomenological study of expatriate-teacher turnover in the international school industry of China, was framed by the concepts of the internationalized schools in China and teacher turnover …

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Self-Efficacy And Burnout And Their Impact On School Counselors, Jacqueline Jacobs Jan 2020

Self-Efficacy And Burnout And Their Impact On School Counselors, Jacqueline Jacobs

Walden Dissertations and Doctoral Studies

Policymakers focused on school and mental health proposals in the wake of shooting in Newton, Connecticut. Since this incident a policy is being considered to restrict gun use and increase mental health and student support services. In 2012, the Department of Education explored five emerging issues that impact learning: (a) school discipline, (b) gender-based violence, (c) behavioral health, (d) bullying, and (e) school safety. These five issues, when they impact the learning environment, the school counselor may exhibit increased anxiety that may lead to burnout. Additionally, the school climate may be impacted by the relationship with administrators and staff. If …

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Historical Trauma, Contemporary Trauma, And Type-2 Diabetes Self-Management Among American Indian/Alaska Native Women, Dorothy Ruth Jolley Jan 2020

Historical Trauma, Contemporary Trauma, And Type-2 Diabetes Self-Management Among American Indian/Alaska Native Women, Dorothy Ruth Jolley

Walden Dissertations and Doctoral Studies

Endemic Type-2 Diabetes Mellitus (T2DM) is one of the leading causes of mortality among American Indian/Alaska Natives (AI/ANs). Trauma and stress have been shown to impact the progression of diabetes that could negatively impact health-related behaviors. Previous studies have not examined the relationship between historical and contemporary trauma and T2DM self-management among AI/AN women. The purpose of this research was to examine the relationship between historical loss, historical loss associated symptoms, stressful life events, microaggressions (microinsults and microinvalidations), and T2DM self-management (glucose management, dietary control, physical activity, healthcare use) among AI/AN women with diabetes. Historical trauma theory was the basis …

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Staff Engagement And Training In Supported Addiction Recovery Program For Adults With Intellectual Disabilities, Hannah Carlson Jurewicz Jan 2020

Staff Engagement And Training In Supported Addiction Recovery Program For Adults With Intellectual Disabilities, Hannah Carlson Jurewicz

Walden Dissertations and Doctoral Studies

The prevalence of substance use disorder (SUD) is similar among individuals with intellectual or developmental disabilities (ID/DD) and the general population, yet there is a disparity between treatment and outcomes for these two groups due to a lack of appropriately adapted treatment and staff training. The purpose of this case study was to examine how leaders in a behavioral health organization understand the engagement and training experience for staff who provide substance abuse treatment for individuals with ID/DD. Governance and operational data were collected and analyzed from internal archival sources and organizational leader interviews. Themes identified from coding indicated that …

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Perceptions Of Newly Licensed Registered Nurses About Homecare As A Practice Area, Tamara M. Kelley Frazier Jan 2020

Perceptions Of Newly Licensed Registered Nurses About Homecare As A Practice Area, Tamara M. Kelley Frazier

Walden Dissertations and Doctoral Studies

The demand for competent nurses working in a home care setting continues to grow because of decreased length of stay in hospitals and population needs for chronic care management when homebound. Nursing educational programs introduce students to community health and home care nursing, which could influence a student nurse's choice of home health care as an initial practice setting. This qualitative study examined the perceptions of newly licensed registered nurses (NLRNs) about home care as an initial practice area. Ten NLRNs not working in home health care areas responded to 16 open-ended interview questions that were based on the career …

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Child Witchcraft Accusations In Kinshasa, The Democratic Republic Of Congo, Edmond Kesseh Jan 2020

Child Witchcraft Accusations In Kinshasa, The Democratic Republic Of Congo, Edmond Kesseh

Walden Dissertations and Doctoral Studies

Child witchcraft accusations, which represent a comparatively new phenomenon in Kinshasa, Democratic Republic of Congo, have caused tens of thousands of children aged 5-10 years to be abused, tortured, ostracized, stigmatized, and thrown out of family homes into the streets. The purpose of this phenomenological study was to explore the perceptions of staff of local nongovernmental organizations (NGOs), international organizations, and other child advocacy groups who worked with young children accused of witchcraft concerning how their efforts and collaboration with the government influenced the problem. Critical theory and an attachment conceptual framework were used to analyze the effectiveness of existing …

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Impact Of Chlorpyrifos Exposure On Colorectal Cancer In Agricultural Communities In Ohio, Vicky Knisley-Henry Jan 2020

Impact Of Chlorpyrifos Exposure On Colorectal Cancer In Agricultural Communities In Ohio, Vicky Knisley-Henry

Walden Dissertations and Doctoral Studies

Colorectal cancer (CRC) is the third leading cancer diagnosis in the United States, and second in Ohio, for both men and women. In 2019, there were an estimated 145,000 cases of new CRC diagnoses and will lead to more than 50,000 deaths. Results from a systematic review indicate that chlorpyrifos use in agriculture is linked to the incidence of breast and lung cancers and has a possible association with CRC. Grounded in the social-ecological model, this study investigated the association between exposure to chlorpyrifos and CRC rates in agricultural communities in Ohio. The quantitative cohort design method utilized secondary data …

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Understanding Stakeholder Interests In Rulemaking Through The Lens Of Private-Interest Institutionalism, Walter Lewis Koski Jan 2020

Understanding Stakeholder Interests In Rulemaking Through The Lens Of Private-Interest Institutionalism, Walter Lewis Koski

Walden Dissertations and Doctoral Studies

State regulators have the task of promulgating regulations for multiple heavily regulated industries, but there is a dearth of research to help public policy makers better understand how rulemaking processes are perceived by stakeholders in those processes. Regulators who promulgated rules for the legalization of marijuana in Colorado used both required and discretionary methods of participation in rulemaking to involve stakeholders with multiple competing interests. This qualitative research study was based on a phenomenological approach and interview data from 10 stakeholders who participated in the Colorado Marijuana Enforcement Division's rulemaking processes between 2013 and 2016. The purpose of this study …

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Strategies For Hiring People With Disabilities To Prevent A Skilled Worker Shortage, Andreas Kyprianou Jan 2020

Strategies For Hiring People With Disabilities To Prevent A Skilled Worker Shortage, Andreas Kyprianou

Walden Dissertations and Doctoral Studies

Many business sectors are currently facing challenges in the labor market and will need to address inefficiencies in their recruitment and retention strategies. Restaurant managers who lack strategies for recruiting nontraditional staff, such as people with disabilities, risk declining competitiveness because of this labor shortage. Grounded in stakeholder theory, the purpose of this multiple case study was to explore strategies restaurant managers use to recruit and hire people with disabilities to prevent or address skilled worker shortages. The participants comprised 7 quick service restaurant (QSR) franchisees and managers from the same QSR brand in Canada with previous experience recruiting staff …

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Perceptions Of Academic Success Of English As A Second Language Nursing Students, Jean Lansang Jan 2020

Perceptions Of Academic Success Of English As A Second Language Nursing Students, Jean Lansang

Walden Dissertations and Doctoral Studies

Hispanic or Latino and Asian communities represent two of the rapid-growing ethnicities who seek healthcare in the United States. However, the U.S. nursing workforce does not reflect the ethnic or cultural makeup of the patient population. The purpose of this study was to examine the lived experiences of Asian and Hispanic or Latino English as a second language (ESL) nursing students and learn the barriers and facilitators they experienced in their nursing program. A qualitative phenomenological approach underpinned by the social-ecological model and the Cummins language acquisition model was used for the study. Face-to-face interviews were conducted with 7 Asian …

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Perceptions Of Urban Secondary Science Teachers Regarding Social Learning Professional Development, Mary Kaye Macauley Jan 2020

Perceptions Of Urban Secondary Science Teachers Regarding Social Learning Professional Development, Mary Kaye Macauley

Walden Dissertations and Doctoral Studies

Traditional classroom environments may not motivate students to learn and may lack interactive connections between educators and learners in the classroom. The problem addressed in this research study is the lack of understanding of science teachers' use and perception of innovative social learning strategies implemented in urban classrooms. The purpose of this research study was to establish urban science teachers' perceptions regarding social learning strategies within their classrooms. The conceptual framework of Hall and Hord's levels of use was used. The research questions addressed in this study focused on the perceptions and experiences of secondary science teachers in a large, …

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Influence Of Supervisor Support And Resilience On Productivity And Turnover Intentions In Pediatric Health Care, Adrienne Y. Martin Jan 2020

Influence Of Supervisor Support And Resilience On Productivity And Turnover Intentions In Pediatric Health Care, Adrienne Y. Martin

Walden Dissertations and Doctoral Studies

Workplace violence has become a critical safety issue in the health care setting, often leading to increased stress levels and employees that feel unsupported and inadequately prepared; which leads to increased turnover, and subsequently, diminished overall organizational productivity and poorer patient outcomes. The purpose of this study was to examine whether supervisor support and resilience affect productivity and turnover intent related to professional role and work experience following workplace violence in the pediatric health care setting. Organizational support theory and the framework of the resilience model provided the theoretical structure for this study. Data were collected through anonymous surveys with …

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Exploring Fathers' Perception Of Their Reading And Math Skills And Paternal Involvement, Vielka C. Massenburg Jan 2020

Exploring Fathers' Perception Of Their Reading And Math Skills And Paternal Involvement, Vielka C. Massenburg

Walden Dissertations and Doctoral Studies

Many children in the U.S. public education system at the elementary and secondary levels are below proficiency in reading and math. Parental involvement within the home and school context is important to children's overall and academic success. The purpose of this basic, qualitative study was to explore fathers' perception about their self-efficacy, reading and math skills, knowledge of and accessibility to educational and community resources, and their involvement in the academic lives of their elementary school-age children. Bronfenbrenner's ecological systems theory provided the theoretical framework of social interrelatedness. Semistructured interviews were conducted to collect the data from 7 fathers with …

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