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Walden Dissertations and Doctoral Studies

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Challenges K-12 School Administrators Encounter Supporting The Cultural And Academic Needs Of African American Male Students, Geneda L. Kearney Jun 2025

Challenges K-12 School Administrators Encounter Supporting The Cultural And Academic Needs Of African American Male Students, Geneda L. Kearney

Walden Dissertations and Doctoral Studies

Research shows that students with educational support aligned to their cultural and academic needs have better outcomes. K-12 school administrators were challenged to support African American male students’ cultural and academic needs. Guided by cultural mismatch theory and critical race theory, this basic qualitative study aimed to explore the perceptions of K-12 administrators concerning the cultural and academic needs to support African American male students. Data were collected via semi-structured interviews with eight K-12 school administrators having at least 2 years of experience in administration in a southeastern public school district in the United States. Thematic analysis of interview data …


The Relative Strength Of Help-Seeker Stereotype, Help-Seeking Self-Stigma, And Self-Esteem In Predicting Attitudes Toward Seeking Mental Health Help, Souad Torjani Azim Jun 2025

The Relative Strength Of Help-Seeker Stereotype, Help-Seeking Self-Stigma, And Self-Esteem In Predicting Attitudes Toward Seeking Mental Health Help, Souad Torjani Azim

Walden Dissertations and Doctoral Studies

The increasing prevalence of mental health issues among college students is a critical concern. Disorders such as depression and anxiety are becoming more common, with depression notably a major risk factor for suicide—the second leading cause of death in this age group. Despite this troubling trend, significant barriers to accessing mental health services remain. While research has explored various factors contributing to students’ reluctance, such as stigma, distrust in the mental health system, lack of social support, and mental health literacy, none to date has examined the relative strength of help-seeker stereotype, help-seeking self-stigma, and self-esteem in predicting attitudes toward …


Experiences Of Black Women In Black Colleges Voluntarily Seeking Psychiatric Services, Linda Jarvis Brown Jun 2025

Experiences Of Black Women In Black Colleges Voluntarily Seeking Psychiatric Services, Linda Jarvis Brown

Walden Dissertations and Doctoral Studies

Black Americans face significant barriers to psychiatric services including a lack of access to culturally competent care. Mental illnesses continue to be the leading causes of disability in the United States. This qualitative phenomenological study, guided by the health belief model, explored the experiences of Black women in Black colleges who voluntarily seek psychiatric services. My study addressed a gap in understanding the facilitators and barriers for Black women voluntarily seeking mental health services. Data were collected through semistructured interviews with nine participants who were Black women attending Black colleges who voluntarily sought psychiatric services. Data analysis was accomplished using …


Nafld Surveillance In The Alaska Native/American Indian Population, Wileina Saumara Rhodes Jun 2025

Nafld Surveillance In The Alaska Native/American Indian Population, Wileina Saumara Rhodes

Walden Dissertations and Doctoral Studies

In the United States, the prevalence of NAFLD is estimated at 24% of the population, and by 2030, the incidence of NAFLD will increase to 100.9 million cases. This study aimed to determine the prevalence and rate of non-alcoholic fatty liver disease (NAFLD) progression in the Alaska Native/ American Indian population (AN/AI) with and without elevated liver function tests. Two research questions guided the study: Do outcomes (abnormal/normal) of LFTs, A1C, lipids, BMI, and inflammatory markers predict or have a relationship with NAFLD progression? Does NAFLD surveillance have a relationship with the patient’s outcome as measured by the NAFLD Fibrosis …


Leadership Strategies To Enhance Funding Performance In Pre-K -12 Public School Districts, Cynthia W. Williams Jones Jun 2025

Leadership Strategies To Enhance Funding Performance In Pre-K -12 Public School Districts, Cynthia W. Williams Jones

Walden Dissertations and Doctoral Studies

Some school leaders lack strategies to impact educational funding performance in prekindergarten through 12th grade (PK-12) public schools and increase students’ academic achievement and performance. School leaders and policymakers are concerned with improving educational funding, student achievement, and student performance in PK-12 public schools. Grounded in the Baldrige excellence framework, the purpose of this qualitative pragmatic inquiry study was to identify effective strategies that school leaders use to improve educational funding performance in PK-12 public schools and increase students’ academic achievement and performance. Participants were six PK-12 public school leaders with at least 5 years of leadership experience who had …


Staff Education To Enhance Use Of The Patient Health Questionnaire For Pediatric Mental Health Providers, Linda Kalle Jun 2025

Staff Education To Enhance Use Of The Patient Health Questionnaire For Pediatric Mental Health Providers, Linda Kalle

Walden Dissertations and Doctoral Studies

The underuse of standardized mental health screening tools, such as the Patient Health Questionnaire-9 (PHQ-9), delays the diagnosis of major depressive disorder (MDD) in pediatric patients. This staff education project aimed to improve psychiatric providers' knowledge, confidence, and PHQ-9 utilization through an interactive training program. Over four weeks, three nurse practitioners and two medical assistants participated in an evidence-based educational intervention. Pre- and post-training assessments measured provider knowledge, confidence, and PHQ-9 usage through surveys and electronic health record (EHR) audits. Results showed provider knowledge increased from 65% to 90%, confidence improved from 60% to 85%, and PHQ-9 usage rose from …


Registered Nurses’ Perceptions Of Patient Safety In Critical Care Units, Martha Benghie Hyacinthe Jun 2025

Registered Nurses’ Perceptions Of Patient Safety In Critical Care Units, Martha Benghie Hyacinthe

Walden Dissertations and Doctoral Studies

Patient safety is a cornerstone of effective healthcare delivery, particularly in critical care units (CCUs) where patients are at heightened risk of complications due to their complex medical conditions. The purpose of this study, guided by Watson’s theory of human caring, was to explore RNs’ perceptions of patient safety in CCUs. Data on eight RNs working in CCUs were collected through semi-structured interviews, allowing for an in-depth exploration of nurses’ perspectives. Data were collected through semi-structured interviews, allowing for an in-depth exploration of nurses’ perspectives. Using Saldana’s method of thematic analysis, three overarching themes emerged: patient safety, resource allocation, and …


Digital Transformation Strategies Used By Church Leaders To Increase Revenues And Meet Budgetary Goals, Lee Riley Jun 2025

Digital Transformation Strategies Used By Church Leaders To Increase Revenues And Meet Budgetary Goals, Lee Riley

Walden Dissertations and Doctoral Studies

Ineffective strategies to use digital transformation to increase revenues and meet budgetary goals can negatively impact small rural church leadership capabilities. Small rural church leaders who struggle to increase revenues and meet budgetary goals are at high risk of business instability. Grounded in the diffusion of innovations theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective digital transformation strategies used by small rural church leaders to increase revenues and meet budgetary goals. Participants were eight small rural church leaders who had effectively used digital transformation to increase revenues and meet budgetary goals. Data were collected …


Effective Adapted Psychotherapy Approaches For Autistic Adults: Perspectives From Clinical Psychologists, Emily Morgan Hilton Jun 2025

Effective Adapted Psychotherapy Approaches For Autistic Adults: Perspectives From Clinical Psychologists, Emily Morgan Hilton

Walden Dissertations and Doctoral Studies

Autistic adults face a high risk of co-occurring mental health challenges, yet standard psychotherapy often fails to meet their unique needs, raising concerns about treatment effectiveness. This qualitative study aimed to understand how clinical psychologists decide on therapeutic approaches and adaptations for their autistic adult clients through three research questions: RQ1: How do clinical psychologists decide on the appropriate therapeutic approach they use with their autistic adult clients? RQ2: How do clinical psychologists decide which adaptations are appropriate to implement in psychotherapy with their autistic adult clients? RQ3: Does the therapeutic approach affect how a clinical psychologist chooses appropriate adaptations …


Early Childhood Teachers’ Perspectives On The Challenges Of Teaching Students With Autism Spectrum Disorder, Karen Denise Buchanan Jun 2025

Early Childhood Teachers’ Perspectives On The Challenges Of Teaching Students With Autism Spectrum Disorder, Karen Denise Buchanan

Walden Dissertations and Doctoral Studies

Early Childhood Teachers’ Perspectives on the Challenges of Teaching Students with Autism Spectrum Disorder by Karen D. Buchanan Ed.S. Mercer University 2017 MA, Mercer University, 2016 BA, Mercer University, 2012 AS Georgia Perimeter College, 2009 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Education Walden University August 2025


Exploring The Lived Experiences Of Rural Women Of Color Seeking Police Intervention During An Intimate Partner Violence Crisis, Michelle Angelica Perez Jun 2025

Exploring The Lived Experiences Of Rural Women Of Color Seeking Police Intervention During An Intimate Partner Violence Crisis, Michelle Angelica Perez

Walden Dissertations and Doctoral Studies

Exploring the lived experiences of rural women of color in the United States who seek police intervention during an intimate partner violence crisis is a necessity. In rural regions, many African American and Caribbean Blacks in rural communities endure physical assaults perpetrated by their partners throughout their lives. IPV among women of color, especially the obstacles that they face in requesting police intervention. The findings of this research study provide valuable insights that can support the establishment of intervention centers for rural women of color by involving key stakeholders, such as police departments in these regions. This study used semi-structured …


Improving Health Outcomes For Elderly Patients With Post-Stroke Depression: A Staff Education Project For Implementing A Collaborative Care Model In A Connecticut Behavioral Health Facility, Nneka Mcclane Jun 2025

Improving Health Outcomes For Elderly Patients With Post-Stroke Depression: A Staff Education Project For Implementing A Collaborative Care Model In A Connecticut Behavioral Health Facility, Nneka Mcclane

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project is a staff education program aimed at improving nursing care for elderly patients with post-stroke depression (PSD) through education on the collaborative care model (CCM). The practice concern addressed is the underrecognition and undertreatment of PSD in elderly patients in a rehabilitation setting due to a lack of staff knowledge and confidence in screening for PSD in the elderly. The aim of this DNP project was to provide staff with the knowledge necessary to engage PSD screening as a part of the CCM, which has the potential to enhance PSD management and improve …


The Mediating Role Of Intellectual Humility On The Relationship Between Perspective-Taking And Affective Polarization, Daniel Smith Jun 2025

The Mediating Role Of Intellectual Humility On The Relationship Between Perspective-Taking And Affective Polarization, Daniel Smith

Walden Dissertations and Doctoral Studies

Affective polarization, a phenomenon characterized by animosity between opposing political parties, has emerged as a growing and intractable problem in the United States. Affective polarization threatens American democracy, as polarized citizens become increasingly unwilling to trust cross-partisans, hold their political leaders accountable, or support the results of free and fair elections. While prior research has investigated the mitigating effect of intellectual humility and perspective-taking on affective polarization, researchers have yet to investigate whether intellectual humility and perspective-taking work synergistically to mitigate affective polarization. Informed by social identity theory, this quantitative study determined if intellectual humility mediated the relationship between perspective-taking …


The Relationship Between Food Label Comprehension And Consumer Dietary Choices, Marline Denis Jun 2025

The Relationship Between Food Label Comprehension And Consumer Dietary Choices, Marline Denis

Walden Dissertations and Doctoral Studies

Poor dietary choices and limited understanding of nutritional information are ongoing public health concerns that contribute to the rise of chronic illnesses such as obesity, diabetes, and heart disease. This quantitative, cross-sectional, correlational study investigated the associations between health literacy and food label comprehension with consumer dietary choices and adherence to dietary guidelines among individuals aged 16 and older in the United States. Guided by the Nutrition Label Literacy (NLL) framework, this study explored whether components such as basic nutritional knowledge, numeracy skills, health motivation, and label usage predict healthier food choices. Age, education, and gender were included as covariates. …


Staff Education On Substance Use Screening In An Outpatient Mental Health Clinic, Kelvin Okwudiogor Jun 2025

Staff Education On Substance Use Screening In An Outpatient Mental Health Clinic, Kelvin Okwudiogor

Walden Dissertations and Doctoral Studies

This DNP project aimed to enhance the quality of care by improving healthcare providers’ knowledge and fostering confidence in the utilization of screening, brief intervention, and referral to treatment (SBIRT). At the practice site, patients were not screened for substance use due to the lack of provider knowledge on evidence-based screening tools. The practice-focused question for this project was, Among healthcare providers in outpatient mental health clinics, does education on the use of the SBIRT screening tool increase their knowledge and skill after educational intervention? The project used a sample of 12 healthcare professionals, including four mental health practitioners and …


Effective Performance Improvement Strategies For Recruiting, Hiring, And Retaining Disabled Employees, Mark F. Boisvert Jun 2025

Effective Performance Improvement Strategies For Recruiting, Hiring, And Retaining Disabled Employees, Mark F. Boisvert

Walden Dissertations and Doctoral Studies

Challenges in achieving optimal performance outcomes among employees with disabilities in U.S. business organizations can contribute to decreased organizational profitability and increased stress among managers and other employees. Business leaders have expressed concern about the lack of effective strategies to recruit, hire, and retain employees with disabilities, which may hinder overall organizational performance. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective strategies business leaders use for recruiting, hiring, and retaining employees with disabilities to increase organizational productivity. Data were collected using semistructured interviews with six purposively sampled U.S. business …


Improving Follow-Up Adherence: A Case Study On Patient Experience Initiatives, Aaron Haley Jun 2025

Improving Follow-Up Adherence: A Case Study On Patient Experience Initiatives, Aaron Haley

Walden Dissertations and Doctoral Studies

Patient-centered care has become increasingly paramount in healthcare organizations (Thummak et al., 2023). A critical component of this model is patient adherence to scheduled appointments, as missed visits can negatively affect outcomes (Halladay et al., 2019), increase healthcare costs, waste resources, and disrupt workflow (Low et al., 2023). This qualitative case study investigated the factors contributing to patient nonadherence to scheduled visits in a multidisciplinary behavioral health organization (BHO) in the Southwestern United States. The study utilized data from the behavioral health leader (BHL), organizational records, and secondary sources and was guided by the Baldrige Framework of Excellence as its …


Staff Education To Registered Nurses On An Inpatient Pediatric Unit Regarding Pediatric Burn Principles, Qwinnetta Janae Stokes Jun 2025

Staff Education To Registered Nurses On An Inpatient Pediatric Unit Regarding Pediatric Burn Principles, Qwinnetta Janae Stokes

Walden Dissertations and Doctoral Studies

The purpose of this staff education project was to improve nurses’ knowledge on burn care using an educational intervention. The project site became the children's hospital designated burn unit. Children with burns were a new patient population that the project unit had never cared for, and there was no formal training or competencies for nurses caring for these patients. Nurses requested formal education before being expected to care for these patients. This project utilized a single group, pre-post design comparing knowledge of bedside surgical nurses about pediatric burn care management principles before and after the educational intervention. The intervention was …


The Effectiveness Of Vivitrol And Naltrexone For Rural And Urban Participants Post-Incarceration Or Under Supervision, Francis Anthony Mulford Jun 2025

The Effectiveness Of Vivitrol And Naltrexone For Rural And Urban Participants Post-Incarceration Or Under Supervision, Francis Anthony Mulford

Walden Dissertations and Doctoral Studies

Behavioral health professionals are concerned with the opioid epidemic in the United States, as opioid use results in needless overdose deaths annually. Relapse prevention is the theory that grounded this study, and naltrexone or extended-release naltrexone (XR-NTX) was used to measure effectiveness for 50 forensic, rural, and urban individuals with opioid use disorder (OUD) to prevent relapse. Furthermore, this study used a chi square test of independence, nonparametric test with a Cramer’s V, and Fisher’s exact. While outcomes revealed no significant differences between rural and urban groups, significant evidence was observed when medication outcomes and medication extent were evaluated, Pearson …


Effective Leadership Strategies For The Implementation Of Innovative Technologies To Improve Access To Health Facilities, Nicole Aromolaran Jun 2025

Effective Leadership Strategies For The Implementation Of Innovative Technologies To Improve Access To Health Facilities, Nicole Aromolaran

Walden Dissertations and Doctoral Studies

Integrating innovative healthcare technology into strategic planning and implementation has transformed how organizations address healthcare disparities through enhanced leadership strategies. Some health facility leaders are concerned about the lack of effective strategies for implementing innovative technology, as it hinders patient access and weakens organizational competitiveness. Grounded in transformational leadership theory and the technology acceptance model, the purpose of this qualitative pragmatic inquiry study was to identify and explore effective strategies that health facility leaders used to implement innovative technology to improve healthcare access and competitive advantage. The participants were four leaders within the healthcare and information technology sector, with at …


Public Relations As An Approach For Smes To Improve Business Sustainability, Nikkia Tene Mcclain Jun 2025

Public Relations As An Approach For Smes To Improve Business Sustainability, Nikkia Tene Mcclain

Walden Dissertations and Doctoral Studies

Small and medium-sized enterprises (SMEs) often lack dedicated public relations (PR) departments, limiting their ability to build brand identity, and gain market share compared to larger firms with greater resources. Small business owners need PR departments to improve their competitive positioning to satisfy buyers. stay competitive to maintain and increase employment, and satisfy customers. Grounded in the dynamic capability theory, this qualitative multiple case study explored how the development and strategic implementation of PR functions can provide SMEs with a competitive advantage. Participants included seven SME owners in fashion, real estate, beauty, business, technology, and retail, each with experience in …


California Prison Reentry Service Providers’ Views On Rehabilitation And Its Impact On Recidivism, Kimberly A. Clisbee Jun 2025

California Prison Reentry Service Providers’ Views On Rehabilitation And Its Impact On Recidivism, Kimberly A. Clisbee

Walden Dissertations and Doctoral Studies

This qualitative review used a convergent-parallel design to explore the perspectives of prison administrators and nonprofit reentry program providers regarding inmate rehabilitation iii and reentry services. In 2021, 76,000 inmates were pardoned due to changes in California legislation (Fritz, 2024, p. 1 ). According to a 2024 report, 89,898 inmates are residing in California State prisons- 119% over capacity (Morris, 2024, p. 1 ). This study investigated two key aspects: (1) What rehabilitation and reintegration services are offered to inmates in the California State prison system, and are these services provided upon release? 2. Are inmates required to participate in …


Nurse Led Staff Education Program For Workplace Stress Reduction, Ebony Sudduth Jun 2025

Nurse Led Staff Education Program For Workplace Stress Reduction, Ebony Sudduth

Walden Dissertations and Doctoral Studies

This doctoral project evaluated the impact of a staff education program aimed at increasing healthcare workers' awareness of workplace stress dangers among teammates in an outpatient hemodialysis center. The identified practice issue was limited knowledge about the facilitators, adverse outcomes, and resources related to occupational stress in healthcare. Lack of education regarding the risks of work-related stress presents a critical concern in nursing practice, significantly affecting caregiver well-being and patient outcomes. Nurses, particularly in high-pressure environments such as hemodialysis centers, often experience unrecognized and unmanaged emotional and physical demands, leading to chronic stress and burnout. Hemodialysis nurses are especially susceptible …


Masculine Traits In Female Serial Killers: A Qualitative Analysis, Ashley Polk Jun 2025

Masculine Traits In Female Serial Killers: A Qualitative Analysis, Ashley Polk

Walden Dissertations and Doctoral Studies

Female serial killers represent a minority in criminal statistics; their cases offer significant insights regarding broader patterns of serial killing behavior. The purpose of this study is to understand the role masculine traits play in the lives of female serial killers. This study involved using a qualitative research method to understand specific characteristics of female serial killers with common masculine traits and childhood experiences. Common masculine traits researched in this study were lack of emotions, aggression, control, dominance, and manipulation. The trauma control model and the gender scheme theory were the theoretical frameworks for this study. Data were collected by …


Relationship Between Emotional Intelligence And Well-Being Among New York Police Department Law Enforcement Agents, La’Lisa Scudder Jun 2025

Relationship Between Emotional Intelligence And Well-Being Among New York Police Department Law Enforcement Agents, La’Lisa Scudder

Walden Dissertations and Doctoral Studies

The problem this quantitative study addressed was police officers’ willingness to use organizational help-seeking interventions and rely on organizational support to mitigate operational and organizational stress. Previous literature discussed how officers engaged in different maladaptive coping behaviors as a result of work related stressor or low well-being, divorce, depression, prescription drug abuse, alcoholism, and suicide. The purpose of this quantitative correlational cross-sectional study was to examine the relationship between emotional intelligence and well-being among law enforcement agents and examine agents’ willingness to use organizational-based intervention services. The organizational support theory and the social exchange theory provided the theoretical framework for …


An Exploration Of The Lived Experiences Of Black Female Kinship Caregivers In Parenting Youth Aged 13-18, Tyla Wilder Jun 2025

An Exploration Of The Lived Experiences Of Black Female Kinship Caregivers In Parenting Youth Aged 13-18, Tyla Wilder

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study explored how the intersection of identities related to race and gender shapes the lived experiences of Black female kinship caregivers raising youth aged 13–18. Drawing on Intersectionality Theory, the study sought to understand the caregiving challenges, emotional resilience, and systemic barriers encountered by this underrepresented population. Nine participants were recruited through purposive and snowball sampling and engaged in in-depth semi-structured interviews. Thematic analysis revealed that cultural norms and racialized gender expectations often compelled Black females to assume caregiving roles without institutional recognition or support. Participants described emotional isolation, financial instability, and limited access to legal and …


Race, Resources, And American Adolescents’ Mental Health During The Covid-19 Pandemic, Chineze Nkemeh Jun 2025

Race, Resources, And American Adolescents’ Mental Health During The Covid-19 Pandemic, Chineze Nkemeh

Walden Dissertations and Doctoral Studies

During the COVID-19 pandemic, African American adolescents experienced reduced access to needed resources and may have suffered poorer mental health outcomes as a result. The purpose of this quantitative study was to examine the association between race and the availability of mental health resources, food, medical health resources and mental health outcomes among African American adolescents in the United States during the COVID-19 pandemic compared to their White counterparts. The theoretical framework that grounded this study was the Socio Ecological Model. Secondary data from the Centers for Disease Control and Prevention’s Adolescent Behaviors and Experiences Survey database were analyzed. These …


Moderating Role Of Locus Of Control On The Relationship Between Self-Efficacy And Trust In Ai, Amelia Gillies Jun 2025

Moderating Role Of Locus Of Control On The Relationship Between Self-Efficacy And Trust In Ai, Amelia Gillies

Walden Dissertations and Doctoral Studies

The rapid integration of artificial intelligence (AI) into essential sectors, including healthcare, customer services, and defense, has underscored the importance of user trust in AI systems. Psychological traits such as locus of control (the extent to which individuals attribute outcomes to internal or external factors) and self-efficacy (individuals’ confidence in their ability) have been identified as significant factors influencing trust in these automated systems. Previous studies have independently linked these psychological traits to trust in technology; however, there has been limited exploration of potential moderating effects of locus of control on the relationship between digital technology self-efficacy and trust in …


Exploring Educator Psychological Capital Through Participation In A Coordinated School Violence Prevention Approach, Stephanie Lorraine Neff Jun 2025

Exploring Educator Psychological Capital Through Participation In A Coordinated School Violence Prevention Approach, Stephanie Lorraine Neff

Walden Dissertations and Doctoral Studies

This study is a description of how educators’ participation in a coordinated approach to violence prevention contributed to employee wellness and school climate. Using principles of psychological capital (PsyCap) theory, archival focus group and interview data were used to describe educator experiences during implementation of a 3-year coordinated approach to school violence in a mid-sized public school district. Findings of the analysis revealed consistent references to feelings of hope, efficacy, resilience, and optimism throughout the study, but with slight shifts in frequency each year based on both internal (i.e. skill development, relationship-building), and external (i.e. administrative support, policy directives, broader …


Alternatively Certified Early Childhood Special Education Teachers' Perspectives On Remaining In The Classroom, Sena Victoria Ann Belgard Dever Jun 2025

Alternatively Certified Early Childhood Special Education Teachers' Perspectives On Remaining In The Classroom, Sena Victoria Ann Belgard Dever

Walden Dissertations and Doctoral Studies

Alternative teacher certification programs are used nationwide to address the critical teacher shortage in special education. There is a gap in knowledge regarding the challenges that early childhood special education teachers experience, which make them leave the profession at twice the rate of general education teachers. The purpose of this basic qualitative study was to explore alternatively certified early childhood special education teachers’ perspectives on remaining in their teaching positions and the support they need to continue teaching. The study framework was comprised of Day and Gu’s teacher resilience theory. Data were collected from semistructured interviews with 10 prekindergarten to …