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Walden Dissertations and Doctoral Studies

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The Disaster Health System: Built For Collaboration And Coordination In A Complex Environment, Leslie E. Taylor Jan 2023

The Disaster Health System: Built For Collaboration And Coordination In A Complex Environment, Leslie E. Taylor

Walden Dissertations and Doctoral Studies

This qualitative case study examined patient distribution and coordination during complex, rapidly changing, uncertain emergencies or disasters. The study explored how Washington State’s Northwest Healthcare Response Network (NHRN) uses the state’s patient tracking system, WaTrac, as a collaboration tool for Emergency Support Function 8 (ESF 8) and public health emergency operations. This study used complexity theory to address a gap in the literature, acknowledging the importance of relationships among members of the NHRN and how the patient tracking system could enhance positive patient outcomes. This study included nine healthcare response participants; all were members of the NHRN healthcare coalition serving …

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Part-Time Clinical Nursing Instructors’ Experiences Of Seeking Peer Support, Janet L. Thorson-Mador Jan 2023

Part-Time Clinical Nursing Instructors’ Experiences Of Seeking Peer Support, Janet L. Thorson-Mador

Walden Dissertations and Doctoral Studies

A well-documented shortage of nursing faculty is a key contributor to the ongoing shortage of nurses in the United States. Part-time clinical nursing faculty play a key role in preparing prelicensure nursing students for clinical practice. These part-time faculty have reported a perceived lack of peer support in the academic workplace. The purpose of this qualitative phenomenological study was to explore the perceptions of novice part-time prelicensure clinical nursing faculty as they sought peer support to transition into the educator role. Husserl’s transcendental phenomenology, as applied by Moustakas, and Illeris’s three dimensions of learning model informed this study. A sample …

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Utilization Of An Opioid Antagonist And Comprehensive Medication-Assisted Treatment In Correctional Settings, Amanda K. Trent Jan 2023

Utilization Of An Opioid Antagonist And Comprehensive Medication-Assisted Treatment In Correctional Settings, Amanda K. Trent

Walden Dissertations and Doctoral Studies

Many people brought into the U.S. criminal justice system have substance abuse problems that served as the primary or secondary catalyst for offending. To treat substance use disorder in these individuals, medication-assisted treatment (MAT) is being evaluated as a viable option in the criminal justice system. The purpose of this quantitative study was to evaluate the effectiveness of a MAT treatment program by reviewing existing data regarding offenders who were receiving the opioid antagonist naltrexone, other supplemental medications, and cognitive behavior therapy in a therapeutic community inside a correctional setting. Biological and social learning theoretical frameworks guided the study. Secondary …

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Young Adults’ Romantic Relationships: The Relation Between Perceived Pressure To Disclose And Disclosure To Romantic Partners, Jessica Truscott Jan 2023

Young Adults’ Romantic Relationships: The Relation Between Perceived Pressure To Disclose And Disclosure To Romantic Partners, Jessica Truscott

Walden Dissertations and Doctoral Studies

AbstractThe most personal level of communication is intentional self-disclosure of one’s feelings or thoughts with another individual. Within the context of romantic relationships, disclosure between partners has implications for the relationships and for individual well-being. However, less is known about whether perceived pressure to disclose is related to young adults’ amount of disclosure to their partners. The theoretical frameworks applied to this study included social penetration theory, self-disclosure theory, and Reis and Shaver’s intimacy process model. The primary purpose of this quantitative secondary analysis of previously collected data by Rose was to test whether young adults’ perceived pressure from their …

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Spiritual Outreach Methods To Support Congregant Mental Wellness, Jacob Aaron Wiley Jan 2023

Spiritual Outreach Methods To Support Congregant Mental Wellness, Jacob Aaron Wiley

Walden Dissertations and Doctoral Studies

This qualitative case study was an exploration of the HOPE organization’s communication strategies for supporting its congregants spiritually and emotionally before, during the peak, and after peak of the COVID-19 pandemic. The goal was to understand the effectiveness of these efforts to inform communications strategies in the event of future disasters or other service disruptions given the importance of maintaining congregant’s spirituality levels, which are uniquely important for their mental health and sense of well-being. The conceptual framework was the Baldrige framework of excellence. Primary data were collected through semistructured interviews with five key leaders. Secondary data were gathered from …

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African American Women’S Perceptions Of African American Men’S Preferences Of Female Body Size, Misty Withers Jan 2023

African American Women’S Perceptions Of African American Men’S Preferences Of Female Body Size, Misty Withers

Walden Dissertations and Doctoral Studies

Obesity is a chronic disease that is caused by unbalanced nutrition, sedentary lifestyles, and genetics. This research focused on the problem African American (AA) women face, which leads to a risk for diabetes, hypertension, heart disease, and various cancers. The inconsistency in the literature regarding additional factors related to obesity among AA women prompted this research. The purpose of this qualitative study was to gain a greater understanding of AA women’s perceptions of AA men preferences about female body sizes. The prototype willingness model was selected as the theoretical framework for this study to examine AA women’s discussions about their …

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Early Childhood Teachers’ Perspectives Of Being A Pbis Coach, Tiesha Laquan Allen Jan 2023

Early Childhood Teachers’ Perspectives Of Being A Pbis Coach, Tiesha Laquan Allen

Walden Dissertations and Doctoral Studies

School districts across the United States have seen an increase in the number of students who need behavioral support. The problem is that early childhood teachers who serve as Positive Behavioral Interventions and Supports (PBIS) coaches have challenges implementing the PBIS framework because of lack of buy in and resources such as time and funding. This basic qualitative study was conducted to explore early childhood teachers’ perspectives of being a PBIS coach and their experiences with implementation within the school. The conceptual framework used for this study was implementation science. The research questions for this qualitative study focused on the …

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Perspectives Of Teachers On The Use Of Technology Within The Preschool Experience, Cynthia L. Basse Jan 2023

Perspectives Of Teachers On The Use Of Technology Within The Preschool Experience, Cynthia L. Basse

Walden Dissertations and Doctoral Studies

Due to the increased use of technology in people’s lives, digital media literacy has become increasingly more important in young children’s early experiences. When used appropriately, children discover how to use digital media in ways that enhance their learning, preparing them for the positive benefits of technology use across their lifetime. The problem investigated in this study is that preschool teachers reported they did not use technology within the preschool experience. The purpose of this study was to explore teachers’ perspectives on technology use within the preschool experience. The conceptual framework for this qualitative study was developmentally appropriate practice. The …

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Utilization Of Mental Health Services For Caregivers Of Hemophiliacs, Anna Maria Bell Jan 2023

Utilization Of Mental Health Services For Caregivers Of Hemophiliacs, Anna Maria Bell

Walden Dissertations and Doctoral Studies

The utilization of mental health services for caregivers of hemophiliacs is an underserved area. Andersen’s behavioral model of utilization was the conceptual framework in this generic qualitative study. I used surveys and semi-structured interviews to obtain 20 participants’ information for nonprobability sampling, specifically purposive sampling. Narrative analysis was used as the foundation of the coding process The study findings revealed seven themes: cultural impact/stigma of mental health services; normalizing mental health services in the hemophilia community (national impact); inconsistencies in hemophilia treatment centers’ (HTCs’) service delivery; clarity of the role of the HTC social worker; member organizations emphasis on mental …

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Improving Student Nurse Clinical Reasoning, Critical Thinking, And Clinical Judgment Through Simulation Debriefing, Deborah Brester Jan 2023

Improving Student Nurse Clinical Reasoning, Critical Thinking, And Clinical Judgment Through Simulation Debriefing, Deborah Brester

Walden Dissertations and Doctoral Studies

Simulation is an educational strategy in nursing education that incorporates structured activities that depict real-life situations to develop and enhance the knowledge, skills, and attitudes of nursing students by allowing them to analyze and initiate interventions for realistic situations in a simulated environment. Debriefing is a reflective process and is a key component in the simulation education process, but there is a lack of evidence on debriefing methods that enhance learning outcomes in nursing education. This study, which was guided by the National League for Nursing Jeffries simulation theory, was to determine the effect simulation debriefing, as assessed using the …

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Self-Efficacy Facilitated Sleep, Physical Activity, Towards Regulating Bmi Of Permanent 12-Hour Shift Registered Nurses, Veronica Brock Jan 2023

Self-Efficacy Facilitated Sleep, Physical Activity, Towards Regulating Bmi Of Permanent 12-Hour Shift Registered Nurses, Veronica Brock

Walden Dissertations and Doctoral Studies

Shift workers with obesity-related comorbidities have reduced health and lifespan. Registered nurses (RNs) are ranked fifth among the most obese professionals in the United States, according to recent studies. Researchers have not examined the relationship between self-efficacy, physical activity, sleep, and 12-hour night shift RNs despite demonstrating that self-efficacy inspires confident health habits in the general population. For this quantitative study, the social cognitive theory was applied to study the interrelationships among the independent variables, sleep self-efficacy, self-efficacy for physical activity, and body mass index (BMI), with multiple dependent demographic variables, quality and quantity of sleep, and the level and …

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Administrators’ Perceptions Of Their Roles And Challenges In Building A Positive School Culture In Title I Schools, Yvonne Terry Browder Jan 2023

Administrators’ Perceptions Of Their Roles And Challenges In Building A Positive School Culture In Title I Schools, Yvonne Terry Browder

Walden Dissertations and Doctoral Studies

Elementary school principals in this study struggled to implement and maintain a positive school culture. School culture plays an essential role in schools, and school principals play a significant part in developing that culture. Positive school culture is vital in all schools, especially in high-poverty and low-performing Title I schools. This basic qualitative study involved understanding school principals' challenges in developing and maintaining a positive school culture in high-poverty and low-performing Title I schools. The transformational leadership theory was the framework for this study. Research questions were developed to understand what elementary principals of high-poverty and low-performing Title I schools …

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Low-Income Workers’ Perception Regarding Wage Theft And Barriers To Addressing Prevention In Southeast Florida, Marcia Carvlho-Donaldson Jan 2023

Low-Income Workers’ Perception Regarding Wage Theft And Barriers To Addressing Prevention In Southeast Florida, Marcia Carvlho-Donaldson

Walden Dissertations and Doctoral Studies

Many low-income workers are vulnerable to becoming victims of wage theft. Studies have shown that even when these workers know their rights, they still face certain obstacles should they complain or report such theft. Extensive research has been conducted at the federal level to establish the impact and consequences of wage theft, but few researchers have examined wage theft at the state and local level in states such as Florida. The experiences and perceptions of low-income worker participants in Southeast Florida were investigated in this phenomenological study, and rational choice theory was the conceptual framework used to investigate this phenomenon. …

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Decision-Making Practices Of Second-Grade Teachers To Support Struggling Readers With Small Group Instruction, Laura Chang Jan 2023

Decision-Making Practices Of Second-Grade Teachers To Support Struggling Readers With Small Group Instruction, Laura Chang

Walden Dissertations and Doctoral Studies

Teachers must devote significant time to making the instructional decisions necessary to effectively plan and prepare small group lessons. Although small group instruction has attracted the attention of researchers, there is a lack of understanding in the effective implementation of reading interventions to support struggling readers. The purpose of this basic qualitative study was to describe how second-grade teachers make instructional decisions to plan and implement small group reading interventions for struggling readers. The study’s conceptual framework included Bandura’s social-cognitive theory and was supported by Pearson and Gallagher’s gradual release of responsibility instructional framework. The framework helped describe how second-grade …

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The Relationship Between Exercise Self-Efficacy, Fear-Avoidance Beliefs, And Exercise In Individual’S With Postural Orthostatic Tachycardia Syndrome, Mary Bridget Collins Jan 2023

The Relationship Between Exercise Self-Efficacy, Fear-Avoidance Beliefs, And Exercise In Individual’S With Postural Orthostatic Tachycardia Syndrome, Mary Bridget Collins

Walden Dissertations and Doctoral Studies

Postural orthostatic tachycardia syndrome (POTS) is a form of dysautonomia in which the autonomic nervous system malfunctions. An effective treatment for POTS is exercise; however, many individuals with POTS are unable to complete a standardized exercise regimen. The purpose of this study was to improve the understanding of why individuals with POTS may or may not engage in the beneficial practice of exercise by exploring factors such as low exercise self-efficacy (ESE) and elevated fear-avoidance beliefs (FAB). The theoretical foundation that grounded this study was the social learning theory (SLT) and social cognitive theory (SCT). The research questions explored the …

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Administrator Experiences With Placement Of Transgender Women In Coed Residential Homeless Facilities, Monica Lee Discolo Jan 2023

Administrator Experiences With Placement Of Transgender Women In Coed Residential Homeless Facilities, Monica Lee Discolo

Walden Dissertations and Doctoral Studies

Researchers have found that transgender women have difficulty accessing appropriate and inclusive services due to inadequate housing placements. The purpose of this generic qualitative study was to explore the experiences of administrators of coed homeless facilities when making housing placement decisions for transgender women. Queer theory provided the theoretical lens for the study. As part of the qualitative generic study design, 10 interviews were conducted via telephone with participants selected through snowball sampling. The interviews were transcribed, and several iterations of thematic analysis were conducted to construct codes, categories, and themes. The findings revealed that there is (a) a lack …

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Associations Between Mindfulness Meditation, Health Status, And Activity Limitation Among United States Armed Forces, Bettie J. Dubose Jan 2023

Associations Between Mindfulness Meditation, Health Status, And Activity Limitation Among United States Armed Forces, Bettie J. Dubose

Walden Dissertations and Doctoral Studies

A ready military force is essential for the safekeeping of the United States and the well-being of United States Armed Forces personnel. Today, healthcare professionals report disproportionately high rates of chronic disease and substance abuse among United States Armed Forces personnel and disabling mental health disorders that often go untreated. This quantitative research aimed to determine if there was a relationship between United States Armed Forces personnel using mindfulness meditation and their health status. The study used Bandura's social cognitive theory as its framework and theoretical foundation. Also, a quantitative experimental research design examined the causal relationships between the predictor, …

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Understanding Urban Agriculture As A Food Insecurity Intervention In Jacksonville, Fl, Christopher George Eddis Jan 2023

Understanding Urban Agriculture As A Food Insecurity Intervention In Jacksonville, Fl, Christopher George Eddis

Walden Dissertations and Doctoral Studies

Food insecurity impacts economically disadvantaged communities around the world, including in the United States where over 41 million people experience issues of food insecurity in their daily lives. This lack of access to food can have a ripple effect on individuals and communities in multiple ways, including impacts on mental, physical, and social states of well-being and stability. Therefore, the purpose of this study is to increase the understanding of urban agriculture (UA) as a component of food insecurity assistance. This study focused on the experiences of food insecure individuals with various forms of UA, asking the research question, if …

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Glass Ceiling Encountered By Female Chief Executive Officers As They Advance To C-Level Positions In International Nonprofit Sports Organizations., Eric Edokpaigbe Idehen Jan 2023

Glass Ceiling Encountered By Female Chief Executive Officers As They Advance To C-Level Positions In International Nonprofit Sports Organizations., Eric Edokpaigbe Idehen

Walden Dissertations and Doctoral Studies

Women are underrepresented as chief executive officers (CEOs), executive-level officers, board directors, and national sports organization board chairs in 45 countries. Despite social movements, laws, and practices supporting equal employment opportunities and workplace equality, women in top senior-level positions are still lacking. The purpose of this study was to explore the challenges women face in terms of obtaining CEO leadership roles in international nonprofit sports organizations. The study involved exploring limitations eight women faced when aspiring to CEO positions in terms of leadership development, talent management, and policies involving international nonprofit sports organizations. This study employed a qualitative descriptive phenomenological …

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Interpersonal Conversations In The Restaurant Industry, Erik Michael Ivey Jan 2023

Interpersonal Conversations In The Restaurant Industry, Erik Michael Ivey

Walden Dissertations and Doctoral Studies

Managers in the restaurant industry continue to struggle with workplace engagement and turnover at a rate of 31.8% greater than other industries. The general problem is that interpersonal relationships between employees and managers is a leading cause of issues related to job turnover and employee engagement. The specific problem is that some hospitality managers lack strategies to establish appealing interpersonal relationships with employees that reduces turnover and improves employee engagement. The purpose of this qualitative critical instance case study was to explore strategies hospitality managers use to establish appealing interpersonal relationships with employees that reduces turnover and improves employee engagement. …

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The Hospital Consumer Assessment Of Healthcare Providers And Systems And Central-Line-Associated Bloodstream Infections, Mary Kerich Jan 2023

The Hospital Consumer Assessment Of Healthcare Providers And Systems And Central-Line-Associated Bloodstream Infections, Mary Kerich

Walden Dissertations and Doctoral Studies

Central-line-associated bloodstream infections (CLABSIs) are common healthcare-associated infections (HAIs) contributing to extended hospital stays, morbidity, mortality, and healthcare costs. In 2011, the Centers for Medicare and Medicaid Services implemented the Hospital Value-Based Purchasing initiative, which links acute care hospitals' payments to quality performance. A gap in the literature existed regarding the relationship between hospital characteristics, patient experience, and CLABSI rates. This quantitative study aimed to explore the relationship between patient experience scores reported by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and CLABSI standardized infection ratio (SIR) in nonprofit acute care hospitals in the United States. Three …

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Business Success Strategies For Military Veteran Small Business Owners, Traci De-Shay Leonard Jan 2023

Business Success Strategies For Military Veteran Small Business Owners, Traci De-Shay Leonard

Walden Dissertations and Doctoral Studies

Some military veteran small business owners lack strategies for sustaining their business beyond 5 years. Military veteran small business owners are concerned with survivability as it ensures sustained employment opportunities for veteran small business owners and their employees and increases local community tax revenue for citizens. Grounded in the organizational learning theory, the purpose of this qualitative multiple case study was to explore strategies military veteran small business owners use to sustain their business beyond 5 years. The participants comprised three military veteran small business owners in Central Texas who sustained their businesses for over 5 years. Data were collected …

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Using Multi-Theory Model (Mtm) To Predict Intention To Promote Physical Activity By Primary Care Providers, Shirley Mcclendon Jan 2023

Using Multi-Theory Model (Mtm) To Predict Intention To Promote Physical Activity By Primary Care Providers, Shirley Mcclendon

Walden Dissertations and Doctoral Studies

Physical inactivity persists as a public health concern worldwide and results in more than a million deaths per year. This modifiable behavior can result in improved health when primary care providers (PCPs) communicate recommendations to patients and behavior change is supported. In this study, a quantitative cross-sectional design was used to investigate the intentions of PCPs in providing physical activity counseling, using the constructs of the multi-theory model (MTM) of health behavior change as the theoretical framework. An anonymous 37-item electronic survey was administered to participants practicing primary care and family medicine from rural areas in the Southeastern region of …

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High School Language Arts Teachers' Perceptions Of Students' Motivation To Learn In A Project-Based Learning Class, Elizabeth Merrell Gross Jan 2023

High School Language Arts Teachers' Perceptions Of Students' Motivation To Learn In A Project-Based Learning Class, Elizabeth Merrell Gross

Walden Dissertations and Doctoral Studies

Project-based learning (PBL) is a widely used methodology in the sciences for grades K-12. Forward-thinking instructors are also implementing PBL by creating student-led learning opportunities in other subjects. There is, however, a lack of research on teacher perceptions of PBL as a motivational factor in high school. The purpose of this basic qualitative study was to explore high school language arts teachers’ perceptions of student motivation in a PBL class. Keller’s model of motivation focusing on attention, relevance, confidence, and satisfaction (ARCS) was the conceptual framework for this study. Nine language arts teachers participated in interviews, which were coded and …

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Gender Transitioning In Childhood: A Hermeneutic Study Of Parental Reactions, Ashley Rosenberg Jan 2023

Gender Transitioning In Childhood: A Hermeneutic Study Of Parental Reactions, Ashley Rosenberg

Walden Dissertations and Doctoral Studies

The visibility of the transgender community has grown in recent years. The purpose of the hermeneutic phenomenological study was to understand and provide context to the experiences of parents whose children have transitioned from their assigned birth sex to their authentic gender identity. The theoretical framework used was Kubler Ross’ “Five Stages of Grief.” Participants were interviewed by using semi structured interviews on Zoom. A total of 6 people participated in my study. Common themes emerged as a result of my study, which parallel previous research studies. These themes included shock and denial, a sense of grief and loss, feelings …

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Middle School Teachers' Data Sense Making To Inform Individual Education Programs, Jemma J. Shillingford Jan 2023

Middle School Teachers' Data Sense Making To Inform Individual Education Programs, Jemma J. Shillingford

Walden Dissertations and Doctoral Studies

AbstractAnnual goals are an essential component of Individual Educational Programs (IEP), which are developed for students with disabilities, and which are informed by data. However, the methods and practices that special educators use to make sense of data to inform the annual IEP goals represent a gap in research literature. This qualitative study was conducted to explore how sixth-through-eighth-grade special educators in urban public middle schools make sense of data that informs annual IEP goals. The research question asked how sixth-through-eighth-grade special educators in urban public middle schools make sense of data to inform annual IEP goals to target students’ …

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Elementary Teacher Experiences Implementing Required English Language Arts Instructional Strategies, Amanda Slaysman Jan 2023

Elementary Teacher Experiences Implementing Required English Language Arts Instructional Strategies, Amanda Slaysman

Walden Dissertations and Doctoral Studies

The problem addressed in this study was that in response to low standardized test scores, instructional strategies were required to be implemented in English Language Arts (ELA), but teachers in Grades 1 through 5 in the study site experienced challenges using these strategies to meet student learning needs. The explored teachers’ experiences and challenges in implementing required ELA instructional strategies to meet student learning needs. The study was grounded by Vygotsky’s social development theory which posited that learning occurs most effectively through peer collaboration and adult guidance. These concepts were the foundation of the required ELA instructional strategies. The research …

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Teachers’ Perceptions About Student Success In The High School Coteaching Environment, Karen Denise Spradlin Jan 2023

Teachers’ Perceptions About Student Success In The High School Coteaching Environment, Karen Denise Spradlin

Walden Dissertations and Doctoral Studies

Many high school students with disabilities receive instruction in a cotaught classroom. Despite the consistent implementation of this service delivery model, students with disabilities are inconsistently demonstrating content mastery in ELA and math on end of course assessments. The goal of this multiple case study was to identify barriers to, facilitators of, and planning and implementation of successful coteaching as perceived by administrators, general education teachers, and special education teachers. Transformational learning theory was explored by participants’ identifying an experience that challenged beliefs of coteaching and how that is reflected in current practice. Research questions sought to explore administrators, general, …

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Factors Influencing Transitional Care Seeking Behaviors Of African Americans Living With Sickle Cell, Evelyn Carol Ellis Washington Jan 2023

Factors Influencing Transitional Care Seeking Behaviors Of African Americans Living With Sickle Cell, Evelyn Carol Ellis Washington

Walden Dissertations and Doctoral Studies

Sickle cell (SC) is an inherited blood disorder that affects millions globally and approximately 100,000 people in the United States. SC causes excruciating pain and organ damage. This qualitative study was conducted to examine the factors influencing the decision-making process of African American diagnosed with SC regarding maintaining continuity of care. This qualitative study was conducted to understand how perceived susceptibility and severity, perceived benefits versus barriers, sense of threats, cues of action, and self-efficacy influence the transitional care-seeking behaviors of African Americans diagnosed with SC in the rural Mississippi Delta. The health belief model was the theoretical framework used …

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Patterns Of Parent Behavior Related To Childhood Physical And Mental Abuse, Cassondra J. Widrick-Phillips Jan 2023

Patterns Of Parent Behavior Related To Childhood Physical And Mental Abuse, Cassondra J. Widrick-Phillips

Walden Dissertations and Doctoral Studies

The issue of child abuse is a growing concern in society. However, the limited amount of research available on parent–child relationships poses a challenge in terms of developing effective prevention strategies. The aim of the study was to analyze the connection between a parent who is abusive and their child who is being abused. The main objective of the study was to identify if the gender of the parent had a relationship with abusing the child of the same or different gender. Bowen’s family systems theory was used to support the study because of the assumption that family relationships are …

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