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Walden Dissertations and Doctoral Studies

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Resiliency Perceptions Of Women In Organizational Management, Brandi Dehart Jan 2023

Resiliency Perceptions Of Women In Organizational Management, Brandi Dehart

Walden Dissertations and Doctoral Studies

Exploring the perceptions of women managers involving effective strategies to remain within their roles is essential to further understand resiliency. A literature gap exists regarding the resilience strategies of women managers to stay in leadership roles. The purpose of this qualitative single case study with embedded units was to explore perceptions of women managers with at least five years of experience in management regarding how they remained resilient throughout their careers. The overarching research question was developed to address the purpose of this qualitative single case study with embedded units. Qualitative data were collected from semistructured interviews with nine women …

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Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk Jan 2023

Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk

Walden Dissertations and Doctoral Studies

Individuals with disabilities make up the largest minority population in the United States. Individuals with intellectual and developmental disabilities (I/DD) make up a significant portion of this population, yet there are limited studies addressing counseling with the I/DD population. The Council for Accreditation of Counseling and Related Educational Programs has addressed the need for disability competence in their upcoming 2024 standards. The purpose of the phenomenological study was to describe lived experiences of established counselors working with adult clients diagnosed with an I/DD. A descriptive phenomenological approach was used along with the social model of disability. The study involved six …

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Long-Term Psychological Adaptation Of U.S. Human Resource Personnel In Response To The Covid-19 Pandemic, Samantha Ann Denson Jan 2023

Long-Term Psychological Adaptation Of U.S. Human Resource Personnel In Response To The Covid-19 Pandemic, Samantha Ann Denson

Walden Dissertations and Doctoral Studies

Previous research indicated that the COVID-19 pandemic negatively impacted employee psychological outcomes in various workforce sectors. Although research showed that U.S. human resource (HR) employees experienced unique occupational challenges during the pandemic, the literature did not explore pandemic-related psychological outcomes in this population. This quantitative survey-based study included a purposive sample of 294 U.S. HR professionals to explore the pandemic’s impact on their psychological well-being. The transactional model of stress and coping served as the theoretical framework to understand the independent effects of appraisal, meaning-based coping, and coping efforts on psychological well-being. A mediation analysis was used to understand the …

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Educating Nurses To Implement Serious Illness Conversations, Colleen Patricia Desai Jan 2023

Educating Nurses To Implement Serious Illness Conversations, Colleen Patricia Desai

Walden Dissertations and Doctoral Studies

AbstractAs part of investigating staff nurses’ reluctance to have serious illness conversations (SIC) at a local hospital, an educational deficit was noted. Nurses articulated they felt uneducated about how to have a SIC with a patient in need and questioned if the practice of conducting SICs was part of the nurses’ scope of practice in the New England State where they were employed. The purpose of this project was to create an educational tool and have it validated by a multidisciplinary group of experts. Once validated, the goal will be to educate nurses, raise awareness on the topic of SICs, …

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Staff Education To Promote Probiotic Breastfeeding Therapy, José Diaz Jan 2023

Staff Education To Promote Probiotic Breastfeeding Therapy, José Diaz

Walden Dissertations and Doctoral Studies

Preterm birth is the leading cause of death in children under 5. In addition, there are 22 million babies born underweight each year which also contributes to the infant mortality rate. Some reasons for the inability to thrive and survive are the infants' immature system, allostatic load inadaptability, and undiversified and underdeveloped microbiota. Human breast milk (HBM) provides lifesaving nutrients, which prevents necrotizing enterocolitis and mortality. In addition, probiotic supplementation helps reduce late-onset sepsis, morbidities, and mortality. A literature review provided substantial evidence that HBM and probiotics can improve an infant's microbiota, thus improving thrivability and survivability. Probiotics offset the …

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Occupational Therapists’ Perspectives On Using The Physical Environment In Skilled Nursing Facilities, Jennie L. Digrado Jan 2023

Occupational Therapists’ Perspectives On Using The Physical Environment In Skilled Nursing Facilities, Jennie L. Digrado

Walden Dissertations and Doctoral Studies

Occupational therapists (OTs) are among the health care professionals who assist individuals with neurocognitive disorders (NCDs) to engage in self-care and leisure skills in a skilled nursing facility (SNF) environment. Although the SNF environment has been researched, a gap exists regarding how OTs use the built environment to help clients with a NCD engage in self-care and leisure-related activities. The purpose of this qualitative case study was to understand how OTs use the physical environment in a SNF to help individuals with a NCD engage in self-care and leisure related activities. The conceptual framework that guided this study was the …

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Examining The Relationship Between Patient Care Quality, Patient Care Safety, And Socioeconomic Status In Chicago's Acute Care Hospitals, Theresa Ann Doby Jan 2023

Examining The Relationship Between Patient Care Quality, Patient Care Safety, And Socioeconomic Status In Chicago's Acute Care Hospitals, Theresa Ann Doby

Walden Dissertations and Doctoral Studies

AbstractEnsuring high quality and safe patient care are among the main goals of all acute care hospitals. This study found that quality of patient care is not consistent across all patient populations, which draws attention to the issue of disparity in access to safe and quality health care. The purpose research questions of this quantitative study examined if patient care quality and safety are related to hospitals’ socioeconomic status (SES) among Chicago’s acute care hospitals. Secondary data were derived from a sample of 20 acute care hospitals (i.e., 10 acute care hospitals of high SES and 10 of low SES) …

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Gendered Racial Microaggressions’ Cumulative Effects On Black Women’S Psychological Well-Being, Melva Dorsey Jan 2023

Gendered Racial Microaggressions’ Cumulative Effects On Black Women’S Psychological Well-Being, Melva Dorsey

Walden Dissertations and Doctoral Studies

Black women living in North America experience gendered racial microaggressions injurious confrontations in every social setting due to simultaneous discrimination involving race and gender. This basic qualitative research study aimed to explore the perceptions of Black women in this society with gendered racial microaggressions to discover how they perceive the cumulative effects of this phenomenon on their psychological well-being by utilizing intersectionality as the study's conceptual framework. Data collection occurred via interviews with a sample size of five Black women ages 51 and older who were born and raised in North America that self-reported experiencing gendered racial microaggressions. Participants were …

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College Students’ Psychosocial Functioning 2 To 5 Years After Death Of A Parent, Carla C. Elbel Jan 2023

College Students’ Psychosocial Functioning 2 To 5 Years After Death Of A Parent, Carla C. Elbel

Walden Dissertations and Doctoral Studies

The purpose of this study is to examine the relationship regarding a loss of parent during adolescence with psychosocial development into early college years (18 through 22 years of age) as measured by the Modified Erikson Psychosocial Stage Inventory (MEPSI). A sample of 15 young college students, ages 18 to 22, completed the MEPSI and a second sample of young college students 18 to 22, who lost a parent, completed the MEPSI. No significant difference was found in the variance of the means; therefore, the null hypothesis was retained. A small sample t test analysis was used to compare the …

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Relationship Of Acetaminophen And Alcohol To Incipient Renal Insufficiency: The Role Of Race In Estimating Glomerular Filtration Rate, Preston Eledu Jan 2023

Relationship Of Acetaminophen And Alcohol To Incipient Renal Insufficiency: The Role Of Race In Estimating Glomerular Filtration Rate, Preston Eledu

Walden Dissertations and Doctoral Studies

There are increasing concerns about the incorporation of race in the estimated glomerular filtration rate (eGFR) prediction equation. which has been used to measure renal function in studies that have shown a relationship between therapeutic dose of acetaminophen and light-moderate alcohol use to incipient renal insufficiency. The purpose of this study was to assess the same relationship, using a redefinition of renal insufficiency based on the chronic kidney disease–epidemiology collaboration creatinine-based eGFR, with and without race, and exploring the potential impact of race in the hypothesized relationship. Data from the 2003-2004 National Health and Nutrition Examination Survey were analyzed using …

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Effect Of Treatment, Stage Of Lung Cancer, And Socioeconomic Status On Life Expectancy Within Marginalized Communities, Elsadig Ahmed Elsharif Jan 2023

Effect Of Treatment, Stage Of Lung Cancer, And Socioeconomic Status On Life Expectancy Within Marginalized Communities, Elsadig Ahmed Elsharif

Walden Dissertations and Doctoral Studies

Lung cancer is one of the most common cancers in the United States, and it accounts for 25% of cancer deaths. About 70% of cancer cases are diagnosed during late stages, leading to poor outcomes. An estimated 60% of cancer cases involve underserved and disadvantaged communities. However, there are limited studies had addressed effects of treatment, stage of lung cancer, and socioeconomic status on life expectancy within marginalized communities. Research questions examined effect of treatment, stage of lung cancer, and socioeconomic status on life expectancy of lung cancer patients between 2009 and 2019. This study was grounded in the deductive …

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A Context-Sensitive Approach To The Implementation Of Performance Measurement Systems, Wisdom Eyoh Jan 2023

A Context-Sensitive Approach To The Implementation Of Performance Measurement Systems, Wisdom Eyoh

Walden Dissertations and Doctoral Studies

AbstractPerformance measurement systems (PMS) exist to help public managers assess and improve decision-making related to programs, policies, processes, and personnel. However, challenges in implementing PMS have resulted in underutilization in the public sector. While critical success factors for successful implementation are known, little research exists on how public organizations can successfully implement PMS in individual organizations. This qualitative case study aimed to explore participants' experiences dealing with PMS, using contingency and goal-setting theories to analyze the influence of organizational contexts on PMS design, adoption, and implementation. Data were collected from five staff and top-level management at a large state agency …

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Tuberculosis-Associated Knowledge, Stigma, And Health Seeking Behavior Among Traders In Onitsha Main Market, Anambra State, Nigeria, Benedeth N. Ezeosim Jan 2023

Tuberculosis-Associated Knowledge, Stigma, And Health Seeking Behavior Among Traders In Onitsha Main Market, Anambra State, Nigeria, Benedeth N. Ezeosim

Walden Dissertations and Doctoral Studies

The utilization of tuberculosis (TB) health care services in a Nigerian state has not been optimal. Many residents do not utilize available health care resources when they experience symptoms of TB. Although much is known about the determinants of health seeking behavior (HSB), there is a gap on how TB knowledge and TB related stigma among traders in one main market contribute to HSB. This study examined the effect of TB knowledge and TB related stigma on HSB among traders. The health stigma and discrimination and health belif models served as the theoretical foundation. A quantitative cross-sectional analytical survey design …

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Promotion To Fire Officer: Ems Is An Essential Component Of Promotional Testing, Brenda Kay Farlow Jan 2023

Promotion To Fire Officer: Ems Is An Essential Component Of Promotional Testing, Brenda Kay Farlow

Walden Dissertations and Doctoral Studies

AbstractFor the past 25 years, the number of fire department responses to structure fires nationally has gone down. Structure fires now reflect less than ten percent of the responses of the fire service. In the same period, emergency medical services (EMS) have become the overwhelming activity of most fire departments. The problem is the promotional process focuses on firefighting knowledge and skills while ignoring the absolute need for EMS competencies, in some capacity, for a supervisory position. The lack of change in the promotional process is related to the organizational culture of the individual fire departments and the collective difficulty …

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Improving Self-Efficacy Of Primary Care Providers With Assessment Of Diabetic Peripheral Neuropathy, Kimberly Paddock Farr Jan 2023

Improving Self-Efficacy Of Primary Care Providers With Assessment Of Diabetic Peripheral Neuropathy, Kimberly Paddock Farr

Walden Dissertations and Doctoral Studies

AbstractDiabetic peripheral neuropathy (DPN) is one of the most common complications of diabetes. DPN contributes to significant pain, debility and injury to diabetic patients. The majority of diabetic patients are managed in the primary care practice (PCP) setting. A local chapter of a nurse practitioner association identified a lack of knowledge of current evidence-based guidelines for effective screening and assessment of DPN in the PCP environment. The practice-focused question for this project was to determine if an educational intervention on evidence-based screening and assessment would improve nurse practitioner’s knowledge with DPN screening and diagnosis in PCP. Mezirow’s transformative theory of …

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Non-Nightmare Recurring Dreams And Trauma, Asmai Fathelbab Jan 2023

Non-Nightmare Recurring Dreams And Trauma, Asmai Fathelbab

Walden Dissertations and Doctoral Studies

This study examined the relationship between trauma and non-nightmare recurrent dreams (NNRD). Although there is extensive literature on the psychological consequences, diagnosis, and treatment of trauma, studies on the role of sleep processes have focused almost exclusively on nightmares. The potential relationship between NNRD and traumatic experiences has been overlooked by researchers. The purpose of this study was to assess if history of trauma and NNRD were correlated. More specifically, using Revonsuo’s threat simulation theory as a framework, the study evaluated if gender, quality of sleep, depression, anxiety, stress, and history trauma predicted NNRD. A cross-sectional correlational survey design was …

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Mothers Of Children With Disabilities: Perceptions Of Online Peer Mentoring Support, April S. Felder Jan 2023

Mothers Of Children With Disabilities: Perceptions Of Online Peer Mentoring Support, April S. Felder

Walden Dissertations and Doctoral Studies

There has been a trend of increased diagnoses of childhood disabilities in the United States. Mothers who care for a child diagnosed with disabilities typically experience increased parental obligations and maternal mental health deficits that often go undiagnosed or untreated, resulting in adverse events. Researchers found that peer mentoring is an effective, nonclinical resource for addressing these mothers’ intervention needs but have not established alternative ways to increase access and delivery. The purpose of this generic, qualitative study was to explore how mothers of children with disabilities perceive online peer mentoring as an intervention resource for stress and coping. Lazarus’s …

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First-Generation College Graduates’ Perceptions Of Participating In Required Academic Advising Sessions For Degree Completion, Frances Paige Fowler Jan 2023

First-Generation College Graduates’ Perceptions Of Participating In Required Academic Advising Sessions For Degree Completion, Frances Paige Fowler

Walden Dissertations and Doctoral Studies

Many first-generation students enter college underprepared, leading them to face challenges that include failure to persist to degree completion. Empirical literature informs how academic advising programs help students persist to degree completion; however, a literature gap exists related to how regularly required academic advising programs influence students to persist to degree completion. This basic qualitative study provides insight into the perceptions of first-generation college graduates regarding how their regularly required academic advising sessions helped them to persist to degree completion. The conceptual framework is Tinto’s theory of student retention, which addresses students’ academic and social integration. Eight first-generation college graduates …

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African American Baby Boomers’ Lived Experiences In Skilled Nursing Facilities For Post-Acute Care Admissions, Dr. Charles A. Fraiser Jan 2023

African American Baby Boomers’ Lived Experiences In Skilled Nursing Facilities For Post-Acute Care Admissions, Dr. Charles A. Fraiser

Walden Dissertations and Doctoral Studies

AbstractPrevious studies have examined the quality of elderly healthcare offered in skilled nursing facilities (SNFs) among older adults, in general, but the studies have not emphasized ex-periences unique to African America baby boomers and the factors they consider when making SNF-related decisions for post-acute care. The purpose of the study was to exam-ine the lived experiences of African American baby boomers who are currently in or have been treated in SNFs for post-acute care to learn about their decisions to select an SNF. Andersen’s behavioral model of health services served as the conceptual framework. A descriptive phenomenological qualitative design was …

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A Nursing Staff Education Module On Survivorship Care Plans In Primary Care, Janette Francis Jan 2023

A Nursing Staff Education Module On Survivorship Care Plans In Primary Care, Janette Francis

Walden Dissertations and Doctoral Studies

Survivorship care plans (SCPs) bridge the gap in the transition of care from oncology to primary care providers (PCPs) for breast cancer survivors. Despite strong recommendations for SCPs, their use remains limited. Guided by Knowles’ adult learning theory, the project focused on, first, determining whether a predeveloped staff education activity was valid using the Lynn model criteria for validation. Second, if in a rural clinic where SCP were not consistently used providers, nurses, and staff knowledge regarding the importance of SCP would increase following an educational program. An expert panel of 5 educational experts validated the educational module for appropriateness …

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The Relationship Between Adverse Childhood Experiences, Hope, And Well-Being Among Rural Latine Adolescents, Danielle Moss Gettings Jan 2023

The Relationship Between Adverse Childhood Experiences, Hope, And Well-Being Among Rural Latine Adolescents, Danielle Moss Gettings

Walden Dissertations and Doctoral Studies

Considerable research has demonstrated that minority at-risk youth in rural environments experience more adverse childhood experiences (ACEs) and are more likely to suffer from poor academic performance and severe mental health issues. Results of recent studies of resilience and social support as potential mitigators of ACEs suggest that hope could also mediate these adverse effects. Hope is a component of motivation critical to goal attainment and coping with loss. This study was conducted to examine the role of hope as a mediator of the relationship between ACEs and well-being among rural Latine adolescents. Using Washington State Department of Health Healthy …

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Challenges Teaching Emergent Bilingual Students In Rural Schools, Dana Marie Giddens Jan 2023

Challenges Teaching Emergent Bilingual Students In Rural Schools, Dana Marie Giddens

Walden Dissertations and Doctoral Studies

K-3 teachers face challenges in meeting the learning needs of their emergent bilingual (EB) students in rural southeastern schools in the United States. The purpose of this basic qualitative study was to explore K-3 teacher perspectives on challenges to meet the English language learning needs of their EB students and to identify what K-3 teachers believe they need to meet their students’ learning needs. Two research questions addressed teacher perspectives on the challenges they face to meet the learning needs of EB students in rural schools and what teachers believe they needed to successfully address EB students’ learning needs. The …

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Improving Advanced Practice Registered Nursing Knowledge Of Shingles Management, Kyla Gilbert Jan 2023

Improving Advanced Practice Registered Nursing Knowledge Of Shingles Management, Kyla Gilbert

Walden Dissertations and Doctoral Studies

AbstractShingles is a viral infection that can adversely impact patients if not promptly treated. In the project facility, a gap in practice was identified when a 6-month facility chart review noted a delay in shingles diagnosis 60% of the time. It is important for the Advanced Practice Registered Nursing (APRN) to be knowledgeable regarding diagnoses and best practices for treatment of shingles. However, the local facility had no available education on shingles. The practice-focused question asked whether APRN knowledge of shingles could be improved through staff education. The doctoral project provided shingles education to address the identified knowledge gap. The …

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The Relationship Between Customers’ Satisfaction And Trust In The Global Supply Chain And Profitability, Azeal Gilham Jan 2023

The Relationship Between Customers’ Satisfaction And Trust In The Global Supply Chain And Profitability, Azeal Gilham

Walden Dissertations and Doctoral Studies

The inability to meet customer demands and expectations impacts an organization’s profitability. Understanding and meeting customer needs are critical for the financial success of business owners. Grounded in the theory of constraints, the purpose of this quantitative ex post facto study was to examine the relationships between customers’ satisfaction and trust in the supply chain and profitability. Secondary data (n = 121) were collected from the Elsevier Research Database using archival data collected from an automotive factory. Data were analyzed using multiple linear regression, and the results were statistically significant, F (2, 118) = 264.347, p < .001, R2 = .90. In the final model, both predictor variables were significant, customers’ satisfaction: mean wait time (t = 22.991, p < .001, β = 16.23); and customers’ trust: minimum stock level (t = 7.306, p < .001, β = .118). A key recommendation is for business leaders to satisfy customers and gain their trust by creating sufficient inventory stocking levels and improving replenishment timeframes that meet customers’ supply chain demands. The implications for positive social change include the opportunity for supply chain managers to develop an effective supply chain that may contribute to the quality of service that promotes success in regional markets, sustain growth, and allows for social development among the local community workforces.

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Private School Faculty Perceptions Of Differentiated Instruction, Rebecca Glover Jan 2023

Private School Faculty Perceptions Of Differentiated Instruction, Rebecca Glover

Walden Dissertations and Doctoral Studies

Differentiated instruction focuses on students’ readiness, interests, learning styles, and life circumstances, rather than a set curriculum. The perceptions faculty have about differentiated instruction can impact their willingness and ability to implement the practice in their classroom. The purpose of this qualitative case study was to explore, in a private school in a south-central U.S. state, middle school teachers’ perceptions of, expectations about, and experiences with differentiated instruction. The conceptual framework that guided the study was Tomlinson’ s instructional differentiation philosophy supported by empirical research on differentiated instruction as effective. Six middle school English, history, science, and math teachers completed …

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K-5 Teachers' Perceptions Of Culturally Responsive Teaching Challenges In Mathematics, Nataine Latoya Grant Jan 2023

K-5 Teachers' Perceptions Of Culturally Responsive Teaching Challenges In Mathematics, Nataine Latoya Grant

Walden Dissertations and Doctoral Studies

The problem for this study was that K-5 teachers in a northeastern school district were challenged to implement culturally responsive teaching (CRT) practices in mathematics instruction. The purpose of this study was to explore K–5 teachers' perceptions about the challenges of using CRT practices in mathematics with culturally diverse students and to identify teacher suggestions for needed resources and training. Gay’s culturally responsive teaching theory formed the conceptual framework that guided this study. The research questions focused on providing K—5 teacher perceptions about their challenges of implementing CRT practices with culturally diverse students and about their suggestions for resources and …

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The Relationship Between Preterm Birth Rates, Sociodemographic Factors, And Prenatal Care, Natasha Grant Jan 2023

The Relationship Between Preterm Birth Rates, Sociodemographic Factors, And Prenatal Care, Natasha Grant

Walden Dissertations and Doctoral Studies

Reducing preterm births is a local, national, and global public health priority. Preterm birth rates continue to rise with evident racial and ethnic differences. The purpose of the quantitative study was to analyze the Mississippi Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 8 data to investigate the association between preterm births, timing of prenatal care, insurance types, and marital status among 5,666 women who gave birth in Mississippi between 2016 - 2020 using logistic regression. The social-ecological model was used to explain the impact of preterm births at the individual, interpersonal, and policy levels. Marital status was shown to be …

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Nurse Perceptions Of Nonacademic Factors That Influence Undergraduate Nursing Student Retention And Persistence To Graduation, Marianne Gray Jan 2023

Nurse Perceptions Of Nonacademic Factors That Influence Undergraduate Nursing Student Retention And Persistence To Graduation, Marianne Gray

Walden Dissertations and Doctoral Studies

Having an adequate supply of nurses is critical to maintaining the health care system. The problem for this study was that undergraduate nursing students were leaving a local Midwest community college’s nursing program before obtaining a degree. The purpose of this qualitative study was to explore the perceptions of the program’s recent graduates, regarding nonacademic factors that they believe helped to facilitate their success. Jeffreys’s nursing universal retention and success model served as the conceptual framework. The research question was focused on identifying nurse graduate perceptions of nonacademic factors that contributed to their success. A basic qualitative research design was …

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Relationship Between African American Professionals’ Acculturation, Racial Identity, And Experienced Stereotype Threat, Erica Regina Griffin Jan 2023

Relationship Between African American Professionals’ Acculturation, Racial Identity, And Experienced Stereotype Threat, Erica Regina Griffin

Walden Dissertations and Doctoral Studies

There is considerable research on acculturation, identity formation, and stereotype threat experiences of African American children and college students. However, little research has been conducted exploring these factors once college graduates have entered the workforce. Furthermore, the previous research has treated these variables separately or combining no more than two at a time. The purpose of this quantitative, cross-sectional study was to learn more about African American professionals’ acculturation, racial identity, and stereotype threat experiences. Seller’s Model of Racial Identity, Berry’s acculturation theory, and Shapiro’s Multi-threat framework provided the basis of this study. The research question addressed whether the type …

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The Effect Of Public Budgeting Decisions And Tuition Costs On Student Graduation Outcomes In Michigan, Travis Charles Hadden Jan 2023

The Effect Of Public Budgeting Decisions And Tuition Costs On Student Graduation Outcomes In Michigan, Travis Charles Hadden

Walden Dissertations and Doctoral Studies

AbstractTuition costs for U.S. public universities have steadily risen in response to decreased state funding in the aftermath of the 2008 Great Recession. Researchers have studied the relationship between public budgeting and higher education but have not established the direct effects of budgeting decisions on student graduation outcomes. The purpose of this quantitative study was to understand why state funding has not kept up with tuition prices and how that affects student graduation rates. The effect of (a) tuition costs and (b) Michigan state funding for public universities on student outcomes was examined. Punctuated equilibrium theory and policy feedback theory, …

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