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2019

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Using Sociodemographic Approach To Examine Health Services And Hiv/Aids Awareness In Nigeria, Mercy I. Ebosie Jan 2019

Using Sociodemographic Approach To Examine Health Services And Hiv/Aids Awareness In Nigeria, Mercy I. Ebosie

Walden Dissertations and Doctoral Studies

The purpose of this study was to examine community health services and HIV/AIDS awareness in rural communities in Abia State Nigeria in respect to the sociodemographic factors of level of community health services, level of education, and community leaders' influence. Two questions guided the research process: To what extent are sociodemographic factors associated with HIV/AIDS awareness, and what is the relationship between level of community health services and extent of HIV/AIDS, as perceived by residents of these communities. A mixed method paradigm was used. A sample of 131 participants, who were HIV/AIDS patients, were purposively drawn from a population of …

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Fire Training Fatalities And Firefighter Adherence To National Fire Protection Association Standards, Lucas Aaron Garcia Jan 2019

Fire Training Fatalities And Firefighter Adherence To National Fire Protection Association Standards, Lucas Aaron Garcia

Walden Dissertations and Doctoral Studies

Sudden cardiac arrest continues to be a major cause of firefighter deaths during training due to a lack of individual firefighter adherence to National Fire Protection Association (NFPA) standards. These standards identify requirements for fire departments to create and maintain fitness programs. Existing research has not identified any relationships between training fatalities and individual firefighter adherence to NFPA 1583, Standard on Health-Related Fitness Programs for Fire Department Members. Using self-determination theory as the foundation, the purpose of this cross-sectional correlation study was to investigate whether individual firefighter adherence to NFPA 1583 has a measurable effect on training fatalities. Survey data …

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Nudge Theory's Perceived Influence On Fmla Among Midwestern Metropolitan Nonprofit Arts Organizations, Eliza Gordner Jan 2019

Nudge Theory's Perceived Influence On Fmla Among Midwestern Metropolitan Nonprofit Arts Organizations, Eliza Gordner

Walden Dissertations and Doctoral Studies

The Family and Medical Leave Act (FMLA) has had significant influence on both for-profit and nonprofit employers since it was enacted in 1993. Because nonprofit organizations often have more limited resources than for-profit organizations, implementing family and medical leave policy mandates can be problematic. Arts-related nonprofit organizations often have even fewer resources available yet must still ensure legal compliance and market competitiveness while continuing to focus on meeting their missions. Even if a smaller nonprofit organization is not subject to the FMLA, it is subject to other federal, state, and local employment laws, and the organization must decide whether to …

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Trauma Social Workers' Perspectives On The Response Of Rural Social Work Agencies To Vicarious Trauma, Tiffany Ann Hardman Jan 2019

Trauma Social Workers' Perspectives On The Response Of Rural Social Work Agencies To Vicarious Trauma, Tiffany Ann Hardman

Walden Dissertations and Doctoral Studies

Social workers are susceptible to the potential negative impacts of vicarious trauma. Perspectives of trauma social workers on the responsiveness of rural social work agencies to vicarious trauma have not been explored even though the trauma-informed care model has been available since 2006 and outlines best practice in all settings of trauma social work. Considering the risk factors and negative effects vicarious trauma has on social workers, an increased understanding of the perspectives of social workers on how rural social work agencies are responding to vicarious trauma was needed. The purpose of this study was to explore this response through …

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The Influence Of Spiritual And Emotional Intelligence On Romantic Relationships Of African Americans, Wanda Raquel Harris Jan 2019

The Influence Of Spiritual And Emotional Intelligence On Romantic Relationships Of African Americans, Wanda Raquel Harris

Walden Dissertations and Doctoral Studies

The use of religion-based spirituality was examined as a factor in strengthening and increasing emotional intelligence and regulation, facilitating relationship choices and maintenance, and as a key factor in the decision-making process of dating and partner selection among African Americans. The theoretical framework for this study included Gardner's theory of multiple intelligences, on which both theories of spiritual and emotional intelligence stand, and Bowlby's theory of attachment. A multiple regression analysis was conducted to analyze relationships between spiritual and emotional intelligences and attachment styles among African American adults. In a criterion-based purposeful sample of 98 African American participants aged 27 …

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Technology With Differentiated Instruction For Advanced Middle School Students' Reading Achievement, Clarissa Haymon Jan 2019

Technology With Differentiated Instruction For Advanced Middle School Students' Reading Achievement, Clarissa Haymon

Walden Dissertations and Doctoral Studies

Educators offer rich learning experiences to all students, including advanced learners. A school district experienced a decrease in improvement percentiles on annual state reading achievement tests for advanced middle school students between 2012 and 2015. Guided by the theory of differentiated instruction, this quantitative study evaluated the effectiveness of Achieve 3000, a technology-enhanced program for differentiating reading instruction in a middle school that has a large percentage of advanced learners. The program was fully implemented for advanced 6th through 8th grade students beginning in the 2017-18 school year. Using a causal-comparative design, the archived reading scores of 120 advanced 6th …

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The Effect Of Workplace Characteristics On Millennial Worker Organizational Commitment, Karen Elizabeth Heizman Jan 2019

The Effect Of Workplace Characteristics On Millennial Worker Organizational Commitment, Karen Elizabeth Heizman

Walden Dissertations and Doctoral Studies

Existing research on the Millennial generation has focused on identifying the workplace attributions and stereotypes between generations, and the relationship between those attributions and stereotypes, as related to organizational commitment. However, research has not addressed which workplace characteristics influence organizational commitment of the Millennial generation. Herzberg's 2-factor theory was used to investigate the relationship between workplace characteristics and organizational commitment of the Millennial generation. The purpose of this quantitative study was to determine whether workplace characteristics influence organizational commitment in the Millennial generation. This quantitative study used the Minnesota Satisfaction Questionnaire and the Organizational Commitment Questionnaire. A convenience sample of …

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The Cost Of Treating Human Papillomavirus-Related Oropharyngeal Cancer, Karla Smalley Houston Jan 2019

The Cost Of Treating Human Papillomavirus-Related Oropharyngeal Cancer, Karla Smalley Houston

Walden Dissertations and Doctoral Studies

Human papillomavirus (HPV) is a sexually transmitted infection contributing to 70% of oropharyngeal cancers in the United States. The incidence of HPV-related oropharyngeal cancers is greater in Kentucky's population than in any other state. Research has demonstrated the cost of treating oropharyngeal cancer on a national level, but little information exists as to state-specific costs. The purpose of this quantitative study was to examine radiation therapy costs for treating HPV-related oropharyngeal cancer in Kentucky in relation to age, gender, race, and insurance. A theory by Aday and Andersen was applied to explain the relationship between the independent and dependent variables. …

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Second Language Capability In The Army Linguist Community, Kenneth John Hutchinson Jan 2019

Second Language Capability In The Army Linguist Community, Kenneth John Hutchinson

Walden Dissertations and Doctoral Studies

Developing the ability to understand one's adversary is a critical task for any professional in the military. In the army, this understanding is partially realized through a second language capability. This study involved quantifying results from different sites and methods of second language training for army linguists, using proficiency scores measured by the Defense Language Proficiency Test to determine if quantitative differences between methods of instruction existed. The hypothesis that trainees at Site 1 achieved significantly higher proficiency levels than trainees at Site 2 was used as the primary building block for this research. The objective of this study was …

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Hazardous Waste Site Proximity And Type 2 Diabetes: From Youths To Adults, Theresa Ann Johnson Jan 2019

Hazardous Waste Site Proximity And Type 2 Diabetes: From Youths To Adults, Theresa Ann Johnson

Walden Dissertations and Doctoral Studies

Type 2 diabetes has reached epidemic proportions in adults and youths. Persistent organic pollutants and endocrine-disrupting chemicals (EDCs), such as pesticides, dioxins, and organochlorines, are omnipresent and persist in the environment with potential for human exposure via contaminated air, waterways, soil, and human food supply. EDCs have been correlated with diabetes incidence and risks. Residential proximity to hazardous waste sites (HWS) has been correlated with increased hospital admission rates for diabetes. The study used a sample population (N = 1,724), ages ≥ 12 years from the 2005-2012 Continuous NHANES and HWS data from the National Priorities List of Superfund Sites. …

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A Quantitative Analysis Of Re-Offense Among Delinquent Foster Care Youth In Georgia, Brian Keith Jones Jan 2019

A Quantitative Analysis Of Re-Offense Among Delinquent Foster Care Youth In Georgia, Brian Keith Jones

Walden Dissertations and Doctoral Studies

Nationwide more than 2 million youth are placed in custody annually, approximately 80,000 children return home, and more than 70% have a diagnosable mental disorder. The purpose of this quantitative study was to examine the outcomes of 311 youth released from secure residential facilities in Georgia between January 2012 thru May 2017. In the dataset, 136 youth returned to regular homes, 128 returned to group homes (GC), and 47 returned to traditional foster homes (TFC). The goal of the study was to examine the differences in probation outcomes based on the type of placement. For the purpose of the study, …

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Clinical Nursing Faculty Competency, Christine Lee Kalt Jan 2019

Clinical Nursing Faculty Competency, Christine Lee Kalt

Walden Dissertations and Doctoral Studies

Nursing faculty are responsible for graduating competent students and being competent themselves; however, the required competencies of clinical nursing faculty who instruct students in the clinical area are unidentified. The practice problem addressed in this project was the lack of a structured, organized process for identifying initial and ongoing competencies of a clinical nursing facility. The purpose of this project was to explore nursing faculty clinical competency and provide a multimethod, multispecialty approach for implementing clinical nursing faculty competency. The target population was clinical nursing faculty (n= 30) in an academic setting. This project explored the impact of a multimethod, …

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Exploring Strategies For Reducing Patient Failure To Keep Scheduled Appointments, Charlene Denise Kesee Jan 2019

Exploring Strategies For Reducing Patient Failure To Keep Scheduled Appointments, Charlene Denise Kesee

Walden Dissertations and Doctoral Studies

High no-show rates in the ambulatory setting lead to underutilized resources, decreased clinic revenue, and lower productivity. The purpose of this single case study was to explore strategies that administrators used to maintain acceptable no-show rates and maintain the sustainability of the healthcare practice. The target population for this study included local chapter members of a professional healthcare organization that provided access to practice managers and administrators in the Las Vegas, Nevada regional area where there are a large number of practices that are not part of a health system; the sustainability of these practices is dependent on allocation of …

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Grade 9 Teachers' Perceptions Of Habits Of Mind And Academic Success, Alana Margeson Jan 2019

Grade 9 Teachers' Perceptions Of Habits Of Mind And Academic Success, Alana Margeson

Walden Dissertations and Doctoral Studies

Grade 9 students' academic failure has been documented to lead to future academic failure at the secondary level. Research has shown that lack of persistence and problem solving behaviors when dealing with adversity have multiple consequences, including low self-esteem and dropout. The purpose of this qualitative exploratory case study was to examine Grade 9 teachers' perceptions related to the use of Habits of Mind, a program designed to address the dispositions of thinkers when faced with problems such as resilience or persistence. Guided by Bandura's social cognitive learning theory, which holds that environment relates directly to behaviors and feelings of …

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The Use Of Compassionate Release Policies For Elderly Offenders, Lindsey Martin Jan 2019

The Use Of Compassionate Release Policies For Elderly Offenders, Lindsey Martin

Walden Dissertations and Doctoral Studies

This research examined the use of compassionate release policy in response to the fastest-increasing segment of the prison population- elderly offenders. Though this policy is an approach to this problem, there was little available research regarding which correctional organizations in the United States adopt compassionate release and how it is used. The purpose of this nonexperimental comparative quantitative study was to examine the use of the policy in neighboring and distant state correctional systems relative to those organizations that used the policy more frequently to determine if the leader-laggard theory of policy diffusion was an effective policy-implementation framework. The research …

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An Educational Program For Primary Nursing, Marsha-Gail Mcdonald Jan 2019

An Educational Program For Primary Nursing, Marsha-Gail Mcdonald

Walden Dissertations and Doctoral Studies

To increase continuity of care and reduce clinical errors, management in an inpatient rehabilitation unit of a private, nonprofit hospital chose to change the care delivery model to primary nursing; unit nurses had inadequate understanding of primary nursing, creating a gap in practice. The purpose of this project was to develop an educational program on primary nursing to address the question of how education on primary nursing would impact the understanding of the model among the nurses in the patient rehabilitation unit of the project site. Rogers's diffusion of innovation model provided a framework for developing the educational program. The …

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Leaders' Perceptions Of The Sexual Misconduct Reporting System In The Military, Catherine Elaine Mincey Jan 2019

Leaders' Perceptions Of The Sexual Misconduct Reporting System In The Military, Catherine Elaine Mincey

Walden Dissertations and Doctoral Studies

There is an unwarranted number of men and women that experience an unwanted sexual contact occurrence while on active duty, that is not reported through the military's sexual harassment or sexual assault system channels. A reporting system that is cumbersome and ineffective may hinder a leader's perception in implementing effective sexual harassment and sexual assault policies and procedures. The purpose of this descriptive multiple case study was to explore the ways a reporting system influenced the decision making processes of leaders and the importance of a fluent information flow through communication channels regarding the reporting system for sexual misconduct within …

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African American Males' Perceptions Of The Police, Shawanda S. Moore Jan 2019

African American Males' Perceptions Of The Police, Shawanda S. Moore

Walden Dissertations and Doctoral Studies

African American males are more likely than any of race of males to report unreasonable and unnecessary negative experiences with law enforcement officers. They may describe these experiences as unjustified due to the level of force used. In some cases, excessive force used by police has resulted in the death of African American males. Due to unresolved issues between African American males and police officers dating back to the slavery era, there is a deep historical division between these groups. Among African American males, the percentage of individuals who express distrust toward police officers tends to be higher than in …

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Nursing Staff Education For Heart Failure Disease Management, Kerri Murphy Jan 2019

Nursing Staff Education For Heart Failure Disease Management, Kerri Murphy

Walden Dissertations and Doctoral Studies

Heart failure (HF) has a global significance for the older population and is the most common reason for hospitalization. Patients with HF can reduce their risk for hospital readmissions and adverse outcomes through self-management of their disease. Nurses are responsible for educating patients about HF self-management; however, nurses at the project site lacked sufficient understanding and confidence to perform adequate HF patient education, creating a gap in practice. This project was guided by Pender's health promotion model and adult learning theory with the goal to increase nurses' knowledge and confidence with the self-management principles of HF. The purpose of this …

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Predictive Relationships Between School Counselor Role Ambiguity, Role Diffusion, And Job Satisfaction, Daya Patton Jan 2019

Predictive Relationships Between School Counselor Role Ambiguity, Role Diffusion, And Job Satisfaction, Daya Patton

Walden Dissertations and Doctoral Studies

Lack of clarity about professional roles and responsibilities of school counselors has resulted in role ambiguity and role diffusion among this group of professionals. Role ambiguity and role diffusion contribute to job dissatisfaction. The purpose of this quantitative correlational study was to examine whether role ambiguity and role diffusion predicted school counselor job satisfaction after controlling for years of experience as a school counselor, and to examine whether role ambiguity, role diffusion, and job satisfaction differed for school counselors at the elementary, middle, and high school levels. The theoretical framework was role theory, which conceptualizes how job roles within organizations …

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Recognizing And Anticipating Stress Related Complacent Behavior In Manufacturing Industries, Ricardo Alberto Pineda Jan 2019

Recognizing And Anticipating Stress Related Complacent Behavior In Manufacturing Industries, Ricardo Alberto Pineda

Walden Dissertations and Doctoral Studies

Numerous safety studies suggest that stress complacency related accidents in manufacturing industries continue to cause injuries or fatalities because of the absence of emotional resources for leaders, who are unable to prevent accidents when these conditions exist. Leaders of the manufactory industries may not have the appropriate emotional measures which are significant to recognize employees' underlying complacent behavior. The purpose of this quantitative correlational study was to evaluate the relationship between leaders' emotional intelligence resources and their ability to manage to prevent injuries and fatalities in the workplace. The research questions address key traits of emotional intelligence regarding emotional perceptions …

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Frontline Managers' Perceptions And Lived Experiences In The Execution Of Diversity Management Programs, James O. Rodgers Jan 2019

Frontline Managers' Perceptions And Lived Experiences In The Execution Of Diversity Management Programs, James O. Rodgers

Walden Dissertations and Doctoral Studies

For over 30 years, organizations have engaged in programs to address the growing presence of diverse populations in their ranks, and researchers have attempted to identify and quantify a link between diversity and enterprise performance. The problem was a lack of understanding of how organizations benefit from increased diversity and the role of frontline managers in that process. The purpose of this phenomenological study was to address the research question aimed at the perceptions and lived experiences of frontline managers and to gain insights about how they are navigating the challenges of increased diversity to enhance their ability to produce …

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Care Intervention And Reduction Of Emergency Department Utilization In Medicaid Populations, Eno J. Rouse Jan 2019

Care Intervention And Reduction Of Emergency Department Utilization In Medicaid Populations, Eno J. Rouse

Walden Dissertations and Doctoral Studies

Expansion of Medicaid and private health insurance coverage through passage of the Affordable Care Act of 2010 was expected to increase primary care access and reduce emergency department (ED) use by reducing financial burden and improving affordability of care. The aim of this study was to examine the differences in utilization patterns that exist among the Medicaid population that participated in an optimal level of care (OLC) intervention inclusive of appointments scheduled to primary care providers. Using the integrated behavior model as a theoretical framework, the key research question focused on determining if there was a difference in ED use …

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Hypertension Experience Of Foreign-Born West African Immigrant Women In The United States, Assumpta Onyinye Ude Jan 2019

Hypertension Experience Of Foreign-Born West African Immigrant Women In The United States, Assumpta Onyinye Ude

Walden Dissertations and Doctoral Studies

Foreign-born African immigrants (FBAI) have a high rate of severe hypertension (HTN) and psychosocial-cultural factors have underlying roles in this, as in other chronic diseases. Literature lacks studies on FBAI women living with HTN. This study explored the HTN experience of FBAI women in the Washington Metropolitan area. This qualitative phenomenological study, was guided by a theoretical framework that included the Health Belief Model, Patient Centered Access to Health Care and the Transactional Model of Stress and Coping. Highly educated health care professional of 15 women participated in in-depth interviews. Thematic analysis was used for data analysis. Key findings included …

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Late Adolescent Mothers' Homelessness And Pregnancy Experiences While Living In Transitional Housing, Beverly Vendryes Jan 2019

Late Adolescent Mothers' Homelessness And Pregnancy Experiences While Living In Transitional Housing, Beverly Vendryes

Walden Dissertations and Doctoral Studies

The numbers of homeless adolescent mothers have been increasing over the past decade. Previous studies have focused on homeless individuals, but no studies examined late adolescent mothers' homelessness and pregnancy experiences while living in transitional housing. Using a phenomenological methodology, this study explored the lived experiences of 7 adolescent mothers, 18 to 24 years old, who were homeless, pregnant, and living in transitional housing. The social construction of reality theory provided the framework and interpretive lens for this study. Social networking and snowball sampling were used for participant recruitment. Through in-depth interviews, data coding and analyses were conducted to identify …

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Intraoperative Neurophysiological Monitoring Reimbursement Post International Classification Of Diseases-10, Cindy A. Akkerman Jan 2019

Intraoperative Neurophysiological Monitoring Reimbursement Post International Classification Of Diseases-10, Cindy A. Akkerman

Walden Dissertations and Doctoral Studies

International Classification of Diseases the 10th Revision (ICD-10) was implemented October 1, 2015, and there was little knowledge how the transition to ICD-10 would impact the revenue cycle for intraoperative neurophysiological monitoring medical practices in Oklahoma. This correlational quantitative study examined the changes in dependent variables of reimbursements due to the change from ICD-9 to ICD-10 for independent variables of intraoperative neurophysiological monitoring procedure codes. The reimbursements from 2014 were compared to reimbursements from 2016. Prices were adjusted for inflation to 2016 dollar values. Annual reimbursements decreased for all intraoperative neurophysiological monitoring procedures examined except the remote monitoring code. The …

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Wounded Warriors And Their Transition To The Community College Classroom, Virgil Nathaniel Adkins Jan 2019

Wounded Warriors And Their Transition To The Community College Classroom, Virgil Nathaniel Adkins

Walden Dissertations and Doctoral Studies

Many postsecondary institutions face challenges when veterans with posttraumatic stress disorder (PTSD) or traumatic brain injury (TBI) enroll in college and become student-veterans. Staff and faculty may need to better understand how to accommodate these student-veterans as they transition from military to student life. The purpose of this study was to explore the perspectives of 3 groups at a Texas community college regarding classroom accommodations for student-veterans with PTSD or TBI: (a) student-veterans with PTSD or TBI, (b) the faculty, and (c) the disability counselors. Schlossberg's theory assessing an individual's assets and abilities in transition was the conceptual framework for …

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Lived Experiences Of African American Involved With An Incarcerated Intimate Partner, Sharon V. Alston Jan 2019

Lived Experiences Of African American Involved With An Incarcerated Intimate Partner, Sharon V. Alston

Walden Dissertations and Doctoral Studies

The Bureau of Justice Statistics (BJS) accumulates annual data from state department of corrections. The information that the BJS accumulates annually is relevant to this study because it shows the possibility of the many African American women as well as other women in need of assistance while their loved one is incarcerated. The purpose of this study was to explore lived experiences of African American women involved with an incarcerated spouse, partner, or mate. The focal point of interest was how lived experiences affect African American women's physical and psychological well-being. The theoretical framework for this study comprised both the …

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The Relationship Between Parents' And Caregivers' Demographics And Their Knowledge About Congenital Heart Disease, Adeola Barakat Animasahun Jan 2019

The Relationship Between Parents' And Caregivers' Demographics And Their Knowledge About Congenital Heart Disease, Adeola Barakat Animasahun

Walden Dissertations and Doctoral Studies

The lack of knowledge regarding congenital heart disease (CHD) among the Lagos populace is leading to late presentation, late diagnosis and poor outcomes. The purpose of the research was to document the level of knowledge of parents and caregivers regarding CHD using the Leuven questionnaire for assessing knowledge of parents on CHD (LKQCHD). A quantitative correlational cross-sectional study, with purposeful convenience sampling strategy, was used. Health belief model was the theoretical framework used. Primary data of demographic information such as gender, age, the level of education, and the number of years of accessing care were obtained using a survey. The …

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Multicultural Competency In Online Counseling Courses: Before And After A Multicultural Counseling Course, Sheryl Attilee Jan 2019

Multicultural Competency In Online Counseling Courses: Before And After A Multicultural Counseling Course, Sheryl Attilee

Walden Dissertations and Doctoral Studies

The importance of multicultural counseling training received much attention for decades, however, studies on effective training focused on multicultural counseling training in a face-to-face environment with minimal focus on online training environments. These studies found that face-to-face interactions had the most impact on multicultural training. Therefore, the current study was an evaluation of online master's counseling students' and graduates' multicultural attitudes to determine the effectiveness of online multicultural training using Banks' transformative approach. The research questions focused on the significant difference in participants' recalled multicultural attitude scores (know, care, and act) before an online multicultural counseling course as compared to …

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