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2020

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A Health Care Management Organization's Internal Controls Strategy For Managed Care, Elizabeth E. David Jan 2020

A Health Care Management Organization's Internal Controls Strategy For Managed Care, Elizabeth E. David

Walden Dissertations and Doctoral Studies

A lack of effective operational internal controls among health management organization (HMO) leaders could lead to poor operational practices, mismanagement of the government's health care funds, increased health care spending, and a negative impact on patient health outcomes. Grounded in transformational leadership theory, the purpose of this qualitative, single case study was to explore successful internal control strategies used by leaders at a southeastern Pennsylvania HMO. Data were collected from semistructured interviews with 5 participants who held positions of director or above within the organization for at least 3 years, had institutional knowledge, and had responsibility for overseeing the organization's …

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Stability Vs. Change In Catholic Schools, Susan Theresa Diverio Jan 2020

Stability Vs. Change In Catholic Schools, Susan Theresa Diverio

Walden Dissertations and Doctoral Studies

This study was an investigation of innovative practices based upon organizational learning and the life cycle in Catholic elementary and high schools. Limited research exists in the role that these factors play in Catholic school sustainability. The purpose of this study was to examine the relationship of organizational learning, as measured by the Organizational Learning Scale, and life cycle, as measured by Organizational Life Cycle 5-Scale on organizational innovation, as measured by the Organizational Innovation Scale. Organizational design framework, life cycle theory, and transtheoretical model of behavior provided the theoretical framework to investigate the relationship between organizational learning, life cycle …

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Perceptions Of Stress And Coping In The First Year Of Police Work, Scott David Eaton Jan 2020

Perceptions Of Stress And Coping In The First Year Of Police Work, Scott David Eaton

Walden Dissertations and Doctoral Studies

The pressures associated with a career in law enforcement are considerable and often result in significant detriment to an officer's personality, behavior, and overall mental health, ultimately impacting job performance and work engagement. Although there is extensive research on the influence of stress encountered in police work, an understanding of those stressors and ways of coping in the first year of police work has yet to be fully explored. The purpose of this study was to describe the lived experiences of 5 police officers who have been subject to stress in their first year and to identify the coping skills, …

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Funding Impacts On Existing Social Workers Providing Services To African American Battered Women, Dalicia Victorica Watson Jan 2020

Funding Impacts On Existing Social Workers Providing Services To African American Battered Women, Dalicia Victorica Watson

Walden Dissertations and Doctoral Studies

Social workers who work in domestic violence shelters have many different impacts that can affect their ability to provide services to battered women. Research is lacking on how funding impacts the abilities of existing social workers to provide services to African American battered women who are at domestic violence shelters in Columbia, South Carolina. The purpose of this study was to examine how a lack of funding impacts the abilities of existing social workers who work at domestic violence shelters to provide services to African American battered women. Conflict theory was used to gain an understanding of how funding issues …

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Relationship Between Nurse Job Satisfaction Variables And Voluntary Turnover Intention, Mmayen Monday Nnah Jan 2020

Relationship Between Nurse Job Satisfaction Variables And Voluntary Turnover Intention, Mmayen Monday Nnah

Walden Dissertations and Doctoral Studies

Increased turnover among hospital nurses has adverse business outcomes. Hospital nurse managers are concerned with minimizing turnover to reduce hospital costs, lower risk to patients, and positively impact hospital performance. Grounded in motivation-hygiene theory, the purpose of this quantitative correlational study was to examine the relationship among nurses' views of the quality of work environments, level of management support, opportunities for promotion, and nurses' voluntary turnover intentions. Data were collected from nurses with registered nurse status or a bachelor of science in nursing degrees working in hospital settings in the United States (N = 82), who completed the Job Satisfaction …

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Strategies To Mitigate Negative Social Media Communications In Collegiate Athletics, Jennifer A. Parks Jan 2020

Strategies To Mitigate Negative Social Media Communications In Collegiate Athletics, Jennifer A. Parks

Walden Dissertations and Doctoral Studies

Harmful social media communications in collegiate athletics are challenging, compelling athletic administrators to implement strategies to mitigate costly damage to the university. Grounded in framing theory, the purpose of this qualitative multiple case study was to explore strategies some collegiate athletic administrators use to mitigate negative social media communications by their student-athletes and coaches that may cause problems resulting in reputational damage to the brand, negative publicity, financial loss, sanctions, and fines for the university or college. Participants were 4 collegiate athletic administrators located in the southeastern United States, who had a social media policy and strategies to successfully mitigate …

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An Educational Activity For Primary Care Providers Treating Older Veterans With Sexually Transmitted Infections, Beatrice Fannie Grant Jan 2020

An Educational Activity For Primary Care Providers Treating Older Veterans With Sexually Transmitted Infections, Beatrice Fannie Grant

Walden Dissertations and Doctoral Studies

AbstractComprehensive sex education is an effective method of promoting sexual health. Because primary care providers conduct the initial health need assessment of veterans, it is important that providers understand how to approach the subject of sexual health and the prevention of sexually transmitted infections. The purpose of this evidence-based project was to implement and evaluate an educational activity for primary care providers. The health belief model was used as theoretical framework. This project was introduced to a federal primary care clinic in the Mid-Atlantic United States. Twenty-five participants completed a pretest prior to the start of the educational activity that …

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Qualitative Evaluation Of A Hospital-Based Preceptor-Guided Clinical Orientation Program, Brian Eigelbach Martin Jan 2020

Qualitative Evaluation Of A Hospital-Based Preceptor-Guided Clinical Orientation Program, Brian Eigelbach Martin

Walden Dissertations and Doctoral Studies

Effective preceptor-guided clinical orientation programs (PGCOP) help new graduate nurses (NGNs) across the theory-practice gap to provide safe, effective, and efficient patient care. This constructivist-designed qualitative program evaluation study explored NGNs’ and preceptors’ perceptions of a local hospital’s PGCOP as an effective transition vehicle. The conceptual framework combined Knowles’ andragogical process model for learning with the new world Kirkpatrick model evaluation model. The sample included 7 NGNs who graduated in the past year and had no prior orientation experience and 5 preceptors employed by the study site for at least 1 year. A goal-free approach guided data collection with face-to-face …

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Impact Of Integrated Laboratory Data Transfer Portals On Patient Results And Reports, Charmane Latrece Richie Jan 2020

Impact Of Integrated Laboratory Data Transfer Portals On Patient Results And Reports, Charmane Latrece Richie

Walden Dissertations and Doctoral Studies

An operational problem exists in which some healthcare organizations cannot maintain a suitable supporting data transfer system, which impacts the integrated laboratory data transfer portals designed to receive and send secure patient laboratory results and reports. This quantitative study examined whether an association exists between patient reporting turnaround times and specific test code nomenclatures used when comparing an older referral laboratory interface (RLI) laboratory information system (LIS) to the newer electronic orders and resulting (EOR) system using the Covance expanded laboratory management services (ELMS) NexGEN database from 2016-2020. The Donabedian model served as the framework for this study. The sampling …

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The Lived Experience Of Work Stress And Coping In Eldercare Hospice Nurses, Yvette Abraham Jan 2020

The Lived Experience Of Work Stress And Coping In Eldercare Hospice Nurses, Yvette Abraham

Walden Dissertations and Doctoral Studies

The number of elderly people living with terminal diagnoses has increased, along with the need for hospice nurses with specialized training to provide high-quality personal care that addresses their unique, critical needs. Research on nurses and other professionals who function in a demanding environment has demonstrated the experience of work stress, and negative physical and psychological consequences. However, little is known about the unique work stress and challenges of hospice nurses who care for the dying elderly. This study explored the meaning of hospice nurses’ experience of work stress and coping. Giorgi’s empirical phenomenological approach guided the development of the …

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Effects Of Group Play In Sand On Obese Women’S Self-Perceptions, Marianezoi Antares Jan 2020

Effects Of Group Play In Sand On Obese Women’S Self-Perceptions, Marianezoi Antares

Walden Dissertations and Doctoral Studies

Obesity poses an escalating threat to public health in many countries. A better understanding of the psychological construct of obesity and alternative approaches for treating it are needed. The purpose of this study was to examine secondary data to measure the effects of a program using group play in sand on self-perceptions of obese Danish women. The framework was based on elements from the Bandura’s social learning theory and conception of self-efficacy integrated with the concept of body image perception. Participants (N = 34) were obese women in Copenhagen, Denmark, who used group play in sand as their therapy program. …

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Nursing Clinical Practice Guideline Development For The Care Of Sexual Assault Survivors, Elssy J. Bingham Jan 2020

Nursing Clinical Practice Guideline Development For The Care Of Sexual Assault Survivors, Elssy J. Bingham

Walden Dissertations and Doctoral Studies

Sexual assault, a form of sexual violence, is an egregious crime that continues to be a serious and significant public health problem which affects millions of people each year in the United States and globally. Sexual assault may have lasting and devastating negative physical and emotional consequences. Knowledgeable nurses can have a positive impact on a survivor’s safety and recovery. The purpose of this project was to develop a Clinical Practice Guideline (CPG) for nurses who provide the initial care when patients present in the emergency room following sexual assault. The conceptual framework used for this project included Knowle’s Theory …

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Strategies To Reduce Voluntary Employee Turnover, Ieshia Renee Bradley Jan 2020

Strategies To Reduce Voluntary Employee Turnover, Ieshia Renee Bradley

Walden Dissertations and Doctoral Studies

The cost of voluntary employee turnover is extremely high for organizations in the United States. In 2017, organizations lost over 114 million dollars in profits due to voluntary employee turnover. Business leaders who do not implement the retention strategies to prepare and maintain talent are at risk of losing employee productivity, translating into the organization's profitability. Grounded in Herzberg’s two-factor theory of motivation, the purpose of this qualitative multiple case study was to explore strategies 6 managers from Tallahassee, Florida used to reduce voluntary employee turnover. Data were collected using semistructured interviews and company archival documents. Data were analyzed using …

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Locus Of Control And Secondary Traumatic Stress As Predictors Of Burnout Of Working Mothers In School Counseling, Brandy Brady Jan 2020

Locus Of Control And Secondary Traumatic Stress As Predictors Of Burnout Of Working Mothers In School Counseling, Brandy Brady

Walden Dissertations and Doctoral Studies

School counselors are the epitome of social change agents and advocates for children. Working mothers, particularly those who serve as school counselors, have reported experiences of fatigue, burnout, anxiety, and stress. Researchers have established the need to address the distinctive juncture of motherhood and school counselor responsibilities, as well as the overlap in demands. Rotter’s social learning theory was used as the theoretical framework of this study. This quantitative cross-sectional study examined the relationship between secondary traumatic stress and locus of control as predictors of burnout among working mothers in the school counseling profession. Survey data were collected from 72 …

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Understanding Characteristics Of Chronic Obstructive Pulmonary Disease Readmissions In An Acute Care Hospital, Jordan Danyale Brautigam Jan 2020

Understanding Characteristics Of Chronic Obstructive Pulmonary Disease Readmissions In An Acute Care Hospital, Jordan Danyale Brautigam

Walden Dissertations and Doctoral Studies

Patients suffering from chronic obstructive pulmonary disease (COPD) not only face difficulties managing their disease but are also faced with a higher risk of being readmitted to a hospital after an initial visit for acute exacerbation of their condition. Despite hospitals’ many attempts to offset this burden, readmission reduction programs are not effective. The purpose of this quantitative study was to further research an organization’s specific population surrounding patient comorbidities, reasons for readmissions, and demographic characteristics that may lend insight into reasons for readmissions. The research design was a retrospective analysis of a health system’s electronic medical record with a …

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A Correlational Study Of Manager-Employee Relationship, Employee Rewards, And Employee Engagement, Hilda M. Concepcion Jan 2020

A Correlational Study Of Manager-Employee Relationship, Employee Rewards, And Employee Engagement, Hilda M. Concepcion

Walden Dissertations and Doctoral Studies

Organizational leaders are challenged with loss of productivity due to lack of employee engagement, making employee engagement a top priority for organizational executives worldwide. Grounded in Emerson’s social exchange theory, the purpose of this quantitative correlational study was to examine the relationship between manager-employee relationship and employee rewards and employee engagement. Employees (N = 31) of a U.S. organization completed the Intrinsic Work Rewards Survey, Extrinsic Rewards on Creativity Measure, and the Work and Well-being Survey. The results of the multiple linear regression indicated a statistically significant relationship, F(2, 28) = 32.875, p < .001, R2 = .701. Employee rewards was the only statistically significant predictor of employee engagement (t = 6.074, p < .001). A recommendation is for organizational leaders to establish reward programs that address employee needs for compensation, achievement, and development. This implications for positive social change include the potential for employees to benefit from financial stability and well-being. The organization may achieve higher performance and profitability, enabling the organization to invest in job creation and community economic development.

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Organizational Culture As A Predictor Of Counselors’ Wellness, Ashley Nicole Davis Jan 2020

Organizational Culture As A Predictor Of Counselors’ Wellness, Ashley Nicole Davis

Walden Dissertations and Doctoral Studies

The foci of existing literature related to counselor wellness are on counselors as individuals, and researchers have failed to consider counselors as part of a larger system. Researchers have found that demanding work environments are more likely to lead to compassion fatigue and burnout for counselors which pose threats to the well-being of clients. The organizational culture also affects counselor self-efficacy, which influences the emotional state of the counselors. Limited research exists on institutional-level factors, such as the organizational culture, in counselor wellness which demonstrates the importance of this study. The purpose of this quantitative nonexperimental survey study was to …

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Strategies For Recruiting Volunteers In The Nonprofit Sector, Marsha Delahaye Jan 2020

Strategies For Recruiting Volunteers In The Nonprofit Sector, Marsha Delahaye

Walden Dissertations and Doctoral Studies

Many nonprofit organizations (NPO) leaders lack formal strategies to recruit volunteers. Nonprofit leaders without effective volunteer recruitment strategies may lack the workforce necessary to achieve the organization’s mission to support organization beneficiaries. Grounded in the strategic human resource management theory, the purpose of this qualitative, single case study was to explore strategies 3 leaders of a nonprofit organization located in the U.S. state of Colorado use to recruit volunteers. Data were collected from semistructured interviews, organizational documents, public and government data, and the organization’s website. The data were analyzed using Yin’s five-step thematic analysis process and the Baldrige Performance Excellence …

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Sustainable Building Certification In Healthcare And Patient Satisfaction, Brian Jay Goehner Jan 2020

Sustainable Building Certification In Healthcare And Patient Satisfaction, Brian Jay Goehner

Walden Dissertations and Doctoral Studies

Eco-friendly healthcare delivery concepts are becoming more accepted as hospital leaders seek to control energy costs, mitigate contributions to climate change, and preserve scarce resources. Leadership in Energy and Environmental Design (LEED) offers healthcare leaders a framework for designing and constructing sustainable facilities that meet efficiency goals. The purpose of this quantitative cross-sectional study was to build an understanding of whether LEED certification influences Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) ratings. Using complex systems theory as the framework, the research questions were focused on exploring if higher levels of LEED certification led to greater HCAHPS overall hospital …

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Family Functioning During Deployment And Reintegration Of Military Members, Heather Graham Jan 2020

Family Functioning During Deployment And Reintegration Of Military Members, Heather Graham

Walden Dissertations and Doctoral Studies

Military members and their families face unique stressors related to separation and reintegration. These life-changing events can lead to domestic violence, divorce, depression, suicide, and behavioral problems within the family. It was unknown whether the implementation of a nursing clinical practice guideline (CPG) would help nurses to identify family functioning concerns or psychosocial issues enabling earlier interventions. The purpose of this doctoral project was to create a CPG that can be used at military treatment facilities (MTFs) to screen military members and their families to identify family functioning concerns so that the provider can make referrals as needed. The circumplex …

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The Lived Experiences Of Clinical Nursing Faculty With Student Performance Anxiety, Heather Lapoint Jan 2020

The Lived Experiences Of Clinical Nursing Faculty With Student Performance Anxiety, Heather Lapoint

Walden Dissertations and Doctoral Studies

The nursing shortage in the United States has led to a call for nursing education reform. Current clinical educational methods precipitate nursing student performance anxiety (PA). PA can inhibit the clinical judgment, reasoning, critical thinking, and the adaptability required for advancing healthcare initiatives and reducing the nursing shortage. PA has not been defined nor addressed in undergraduate nursing education. The purpose of this descriptive phenomenological study was to explore the lived experiences of associate degree (AD) nursing program faculty in addressing student PA as it occurs in the clinical setting. Specifically, how faculty define PA and recognize, address, and assess …

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Clinical Practice Guideline: Early Screening For Dementia In Diabetes Mellitus, Angelyn Levell-Smith Jan 2020

Clinical Practice Guideline: Early Screening For Dementia In Diabetes Mellitus, Angelyn Levell-Smith

Walden Dissertations and Doctoral Studies

AbstractDiabetes mellitus (DM) is a recognized cognitive impairment risk factor. Even with hyperglycemia being a modifiable risk factor in dementia, primary care is without an evidence-based screening tool to screen patients with diabetes for cognitive abilities. Current literature supports developing an evidence-based standardized guideline for early screening for cognitive impairment in elderly patients with DM. The purpose of this doctor of nursing practice (DNP) clinical practice guideline (CPG) project was to develop an evidence-based CPG for early screening of dementia in patients with DM, providing a means for early recognition of cognitive decline in these patients, making early intervention more …

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Retention Of Cognitive Skills In Advanced Cardiac Life Support Training, Sangeeta Srivastava Mathur Jan 2020

Retention Of Cognitive Skills In Advanced Cardiac Life Support Training, Sangeeta Srivastava Mathur

Walden Dissertations and Doctoral Studies

AbstractRespiratory therapists (RTs) and registered nurses (RNs) who work at a local hospital in the state of Maryland have expressed difficulty retaining the knowledge required to renew their advanced cardiac life support (ACLS) certification. The retention of skills is very important in responding to a life-threatening event, such as cardiac arrest. The ACLS is a key clinical competency for these clinicians, suggesting a need to understand how their retention and learning can be improved. Accordingly, the purpose of this qualitative study was to better understand the factors that may affect RNs and RTs in learning and retaining the knowledge and …

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Adult Attachment Functioning Of Former Foster Youth Initially Placed In Early Adolescence, Adrienne Miller Jan 2020

Adult Attachment Functioning Of Former Foster Youth Initially Placed In Early Adolescence, Adrienne Miller

Walden Dissertations and Doctoral Studies

Child attachment has been an area of study among scholars for several decades; however, early adolescent attachment is a specific age period that few scholars have examined, especially pertaining to child welfare where placement is a necessary but forced attachment disruption. The purpose of this nonexperimental study was to examine the likelihood of early adolescent attachment during initial placement and to explore the frequencies of this population securely attaching postplacement based on the added variables of placement setting (foster home/kinship home/group home/institution) and sibling accessibility. Attachment theory was the lens through which to analyze the 83 results received via anonymous …

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The Lived Experiences Of African American Nurses Transitioning To The Workforce, Stephanie Carra Mitchell Jan 2020

The Lived Experiences Of African American Nurses Transitioning To The Workforce, Stephanie Carra Mitchell

Walden Dissertations and Doctoral Studies

Newly licensed registered nurses face many challenges as they transition from school to the nursing workforce. The challenges may lead to their desire to leave the workforce which negatively affects nursing retention and contributes to the nursing shortage. African American registered nurses are underrepresented when compared to the percentage of the African American population in the Unites States. Retaining African American nurses can make a significant contribution to the increasing diversity of the nursing workforce. The purpose of this qualitative phenomenological study was to explore the perceptions of African American registered nurses as they transition to the nursing workforce using …

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Perceptions On Maternal Mortality Among The Ekpeye Community, Theresa Tenim Ogide-Alaeze Jan 2020

Perceptions On Maternal Mortality Among The Ekpeye Community, Theresa Tenim Ogide-Alaeze

Walden Dissertations and Doctoral Studies

In Africa, especially Nigeria, maternal mortality is a public health issue among women of childbearing age (WCBA). WCBA living in the Ekpeye community located in Rivers state in Nigeria are at high risk of maternal deaths during pregnancy and labor or delivery. Data were obtained through key informant interviews with 9 relatives, friends, and health workers. The purpose of the key informant interviews was to identify perceived barriers that result in high maternal deaths and facilitators seen as promoters to reduce pregnancy-related deaths. The participants identified 11 core themes as contributors to maternal death: (a) postpartum death, (b) financial insecurity, …

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Perception Of Parents And Teachers About Social Media Communication Effecting Children’S Attitudes Toward Schooling In Deployed Military Families, Luther Mike Robinson Jan 2020

Perception Of Parents And Teachers About Social Media Communication Effecting Children’S Attitudes Toward Schooling In Deployed Military Families, Luther Mike Robinson

Walden Dissertations and Doctoral Studies

Military families represent an under-researched and unique population in U.S. society. Little is known about the effects that extended separations have on military families and/or about the daily challenges such families face. This basic qualitative inquiry examined military spouses’ perception of how social media and digital face-to-face communication with deployed parents influenced their children’s behaviors and attitudes toward school. It also examined the perceptions of teachers who teach or taught military children whose parents were deployed. The study’s conceptual framework consisted of Bandura’s social cognitive theory of self-efficacy and Ainsworth and Bowlby’s attachment theory. The research questions for this study …

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Quality Of Life For Patients Who Have Undergone Hip Replacement Surgery With And Without An Enhanced Recovery Program, Patrick Servat Jan 2020

Quality Of Life For Patients Who Have Undergone Hip Replacement Surgery With And Without An Enhanced Recovery Program, Patrick Servat

Walden Dissertations and Doctoral Studies

The World Health Organization considers hip replacement one of the main public health concerns of this 21st century. An enhanced recovery after surgery (ERAS) approach has proved to be an effective and efficient approach to treat patients in need of a hip replacement. The quality of life (QOL) of patients who have undergone a hip replacement surgery with an ERAS approach has not been documented due to its recent development as a possibility for hip surgery. The objective of this study was to compare QOL, length of stay (LOS), and surgery risks of patients undergoing hip replacement surgery with or …

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The Beliefs Of Sex Education Instructors In The Classroom, Denise Stewart Jan 2020

The Beliefs Of Sex Education Instructors In The Classroom, Denise Stewart

Walden Dissertations and Doctoral Studies

Data-driven research is an ethical precept for nearly every profession, and it holds a particular importance within any human-services field, including public health education. This research study used a phenomenological methodology and Brofenbrenner’s theoretical framework to construct descriptive themes, investigating how public school instructors' personal beliefs impact teaching practice. Ten in-depth face-to-face interviews were conducted with public high school teachers who self-identified as being involved with sex education instruction. Participants were selected from several public Minnesota high schools responsible for providing sex education to public school students in Grades 9 to 12. The findings revealed several themes relating to how …

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Experiences And Perspectives Of High School Teachers Regarding Technology Integration, Tamara Turner Jan 2020

Experiences And Perspectives Of High School Teachers Regarding Technology Integration, Tamara Turner

Walden Dissertations and Doctoral Studies

A local school district adopted technology initiatives with the goal of transforming pedagogy to create 21st-Century learning experiences. The problem addressed in this study was high school teachers from 1 of the district's 4 high schools did not integrate technology in ways that transformed pedagogy and enhance students’ learning experiences. The purpose of this qualitative case study was to explore teachers' perspectives of and experiences and challenges with integrating technology in transformational ways. Mishra and Koehler’s technological pedagogical and content knowledge framework guided this study. The research questions were designed to understand teachers’ experiences, perspectives, and challenges integrating technology in …

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