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2020

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Understanding Retention Issues Among African American Males In A Community College Setting, Angee Ponder Jan 2020

Understanding Retention Issues Among African American Males In A Community College Setting, Angee Ponder

Walden Dissertations and Doctoral Studies

Efforts to improve retention and graduation rates of African American male students in higher education have largely been unsuccessful despite the design and delivery of special courses. During the 2017 academic year, after completion of a college success seminar (CSS), the retention rates for African American male students at a Midwestern community college was only 14% compared to 33% for Hispanic and 60% for Caucasian males. The purpose of this study was to examine the perspectives of African American male students engaged in a CSS course to discover what they perceived to be a major influence on the retention of …

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First Responders' Experience During The Initial Chaos In A Large-Scale Event, Amanda Jo Reese Jan 2020

First Responders' Experience During The Initial Chaos In A Large-Scale Event, Amanda Jo Reese

Walden Dissertations and Doctoral Studies

There is little focus on how first responders (e.g., firefighters, police officers, medical staff) experience the initial chaos immediately following a large-scale disaster. Previous research indicated that understanding the initial chaos of disaster response is imperative to keeping first responders safe and healthy. First responders may also reduce the perception of chaos by implementing situational awareness skills. This research study explored (a) how first responders experienced the initial chaos immediately following a large-scale disaster, (b) how first responders experienced their emotions (good or bad) and what, if any, emotions were present, (c) how their emotions affected job performance, and (d) …

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Development And Validation Of A Sepsis Course For Burn Intensive Care Unit Nurses, Colleen Melisa Reid Jan 2020

Development And Validation Of A Sepsis Course For Burn Intensive Care Unit Nurses, Colleen Melisa Reid

Walden Dissertations and Doctoral Studies

Sepsis is the most common cause of death in burn patients. Optimal recovery from sepsis requires early recognition and prompt treatment. When sepsis is suspected or detected, the 2016 Surviving Sepsis Campaign guidelines endorse immediate initiation of the Hour-1 Sepsis Bundle. Unfortunately, a random audit of hospital system compliance with the Centers for Medicare and Medicaid Services sepsis core measure was less than 50%. A 2019 performance improvement project uncovered delays in antibiotic administration, and a search of scientific and burn center literature did not elucidate a course that educated burn intensive care nurses about sepsis. The purpose of this …

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Implementation And Sustainability Of Emergency Department Wait Time Management Strategies, Arnold F. Resto Del Valle Jan 2020

Implementation And Sustainability Of Emergency Department Wait Time Management Strategies, Arnold F. Resto Del Valle

Walden Dissertations and Doctoral Studies

The problem of excessive wait time in the Emergency Department (ED) is a barrier to receiving access to assessment and treatment for patients seeking care in the United States. This project sought to understand the success factors that help implement and sustain wait time management strategies (WTMS) and ensure reduction of wait times in hospital Emergency Departments. This study addresses the gap in practice of few documented success factors that are proven methods in clinical practice for reducing patient wait time or sustainability. Retrospective studies, randomized controlled trials, and prospective observational studies were included in this project. An exhaustive comprehensive …

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The Relationship Between Flexible Work Environments And The Engagement Of Healthcare Information Technology Employees, Mosella Andrea Rouse Jan 2020

The Relationship Between Flexible Work Environments And The Engagement Of Healthcare Information Technology Employees, Mosella Andrea Rouse

Walden Dissertations and Doctoral Studies

Lack of employee engagement can adversely impact the profitability of businesses. Healthcare information technology leaders who lack information about the relationship between flexible work environments and employee engagement are at risk of decreased employee engagement, adversely impacting companies’ performance. Grounded in the social exchange theory, the purpose of this quantitative correlational study was to examine the relationship between flexible work location, flexible work hours, and employee engagement among millennial healthcare information technology (HIT) workers. Data were collected from archival records of millennial employees (N = 2,184) who work at a HIT organization in the southeastern United States. The results of …

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Management Strategies Used By Construction Managers To Reduce Employee Absenteeism, Kevin Paul Ruane Jan 2020

Management Strategies Used By Construction Managers To Reduce Employee Absenteeism, Kevin Paul Ruane

Walden Dissertations and Doctoral Studies

Employee absenteeism results in millions of working days lost in the United Kingdom, which reduces employee productivity and profitability for small construction companies. Construction managers lacking strategies to reduce employee absenteeism experience lowered organizational profitability and employee productivity. Grounded in Maslow's hierarchy of needs theory, the purpose of this qualitative, multiple case study was to explore strategies middle managers use in the construction industry in South Wales to reduce employee absenteeism. The participants consisted of 6 middle managers from 3 small construction companies who successfully reduced employee absenteeism. Data were collected from semistructured interviews, company documents, and training materials. Data …

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Childhood Religious Stress As A Predictor Of Adult Substance Use Disorders Among Sexual Minorities, Jennifer A. Schindler Jan 2020

Childhood Religious Stress As A Predictor Of Adult Substance Use Disorders Among Sexual Minorities, Jennifer A. Schindler

Walden Dissertations and Doctoral Studies

Researchers have taken considerable interest in the relationship between religious stress in childhood and substance use disorders in adulthood among sexual minorities because more individuals who identify as lesbian, gay, and bi/pansexual have a substance use disorder compared to heterosexuals. However, researchers have not yet completed an integrated analysis of religious stress, mental health, and age of awareness among sexual minorities. This study was important now because the societal climate has shifted to more extremes of intolerance and less acceptance for sexual minorities. The purpose of this study was to examine religious stress as a predictor variable for substance use …

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Clinical Practice Guideline For Transitions Of Patients With Chronic Obstructive Pulmonary Disease, Thomas Stewart Jan 2020

Clinical Practice Guideline For Transitions Of Patients With Chronic Obstructive Pulmonary Disease, Thomas Stewart

Walden Dissertations and Doctoral Studies

Chronic obstructive pulmonary disease (COPD) is a public health challenge and a leading cause of readmissions in the United States. Research suggests that many patient readmissions could be prevented by using a multidisciplinary approach to develop quality, evidence-informed clinical practice guidelines. A retrospective review of the electronic health record by the project site’s quality committee revealed a lack of consistency in adhering to best practice recommendations, as evidenced by increased readmission rates. The purpose of this project was to develop a clinical practice guideline with input from a collaborative expert advisory committee for the discharge care of COPD patients. The …

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The Impact Of Executive Hiring Decisions Within Homeless Services Providers, Thela Rachelle Thatch Jan 2020

The Impact Of Executive Hiring Decisions Within Homeless Services Providers, Thela Rachelle Thatch

Walden Dissertations and Doctoral Studies

Inequities in staffing may affect the ability of organizations to deliver social services to the homeless. As homeless services are challenged with roadblocks exacerbated by systemic racism, a focus on hiring diverse employees may impact the delivery of services to minority clients. Little is known about the effects of diverse hiring in social service programs that serve the homeless. The purpose of this study is to bridge the gap in knowledge by examining the diverse hiring practices of senior employees that hold decision-making roles that affect the delivery of homeless services. Research questions were focused on discovering participants lived experience …

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Access To Healthcare For American Indians Residing In The Northeast United States, Kristine D. Thomas-Jones Jan 2020

Access To Healthcare For American Indians Residing In The Northeast United States, Kristine D. Thomas-Jones

Walden Dissertations and Doctoral Studies

Urban American Indians/Alaskan Natives (AIs/ANs) have limited access to health care in comparison to non-Hispanic Whites (NHWs), which furthers health disparities for indigenous communities. The purpose of this quantitative, nonexperimental study, which was guided by the socioecological model, was to examine the relationship between access to health care and healthcare utilization among urban AIs/ANs and urban NHWs in the Northeast United States. The research questions addressed the difference in access to healthcare based on health insurance, difference in healthcare utilization, and whether there is an association between health care access and health care utilization for AIs in the Northeast United …

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Strategies For Reducing Adverse Medical Events From Implanted Medical Devices, Gary John Zack Jan 2020

Strategies For Reducing Adverse Medical Events From Implanted Medical Devices, Gary John Zack

Walden Dissertations and Doctoral Studies

Managing medical device monitoring processes is challenging and lacks a realtime, life cycle tracking strategy to reduce adverse medical events and revision costs for hospital administrators, physicians, and patients. Understanding the malfunctions of medical devices for cardiac and orthopedic patients could save lives and reduce hospital liability. Grounded in the business process reengineering conceptual framework, the purpose of this single qualitative case study was to explore strategies hospital managers used to redesign the implant recall surveillance process at one hospital in Pennsylvania. The 5 participants selected successfully implemented a medical device surveillance process that reduced adverse medical events and revision …

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Retail Pharmacy Clinic Antibiotic Stewardship Program And Guidelines, Abdulrahman Sudi Amiri Jan 2020

Retail Pharmacy Clinic Antibiotic Stewardship Program And Guidelines, Abdulrahman Sudi Amiri

Walden Dissertations and Doctoral Studies

Overuse of antibiotics poses serious consequences for patient's well-being, including the risk for antibiotic resistance and adverse effects from inadequate and timely treatment. The emergence and frequency of multi-drug resistant bacteria are alarming global public health care experts, as these strains are resisting effective management of life-threatening infections. The gap in practice was that a retail pharmacy clinic did not have a practice guideline for the implementation of a wait-and-see prescription program as part of an antimicrobial stewardship program. The purpose of this project was to coordinate an interprofessional team to develop guidelines for this primary care setting. The practice-focused …

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Barriers To Mental Health Services Related To Stigma In Northern California, Kandalena Ary Jan 2020

Barriers To Mental Health Services Related To Stigma In Northern California, Kandalena Ary

Walden Dissertations and Doctoral Studies

California Senate Bill 1041 recognized mental health as a contributing barrier for individuals struggling to achieve independence from aid through the California Work Opportunity and Responsibility to Kids (CalWORKs) program to meet the needs of the state's low-income families while reducing barriers to self-sufficiency. As mental health illnesses continue to increase, the engagement and utilization of services have not increased. The purpose of this study was to explore county policy infrastructure addresses making mental health services known, accessible, and increase participation to decrease barriers in utilization of available resources. The research questions were used to examine the effectiveness of processes …

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Juvenile Arrest And Recidivism Rate In Fulton County, Georgia, Norell Combs Jan 2020

Juvenile Arrest And Recidivism Rate In Fulton County, Georgia, Norell Combs

Walden Dissertations and Doctoral Studies

The purpose of a Juvenile Justice Department in the United States justice system is to prevent juvenile offenses and to promote the smooth transition of young offenders when they are leaving rehabilitation centers and reentering society. That purpose essentially dedicates itself to fight against rehabilitation of youth. The Department of Juvenile Justice in Fulton County, Georgia (DJJFC), has created rehabilitation programs to facilitate this transition process for young offenders. Fulton County including its citizens, school system, parents, and juveniles would benefit from this issue being resolved. The purpose of this research was to explore the juvenile arrest and recidivism rates …

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Factors That Hinder African American Students From Graduating From 4-Year Predominantly White Institutions, Laura M. Doug Jan 2020

Factors That Hinder African American Students From Graduating From 4-Year Predominantly White Institutions, Laura M. Doug

Walden Dissertations and Doctoral Studies

Although graduation rates at 4-year colleges and universities in the United States have increased in the last decade, African American students do not graduate at the same rate of their White counterparts from 4-year Predominantly White Institutions (PWIs). The purpose of this phenomenological qualitative study was to explore issues that hinder African American junior and senior students from graduating from a 4-year PWI. The theoretical framework for this study examined Karkouti's theory that African American students' success is impacted by an environment that promotes positive learning, cross-racial interactions, and one that is positively associated with students' educational outcomes. The research …

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Relationships Between Characterizations Of Military Service: Bad Discharge And Veteran Homelessness, Ronnie Fairley Jan 2020

Relationships Between Characterizations Of Military Service: Bad Discharge And Veteran Homelessness, Ronnie Fairley

Walden Dissertations and Doctoral Studies

Given the current global war on terror, there was concern that the influx of servicemen and women returning from the war with less than honorable discharge would increase veteran homelessness in the United States. Using Castro and Kintzle's military transition theory, the purpose of this nonexperimental correlational design was to determine relationships between military characterizations of service and veteran homelessness. The correlational research design was used to determine the relationship between military discharge and veteran homelessness. Data were acquired from archival data regarding separated American servicemen and women who served in the military from the Defense Manpower Data Center and …

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Restorative Justice As A Response To Middle School Rules Violations, Tammy Felps Jan 2020

Restorative Justice As A Response To Middle School Rules Violations, Tammy Felps

Walden Dissertations and Doctoral Studies

The zero-tolerance approach of discipline in schools requires the involvement of law enforcement for many violations of school rules. Schools using this approach do not have the tools for effective behavior modification, without relying on school resource officers to intervene, often resulting in juvenile criminal charges. The key elements fueling this process are exclusionary discipline practices that lead to academic failure and increased high school dropout rates. Restorative justice (RJ), a targeted reform program, is a behavior management technique that promotes desirable conditions for successful academic achievement. Many schools are using components of RJ, encounter, repair, and transform; however, implementation …

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Strategies Federal Government It Project Managers Use To Migrate It Systems To The Cloud, Latonya Denise Griffith Jan 2020

Strategies Federal Government It Project Managers Use To Migrate It Systems To The Cloud, Latonya Denise Griffith

Walden Dissertations and Doctoral Studies

Several processes, security, and confidentiality challenges cause the slow adoption of cloud computing within the federal government. Information Technology (IT) senior leadership in the federal government is concerned about the slow adoption of cloud computing because it impedes federal IT systems management. Grounded in the technology acceptance model, the purpose of this exploratory multiple case study was to explore strategies federal government IT project managers used to select systems to migrate to the cloud. Participants consisted of 10 IT project managers from 3 federal organizations in Virginia and Washington, D.C., responsible for migrating federal government systems to the cloud. Data …

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Prostate Cancer Screening Intention Among African American Males Ages 40 To 65 Years, Paul L. Johnson Jan 2020

Prostate Cancer Screening Intention Among African American Males Ages 40 To 65 Years, Paul L. Johnson

Walden Dissertations and Doctoral Studies

African American men are at a higher risk of developing and dying from prostate cancer (PCa) compared with any other race or ethnic group. Despite prostate cancer screening (PCS) recommendations, African American men are less likely to be screened for PCa compared with any other race or ethnic group. The purpose of this study was to identify factors that influence the intentions of African American men to obtain a PCS. A nonexperimental cross-sectional research design was used to identify factors associated with the intention to obtain PCS. The theoretical framework for the study was the social-ecological model which posits that …

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Exploring The Supervision Expectations And Experiences Of Rural School Counselors, Jeannie Catherine Johnson Jan 2020

Exploring The Supervision Expectations And Experiences Of Rural School Counselors, Jeannie Catherine Johnson

Walden Dissertations and Doctoral Studies

The purpose of this qualitative study was to addresses the gap in knowledge and seek to understand the supervision experiences of rural school counselors. In this study, the similarities and differences between their expectations and received supervision were specifically explored as well as how these counselors cope with and manage their role of implementing comprehensive school counseling programs in a rural area. Data was collected from six participants via phone interviews and analyzed utilizing a hermeneutic phenomenological approach. Selection criteria included licensed or certified school counselors actively practicing in rural areas. For the purposes of this study, rural areas were …

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Work-Life Balance Of Rotational Workers In The Nigerian Energy Sector, Israel Olalekan Jolaolu Jan 2020

Work-Life Balance Of Rotational Workers In The Nigerian Energy Sector, Israel Olalekan Jolaolu

Walden Dissertations and Doctoral Studies

Rotational workers in the Nigerian oil and gas industry otherwise referred to as the energy sector, are confronted with challenges and stresses of work-life balance (WLB). Using boundary theory, 15 oil and gas workers with more than 5 years of rotational work experience were recruited to examine the strategies they employed to deal with the stresses and work-life balance required for the social well-being of the workers, which translates to improved job performance in the oil and gas sector in Nigeria. The research question was designed to explore the lived experiences of rotational workers with more than 5 years in …

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Attitudes And Beliefs Of Seventh-Day Adventist K-8 General Education Teachers Regarding Inclusion, Gillian Joseph Jan 2020

Attitudes And Beliefs Of Seventh-Day Adventist K-8 General Education Teachers Regarding Inclusion, Gillian Joseph

Walden Dissertations and Doctoral Studies

General education (GE) elementary and middle school teachers often do not feel equipped to meet the needs of students with learning disabilities (SWDs) in Seventh-Day Adventist (SDA) schools. The purpose of this study was to explore SDA GE elementary and middle teachers' support for SWDs' academic needs, attitudes and beliefs about their ability to support SWDs, and competence to include SWDs in the classroom. The method and design was a qualitative exploratory case study. The conceptual framework for this study was Bandura's theory of self-efficacy and social cognitive theory. Ten elementary and middle school teachers, who taught SWDS in 3 …

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Predictors Of Success On The National Board For Certification In Occupational Therapy Exam, Lesley Khan-Farooqi Jan 2020

Predictors Of Success On The National Board For Certification In Occupational Therapy Exam, Lesley Khan-Farooqi

Walden Dissertations and Doctoral Studies

To practice as an occupational therapist, an individual must complete an accredited occupational therapy (OT) program and pass the National Board for Certification in Occupational Therapy (NBCOT) exam. The NBCOT exam was developed to ensure entry-level occupational therapists have the necessary knowledge to make safe and competent decisions. The problem that compelled this study was that there is limited understanding of the predictors of first attempt success on the NBCOT exam. The purpose of this retrospective quantitative study was to examine the predictive ability of age, gender, ethnicity, undergraduate GPA, graduate record exam scores, and program GPA on first attempt …

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The Impact Of Technological Advances On Older Workers, Toni Mcintosh Jan 2020

The Impact Of Technological Advances On Older Workers, Toni Mcintosh

Walden Dissertations and Doctoral Studies

The general problem addressed in this study was the treatment of older workers in the information technology industry that contributes to age discrimination in the workplace. Age discrimination is against the law irrespective of whether it is aimed at older workers in the workforce or becoming job candidates at an advanced age. Although previous research has shown that age discrimination is prevalent in work environments, little has been suggested to eradicate the issue in the workplace. The purpose of this qualitative case study was to investigate the issue of age discrimination as it relates to workers over the age of …

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The Meaning Of Work And Self-Sufficiency For Rural Work- Eligible Adults, Janneice Mitcheam-Eatmon Jan 2020

The Meaning Of Work And Self-Sufficiency For Rural Work- Eligible Adults, Janneice Mitcheam-Eatmon

Walden Dissertations and Doctoral Studies

Despite the implementation of government programs created to ensure access to job training and education assistance for rural residents, which encourage and support their efforts to change their life trajectory, many rural residents remain unemployed and unable to move beyond poverty. Most research on job training focuses on program effectiveness or epidemiological trends; however, the voices of rural residents' descriptions of their relationship to work and self-sufficiency are missing from the literature. This IPA study explored the meaning of work and self-sufficiency for rural, work-eligible adults using Bronfenbrenner's ecological systems theory (EST) as the theoretical framework. I used a combination …

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Assisting Psychiatric Nurses In Managing Work Stress And Decreasing Callouts And Absenteeism, Prisca Njume Jan 2020

Assisting Psychiatric Nurses In Managing Work Stress And Decreasing Callouts And Absenteeism, Prisca Njume

Walden Dissertations and Doctoral Studies

Management and reduction of work stress is important in promoting nurses' well'€being. Understanding how to decrease stress levels may allow nurses to provide better care, improve patient outcomes, and experience increased job satisfaction. The focus of this project was to empower psychiatric nurses to manage work-related stress and decrease callouts and absenteeism. Person-environment fit theory, job demand-control (support) theory, the job demands-resources model, and the effort-reward imbalance model were used to inform the project. Pretest and posttest data were collected from 61 nurses using the Perceived Stress Scale. Deidentified retrospective and prospective data of the number of callouts were also …

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It Security Managers' Strategies For Mitigating Data Breaches In Texas School Districts, Mercy Ikhuoria Nwankwo Jan 2020

It Security Managers' Strategies For Mitigating Data Breaches In Texas School Districts, Mercy Ikhuoria Nwankwo

Walden Dissertations and Doctoral Studies

School districts are increasingly becoming a prime target for cybercriminals. As a result, information technology (IT) security managers in Texas school districts are concerned about hackers gaining access to network resources that could lead to data breaches on their network. Grounded in the technology threat avoidance theory, the purpose of this qualitative multiple case study was to explore strategies IT security managers use to mitigate data breaches in school district networks in Texas. The participants comprised 6 IT security managers in 3 Texas school districts whose roles involved managing and implementing data security strategies. Data collection involved conducting semistructured interviews …

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Experienced Barriers To Tacit Knowledge Sharing In Anglophone West Africa, Vivienne Ameh Ogbonna Jan 2020

Experienced Barriers To Tacit Knowledge Sharing In Anglophone West Africa, Vivienne Ameh Ogbonna

Walden Dissertations and Doctoral Studies

Public sector projects in Africa fail because of the absence, poor quality, and inadequate exchange of tacit knowledge through the project life cycle. The purpose of this research was to understand the barriers team members experience in sharing their ideas, skills, and know-how that is necessary to prevent waste and achieve successful projects. The conceptual framework for this interpretative phenomenological study was from the theory of reasoned action and the theory of planned behavior. The framework served as the lens to identify and interpret the lived experience on tacit knowledge sharing of 13 project managers on public sector projects in …

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Relationship Between Teacher Professional Development And Urban High School Students' Reading Achievement, Chantell Rowe Jan 2020

Relationship Between Teacher Professional Development And Urban High School Students' Reading Achievement, Chantell Rowe

Walden Dissertations and Doctoral Studies

Reading is an essential ability for students to be successful in life. The students attending an urban high school in Washington, DC received low reading test scores. Therefore, the school district required teachers to attend mandated professional development workshops (PDWs) to help improve students' reading. The purpose of this study was to examine the relationship between the number of mandated PDWs attended over 3 academic school years and 10th grade student reading achievement levels as measured by the District of Columbia Comprehensive Assessment System (DC CAS) as well as whether the increased number of mandated PDWs predicts reading levels on …

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Practice Improvement: Intimate Partner Violence Screening Implementation, Enitan Salawu Jan 2020

Practice Improvement: Intimate Partner Violence Screening Implementation, Enitan Salawu

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a significant public health problem in the United States and worldwide. A recent U.S. crime report indicated that close to half of all homicides involve women victims of current or former intimate partners. The purpose of this doctoral project was to develop a training program to educate clinicians in the primary care setting on IPV screening. Participants received education on the Hurt, Insult, Threaten, Scream (HITS) screening tool to identify IPV survivors with available referral resources. The practice-focused question involved clinicians' level of knowledge regarding using the HITS tool kit to screen for IPV in …

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