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2020

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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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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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Faulty Development In Simulation For Professional Nurse Educators, Jill Johnson Jan 2020

Faulty Development In Simulation For Professional Nurse Educators, Jill Johnson

Walden Dissertations and Doctoral Studies

There is a shortage of nursing faculty adequately prepared in the use of simulation technology. The purpose of this qualitative case study was to examine nursing faculty's experiences and perceptions regarding faculty development related to simulation technology. Benner's model of skill acquisition and Kolb's theory of experiential learning were the conceptual frameworks used to support the study. Research questions addressed the experiences and perceptions of faculty development and the improvement of nursing skills in simulation-based activities. Data were collected through semistructured interviews with 7 educators who had taught using simulation technology. Data analysis included organizing the data and reading it …

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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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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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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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Understanding Behavioral Health Stigma Within The Healthcare Workforce, Jason Robert Martin Jan 2020

Understanding Behavioral Health Stigma Within The Healthcare Workforce, Jason Robert Martin

Walden Dissertations and Doctoral Studies

Individuals who seek mental health treatment in the United States face significant barriers. One such barrier is the belief that those seeking mental health treatment are subpar people with some moral failure. One area where this phenomenon exists is the behavioral healthcare workforce. This study was conducted to understand the phenomenon of stigma that behavioral healthcare leaders exhibit toward behavioral healthcare patients using the Baldrige framework as its conceptual framework. Using a qualitative approach and case study design, interviews were conducted with 6 leaders within a large healthcare system in the suburbs of a major metropolitan area to evaluate their …

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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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Strategies African American Stepfathers Use To Build Positive Relationships With Their Stepdaughters, Shauntele Peynado-Rogers Jan 2020

Strategies African American Stepfathers Use To Build Positive Relationships With Their Stepdaughters, Shauntele Peynado-Rogers

Walden Dissertations and Doctoral Studies

Researchers have shown that strained relationships between stepfathers and their stepchildren contribute to family dysfunction and stress. As the number of blended families in the United States continues to rise, it is important to determine how stepparents develop positive relationships with their stepchildren. The purpose of this study was to determine what strategies African American stepfathers use to develop positive, supporting relationships with their school aged stepdaughters. Family systems theory guided this research. The generic qualitative approach was used to conduct the study. Purposeful sampling resulted in data being collected from 7 participants using semi structured interviews. Colaizzi's 7-step method …

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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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General Chemistry Students' Perceived Self-Efficacy After Completing Project-Based Service-Learning Activities, Sarah Quast Sliker Jan 2020

General Chemistry Students' Perceived Self-Efficacy After Completing Project-Based Service-Learning Activities, Sarah Quast Sliker

Walden Dissertations and Doctoral Studies

A New England community college reported that 60% of General Chemistry college students, who were science, technology, engineering, and mathematics (STEM) majors, did not advance in the STEM curriculum. To potentially increase student persistence in STEM curriculum, this qualitative case study project explored the self-efficacy perceptions of General Chemistry students after participating in project-based service-learning with elementary-school students. Bandura's social cognitive theory provided the conceptual framework for the study, supporting an understanding of learner self-efficacy. Research questions focused on chemistry students perceived self-efficacy after interactions with elementary-school students, teamwork, and the development of a project. Semistructured interviews with 10 participants …

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Evaluation Of Telehealth Applications For Patients Seeking Hospice Care, Victoria Emma Surujlall Jan 2020

Evaluation Of Telehealth Applications For Patients Seeking Hospice Care, Victoria Emma Surujlall

Walden Dissertations and Doctoral Studies

Telehealth (TH) is one of the newest avenues for improving accessibility and healthcare accommodations for patients with chronic health issues and terminal illness. The purpose of a quality improvement (QI) initiative at the project site was to align current evidence-based practice to address the disparities in the admissions process experienced by patients seeking hospice care from remote locations. The health belief model and Roger's diffusion of innovation theory were used to inform this doctor of nursing QI evaluation project to determine whether using a standardized evidence-based intake assessment process delivered by TH would increase accessibility for patients seeking hospice services. …

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Provider Perspectives Of Equine Assisted Psychotherapy For Social Skills, Rachel Young Jan 2020

Provider Perspectives Of Equine Assisted Psychotherapy For Social Skills, Rachel Young

Walden Dissertations and Doctoral Studies

Animal assisted therapy has been used for years and has been researched primarily for autism but researchers have not focused specifically on the experiences of children with Attention Deficit Hyperactivity Disorder (ADHD) and their social skills after involvement in animal assisted therapy. Children with ADHD frequently struggle expressing their emotions and communicating effectively, primarily in social settings, which can have an extensive impact on their functioning that can extend into adulthood. The theoretical attachment framework from Ainsworth and Bowlby, when applied through the retrospective multiple case study model allowed for a greater understanding of the experiences of children involved in …

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Investigating How Teachers Meet State Standards For Multicultural Curriculum, Richard Olufemi Adelani Jan 2020

Investigating How Teachers Meet State Standards For Multicultural Curriculum, Richard Olufemi Adelani

Walden Dissertations and Doctoral Studies

The problem of this study was the lack of evidence on how teachers, who teach world languages and English language learners in middle and high schools in a local district, use multicultural resources to supplement state of New Jersey core curriculum students learning standards and meet the cultural and linguistic needs of students they teach. School library online circulation files showed that few world languages teachers checked out library resources for their classrooms between August 2014 and May 2018. The purpose of this case study was to investigate how teachers supplement core curriculum to meet state standards regarding cultural diversity. …

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Predictors Of Use Of Pap Tests Among Ghanaian Immigrant Women In Ohio, Baaba Forson Jan 2020

Predictors Of Use Of Pap Tests Among Ghanaian Immigrant Women In Ohio, Baaba Forson

Walden Dissertations and Doctoral Studies

In the United States, cervical cancer disproportionately affects members of ethnic minorities, including immigrant women from Ghana. Overall cervical cancer incidence and mortality rates have declined in the United States due to opportunistic screening with Pap tests; however, rates have not declined for Black women and immigrant women, who continue to experience higher than average mortality rates. Immigrant women, including Ghanaian women, use screening less than nonimmigrant women. Several factors including poor acculturation, low educational level, certain personal attitudes, and lack of health insurance are known to reduce participation in screening. Using the theory of planned behavior as a guide, …

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Mymathlab And Nontraditional Students' Attitudes Toward Technology In Mathematics, Lisa Sherry Olsen Jan 2020

Mymathlab And Nontraditional Students' Attitudes Toward Technology In Mathematics, Lisa Sherry Olsen

Walden Dissertations and Doctoral Studies

Nontraditional students, who often do not have a background in computer usage, are a growing population in higher education. These students are often ill prepared for success in mathematics courses due to attitudes toward mathematics and the use of technology in the learning process. Researchers have looked into the needs of nontraditional students in academic settings but have not focused on nontraditional students' use of adaptive learning components, such as Pearson's MyMathLab (MML), in blended classrooms. The purpose of this sequential explanatory mixed-methods study was to explore the difference in nontraditional students' attitudes toward math and the use of technology …

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Coping And Support Strategies Portrayed In Rheumatoid Arthritis Illness Blogs, Folasade Bolanle Alagbada Jan 2020

Coping And Support Strategies Portrayed In Rheumatoid Arthritis Illness Blogs, Folasade Bolanle Alagbada

Walden Dissertations and Doctoral Studies

The symptoms of rheumatoid arthritis (RA), such as pain, fatigue, stiffness, and inflammation, limit individuals’ abilities to care for themselves, participate in social events, and complete tasks associated with gender norms. RA is a chronic and debilitating disease that people struggle to cope with physically, mentally, emotionally, socially, and financially, but many have not established effective coping and support strategies. The purpose of this hermeneutic phenomenological qualitative study guided by a combination of Orem’s theory of self-care and Watson’s theory of the human caring was to explore the coping mechanisms and support strategies of women and men with RA as …

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The Long-Term Biopsychosocial Effects Of Children Reared In Blended Families, Kerene T. Brown Jan 2020

The Long-Term Biopsychosocial Effects Of Children Reared In Blended Families, Kerene T. Brown

Walden Dissertations and Doctoral Studies

Family dynamics have experienced an immense transformation in the last 4 decades. Children are less likely to live in a 2-parent household with parents that are both biologically related to them due to various factors. Blended families (especially the children) face many adversities during the initial stages of formation and rarely receive specialized intervention when compared to nuclear families. The purpose of this basic qualitative study was to understand the long-term biopsychosocial effects experienced by young adults who lived in a blended family household. In addition, what services or interventions were offered to newly established blended family systems were also …

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Student Nurse Perceptions Of Horizontal Violence During Clinical Hospital Rotations, Phoebe Marie Burda Jan 2020

Student Nurse Perceptions Of Horizontal Violence During Clinical Hospital Rotations, Phoebe Marie Burda

Walden Dissertations and Doctoral Studies

The nursing profession is facing its largest professional nurse deficit in history. With nursing schools unable to produce enough new nurses to replace the number of nurses retiring, it becomes increasingly important to retain as many nurses as possible within the profession. Nursing research literature has reported that up to 60% of newly registered nurses will leave their first job within their first year of practice citing horizontal violence as a contributing factor. The literature does not address if or how early student nurses might perceive exposure to horizontal violence. The purpose of this qualitative, interpretive, phenomenological study was to …

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Instructional And Managerial Challenges Of School Principals In Small Rural Schools, Brenita Jordan Jan 2020

Instructional And Managerial Challenges Of School Principals In Small Rural Schools, Brenita Jordan

Walden Dissertations and Doctoral Studies

Principals in rural schools often must do more work with fewer resources and serve in many capacities performing both instructional and managerial duties. School principals in small rural school’s experience challenges when performing instructional and managerial tasks. The purpose of this case study was to examine how school principals in small rural districts handle instructional and managerial tasks and the perception of their readiness to manage these instructional and managerial tasks. The conceptual framework was Hersey and Blanchard’s situational leadership, which defines main quadrants of leadership as (a) telling or directing, (b) selling or coaching, (c) participating or supporting, and …

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Corporate Social Responsibility And Sustainability In For-Profit Industry, Rasheed Olasimbo Kazzim Jan 2020

Corporate Social Responsibility And Sustainability In For-Profit Industry, Rasheed Olasimbo Kazzim

Walden Dissertations and Doctoral Studies

Corporate social responsibility (CSR) has been recognized as a standard business practice. However, many companies give little attention to nontraditional stakeholders, which includes the community and the environment. The purpose of this qualitative phenomenological study was to explore and describe corporate business leaders’ lived experiences with the implementation of CSR and sustainability initiatives in the for-profit industry of the Warri region of Delta State area in Nigeria. The research question addressed the lived experiences of corporate leaders in the profit-making industry and the key elements that pertain to community expectations, interpretations, and understanding of the characteristics of CSR. Data were …

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Principals’ Perceptions Of Fostering A School Culture For Elementary Trauma-Exposed Students, Laura Ann Kelly Jan 2020

Principals’ Perceptions Of Fostering A School Culture For Elementary Trauma-Exposed Students, Laura Ann Kelly

Walden Dissertations and Doctoral Studies

Experiencing trauma can affect children’s ability to achieve academically. School principals are responsible for creating a positive school culture to support all children academically, yet there is limited knowledge of how principals create such a culture for children exposed to trauma. The purpose of this basic qualitative study was to understand the practices of elementary school administrators in fostering a safe and trustworthy school culture that supports academic achievement for students who have experienced trauma. Maslow’s conceptual framework of human motivation informed this study, and research questions centered on how elementary principals perceive practices necessary to create and maintain a …

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Examining Experiences Of Sex Offender Program Professionals Working In Civil Commitment Programs, William Donald King Jan 2020

Examining Experiences Of Sex Offender Program Professionals Working In Civil Commitment Programs, William Donald King

Walden Dissertations and Doctoral Studies

Criminal justice systems have attempted to include psychiatric history as a component for consideration when it comes to punishment and rehabilitation. Criminal justice systems have created various programs to address the psychological components of some behaviors to address specific actions. These programs are intended to consider an individual’s psychological history and address the underlying causes to eliminate future criminal behavior. This study focused on professionals working in civil commitment programs for sexually violent predators. The purpose of this phenomenological study was to explore the lived experiences of professionals working in these programs and gain an understanding of their attitudes, perspectives, …

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