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2021

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Exploring Culturally Competent Mental Health Outreach To Black Churches, Michele Marie Fry Jan 2021

Exploring Culturally Competent Mental Health Outreach To Black Churches, Michele Marie Fry

Walden Dissertations and Doctoral Studies

Black individuals and communities have held distrust toward mental health services and experience barriers in seeking services. Although the church is a significant support system in the Black community, it can also pose a barrier to congregation members seeking mental health services, as the Black church community has often stigmatized those seeking mental health services as weak. Ways to reach the Black community with trauma-informed, culturally competent, and spiritually sensitive mental health services through establishing connections with Black churches and church leaders were explored in this study. Previous research indicated that the COVID-19 pandemic increased depression and anxiety in the …

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Physician Retention Strategies In Small Military Treatment Facilities, Stacey Sherrice Amos Jan 2021

Physician Retention Strategies In Small Military Treatment Facilities, Stacey Sherrice Amos

Walden Dissertations and Doctoral Studies

During a time of increasing physician shortages, health care leaders must identify successful physician retention strategies. Health care leaders are concerned with physician retention, as a lack of physicians minimizes patient access to care. Grounded in the stakeholder theory, the purpose of this qualitative multiple case study was to explore strategies health care leaders in small military treatment facilities in rural areas use to improve physician retention. The participants were five health care leaders from different Army military treatment facilities located in rural areas throughout the continental United States who had more than four months of experience in physician shortages …

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Teachers’ Perceptions Of Working With Parents To Address High Schoolers’ Chronic Absenteeism, Mercy Modupe Olumoya Jan 2021

Teachers’ Perceptions Of Working With Parents To Address High Schoolers’ Chronic Absenteeism, Mercy Modupe Olumoya

Walden Dissertations and Doctoral Studies

Before the COVID-19 pandemic, nearly 16% of the U.S. public-school population was missing 10% or more of school days. Distance learning during the pandemic may have worsened absenteeism. The research problem represents a gap in understanding teachers’ perceptions of their experiences working with parents to address delinquent students’ chronic absenteeism at the high school level before and during the pandemic. The purpose and research question of this basic qualitative inquiry explored teachers’ perceptions of their experiences working with parents to address delinquent students’ chronic absenteeism in low-income, urban high schools before and during the COVID-19 pandemic when participating in distance …

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The Importance Of Understanding Functionality In Home- And Community-Based Care And The Impact On Costs As America Ages, Shannon Stanley Jan 2021

The Importance Of Understanding Functionality In Home- And Community-Based Care And The Impact On Costs As America Ages, Shannon Stanley

Walden Dissertations and Doctoral Studies

The United States is on a trajectory to reach 20% of citizens aged 65 and over by 2030. This hyper-aging population affects the costs of healthcare, but it is not adequately represented in current U.S. models. Studies indicate other hyper-aged nations have experienced this increase and implemented long-term care measures to counter the increase in aging populations and costs with system responsiveness. This study examined the role of Medicaid home -and community- based service (HCBS) contributions in states that have the fastest-aging populations. Using the established framework and data collected by the Centers for Medicare and Medicaid, the study looked …

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Perceptions Of Black Immigrant Workers Regarding Workplace Diversity In Calgary, Alberta, Canada, Lalekan Bolutife Oluwadele Jan 2021

Perceptions Of Black Immigrant Workers Regarding Workplace Diversity In Calgary, Alberta, Canada, Lalekan Bolutife Oluwadele

Walden Dissertations and Doctoral Studies

Globalization has resulted in permeable boundaries resulting in a highly mobile labor force. Canada's multicultural environment and its Federal Skilled Worker's Policy, renamed the Express Entry Program, attract many immigrants seeking employment opportunities comparable to their qualifications and work experience. Instead of equality and advancement, black immigrants are often underpaid and face few opportunities for advancement. Research has indicated that strong diversity policies and management are promising solutions to these issues. This qualitative study aimed to explore the perception of skilled Black immigrants' workplace experiences and diversity strategies to mitigate discriminatory practices. Johnson's polarity management, as adapted in Benet's polarity …

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Exploring Community College Student Persistence In Mandated Developmental Coursework, Karen Lynn Beck Jan 2021

Exploring Community College Student Persistence In Mandated Developmental Coursework, Karen Lynn Beck

Walden Dissertations and Doctoral Studies

The problem investigated in this study was the low completion rates of students in mandated developmental education courses at a local community college in the mid-Atlantic region of the United States. The purpose of this study was to examine factors that may contribute to the persistence of community college students who have completed mandated developmental education courses. The qualitative study uses Tinto’s student departure theory as the conceptual framework to examine the lack of persistence of students in developmental education classes. The study included interviews with eight students who have completed at least one developmental education course in the past …

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Living In An Oil-Polluted Region In Nigeria As A Risk Factor In Colorectal Cancer Development, Steve Nwachi Onya Jan 2021

Living In An Oil-Polluted Region In Nigeria As A Risk Factor In Colorectal Cancer Development, Steve Nwachi Onya

Walden Dissertations and Doctoral Studies

Due to differences in exposure to various risk factors, colorectal cancer (CRC) rates differ in regions of Nigeria. Although the people living in the Southsouth, an oil-producing region, are concerned that they are most affected, there is insufficient research to address these concerns. The purpose of this quantitative ecological study was to investigate whether living in the oil-polluted region in Nigeria is associated with an excess CRC incidence rate. The potential spatial autocorrelation of CRC incidence among the contiguous regions was also examined. The study was grounded in the ecosocial theoretical framework. Data were extracted from the Nigeria National System …

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Ambivalence Over Emotion Expression And The Effects Of Religious Coping In African American Christians, Anya Loraine Dobbs Jan 2021

Ambivalence Over Emotion Expression And The Effects Of Religious Coping In African American Christians, Anya Loraine Dobbs

Walden Dissertations and Doctoral Studies

African Americans are 10% more likely than non-Hispanic Whites to report having serious mental health issues from psychological stressors. Mental health concerns, such as depression and anxiety, that arise from psychological stressors, are more than likely to go untreated in African Americans. African Americans are more likely to turn to religion- their church, their pastors, and fellow parishioners to address these concerns. Religion and religious coping has influenced African Americans’ attitudes regarding help-seeking and mental health treatment, with the “Black Church” historically being a source of many things, including mental health care. Pargament’s theory of religious coping served as a …

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Assessing Staff Nurse Knowledge Of Skills To Address Nurse Burnout, Glory Ngum Forbi Jan 2021

Assessing Staff Nurse Knowledge Of Skills To Address Nurse Burnout, Glory Ngum Forbi

Walden Dissertations and Doctoral Studies

The cases of burnout among nurses are increasing. The problem that has been identified for this DNP project relates to the lack of hospital nursing staff knowledge regarding the skills to address nurse burnout. Many staff nurses continue to work as usual despite showing severe symptoms of nurse burnout. The purpose of the DNP project was to fill the identified practice gap, a lack of knowledge and skills among nurses on strategies of preventing and controlling burnout, by implementing an educational program. The focus for this DNP project was to develop an evidence-based nursing staff education program on nurse burnout …

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Parents’ Decision Making And Uptake Of Human Papillomavirus Vaccination Among Adolescent Males, Franklyn Penn Jan 2021

Parents’ Decision Making And Uptake Of Human Papillomavirus Vaccination Among Adolescent Males, Franklyn Penn

Walden Dissertations and Doctoral Studies

Human papillomavirus (HPV) infections account for most oropharyngeal, anal, and penile cancers among men. Two vaccines have been recommended for boys 11 years of age or older to prevent HPV infection, but HPV vaccination rates are far below the Healthy People 2030 target goal. Some research indicates the role of the parent is vital in HPV vaccine uptake, but to what extent is unclear. Through quantitative secondary data analysis of the National Immunization Survey-Teen 2016 (NIS-Teen) data set (n = 43,271) that was grounded in the health belief model, chi-square, and logistic regression analyses revealed three key findings. First, male …

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Staff Education Inservice For Preventing Discrimination Against Lgbt, Florence Titilola Eze Jan 2021

Staff Education Inservice For Preventing Discrimination Against Lgbt, Florence Titilola Eze

Walden Dissertations and Doctoral Studies

Lesbian, gay, bisexual and transgender (LGBT) members live in the community, yet they are prone to various types of oppression, mistreatments, and denial of services from most institutions including health care settings. Concerns, such as being denied access to caregivers or being given a lower quality of care continue despite the community’s fighting for their voices to be heard across the globe and various movements that have been established, especially the United States and the United Kingdom, and laws that call for equitable healthcare. The purpose of this project was to explore whether a change in knowledge and attitudes would …

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Staff Education Program On Smoking Cessation In Patients With Cardiovascular Disease, Jennifer Shipp Jan 2021

Staff Education Program On Smoking Cessation In Patients With Cardiovascular Disease, Jennifer Shipp

Walden Dissertations and Doctoral Studies

Cigarette smoking in the United States constitutes a public health crisis, with millions of people having cigarette-related diseases and comorbidities. Although there is an increased prevalence of uncontrolled smoking among patients with cardiovascular diseases, many healthcare facilities, including the project site, lack adequate screening for tobacco use among cardiovascular patients. The 5As (asking, advising, assessing, assisting, and arranging) model of behavioral change provided the framework for the project. The practice-focused question for this project addressed whether a staff education program specifically designed to instruct healthcare providers on using the 5As intervention with cardiovascular patients would increase their knowledge of smoking …

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Nurse Turnover A Crisis In Healthcare, Billie Robinson Jan 2021

Nurse Turnover A Crisis In Healthcare, Billie Robinson

Walden Dissertations and Doctoral Studies

Nurse turnover is a global, national, and local problem that impacts the ability of healthcare leaders to deliver high quality healthcare to the populations in need of healthcare services. The purpose of this study is to identify reasons nurses leave organizations. The Leader-Member Exchange Theory undergirds the quantitative research which was conducted using the Supervisor Leader Communication Inventory. Nurse leaders communicate with acute care nurses using principles of the Leader- Member Exchange Theory. The survey was distributed to members of the Georgia Nurse Association. Positive correlations were revealed between the independent and dependent variables. SPSS was used to establish the …

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Leadership Strategies Of Successful Women-Owned Businesses In Cameroon, Henry Ntoko Ajieh Jan 2021

Leadership Strategies Of Successful Women-Owned Businesses In Cameroon, Henry Ntoko Ajieh

Walden Dissertations and Doctoral Studies

Lack of leadership skills in women-led businesses can result in high business failure rates. Women business owners who do not know how to improve their leadership skills could face difficulties succeeding in business. Grounded in the transformational leadership theory, the purpose of this multiple case study was to explore strategies that women business owners in the events planning business use to improve leadership skills to succeed in business beyond 5 years. The participants included five women in the events planning business in Cameroon, Central Africa, who successfully developed strategies to improve leadership skills to succeed in business beyond 5 years. …

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Reluctance To Seek Mental Health Treatment Among African Americans Living In Generational Poverty, Myisha Boulware Jan 2021

Reluctance To Seek Mental Health Treatment Among African Americans Living In Generational Poverty, Myisha Boulware

Walden Dissertations and Doctoral Studies

African Americans are 20% more likely to experience mental health issues but are the least likely group to seek professional mental health treatment. In addition, African Americans are more likely to experience severe mental health conditions than other races due to a greater risk of homelessness and being exposed to violence. This research study used a phenomenological qualitative methodology to explore the attitudes and lived experiences of 10 African Americans living in generational poverty in inner-city Chicago. The participants provide detailed accounts of their lived experiences with generational poverty, mental health, and the attitudes their family lineage had shared with …

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Strategies For Implementing A Successful Customer Relationship Management System, Samuel Adebayo Jan 2021

Strategies For Implementing A Successful Customer Relationship Management System, Samuel Adebayo

Walden Dissertations and Doctoral Studies

Customer relationship management (CRM) software implementation fails in thepackaging industry because of ineffective CRM implementation strategies. Effective strategies for CRM software implementation are essential to CRM managers for improving CRM project success rates. Grounded in Kano’s customer satisfaction theory, the purpose of this qualitative multiple case study was to explore the strategies CRM managers in the packaging industry used to operate a profitable business. Data were collected through semi-structured interviews and documents of CRM strategies. Participants were four CRM managers located in Illinois who had a minimum of 10 years of successfully managing CRM systems with high success rates. Data …

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Leaders’ Strategies For Motivating The Millennial Generation To Sustain High Levels Of Performance, Juan M. Alvarez Jan 2021

Leaders’ Strategies For Motivating The Millennial Generation To Sustain High Levels Of Performance, Juan M. Alvarez

Walden Dissertations and Doctoral Studies

Failure to identify and implement strategies to address the needs of the Millennial workforce can lead to a decrease in productivity in the organization. The increasing number of Millennials in the workforce creates a challenge for many business leaders in maintaining or surpassing the productivity levels found in organizations where the baby boomer employees are the majority. Grounded in transformational leadership theory, the purpose of this qualitative single case study was to explore the strategies that warehouse supervisors use to enable Millennial employees to maintain or surpass productivity levels in organizations. Interviews were conducted with six warehouse supervisors who had …

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Parents’ Decision Making And Uptake Of Human Papillomavirus Vaccination Among Adolescent Males, Franklyn Penn Jan 2021

Parents’ Decision Making And Uptake Of Human Papillomavirus Vaccination Among Adolescent Males, Franklyn Penn

Walden Dissertations and Doctoral Studies

Human papillomavirus (HPV) infections account for most oropharyngeal, anal, and penile cancers among men. Two vaccines have been recommended for boys 11 years of age or older to prevent HPV infection, but HPV vaccination rates are far below the Healthy People 2030 target goal. Some research indicates the role of the parent is vital in HPV vaccine uptake, but to what extent is unclear. Through quantitative secondary data analysis of the National Immunization Survey-Teen 2016 (NIS-Teen) data set (n = 43,271) that was grounded in the health belief model, chi-square, and logistic regression analyses revealed three key findings. First, male …

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Sociodemographic Influence On Pregnancy Among Adolescent Girls In Nigeria, Christian Otado Mbulu Jan 2021

Sociodemographic Influence On Pregnancy Among Adolescent Girls In Nigeria, Christian Otado Mbulu

Walden Dissertations and Doctoral Studies

Adolescent pregnancy is a phenomenon that affects the entire world. The effect can be apparent at the individual, family, and societal levels. In 2013, the rate of adolescent pregnancy in Nigeria was 149 per 1,000 aged 10 to 19 years. In this cross-sectional quantitative study, the association between adolescent pregnancies, type of place of residence, household head age, and household head gender was examined for Nigerian adolescent girls aged 15 to 19 years who participated in the 2013 Nigeria Demographic and Health Survey. The framework for this study was the Socioecological Model (SEM). Three research questions were analyzed using univariate, …

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Community College Students' Experiences Of Successfully Completing Developmental Mathematics Option, Gracie Otin Jan 2021

Community College Students' Experiences Of Successfully Completing Developmental Mathematics Option, Gracie Otin

Walden Dissertations and Doctoral Studies

AbstractOnly 41% of first-time college students at a community college in the southwestern United States passed developmental mathematics (DM). To improve the success rate, the state’s higher education coordinating board proposed a corequisite model supporting non-course competency-based options (NCBO). The purpose of this basic qualitative study was to explore the lived experiences of community college students who successfully completed the DM NCBO sequence. Tinto’s theory of student integration and retention informed the study. The research questions for this basic qualitative study addressed the perceptions of participants regarding the DM NCBO intervention program, conditions participants identified as influencing success of DM …

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Benefits Of Technology Integration In A Small Behavioral Health Organization, Tremaria Sweet Jan 2021

Benefits Of Technology Integration In A Small Behavioral Health Organization, Tremaria Sweet

Walden Dissertations and Doctoral Studies

The current study sought to understand the significance of information systems (IS) planning in small-to-medium enterprise (SME) behavioral health agencies and the direct impact it has on organizational growth and performance. The research was guided by the Baldrige Excellence Framework. The study was based on a sample of one senior leader from one agency licensed to practice in three states in the eastern region of the United States. This exploratory case study involved using semi-structured interviews and internal archival data during the process of data collection. Information technology (IT) competence, skills, leadership, infrastructure, and awareness were emergent themes identified in …

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Corruption In Togo's Land Registration And Its Impact On Real Estate Development, Gbati Kakaye Jan 2021

Corruption In Togo's Land Registration And Its Impact On Real Estate Development, Gbati Kakaye

Walden Dissertations and Doctoral Studies

Abstract:Researchers have asserted that following malaria and AIDS, land-related conflict, exacerbated by rampant real estate corruption, is the third-largest problem and leading cause of death in Togo. The current study provided a means of gaining better understanding of the impact of corruption on real estate development in Togo by addressing the following research questions: How is corruption manifested in Togo’s land registration process and how has corruption in land registration process impacted real estate development? Theoretically, the study was underpinned by the cultural and neo-institutional economics framework. Data were collected through individual interviews and a focus group discussion with 15 …

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Meaningful Use Criteria And Staff Accountability In An Office Setting, Marcia Ionie Pender Jan 2021

Meaningful Use Criteria And Staff Accountability In An Office Setting, Marcia Ionie Pender

Walden Dissertations and Doctoral Studies

Proper documentation for meaningful use (MU) criteria within electronic health records (EHRs) was identified as an issue for office staff at a local primary care office in a metropolitan area of Central Florida. The project question addressed the local gap in knowledge about MU standards necessary to ensure correct documentation of EHRs. The purpose of this doctoral project was to provide an educational program for staff to ensure compliance with the HITECH Act of 2009. Lewin’s Change Theory and Knowles Theory of Adult learning were the conceptual foundations for the educational program. The project question was to determine whether a …

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Teachers’ Perceptions Of Self-Regulated Learning In A Technology-Supported Collaborative Learning Environment, Sharon Davenport Jan 2021

Teachers’ Perceptions Of Self-Regulated Learning In A Technology-Supported Collaborative Learning Environment, Sharon Davenport

Walden Dissertations and Doctoral Studies

In a local school district, sixth- through eighth-grade students were reading and performing on reading tests below grade level, and teachers started using strategies to promote self-regulated learning (SRL) in their classrooms. However, students continued to struggle with reading comprehension when asked to read independently. The purpose of this qualitative case study was to explore the instructional strategies teachers used to implement SRL for reading and to explore the perspectives of middle-school teachers regarding how an SRL environment could affect students’ learning outcomes. Winne’s conditions, operations, products, evaluations, and standards (COPES) theory provided the conceptual framework for the study. Data …

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The Effect Of Acupuncture On The Stress Levels Of Patients With Posttraumatic Stress Disorder In Ghana, Derrick Tettey Dicker Jan 2021

The Effect Of Acupuncture On The Stress Levels Of Patients With Posttraumatic Stress Disorder In Ghana, Derrick Tettey Dicker

Walden Dissertations and Doctoral Studies

Around the world, the use of acupuncture is increasingly becoming a common alternative treatment for the symptoms often associated with posttraumatic stress disorder (PTSD). However, the treatment of acupuncture appears to be lacking in Ghana because mental health professionals, patients, and the government representatives are largely unaware of its potential efficacy. The purpose of this study was to examine the effect of acupuncture treatment on patients with PTSD in Ghana. The study was conducted through the lens of psycho-physiological trauma. A research question was formulated to investigate the association between the independent variable, acupuncture treatment, and the dependent variable, the …

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Socioecological Determinants Of Psychoticism Among Central-Asian Immigrants To The United States, Viktor Dlugunovych Jan 2021

Socioecological Determinants Of Psychoticism Among Central-Asian Immigrants To The United States, Viktor Dlugunovych

Walden Dissertations and Doctoral Studies

Every year, thousands of individuals from every country and every walk of life arrive in the United States in hopes of better lives for themselves and their families. A significant portion of immigrants arrives from Central Asia countries, namely Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan. Stress associated with the process of uprooting in the country of origin and adaptation in the country of destination often makes newcomers vulnerable to developing mental health illnesses. The purpose of this work was to analyze relationships between psychoticism, psychological comorbidities, and psychosocial factors. This study used archival data that included 195 cases of individuals …

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Reproductive Health Factors And Maternal Mortality Of Internally Displaced Women In Nigeria, Fatima Mahmood Jibirilla Jan 2021

Reproductive Health Factors And Maternal Mortality Of Internally Displaced Women In Nigeria, Fatima Mahmood Jibirilla

Walden Dissertations and Doctoral Studies

Approximately 529,000 women die from pregnancy-related causes every year, with 99% of these maternal deaths occurring in developing countries. Each year, about 59,000 maternal deaths occur in Nigeria, with a mortality rate of 576 deaths per 100,000 births. Women constitute about half of the 33.2 million internally displaced persons (IDPs) worldwide. The purpose of this retrospective cross-sectional study was to explore the association between the reproductive health factors and maternal mortality of internally displaced women in Borno state, Nigeria. McCarthy and Maine’s model for determinants of maternal mortality informed this study. A secondary dataset of 400 women (age 14-49 years) …

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Health Literacy Staff Education For Heart Failure Management, Ifeoma Onyeiwu Jan 2021

Health Literacy Staff Education For Heart Failure Management, Ifeoma Onyeiwu

Walden Dissertations and Doctoral Studies

Heart failure (HF) is a chronic disease with progressive deterioration that occurs over years or decades. There is a need for individuals affected by HF to be educated regarding this complex disease. Health literacy, an integral part of health and wellness, is one's ability to understand and use health information. Ninety million adults in America have difficulty understanding and using health information, resulting in higher rates of hospitalization and use of emergency services among patients. Limited health literacy may lead to billions of dollars in avoidable healthcare costs. This DNP project addressed health literacy as it relates to medication adherence …

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The Long-Term Effects Of Teacher Participation In Mindfulness-Based Stress Reduction, Germaine Pentsil Jan 2021

The Long-Term Effects Of Teacher Participation In Mindfulness-Based Stress Reduction, Germaine Pentsil

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to determine the long-term effects of mindfulness-based stress reduction (MBSR) on student disciplinary behavior, student academic progress and teacher absenteeism within the educational environment, using the theoretical framework of the Pro-Social Classroom theoretical model. Furthermore, by observing the before and after patterns of middle school teacher absenteeism, middle school student disciplinary behavior, and middle school student academic progress, this study addressed whether mindfulness-based stress reduction techniques were beneficial to the teacher professional development process. This study included 75 survey responses from teachers that met the sampling criteria via the Walden Participant Pool, as …

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Qualitative Exploration Of Catholic Church Leaders’ Perspectives Regarding Counseling Parishioners With Anxiety, Amy Lynn Polster Jan 2021

Qualitative Exploration Of Catholic Church Leaders’ Perspectives Regarding Counseling Parishioners With Anxiety, Amy Lynn Polster

Walden Dissertations and Doctoral Studies

There is little research addressing the mental health literacy of Roman Catholic clergy in their job as spiritual counselors for parishioners with anxiety. Devout individuals struggling with fear- or worry-driven anxiety often call on divine assistance for help as a frontline defense. Anxiety is a leading mental health problem, disturbing about 40 million U.S. adults aged 18 to 54 years. This study explored the mental health literacy perceptions of six Catholic clergy leaders and their awareness of fear- or worry-based anxiety, drawing upon the concept of the triune brain and using evolutionary threat assessment systems theory as a theoretical foundation. …

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