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2021

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Effects Of Cultural And Lived Experiences On Health Access Of Chamorro People On Saipan, Esther Lizama Muna Jan 2021

Effects Of Cultural And Lived Experiences On Health Access Of Chamorro People On Saipan, Esther Lizama Muna

Walden Dissertations and Doctoral Studies

More than half of the population of the Commonwealth of the Northern Mariana Islands had not visited their primary care provider for a year in 2016. The Chamorro people are less willing to seek or access care than other ethnic groups. This qualitative study aimed to understand the Chamorro people's access and utilization of Saipan's health care services to improve their access and, ultimately, their health. The theoretical frameworks included Penchansky and Thomas's theory of access to explore the Chamorro people of Saipan's lived experiences with availability, accessibility, accommodation, affordability, and acceptability of health care services, as well as Spector's …

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Online Instructors' Use Of Emotional Intelligence In Higher Education Distance Learning, Aprile Marie Giordano Atwater Jan 2021

Online Instructors' Use Of Emotional Intelligence In Higher Education Distance Learning, Aprile Marie Giordano Atwater

Walden Dissertations and Doctoral Studies

Emotional intelligence (EI) has been related to facets of higher education success in brick and mortar environments. Little is known, however, about how EI manifests in higher education distance learning (HEDL) environments. The purpose of this basic qualitative study was to explore HEDL undergraduate and graduate instructor perceptions of their use of EI so that best practices could be identified for online teaching. Guided by transformative emotional intelligence theory and the emotional learning system model, the 3 research questions were designed to clarify online instructors' EI knowledge, EI skills and strategies used by online instructors, and instructors' perceptions about the …

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Exploring Police Legitimacy Through Procedurally Just Policing Practices In Agencies Using Screen-In And Screen-Out Procedures, David William Justice Jan 2021

Exploring Police Legitimacy Through Procedurally Just Policing Practices In Agencies Using Screen-In And Screen-Out Procedures, David William Justice

Walden Dissertations and Doctoral Studies

Recently there have been widely publicized reports of distrust and a lack of perceived legitimacy in communities across the United States for the police agencies that serve them. Scholars have explored perceptions of police legitimacy and the role of procedural justice in police-community interactions; however, there is a dearth of information concerning the policies of law enforcement agencies using psychological assessments to screen-in or screen-out applicants and the manner in which those agencies serve the community. The purpose of this mixed-methods study was to explore the manner in which one police agency using psychological assessments to screen applicants in and …

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Multimorbidity, Healthcare Processes, And Mortality Among Tb/Hiv Patients Treated With Antiretroviral Therapy In Uganda, Abel Nkolo Jan 2021

Multimorbidity, Healthcare Processes, And Mortality Among Tb/Hiv Patients Treated With Antiretroviral Therapy In Uganda, Abel Nkolo

Walden Dissertations and Doctoral Studies

Globally, Uganda is one of the 30 tuberculosis (TB) and human immunodeficiency virus (HIV) high burden countries with high antiretroviral therapy (ART) coverage, yet mortality is still high among TB/HIV patients on ART. The reasons for the high mortality have not been fully explored. The purpose of this study was to determine the association between multimorbidity, age, sex, marital status, phase of TB treatment, timing of initiation for ART, and type of TB and mortality among TB/HIV patients on ART in Uganda. The health outcomes conceptual framework with 3 domains that directly or indirectly affect the outcome domain was used …

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The Relationship Between Capital Structure Practices And Financial Distress In West Africa, Kofi Opoku-Asante Jan 2021

The Relationship Between Capital Structure Practices And Financial Distress In West Africa, Kofi Opoku-Asante

Walden Dissertations and Doctoral Studies

Many scholars have concluded that the relationship between capital structure in a business and its financial health is not clearly defined. When making decisions, managers may lack understanding of the relationship between the capital structure practice and financial distress. The purpose of this study was to test the relationship between capital structure practice and financial distress in West African companies. The capital irrelevance theory, pecking order theory, and the trade-off theory guided the research question to ascertain the relationship between capital structure practice and financial distress. The study design was a quantitative correlational design. The population was all public nonfinancial …

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Psychosocial Support During Pregnancy: A Narrative Inquiry Of Low-Income Unmarried Women In Iowa, Summer D. Parrott Jan 2021

Psychosocial Support During Pregnancy: A Narrative Inquiry Of Low-Income Unmarried Women In Iowa, Summer D. Parrott

Walden Dissertations and Doctoral Studies

Pregnant women who experience high levels of stress and who lack support are at higher risk for negative birth outcomes for themselves and their offspring including preterm labor, low birthweights, and a myriad of other short- and long-term health and behavioral consequences across the lifespan of the child. Unmarried or socioeconomically disadvantaged women lack the most common resources used to protect against the negative effects of stress during pregnancy. A research gap existed regarding the specific types of psychosocial support perceived by low-income unmarried women to be most beneficial at buffering their perceived prenatal stress. The ecological model and the …

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Alzheimer’S Dementia Care: Impact On Family Caregivers, Rose Anne Pierre Jan 2021

Alzheimer’S Dementia Care: Impact On Family Caregivers, Rose Anne Pierre

Walden Dissertations and Doctoral Studies

Patients with dementia of the Alzheimer’s type increasingly become dependent on caregivers. Researchers have demonstrated that these caregivers experience serious burdens during their caregiving experiences. They face emotional, physical, and financial burdens. The objective of this paper was to discuss the burden and strains of Alzheimer’s disease on the older caregivers in the United States. The stress process model and the quality of life were used in this study. The study used a descriptive and analytical approach to analyze 2015 secondary data retrieved in 2018 from the National Alliance for Caregiving. The adult Alzheimer’s dementia caregivers were selected. A multiple …

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Teacher Perception On Integrating School Psychology In The Developing Nation Of Grenada, Carla Erica Maria St. Louis Jan 2021

Teacher Perception On Integrating School Psychology In The Developing Nation Of Grenada, Carla Erica Maria St. Louis

Walden Dissertations and Doctoral Studies

AbstractInternationally, formalized school psychology and related services strive to address the academic and mental health of students in schools. In developing nations, teachers are the primary professionals to address students’ needs in schools. Little research has focused on teachers’ perceptions of students’ needs, available services’ quality, and how formalized structures with qualified certified professionals can further address students’ needs. Bronfenbrenner’s ecological systems and Nastasi’s participatory culture-specific intervention model are the theoretical underpinnings of this qualitative study and focus group interviews were used to investigate special education needs (SEN) teachers’ perceptions. Data were collected using open ended questions and probes with …

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Teachers’ Opinions Of Coteaching, Tashina White Jan 2021

Teachers’ Opinions Of Coteaching, Tashina White

Walden Dissertations and Doctoral Studies

Georgia’s College and Career Ready Performance Index for 2014-2016 showed that students with disabilities (SwD) did not meet performance targets when taught in co-taught inclusion classrooms with both general education teachers (GET) and special education teachers (SET) in the classrooms. The purpose of this study was to determine the differences in teacher opinions of co-taught inclusion classrooms and their ability to teach SwD between GET and SET. The theoretical basis for this study was Johnson and Johnson’s cooperative learning theory. A sample of 88 elementary, middle, and high school teachers completed the Opinions Relative to Integration of Students with Disabilities …

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Masters-Level Counseling Students’ Awareness Of Council Of Accreditation Of Counseling And Related Educational Programs Accreditation, V. Paige Zeiger Jan 2021

Masters-Level Counseling Students’ Awareness Of Council Of Accreditation Of Counseling And Related Educational Programs Accreditation, V. Paige Zeiger

Walden Dissertations and Doctoral Studies

As the counseling profession continues to evolve and change, there is a growing need for more professional counselors who are appropriately trained. Research indicated that a high percentage of prospective and current counseling graduate students lacked awareness of the Council for Accreditation of Counseling and Related Educational Programs (CACREP) accreditation prior to and following enrollment in a counseling graduate program; therefore, these students were not making fully informed decisions when selecting an appropriate graduate program that would prove beneficial to their professional goals. In this descriptive phenomenological inquiry, 7 master’s-level counseling students provided their lived experiences of searching for and …

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Supporting The Teaching Of Executive Functioning Skills Using Social Cognitive Theory In Arts Classrooms, Kathleen H. Adolt-Silva Jan 2021

Supporting The Teaching Of Executive Functioning Skills Using Social Cognitive Theory In Arts Classrooms, Kathleen H. Adolt-Silva

Walden Dissertations and Doctoral Studies

Many arts educators in Pennsylvania public charter schools do not teach executive functioning (EF) skills to students with learning disabilities (LDs) and attention deficit hyperactivity disorder (ADHD). The purpose of this study was to investigate how these art teachers describe their own EF instructional practices and what support they need to improve those practices. The conceptual framework that grounded this study was Bandura’s social cognitive theory, which asserts that learning occurs in a social context with a reciprocal relationship between students, their teachers, and the environment. Research questions were used to explore art teachers’ perceptions of teaching EF skills and …

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African Immigrants' U.S. Experience Of Mental Health, Mental Illness, And Help-Seeking, Bartholomew Edem-Enang Jan 2021

African Immigrants' U.S. Experience Of Mental Health, Mental Illness, And Help-Seeking, Bartholomew Edem-Enang

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this study was to qualitatively examine and explore African immigrants’ U.S. experience of mental health, mental illness, and help-seeking. Mental health, mental illness, and help-seeking are misunderstood public health issues. Indigenous cultural stigma concerning mental illness and help-seeking and mistrust of Western medicine inhibit African immigrants from reporting mental illness and seeking treatment. The segmented assimilation theory (SAT) and cultural risk theory (CRT) and interpretive phenomenological analysis (IPA) were used to guide data collection and analysis. Data were collected from a sample of 9 African immigrants who migrated from countries within the Five Main Regions of Africa …

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Teachers' Support In Implementing The Standards For Mathematical Practice, Anil Edward Jan 2021

Teachers' Support In Implementing The Standards For Mathematical Practice, Anil Edward

Walden Dissertations and Doctoral Studies

Teachers' support in implementing the standards for mathematical practice has been an area of study since the implementation of the Common Core state standards initiative. The research problem was a gap in the literature regarding what teachers perceive as the supports needed to implement the Common Core standards for mathematical practice in the classroom. The Common Core initiative's standardized educational reform goal is to better prepare students for career and college readiness in the United States. Fidelity in implementation is essential to the success of the reform. The purpose of this qualitative research was to explore what teachers perceive as …

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Factors Predicting Obstetric Fistula Among Women 15-49 Years Old In Uganda, Fatmata Fofanah Jan 2021

Factors Predicting Obstetric Fistula Among Women 15-49 Years Old In Uganda, Fatmata Fofanah

Walden Dissertations and Doctoral Studies

Obstetric fistula is among the public health issues that are preventable and treatable, as evidenced by its elimination in industrialized nations. The aim of this quantitative, cross-sectional study was to use Andersen’s behavioral model of health services utilization to examine the factors that predict the likelihood of experiencing obstetric fistula among women ages of 15 and 49 living in Uganda. Demographic risk factors (marital status, age at first pregnancy, level of education and income, and religious affiliation), medical risk factors (access to health care, distance from hospital, parity, and number of antenatal visits), the mode of delivery (C-section), and location …

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Integration Of Morphine And Virtual Reality: Pain Management For Adult Hospice Cancer Patients, Arlisa Hurd Jan 2021

Integration Of Morphine And Virtual Reality: Pain Management For Adult Hospice Cancer Patients, Arlisa Hurd

Walden Dissertations and Doctoral Studies

There is currently a problem in that cancer patients engaging in hospice may experience an excessive amount of perceived pain and a decreased quality of life. The purpose of this study was to explore an intervention that could lessen the perceived pain experienced by, and increase the quality of life of, cancer patients engaging in hospice. Immersion music virtual reality (IMVR) allows a user to interact with a realistic, computer-generated environment. 3D music (IMVR) is likely suited for pain management with patients in hospice and was used for this study. The theory for the study is the gate control theory. …

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Experience Of Parents Receiving In-Home Behavioral Treatment For Their Child With Autism, Gerald Lavarias Jan 2021

Experience Of Parents Receiving In-Home Behavioral Treatment For Their Child With Autism, Gerald Lavarias

Walden Dissertations and Doctoral Studies

In-home applied behavior analysis (ABA) treatment has well-documented results and is widely recommended for children with autism. Since 1987, parents have sought and implemented ABA treatment in their homes for their children with autism. However, research on parents’ lived experiences with in-home ABA treatment is limited. As such, there is a need to study the impact and influence of ABA treatment on parents’ quality of life (e.g., challenges, scheduling, parenting). This qualitative study explored parents’ lived experiences while their children with autism received in-home ABA treatment. A phenomenological approach was used to explore the experiences of 5 parent participants who …

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Relationship Between Perceived Social Support, Phase Of Program, And General Health In Phd Ces Students, Sara Moubayed Jan 2021

Relationship Between Perceived Social Support, Phase Of Program, And General Health In Phd Ces Students, Sara Moubayed

Walden Dissertations and Doctoral Studies

Counselor education and supervision (CES) doctoral students face various challenges throughout their doctoral journey. A quantitative, correlational study was conducted to determine if there is a predictive relationship between the independent variables of perceived social support and phase of program (core courses, internship, or dissertation) and dependent variables general health, somatic symptoms, anxiety/insomnia, social dysfunction, and severe depression in PhD CES students (N = 73). The goal of the study was to contribute to a greater understanding of the general health of CES PhD students. Self-Determination theory and basic psychological need theory were applied as the theoretical framework of this …

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Mental Health Literacy Among Rural And Urban Young Adults In Zambia, Etta Y. Mwambwa-Johnson Jan 2021

Mental Health Literacy Among Rural And Urban Young Adults In Zambia, Etta Y. Mwambwa-Johnson

Walden Dissertations and Doctoral Studies

Misconceptions that negatively influence attitudes and beliefs about mental illness are still prevalent in Zambia. Researchers have reported that young adults are the most impacted population for mental disorders in Zambia. Researchers have also highlighted mental health literacy (MHL) as a useful strategy for influencing positive attitudes and beliefs about mental disorders. The purpose of this quantitative cross-sectional study was to investigate the relationship between levels of MHL and attitudes and beliefs about mental illness and health-seeking behaviors of Zambian young adults aged 18 to 24. The study used the health belief theoretical model. A MHL questionnaire was used to …

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Mindset Awareness Training For Developmental And Nondevelopmental Education College Students, Eileen Marie Steffan Jan 2021

Mindset Awareness Training For Developmental And Nondevelopmental Education College Students, Eileen Marie Steffan

Walden Dissertations and Doctoral Studies

Recent research based on the Dweck’s mindset theory has shown that persons with a growth mindset who believe traits such as intelligence are malleable may put forth more effort and have greater academic success than those with a fixed mindset. However, little research has been conducted on mindsets of college students, many of whom enter underprepared for the rigors of college-level work and are required to take developmental education courses as an intervention to reduce the inequalities of underprepared college students. A quasi experimental mixed design with ANOVA and t tests was used to examine how growth mindset awareness training …

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Domestic Abuse Against Men In Kenya, Catherine W. Kigaya Jan 2021

Domestic Abuse Against Men In Kenya, Catherine W. Kigaya

Walden Dissertations and Doctoral Studies

Domestic violence, also known as intimate partner violence (IPV), is prevalent globally and causes severe physical, psychological, and social harm to victims. The purpose of this quantitative cross-sectional study was to highlight the predictors of physical and sexual IPV among men in Kenya and examine the influence of media in seeking help. These factors were explored through the lens of the socio-ecological model and the social learning theory. The 2014 Demographic Health Survey archival data obtained through in-depth interviews were used to answer the research questions. Dependent variables were physical abuse, sexual abuse, and seeking help while independent variables were …

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Public Perceptions Of Nigeria Police Monetary Bribery In Awka, Nigeria, Benjamin Chukwuka Nnadozie Jan 2021

Public Perceptions Of Nigeria Police Monetary Bribery In Awka, Nigeria, Benjamin Chukwuka Nnadozie

Walden Dissertations and Doctoral Studies

AbstractThe Nigerian police are often perceived by the Nigerian public as a very corrupt institution due to reports in the media and direct experiences of police brutality, extortion, injustice, and especially monetary bribery. The refusal to pay monetary bribes to the police has led to loss of lives and a lack of trust in the police. The purpose of this study was to investigate public perceptions of police monetary bribery in Awka in Anambra State, Nigeria. The conceptual framework was Novak et al.’s dynamic social impact theory. The research questions focused on understanding how the public perceived police monetary bribery …

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Use Of Technology To Promote Science, Technology, Engineering, And Mathematics Learning In Elementary Classrooms, Theresa Wiggins Jan 2021

Use Of Technology To Promote Science, Technology, Engineering, And Mathematics Learning In Elementary Classrooms, Theresa Wiggins

Walden Dissertations and Doctoral Studies

Many students have been exposed to science, technology, engineering, and math (STEM) in most schools. While STEM in public high schools, public middle schools, STEM-specific schools, and charter elementary schools have been researched often, the literature concerning STEM in public elementary school classrooms to promote learning is scarce. The purpose of this study was to explore elementary school teachers' use of technology, such as digital cameras, iPads, and laptops in STEM lessons. Vygotsky's constructivism theory was the conceptual framework used to guide the qualitative research questions in this study, which sought to explore how elementary public school teachers used technology …

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Caribbean Lecturers’ Self-Efficacy And Their Perceived Barriers To Technology Adoption, Na-Ajele Gadija Williams-Buffonge Jan 2021

Caribbean Lecturers’ Self-Efficacy And Their Perceived Barriers To Technology Adoption, Na-Ajele Gadija Williams-Buffonge

Walden Dissertations and Doctoral Studies

Educational technology is a learning tool that helps lecturers enhance learning through instructional practices; however, it is unclear why lecturers have difficulties adopting technology. The purpose of this study was to examine how lecturers’ self-efficacy at one college in Antigua and Barbuda influenced their technology adoption in terms of their instructional practices, including perceived barriers and supports for technology use. The conceptual frameworks for this study were Bandura’s self-efficacy theory and Rogers’ diffusion of innovation. The study included nine lecturers from a Caribbean college in Antigua and Barbuda as participants. Data were collected through interviews and analyzed using open coding …

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Why African American Men Diagnosed With Chronic Obstructive Pulmonary Disease Continue To Smoke, Vashonda Laniece Allen Jan 2021

Why African American Men Diagnosed With Chronic Obstructive Pulmonary Disease Continue To Smoke, Vashonda Laniece Allen

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this research was to explore why some African American men diagnosed with chronic obstructive pulmonary disease (COPD) continue smoking following their diagnosis. The theory of planned behavior (TPB) guided the development of this research. The research questions were developed to understand the attitudes, behavioral intentions, subjective norms, social norms, perceived power, and perceived behavioral control that influence their continuing or quitting smoking based on the TPB model. The study’s research method was qualitative. A pilot study, using the same criteria as the main study, confirmed the reliability of the interview guide. Participants were informed about the study …

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Educational Intervention To Increase Telemedicine Knowledge In Nurses, Jean Sylvestre Ayissi Essono Jan 2021

Educational Intervention To Increase Telemedicine Knowledge In Nurses, Jean Sylvestre Ayissi Essono

Walden Dissertations and Doctoral Studies

Limited access to healthcare services is a factor that can reduce quality of care, and it is more pronounced in rural settings. One plausible solution to this concern is telemedicine, the use of electronic information and telecommunication technologies to provide care when an individual and provider are not in the same location. Although telemedicine has been suggested as a solution to the access to care concern, it is not widely integrated into the nursing practice. Using Nightingale’s holistic theory of caring, the purpose of this DNP project was to determine if an educational study geared towards telemedicine increased knowledge and …

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District Scores And Demographics As Predictors Of State Mathematics Assessment Scores, Carlos Alexander Bocel Jan 2021

District Scores And Demographics As Predictors Of State Mathematics Assessment Scores, Carlos Alexander Bocel

Walden Dissertations and Doctoral Studies

Prior research in mathematical assessments has indicated varying results of predictive variables and further research has been recommended to support students, parents, teachers, and school administration. The purpose of this research was to determine how well a student’s performance on a mathematics domain at the state level may be predicted based on student’s midyear and end of the year assessment scores, race, gender, and socioeconomic status. The constructivist theoretical foundation was reviewed because of the impact that this theory has on the assessments being researched. Archival records (n = 100) for eighth grade students were received from suburban South Florida …

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Sociodemographic Factors, Socioeconomic Factors, And Teenage Pregnancy Outcomes In Guyana, Karen Roslyn Cummings Jan 2021

Sociodemographic Factors, Socioeconomic Factors, And Teenage Pregnancy Outcomes In Guyana, Karen Roslyn Cummings

Walden Dissertations and Doctoral Studies

Teenage pregnancy, a global phenomenon is associated with adverse pregnancy outcomes, owing to the mother’s individual factors, location, education attainment, and service accessibility. Globally, 16 million babies are born to teenage mothers annually. In Guyana, there is a paucity of information on factors associated with teenage pregnancy rate which stands at 74 per 1,000, and its outcomes. Archived data from the 2014 UNICEF Multiple Indicator Cluster Survey 5 (MICS5) was used to identify and examine relationships between the sociodemographic, socio-economic factors, and teenage pregnancy outcomes in Guyana. This quantitative cross-sectional review approach guided by the Bronfenbrenner theoretical framework analyzed data …

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Graduates’ Perception Of History Education In Jamaican High Schools, Patricia Cecile Edwards Jan 2021

Graduates’ Perception Of History Education In Jamaican High Schools, Patricia Cecile Edwards

Walden Dissertations and Doctoral Studies

AbstractResearchers have shown that history education is valuable, but it is not a popular subject of choice among secondary and postsecondary students in several parts of the world. In Jamaica, fewer students have taken the Caribbean Secondary Education Certificate (CSEC) examination in history education in the decade beginning in 2010 than in the decade before. The threefold purpose of this basic qualitative study was to investigate the perception of graduates of Jamaican high schools about what influenced their decision when they selected or deselected history education at the CSEC examination level, what career decision making factors they perceived influenced their …

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K-12 Teachers' Perceptions Of Barriers To Implementing Service Learning, Cassandra Aiesha Lewis Jan 2021

K-12 Teachers' Perceptions Of Barriers To Implementing Service Learning, Cassandra Aiesha Lewis

Walden Dissertations and Doctoral Studies

K-12 teachers in a large metropolitan school district in the Northeast United States experienced difficulties integrating service learning into the curriculum due to state-based curriculum standards. The purpose of this descriptive case study was to explore K-12 teachers’ perceptions of barriers to, and best practices that support, implementation of service learning into the curriculum while considering state-based curriculum standards. Cooperrider and Srivastva’s theory of appreciative inquiry, which emphasizes assets rather than deficits within organizational structures, was used as the conceptual framework that guided data collection and analysis. Research questions were used to describe the perceived barriers to, and best practices …

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Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag Jan 2021

Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag

Walden Dissertations and Doctoral Studies

Clinicians’ failure to accept contemporary technology has been a critical barrier to telemedicine program adoption. Staff technical challenges and resistance to change can affect technology return on investment, which concerns telemedicine program leaders. Grounded in Davis’s technology acceptance model, the purpose of this qualitative, descriptive single case study was to explore strategies used by program leaders in the Marianas Islands who successfully gained clinicians’ acceptance of contemporary technology. The participants were 5 program leaders recommended by their institution because of their leadership role and telemedicine technologies experience. Data were collected from 4 face-to-face and 1 audio teleconference interview with the …

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