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2021

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Strategies For Retaining Employees In The Trucking Industry, Dionne Bell- Pursley Jan 2021

Strategies For Retaining Employees In The Trucking Industry, Dionne Bell- Pursley

Walden Dissertations and Doctoral Studies

Employee turnover is a recurring problem in organizations, affecting performance and productivity while depleting organizational resources. High driver turnover rates raise a company’s operating costs and reduce driver productivity, service quality, and highway safety in the trucking industry. When trucking industry leaders understand such factors, they can develop and implement strategies to increase truck driver retention. Grounded in Herzberg’s two-factor theory and supported by Maslow’s hierarchy of needs theory, the purpose of this single case study was to explore strategies trucking company leaders use to increase truck driver retention. The participants included eight executives from trucking companies in the southeast …

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Military Breaking Boundaries Implementing Third-Party Cloud Computing Practices For Data Storage, Marc Anthony Rangel Jan 2021

Military Breaking Boundaries Implementing Third-Party Cloud Computing Practices For Data Storage, Marc Anthony Rangel

Walden Dissertations and Doctoral Studies

Senior Information Technology (IT) military leadership cannot currently implement, maintain, and administer cloud data storage without the direct support of third-party vendors. This study explicitly impacts cloud practitioners, engineers, and architects requiring a most sophisticated and streamlined ability to safehouse invaluable data using third-party data storage. Grounded in the theory of planned behavior, the purpose of this qualitative single case study was to investigate strategies military leadership uses to implement third-party cloud computing for data storage. The participants (n = 22) consisted of cloud administrators, engineers, and architects within a sizeable midwestern city with a minimum of 3 years of …

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The Relationship Between Hospitals’ Electronic Health Records Maturity And Excess Readmission Ratio, Cynthia Saint-Ulysse Jan 2021

The Relationship Between Hospitals’ Electronic Health Records Maturity And Excess Readmission Ratio, Cynthia Saint-Ulysse

Walden Dissertations and Doctoral Studies

Since the Health Information Technology for Economic and Clinical Health Act was enacted in 2009, a majority of U.S. hospitals have adopted electronic health records (EHR) to improve quality of care. However, variations exist in the technology's capability and maturity, making it difficult for researchers to analyze the full impact. The purpose of this quantitative study was to explore the relationship between hospitals' EHR maturity and the quality measure of excess readmissions, as well as the relationship between hospital characteristics, specifically, hospital location and the number of licensed beds in Medicare hospitals (N = 1,006). Both the chi-square statistical test …

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Infusion Of Academic And Social-Emotional Learning In Charter Middle Schools, Lewis James Sampson Jan 2021

Infusion Of Academic And Social-Emotional Learning In Charter Middle Schools, Lewis James Sampson

Walden Dissertations and Doctoral Studies

AbstractCharter schools often have more autonomy (i.e., freedom to innovate) and are typically more student centered than their traditional school counterparts. To address less privileged, underserved student academic deficits, some charter schools have infused curriculum with academic and social-emotional learning (SEL) strategies. The purpose of this study was to understand the perceptions of principals and teachers regarding the infusion and outcomes of SEL initiatives with academic curriculum at their charter middle schools. The exploration of educators’ perceptions of low-income, underserved students’ academic and social-emotional advancement and the efficacy of infusion of SEL into the academic curriculum in their Northern California, …

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Help-Seeking Behaviors Of Survivors Of Intimate Partner Femicide Attacks, Danielle Marie Santucci Jan 2021

Help-Seeking Behaviors Of Survivors Of Intimate Partner Femicide Attacks, Danielle Marie Santucci

Walden Dissertations and Doctoral Studies

According to recent studies, intimate partner femicide (IPF) is a problem that occurs on a daily basis. Researchers have demonstrated that women lack helpful resources or fail to use helpful resources before they are murdered but have not established why this may be. The purpose of this qualitative phenomenological study was to understand help-seeking behaviors of female survivors of IPF attacks. Marxist feminist theory was used to guide the study. The research questions were aimed to understand the lived experiences of the participants and to identify help-seeking behaviors. Data were collected from individual interviews with 10 female survivors of IPF …

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Elementary Stakeholder Perceptions Of Data Team Discussions Influence On Instructional Adjustments, Michelle Shay Jan 2021

Elementary Stakeholder Perceptions Of Data Team Discussions Influence On Instructional Adjustments, Michelle Shay

Walden Dissertations and Doctoral Studies

Federal law requires schools to conduct formative, summative, and diagnostic assessments to inform instructional strategies. However, the collection of student accountability compliance data has not always resulted in improved student academic achievement. The research problem addressed in this study is that little is understood about how data team discussions influence elementary teachers’ instructional adjustments. The purpose of this basic qualitative study is to gain an in-depth understanding of elementary teacher and leader perceptions of how data team discussions influence teachers’ data-driven decision making (DDDM) instructional adjustments. The conceptual framework for this study is based on the theory of planned behavior, …

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Adults’ Reflections On Their Lived Experiences With Adolescent Social Anxiety Disorder, Shelley Marie Skelton Jan 2021

Adults’ Reflections On Their Lived Experiences With Adolescent Social Anxiety Disorder, Shelley Marie Skelton

Walden Dissertations and Doctoral Studies

Anxiety disorders are the most prevalent mental health disorders for children and youths, and social anxiety disorder (SAD) is the third most common anxiety disorder. SAD can negatively impact school performance, mental health, and healthy social development. In comparison to other forms of anxiety, current treatments for SAD have not been as efficacious. The purpose of this qualitative phenomenological study was to explore other factors of adolescent SAD, such as the role of resilience. The two research questions addressed the lived experiences of adolescents with SAD and how they developed resilience in relation to their SAD. Bronfenbrenner’s bioecological theory of …

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Predictors Of Co-Rumination In Adolescent Friendships, Rebecca Emily Smith Jan 2021

Predictors Of Co-Rumination In Adolescent Friendships, Rebecca Emily Smith

Walden Dissertations and Doctoral Studies

Co-rumination is talking excessively about problems with another person such as a same-sex best friend. Co-rumination is found to impact adjustment, such that co-rumination is related to an increase in depressive and anxiety symptoms but also an increase in friendship quality. The consequences of co-rumination have been studied, but predictors of co-rumination over time have yet to be studied. The study investigated factors that may predict co-rumination such as attachment style (secure, dismissing, preoccupied), expectations of rejection (angry, anxious), and gender orientation (masculinity and femininity) over a 9-month period. Theoretical frameworks included response styles theory, maternal deprivation theory, and rejection …

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Strategies Healthcare Leaders Use To Reduce Employee Burnout, Ashley Ann Smith Jan 2021

Strategies Healthcare Leaders Use To Reduce Employee Burnout, Ashley Ann Smith

Walden Dissertations and Doctoral Studies

Healthcare workers are at an increased risk of being affected by burnout, which leads to decreased productivity, decreased job engagement, and increased organizational turnover. Employee burnout is a problem for healthcare leaders as burnout leads to decreased productivity and increased organizational turnover. The purpose of this qualitative multiple case study, guided by the job-demand resource theory, was to explore strategies healthcare leaders use to reduce employee burnout. Interviews were conducted with four healthcare leaders in the United States with at least 3 years of management experience who implemented strategies to reduce employee burnout at their organizations; a review of organizational …

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Emotion Regulation, Affective, Continuous, And Normative Commitment For Turnover Intentions Among Degree-Seeking Employees, Danette Colleen Sutter Jan 2021

Emotion Regulation, Affective, Continuous, And Normative Commitment For Turnover Intentions Among Degree-Seeking Employees, Danette Colleen Sutter

Walden Dissertations and Doctoral Studies

Multiple researchers have investigated employee turnover related to affective, continuous, and normative commitment, and none reported the predictive power of emotion regulation reappraisal on these components of commitment with turnover intentions among degree-seeking employees. The purpose of this quantitative survey research study was to explore emotion regulation reappraisal and its predictive power for organizational commitment associated with degree-seeking employees' intentions to quit jobs. In this study, a small sample of N = 18 degree-seeking employees took part in survey methodology. Multiple regressions were performed to calculate the variance of independent variables, emotion regulation and affective, continuous, and normative commitment associated …

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A Retrospective Analysis Of Integrative Group Medical Visits For Low-Income Patients With Anxiety Disorders In Primary Care, Annamma Udaya Thomas Jan 2021

A Retrospective Analysis Of Integrative Group Medical Visits For Low-Income Patients With Anxiety Disorders In Primary Care, Annamma Udaya Thomas

Walden Dissertations and Doctoral Studies

High utilization of the emergency department (ED) by patients with anxiety symptoms has brought attention to mental health access disparities among low-income racially/ethnically diverse populations. The health system in this study attempted to increase access to mental health care with integrative group medical visits (IGMVs), a nonpharmacological intervention with biomedical care consultation, health education, and peer support. The purpose of this retrospective comparative analysis, guided by integrative health equity in primary care framework, was to determine whether patients with diagnoses of anxiety who attended four or more IGMVs had reduced nonemergent ED utilization, reduced prescribed doses of benzodiazepine (BZD), and …

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Online Nontraditional Students’ Attitudes About Software Used By Academic Advisors, Monica Triplett Jan 2021

Online Nontraditional Students’ Attitudes About Software Used By Academic Advisors, Monica Triplett

Walden Dissertations and Doctoral Studies

AbstractWhile many universities rely on student success software to facilitate the academic advising process, little is known about how nontraditional students view technology-mediated advising and its usefulness for preventing attrition with this population. The purpose of this study was to explore how nontraditional undergraduates who may lack facility with technology view software as a tool to engage with their advisors and provide support for their academic decisions. Moore’s theory of transactional distance and Astin’s theory of engagement served as frameworks. Using a basic qualitative method, 14 students over the age of 40 years who were enrolled in various online undergraduate …

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Effect Of Clinical Trial Participation On Patient Experience And Overall Hospital Scores, Bridget Tyrka Jan 2021

Effect Of Clinical Trial Participation On Patient Experience And Overall Hospital Scores, Bridget Tyrka

Walden Dissertations and Doctoral Studies

AbstractDespite groundbreaking advances in technology and medicine in the United States and intensive examination of health services quality initiatives, issues of quality and patient-reported experience measures in the hospital sector remain unimproved. Although evidence-based medicine has improved through innovation in clinical research, healthcare systems have reportedly struggled to implement advances in medicine and lack the skill sets to become learning health systems. As clinical practice and clinical trials (CTs) have rarely intersected in the past, a significant lack of quantitative research has been dedicated to correlate improved patient outcomes with participation in CTs. The analysis sought a correlation, if any, …

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Succession Planning Strategies In Family Businesses, Vivian Akosua Dwumor Amanquah Jan 2021

Succession Planning Strategies In Family Businesses, Vivian Akosua Dwumor Amanquah

Walden Dissertations and Doctoral Studies

Only one-third of family businesses remain operational into the second generation and approximately one-eighth into the third generation. Succession planning is critical to family-owned businesses, as most businesses will collapse moving to the fourth generation and beyond. Grounded in the family systems theory, the purpose of this qualitative multiple case study was to explore strategies family business leaders use to implement a succession plan. The participants included six senior executives from three family businesses in Ghana who implemented successful strategies for succession planning. The data sources were semistructured interviews and a review of organizational documents, including statutes; articles of incorporation, …

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Exploring Quality Management Strategies To Mitigate Culture Shock Among Cochlear Implant Users, Victor Mulume' Ambila Jan 2021

Exploring Quality Management Strategies To Mitigate Culture Shock Among Cochlear Implant Users, Victor Mulume' Ambila

Walden Dissertations and Doctoral Studies

AbstractAfter the cochlear implant (CI) activation period and therapy, adult CI users who travel overseas encounter culture shock factors that paralyze their coping capability, which need normalization through management strategies during the post-cochlear-implantation process (PCIP). In the structure of the conceptual framework, a plan is presented for addressing the management strategy. An integrated system of product-process-service-care portrays the product as an active implant within an individual bearer fostering a CI user’s physical, physiological, and psychological traits. The problematic aspects alter the end users’ coping capability in an unfamiliar host environment abroad. The qualitative research approach used was a single case …

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K-12 Principals, Instructional Leadership, And Equitable Gifted Program Placements For Students, Rochelle Marie Archelus Jan 2021

K-12 Principals, Instructional Leadership, And Equitable Gifted Program Placements For Students, Rochelle Marie Archelus

Walden Dissertations and Doctoral Studies

School leaders struggle to implement best instructional leadership practices to enhance student diversity in gifted programs. The purpose of this qualitative case study was to understand how K-12 school principals implement instructional leadership practices regarding equitable placements of students in gifted programs. Three elements of Hallinger and Murphy’s instructional leadership model, (a) developing and promoting expectations, (b) assessing and monitoring student performance, and (c) supervising and evaluating instruction, informed this study. The research questions addressed instructional leadership practices and behaviors of K-12 school principals regarding placements of students in gifted programs. Ten K-12 school principals who worked in a large …

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Exploring The Millennial’S Work Meaning And Job Engagement Experience: A Transcendental Phenomenological Study, Monique Simone Anderson Jan 2021

Exploring The Millennial’S Work Meaning And Job Engagement Experience: A Transcendental Phenomenological Study, Monique Simone Anderson

Walden Dissertations and Doctoral Studies

The millennial generation is now most of the workforce population. This generation’s engagement behaviors, expectations, and mindsets differ from those of other generations, and directly impact organizational performance. Despite existing generalizations about Millennials, there is a gap in the literature relative to how this generation experiences meaning and engagement in the workplace. The overarching research question was developed to broaden the understanding of the work experiences across this cohort, and further inform solutions that affect Millennials’ meaning and engagement with their jobs. To address this transcendental phenomenological study’s research problem and purpose, qualitative data were collected from multiple sources of …

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The Experience Of Childhood Sibling Violence And Partner Violence In Adult Relationships, Chelsey Almond Barger Jan 2021

The Experience Of Childhood Sibling Violence And Partner Violence In Adult Relationships, Chelsey Almond Barger

Walden Dissertations and Doctoral Studies

Victims of sibling violence may be at increased risk for revictimization in peer and dating relationships, and sibling violence may influence how the young adult reacts to conflict in their interpersonal relationships. The purpose of this study was to explore the effects of childhood sibling violence with adults who later experienced intimate partner violence. Bandura’s social cognitive theory was the conceptual framework of this study. The research question was how individuals perceive and describe the effect of sibling violence in childhood as this relates to the experience of intimate partner violence as adults. Five individuals who experienced childhood sibling violence …

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Clinical Practice Guidelines For Nursing Orientation At A Small Clinic, Elizabeth Bemah Jan 2021

Clinical Practice Guidelines For Nursing Orientation At A Small Clinic, Elizabeth Bemah

Walden Dissertations and Doctoral Studies

In the United States, the registered nurse turnover rate was 17.2% in 2018, a 0.4% increase from 2017. The nursing turnover rate at a small out-patient clinic in the northeast United States was 19.1% in 2019 and has not improved to date. The administrator at the out-patient clinic further indicated that the turnover rate has been approximately two nurses per month for the last 6 months and that the facility did not have a formalized nurse orientation program. Nursing orientation is one of the strategies for increasing the confidence levels and retention of newly hired nurses. The purpose of this …

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Perceived Learning Needs Of High School Teachers Regarding Suicide Prevention, Miranda Lynne Bevilacqua Jan 2021

Perceived Learning Needs Of High School Teachers Regarding Suicide Prevention, Miranda Lynne Bevilacqua

Walden Dissertations and Doctoral Studies

Suicide is the second leading cause of death among youth in Canada. Though school-aged youth are surrounded by teachers, mentors, and school mental health nurses (SMHN), little is known about what teachers want to know regarding suicide and whether the teachers have the knowledge to recognize youth at risk. The purpose of this generic exploratory qualitative study, guided by the health belief model, was to explore the perceived learning needs of high school teachers in northwestern Ontario (NWO) regarding suicide prevention. The data collection process involved semistructured virtual interviews with 14 high school teachers in NWO recruited via social media. …

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Relationship Between Nurse-To-Patient Ratios, Patient Satisfaction Scores, And Hospital Profitability, Patrick Ross Bumstead Jan 2021

Relationship Between Nurse-To-Patient Ratios, Patient Satisfaction Scores, And Hospital Profitability, Patrick Ross Bumstead

Walden Dissertations and Doctoral Studies

In 2019, hospital profitability margins were at their lowest levels since the great recession due to a declining volume of patients. Hospital executives who fail to improve profitability are at risk of sustainability. Grounded in the service-profit chain theory, the purpose of this quantitative correlational study was to examine whether nurse-to-patient ratios and patient satisfaction scores significantly predict hospital profitability. Data were collected from 74 hospitals in Southern California from the Centers for Medicare & Medicaid Services government database and publicly available financial statements. Results from multiple regression analysis were not statistically significant. A key recommendation is for hospital executives …

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Preschool Teachers’ Perspectives On Engaging Fathers In Their Child’S Education, Jawan Marquis Burwell Jan 2021

Preschool Teachers’ Perspectives On Engaging Fathers In Their Child’S Education, Jawan Marquis Burwell

Walden Dissertations and Doctoral Studies

Preschool environments set the educational foundation for children in the early years. Despite the positive effects that preschool environments have on children and families, previous studies have shown that preschool teachers are challenged to engage fathers in their child’s education. The purpose of this basic qualitative study was to investigate preschool teachers’ perspectives on engaging fathers in their child’s education. The conceptual framework was based upon Bronfenbrenner’s ecological systems theory. The research question focused on the challenges that teachers encounter in engaging fathers in their child’s education. This qualitative study included individual one-on-one interviews with 12 teachers using an open-ended …

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Relationship Between Criminal Behavior And High School Equivalency Program Completion, Lashawnda Cabey - Washington Jan 2021

Relationship Between Criminal Behavior And High School Equivalency Program Completion, Lashawnda Cabey - Washington

Walden Dissertations and Doctoral Studies

High School Equivalency (HSE) Programs operate in response to the national increase in high school dropout rates. These alternative learning methods are attractive to nontraditional high school students because they are designed to accommodate students who are unable to complete their high school diploma via the traditional classroom setting. However, even though these programs continue to thrive in many communities, many students are still unsuccessful at completing these programs. Therefore, there is a need to research the possible factors that prevent students from earning the equivalent of a high school diploma or general education diploma (GED) via these programs. Grounded …

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Lived Experiences Of Nurses Caring For Limited English Proficient Patients During A Pandemic, Thomas Cain Jan 2021

Lived Experiences Of Nurses Caring For Limited English Proficient Patients During A Pandemic, Thomas Cain

Walden Dissertations and Doctoral Studies

This study addressed the need to better understand how a patient’s healthcare is influenced by lack of health literacy for limited English proficient patients during the COVID-19 pandemic. While registered nurses are a key component in the patient care continuum, there is a lack of evidence to understand the experiences caring for this vulnerable population during a pandemic. Framed by Roy’s adaptation model and Orem’s self-care deficit nursing theory, the purpose of this interpretative phenomenological study was to explore the lived experiences of registered nurses who cared for limited English patients diagnosed with COVID-19 in 2020. Seven registered nurses participated …

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Obesity-Related Health Behaviors And Stress Among Sexual Minority Women, Kristen Andrea Smith Jan 2021

Obesity-Related Health Behaviors And Stress Among Sexual Minority Women, Kristen Andrea Smith

Walden Dissertations and Doctoral Studies

Adult obesity rates have continued to rise with 40% of the adult population in the United States currently being categorized as obese. Sexual minority women are more prone to obesity than heterosexual women. Obesity has been linked to several causes of premature and preventable death and has often been attributed to changeable health behaviors such as physical activity, diet, and sleep. Additionally, stress has been shown to impact health behaviors as well as rates of obesity. Sexual minority women are known to experience more stress due to their minority status, a concept described in minority stress theory which states that …

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Association Between Modifiable Risk Factors And Stroke Among Hispanics, Shanice Williams Jan 2021

Association Between Modifiable Risk Factors And Stroke Among Hispanics, Shanice Williams

Walden Dissertations and Doctoral Studies

Stroke is a significant public health issue that impacts the health of Hispanic adults. Understanding the multiple risk factors of stroke is an essential strategy to control the disease among this population. The purpose of this study was to examine the association between modifiable risk factors and stroke among Hispanics. The public health prevention framework guided this study. The research questions were designed to determine whether an association exists between modifiable risk factors for stroke among Hispanics. A quantitative, cross-sectional research design was used to conduct secondary analysis of the pooled 2017–2019 Behavioral Risk Factor Surveillance System annual surveys. The …

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Formative Needs Assessment Evaluation Of Nontraditional Student-Parents At A Private 4-Year University, Athea Vanzant Jan 2021

Formative Needs Assessment Evaluation Of Nontraditional Student-Parents At A Private 4-Year University, Athea Vanzant

Walden Dissertations and Doctoral Studies

Nontraditional student-parents compose approximately one-quarter of the student body on college and university campuses. Student-parents face unique challenges, have unique needs, and graduate at lower rates than other nontraditional students. Yet many campuses, like the local study site, focus support on traditional students. The purpose of this formative evaluation was to assess the needs of student-parents in their persistence to graduation at a private 4-year university in the Southeastern United States. Astin’s I-E-O model was the conceptual framework used to identify student-parents’ characteristics (input), services needed (environment), and intended outcomes. A basic qualitative design and interviews yielded narrative data from …

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Effects Of School Wide Positive Behavior Interventions And Supports In An African American All-Boys Urban School, Theresa Thomas Jan 2021

Effects Of School Wide Positive Behavior Interventions And Supports In An African American All-Boys Urban School, Theresa Thomas

Walden Dissertations and Doctoral Studies

Abstract Teachers and administrators spend a great deal of time addressing minor to moderate school discipline behaviors with punitive actions such as suspensions and expulsions from school. Past research has revealed that such punitive actions do not correct the unwanted behavior, and extensive use of punitive disciplinary actions have been linked to negative outcomes such as repeated suspensions, repeating grades due to time missed from school, increased likelihood of dropping out of school, or potential involvement in the juvenile justice system. This single case study design addressed the following research question: How school-wide positive behavioral interventions and supports (PBIS) affected …

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Electronic Health Record Adoption, Interoperability, And Consumer Access, Edet Udofia Jan 2021

Electronic Health Record Adoption, Interoperability, And Consumer Access, Edet Udofia

Walden Dissertations and Doctoral Studies

AbstractElectronic health record (EHR) adoption is necessary across many healthcare settings. The problem identified in the current study is that EHR systems and consumer access to their health records tend to be inconsistently applied across various health care settings which could have adverse effects on health outcomes in the policies, and procedure of healthcare delivery. EHR systems can improve the perceptions of patients on healthcare systems and the operation of health care facilities. More specifically, the issue of interoperability in the context of EHR system implementation was reviewed in the current project. The purpose of this study was to understand …

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Disruptive Mood Dysregulation Disorder In The Classroom, Gizelle Edith Tircuit Jan 2021

Disruptive Mood Dysregulation Disorder In The Classroom, Gizelle Edith Tircuit

Walden Dissertations and Doctoral Studies

Researchers have identified emotional disturbance (ED) as the fastest growingdiagnosed disability among school-age children. The National Institute of Mental Health estimated that of the 473,000 school-aged students who would qualify as having an ED, the school systems formally identify only 1%. Disruptive mood dysregulation disorder (DMDD) is the most recent depressive disorder added to the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) and the newest subcategory of ED. There have been few studies on student populations with DMDD, and a significant gap exists in the literature supporting this population in the classroom. The purpose of the study was …

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