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2021

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The Psychology Of Anxiety & Pain In Fibromyalgia, Anna Kharko Jan 2021

The Psychology Of Anxiety & Pain In Fibromyalgia, Anna Kharko

Other Faculty of Health Theses

Understanding pain is integral to understanding fibromyalgia, a chronic musculoskeletal pain condition of undetermined aetiology, and for which no single successful medical therapy exists. Most of what is known about fibromyalgia pain comes from psychophysical research of central sensitisation, a phenomenon of abnormally amplified pain following disruptions in the central nervous system. Anxiety has been long theorised to mediate this centralised pain, but its contribution is yet to be characterised. This thesis presents a multimodal investigation of pain perception under different manifestations of anxiety in both fibromyalgia-diagnosed and pain-free cohorts. Chapter 3 presented the findings from the first study in …

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Ionic Dysregulation In White Matter Damage, Christopher Bulman Jan 2021

Ionic Dysregulation In White Matter Damage, Christopher Bulman

Other Faculty of Health Theses

White matter damage can occur in a variety of neurological diseases where it contributes significantly to impairment of brain function. Dysregulation of ion gradients across membranes is a common phenomenon across many diseases and can be damaging due to increased metabolic demand, oedema and activation of destructive enzyme cascades. Breakdown of ionic gradients can occur under many circumstances. For example, loss of energy supply to ion pumps causes disruption early in stroke progression. Activation of ion channels through voltage or ligand gating contributes greatly to complications such as intracellular calcium overload in many diseases. This thesis investigated the contribution of …

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Helping People With Dementia To Eat Well At Home: An Investigation To Understand And Enhance Nutritional Care, Louise Mole Jan 2021

Helping People With Dementia To Eat Well At Home: An Investigation To Understand And Enhance Nutritional Care, Louise Mole

Other Faculty of Health Theses

In this thesis I developed a complex intervention to help people living at home with dementia to eat well, and improve nutritional care. This was achieved through four studies conducted using multiple methods. A scoping review found 61 studies reported in 63 articles after searching six databases from inception to July 2016. Content analysis was used, and the overarching categories were: ‘timely identification of nutritional risk and subsequent regular monitoring of nutritional status’, ‘multi-component tailored interventions’, and the ‘influence of the caregiving dyad on nutritional status’. Most studies were cross-sectional (n=24), cohort (n=15) or qualitative (n=9). Only three were randomised …

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‘The Agony & The Ecstasy: Managing A Chronic Pain Condition Whilst Being A Mother’, Movita Chapman-Moyle Jan 2021

‘The Agony & The Ecstasy: Managing A Chronic Pain Condition Whilst Being A Mother’, Movita Chapman-Moyle

Other Faculty of Health Theses

Persistent pain is a debilitating condition affecting more women than men, and for women in their child-rearing years this means struggling to bring up children whilst contending with an unforgiving pain condition. Existing research in this area has found increased levels of pain complaints in children of mothers with persistent pain, raising the risk of them developing some form of pain in later years. A primary aim of this research was to investigate ways attachment influences pain development in children of maternal persistent pain sufferers. Additionally, the aim was to investigate how transmission of pain behaviour, including the experience of …

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Exploring The Design, Use And Impact Of Companion Pet Robots And Automata For Older Adults And People With Dementia, Hannah Bradwell Jan 2021

Exploring The Design, Use And Impact Of Companion Pet Robots And Automata For Older Adults And People With Dementia, Hannah Bradwell

Other Faculty of Health Theses

Companion robots, socially assistive robots typically possessing zoomorphic features, have shown potential in the care of older adults and people with dementia. Previous research demonstrated reduced agitation, anxiety, loneliness and blood pressure for older adults, and reduced carer burden. However, many literature gaps and methodological flaws remained, and there was limited evidence of real-world adoption into health and care practice. In particular, most research involved Paro, the robot seal costing ~£5000, a prohibitive cost for most intended end-users. Furthermore, contradictory research results, robot failures and variable responses of older people suggested sub-optimal robot design. This thesis therefore aimed to expand …

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Modulation Of Macrophage And Epithelial Cell Immune Defences By Probiotic Bacteria: Immune Stimulation Versus Suppression, Luma S.Abdulqader Al-Abdulwahid Jan 2021

Modulation Of Macrophage And Epithelial Cell Immune Defences By Probiotic Bacteria: Immune Stimulation Versus Suppression, Luma S.Abdulqader Al-Abdulwahid

Other Faculty of Health Theses

Abstract Probiotic bacteria are live organisms, if consumed in adequate amounts might confer health benefits. These bacteria, such as Lactic acid bacteria (LAB), include a number of strains that have specific health promoting activi-ties, attributed to their immunomodulatory and anti-inflammatory properties. Gut mucosal macrophage subsets play a fundamental role in driving muco-sal immune responses. These include, tolerance, associated with an M2-, regulatory macrophage phenotype and inflammatory activation with an M1-like phenotype. The cross-link between mucosal tolerance and inflammatory cytokine suppression, and augmentation of IL-10 production in the gut relate to endotoxin tolerance. Endotoxin tolerance is a context; it could present …

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Birth Trauma: A Mixed-Methods Investigation, Grace Baptie Jan 2021

Birth Trauma: A Mixed-Methods Investigation, Grace Baptie

Other Faculty of Health Theses

Approximately one-third of women appraise their childbirth experience as traumatic and many women experience symptoms of posttraumatic stress disorder (PTSD) as a result. Whilst earlier work concentrated on prevalence and risk factors of clinically significant trauma, recent research focuses on the large group of women who experience childbirth as traumatic but do not necessarily meet the threshold for PTSD. This thesis comprises a mixed-methods design to investigate predisposing factors associated with presentation of postnatal posttraumatic stress (PTS) symptoms and the appraisal of childbirth as a traumatic experience. Specifically, this thesis aims to address the following questions: What perinatal risk factors …

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Time Travellers And Storytellers: Representations Of Dementia In Children's Fantasy Literature, Tracey Guiry Jan 2021

Time Travellers And Storytellers: Representations Of Dementia In Children's Fantasy Literature, Tracey Guiry

School of Law, Humanities and Social Sciences Theses

This creative writing research-based thesis asks how dementia can be represented to primary-aged children through a fantasy fiction novel and offers an original fantasy fiction novel, The Battle for Spanoak (Guiry, 2020), written for children between the ages of 7 and 12-years-old as an original contribution to the corpus of dementia writing for children. The critical component to this thesis explores how generic fantasy devices and structures impact on the representation of dementia through ‘storytelling’ and ‘memory’ and describes the particular relevance of ‘time’ as a narrative device in dementia fantasy narratives. I have also contributed a corpus of dementia …

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An Intersectional Analytical Critique Of The Troubled Families Programme In Cornwall, Rebecca Carter Dillon Jan 2021

An Intersectional Analytical Critique Of The Troubled Families Programme In Cornwall, Rebecca Carter Dillon

School of Law, Humanities and Social Sciences Theses

An Intersectional Analytical Critique of the Troubled Families Programme in Cornwall This thesis provides an intersectional analytical critique of the Troubled Families (TF) Programme in Cornwall, a county which is amongst the most deprived in Northern Europe (ONS, 2017). The TF Programme was launched in England in 2012 in an effort to ‘turn around’ the lives of ‘troubled’ families, in response to the urban riots of August 2011 (RCVP, 2012). While interim evaluations of the Programme have recognised that many ‘troubled’ families are in income poverty (MHCLG, 2019c), the official TF policy documentation does not acknowledge how ‘troubled’ families’ abilities …

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Next Steps In Chemical Weapons Control And Protecting The Right To Protest: Improvements To The Legal Regime Controlling Tear Gas, Casey Morin Jan 2021

Next Steps In Chemical Weapons Control And Protecting The Right To Protest: Improvements To The Legal Regime Controlling Tear Gas, Casey Morin

Fordham International Law Journal

No abstract provided.

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The Internationalization Of China’S Foreign Direct Investment Laws, Sandra Marco Colino Jan 2021

The Internationalization Of China’S Foreign Direct Investment Laws, Sandra Marco Colino

Fordham International Law Journal

No abstract provided.

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The Relationship Between Distress Intolerance, Emotional Dysregulation, And Social Networking Site Addiction, Matthew Nozaki Jan 2021

The Relationship Between Distress Intolerance, Emotional Dysregulation, And Social Networking Site Addiction, Matthew Nozaki

Walden Dissertations and Doctoral Studies

The use of social networking sites (SNSs) continues to increase. SNS addiction refers to the maladaptive behaviors associated with addiction and the use of SNSs. The purpose of this study was to examine the association between emotional dysregulation and SNS addiction as well as investigate the association between distress intolerance and SNS addiction through emotional dysregulation. The social cognitive theory served as the theoretical framework. A total of 210 individuals completed an anonymous online survey through Qualtrics, which consisted of the Internet Addiction Test (IAT), Distress Tolerance Scale (DTS), and the Difficulties in Emotional Regulation Scale (DERS). Linear regression was …

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Security Strategies Information Technology Security Mangers Use In Deploying Blockchain Applications, Prince Nana Yaw Gyedu Nkrumah Jan 2021

Security Strategies Information Technology Security Mangers Use In Deploying Blockchain Applications, Prince Nana Yaw Gyedu Nkrumah

Walden Dissertations and Doctoral Studies

Blockchain is seen as a potential game-changer in many industries and a transformational technology in the 21st century. However, security concerns have made blockchain technology adoption relatively slow. Massive security breaches in cryptocurrency, an example of blockchain technology, have caused organizations to lose $11.3 billion in illegal transactions, exacerbating these security concerns for information technology (IT) security managers who are worried about the safety of blockchain. Grounded in the routine activity theory, the purpose of this multiple case study was to explore strategies used by IT security managers to deploy blockchain applications securely. The participants were 4 IT security managers …

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Evaluating The Role Of Health Care In Mexico In Undocumented Immigration To The United States, Abdul Ganiyu Mohammed Jan 2021

Evaluating The Role Of Health Care In Mexico In Undocumented Immigration To The United States, Abdul Ganiyu Mohammed

Walden Dissertations and Doctoral Studies

Undocumented immigration has been a major social and political problem for the United States with an estimated 11 million immigrants living presently in an undocumented status. In Mexico, 73% of the population live below the poverty line and face challenges in meeting basic needs let alone purchasing private health insurance. In May 2003, the government of Mexico established the Segura Popular (popular healthcare) to extend health insurance to underinsured and uninsured communities to address healthcare access inequities. In depth phenomenological interviews were used to explore the lived experiences of formerly undocumented Mexican immigrants living in Hidalgo County, Texas, regarding the …

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An Educational Program For Nurses To Improve Culturally-Appropriate Mental Health Assessment For Nigerian Immigrant Youth In Central Florida, Blessing Anyaiwe Onyekachi Jan 2021

An Educational Program For Nurses To Improve Culturally-Appropriate Mental Health Assessment For Nigerian Immigrant Youth In Central Florida, Blessing Anyaiwe Onyekachi

Walden Dissertations and Doctoral Studies

AbstractNigerians, like other immigrants, face many health issues with rising waves of conflict and political instability that contribute to high migration rates. As a result, when they arrive in other countries, these immigrants not only have to deal with the trauma they left behind but face issues such as cultural stereotypes, stigma, lack of insurance, cultural and language barriers, poor communication, social discrimination, and low socioeconomic status. The question that this project addressed was whether an educational program for nurses would improve knowledge on culturally-appropriate mental health assessment for Nigerian immigrant youth in Central Florida. This was a nursing staff …

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Communicating Organizational Vision And Values To A Multigenerational Workforce, Jose M. Peralta Jan 2021

Communicating Organizational Vision And Values To A Multigenerational Workforce, Jose M. Peralta

Walden Dissertations and Doctoral Studies

Differences in values, motives, and beliefs of members of a multigenerational workforce can negatively impact organizational sustainability. Business leaders who cannot communicate organizational vision and values to a multigenerational workforce risk reduced organizational sustainability. Grounded in generational cohort theory, communication accommodation theory, and organizational culture theory, the purpose of this multiple case study was to explore strategies that leaders of multigenerational workforces within the financial industry use to communicate organizational values and vision for a sustainable work environment. Participants comprised five financial organization leaders in New York City who successfully implemented communication strategies to communicate organizational vision and values for …

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University Research Program Budget Leaders’ Responses To The Covid-19 Pandemic, Michelle Sare Jan 2021

University Research Program Budget Leaders’ Responses To The Covid-19 Pandemic, Michelle Sare

Walden Dissertations and Doctoral Studies

Research program budget leaders have the responsibility to manage their university’s sponsored program budgets effectively each fiscal year; however, research programs face continual challenges to maintaining financial stability as operation costs increase and external funding declines. This challenge may have become more difficult during the COVID-19 pandemic. The purpose of this basic qualitative study was to examine strategies research program budget leaders at research intensive universities have used to navigate financial instability in response to the pandemic. The organizational development framework of Senge and Kezar as well as Bui and Baruch and Senge’s systems theory guided this study. The research …

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Relationships Between Demographics, Adverse Childhood Experiences, And Compassion Fatigue In Volunteers, Sreela R. Stovall Jan 2021

Relationships Between Demographics, Adverse Childhood Experiences, And Compassion Fatigue In Volunteers, Sreela R. Stovall

Walden Dissertations and Doctoral Studies

Volunteers are vital to the operation of human service organizations, but nonprofit organizations remain at risk of turnover and disruption of services due to compassion fatigue of volunteers. Researchers have gained insight with respect to adverse childhood experiences being related to compassion fatigue. The purpose of this quantitative, correlational study was to explore the relationship between volunteer demographics, adverse childhood trauma (ACEs survey), and compassion fatigue (Professional Quality of Life Compassion Fatigue subscale). Compassion fatigue resilience theory was the theoretical framework used for this study. Three research questions were used for the study, with data collection completed online via survey. …

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Assessing Online Content Attractiveness And The Next Generation Of Rural Law Enforcement Officers, Brandi M. Thomas Jan 2021

Assessing Online Content Attractiveness And The Next Generation Of Rural Law Enforcement Officers, Brandi M. Thomas

Walden Dissertations and Doctoral Studies

The recruitment of law enforcement applicants has been a focus for scholars for many years, especially in rural areas. With the increased use of the Internet by younger generations, the problem for rural law enforcement administrators is a lack of online recruitment strategies tailored to younger applicants. Researchers have demonstrated that administrators in rural agencies recognize the challenges of recruiting the next generation of law enforcement officers. Furthermore, literature illustrates how the younger generation has predefined work preferences and uses online environments to search for ideal jobs. However, researchers have yet to establish how younger generations perceive website content and …

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Impact Of Body Image On Middle-Aged Thai Men’S Self-Esteem And Job Performance, Chachadapa Vichitrananda Jan 2021

Impact Of Body Image On Middle-Aged Thai Men’S Self-Esteem And Job Performance, Chachadapa Vichitrananda

Walden Dissertations and Doctoral Studies

Body image issues are generally associated with a person’s dissatisfactions toward their body. Body image dissatisfaction can adversely affect a person’s mental and physical well-being, self-esteem, and behavior. Previous studies on men’s body image issues have focused on younger men, their desire for muscularity and mostly used quantitative research methodology. There is a gap in the literature regarding the effects of body image dissatisfaction on middle-aged men’s self-esteem and job performance using the qualitative research method. This study aimed to investigate body image perceptions of middle-aged men in Thailand aged 35-50 years to determine how their body image perceptions affect …

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Enhancing Employee Engagement To Improve Financial Performance, Christine Lamacchia Jan 2021

Enhancing Employee Engagement To Improve Financial Performance, Christine Lamacchia

Walden Dissertations and Doctoral Studies

Business leaders are negatively affected when many employees are not engaged in their jobs. Business leaders who struggle to achieve employee engagement suffer decreased profitability, sales, employee retention, and customer satisfaction. Grounded in employee engagement theory, the purpose of this qualitative single case study was to explore strategies IT business leaders use to engage employees. The participants were five IT business leaders who successfully developed strategies to engage employees. Data were collected from semistructured interviews, company documents, and artifacts. Thematic analysis was used to analyze the data. Two themes emerged: creating a company culture conducive to employee engagement and using …

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Effects Of Intervention And Prevention Programs On Youth Risk-Taking Behavior In Monroe County, Audrey D. Davis Jan 2021

Effects Of Intervention And Prevention Programs On Youth Risk-Taking Behavior In Monroe County, Audrey D. Davis

Walden Dissertations and Doctoral Studies

Crime committed by adolescents between the ages of 13 and 16 is a recurring issue in the United States. Research showed a number of contributing factors associated with youth risk-taking behaviors and juvenile delinquency. The purpose of this qualitative case study was to improve the understanding of the relationship between intervention and prevention programs and curbing risk-taking and delinquency among adolescents between the ages of 13 and 16 in Monroe County, New York. This study addressed the connection between modern theories of deviance and programs of juvenile delinquency intervention as conceptualized by Chapman as the theoretical framework. Using intrinsic case …

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Principals’ And Teachers’ Perceptions Of Content-Specific Instructional Feedback, Shernore S. Prince Jan 2021

Principals’ And Teachers’ Perceptions Of Content-Specific Instructional Feedback, Shernore S. Prince

Walden Dissertations and Doctoral Studies

The research problem for this basic qualitative study was that principals were not consistently providing content-specific feedback to support teachers’ instructional practices. This problem was important because principals, as instructional leaders, are responsible for giving feedback to teachers to support teachers’ instructional practices. The purpose of this study was to investigate principals’ and teachers’ perceptions of content-specific feedback. Danielson’s framework for teaching was the conceptual framework that linked the concepts and variables in this study. The research questions addressed how principals perceived that they provided content-specific feedback to support teachers’ instructional practice, and how teachers perceived principals as providing content-specific …

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African American Male Exonerees' Reintegrating Into The Spousal/Intimate Partner Role In The Family System, Loretta A. Jackson Jan 2021

African American Male Exonerees' Reintegrating Into The Spousal/Intimate Partner Role In The Family System, Loretta A. Jackson

Walden Dissertations and Doctoral Studies

Wrongfully convicted individuals are abruptly taken from their traditional roles and positioned in new roles prematurely. Without adequate preparation, exonerees struggle to reintegrate back into roles they once strived in. This study aimed to understand the experiences of African American male exonerees' reintegrating into the spouse/intimate partner role in the family. Schlossberg's transition theory served as the theoretical foundation to examine how exonerees might navigate these stages to promote successful reintegration in society and intimate relationships. The research questions sought to understand how African American male exonerees perceive their transition from an inmate role into an intimate role while trying …

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Staff Education Program: Increasing Nursing Knowledge Of Exclusive Breastfeeding, Leigh Anne Panek Jan 2021

Staff Education Program: Increasing Nursing Knowledge Of Exclusive Breastfeeding, Leigh Anne Panek

Walden Dissertations and Doctoral Studies

In the initial postpartum period, exclusive breastfeeding (EBF) improves women's and children's health status and outcomes. Gaps in nursing practice that decrease the rate of EBF during hospitalization at this site were identified by the lactation consultant using a standard chart audit during the last two years. The purpose of this Doctor of Nursing Practice education project was to provide a comprehensive education program that included the purpose, philosophy, nursing practice, and evaluation tools for increasing the EBF rates to meet the Joint Commission’s standard of improvement for perinatal care core measures. A formal educational program that included didactic and …

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Understanding Parental Responses To Having An Lgbtq Child, Donnell Mccutcheon Butler Jan 2021

Understanding Parental Responses To Having An Lgbtq Child, Donnell Mccutcheon Butler

Walden Dissertations and Doctoral Studies

Current research about parents of lesbian, gay, bisexual, transgender, queer, or questioning (LGBTQ) children does not provide insight into whether attitudes towards sexual minorities, relational self-esteem, and sex-role stereotypes predict parents’ emotional responses when learning their child is LGBTQ. The purpose of the study was to investigate factors influencing parental responses when learning about their children’s LGBTQ identities using the social identity theory. The research questions were (a) are there statistically significant relationships between parental responses, negative attitudes toward sexual minorities, parents’ relational self-esteem, and sex-role attitudes and (b) do negative attitudes toward sexual minorities, parents’ relational self-esteem, and sex-role …

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Secret Keeping And Subjective Well-Being In Nurses, Augustina Marie Frazier Jan 2021

Secret Keeping And Subjective Well-Being In Nurses, Augustina Marie Frazier

Walden Dissertations and Doctoral Studies

Studies suggest that “secret-keeping,” the act of maintaining confidences or personal information, is a problem in the nursing population. Secret keeping may cause depression and anxiety, which might bring about isolation and reduce the ability to provide patient care. The purpose of this study was to address the gap in the literature concerning the relationship between secret-keeping and subjective well-being among early- and late-career nurses. Nurses are those who primarily work at the bedside and who supply the nursing labor force in health cares. I used Seligman's well-being theory to focus on the nurses’ happiness based on positive psychology. The …

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Influence Of Online Professional Learning Networks On Teacher Self-Efficacy For Using Information Communication Technology, Jeremy A. O'Toole Jan 2021

Influence Of Online Professional Learning Networks On Teacher Self-Efficacy For Using Information Communication Technology, Jeremy A. O'Toole

Walden Dissertations and Doctoral Studies

Information communication technology (ICT) is increasingly used to enhance teaching and learning, but many teachers lack mastery-level experiences using these computing technologies in the classroom. To further their knowledge, some teachers have turned to online professional learning networks (PLNs) for development, but further research is needed to explore how and why these networks change teachers’ practice. Framed by Albert Bandura's theory of self-efficacy, the purpose of this study was to explore the influence of online PLNs on teachers’ perceptions of their technological self-efficacy for implementing ICT in the classroom. The research question of this basic qualitative study with interviews addressed …

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How Technology Teachers And Coaches Use Digital Tools In Instruction, Cecil Winston Mittoo Jan 2021

How Technology Teachers And Coaches Use Digital Tools In Instruction, Cecil Winston Mittoo

Walden Dissertations and Doctoral Studies

While technology teachers and coaches have successfully integrated digital tools into their schools’ curricula, many classroom teachers still struggle with that integration. Not enough is known about how technology teachers and coaches plan and implement instruction using digital tools, and this knowledge may be useful for classroom teachers. This basic qualitative study explored some digital tools such as interactive whiteboards (IWBs), desktop computers, iPad devices, and apps used in instruction for pedagogy and content. The Technology Pedagogy and Content Knowledge (TPACK) was the study's conceptual framework. The purpose of the study was to determine how using digital tools in instruction …

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Strategies To Successfully Sustain Operations For Rural Micro And Small Enterprises, Katrina S. Chance Jan 2021

Strategies To Successfully Sustain Operations For Rural Micro And Small Enterprises, Katrina S. Chance

Walden Dissertations and Doctoral Studies

Only 50% of micro and small enterprises (MSEs) survive beyond the first 5 years. As a result, it is important rural MSE managers have successful strategies to sustain their business. Grounded in general systems theory, the purpose of this qualitative multiple case study was to explore successful strategies rural MSE managers use to sustain operations successfully beyond 5 years. Participants included five rural MSE managers in the southeastern United States who integrated sustainability strategies to avoid premature business failure. Data were collected from semistructured interviews and organizational documents, such as company reports, event flyers, image files, and social media platforms. …

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