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2022

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Conceptualization Of Gender Variant Inclusive Healthcare Service Delivery, Tamesha Rhyne Jan 2022

Conceptualization Of Gender Variant Inclusive Healthcare Service Delivery, Tamesha Rhyne

Walden Dissertations and Doctoral Studies

Gender variant people experience a variety of health concerns for which they seek the assistance of healthcare providers. These concerns may range from chronic health conditions and psychological disorders to gender affirming concerns. Due to living in a heteronormative society, gender variant individuals are more susceptible to experiencing stigmatization, discrimination, and other forms of unfair treatment while accessing healthcare services, which contributes to poor health outcomes. This treatment may be attributed to the lack of knowledge, competency, and training of healthcare providers as it relates to trans-inclusive care. Grounded in minority stress theory and intersectionality theory, the purpose of this …

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Latino Pastors’ Perceptions Of Referring Intimate Partner Violence Victims To Secular, Esther M. Rios Jan 2022

Latino Pastors’ Perceptions Of Referring Intimate Partner Violence Victims To Secular, Esther M. Rios

Walden Dissertations and Doctoral Studies

Information about intimate partner violence (IPV) perceptions within the Latino clergy population is scarce. This research study investigated perceptions, experiences, and biases, precluding Latino clergy in referring church members to outside resources. The research question focused on Latino pastors’ perceptions about referring church members victims of IPV to secular organizations. Understanding clergy’s IPV perceptions provided an opportunity for scholars to explore ways for clergy to discover other organizations contributions to IPV. Historical oppression was used as the framework for the study because Latino women victims of IPV experience severe victimization and are afraid to report the abuse. Previous research does …

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Improving Pediatric Nurses Knowledge About Palliative Care Services, Marilia M. Rivera Camacho Jan 2022

Improving Pediatric Nurses Knowledge About Palliative Care Services, Marilia M. Rivera Camacho

Walden Dissertations and Doctoral Studies

Palliative care knowledge is important for nursing staff caring for children with life-threatening and debilitating illness because it can provide comfort-based interventions to optimize their quality of life. Nurses in pediatric settings can support the patient and family by providing education and evaluate patients who can benefit from palliative care services. If nurses do not have the palliative care education to support this comfort care process, the quality of life for children with life-threatening and debilitating illness may be affected. The purpose of this DNP project was to educate pediatric nurses about pediatric palliative care standards. The educational program resulted …

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Perception Of Promotability Among Employees In Nonprofit Health And Social Impact Services, Victoria Leann Rodino Jan 2022

Perception Of Promotability Among Employees In Nonprofit Health And Social Impact Services, Victoria Leann Rodino

Walden Dissertations and Doctoral Studies

Many human resource departments are developing and improving their talent management systems to identify and develop employee talent within the organization. However, nonprofit organizations face unique challenges including under-developed human resource structures and limited resources or funds. As a result, many nonprofit organizations are unable to effectively communicate their promotability processes, resulting in negative employee behaviors including lack of motivation, decreased engagement, and enhanced turnover intention. The purpose of this study was to explore and understand the employee perception of promotability within the nonprofit sector. Social exchange and social cognitive theories were used to explore the perception of promotability among …

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The Narratives Of Cross-Cultural Misidentification And Exoneration In Wrongly Convicted Men, Miki L. Ross-Elster Jan 2022

The Narratives Of Cross-Cultural Misidentification And Exoneration In Wrongly Convicted Men, Miki L. Ross-Elster

Walden Dissertations and Doctoral Studies

Wrongful conviction is often due to misidentification, particularly cross-cultural misidentification. DNA errors and other influences (including weapon focus effect, mugshot error, police suggestibility) also increase the risk of wrongful conviction, and the process of exoneration is onerous. The purpose of this qualitative study was to explore the experience of cross-cultural misidentification, wrongful conviction, exoneration, and the return to society of formerly incarcerated men. Implicit bias theory served as the theoretical framework and refers to both attitudes and stereotypes that people hold without realizing it and which unconsciously affect the way they see a particular person or event. A narrative analysis …

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The Lived Experiences And Perceptions Of Young Adults Who Have Transitioned Out Of State Or Other Care, Linda Rose Ross Jan 2022

The Lived Experiences And Perceptions Of Young Adults Who Have Transitioned Out Of State Or Other Care, Linda Rose Ross

Walden Dissertations and Doctoral Studies

AbstractOver 20,000 young adults are released from state care annually and 100,000 young adults are released from justice centers. Past studies have revealed that young adults 18-24 years of age transitioning out of care are not prepared for independent living and may face many adversities. The problem is that young adults have difficulties finding permanent housing once emancipated from state care, their biological homes, or juvenile justice centers. The purpose of this study was to explore the perceptions and experiences of young adults 18-24 years of age and how their experiences and life skills helped on their journey to acquire …

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Gaps In Immunization Prevention In The State Of Ohio, Audrey Shaw Jan 2022

Gaps In Immunization Prevention In The State Of Ohio, Audrey Shaw

Walden Dissertations and Doctoral Studies

In the United States, the total cost for vaccine preventable diseases was $8.95 billion in 2015. The unvaccinated accounted for 80% of the total costs. This quantitative study was conducted to investigate the success and/or gaps in the implementation of the measles, mumps, and rubella (MMR) vaccine through the Vaccine for Children (VFC) Program by the Ohio Department of Health. General systems theory was chosen as a theoretical framework due to the complicated nature of the healthcare system. Healthcare is a complex system composed of multidisciplinary units that have their own structure and purpose that interact to accomplish the mission …

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A Case Study Of Senate Bill 123 Nonviolent Felony Offenders Suboxone Use, Jessica Scott Jan 2022

A Case Study Of Senate Bill 123 Nonviolent Felony Offenders Suboxone Use, Jessica Scott

Walden Dissertations and Doctoral Studies

In 2003, a midwestern state passed legislation implementing a program with the goal of treating nonviolent felony offenders leaving prison sentences for more severe crimes. The current study examined legislation focusing on substance abuse treatment rather than incarceration. The purpose of this was to bridge this gap in knowledge by investigating the legislative session’s actions to aid members in the provision of services related to the Senate Bill 123 program. The central research question of this study examined the experiences of healthcare practitioners and addiction counselors associated with SB 123 nonviolent adult offenders requiring drug and alcohol treatment concerning Suboxone …

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Leadership Strategies For Sustainability Of Small And Medium Enterprises In Swaziland, Lizzy Oluwatoyin Taiwo Jan 2022

Leadership Strategies For Sustainability Of Small And Medium Enterprises In Swaziland, Lizzy Oluwatoyin Taiwo

Walden Dissertations and Doctoral Studies

AbstractSmall and medium-sized enterprises (SMEs) play an essential role in national and global economic growth. Lack of leadership strategies can negatively impact the sustainability and growth of SMEs. Business owners who implement appropriate leadership strategies can ensure the sustainability of their SMEs. Grounded in transformational leadership theory and sustainability development theory, the purpose of this qualitative multiple case study was to explore leadership strategies owners of SMEs use to ensure the sustainability of their organizations. The participants were four owners of SMEs within the four regions in Swaziland who successfully used leadership strategies to enhance the sustainability of their organizations. …

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Empathy-Based Strain Among Social Workers Working With Couples Experiencing Infidelity, Jared And Rachel Taylor Jan 2022

Empathy-Based Strain Among Social Workers Working With Couples Experiencing Infidelity, Jared And Rachel Taylor

Walden Dissertations and Doctoral Studies

Emotionally focused therapy (EFT) social workers engaged in the practice of couples therapy often work with the issue of infidelity, which can be traumatizing to clients. EFT relies heavily on empathy-based interventions that allow the therapist to experience the pain of clients in the process of facilitating the repair of a couple's attachment bond. Yet the nature of EFT with infidelity can increase social workers’ risk of developing empathy-based strain (EBS), which can lead to personal and professional detriment and practice that harm clients. The purpose of this study was to identify and describe how social workers who practice EFT …

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Identifying What Transformational Leadership Elements Principals Are Utilizing To Retain Kindergarten To High School Teachers, Johnny Ray Vahalik Jan 2022

Identifying What Transformational Leadership Elements Principals Are Utilizing To Retain Kindergarten To High School Teachers, Johnny Ray Vahalik

Walden Dissertations and Doctoral Studies

Teacher turnover in a large urban school district exceeded the state average annually from 2016 to 2020. Previous studies and local evidence indicate a gap in practice might currently exist, consisting of principals not making the best use of the most effective transformational leadership elements to consolidate and increase teacher retention. While many researchers agree that principal leadership has had the most significant influence on teachers’ decisions to stay in or leave their schools, there is a gap in the literature on what principal leadership practices influence teachers’ decisions to stay or leave. The research question that guided this study …

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The Impact Of Funding On Organizational Sustainability Of Mental Health Nonprofits In The County Of Orange, California, Sophia E. Valdez Jan 2022

The Impact Of Funding On Organizational Sustainability Of Mental Health Nonprofits In The County Of Orange, California, Sophia E. Valdez

Walden Dissertations and Doctoral Studies

There is a gap in literature regarding sustainment of mental health programs following budget reductions. Customarily, decreases in budgets have been presumed to be connected to decreases in sustainability. The purpose of this quantitative correlational study was to describe the impact that a decrease in Proposition 63 funding had on nonprofit sustainability in the County of Orange, California. In 2004, California lawmakers enacted Prop 63 to revitalize the public mental health system. The Consolidated Framework for Implementation Research was used as the conceptual framework for this study. This tool can be used to measure data in five categories; intervention, inner …

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Clinical Practice Guidelines For Type 2 Diabetes Patients, Rajeena Varghese Jan 2022

Clinical Practice Guidelines For Type 2 Diabetes Patients, Rajeena Varghese

Walden Dissertations and Doctoral Studies

In the United States, Type 2 diabetes mellitus (T2DM) is a public health concern and a primary cause of readmissions to hospitals. Many patient readmissions may be avoided if quality, evidence-based clinical practice guidelines (CPGs) are developed and followed using a comprehensive approach. The project site’s retrospective analysis of electronic health records indicated a lack of consistency in following best practice recommendations, as shown by higher readmission rates. The purpose of this project study was to create a current evidence-based CPG that nurses can use to educate T2DM patients before being discharged from the hospital. The practice-focused question addressed whether …

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Factors Associated With The Uptake Of Hiv Testing Among African American Male College Students, Brittney Sade Washington-Ball,Drph Jan 2022

Factors Associated With The Uptake Of Hiv Testing Among African American Male College Students, Brittney Sade Washington-Ball,Drph

Walden Dissertations and Doctoral Studies

HIV testing rates are much lower among African American male college students than male college students of other racial groups. Routine HIV testing on college campuses can decrease HIV rates among African Americans and increase students' awareness of their HIV status. This study was an investigation of factors associated with HIV testing among a sample of 140 African American male college students. The health belief model guided the research study and served as the theoretical framework to examine the influence of factors such as the location of testing, STD status, number of sexual partners, insurance coverage, health information, and alcohol …

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Case Study: Strengths Weaknesses Opportunities And Threats Analysis For My Brother’S Keeper Organization, Tyriek Bobby Washington Jan 2022

Case Study: Strengths Weaknesses Opportunities And Threats Analysis For My Brother’S Keeper Organization, Tyriek Bobby Washington

Walden Dissertations and Doctoral Studies

In this case study, strategies to increase the impact of mentorship programs and academic success of African American high school students were examined through the use of a strengths, weaknesses, opportunities, and threats (SWOT) analysis. The purpose of this case study was to gather empirical data to identify opportunities for First Generation College Bound, Inc., an affiliate of the My Brother’s Keeper (MBK) initiative to strategically improve and expand their program. The research question focused on identifying the programs’ current administrative practices as well as areas to better engage and support mentees. Using the conceptual framework of Hersey and Blanchard’s …

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The Postintervention Return To Traffickers By Minor Victims Of Domestic Sex Trafficking, Angela Denise Washington Jan 2022

The Postintervention Return To Traffickers By Minor Victims Of Domestic Sex Trafficking, Angela Denise Washington

Walden Dissertations and Doctoral Studies

Domestic minor sex trafficking (DMST) is a human rights problem that plagues all sizes of U.S. communities. The phenomenon of young sex trafficking victims returning to their trafficker after intervention by law enforcement and social services professionals exacerbates the DMST problem. The purpose of this qualitative study was to learn the perceptions of professionals who work with DMST youths to help understand (a) The reasons DMST victims return to their traffickers after intervention and (b) strategies that might reduce the likelihood of such returns. The study had three conceptual frameworks: social learning theory, routine activities theory, and anomie theory. Data …

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Nurse Staffing And Leadership Support On In-Patient Hospital Safety, Kearia Deresa Watson-Orr Jan 2022

Nurse Staffing And Leadership Support On In-Patient Hospital Safety, Kearia Deresa Watson-Orr

Walden Dissertations and Doctoral Studies

In-patient hospital safety relates to healthcare facilities protecting patients from medical errors. The “problem of many hands” exists, where there is a gap in understanding who is responsible for in-patient hospital safety, nurse staffing, or leadership support. The purpose of this quantitative study was to determine the association between nurse staffing (nurse-to-patient ratios and hours worked) and in-patient safety (perception of in-patient safety by nurses) as well as the association between leadership support (work climate promotes patient safety and actions of hospital management to show that patient safety is a top priority) and in-patient safety (perception of in-patient safety) based …

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Social Media Analytics Use Among Small Business Owners, Melody White Jan 2022

Social Media Analytics Use Among Small Business Owners, Melody White

Walden Dissertations and Doctoral Studies

As of January 2018, small businesses created 47.5% of private jobs in the United States, but little is known about whether and why small business owners use social media analytics. This topic is important because social media analytics assist businesses in identifying social media effectiveness, gaining new customers, and staying connected with current customers. The purpose of this generic qualitative research study was to explore the use of social media analytics by small business owners, which can increase customer interaction and help monitor company perception and effectiveness. The conceptual foundation used in this study was the technology acceptance model. The …

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Substance Abuse Disorders And Veteran Homelessness, Donald Rufus Williams Jan 2022

Substance Abuse Disorders And Veteran Homelessness, Donald Rufus Williams

Walden Dissertations and Doctoral Studies

AbstractVeterans constitute a significant proportion of the homeless population in the United States. Studies indicate that substance abuse is a major issue these veterans face that can result in homelessness. Despite improvement since 2009, substance abuse among this population remains a significant problem. The objective of this study was to gain a better understanding of the experiences of homeless and substance-abusing veterans to provide information to government agencies that may help them develop a practical approach for addressing the issue. The social cognitive theory and Lowry's dimension on federalism provided the theoretical framework for this study. A general qualitative research …

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Cultural Responsiveness In Policing, Stacy Berry Workman Jan 2022

Cultural Responsiveness In Policing, Stacy Berry Workman

Walden Dissertations and Doctoral Studies

Over the last decade, headlines have highlighted police-citizen conflicts. With the continuing change in communities to an increasingly diverse population, communication and interactions between officers and citizens must progress towards fairness and transparency. The delivery of culturally competent public safety services facilitates more favorable client outcomes, more effective interpersonal communication, and increased service satisfaction from clients. Although this is heavily stressed in public safety agencies and can decrease the possibility of tort liability for failing to provide adequate services or appropriate treatment, the emphasis varies. The purpose of this phenomenological study was to explore the policies and influences of law …

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Applying Situational Crime Prevention To Terrorism Against Stadiums, Emanuel Maurice Yeoman Jan 2022

Applying Situational Crime Prevention To Terrorism Against Stadiums, Emanuel Maurice Yeoman

Walden Dissertations and Doctoral Studies

According to recent studies, there has been increasing concern of terrorist threats to U.S. stadiums. The research problem is that existing U.S. stadium policies, procedures, and plans do not adequately address evacuation of special populations in the event of a terrorist threat. There is a particular concern regarding the adequacy of existing stadium evacuation plans for patrons with special needs. In the current study there were three research questions examining the organizational deficiencies and best practices of stadium evacuation plans currently in place to respond to terrorist threats How situational crime prevention (SCP) can help in the identification of deficiencies …

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Sustainability Strategies Of Small Nigerian Restaurants, Omotayo A. Adeniyi Jan 2022

Sustainability Strategies Of Small Nigerian Restaurants, Omotayo A. Adeniyi

Walden Dissertations and Doctoral Studies

Fewer than half of small restaurants remain in the market after the first 5 years of operation. Small business leaders and policymakers are concerned with business failure due to the negative economic impacts on their employees and the local community. Grounded in the entrepreneurship theory, the purpose of this qualitative multiple case study was to explore strategies small restaurant owners use to sustain their operations beyond at least 5 years. Participants included four owners of small Nigerian restaurants who successfully operated their restaurants for more than 5 years. Data were collected using semistructured interviews and a review of internal documents. …

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Strategies Small Business Human Resources Leaders Use To Reduce Voluntary Employee Turnover, Kristina Afonso Jan 2022

Strategies Small Business Human Resources Leaders Use To Reduce Voluntary Employee Turnover, Kristina Afonso

Walden Dissertations and Doctoral Studies

Small businesses are negatively affected when employees voluntarily leave their jobs. Small business human resources (HR) leaders who implement strategies can enhance employee job satisfaction to reduce voluntary employee turnover. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple case study was to explore strategies small business HR leaders use to reduce voluntary employee turnover. The participants were five small business HR leaders from five different organizations in southern California who successfully implemented strategies to reduce voluntary employee turnover. Data were collected from semistructured interviews and company document reviews. Data were analyzed using Yin’s five phases. Three themes …

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Examining Nigerian Immigrant Perceptions Regarding U.S. Government Settlement Support Programs, Ifeoma C. Ana Jan 2022

Examining Nigerian Immigrant Perceptions Regarding U.S. Government Settlement Support Programs, Ifeoma C. Ana

Walden Dissertations and Doctoral Studies

Globalization increases international mobility, causing people to migrate for various reasons. The critical problem of migration is integrating migrants into their host communities. Nigerian immigrants are the most educated African immigrants to the United States, yet they struggle with integration barriers. Notwithstanding the extensive literature on why Nigerians emigrated and the challenges they face after immigration, no research existed on the impact of U.S. government policies and programs on integrating Nigerian immigrants into society. This narrative study explored Nigerian immigrants' perceptions regarding the impact of the U.S. government settlement and support programs on their integration into American society. The conceptual …

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The Contribution Of Socioeconomic Status, Stress, And Happiness To Substance Abuse Among Adults In America, Volaura Anderson Jan 2022

The Contribution Of Socioeconomic Status, Stress, And Happiness To Substance Abuse Among Adults In America, Volaura Anderson

Walden Dissertations and Doctoral Studies

AbstractThe problem studied was that by 2025, over 5 million adults in the United States will likely be suffering from different disorders caused by substance use. Therefore, the purpose of this quantitative, nonexperimental study was to investigate the relationship between socioeconomic status (SES), stress, happiness, and the frequency of drug use amongst adults over the age of 45 years who resided in the State of Florida and were currently enrolled in a substance use recovery program. The stress process model guided this study and the research questions focused on determining any relationships between frequency of drug use, SES, stress, and …

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Leadership Strategies That Reduce Voluntary Turnover Among Millennials, Yesenia Andrade Jan 2022

Leadership Strategies That Reduce Voluntary Turnover Among Millennials, Yesenia Andrade

Walden Dissertations and Doctoral Studies

Decreased performance from high employee turnover can result in lower organizational profitability. Business leaders of sales organizations who lack leadership strategies to reduce voluntary turnover experience high turnover rates among millennials and observe significantly lower organizational productivity and profitability. Grounded in transformational leadership theory, the purpose of this qualitative multiple case study was to explore what strategies some business leaders in sales organizations used to reduce voluntary turnover among millennial employees. The participants comprised five leaders in sales organizations from Southern California who experienced a reduction in voluntary turnover among their millennial employees. Data were collected from semistructured interviews and …

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Understanding How Healthcare Social Workers Respond To Adult Medical Trauma, Sonya Anthony Jan 2022

Understanding How Healthcare Social Workers Respond To Adult Medical Trauma, Sonya Anthony

Walden Dissertations and Doctoral Studies

Medical trauma in the hospital is a growing health disparity often accompanied by social determinants. Assisting in alleviating disparities and social determinants is a standard of care embedded in social work practice. This research was conducted to examine healthcare social workers’ experiences responding to and managing the psychosocial impacts of adult medical trauma in an acute inpatient environment. The goal of the research was to identify if a need exists for trauma-informed training among healthcare social workers. The research question examined how healthcare social workers respond to medical trauma. The model of case management, trauma-informed care, and systems theory were …

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Adverse Childhood Experiences And Hiv Risk Behaviors Among Transgender Populations, Linda Baggio Jan 2022

Adverse Childhood Experiences And Hiv Risk Behaviors Among Transgender Populations, Linda Baggio

Walden Dissertations and Doctoral Studies

Adverse childhood experiences (ACEs) have a negative impact on health and have created a social challenge in managing HIV risk behavior in the transgender population. The aim of this study was to determine the association between ACEs and HIV risk behavior among the transgender population and identify the association between ACE score (1, 2, 3, 4, or more) and HIV risk behavior among the transgender population. This involved a quantitative methodology using a Behavioral Risk Factor Surveillance System (BRFSS) questionnaire to obtain data from 323 transgender participants. Multivariable regression analyses were conducted to determine the association between ACEs and HIV …

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Factors Impacting Vicarious Traumatization In Metropolitan Law Enforcement Officers, Falisa Asberry Jan 2022

Factors Impacting Vicarious Traumatization In Metropolitan Law Enforcement Officers, Falisa Asberry

Walden Dissertations and Doctoral Studies

AbstractThe exposure to work-related trauma and the relationship to gender, age, years of service, and education level and their impact on the development of vicarious traumatization (VT) on metropolitan law enforcement officers has been underexamined. This quantitative correlational study aimed to examine whether the mediating variable resilience, along with the independent variables gender, age, years of service, and level of education, impacted the dependent variable VT. The constructivist self-development theory and the resilience theory were used as the framework for the study. The professional quality of life scale was used to measure the independent variables and VT. The resilience scale …

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Predictors Of Time Spent Counseling: Counselors’ Professional Identity, Counseling Competencies, And Principal Relationship, Lori P. Barthel Jan 2022

Predictors Of Time Spent Counseling: Counselors’ Professional Identity, Counseling Competencies, And Principal Relationship, Lori P. Barthel

Walden Dissertations and Doctoral Studies

This quantitative study was an inquiry into whether Louisiana school counselors’ perceptions of their professional identity, quality of principal-school counselor relationships, and confidence level (self-efficacy) of providing school-based mental health services (SBMHS) including counseling skills, addressing student issues, and working with students who have a Diagnostic and Statistical Manual diagnosis influence the frequency of counseling services provided to K-12 students. The theoretical lenses were the leader-member exchange theory and social cognitive theory. The hypotheses were that Louisiana school counselors (N=147) who identify as mental health providers working in a K-12 school setting with higher ratings of relationship quality with their …

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