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2022

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Factors Of Experience And Training And Physician Intention To Adopt Telemedicine, Tina Mozhayski Jan 2022

Factors Of Experience And Training And Physician Intention To Adopt Telemedicine, Tina Mozhayski

Walden Dissertations and Doctoral Studies

Despite the increased role of telemedicine services, physicians’ intention to adopt telemedicine for the long term remains disproportionately low; further, little research has focused on the factors behind these intentions. The purpose of this study was to determine and compare the effects of two causal factors: previous experience of physicians in telemedicine and company telemedicine training, on physicians’ intention to adopt telemedicine. The Davis’s technology acceptance model was used as a theoretical framework for this study, which included analytical data of health care regulatory organizations, medical professional alliances, and secondary statistical data of a marketing company with experience in conducting …

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Youth And Family Factors Affecting Completion Of A Diversion Program, Teresita Nuguid Jan 2022

Youth And Family Factors Affecting Completion Of A Diversion Program, Teresita Nuguid

Walden Dissertations and Doctoral Studies

The Florida Department of Juvenile Justice (FDJJ) has launched several diversion programs for at-risk youth in the state of Florida. Prior studies revealed the efficacy of diversion programming in helping mentally ill individuals, the community, and the criminal justice system. This study addressed a gap in the literature regarding how youth and family factors and characteristics can determine program completion. The purpose of this quantitative study was to investigate youth and family factors and characteristics associated with program completion for participants in diversion programs in the state of Florida. The family systems theory used for this study supports the idea …

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Weight Change And Hyponatremia As Predictors Of Polydipsia Among Persons With Schizophrenia, Kingsley Okechukwu Nwachukwu Jan 2022

Weight Change And Hyponatremia As Predictors Of Polydipsia Among Persons With Schizophrenia, Kingsley Okechukwu Nwachukwu

Walden Dissertations and Doctoral Studies

AbstractPolydipsia is found in 20% of inpatients with chronic severe mental disorders. Of this, 80% are diagnosed with chronic schizophrenia, hence polydipsia is strongly associated with chronic schizophrenia. Despite the prevalence and serious health complications of coexisting polydipsia in this population, its current method of detection is flawed. The purpose of this quantitative study was to accurately identify comorbid polydipsia in schizophrenia using periodic weight change and hyponatremia. The Wilson’s complexity theory and primary data were used to attempt to explain the relationship between weight change and hyponatremia and polydipsia, in a cross-sectional study design. The dependent variable was polydipsia, …

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Juvenile Probation Officers' Perceptions Of Strategies To Reduce Juvenile Delinquency In Maryland, Ebenezer Nwaedozie Obonna Jan 2022

Juvenile Probation Officers' Perceptions Of Strategies To Reduce Juvenile Delinquency In Maryland, Ebenezer Nwaedozie Obonna

Walden Dissertations and Doctoral Studies

AbstractYoung offenders aged 10 to 17 years have increasingly become involved with the juvenile justice system, causing concerns about their future prospects and their role in positively contributing to the prosperity of society, particularly in Maryland. The purpose of this qualitative descriptive study was to provide detailed descriptions of the strategies that stakeholders in the juvenile criminal justice system and the offenders can use to reduce youth crime in Maryland. Cognitive-behavioral therapy theory provided the framework for the study. Data were collected from semistructured interviews with 11 probation officers from Maryland. Findings from thematic analysis demonstrated that some juvenile justice …

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An Evaluation Of A Drug Policy At A Federal University In Southeastern Nigeria, Linus N. Okahia Jan 2022

An Evaluation Of A Drug Policy At A Federal University In Southeastern Nigeria, Linus N. Okahia

Walden Dissertations and Doctoral Studies

Drug abuse among university students has become a public health problem. The prevalence of drug abuse has negatively impacted the students, causing serious health outcomes. Finding a solution has the potential to benefit both students and society. Various intervention strategies have been adopted but the results have varied. The purpose of this qualitative case study was to evaluate the administrators’ and students’ perceptions of anti-drug-use policy at a federal university in Southeastern Nigeria to determine its effectiveness on drug abuse prevention among students. The policy feedback theory (PFT), which helps to understand and analyze the policy process, was the explanatory …

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Examining Clinical Behaviors That Demonstrate Intersectionality And Cultural Humility In Mental Health Treatment, Loretta Kosi Okeke Jan 2022

Examining Clinical Behaviors That Demonstrate Intersectionality And Cultural Humility In Mental Health Treatment, Loretta Kosi Okeke

Walden Dissertations and Doctoral Studies

AbstractCultural humility is an ethical standard within the social work profession. As the United States becomes more diverse, there are increasing rates of failure to implement cultural humility in social work practice in mental health settings. The purpose of this generic qualitative study was to examine how clinical social workers demonstrate cultural humility and intersectionality in mental health settings. The theoretical basis on which the research was conducted includes the person-centered theory and the feminist theories, which provided a strong framework for understanding the influences of cultural dynamics and intersectionality on the quality of patient outcomes in mental health care. …

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Successful Strategies For Adopting Electronic Medical Records Systems At Hospitals, Vazi Okhandiar Jan 2022

Successful Strategies For Adopting Electronic Medical Records Systems At Hospitals, Vazi Okhandiar

Walden Dissertations and Doctoral Studies

Some healthcare leaders lack strategies to successfully implement electronic medical record (EMR) systems to improve patient care efficiency and effectiveness. Grounded in the technology acceptance model, the purpose of this qualitative multiple case study was to explore strategies healthcare leaders use to implement EMR systems. The participants comprised five healthcare leaders who implemented EMRs in U.S. hospitals. Data were collected using semistructured interviews, government websites, and relevant documents and analyzed using Yin’s five-step data analysis method. Three themes emerged: (a) adequate training, (b) workflow analysis, and (c) technical support. A key recommendation is for management to provide customized training to …

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Relationship Between Information System Success Model Dimensions And Electronic Health Records Use, Gloria Oshegbo Jan 2022

Relationship Between Information System Success Model Dimensions And Electronic Health Records Use, Gloria Oshegbo

Walden Dissertations and Doctoral Studies

The rise in the use of electronic health records (EHRs) in health care facilities necessitates a standardized tool for evaluating their effectiveness. Delone and McLean’s information system success model (ISSM) was the theoretical foundation, which consists of seven dimensions namely system, information, service qualities, user satisfaction, use, system usefulness, and net benefits. The purpose of this study was to examine EHRs’ efficiency and identify ISSM dimensions that influenced net benefits, the dependent variable. The research questions examined the relationship between dimensions of ISSM and the dimensions that affect net benefits. Participants were recruited using purposeful sampling via social media and …

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Staff Education Program: Increasing Nursing Knowledge Of Exclusive Breastfeeding, Leigh Anne Panek Jan 2022

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

Walden Dissertations and Doctoral Studies

AbstractIn 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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Risk Factors Associated With Access To Intermittent Preventive Treatment For Malaria Among Pregnant Women In Uganda, Mayanja Simon Peter Jan 2022

Risk Factors Associated With Access To Intermittent Preventive Treatment For Malaria Among Pregnant Women In Uganda, Mayanja Simon Peter

Walden Dissertations and Doctoral Studies

Intermittent preventive treatment of malaria in pregnancy (IPTp) is an intervention consisting of the full course of therapeutic antimalarial medicine administered to pregnant women during routine antenatal visits regardless of whether the woman is infected with malaria. The use of intermittent preventive treatment of malaria in pregnancy using sulfadoxine-pyrimethamine (IPTp-SP) has been reportedly low in most of the malaria endemic areas, including Uganda. The coverage of IPTp in Uganda has been estimated to be as low as 17%. An in-depth secondary data analysis using the 2016 Uganda Department of Health Services survey was conducted to understand the causal relationships between …

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Veteran Elementary Teachers’ Perceptions Of Their Preparedness To Teach English Language Learners Literacy, Kelly Ann Philbin Jan 2022

Veteran Elementary Teachers’ Perceptions Of Their Preparedness To Teach English Language Learners Literacy, Kelly Ann Philbin

Walden Dissertations and Doctoral Studies

The English Language Learner (ELL) population continues to steadily grow. While most research focuses on preservice or novice teachers’ perceptions of their preparedness to instruct ELLs, there have been very limited studies focusing on veteran elementary teachers. The purpose of this qualitative multicase study was to explore veteran elementary teachers’ perceptions of their preparedness to teach ELLs literacy. This study was grounded in the conceptual framework of Bandura’s self-efficacy theory. Purposeful sampling was used to select nine veteran elementary classroom teachers to share their perceptions through in-depth, semistructured interviews. Study participants were kindergarten, first, and second grade teachers. Data were …

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Depression, Drug Use, And Hsv-2 Among Women Who Have Sex With Women, Viani Picchetti Jan 2022

Depression, Drug Use, And Hsv-2 Among Women Who Have Sex With Women, Viani Picchetti

Walden Dissertations and Doctoral Studies

Herpes simplex virus type 2 (HSV-2), the main cause of genital herpes, is an incurable sexually transmitted infection responsible in 2018 for 18.6 million infections in the United States. HSV-2 is twice as frequent in women than in men. Women who have sex with women (WSW) have a higher prevalence of depression and drug use than women who have sex exclusively with men (WSM), which are each related to HSV-2 as they increase the likelihood of engaging in risky sexual behaviors. The purpose of this study was to assess the predictive relationship between depression status, nonprescription drug use status, and …

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Perspectives Of Parents Of Black Head Start Graduates Regarding The Black-White Achievement Gap, Telisa Pitts Jan 2022

Perspectives Of Parents Of Black Head Start Graduates Regarding The Black-White Achievement Gap, Telisa Pitts

Walden Dissertations and Doctoral Studies

The problem of this study was the achievement gap that exists between Black and White children prior to kindergarten entrance. As children continue in school this gap grows substantially; therefore, it was important to understand perspectives of stakeholders regarding this gap. The purpose of this study was to explore perspectives of parents of Black Head Start graduates regarding the Black-White achievement gap, and how those perspectives shaped parents’ actions in promoting their children’s kindergarten readiness. The conceptual framework for this study was based on Bronfenbrenner’s ecological theory. The research questions focused on parents’ perspectives and how they believed those perspectives …

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Mediated Effect Of Perceived Supervisor Support On Leader-Member Exchange Quality And Employee’S Commitment, Jeffery Proby Jan 2022

Mediated Effect Of Perceived Supervisor Support On Leader-Member Exchange Quality And Employee’S Commitment, Jeffery Proby

Walden Dissertations and Doctoral Studies

Social exchange relationship quality can influence an employee’s commitment to supporting continuous improvement (CI) initiatives. Researchers have established that leader-member exchange (LMX) quality and perceived supervisor support (PSS) can reduce employee commitment, affecting an organizational outcome. Based on the theoretical foundation of LMX quality theory, the purpose of this quantitative correlational study was to examine the relationship between the independent variables (LMX quality) and the dependent variable (affective commitment [AC]) through the mediated variable (PSS) and moderated mediation variable (workplace ostracism [WO]). Employee age, gender, tenure with the company, ethnicity, certification level, and the manufacturing sector were control variables of …

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Law Enforcement’S Effect On Rape Victims’ Initial Interview: A Victim Advocate’S Perspective, Nkenge Pruden Jan 2022

Law Enforcement’S Effect On Rape Victims’ Initial Interview: A Victim Advocate’S Perspective, Nkenge Pruden

Walden Dissertations and Doctoral Studies

Among the U.S. military community, organizations have been established to focus solely on sexual assault reporting, prevention efforts, and support for survivors. Although more victims are reporting their sexual assault, the number of perpetrators going to prison have not increased significantly. Some studies suggest victims’ unwillingness to report and cooperate with the proponents of criminal justice process are the reasons for the lack of rightful justice. The intent of this study was to examine the interaction between law enforcement and the sexual assault victim via the perception of the victim advocate. The importance of this study was to understand whether …

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Grief Experiences Of Mothers After A Child’S Death From A Drug Overdose, Shonetesha L. Quail Jan 2022

Grief Experiences Of Mothers After A Child’S Death From A Drug Overdose, Shonetesha L. Quail

Walden Dissertations and Doctoral Studies

AbstractResearch on young adult deaths primarily focuses on other causes of death such as homicide, suicide, and accidents. There is very little research surrounding maternal bereavement when the cause of death is from a drug overdose. The purpose of this phenomenological study was to explore the perceptions, attitudes, and lived experiences of grieving mothers who had a biological, adopted, or stepchild die from a drug overdose when the decease’s age was between 18 and 25. Guided by Le Poi Devin’s multidimensional grief theory, the study sought a better understanding to assist mental health and other healthcare providers in developing individualized …

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Strategies To Reduce Corrupt Practices At The Firm Level In Nigeria, Alexander Iloka Rajis Jan 2022

Strategies To Reduce Corrupt Practices At The Firm Level In Nigeria, Alexander Iloka Rajis

Walden Dissertations and Doctoral Studies

Corruption is harmful to businesses and impedes performance and growth. When business leaders fail to mitigate fraud and corruption, their business and the local economy suffer. Grounded in the principal-agent theory and the integrative social contract theory, the purpose of this qualitative multiple case study was to explore strategies business leaders in Nigeria use to reduce firm-level corrupt practices. The participants were six anticorruption officers at three firms who implemented successful strategies to reduce corrupt practices to enhance performance. Data collected came from semistructured interviews and company documents. Five themes emerged from the thematic analysis: bribery and corruption are part …

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Situation-Background-Assessment-Recommendation During Hand-Off In A Mental Health Nursing Unit, Renel Ramos Jan 2022

Situation-Background-Assessment-Recommendation During Hand-Off In A Mental Health Nursing Unit, Renel Ramos

Walden Dissertations and Doctoral Studies

AbstractCommunication failures, especially inadequate hand-off communication, in U.S. hospitals has accounted for 30% of malpractice claims, resulting in 1,744 deaths over 5 years. This prompted the Joint Commission to recommend utilizing standardized communication tools to reduce the number of medical errors related to miscommunication. The Situation-Background-Assessment-Recommendation (SBAR) Communication Tool has been used to improve the effectiveness of communication among health care providers. The partner organization noted failures to communicate patient-care-related information between psychiatric mental health nurses (PMHN) during hand-off, given the absence of standardized communication. This project aimed to develop a program to educate PMHNs on the SBAR Communication Tool. …

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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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