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2023

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Analyzing Small Business Strategies To Prevent External Cybersecurity Threats, Dr. Kevin E. Moore Jan 2023

Analyzing Small Business Strategies To Prevent External Cybersecurity Threats, Dr. Kevin E. Moore

Walden Dissertations and Doctoral Studies

Some small businesses’ cybersecurity analysts lack strategies to prevent their organizations from compromising personally identifiable information (PII) via external cybersecurity threats. Small business leaders are concerned, as they are the most targeted critical infrastructures in the United States and are a vital part of the economic system as data breaches threaten the viability of these organizations. Grounded in routine activity theory, the purpose of this pragmatic qualitative inquiry was to explore strategies small business organizations utilize to prevent external cybersecurity threats. The participants were nine cybersecurity analysts who utilized strategies to defend small businesses from external threats. Data were collected …

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Experiences Of New Graduate Nurses Who Transitioned To Practice Using Virtual Conferencing Software, Sara Moran Jan 2023

Experiences Of New Graduate Nurses Who Transitioned To Practice Using Virtual Conferencing Software, Sara Moran

Walden Dissertations and Doctoral Studies

Orientation is a pivotal moment for new graduate nurses as they transition into the acute care setting. The COVID-19 pandemic changed in-person orientation to virtual orientation, but little is known about the experiences of new graduate nurses who attended the virtual orientation process. The purpose of this qualitative interpretive descriptive study, guided by Duchscher’s theory and the technology adaptation model 2, was to understand the experiences of new graduate nurses who transitioned to practice utilizing video-based conference software for nursing orientation. Twelve new graduate nurses were interviewed using virtual conferencing software. Data were analyzed using interpretive description and then were …

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Comparison Of Cultural Self-Efficacy Between Urban And Rural Nurse Educators, Denise Rene Morris Jan 2023

Comparison Of Cultural Self-Efficacy Between Urban And Rural Nurse Educators, Denise Rene Morris

Walden Dissertations and Doctoral Studies

Integration of an inclusive educational environment requires nursing faculty to embrace a transformational change in academics. The cultural interactions of an educator teaching in an urban district may differ from the relations experienced by a rural nurse educator. The purpose of this quantitative study, guided by Bandura’s social cognitive theory, was to determine whether there is a difference between the cultural self-efficacy scores of nurse faculty teaching in a rural location compared to those in an urban location as well as whether the demographics of age, ethnic background, and years in the nursing profession predict cultural self-efficacy scores. Nursing faculty …

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Male Sexual Offender Recidivism Impact On Sex Crime Investigations, Jessica Ann Muccione Jan 2023

Male Sexual Offender Recidivism Impact On Sex Crime Investigations, Jessica Ann Muccione

Walden Dissertations and Doctoral Studies

The purpose of this research was to explore how male sexual offender recidivism impacted sex crime investigations. Recidivism is a widely recognized social problem that affects all of society. Understanding the influence that male sex offender recidivism may have on a sex crime investigation is key to recognizing its relationship to recidivism. The methodology used in this study was a basic qualitative inquiry to explore how male sex offender recidivism impacts sex crime investigations. Based on Hirschi’s social bond theory, the study addressed ways a sexual offender may conform to societal requirements through attachments and personal values. The application of …

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Effects Of Statewide Sex Education Laws On Health Behaviors, Adam Shane Mullis Jan 2023

Effects Of Statewide Sex Education Laws On Health Behaviors, Adam Shane Mullis

Walden Dissertations and Doctoral Studies

Data suggested that abstinence-only education (AOE) was not an effective form of sex education compared to abstinence plus (AP) or comprehensive sex education (CSE). However, there was a dearth of research regarding how state sex education policies affect sixth, seventh, and eighth grade student behaviors. This study involved investigating how state policies impact sexual health behaviors of this population. The theoretical framework for this study was the socioecological model (SEM), which was used to assess how policies impact sexual behaviors. Research questions involved sex education policies and their impacts on condom use as well as age and number of sexual …

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The Correlation Between Nurse Staffing And Quality Of Care Outcomes Within Nursing Homes In Mississippi, Nyeshia Nelson Jan 2023

The Correlation Between Nurse Staffing And Quality Of Care Outcomes Within Nursing Homes In Mississippi, Nyeshia Nelson

Walden Dissertations and Doctoral Studies

The U.S. population aged 65 years old and older is steadily increasing. Some of thispopulation resides in nursing homes; thus, the necessity for quality care provided in nursing homes has increased. Consistent, quality care remains a constant challenge for the government, nursing home administrators, health care consumers, and researchers. Nurse staffing has been identified as a critical structural measure that affects the quality of care and outcomes in nursing homes. The purpose of this quantitative study was to examine the relationship between nurse staffing and quality of care outcomes in Mississippi’s nursing homes. Donabedian’s structure, process, and outcome (SPO) model …

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The Experiences Of Women In The Healthcare Profession With Alcohol Use During The Covid-19 Pandemic, Amber Olsen Jan 2023

The Experiences Of Women In The Healthcare Profession With Alcohol Use During The Covid-19 Pandemic, Amber Olsen

Walden Dissertations and Doctoral Studies

Women have severe health risks associated with drinking alcohol long-term and excessively. The purpose of this qualitative study was to explore the lived experience of women in healthcare positions regarding alcohol use during the COVID-19 pandemic. The study was informed by the theory of planned behavior. Semistructured interviews were used to gather information from participants based on their firsthand experiences with alcohol usage. Understanding women’s attitudes toward alcohol use during the COVID-19 pandemic can improve intervention. Data were analyzed using an inductive, thematic procedure. Participants associated their own use of alcohol with socialization, and all participants reported that they regarded …

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Predictors Of Retention Among Individuals With Hiv Initiating Antiretroviral Therapy In Ghana, Ivy Ama Okae Jan 2023

Predictors Of Retention Among Individuals With Hiv Initiating Antiretroviral Therapy In Ghana, Ivy Ama Okae

Walden Dissertations and Doctoral Studies

Abstract Managing HIV requires lifelong therapy. Retaining clients on lifelong therapeutic antiretroviral therapy (ART) ensures the suppression of viral replication and better health outcomes. The time of the start of ART management is also a factor in determining better health outcomes for persons living with HIV. This study examined the association between initiation criteria (treat all, Option B+, and CDC T-cell count < 500) and retention on ART at 12 months for 17,974 randomly selected clients in the Ghana Health Service's HIV patient electronic database. Analyses controlled for age, gender, educational status, alcohol use, treatment/adherence monitoring, and tuberculosis disease treatment. Bronfenbrenner's ecological systems theory guided the interpretation of the findings. Results shows that retention was positively associated with all treatment initiation criteria. Clients initiated with CD4 count ≤ 500 criteria seemed to be retained at 12 months on ART at a higher rate than initiation criteria based on Option B+ and treat all. The study results may contribute to positive social change by supporting CD4 testing for clients before initiation of ART to improve retention and ensure the availability and use of adherence counseling, no tuberculosis disease and its prevention, and low use of alcohol among people living with HIV. The results of this study may also provide opportunities for public health policy intervention efforts requiring a personalized, group-based approach to service delivery at the intrapersonal level, interconnected with interpersonal, meso, and meta factors at the community level.

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Factors Impacting College Students’ Receipt Of Human Papillomavirus Vaccination, Joy Yvette Payne Jan 2023

Factors Impacting College Students’ Receipt Of Human Papillomavirus Vaccination, Joy Yvette Payne

Walden Dissertations and Doctoral Studies

Less than half of U. S. students entering college have had a human papillomavirus (HPV) vaccination, placing them at risk for HPV-related cancers. This study’s purpose was to identify predictors of HPV vaccination initiation in college students. Andersen’s behavioral model of health services use was used to examine the differences in predisposing, enabling, and need factors in U.S. college students ages 18–26 years who received an initial HPV vaccination in college compared to those who never received an HPV vaccination. The study was a quantitative, cross-sectional survey design using multivariable logistic regression for data analyses. Data were collected through an …

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Staff Perspectives On Parent Withdrawal From Maternal, Infant, And Early Childhood Home Visiting Programs, Dr. Laquetta Delores Peoples Jan 2023

Staff Perspectives On Parent Withdrawal From Maternal, Infant, And Early Childhood Home Visiting Programs, Dr. Laquetta Delores Peoples

Walden Dissertations and Doctoral Studies

The problem that was investigated through this study was the high withdrawal rates of families that enroll in MIECHV programs. Examining this issue provided data that will be shared with MIECHV programs to identify potential strategies to reduce high withdrawals. This basic qualitative study with semistructured interviews examined MIECHV staffs’ perspectives on the reasons for high withdrawals. The purpose of this study was to examine MIECHV program staff members’ perspectives on the reasons for the high withdrawal. The study was guided by Mowder’s parent development theory (PDT) and examined parenting as a continual process whereby parents constantly adjusted their parenting …

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Community Advocate Perspectives On Addressing Equity Gaps In Florida’S Gifted Programs, Ashley Phelps Jan 2023

Community Advocate Perspectives On Addressing Equity Gaps In Florida’S Gifted Programs, Ashley Phelps

Walden Dissertations and Doctoral Studies

The problem for this study addressed the lack of community advocate perspectives related to efforts being made to improve bureaucratic representation for minority students who were underserved by gifted programs in Florida. The purpose of the study was to investigate the perceptions of community advocates about efforts to improve bureaucratic representation for students underserved by gifted programs in Florida. The study was conceptually framed around Kingsley’s theory of representative bureaucracy. The research questions focused on community advocates’ perceptions related to diversity in Florida’s public school gifted programs and their current efforts to improve representation of minority students in gifted education …

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African American Women’S Experiences Coping With Stress Through Community-Based Services, Delisa V. Procks Jan 2023

African American Women’S Experiences Coping With Stress Through Community-Based Services, Delisa V. Procks

Walden Dissertations and Doctoral Studies

Few studies have studied how community-based services (CBS) work to mitigate the strong Black woman image (SBWI) coping mechanism for Black women to improve their mental health. The purpose of this generic, qualitative study was to understand the experiences of 10 African American women, ages 18 and older, who identified with the SBWI and had received CBS to address their stress-related coping strategies. Transactional theory of coping with stress and the SBWI approach was used as the framework to help explain how stress in terms of the SBWI impacted the response of the African American women within their environment. Data …

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Learning Support For Adult Nontraditional Learners On Campus In A Southeastern University, Philip D. Rausch Jan 2023

Learning Support For Adult Nontraditional Learners On Campus In A Southeastern University, Philip D. Rausch

Walden Dissertations and Doctoral Studies

The problem at the southeastern university study site is that adult nontraditional learners taking classes on campus are graduating at a low rate, which may indicate a lack of needed support services. The purpose of this basic qualitative study was to explore the learning support needs of adult nontraditional learners and institutional support provided and used as well as to make recommendations to eventually increase the graduation rate of this population at the study site. Tinto’s theory of student retention, specifically the aspects of institutional experiences and integrations, was used as the conceptual framework. The three research questions focused on …

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Education To Increase Nurse Knowledge And Compliance With Social Determinants Of Health Screening, Bonnie Rieger Jan 2023

Education To Increase Nurse Knowledge And Compliance With Social Determinants Of Health Screening, Bonnie Rieger

Walden Dissertations and Doctoral Studies

To provide holistic care and ensure positive patient health outcomes, the social determinants of health (SDOH) must be addressed. Research demonstrates that while medical care is a contributor to wellness, the SDOH serve an influential role in patient health outcomes. There is limited literature describing how to best educate practicing nurses about SDOH concepts. The purpose of this DNP project was to provide an educational intervention to increase inpatient staff nursing knowledge of the SDOH. Sources of evidence used to create the education module included scholarly literature describing the SDOH concepts and their application to patient, community, and population health. …

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Nurses' Lived Experiences Caring For Covid-19 Patients In The United States, Cynthia Rose Rodriguez Jan 2023

Nurses' Lived Experiences Caring For Covid-19 Patients In The United States, Cynthia Rose Rodriguez

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic has affected healthcare services and delivery and may leave unprecedented effects on nurses’ physical and mental health. Research is sparse on the pandemic’s effects on nurses, but studies have identified the stressful factors that may contribute to nurses’ health and well-being. The purpose of this qualitative interpretive phenomenological study was to understand the lived experiences of nurses caring for COVID-19 patients in the United States and discover how their experiences impact them on a personal and professional level. Hans Selye’s general adaptation theory served as the theoretical basis for this study with Edmund Husserl’s life worldview used …

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Perception Of Effective Leadership Concerning Nurse Satisfaction And Intent To Leave, Tina Marie Rose Jan 2023

Perception Of Effective Leadership Concerning Nurse Satisfaction And Intent To Leave, Tina Marie Rose

Walden Dissertations and Doctoral Studies

Nurses are an essential part of patient care, and improving retention is important to quality outcomes and the cost of care. An integral aspect of nurse retention is job satisfaction, which may relate to communication provided by organizational leadership. The purpose of this quantitative study was to determine if there was a relationship between perceived effective leadership, nurse job satisfaction, and nurse turnover intent. This potential relationship between leadership communication and nurse turnover was studied with the competing values framework as the theoretical structure. The two research questions addressed the independent variables of perceived effective leadership in a hospital setting …

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Predictive Relationships Between Organizational Climate, Teacher Stress, And Teacher Turnover Intention, Susan L. Roebuck Jan 2023

Predictive Relationships Between Organizational Climate, Teacher Stress, And Teacher Turnover Intention, Susan L. Roebuck

Walden Dissertations and Doctoral Studies

The turnover rate for secondary school educators has increased to the highest in almost 30 years. Public teachers who leave teaching reported that general working conditions, increased job demands, and the inability to manage their workloads (organizational climate) contributed to their decision. The problem addressed in this study is that teacher turnover has negative impacts, including poor student performance and decreased teacher effectiveness of remaining teachers. The purpose of this quantitative correlational study was to determine the extent to which organizational climate and teacher stress predict teacher turnover intention. The theoretical framework applied to the interpretation of the statistical results …

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Relationship Between Nurse Managers’ Cultural Humility Practices And Nurse Retention, Jessica Scharfenberg Jan 2023

Relationship Between Nurse Managers’ Cultural Humility Practices And Nurse Retention, Jessica Scharfenberg

Walden Dissertations and Doctoral Studies

Some hospital administrators experience yearly loss of human capital, resulting in economic and noneconomic consequences that require resource reallocation to sustain operations. Grounded in the cultural humility theory, the purpose of this quantitative correlational study was to examine the relationship between nurses’ perceptions of their nurse managers’ (a) openness, (b) self-awareness, (c) egolessness, (d) self-reflection and critique, (e) supportive interaction, and nurse turnover intention. Participants included 142 registered nurses working in the Midwest United States. Data were collected using Foronda’s Cultural Humility Scale and the Michigan Organizational Assessment Questionnaire. Results of multiple regression analysis indicated the model could significantly predict …

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U.S. Secondary Teachers’ Concerns About Videoconferencing As An Instructional Modality For English Language Learners, Ani Seker Ba Jan 2023

U.S. Secondary Teachers’ Concerns About Videoconferencing As An Instructional Modality For English Language Learners, Ani Seker Ba

Walden Dissertations and Doctoral Studies

Videoconferencing (VC) instruction has become more prevalent in education due to a variety of factors, one of which was the COVID-19 pandemic, which required online teachers to plan relevant and purposeful VC lessons. Secondary English Language Learner (ELL) teachers have expressed concerns about the quality of instruction being delivered. The problem for this study was that U.S. secondary teachers of ELLs had concerns when using VC for instruction. The purpose of this basic qualitative study was to explore the concerns that secondary teachers have about using VC with secondary ELLs. The concerns-based adoption model formed the conceptual framework of this …

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Nutrient Pollution And Chlorophyll-A As A Precursor To Harmful Algal Blooms And Cyanotoxins In Rehabilitated Machado Lake, California, Michael E. Shiang Jan 2023

Nutrient Pollution And Chlorophyll-A As A Precursor To Harmful Algal Blooms And Cyanotoxins In Rehabilitated Machado Lake, California, Michael E. Shiang

Walden Dissertations and Doctoral Studies

Algal blooms result in the formation of cyanotoxic conditions in a freshwater lake causing severe detrimental impacts to community and public health. Nitrogen, phosphorous, and ammonia stimulate the growth of phytoplankton biomass and algae, as measured by chlorophyll. This retrospective quantitative research study, grounded in the socioecological model, examined the relationship between nutrient pollutants and chlorophyll-a (Chl-a) that forecast harmful algal blooms, a precursor to cyanotoxins. A former impaired lake, Machado Lake in California, provided an ideal setting to assess relationships among nutrient indicators and Chl-a post-lake rehabilitation. Correlation and multiple regression analyses were performed to determine if a relationship …

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Black/African American Men’S Lived Experiences Of Workplace Colorism Bullying, Dr. Benjamin K. Spady Ph.D Jan 2023

Black/African American Men’S Lived Experiences Of Workplace Colorism Bullying, Dr. Benjamin K. Spady Ph.D

Walden Dissertations and Doctoral Studies

Bullying in the U.S. workplace is an ongoing issue that transcends industry boundaries due to perpetrators’ ineffectiveness in viewing all coworkers as equals. The purpose of this qualitative interpretative phenomenological analysis study was to explore the lived experiences of Black/African American men who endure workplace colorism bullying. Critical race theory provided the conceptual framework, which labeled racism as an omnipresent systemic force. Semistructured interview data were collected from six Black/African American men who resided in the United States and who were bullied in the workplace within the past 20 years. Data were coded via open coding to discover themes. The …

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Juvenile Delinquency: The Effectiveness Of The Juvenile Direct File Law, Kimberlee Nicole Taggart Jan 2023

Juvenile Delinquency: The Effectiveness Of The Juvenile Direct File Law, Kimberlee Nicole Taggart

Walden Dissertations and Doctoral Studies

The juvenile direct file law stands firm among Florida laws despite lacking research to show its effectiveness in the prevention of juvenile delinquency. In Florida, juvenile delinquency and the juvenile direct file law cause significant concern due to the uncertainty surrounding the law. The Florida juvenile justice system fosters a vital position in the lives of many children, young adults, and families. Florida’s direct file law has a negative impact on the health, mental health, education, and brain development of juveniles and their ability to separate from a criminal lifestyle. Identifying the direct file law’s effects on the future of …

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Parents’ Perceptions Of The Traits, Characteristics, And Circumstances Of Modern-Day Mass Shooters, Matt Talbot Jan 2023

Parents’ Perceptions Of The Traits, Characteristics, And Circumstances Of Modern-Day Mass Shooters, Matt Talbot

Walden Dissertations and Doctoral Studies

There is little research on parents’ perceptions about the traits, characteristics, and circumstances ascribed to mass shooters and the sources of information shaping these perceptions. Understanding parents’ beliefs about mass shooters and mass shootings can serve to inform approaches to training and education and recommendations for media reporting on such events. Evidence-based knowledge helps parents become more equipped to serve as early interventionists for those who may be moving along a pathway of violence. Application of Gerbner’s cultivation theory frames the process by which media sources shape perceptions. In this phenomenological qualitative study, semi structured interviews were conducted with 19 …

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Sub-Saharan African Immigrants’ Experiences In Utilizing Mental Health Services In Baltimore, Helen Tanwani Jan 2023

Sub-Saharan African Immigrants’ Experiences In Utilizing Mental Health Services In Baltimore, Helen Tanwani

Walden Dissertations and Doctoral Studies

AbstractMental illness is associated with poor quality of life evidenced by unemployment, homelessness, and substance abuse. Despite the adverse effects of mental illness, research has indicated that mental health-seeking behaviors and experiences in accessing mental health services among immigrants from sub-Saharan Africa are under-researched. The purpose of this qualitative study was to explore the experiences of sub-Saharan African immigrants in accessing mental health services in Baltimore, Maryland. To achieve the objective of this study, a descriptive research study was conducted utilizing semistructured one-on-one in-depth interviews with eight sub-Saharan African immigrants in Baltimore. Braun and Clarke’s six-step thematic data analysis approach …

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Nursing Staff Education Program On Using The Ask Suicide-Screening Questions Tool Kit, Camarita Titang Jan 2023

Nursing Staff Education Program On Using The Ask Suicide-Screening Questions Tool Kit, Camarita Titang

Walden Dissertations and Doctoral Studies

The absence of adequate knowledge, skills, and competencies in screening for suicide risk in adolescent and young adult patients is a significant problem facing nurses in outpatient settings. An evaluation of the project site facility’s main performance metrics revealed shortcomings in locating patients who pose a serious risk of self-harm and suicide. Staff dealing with the patients may, as a result, overlook preemptive measures that could stop a suicide event. The project aimed to create a training program to introduce the ask suicide-screening questions (ASQ) tool kit, an evidence-based suicide screening tool, to ambulatory nurses. The goal of the project …

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The Experiences And Perspectives Of Documented Hispanic Immigrants Dealing With Survivor’S Guilt, Fallon Victoria Wall Jan 2023

The Experiences And Perspectives Of Documented Hispanic Immigrants Dealing With Survivor’S Guilt, Fallon Victoria Wall

Walden Dissertations and Doctoral Studies

Hispanic immigrants are understudied and underserved; this is a population that continues to battle injustices and discriminatory actions due to immigration policy. The Hispanic population struggles with immigration stress and deportation, which contributes to difficulties such as psychological distress, physical health problems, acculturative stress, employment difficulties, and decreased access to support and services. In this study, a generic qualitative design was utilized to explore immigration stress and the experiences of documented Hispanic immigrants dealing with survivor’s guilt as it relates to the deportation of their loved ones. Relational cultural theory as used in the study to explore the Hispanic population, …

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A Phenomenological Study Of Executive Coaching For African American Leaders, Barrhonda White Jan 2023

A Phenomenological Study Of Executive Coaching For African American Leaders, Barrhonda White

Walden Dissertations and Doctoral Studies

African American leaders face inequalities in executive leadership development support such as executive coaching. This phenomenological qualitative study explored the lived experiences of African American leaders that worked with a leadership coach. The intention of the study was to gain insight into factors that led African American leaders to seek assistance from a leadership coach, preferences regarding leadership coach demographics, and goals from coaching. The theoretical foundation for this research was Self-Discrepancy Theory. The study utilized two research questions related to a) the lived experiences of African American leaders that work with, or have worked with, an executive coach, and …

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Strategies To Improve Nonprofit Governance To Increase Donations, Charmaine Nicola Williams Tate Jan 2023

Strategies To Improve Nonprofit Governance To Increase Donations, Charmaine Nicola Williams Tate

Walden Dissertations and Doctoral Studies

AbstractThe leaders of nonprofit organizations rely on donors to achieve the organization’s mission, and governance practices are a key contributor to donor confidence and positive donor behavior. Some nonprofit leaders lack effective strategies to improve governance processes and encourage donor confidence to increase donations. Grounded in resource dependence theory, the purpose of this qualitative single case study was to explore strategies that nonprofit leaders use to improve governance processes and encourage donor confidence to increase levels of donations. The participants comprised four senior executive members of a donor-amalgamation nonprofit organization in the Midwestern United States. Data were collected from semistructured …

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Social Workers’ Philosophical Attitudes Towards Harm Reduction Services In Housing First Organizations, John Gay Woolley Jan 2023

Social Workers’ Philosophical Attitudes Towards Harm Reduction Services In Housing First Organizations, John Gay Woolley

Walden Dissertations and Doctoral Studies

AbstractOver the past three decades, harm reduction has gradually become more prevalent among social workers and is now viewed as an instrumental approach in treating people with drug and alcohol problems. Although there have been several studies that described how harm reduction approaches were applied in Housing First (HF) settings, there are few studies that have described social workers’ perspectives of their philosophical attitudes regarding harm reduction in HF settings. The purpose of this study was to understand social workers’ perspectives of their philosophical attitudes toward harm reduction services and how those attitudes were apparent in their interactions with substance-using …

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The Role Of Family Support In The Relationship Between Childhood Obesity And The Number Of Days Bullied In Trinidad, Sharon Antoine-Mills Jan 2023

The Role Of Family Support In The Relationship Between Childhood Obesity And The Number Of Days Bullied In Trinidad, Sharon Antoine-Mills

Walden Dissertations and Doctoral Studies

There is limited data on childhood obesity and the number of days bullied in Trinidad and Tobago. This study examined the association between childhood obesity and the number of days an obese child has been bullied in Trinidad in the past 30 days, with family support as a moderator. The theoretical framework for this study was Bronfenbrenner’s social-ecological model, which posits that a child’s microsystems are instrumental in influencing their behaviors. A self-administered low-cost 2017 Global School-based Student Health Survey (GSHS) was used for this cross-sectional study. The sample comprised 2,229 school adolescents 13 to 17 years of age. Childhood …

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