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Special Education Teachers’ Perceptions Of Cognitive–Behavioral Interventions In The Classroom For Adolescent Autistic Students With Anxiety, Kasey Jane Aposhian Jan 2023

Special Education Teachers’ Perceptions Of Cognitive–Behavioral Interventions In The Classroom For Adolescent Autistic Students With Anxiety, Kasey Jane Aposhian

Walden Dissertations and Doctoral Studies

Adolescents with autism spectrum disorder (ASD) often struggle with comorbid disorders like anxiety. However, special education teachers may lack the training to implement specific interventions in the classroom setting for adolescents with ASD and anxiety. This qualitative action research study was conducted to examine how special education teachers work with adolescents diagnosed with both ASD and anxiety. Bandura’s reciprocal determinism concept guided this study by explaining that the classroom environment and adolescents’ cognition and behavior should be considered when implementing cognitive–behavioral therapy (CBT) for students with ASD and anxiety. The two research questions asked participants to describe their ability to …

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The Perceived Impact Of Childbirth Related Ptsd And Maternal Bonding, Sheila Baez Jan 2023

The Perceived Impact Of Childbirth Related Ptsd And Maternal Bonding, Sheila Baez

Walden Dissertations and Doctoral Studies

AbstractChildbirth has been increasingly viewed as a potentially traumatic event and process impacting both mother and infant. Previous research on childbirth has concentrated on the development of postpartum depression and its impact; research on posttraumatic stress disorder (PTSD) after childbirth has been limited. However, the results of this research study suggested that the development of childbirth-related PTSD may be a far more common phenomenon than previously suggested. Bowlby’s attachment theory and Ainsworth’s further development and expansion of the theory served as a framework which investigated the experiences of 10 biological females, aged 21 and over previously diagnosed with PTSD after …

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Increasing Knowledge Of Emergency Department Nurses On Recognizing Aggressive Patient Behavior, Kandee Barnes Jan 2023

Increasing Knowledge Of Emergency Department Nurses On Recognizing Aggressive Patient Behavior, Kandee Barnes

Walden Dissertations and Doctoral Studies

Emergency department (ED) nurses are exposed daily to workplace violence putting them at risk for injury from aggressive patients. A gap in practice was identified in an urban ED in a state in the Southeastern United States. ED nurses at this site do not have the knowledge to recognize and reduce aggressive patient behavior. The guiding practice-focused question addressed whether educating ED nursing staff on recognizing aggressive patient behavior would increase knowledge. To address the gap, an educational session was developed based on a comprehensive literature search, with the assistance of an expert panel and using the analyze, design, develop, …

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A Comparison By Ethnicity Of Usage Of Medication, Intubation Use, And Mortality Rates Of Covid-19 Patients In An Urban Hospital, Howard Rubin Baruch Jan 2023

A Comparison By Ethnicity Of Usage Of Medication, Intubation Use, And Mortality Rates Of Covid-19 Patients In An Urban Hospital, Howard Rubin Baruch

Walden Dissertations and Doctoral Studies

Evidence from an urban hospital initially revealed that ethnicity had no bearing on treatment modalities or mortality among patients admitted and diagnosed with COVID-19 symptoms from January 1, 2020 to January 1, 2021. The purpose of this study was focused on answering three principal research questions concerning evidence at one hospital of differences in medication used, whether intubation was used, and mortality by ethnicity for those treated for COVID-19 while controlling for age, gender, and co-morbidities. The health belief model served as the theoretical framework. Data was collected from 1188 patient charts, and binary logistic regression was used to test …

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Personal Hardiness As An Unexamined Component Of The Healthy Volunteer Effect, Angelique E. Blann Jan 2023

Personal Hardiness As An Unexamined Component Of The Healthy Volunteer Effect, Angelique E. Blann

Walden Dissertations and Doctoral Studies

Clinical trials are the standard for approving medicines for public use. To conduct trials, researchers depend on a declining number of volunteers. The healthy volunteer effect, a phenomenon in which participants demonstrate better outcomes than their peers, limits the generalizability of trial outcomes. The healthy volunteer effect does not fully explain the outcome difference between volunteers and nonvolunteers. The purpose of this cross-sectional quantitative study was to examine personal hardiness as an unexplored component of the healthy volunteer effect and determine whether personal hardiness is associated with willingness to participate. Hardiness was a personality construct that represented resilience to stress. …

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Male Nursing Students In The Community College And The Struggle To Completion, Geri Ann Brewer Jan 2023

Male Nursing Students In The Community College And The Struggle To Completion, Geri Ann Brewer

Walden Dissertations and Doctoral Studies

AbstractDespite significant contributions to healthcare made by male nurses throughout the centuries, nursing is a female-dominated profession, creating challenges for male nursing students. The problem addressed in this study was that male nursing students experience challenges that impede their success toward completing their urban Midwest community college nursing program. Guided by the nursing undergraduate retention and success model, the purpose of this basic qualitative study was to explore male nursing students’ perceptions of the challenges they face that impede their success and their recommendations for the supports they need to overcome these challenges within two urban Midwest community college nursing …

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Attorney Perspectives Regarding Use Of Federal Confidential Informants In White-Collar Crimes, Richard Dwayne Britt Jan 2023

Attorney Perspectives Regarding Use Of Federal Confidential Informants In White-Collar Crimes, Richard Dwayne Britt

Walden Dissertations and Doctoral Studies

Most federal white-collar cases involve the use of confidential informants (CIs) to obtain convictions. However, there was a gap in research regarding the examination of CI efficacy safeguards and whether combinations of safeguards produce desired effects from the perspectives of private practice attorneys with defense and prosecutor experience. The purpose of this historical research qualitative study was to explore the literature related to whether federal CI policies of safeguards influenced the national use of CIs to obtain convictions in federal white-collar cases based on the perspectives of private practice attorneys with defense and prosecutorial experience as gathered through participant interviews. …

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Environmental Factors And Breast Cancer Mortality, Joel Collazo Rodriguez Jan 2023

Environmental Factors And Breast Cancer Mortality, Joel Collazo Rodriguez

Walden Dissertations and Doctoral Studies

Breast cancer is a public health problem in the United States that impacts diverse ethnic female groups in different ways regarding incidence and mortality. Much is known about the factors increasing the risk of developing breast cancer, but little is known about those that increase the chances of dying from it, other than access to health care, screening, and appropriate treatment. This study aimed to understand the association between exposure to Environmental Protection Agency-regulated air pollutants and breast cancer mortality, including how the interaction between these air contaminants impacts the outcome of interest, considering median income, education level, and percentage …

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Strategies To Mitigate Nurse Turnover, James Edward Cooper Jr Jan 2023

Strategies To Mitigate Nurse Turnover, James Edward Cooper Jr

Walden Dissertations and Doctoral Studies

Registered nurse turnover is a severe problem for all healthcare organizations because it negatively affects financial growth, patient care, and reputation, ultimately resulting in financial losses. Grounded in Herzberg’ two-factor theory, the purpose of this qualitative multiple-case study was to explore strategies hospital leaders use to mitigate RN turnover. The participants included three hospital leaders from three different hospitals in the southeastern United States who mitigated RN turnover. Data were collected from semistructured interviews and company documents and analyzed using Yin’s five-phase data analysis process. Three themes emerged: nurse engagement, job satisfaction, and trust in leadership mitigated RN turnover. A …

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Case Manager Perspectives On Transition Services For Youth With Intellectual Disabilities, Alecha Davis Jan 2023

Case Manager Perspectives On Transition Services For Youth With Intellectual Disabilities, Alecha Davis

Walden Dissertations and Doctoral Studies

Youth with intellectual disabilities have poorer outcomes during the transition period from school to adulthood. Very few studies were found that examine the perspective of the human service case manager. The perspectives of human service case managers were examined regarding the services that are needed to help youth with intellectual disabilities transition effectively. The study's purpose was to determine the services available and those needed to help support the transition from school to work, college, or in living independently for youth with intellectual disabilities. The theoretical framework for this study was Bronfenbrenner’s ecological systems theory used to explore the errors …

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An Exploration Of The Lived Experiences Of Individuals Living With Hiv/Aids In Rural Uganda, Godfrey Ddungu Jan 2023

An Exploration Of The Lived Experiences Of Individuals Living With Hiv/Aids In Rural Uganda, Godfrey Ddungu

Walden Dissertations and Doctoral Studies

HIV/AIDS is the most stigmatized health condition globally, yet there are limited studies that have examined the needs of rural Ugandans diagnosed with HIV/AIDS. At a time when Ugandan voices could assist in the development and implementation of prevention and intervention strategies to reduce the spread of the virus, these voices remain unheard and silenced. The purpose of this phenomenological study was to describe the lived experiences of HIV-positive men and women in rural Uganda. A transcendental phenomenological approach provided the framework and design. This research used eight participants who were attending an AIDS health care center in Uganda. In-depth …

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The Human-Canine Bond: Levels Of Stress Among Military Spouses During Deployments, Angela L. De Leon-Muniz Jan 2023

The Human-Canine Bond: Levels Of Stress Among Military Spouses During Deployments, Angela L. De Leon-Muniz

Walden Dissertations and Doctoral Studies

Previous research has found that deployment may impact military spouses’ emotional wellbeing and attachment with family members. There remains a critical gap in the literature regarding difference in stress levels between military spouses who own canines and those who do not. The theoretical foundations for this study were Bowlby’s attachment theory and Bowen’s family systems theory. Research questions included exploring the relationships between (a) pet canine ownership, deployment length of time, and military spouses’ stress levels, and (b) pet canine owners’ pet attachment and stress experienced, when their significant others are deployed. The sample comprised 82 spouses with deployed military …

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Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk Jan 2023

Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk

Walden Dissertations and Doctoral Studies

Individuals with disabilities make up the largest minority population in the United States. Individuals with intellectual and developmental disabilities (I/DD) make up a significant portion of this population, yet there are limited studies addressing counseling with the I/DD population. The Council for Accreditation of Counseling and Related Educational Programs has addressed the need for disability competence in their upcoming 2024 standards. The purpose of the phenomenological study was to describe lived experiences of established counselors working with adult clients diagnosed with an I/DD. A descriptive phenomenological approach was used along with the social model of disability. The study involved six …

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Educating Nurses To Implement Serious Illness Conversations, Colleen Patricia Desai Jan 2023

Educating Nurses To Implement Serious Illness Conversations, Colleen Patricia Desai

Walden Dissertations and Doctoral Studies

AbstractAs part of investigating staff nurses’ reluctance to have serious illness conversations (SIC) at a local hospital, an educational deficit was noted. Nurses articulated they felt uneducated about how to have a SIC with a patient in need and questioned if the practice of conducting SICs was part of the nurses’ scope of practice in the New England State where they were employed. The purpose of this project was to create an educational tool and have it validated by a multidisciplinary group of experts. Once validated, the goal will be to educate nurses, raise awareness on the topic of SICs, …

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Staff Education To Promote Probiotic Breastfeeding Therapy, José Diaz Jan 2023

Staff Education To Promote Probiotic Breastfeeding Therapy, José Diaz

Walden Dissertations and Doctoral Studies

Preterm birth is the leading cause of death in children under 5. In addition, there are 22 million babies born underweight each year which also contributes to the infant mortality rate. Some reasons for the inability to thrive and survive are the infants' immature system, allostatic load inadaptability, and undiversified and underdeveloped microbiota. Human breast milk (HBM) provides lifesaving nutrients, which prevents necrotizing enterocolitis and mortality. In addition, probiotic supplementation helps reduce late-onset sepsis, morbidities, and mortality. A literature review provided substantial evidence that HBM and probiotics can improve an infant's microbiota, thus improving thrivability and survivability. Probiotics offset the …

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Occupational Therapists’ Perspectives On Using The Physical Environment In Skilled Nursing Facilities, Jennie L. Digrado Jan 2023

Occupational Therapists’ Perspectives On Using The Physical Environment In Skilled Nursing Facilities, Jennie L. Digrado

Walden Dissertations and Doctoral Studies

Occupational therapists (OTs) are among the health care professionals who assist individuals with neurocognitive disorders (NCDs) to engage in self-care and leisure skills in a skilled nursing facility (SNF) environment. Although the SNF environment has been researched, a gap exists regarding how OTs use the built environment to help clients with a NCD engage in self-care and leisure-related activities. The purpose of this qualitative case study was to understand how OTs use the physical environment in a SNF to help individuals with a NCD engage in self-care and leisure related activities. The conceptual framework that guided this study was the …

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Community College Management Strategies For Balancing The Budgets, Rachel Ann Sullivan Dodson Jan 2023

Community College Management Strategies For Balancing The Budgets, Rachel Ann Sullivan Dodson

Walden Dissertations and Doctoral Studies

During declining revenue, community college leaders may be unable to balance their budgets effectively. Community college managers who fail to balance budgets negatively impact a college’s financial sustainability. Grounded in Burn’s transactional leadership theory, the purpose of this qualitative single case study was to explore strategies community college managers use to balance their budgets in an environment of declining revenue. Data were collected from eight semistructured community college manager interviews and company documents: enrollment data, budget data, performance-based funding model data, and the strategic plan. Thematic analysis was used to analyze the data. Four themes emerged: (a) budget alignment with …

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Gendered Racial Microaggressions’ Cumulative Effects On Black Women’S Psychological Well-Being, Melva Dorsey Jan 2023

Gendered Racial Microaggressions’ Cumulative Effects On Black Women’S Psychological Well-Being, Melva Dorsey

Walden Dissertations and Doctoral Studies

Black women living in North America experience gendered racial microaggressions injurious confrontations in every social setting due to simultaneous discrimination involving race and gender. This basic qualitative research study aimed to explore the perceptions of Black women in this society with gendered racial microaggressions to discover how they perceive the cumulative effects of this phenomenon on their psychological well-being by utilizing intersectionality as the study's conceptual framework. Data collection occurred via interviews with a sample size of five Black women ages 51 and older who were born and raised in North America that self-reported experiencing gendered racial microaggressions. Participants were …

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Entrepreneurial Leadership Strategies For Catalyzing Innovation Performance, Jason D'Souza Jan 2023

Entrepreneurial Leadership Strategies For Catalyzing Innovation Performance, Jason D'Souza

Walden Dissertations and Doctoral Studies

Inadequate innovation performance has the potential for adverse business outcomes. Business leaders are concerned with inadequate innovation performance, as innovation is a significant driver of business growth. Grounded in entrepreneurial leadership, the purpose of this qualitative multi-case study was to explore entrepreneurial leadership strategies that some healthcare business leaders used to catalyze innovation performance. The participants were six business leaders within three healthcare sectors who contributed to strategic healthcare innovation decisions using entrepreneurial leadership strategies within the last 5 years. Data were collected using semistructured interviews and a review of organizational strategy documents and websites. Through thematic analysis, six themes …

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Vicarious Trauma And Elementary School Counselors, Erin M. Duduit Jan 2023

Vicarious Trauma And Elementary School Counselors, Erin M. Duduit

Walden Dissertations and Doctoral Studies

Vicarious trauma has been a focus of scholars for many years and demonstrates that vicarious trauma effects professional behaviorally, personally, and physiologically. This quantitative cross-sectional study explored the relationship between vicarious trauma and occupational exposure (caseload size) disrupting the cognitive structures of empathy, control, and esteem. The theoretical framework for this study was the constructivist self-development theory, which described how helping professionals develop vicarious trauma after exposure to traumatic stories. The social cognitive theory was also used for this study, explaining how elementary school counselors can increase their capacity for empathizing through modeling and experiencing empathy from others. The study …

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Homophobia In Jamaica And Its Impact On The Victimization Of Homosexual Adult Males In Montego Bay, St. James, Dr. Shahila D. Edwards-Grey Jan 2023

Homophobia In Jamaica And Its Impact On The Victimization Of Homosexual Adult Males In Montego Bay, St. James, Dr. Shahila D. Edwards-Grey

Walden Dissertations and Doctoral Studies

AbstractJamaica has been listed among the most unfriendly nations for homosexual males. Previous research indicated that due to the biopolitical and sociocultural norms of the Jamaican society, homosexual males continued to be targets of various forms of discrimination based on their sexual orientation. However, research reflecting the lived experiences of homosexual males in Jamaica is sparse. The purpose of this phenomenological qualitative study was to provide details on the encounters of victimization due to homophobia of adult homosexual males in the parish of St. James, Jamaica. Data were collected through observations and in-depth interviews with eight men who identified as …

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Relationship Between An Entrepreneur’S Self-Efficacy, Self-Leadership, And Startup Sustainability In Nigeria, Juliet Ehimuan Jan 2023

Relationship Between An Entrepreneur’S Self-Efficacy, Self-Leadership, And Startup Sustainability In Nigeria, Juliet Ehimuan

Walden Dissertations and Doctoral Studies

Self-efficacy and self-leadership have been identified as important indicators of business sustainability. Business owners and investors are concerned about sustainability because most businesses fail within the first five years. Grounded in self-efficacy and self-leadership theories, the purpose of this quantitative correlation study was to examine the relationship between entrepreneurial self-efficacy, self-leadership and startup sustainability. The participants were 156 entrepreneurs who completed the entrepreneurial self-efficacy scale and the abbreviated self-leadership questionnaire delivered via email. The multiple linear regression analysis results indicated the model was able to significantly predict startup sustainability, F(2, 129) = 432.47, p < .001, R2 = .87. Self-efficacy provided a significant contribution to the model (t = 8.424, p = < .001, β = .914). In contrast, the contribution of self-leadership was not significant (t = 0.185, p = .853, β = .20). A key recommendation is the utilization of mentoring programs and structured leadership internships that enhance self-efficacy by providing startup leaders with exposure to more seasoned corporate leaders, and successful peers who have had similar experiences to theirs. The implications for positive social change include the potential development of training and capacity-building programs that can be provided to entrepreneurs and other startup leaders to enhance their ability to sustain their startups, leading to more successful businesses, job creation, and economic growth.

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Workplace Bullying On Human Resources Management Performance In Correctional Facilities, Oliver Onyeka Ehiahuruike Jan 2023

Workplace Bullying On Human Resources Management Performance In Correctional Facilities, Oliver Onyeka Ehiahuruike

Walden Dissertations and Doctoral Studies

AbstractWorkplace bullying, as part of a hostile work environment, impacts human resources management (HRM) work outcome metrics, employees' attitudes toward their job, organization, and behavioral intentions that collectively affect organizational goals. Addressed in this study are the problems of workplace bullying of corrections employees, which negatively affect HRM outcome measures of turnover intention, organizational commitment, and employee job satisfaction. The purpose of this quantitative correlational research study was to determine the relationship between workplace bullying and turnover intention, organizational commitment, and job satisfaction among corrections employees in Texas. Homans's social exchange and Bourdieu's social capital theories were used in this …

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College Students’ Psychosocial Functioning 2 To 5 Years After Death Of A Parent, Carla C. Elbel Jan 2023

College Students’ Psychosocial Functioning 2 To 5 Years After Death Of A Parent, Carla C. Elbel

Walden Dissertations and Doctoral Studies

The purpose of this study is to examine the relationship regarding a loss of parent during adolescence with psychosocial development into early college years (18 through 22 years of age) as measured by the Modified Erikson Psychosocial Stage Inventory (MEPSI). A sample of 15 young college students, ages 18 to 22, completed the MEPSI and a second sample of young college students 18 to 22, who lost a parent, completed the MEPSI. No significant difference was found in the variance of the means; therefore, the null hypothesis was retained. A small sample t test analysis was used to compare the …

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Relationship Of Acetaminophen And Alcohol To Incipient Renal Insufficiency: The Role Of Race In Estimating Glomerular Filtration Rate, Preston Eledu Jan 2023

Relationship Of Acetaminophen And Alcohol To Incipient Renal Insufficiency: The Role Of Race In Estimating Glomerular Filtration Rate, Preston Eledu

Walden Dissertations and Doctoral Studies

There are increasing concerns about the incorporation of race in the estimated glomerular filtration rate (eGFR) prediction equation. which has been used to measure renal function in studies that have shown a relationship between therapeutic dose of acetaminophen and light-moderate alcohol use to incipient renal insufficiency. The purpose of this study was to assess the same relationship, using a redefinition of renal insufficiency based on the chronic kidney disease–epidemiology collaboration creatinine-based eGFR, with and without race, and exploring the potential impact of race in the hypothesized relationship. Data from the 2003-2004 National Health and Nutrition Examination Survey were analyzed using …

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Lived Experiences Of Copd Patients With Exertional Hypoxemia Prescribed Supplemental Oxygen, Sarah Ann Evans Jan 2023

Lived Experiences Of Copd Patients With Exertional Hypoxemia Prescribed Supplemental Oxygen, Sarah Ann Evans

Walden Dissertations and Doctoral Studies

Patients with exertional hypoxemia are often prescribed supplemental oxygen therapy to alleviate their symptoms and maintain adequate arterial oxygen saturation; however, little is known about how chronic obstructive pulmonary disease (COPD) patients with exertional hypoxemia experience the addition of supplemental oxygen on their lives. The purpose of this descriptive phenomenological study guided by Roger’s science of unitary human beings was to explore the lived experiences of COPD patients with exertional hypoxemia and who require supplemental oxygen. Purposive sampling was used to recruit participants using a query from the electronic medical records to identify patients prescribed supplemental oxygen for exertional, not …

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Tuberculosis-Associated Knowledge, Stigma, And Health Seeking Behavior Among Traders In Onitsha Main Market, Anambra State, Nigeria, Benedeth N. Ezeosim Jan 2023

Tuberculosis-Associated Knowledge, Stigma, And Health Seeking Behavior Among Traders In Onitsha Main Market, Anambra State, Nigeria, Benedeth N. Ezeosim

Walden Dissertations and Doctoral Studies

The utilization of tuberculosis (TB) health care services in a Nigerian state has not been optimal. Many residents do not utilize available health care resources when they experience symptoms of TB. Although much is known about the determinants of health seeking behavior (HSB), there is a gap on how TB knowledge and TB related stigma among traders in one main market contribute to HSB. This study examined the effect of TB knowledge and TB related stigma on HSB among traders. The health stigma and discrimination and health belif models served as the theoretical foundation. A quantitative cross-sectional analytical survey design …

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Mothers Of Children With Disabilities: Perceptions Of Online Peer Mentoring Support, April S. Felder Jan 2023

Mothers Of Children With Disabilities: Perceptions Of Online Peer Mentoring Support, April S. Felder

Walden Dissertations and Doctoral Studies

There has been a trend of increased diagnoses of childhood disabilities in the United States. Mothers who care for a child diagnosed with disabilities typically experience increased parental obligations and maternal mental health deficits that often go undiagnosed or untreated, resulting in adverse events. Researchers found that peer mentoring is an effective, nonclinical resource for addressing these mothers’ intervention needs but have not established alternative ways to increase access and delivery. The purpose of this generic, qualitative study was to explore how mothers of children with disabilities perceive online peer mentoring as an intervention resource for stress and coping. Lazarus’s …

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The Interrelationship Between Sensorimotor Deficits And Maladaptive Behavior In The Classroom, L B Marie Filion Jan 2023

The Interrelationship Between Sensorimotor Deficits And Maladaptive Behavior In The Classroom, L B Marie Filion

Walden Dissertations and Doctoral Studies

Mainstreaming special education students has created challenges for teachers, resulting in significant lesson time allocated to classroom disruptions related to maladaptive behavior. This correlational study examined the extent to which specific sensorimotor deficits predict maladaptive behavior among special education students (aged 8-12 years) based on archival data of teacher assessments in New Zealand. Piaget’s cognitive and affective development theory was used as the theoretical foundation. Results from standard multiple regression demonstrated that higher levels of sensorimotor deficits (vision, touch, taste and smell, body awareness, balance and motion) predicted high levels of maladaptive behavior (internalizing, externalizing, and overall maladaptive behavior indices); …

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The American Founding Documents And Democratic Social Change: A Constructivist Grounded Theory, A I. Forde Jan 2023

The American Founding Documents And Democratic Social Change: A Constructivist Grounded Theory, A I. Forde

Walden Dissertations and Doctoral Studies

AbstractExisting social disparities in the United States are inconsistent with the promise of democracy; therefore, there was a need for critical conceptualization of the first principles that undergird American democracy and the genesis of democratic social change in America. This constructivist grounded theory study aimed to construct a grounded theory that provides an understanding of the process of American democratic social change as it emerged from the nation’s founding documents. A post hoc polytheoretical framework including Foucault’s, Bourdieu’s, and Marx and Engels’s theories of power was used to understand power dynamics. The research question focused on understanding the process of …

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