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Correlates Of Mental Health Clinician Self-Awareness And Insight Of Attitudes Toward Older Adults, Susan L. Mcinvale Jan 2023

Correlates Of Mental Health Clinician Self-Awareness And Insight Of Attitudes Toward Older Adults, Susan L. Mcinvale

Walden Dissertations and Doctoral Studies

AbstractOlder adults (ages 65 and older) are expected to increase in the United States by over 70 million by the year 2030. The older adult population requires specialized medical and mental health services to address the needs related to aging. Mental health clinicians trained to address these needs may help older adults to utilize mental health counseling. Self-awareness of attitudes, insight, and knowledge may be skills that affect the attitudes of mental health clinicians toward older adults. Previous research has found that mental health clinicians who engage in self-awareness during a counseling session may improve counseling competency; however, little research …

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Perceptions And Knowledge Of Information Security Policy Compliance In Organizational Personnel, Jesus M. Mosqueda Jan 2023

Perceptions And Knowledge Of Information Security Policy Compliance In Organizational Personnel, Jesus M. Mosqueda

Walden Dissertations and Doctoral Studies

All internet connected organizations are becoming increasingly vulnerable to cyberattacks due to information security policy noncompliance of personnel. The problem is important to information technology (IT) firms, organizations with IT integration, and any consumer who has shared personal information online, because noncompliance is the single greatest threat to cybersecurity, which leads to expensive breaches that put private information in danger. Grounded in the protection motivation theory, the purpose of this quantitative study was to use multiple regression analysis to examine the relationship between perceived importance, organizational compliance, management involvement, seeking guidance, and rate of cybersecurity attack. The research question for …

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Developing Postsecondary Education Programs For Individuals With Intellectual Disabilities, Jocelyn Rae Mcglynn Jan 2023

Developing Postsecondary Education Programs For Individuals With Intellectual Disabilities, Jocelyn Rae Mcglynn

Walden Dissertations and Doctoral Studies

Individuals with intellectual disabilities have higher rates of unemployment compared to other population groups. There is limited knowledge regarding the development of postsecondary education (PSE) programs that provide employment skills training and education to individuals with intellectual disabilities. The purpose of this basic qualitative study was to investigate the development of PSE programs for those with intellectual disabilities. Dewey’s experiential learning theory was the framework for this study. Invitations to participate were sent to directors and faculty of all PSE programs in one northeastern U.S. state. Ten directors and faculty agreed to be interviewed. The research question addressed the perceptions …

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Factors Associated With Intent To Quit Smoking Among U.S. Adult Smokers, Patrese Ann Nesbitt Jan 2023

Factors Associated With Intent To Quit Smoking Among U.S. Adult Smokers, Patrese Ann Nesbitt

Walden Dissertations and Doctoral Studies

Smoking and tobacco use continue to be a public health issue for over 40 million Americans, which explains the appropriateness and abundance of smoking cessation programs throughout the United States. The purpose of this quantitative correlational study was to examine the associations between independent variables of marital status, advice from a medical clinician, and use of community smoking cessation resources and the dependent variable of intent to quit smoking, controlling for race, ethnicity, gender, and age. The theory of reasoned action was used to guide the study. Data from the National Adult Tobacco Survey (N = 12,357) were analyzed using …

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Staff Education Of Diabetic Foot Care In An Ambulatory Setting, Riza Grace Nielsen Jan 2023

Staff Education Of Diabetic Foot Care In An Ambulatory Setting, Riza Grace Nielsen

Walden Dissertations and Doctoral Studies

One of the most important factors affecting the quality of diabetes care is the association between a patient’s knowledge and their practices. The practice gap in this primary care clinic was a lack of standardized diabetic foot care. The purpose of this DNP project was to provide nursing staff with an evidence- based, culturally congruent diabetic footcare curriculum that could help decrease inconsistencies in care. The practice-focused question for this project addressed whether an educational program for nursing staff on diabetic footcare would increase their knowledge and translate this knowledge into practice to prevent diabetic foot infections and its complications. …

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Strategies Community Bank Managers Use To Address Rising Financial Regulations Compliance Costs, Therese Hortense Ngini Jan 2023

Strategies Community Bank Managers Use To Address Rising Financial Regulations Compliance Costs, Therese Hortense Ngini

Walden Dissertations and Doctoral Studies

Increasing financial regulations compliance costs have the potential for adverse business outcomes for community banks. Community bank managers are concerned about increasing financial regulations compliance costs because it is the number one predictor of community banks’ failures. Grounded in the resources-based view theory, the purpose of this qualitative single case study was to explore strategies that community bank managers use to mitigate increasing financial regulations compliance costs. The participants were 10 community bank managers and senior staff of a community bank in Maryland who successfully mitigated increasing financial regulations compliance costs. Data were collected using semistructured interviews and reviewing the …

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A Meta-Analysis Of Higher Education On Professional Police Behavior Patterns, Augustine S. Nugba Jan 2023

A Meta-Analysis Of Higher Education On Professional Police Behavior Patterns, Augustine S. Nugba

Walden Dissertations and Doctoral Studies

Police misconduct has become an issue of concern among law enforcement officers and other stakeholders. Approximately, 10% of law enforcement officers commit 90% of misconduct problems, and as high as 45% of the misconduct generates citizen complaints. Thus, there has been an increasing debate on whether police officers should attain a college education or not. The purpose of this quantitative correlational study was to investigate the relationship between education level and the number of complaints filed against police officers for misconduct. This study was grounded on the cognitive development theory. The study was conducted by following the guidelines proposed by …

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Logistics Leader Strategies For Retaining Employees, Sandra Northern Jan 2023

Logistics Leader Strategies For Retaining Employees, Sandra Northern

Walden Dissertations and Doctoral Studies

Low employee retention can lead to a lack of the knowledge, skills, and abilities required for sustainable logistics operations. Logistics leaders are concerned with employee retention because turnover increases business costs, reduces operational efficiency, and decreases profitability. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies logistics leaders use to increase employee retention. The participants were three senior leaders from a logistics organization in the northeast region of the United States who possessed knowledge and experience of the research phenomena. Data were collected through semistructured interviews, company documents, publicly available data, and …

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Staff Education For Nurses And Providers On Rapid Mood Screener, Lolade Adekemi Ogunleye Jan 2023

Staff Education For Nurses And Providers On Rapid Mood Screener, Lolade Adekemi Ogunleye

Walden Dissertations and Doctoral Studies

Advances in the psychiatric field have led to the development of valuable tools that can be used in screening patients to understand their condition better. Indeed, instruments such as the Rapid Mood Screener (RMS) have been significantly used to help diagnose conditions such as bipolar disorder. The implication is that such tools need to be appropriately used by health care practitioners such as nurses for better and more accurate diagnostic results. A more accurate diagnosis is a foundation for better patient management and outcomes. Therefore, as part of a bigger plan, mental health facilities should make deliberate efforts to ensure …

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Examining High School Teachers’ Perspectives With Culturally Responsive Teaching, Maria Victoria O'Brien Jan 2023

Examining High School Teachers’ Perspectives With Culturally Responsive Teaching, Maria Victoria O'Brien

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study was teachers’ inconsistent use of culturally responsive teaching (CRT) in a high school in Northern Virginia (NVHS). The purpose of the study was to examine high school teachers’ perspectives on the successes, challenges and support needed to better implement CRT at the NVHS. Ladson-Billing’s and Gay’s culturally responsive teaching theory formed the conceptual framework that guided this study. The research questions focused on teacher perspectives about the successes, challenges, and support needed with CRT. A basic qualitative design was used to capture the insights of eight high school teachers through semistructured, individual …

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Local Leadership Strategies To Mitigate The Effects Of The Public Charge Rule And Covid-19 Among Undocumented Immigrants, Amos Onyango Oketch Jan 2023

Local Leadership Strategies To Mitigate The Effects Of The Public Charge Rule And Covid-19 Among Undocumented Immigrants, Amos Onyango Oketch

Walden Dissertations and Doctoral Studies

AbstractScholars have focused on the effects of implementing the federal-level Public Charge Rule (PCR) and COVID-19 on undocumented immigrants' health and socioeconomic well-being. Researchers have demonstrated that many federal assistance programs that benefit the general population in the wake of the pandemic exclude undocumented immigrants due to PCR restrictions; thus, they are disproportionately affected and suffer social and socioeconomic disparity. Researchers have yet to establish consensus strategies and interventions at the local and state levels to fill the gap and support disadvantaged communities during the pandemic to ensure equitable care and mitigate harm. Thus, this study aimed to identify the …

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Successful Innovation Strategies Of Ugandan Small And Medium Enterprises, Fidelis W. Oketch Jan 2023

Successful Innovation Strategies Of Ugandan Small And Medium Enterprises, Fidelis W. Oketch

Walden Dissertations and Doctoral Studies

Uganda’s small and medium enterprises (SMEs) face high business failure rates. Fifty percent of SMEs in Uganda fail during the first year of operations due to poor business performance stemming from the lack of innovative strategies and consistent policies for SMEs to guide their growth and development. Grounded in disruptive innovation theory, the purpose of this qualitative multiple-case study was to explore the innovation strategies leaders of SMEs in Uganda use to improve business performance. The participants included five leaders of five SMEs in Uganda with successful experience implementing innovation strategies to improve business performance. Data were collected from semistructured …

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Evaluating U.S. Household Telemedicine Use In Primary Care Settings, Robert Osobase Jan 2023

Evaluating U.S. Household Telemedicine Use In Primary Care Settings, Robert Osobase

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic's arrival in the United States restricted access and use of telemedicine in primary care providers (PCPs) settings. Addressing this issue is crucial since telemedicine is a confirmed method of encouraging patients and PCPs to promote quality health care. This quantitative study investigated the association between age, gender, and race, and PCPs offering telemedicine and U.S. household adults using telemedicine during COVID-19 pandemic in 2021. The Donabedian framework, which considers aspects of an organization's structure, process, and outcome, served as the study's foundation, incorporating age, race, and gender as independent variables, and PCPs and US adults as dependent …

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Differences In Phq-9 Depression Severity Between Adults Receiving Ketamine Or Ketamine-Assisted Psychotherapy, Sophie Lake Oswin Jan 2023

Differences In Phq-9 Depression Severity Between Adults Receiving Ketamine Or Ketamine-Assisted Psychotherapy, Sophie Lake Oswin

Walden Dissertations and Doctoral Studies

Treatment-resistant depression (TRD) affects roughly 2.8 million or 1.1% of the United States population. Many traditional treatments of mental disorders including various types of psychotherapy and pharmacotherapy do not provide adequate symptom reduction for clients, and many clients diagnosed with TRD seek out nontraditional treatments such as ketamine and psychedelics for their antidepressant effects. Due to the dissociative nature of psychedelic medication wherein resistance is reduced, and a trance-like state is induced, ketamine-assisted psychotherapy (KAP) has great potential as an adjunct to ketamine therapy. Procedures of KAP have been in development for the last 7 years and a consensus on …

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The Effects Of Gender, Age, And Year Of Study On Occupational Therapy Students’ Social Media Competency, Vikram Pagpatan Jan 2023

The Effects Of Gender, Age, And Year Of Study On Occupational Therapy Students’ Social Media Competency, Vikram Pagpatan

Walden Dissertations and Doctoral Studies

Occupational therapy students (OTSs) who misuse social media within academic and clinical learning environments may increase the instances of ethical health care violations and breaches of professional codes of conduct. The purpose of this quantitative, cross-sectional study was to assess the social media competency (SMC) scores of OTSs based on year of study, age, and gender. As a result, the research questions were developed to compare the SMC of OTSs based on year of study, age, and gender. The study was grounded by Bandura’s social learning theory and a rationale for allowing social media use in the curriculum. An archived …

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Nurses’ Perception Of Pain Assessment In Cognitively Impaired Older Residents In Long-Term Care, Abigail Owolabi Jan 2023

Nurses’ Perception Of Pain Assessment In Cognitively Impaired Older Residents In Long-Term Care, Abigail Owolabi

Walden Dissertations and Doctoral Studies

AbstractPain has been a significant problem in old age and is more problematic in cognitively impaired older residents (CIOR) because of their inability to express themselves. The goal of pain assessment in CIOR is to treat pain before it escalates to behavioral problems. This descriptive qualitative study aimed to explore nurses’ perceptions of pain assessment in CIOR in long-term care facilities. Watson’s theory of human caring was used to frame the study. A purposive sample of eight nurses was recruited from two long-term care facilities for interviews conducted using the telephone and continued until saturation was reached. Data was manually …

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Impact Of Telehealth Versus Traditional Visits On Pain Management Patients Utilizing Medical Cannabis During The Covid-19 Pandemic, Todd Pankratz Jan 2023

Impact Of Telehealth Versus Traditional Visits On Pain Management Patients Utilizing Medical Cannabis During The Covid-19 Pandemic, Todd Pankratz

Walden Dissertations and Doctoral Studies

AbstractAlternatives to traditional office visits have become a necessity with the recent COVID-19 outbreak, resulting in an unmatched surge in telehealth adoption. The present study was an investigation of the impact of telehealth versus traditional office visits in medical cannabis clinics treating patients for chronic pain. With 50,000,000 American adults experiencing pain and over 750,000 overdoses attributed to opioid usage, collecting research-driven evidence to increase the availability of safe, effective, and nonopioid treatment options will create positive social change. The Donabedian model was applied to measure the quality of care, focusing on structure (cannabis clinics), process (telehealth vs. traditional office …

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Development Of A Standardized Novice Neonatal Nurse Orientation Program, Joanne Rau Pasinski Jan 2023

Development Of A Standardized Novice Neonatal Nurse Orientation Program, Joanne Rau Pasinski

Walden Dissertations and Doctoral Studies

Abstract Neonatal intensive care units (NICUs) are fast-paced units requiring skilled nurses to care for a unique patient population. Orientation of new nurses to the NICU can be challenging for both the orientee and the preceptor. Offering an evidence-based practice orientation program by an accredited organization that is specific to NICU can be a valuable tool for both the preceptor and the orientee as well as enhance nurse, patient, and organizational outcomes. The project question explored if use of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) 15-module nursing orientation program for RNs in a NICU increased their …

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Nursing Guideline For Specimen Handoff, Kathleen Marie Pearce Jan 2023

Nursing Guideline For Specimen Handoff, Kathleen Marie Pearce

Walden Dissertations and Doctoral Studies

AbstractThe absence of clinical practice guidelines (CPGs) and collaboration with significant stakeholders may lead to gaps in the delivery of patient care. Specimen handoff in the endoscopy unit plays a critical role in patient diagnosis and treatment plans; errors can compromise patient safety. The purpose of this project was to provide endoscopy nursing staff with a CPG to improve the accuracy of the specimen handoff process during the endoscopy procedure. The practice-focused question addressed the feasibility of developing a quality and usable CPG to improve the accuracy and efficacy of handling the specimen handoff process during endoscopy procedures. Walden University …

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Money Laundering And Terrorist Financing Typologies That Reduce Financial Crime Risks, Sina Vinod Patel Jan 2023

Money Laundering And Terrorist Financing Typologies That Reduce Financial Crime Risks, Sina Vinod Patel

Walden Dissertations and Doctoral Studies

The Covid-19 pandemic has increased concerns over money laundering and terrorist financing and their impacts on societies and the world’s finance and economic systems. Some financial institutions are failing to detect and track new emerging financial crime threats. The purpose of this qualitative descriptive case study was to identify predicate offense typologies that U.S. banking and financial services company compliance managers use to reduce the risks of money laundering and terrorist financing. To understand the concepts of predicate offense and financial crime risks, Gary Becker’s economic theory of criminal behavior was the conceptual framework that grounded this study. The population …

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Hiv Testing And Counseling Uptake Predictors Among University Students In Southwest Cameroon., Lilian Belole Motia Pencille Jan 2023

Hiv Testing And Counseling Uptake Predictors Among University Students In Southwest Cameroon., Lilian Belole Motia Pencille

Walden Dissertations and Doctoral Studies

AbstractDespite public health efforts to increase human immuno-deficiency virus testing and counseling (HTC) uptake, screening among college students remains low and understudied. The purpose of this cross-sectional correlational quantitative study was to explore the relationship between the constructs of the health belief model (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy) and HTC uptake while controlling for age, sex settlement type, relationship status, area of residence, religious affiliation, and level of education. Four hundred and eighty-seven (N = 487) university students in Southwest Cameroon were recruited using a convenience sampling method. Data were collected using …

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Job Stress, Anxiety, And Depression In Mental Health Professionals: An Examination Of Experienced Vicarious Trauma And Gender Differences, Irma Perez Jan 2023

Job Stress, Anxiety, And Depression In Mental Health Professionals: An Examination Of Experienced Vicarious Trauma And Gender Differences, Irma Perez

Walden Dissertations and Doctoral Studies

AbstractMental health professionals are susceptible to an increased risk of job stress, anxiety, and depression based on the very nature of their work. The study was quantitative, focusing on profile analysis. A two-way MANOVA was performed utilizing the independent variables of gender and vicarious trauma, and three dependent variables of job stress, anxiety, and depression. The population size was 88 mental health professionals with a Bachelor’s degree or higher who work in the behavioral health field, directly servicing clients in the capacity of supervision, case management, social work, counseling, or therapy. Participants completed four self-reported questionnaires: General Work Stress Scale …

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Reducing Opioid Prescribing By Using The Center For Disease Control Guidelines, Christina Marie Peters Jan 2023

Reducing Opioid Prescribing By Using The Center For Disease Control Guidelines, Christina Marie Peters

Walden Dissertations and Doctoral Studies

Opioid abuse is a serious national health crisis resulting in overdose and increased mortality in chronic pain patients. The purpose of this evidenced-based, quality improvement (QI) project was to improve primary care provider’s (PCP) awareness of The Center for Disease Control and Prevention’s (CDC) opioid prescribing guidelines to reduce opioid prescribing at this project site. The Donabedian model of structure, process, and outcome was used as the framework for this QI project. Lewin’s change management model of unfreezing and freezing was used as a guide to implement organization change by creating problem awareness, seeking alternative methods, and integrating the new …

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Examining Help-Seeking Intentions Among Female Veterans With Military Sexual Trauma, Elizabeth Pirone Jan 2023

Examining Help-Seeking Intentions Among Female Veterans With Military Sexual Trauma, Elizabeth Pirone

Walden Dissertations and Doctoral Studies

An estimated 38.4% of military women have experienced military sexual trauma (MST) at some point in their careers. Because MST experiences can be confounding, navigating beliefs toward treatment resources and seeking help can be challenging. The problem under study was that no literature examined multiple constructs of the health belief model (HBM) together as a foundational tool to identify perceptions of help-seeking intentions among female veterans with MST experiences. Guided by the HBM, the purpose of this study was to examine the relationship between health motives, perceived severity of emotional or nervous problems, perceived benefits of getting help for emotional …

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Parents’ Perceptions Of Low Involvement In An Urban Secondary School, Stephanie Pounders Jan 2023

Parents’ Perceptions Of Low Involvement In An Urban Secondary School, Stephanie Pounders

Walden Dissertations and Doctoral Studies

Parent involvement is an important contributor to students’ academic and social success in school; however, parent involvement at an urban secondary school has lagged, specifically in activities that have been shown to have a positive influence on student achievement. The research problem focused on parents’ perceptions of their participation, reasons for and against engaging in school activities, and what the school under study could do to support their involvement. The purpose of this study was to explore parents’ perceptions about their involvement in school activities as a means of identifying strategies to increase their engagement. A conceptual framework based on …

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Teachers' Perspectives Of Implementing Language Modeling In Pre-Kindergarten Classrooms, Gena R. Puckett Jan 2023

Teachers' Perspectives Of Implementing Language Modeling In Pre-Kindergarten Classrooms, Gena R. Puckett

Walden Dissertations and Doctoral Studies

Teachers’ language modeling skills are important for children’s language development and school readiness. However, 34% of pre-kindergarten (pre-K) classrooms score in the low range on the language modeling dimension of the CLassroom Assessment Scoring System (CLASS) observation tool within the instructional support domain in a southern state. For this basic qualitative study, the purpose and research questions explored pre-K teachers’ perspectives on the challenges of implementing language modeling and the type of support they need to improve language modeling skills in a southern state. The conceptual framework that guided the study was Vygotsky’s sociocultural theory, specifically the concepts of the …

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Public-School Superintendents’ Perceptions Of Trauma-Informed School Assumptions And Principles, Denise Gay Presnell Jan 2023

Public-School Superintendents’ Perceptions Of Trauma-Informed School Assumptions And Principles, Denise Gay Presnell

Walden Dissertations and Doctoral Studies

Research shows that trauma-informed practices in schools can increase student performance and well-being. School social workers are well-suited to bring these practices to their system but are most successful when partnering with public-school superintendents. The purpose of this generic qualitative study was to understand public-school superintendents’ perceptions of trauma-informed school assumptions and principles. The study was guided by four assumptions for trauma-informed care, six principles for trauma-informed schools, ecological systems theory, and empowerment theory. Research questions were designed to ask participants about their experiences of trauma in their schools, their perceptions of the assumptions and principles, the benefits and challenges …

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Understanding The Connection Between Male Intimate Relationship Narratives And Domestic Violence Convictions, Stephanie Purdy Jan 2023

Understanding The Connection Between Male Intimate Relationship Narratives And Domestic Violence Convictions, Stephanie Purdy

Walden Dissertations and Doctoral Studies

Domestic violence (DV) continues to be a serious social challenge throughout the world. DV and recidivism rates are continuing to rise among individuals involved with intimate or familial relationships, with victims and perpetrators of all genders. This narrative inquiry study utilized narratives of intimate relationships among adult men, 18 years and older, who were convicted of domestically violent behaviors. The research question investigated participant experiences with female intimacy and how this was connected to domestically violent behaviors. The theoretical and conceptual frameworks were led by attachment and social learning theories, which were linked to understanding challenges with forming a less-than-positive …

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Teachers’ Perceptions Of Using Culturally Relevant Education Practices To Teach Middle-Grades Mathematics, Lorna Bridgetnal Randle Jan 2023

Teachers’ Perceptions Of Using Culturally Relevant Education Practices To Teach Middle-Grades Mathematics, Lorna Bridgetnal Randle

Walden Dissertations and Doctoral Studies

AbstractAfrican American students and other students of color are not experiencing equitable learning outcomes in mathematics classrooms. The problem this study investigated was if and how teachers used culturally relevant education to help increase learning opportunities for African American students. This basic qualitative study aimed to explore teachers' perceptions of how they use culturally relevant education instructional practices to teach mathematics to middle-grade African American students. Further, teachers’ perceptions of their preparedness to use culturally relevant education practices were explored. Aronson and Laughter’s theory of culturally relevant education framed the study and guided data analysis. The research questions investigated if …

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Strategies To Reduce Food Waste In Restaurants, Andrea L. Ratliff Jan 2023

Strategies To Reduce Food Waste In Restaurants, Andrea L. Ratliff

Walden Dissertations and Doctoral Studies

Abstract Some restaurant business owners lack food waste strategies to maintain or increase profits. Restaurant business owners are concerned with increases in food waste leading to a loss of business profitability and may lack food waste strategies to maintain or increase profits. Grounded in stakeholder theory, the purpose of this qualitative single case study was to explore strategies restaurant business owners used to decrease food waste to maintain or increase profit. Participants in this study comprised five restaurant owners in a metropolitan suburb on the United States east coast who successfully reduced food waste in their operations to maintain or …

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