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Strategies For Improving The Interoperability Of Private Practices’ Electronic Health Care Systems, Anasa N. Holden Jan 2023

Strategies For Improving The Interoperability Of Private Practices’ Electronic Health Care Systems, Anasa N. Holden

Walden Dissertations and Doctoral Studies

AbstractCommunication of data exchange is essential for all healthcare service lines to ensure the highest quality of care. For a long time, private practices and small businesses have needed help implementing electronic healthcare systems interoperability. Grounded in the technology acceptance model, the purpose of this qualitative multiple case study was to explore strategies private practices and small businesses use to sustain electronic healthcare systems with interoperability effectively. The participants were six CEOs, managers, and leaders of private practices and small businesses in Detroit, Michigan, with direct healthcare service lines that effectively sustained electronic healthcare systems with interoperability. Data were collected …

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Perceptions Of 9-1-1 Telecommunicators High-Stress Emergency Calls, Danielle Holland Jan 2023

Perceptions Of 9-1-1 Telecommunicators High-Stress Emergency Calls, Danielle Holland

Walden Dissertations and Doctoral Studies

Many research studies have been conducted on the effects of high-stress emergency calls on emergency personnel, such as police officers and firefighters. However, research was lacking on the effects of high stress calls on 9-1-1 telecommunicators. The purpose of this qualitative case study was to determine how 9-1-1 telecommunicators perceived and responded to high-stress emergency calls. The theoretical framework was based on Bandura’s self-efficacy theory and social cognitive theory. The study was guided by three research questions that focused on (a) the short- and long-term effects of stress experienced by 9-1-1 dispatchers, (b) the aspects of calls that telecommunicators perceived …

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Developing Consensus On The Use Of Emotional Intelligence Training In Small Utility Companies, Nathaniel E. Holloway Jan 2023

Developing Consensus On The Use Of Emotional Intelligence Training In Small Utility Companies, Nathaniel E. Holloway

Walden Dissertations and Doctoral Studies

Park and Shaw shared the impact on organizations from unmotivated and unsatisfied employees link to higher turnover ratios. The use of emotional intelligence in manager training lowered employee turnover by 13%. The problem address in this Delphi study was that small utility companies do not have an emotional intelligence plan in place for managerial training. Goleman and Mayer’s framework was used as the theorical lens for examining response of participants to the Delphi study. A panel of experts submitted data in the form of responses to three rounds of questions regarding the use of emotional intelligence training in small businesses. …

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Obstacles And Enablers For Employing Internal Control Practices Faced By Nonprofit Leaders, Tammy L. Holloway Jan 2023

Obstacles And Enablers For Employing Internal Control Practices Faced By Nonprofit Leaders, Tammy L. Holloway

Walden Dissertations and Doctoral Studies

Fraud has had disturbing effects which can hurt many nonprofits. Having weak practices can increase risk and invite perpetrators. Small nonprofit organizations are especially at risk. The research problem is that many small nonprofits do not employ strong practices within their organization, which leaves them open to fraud. The purpose of this qualitative case study was to explore the obstacles and enablers that leaders of small nonprofit organizations in the eastern United States face when employing proper internal control practices to protect the organization from fraud. Agency theory framed this study when examining agency problems that leaders face when employing …

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The Lived Experience Of Lung Cancer Patients With Psychological Health And Physical Activity, Donna Leeann Homkes Jan 2023

The Lived Experience Of Lung Cancer Patients With Psychological Health And Physical Activity, Donna Leeann Homkes

Walden Dissertations and Doctoral Studies

AbstractPhysical activity (PA) is recognized as a treatment protocol for lung cancer patients that improves physical impairments and reduces symptoms of psychological stress. This qualitative interpretive phenomenological analysis (IPA) study was conducted to explore the lived experience of lung cancer patients and how PA is influenced by anxiety, depression, and fatigue. This study was guided by Bandura’s self-efficacy theory and Engel’s biopsychosocial model. In-depth semi structured interviews were conducted with seven lung cancer participants over Zoom and in person. The data were analyzed using manual hand coding. The analysis revealed themes in patients’ experiences about how PA participation is influenced …

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Occupational Stress In Long Term Care In Georgia And Virginia During The Covid-19 Pandemic, Lacountess Renee Hooks Jan 2023

Occupational Stress In Long Term Care In Georgia And Virginia During The Covid-19 Pandemic, Lacountess Renee Hooks

Walden Dissertations and Doctoral Studies

Nursing staff working in long-term care settings experience high levels of occupational stress related to many factors that can lead to poor outcomes for the nursing staff and the residents. In 2020, the World Health Organization declared severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), also known as COVID-19, a pandemic which over the course of 3 years, has added an additional source of work-related stress for long-term care nursing staff. This quantitative cross-sectional study was guided by the job demand-control-support model to explore perceived stress and nursing stress among nursing staff working in the long-term care setting in Georgia and …

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The Relationship Between Socioeconomic Disparities In Alabama Hospitals And Patient Experience, Phillimena Ashley Hopkins Jan 2023

The Relationship Between Socioeconomic Disparities In Alabama Hospitals And Patient Experience, Phillimena Ashley Hopkins

Walden Dissertations and Doctoral Studies

AbstractPatient satisfaction has been utilized to measure healthcare quality and outcomes, which affects reimbursement. Some claim such measures could be biased as they do not consider the patient’s socioeconomic status. Measuring the quality of care, Area Deprivation Index (ADI), and patient experience has been captured and publicly reported; and the measuring indicator Hospital Consumer Assessment of Healthcare Providers and Systems (HCHAPS), however, hospitals serving patients in low ADI areas generally score poorly. Grounded in the theory of Donabedian, the purpose of this quantitative correlational study was to examine the relationship between patient experience associated with socioeconomic disparities and how patients …

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Understanding The Impact Of Special Education Programs On African American Males, Jacques Houssou Jan 2023

Understanding The Impact Of Special Education Programs On African American Males, Jacques Houssou

Walden Dissertations and Doctoral Studies

AbstractAfrican American males placed in special education programs their entire time in high school often experience stigmatizing feelings of lack of self-worth and self-esteem as adults. The purpose of this qualitative case study was to explore and better understand the influence special education programs may have on African American males’ self-esteem and self-worth. Becker’s and Lemert’s labeling theory and Baumgartner and Jones’s and Gould and Eldredge’s punctuated equilibrium theory guided this study. The focus of the research questions was the influence of special education programs on African American males’ learning experiences and the changes needed. Purposive and snowball sampling techniques …

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A Phenomenological Exploration Of Academic Mediation And Modifiability: The Progression From Ged® To Phd, Heather E. Hoyt Jan 2023

A Phenomenological Exploration Of Academic Mediation And Modifiability: The Progression From Ged® To Phd, Heather E. Hoyt

Walden Dissertations and Doctoral Studies

Researchers have identified the importance of academic mediation and modification within a student’s thought process as it encourages academic achievement in early education, college, and advanced degrees. However, there is a gap in the research regarding the academic mediation and modification in individuals who have progressed from GED to PhD. The purpose of this study was to (a) explore the personal experiences of doctoral alumni on their achievement during the progression from GED to PhD; (b) to understand what experiences, if any, related to receiving academic mediation and modification which led to doctoral success; and (c) to contribute to the …

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Beliefs Of Higher Education Online Faculty Regarding The Integration Of Multimedia, Kimberly Diane Hoyt Jan 2023

Beliefs Of Higher Education Online Faculty Regarding The Integration Of Multimedia, Kimberly Diane Hoyt

Walden Dissertations and Doctoral Studies

Integration of multimedia resources in higher education curricula continues to be a concern for today’s teachers, especially in identifying effective, efficient, and engaging resources that provide individualized instruction and meet a variety of learning needs. However, there was a gap in the literature regarding teachers' beliefs about multimedia integration within the context of adult learning in online higher education. The purpose of this basic qualitative study was to explore the benefits and challenges higher education online teachers experienced when integrating multimedia resources into their courses. The research question explored the beliefs of higher education online instructors about their experiences when …

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Effect Of The Mathematics Workshop Model On Middle School English Language Learners’ Achievement, Khethiwe Hudson Jan 2023

Effect Of The Mathematics Workshop Model On Middle School English Language Learners’ Achievement, Khethiwe Hudson

Walden Dissertations and Doctoral Studies

AbstractMost English learners (ELs) face challenges upon entering schools in the United States. The problem addressed in this study was that more than half of middle school ELs did not reach basic proficiency on their mathematics inventory in a Mid-Atlantic school district between 2017 and 2022. The purpose of this quantitative study was to investigate the differences in the Spring mathematics inventory scores between low-English functioning middle school ELs (Level 1 entering and Level 2 emerging) and medium functioning middle school ELs (Level 3 developing and Level 4 expanding) who were instructed in the mathematics workshop model for 18 weeks …

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Science, Technology, Engineering, And Mathematics Student Persistence At A Hbcu Community College, Terry Hughes Jan 2023

Science, Technology, Engineering, And Mathematics Student Persistence At A Hbcu Community College, Terry Hughes

Walden Dissertations and Doctoral Studies

The problem addressed in this basic qualitative study was the persistence of science, technology, engineering, and mathematics (STEM) students at a historically Black community college (HBCC) in the southern United States. This problem is important because understanding the key successes and challenges STEM students face may enable faculty and administrators to support low-persisting students through degree completion. The purpose of this study was to explore the perceptions of STEM students at a HBCC regarding their persistence toward degree completion. Astin’s theory of involvement and Reasons and Terenzini’s synthesis of persistence were used as the conceptual framework for this study. The …

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Implementation Of A Staff Education Project On Human Trafficking For Emergency Department Staff, Monica Rena Hunt Jan 2023

Implementation Of A Staff Education Project On Human Trafficking For Emergency Department Staff, Monica Rena Hunt

Walden Dissertations and Doctoral Studies

Evidence demonstrates that people who are being trafficked will seek medical attention, especially in emergency departments, which presents a rare opportunity to identify and support them. This Doctor of Nursing Project (DNP) was designed to evaluate if educating emergency department nurses on using an adult screening tool for human trafficking improves knowledge in a local emergency department in Texas. The participants were 11 registered nurses. The Maslow hierarchy of needs theory and the adult learning theory were used as a framework, and the models used to construct the educational project were Gagne’s nine levels of learning and the use of …

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Secondary Teacher Needs To Support Social And Emotional Learning In The Classroom, Ryeneshia Antreanna Hutchinson Jan 2023

Secondary Teacher Needs To Support Social And Emotional Learning In The Classroom, Ryeneshia Antreanna Hutchinson

Walden Dissertations and Doctoral Studies

Survey data from students in Grades 9–12 at L High School (a pseudonym) in an urban district in the southeastern United States suggested that students lack social and emotional learning (SEL) competencies. Efforts to address SEL at the study site have been ineffective. The purpose of this basic qualitative study was to explore secondary teachers’ perceptions of why the efforts to address SEL have been ineffective and to determine what supports teachers believe are needed to address SEL at L High School. The research questions were used to explore teachers’ views on the implementation of SEL, support needed for SEL, …

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Factors Leading To Alcohol Relapse During The Covid-19 Pandemic, Robert Michael Ibraham Jan 2023

Factors Leading To Alcohol Relapse During The Covid-19 Pandemic, Robert Michael Ibraham

Walden Dissertations and Doctoral Studies

Little research has been conducted exploring contributing stressors from the COVID-19 pandemic that may have led to alcohol relapse among individuals diagnosed with alcohol use disorders (AUDs). Prior to the pandemic, alcohol use was at an all-time high; during the pandemic, the rates of substance use rose significantly more. AUDs are a leading mental health problem with over 32.6 million meeting diagnostic criteria in the United States. This study was conducted to explore self-identified factors leading up to relapse during the COVID-19 pandemic among individuals diagnosed with AUDs, with a focus on the circumstances and events leading up to relapse. …

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Respiratory Therapists’ Perceptions Of Their Roles In A Copd Multidisciplinary Care Team, Iheako Charles Ike Jan 2023

Respiratory Therapists’ Perceptions Of Their Roles In A Copd Multidisciplinary Care Team, Iheako Charles Ike

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this study was to explore respiratory therapists’ (RTs') perceived roles and responsibilities in a COPD multidisciplinary care team, and how those roles and responsibilities were affected when RTs were monitored and evaluated by a team member. Accountability theory was used to guide the development of this study. The study’s goal was to provide needed information on the specific roles and responsibilities of RTs in a COPD multidisciplinary care team because RTs knowing their roles and responsibilities could improve the quality of care and enhance the delivery of healthcare services for patients with COPD. The study’s research method …

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Technical Training To Nonprofit Managers Influences Using Big Data Technology In Business Operations, Dr. Arslan Isaac Phd Jan 2023

Technical Training To Nonprofit Managers Influences Using Big Data Technology In Business Operations, Dr. Arslan Isaac Phd

Walden Dissertations and Doctoral Studies

This nonexperimental, survey-based online quantitative study on nonprofit managers’ technical training measures the extent of the influence on big data technology use. The unified theory of acceptance and use of technology is a theoretical framework to determine whether business managers are trained to have know-how in using big data technology. This study followed a quantitative methodology to help narrow the gap in research between what is not known in relation to the nonprofit manager’s technical training on the use of big data technology. Today’s data is the most critical asset, but progress toward big data technology-oriented usage needs to be …

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Diversification Strategies Business Managers Use To Improve Profitability, Kayode Itiola Jan 2023

Diversification Strategies Business Managers Use To Improve Profitability, Kayode Itiola

Walden Dissertations and Doctoral Studies

A lack of diversification strategies can negatively impact business profitability. Business managers of small and medium-sized enterprises who implement appropriate diversification strategies can improve business profitability, ensuring the firm’s sustainability. Grounded in the modern portfolio theory, the purpose of this qualitative single case study was to explore diversification strategies business managers use to improve profitability. The participants were five business managers who successfully used diversification strategies to enhance business profitability. Sources for data collection were semi-structured interviews, company archival documents, and field notes. Data were analyzed using thematic analysis. Four themes emerged: concentric diversification strategy, horizontal diversification strategy, customer needs …

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An Examination Of Chronic Homelessness From The Perspective Of Counseling Professionals In Southeast Florida, Tonia Jackson Jan 2023

An Examination Of Chronic Homelessness From The Perspective Of Counseling Professionals In Southeast Florida, Tonia Jackson

Walden Dissertations and Doctoral Studies

Homelessness continues to be a serious social problem in the United States. Despite the public and private resources expended to address homelessness, the crisis still exists. This phenomenological study was framed in Maslow’s human needs approach. Maslow created a list of basic five human needs to gain a better understanding of human behavior and motivation. The human behavior theory can also be applied to homelessness to provide a deeper understanding of the phenomenon. The research question addressed the strongest factors that counseling professionals consider to be related with chronic homelessness in Southeast Florida. Data were collected through semi-structured interviews of …

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Transitioning Elementary-Aged Students With Emotional And Behavioral Disorders Into An Inclusive Educational Setting, Stevanie Jackson Jan 2023

Transitioning Elementary-Aged Students With Emotional And Behavioral Disorders Into An Inclusive Educational Setting, Stevanie Jackson

Walden Dissertations and Doctoral Studies

In an urban school district in the southwestern United States, students with emotional and behavioral disabilities (EBD) who were in third- through fifth-grade self-contained classes were not consistently transitioning successfully into inclusive classrooms; therefore, the students were remaining in a restrictive environment for an extended time. The purpose of this basic qualitative study was to explore the reasons for such inconsistencies. The concept of inclusion as outlined in the Salamanca Statement framed the study. Semi structured interviews were conducted with six special education teachers and six general education teachers, all of whom had experience educating students with EBD. Research questions …

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Teachers’ And Education Leaders’ Perspectives On Using Technology To Develop Vocabulary Among Kindergarten English Learners, Nelsy J. Jackson Jan 2023

Teachers’ And Education Leaders’ Perspectives On Using Technology To Develop Vocabulary Among Kindergarten English Learners, Nelsy J. Jackson

Walden Dissertations and Doctoral Studies

AbstractResearch has shown that technology-mediated interventions in education can increase students’ understanding of academic vocabulary. However, it is not known how teachers provide opportunities for kindergarten English learners (ELs) to learn vocabulary using technology, and school leaders support teachers in this endeavor. The purpose of this basic qualitative study was to understand teachers' and school leaders’ perspectives on opportunities for kindergarten ELs to use technology to develop vocabulary in an urban school in the southwest United States. The theoretical framework for this study was based on Cummins’s theory of basic interpersonal communication skills and cognitive academic language proficiency. Using purposeful …

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The Social Construction Of Performance Enhancing Steroid Policies And Their Impact On U.S. Army Service Members, Trevor Scott Jackson Jan 2023

The Social Construction Of Performance Enhancing Steroid Policies And Their Impact On U.S. Army Service Members, Trevor Scott Jackson

Walden Dissertations and Doctoral Studies

The United States military has seen a continued rise in the use of illicit performance enhancing substances, particularly androgenic-anabolic steroids (AAS), by service members in highly demanding occupational specialties. Despite these rising trends, there remains a lack of understanding of how U.S. Army substance abuse policy impacts service members’ motivations to use banned performance enhancing drugs. The purpose of this qualitative study was to better understand the motivations of service members who use performance enhancing AAS, as well as the impacts of substance abuse policies on those individuals. This study’s questions asked how social constructs and Army policy impacted service …

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Attachment Bond Experiences Among Adults Using Service Dogs To Mitigate Psychiatric Disabilities, Marcia Lynn Jackson Jan 2023

Attachment Bond Experiences Among Adults Using Service Dogs To Mitigate Psychiatric Disabilities, Marcia Lynn Jackson

Walden Dissertations and Doctoral Studies

AbstractMental illness has a negative influence on U.S. society, affecting more than 21% of adults. Worldwide, approximately 264 million people are impacted by psychiatric conditions. Despite the prevalence of psychological disorders, treatment resources are lacking. As such, the addition of adjunctive therapeutic interventions could benefit society. Researchers have demonstrated that the bond formed between humans and animals offers a vital healing tool. However, there was limited information on the use of service dogs in the psychiatric population. This qualitative interpretative phenomenological analysis explored how adults with psychiatric diagnoses describe attachment to service dogs used to mitigate the symptoms of their …

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African Public Leadership On Technology Readiness And Diffusing The Circular Economy In Sub-Saharan Africa, Evans Jakpa-Johns Jan 2023

African Public Leadership On Technology Readiness And Diffusing The Circular Economy In Sub-Saharan Africa, Evans Jakpa-Johns

Walden Dissertations and Doctoral Studies

Sub-Saharan Africa is not yet ready to embrace the digital and the fourth industrial revolution, and there remains a literature gap about technology readiness and effective technology diffusion to support a circular economy transition in West and East African countries. The purpose of this qualitative, multiple case study was to describe African public leadership experts' views on how sub-Saharan African leaders can enable technology readiness and the technology diffusion needed for a successful transition to a circular economy. A multiple case study design was used to collect data from a purposeful sample of 14 African public leadership experts. Semistructured interviews, …

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Resilience Characteristics In Law Enforcement Officers, Jocelyn Grace Jameson Jan 2023

Resilience Characteristics In Law Enforcement Officers, Jocelyn Grace Jameson

Walden Dissertations and Doctoral Studies

Resilience characteristics in law enforcement officers have been a focus of scholars for several decades. Repetitive trauma requires officers to establish coping mechanisms and manufacture varying resilience factors. Researchers have demonstrated that interventions to improve resilience may result in a higher demand for psychoeducation, training and well-being, and stress management. Researchers have yet to establish what shared characteristics are among law enforcement officers that promote resilience. The purpose of this study was to examine the lived experiences of law enforcement officers’ experiences, beliefs, and knowledge about their exposure to repetitive traumatic events. The resilience theory supported the research. A qualitative, …

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Associations Between Substance Use And Obesity Among Native American Adolescents, Joseph Jude Janosky Jan 2023

Associations Between Substance Use And Obesity Among Native American Adolescents, Joseph Jude Janosky

Walden Dissertations and Doctoral Studies

Obesity and substance use are two significant public health issues among Native American adolescents. Despite much evidence linking obesity and substance use during adolescence to several long-term health conditions and increased morbidity and mortality, evidence describing the relationship between current substance use and obesity among Native American adolescents is lacking. The purpose of this quantitative study was to investigate associations between current substance use – specifically alcohol, marijuana, and tobacco products – and obesity among Native American high school students, when adjusted for sex, soda consumption, and physical activity. Rosenstock’s health belief model served as the theoretical foundation for this …

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The Linear Evolution Of Local Emergency Management Training In Response To Domestic Terrorism, Jeffrey Januchowski Jan 2023

The Linear Evolution Of Local Emergency Management Training In Response To Domestic Terrorism, Jeffrey Januchowski

Walden Dissertations and Doctoral Studies

AbstractThis paper presents a research study in the field of emergency management. The study aims to identify training or educational needs for the emergency manager at the local level of government to effectively handle disasters. The study uses phenomenon theory with semi-structured interviews that gather data from emergency managers that have experience with major disasters and training requirements. Participants were experts in the emergency management profession with the ability to speak appropriately about the phenomenon. Research questions identified the training methods that produce the best results along with the specific hazards emergency managers may encounter. The research design used questionnaires …

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Exploring School Leadership To Improve Graduation Rates For High School Ell Students In A Northeastern State, Scott Matthew Jaquith Jan 2023

Exploring School Leadership To Improve Graduation Rates For High School Ell Students In A Northeastern State, Scott Matthew Jaquith

Walden Dissertations and Doctoral Studies

English languages learners (ELLs) are the fastest-growing student population in the United States. Federal mandates, including the Every Student Succeeds Act (ESSA) of 2015, provide guidance and resources to states and local school districts to remove barriers for ELL students. Despite guidelines from one northeastern state to increase professional development, improve metrics to assess proficiency growth, and provide family outreach to support ELLs, school leaders have not achieved this goal of raising graduation rates for ELLs so they are comparable with their non-ELL peers. This project study uses a transformational leadership framework to explore perceptions of principals, assistant principals, and …

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Exploring Relationships Between Psychological Capital And Perceived Stress Among Newly Graduated Nurses, Rita June Jarvis-Isaac Jan 2023

Exploring Relationships Between Psychological Capital And Perceived Stress Among Newly Graduated Nurses, Rita June Jarvis-Isaac

Walden Dissertations and Doctoral Studies

Stress among the newly graduated nurses has been linked to physical and emotional distress, high turnover rates, and the quality of patient care. Psychological capital is a positive state of mind that consists of four components (hope, efficacy, resilience, and optimism). Higher levels of psychological capital have been linked to improvements in the work environment and the psychological and emotional state of nurses. Despite the extensive work of researchers exploring psychological capital among nurses, its relationship to stress among new graduate nurses has not been well studied. The purpose of this quantitative, correlational study was to explore the relationship between …

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Managers' Experiences Coordinating Peer Mediation Programs In Schools, Ingrid Jeannis Jan 2023

Managers' Experiences Coordinating Peer Mediation Programs In Schools, Ingrid Jeannis

Walden Dissertations and Doctoral Studies

AbstractPeer mediation (PM) programs implemented in schools promote resolution of disputes and conflicts among peers. Several benefits have been associated with young children involved in these programs including reductions in physical aggression, as well as learning skills involving communication, problem solving, and decision making. While positive outcomes have been observed, less was known about manager experiences involving coordinating PM programs. The purpose of this phenomenological study was to explore manager thoughts and experiences regarding their roles in PM programs and how they perceived strengths and weaknesses of these programs. The social learning theory was the theoretical framework for this study. …

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