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Pneumonia Pathway’S Effectiveness In Decreasing Length Of Stay In An Acute Care, Marie Carline Hollant Oct 2024

Pneumonia Pathway’S Effectiveness In Decreasing Length Of Stay In An Acute Care, Marie Carline Hollant

Walden Dissertations and Doctoral Studies

Community-acquired pneumonia (CAP) can be detrimental to patient outcomes. One major challenge affecting care for CAP is hospital length of stay (HLOS), which is associated with multiple factors, mainly comorbid conditions. One way to improve the efficiency of CAP hospital care is the implementation of pneumonia clinical pathways to ensure effectiveness in application of pneumonia treatment and care. This project evaluated the effectiveness of using pneumonia pathways by evaluating HLOS before and after the health care staff in the project site implemented pneumonia pathways. Use of the pneumonia pathways in the project site started in 2021, but there had not …

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Supporting Gender Identity In Early Childhood: Understanding The Lived Experiences Of Parenting A Gender Variant Child Under Age 6 Years, Deborah Lyn Hahn Oct 2024

Supporting Gender Identity In Early Childhood: Understanding The Lived Experiences Of Parenting A Gender Variant Child Under Age 6 Years, Deborah Lyn Hahn

Walden Dissertations and Doctoral Studies

The specific problem addressed through this qualitative research study was the lack of understanding of the lived experiences of parents of gender variant preschool children and the resources those parents need to help create affirming environments for their young children. Butler’s queer theory/feminist poststructuralism was the theoretical foundation of this research study. The purpose of this study was to explore the lived experiences of parents of gender variant children under the age 6 years and to determine the supports and services these parents need to help them create and maintain safe and affirming environments for their children. Transcendental phenomenology was …

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Pneumonia Pathway’S Effectiveness In Decreasing Length Of Stay In An Acute Care, Marie Carline Hollant Oct 2024

Pneumonia Pathway’S Effectiveness In Decreasing Length Of Stay In An Acute Care, Marie Carline Hollant

Walden Dissertations and Doctoral Studies

Community-acquired pneumonia (CAP) can be detrimental to patient outcomes. One major challenge affecting care for CAP is hospital length of stay (HLOS), which is associated with multiple factors, mainly comorbid conditions. One way to improve the efficiency of CAP hospital care is the implementation of pneumonia clinical pathways to ensure effectiveness in application of pneumonia treatment and care. This project evaluated the effectiveness of using pneumonia pathways by evaluating HLOS before and after the health care staff in the project site implemented pneumonia pathways. Use of the pneumonia pathways in the project site started in 2021, but there had not …

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Pneumonia Pathway’S Effectiveness In Decreasing Length Of Stay In An Acute Care, Marie Carline Hollant Oct 2024

Pneumonia Pathway’S Effectiveness In Decreasing Length Of Stay In An Acute Care, Marie Carline Hollant

Walden Dissertations and Doctoral Studies

Community-acquired pneumonia (CAP) can be detrimental to patient outcomes. One major challenge affecting care for CAP is hospital length of stay (HLOS), which is associated with multiple factors, mainly comorbid conditions. One way to improve the efficiency of CAP hospital care is the implementation of pneumonia clinical pathways to ensure effectiveness in application of pneumonia treatment and care. This project evaluated the effectiveness of using pneumonia pathways by evaluating HLOS before and after the health care staff in the project site implemented pneumonia pathways. Use of the pneumonia pathways in the project site started in 2021, but there had not …

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Gender Ideology And Gender Equality Policy Adoption, Wendell Christopher Lewis Oct 2024

Gender Ideology And Gender Equality Policy Adoption, Wendell Christopher Lewis

Walden Dissertations and Doctoral Studies

Gender-based violence threatens the social and economic security of countries. Gender equality policies, which address the ideological and material relations of gender equality that support gender-based violence, are being stymied by antigender coalitions. Little is known of the concept called gender ideology used by this coalition to facilitate policy intractability of gender equality policies. This mixed-method study was intended to fill the theoretical and methodological gaps in the literature using the narrative policy framework to explore the concept of gender ideology and policy intractability during the National Gender Policy debate in Trinidad and Tobago between 2010-2018. The research questions focused …

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Military To Civilian Life: Transition And Reintegration Experiences Of Army Wives, Marquita Crudup Oct 2024

Military To Civilian Life: Transition And Reintegration Experiences Of Army Wives, Marquita Crudup

Walden Dissertations and Doctoral Studies

Researchers have identified that military-to-civilian transition (MCT) and civilian reintegration is a difficult time for military spouses; as veterans receive transitional assistance and benefits to assist with adjustment, the nonveteran family leaves behind a community of supportive peers and resources. Military spouses feel disconnected and isolated and lack access to service in their civilian community. In this generic qualitative study, the transactional model of stress and coping was used to explore the participants’ appraisal of events during MCT and civilian reintegration, and the coping resources used to address them. Purposeful selection was used in recruiting 18 female participants with no …

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Mitigating The Impact Of Remote Work Challenges On Employee Productivity, Michael Gamble Oct 2024

Mitigating The Impact Of Remote Work Challenges On Employee Productivity, Michael Gamble

Walden Dissertations and Doctoral Studies

Challenges encountered in remote working during and after the COVID-19 pandemic negatively affect the performance and productivity of employees as they are not familiar with remote working strategies. The rapid shift brought about difficulties for business leaders to manage a remote workforce and need for solutions or effective strategies. Grounded in the self-determination theory, the purpose of this qualitative case study was to explore and identify strategies business leaders use to mitigate the negative effects of remote working environments. Participants were 11 business leaders from software companies who adopted remote working models in their business strategies. Data were collected through …

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Optimizing Training For Master's-Level Clinicians In Behavioral Health Private Practice, Candace Starks Oct 2024

Optimizing Training For Master's-Level Clinicians In Behavioral Health Private Practice, Candace Starks

Walden Dissertations and Doctoral Studies

This case study involved investigating the clinical proficiency of master’s-level clinicians (MLCs) and its impact on client therapeutic outcomes within a behavioral health organization (BHO) in the Southeastern U.S. Using the Baldrige Framework of Excellence, data were collected through semi-structured interviews, organizational data analysis, and a literature review. Key findings highlighted continuity of service, client dissatisfaction, and excess training requirements as themes. Inconsistent clinician performance disrupted client progress, leading to dissatisfaction and frequent therapist changes. Participants expressed hesitation and dissatisfaction with inexperienced therapists, emphasizing the need for improved training and support. New clinicians required substantial additional training to meet practice …

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Information-Technology-Aided Customer Relationship Management Strategies For Improving Financial Institutions’ Business Performance, Joy Kudakwashe Semwayo Oct 2024

Information-Technology-Aided Customer Relationship Management Strategies For Improving Financial Institutions’ Business Performance, Joy Kudakwashe Semwayo

Walden Dissertations and Doctoral Studies

The Zimbabwean banking industry has struggled to adopt Information Technology (IT)-enabled customer relationship management (CRM), limiting its ability to effectively manage customer relationships and improve overall performance. Senior banking leaders must understand IT-driven CRM strategies to better retain customers and enhance bank performance. Grounded in functionalism and social control theories, the purpose of this qualitative pragmatic inquiry was to explore IT-aided CRM strategies some senior bank leaders use to improve customer retention and enhance bank performance in Zimbabwe. The participants consisted of six senior leaders from different banks in Zimbabwe who successfully utilized IT-driven CRM strategies to retain customers and …

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Information-Technology-Aided Customer Relationship Management Strategies For Improving Financial Institutions’ Business Performance, Joy Kudakwashe Semwayo Oct 2024

Information-Technology-Aided Customer Relationship Management Strategies For Improving Financial Institutions’ Business Performance, Joy Kudakwashe Semwayo

Walden Dissertations and Doctoral Studies

The Zimbabwean banking industry has struggled to adopt Information Technology (IT)-enabled customer relationship management (CRM), limiting its ability to effectively manage customer relationships and improve overall performance. Senior banking leaders must understand IT-driven CRM strategies to better retain customers and enhance bank performance. Grounded in functionalism and social control theories, the purpose of this qualitative pragmatic inquiry was to explore IT-aided CRM strategies some senior bank leaders use to improve customer retention and enhance bank performance in Zimbabwe. The participants consisted of six senior leaders from different banks in Zimbabwe who successfully utilized IT-driven CRM strategies to retain customers and …

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Staff Education On Transradial Bands, Ashlee Mae Buffington Oct 2024

Staff Education On Transradial Bands, Ashlee Mae Buffington

Walden Dissertations and Doctoral Studies

Staff education has a significant impact on evidence-based practice and safe care. It is imperative for health professionals to be educated to deliver patient-centered care as members of an interdisciplinary team, emphasizing evidence-based practice, quality improvement approaches, and informatics. It is essential to employing evidence-based care. Failure to provide education can significantly hinder an organizations sustainability effort (Jeyakumar et. al., 2021). For these reasons, I have chosen to initiate a nursing education project. Working in the cardiovascular lab, I was able to identify a gap in practice when caring for patients after coronary angiography. The gap in practice was identified …

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Abstract Education On Agency For Healthcare Research And Quality Ideal For Health Ministry, Francesse Charles-Cherelus Oct 2024

Abstract Education On Agency For Healthcare Research And Quality Ideal For Health Ministry, Francesse Charles-Cherelus

Walden Dissertations and Doctoral Studies

Education on Agency for Healthcare Research and Quality IDEAL for Health Ministry by Francesse Charles-Cherelus MS, Walden University, 2020 BS, Clayton State University, 2018 Project in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University November 2024 The problem addressed in this project was lack of access to community resources for care of patients with behavioral or mental health conditions. Without adequate resources, patients are at risk for rehospitalization. The purpose of the doctoral project was to develop a staff education program for health ministry staff and evaluate effectiveness to increase staff confidence in …

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Information-Technology-Aided Customer Relationship Management Strategies For Improving Financial Institutions’ Business Performance, Joy Kudakwashe Semwayo Oct 2024

Information-Technology-Aided Customer Relationship Management Strategies For Improving Financial Institutions’ Business Performance, Joy Kudakwashe Semwayo

Walden Dissertations and Doctoral Studies

The Zimbabwean banking industry has struggled to adopt Information Technology (IT)-enabled customer relationship management (CRM), limiting its ability to effectively manage customer relationships and improve overall performance. Senior banking leaders must understand IT-driven CRM strategies to better retain customers and enhance bank performance. Grounded in functionalism and social control theories, the purpose of this qualitative pragmatic inquiry was to explore IT-aided CRM strategies some senior bank leaders use to improve customer retention and enhance bank performance in Zimbabwe. The participants consisted of six senior leaders from different banks in Zimbabwe who successfully utilized IT-driven CRM strategies to retain customers and …

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College Writing Instructors’ Perceptions Of Their Pedagogical Digital Competence After Emergency Remote Teaching, Karen Reardon Oct 2024

College Writing Instructors’ Perceptions Of Their Pedagogical Digital Competence After Emergency Remote Teaching, Karen Reardon

Walden Dissertations and Doctoral Studies

Due to college writing instructors’ lack of pedagogical digital competence (PDC), they struggled to adapt to emergency remote teaching (ERT) during the COVID-19 pandemic. The problem this study addressed is that while higher education institutions expected undergraduate instructors to use online teaching methods effectively, few studies investigated college writing instructors’ perceptions of their digital competencies. The purpose of this basic qualitative study was to explore college writing instructors’ perceptions of their digital competencies to teach online courses effectively. The research questions for this study focused on college writing instructors’ challenges and perceptions of teaching online during ERT. The conceptual framework …

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Black Women’S Perceptions Of Perinatal Healthcare In New York City Community Health Centers, Asiyah Franklin Oct 2024

Black Women’S Perceptions Of Perinatal Healthcare In New York City Community Health Centers, Asiyah Franklin

Walden Dissertations and Doctoral Studies

The purpose of this qualitative study was to explore the experiences of Black women who have received perinatal care in New York City (NYC) community health centers and the perceived impact on their maternal health behaviors and outcomes. Although maternal health care delivery and outcomes among Black women have been explored in research, socially and economically disenfranchised Black women in NYC who rely on community health centers for perinatal care have not been included in this research. This study involved addressing the lack of knowledge of Black women’s experiences with perinatal care in NYC’s community health system and consisted of …

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Intergenerational Programs With Older Adults: Elementary School Teachers’ Perceptions On Academic Performance, Jovette Brown Oct 2024

Intergenerational Programs With Older Adults: Elementary School Teachers’ Perceptions On Academic Performance, Jovette Brown

Walden Dissertations and Doctoral Studies

Intergenerational programs bring together two or more generations and engage them in shared activities that inspire, educate, and advance their mutual well-being. Current literature on intergenerational programs involving elementary school children and older individuals describes benefits for both groups. However, most studies concentrate on the benefits for the older adult participants. The purpose of this generic qualitative research study was to explore elementary school teachers’ perceptions of the academic performance of students who participated in an intergenerational program with older adults. The theoretical framework consists of four processes of modeling a social learning theory component. A purposeful sampling of eight …

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Ceo/Cfo Of Rural Area Nonprofits’ Experiences With Obtaining Grant Funding, Kimberly Michelle Bounds Oct 2024

Ceo/Cfo Of Rural Area Nonprofits’ Experiences With Obtaining Grant Funding, Kimberly Michelle Bounds

Walden Dissertations and Doctoral Studies

For many NPOs, obtaining funding can be a challenge. The purpose of this generic qualitative study was to explore CEO/CFO rural area nonprofits’ experiences with obtaining grant funding for their programs. The conceptual framework that guided this study was the critical rural theory. Participants were obtained using purposeful sampling and snowball sampling via flyers placed on social media outlets. Data were collected from open-ended, semi-structured interviews with nine CEO/CFOs of rural area nonprofits. The data were analyzed using Braun and Clarke’s six phases for thematic analysis. Seven themes were developed from the data analysis and placed in separate sections. The …

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Staff Education To Improve Medication Compliance In Older Patients In Home Settings, Chika Ugoala Okwonna Oct 2024

Staff Education To Improve Medication Compliance In Older Patients In Home Settings, Chika Ugoala Okwonna

Walden Dissertations and Doctoral Studies

The Doctor of Nursing Practice (DNP) project was a staff education intervention intended to improve medication adherence at a long-term care facility. The practice gap identified was that staff lacked current evidence-based knowledge in medication compliance. The project addressed whether educating staff on medication compliance would increase knowledge. The purpose of this project was to increase knowledge with the overall goal to improve patient outcomes. Planning strategies included undertaking a strengths, weaknesses, opportunities, and threats (SWOT) assessment of the organization’s readiness. The project involved creating and implementing an in-person 60-minute presentation. Eighteen nursing staff voluntarily participated in the education intervention, …

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Managerial Strategies To Increase Employee Retention In The Restaurant Industry, Tormeika Vonshay Mitchell Oct 2024

Managerial Strategies To Increase Employee Retention In The Restaurant Industry, Tormeika Vonshay Mitchell

Walden Dissertations and Doctoral Studies

High employee turnover is a critical issue in the fine casual dining industry, leading to increased operational costs and reduced service quality. Fine casual dining managers are concerned with high turnover rates because high turnover affects profitability and the ability to maintain a skilled workforce. This qualitative pragmatic inquiry, grounded in Herzberg’s two-factor theory, was conducted to explore strategies that restaurant managers use to enhance employee retention and job satisfaction. The participants were seven restaurant managers from fine casual dining establishments in the southeastern United States who had successfully implemented strategies to reduce turnover and improve employee engagement. Data were …

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Positive Behavior Interventions And Supports Strategies To Improve Employee Motivation, Tijuana Debose Oct 2024

Positive Behavior Interventions And Supports Strategies To Improve Employee Motivation, Tijuana Debose

Walden Dissertations and Doctoral Studies

A behavior health organization in the U.S. state of Florida that provided residential care for children affected by abuse and neglect lacked a standardized positive behavior interventions and supports (PBIS) system to improve staff motivation. This gap, compounded by challenging youth behaviors, had led to increased staff callouts and decreased motivation, affecting daily operations. The aim of this study was to provide practical recommendations for implementing effective PBIS strategies to foster a positive workplace and improve staff motivation among residential program employees in a southern U.S. organization. The Baldrige Excellence Framework was used to explore the interplay between leadership support, …

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The Lived Experiences Of Work Related Violence Against Public Health Professionals During Covid-19 Pandemic, Cynthia Howell Oct 2024

The Lived Experiences Of Work Related Violence Against Public Health Professionals During Covid-19 Pandemic, Cynthia Howell

Walden Dissertations and Doctoral Studies

Work-related violence (WRV) against public health professionals is increasingly prevalent worldwide but received much greater attention during the COVID-19 pandemic. This qualitative study addressed a gap in the literature by exploring public health professionals' experiences with WRV threats, what factors contributed to their vulnerability, and the severity of these threats during the COVID-19 pandemic from 2020 to 2023. Rogers' (1975) Protection Motivation Theory was the conceptual framework for phenomenological study. Twelve public health professionals, both male and female, including epidemiologists, nurses, physicians, researchers/scientists, and community health workers, who actively worked during the COVID-19 pandemic and were residents of New York …

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Strategies To Improve Access To Home Dialysis In Rural Areas, Taylor Ann Diefenderfer Oct 2024

Strategies To Improve Access To Home Dialysis In Rural Areas, Taylor Ann Diefenderfer

Walden Dissertations and Doctoral Studies

Healthcare administrators are faced with many challenges including creating strategies for more end stage renal disease patients on home modalities and converting current in-center hemodialysis patients to a home dialysis modality. The purpose of this integrative review was to create strategies to increase home modality utilization in rural communities. The review question focused on best practices that can be implemented to increase home modality utilization for rural chronic kidney disease patients. A search of the literature provided an analysis of empirical and non-empirical literature for the past 5 years and resulted in 25 articles that were analyzed in depth to …

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At-Risk Male Student Athletes’ Perceptions Of Support Efforts To Enhance Retention At A Faith-Based University, Drametrice Traronzoe Smith Oct 2024

At-Risk Male Student Athletes’ Perceptions Of Support Efforts To Enhance Retention At A Faith-Based University, Drametrice Traronzoe Smith

Walden Dissertations and Doctoral Studies

Student athletes often enter college unprepared for academic rigor, making them particularly vulnerable in terms of academic success. At a faith-based university in the southeast United States, low retention of student athletes results from poor class attendance, course failures, and low grade point averages. The purpose of this basic qualitative study was to explore how at-risk college student athletes perceived the value of support efforts to enhance retention at this faith-based university. Guided by Tinto’s theory of student departure, this basic qualitative study involved a sample of 12 to 15 at-risk college student athletes from the university who participated in …

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Exploring Forgiveness Among Female Adult Children Of Alcoholics Of Higher Socioeconomic Status, Michelle Hall Oct 2024

Exploring Forgiveness Among Female Adult Children Of Alcoholics Of Higher Socioeconomic Status, Michelle Hall

Walden Dissertations and Doctoral Studies

Intergenerational trauma has perpetuated familial estrangement for decades within the adult children of alcoholics (ACOA) population. The purpose of this study was to understand forgiveness within maternal estrangement in female ACOAs to address a gap in literature on female ACOAs from a higher socioeconomic status. Bowen’s family systems theory (BFST) was the theoretical perspective used to understand the role of intergenerational systems, familial dynamics and patterns, and familial functioning that contribute to estrangement. Semi-structured interviews were conducted with 9 participants and data analysis was conducted using the tenets of the Moustakas modified Van Kaam approach. Through the data analysis eight …

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Enhancing Public Library Staff's Responses To Socially Vulnerable Patrons Experiencing A Psychological Crisis, Brianne Hanson Oct 2024

Enhancing Public Library Staff's Responses To Socially Vulnerable Patrons Experiencing A Psychological Crisis, Brianne Hanson

Walden Dissertations and Doctoral Studies

Social workers and other specialized staff employed at U.S. public libraries work daily to de-escalate and provide crisis response to socially vulnerable patrons. However, there was a gap in cohesive and generalizable information regarding how specialized program staff respond to patrons’ psychological crises. The aim of this qualitative force field analysis study was to identify and document a model procedure for library staff to implement during a customer crisis. A secondary aim was to inform the actions and de-escalation approaches taken by staff members during these incidents. Study participants included 12 specialized staff members currently working in public library programming …

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Grades 2–4 Teachers’ Experiences Remediating Learning Loss In Reading, Lauren Suzanne Marrocco Oct 2024

Grades 2–4 Teachers’ Experiences Remediating Learning Loss In Reading, Lauren Suzanne Marrocco

Walden Dissertations and Doctoral Studies

The problem addressed through this study was that Grades 2–4 teachers in a New England urban elementary school district are challenged to remediate student learning loss in reading achievement. In the district, there was documented low reading proficiency for Grades 2-4 over the past 5 years, including before, during, and after the COVID-19 pandemic. The purpose of this basic qualitative study was to explore the experiences of Grade 2–4 teachers remediating learning loss. The connected learning model, developed by Houghton Mifflin Harcourt, was the conceptual framework for this study. The research question focused on the experiences of Grades 2-4 reading …

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Examining The Relationship Between Employment And Health Status Among Adults With Autism Spectrum Disorder (Asd) In The United States, Winifred Beckles Oct 2024

Examining The Relationship Between Employment And Health Status Among Adults With Autism Spectrum Disorder (Asd) In The United States, Winifred Beckles

Walden Dissertations and Doctoral Studies

Autism spectrum disorder (ASD), characterized by challenges in social communication and repetitive behaviors, is a developmental disability that impacts over five million adults in the United States. Despite the significant amount of research literature on the association between health and employment in the general population, there remains a gap in research on the relationship between health and employment in adults with autism. Utilizing the Social Ecological Model (SEM) framework, this study examined whether there is a relationship between employment, current living status, non-paid activities, United States Census regions, type of health insurance, and health status when controlling for age, race, …

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Interventions Human Service Professionals Provide To Prevent Human Trafficking, Danielle James Oct 2024

Interventions Human Service Professionals Provide To Prevent Human Trafficking, Danielle James

Walden Dissertations and Doctoral Studies

Human trafficking is a global crisis that impacts individuals across all cultures and communities. The purpose of this single intrinsic case study was to explore the interventions that human service professional directors use to prevent human trafficking in Missouri. Trauma-informed approach was used as the conceptual framework. Participants included seven human service managers and program directors who have successfully implemented interventions to prevent human trafficking. Data were collected from one-on-one, semi-structured interviews with six participants. The data were analyzed using Yin’s five components of data analysis. Seven key themes emerged: the need for multiagency human service collaboration to prevent human …

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Strategies To Empower At-Risk Males In Orange County Florida: A Community-Based Resource, Thressa Marie Fizer Oct 2024

Strategies To Empower At-Risk Males In Orange County Florida: A Community-Based Resource, Thressa Marie Fizer

Walden Dissertations and Doctoral Studies

In Orange County, Florida, community-based programs provide resources for at-risk males who are impacted by social determinant challenges. This study focused on the client intake assessment process of Agency OCF to identify gaps that would benefit from enhanced assessment processes and early intervention efforts creating greater opportunity for program placement of at-risk males in this distressed community. Community-based participatory research served as the interpretive lens and generic qualitative inquiry provided the methodological approach to assess the client intake processes. Yielding no participant responses during recruitment efforts, the study pivoted to focus on an in-depth review of publicly released assessments and …

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Successful Strategies Human Resource Managers Use To Retain Nurse Practitioners, Trisha Sims Oct 2024

Successful Strategies Human Resource Managers Use To Retain Nurse Practitioners, Trisha Sims

Walden Dissertations and Doctoral Studies

Nurse practitioner turnover in healthcare organizations has the potential for adverse performance outcomes. Human resource managers are concerned with nurse practitioner retention, as hiring and training costs can cause a healthcare organization to lose revenue. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies that three human resource managers from one healthcare organization in northeastern Ohio use to retain nurse practitioners. Data were collected using semistructured interviews and a review of organization documents that included data on exit interviews and previous and current retention strategies. Through thematic analysis, five themes were identified: …

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