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Strategies For Implementing The International Organization For Standardization 15189 For Medical Laboratories, Wilson Mtotela Jan 2020

Strategies For Implementing The International Organization For Standardization 15189 For Medical Laboratories, Wilson Mtotela

Walden Dissertations and Doctoral Studies

Inadequate quality management systems (QMS) in medical laboratories result in errors, which cost the United States healthcare industry approximately $29 billion per year. Healthcare managers who fail to implement the International Organization for Standardization (ISO) 15189 QMS are at high risk of managing costs. Grounded in Lewin’s 3-step organizational change model and the force field analysis, the purpose of this qualitative multiple case study was to explore strategies healthcare managers use to design, develop, and implement an ISO 15189 QMS using a mentorship approach. The participants comprised 5 healthcare managers from the United Republic of Tanzania, East Africa, who implemented …

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The Perceived Effectiveness Of Community Programs In Reducing And Deterring Juvenile Delinquency, Susan Michelle Newton Jan 2020

The Perceived Effectiveness Of Community Programs In Reducing And Deterring Juvenile Delinquency, Susan Michelle Newton

Walden Dissertations and Doctoral Studies

Indianapolis, the capital of the U.S. state of Indiana, continues to experience a high rate of offenses committed by juvenile offenders. Community programs are in place to assist in the deterrence and/or reduction of juvenile crimes, yet the city’s crime rate continues to increase with youth being the perpetrator of many of these crimes. The purpose of this study was to determine the perceived effectiveness of these programs, which has not been adequately studied. The research questions focused on identifying which of the city’s current programs are perceived as being effective or ineffective in reducing juvenile delinquency and why so. …

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Employee Motivation And Knowledge Transfer In Nonprofit Organizations, Heidi Keam Nors Jan 2020

Employee Motivation And Knowledge Transfer In Nonprofit Organizations, Heidi Keam Nors

Walden Dissertations and Doctoral Studies

AbstractIneffective knowledge transfer strategies can negatively affect knowledge creation and employee motivation. Nonprofit business leaders who struggle with knowledge transfer among department staff are at a high risk of not improving employee motivation. Grounded in Kahn’s organizational theory on leadership and structure, the purpose of this qualitative multiple case study was to explore the knowledge transfer strategies used by nonprofit business leaders to transfer knowledge among departmental staff and to improve employee motivation. The participants comprised business leaders and staff, consisting of 2 executives, 2 managers, and 2 departmental staff members from a nonprofit charter school management company in North …

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How Deposit Insurers' Fund Managers Compute Coverage Limits, Noel Trevor Patrick Nunes Jan 2020

How Deposit Insurers' Fund Managers Compute Coverage Limits, Noel Trevor Patrick Nunes

Walden Dissertations and Doctoral Studies

AbstractFollowing the 2007–2008 global financial crisis, the Financial Stability Board identified several areas of weakness in the delivery of deposit insurance, among other interventions. One of the key recommendations related to the use of data by deposit insurers to make their coverage limits more robust. The purpose of this quantitative non-experimental cross-sectional study was to test the impact of 4 data sets—aggregate bank risk, the aggregate value of insured deposits, the DIF size, and premium levy—on the deposit insurance coverage limit. The investigation comprised a pilot study and a survey of deposit insurers from the International Association of Deposit Insurers …

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Information Technology Infrastructure Library: Postimplementation Experiences Of Small Business It Support Employees., Imoovberame Darren Obazu Jan 2020

Information Technology Infrastructure Library: Postimplementation Experiences Of Small Business It Support Employees., Imoovberame Darren Obazu

Walden Dissertations and Doctoral Studies

Information technology (IT) employees of small business organizations have been the driving force for the implementation of innovative standardized IT service management and process improvement initiatives. Competitiveness amongst small business IT organizations in the market for quality IT service delivery led small business IT leaders toward the implementation of an information technology infrastructure library (ITIL) as an IT service management framework. The problem addressed in this research encompassed the needs of small business IT leaders and ITIL designers to understand the perceptions of IT operation employees following ITIL implementation. The purpose of this qualitative multiple case study was to explore …

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Adjunct Faculty Employment And Student Success In Texas Institutions Of Higher Education, Robin L. Palmer Jan 2020

Adjunct Faculty Employment And Student Success In Texas Institutions Of Higher Education, Robin L. Palmer

Walden Dissertations and Doctoral Studies

AbstractJust over half of faculty members teaching in institutions of higher education (IHEs) in the United States work part time. Previous research on the relationship between part-time faculty employment and student success has produced conflicting findings and may have resulted in ineffective use of part-time faculty. The purpose of this retrospective, prediction study was to determine if the percent of part-time faculty, several institutional variables, and student demographics were significant predictors of retention and graduation rates at IHEs in Texas. Berger and Milem’s theory of organizational behavior and student outcomes grounded this study using secondary analysis of publicly available archival …

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Levels Of Albuterol Inhaler With And Without Spacers In Children With Asthma, Jefferson Libed Pambid Jan 2020

Levels Of Albuterol Inhaler With And Without Spacers In Children With Asthma, Jefferson Libed Pambid

Walden Dissertations and Doctoral Studies

Children with asthma remain a problem in public health because asthma drastically impacts children’s daily activities, increases absenteeism in school, and causes difficulties in sleeping. Researchers have demonstrated that poor asthma management is due to a lack of education about the correct inhaler technique, and the appropriate doses are not inhaled. Researchers have yet established whether asthma symptoms improve based on the doses inhaled with or without a spacer and whether children are most likely to experience fewer asthma episodes or attacks if they receive professional instruction. The purpose of this study was to fully understand the influence of an …

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Teacher And Parent Perspectives Regarding Challenging Behavior Of Preschool Children Of Deployed Parents, Stacie Phillips Jan 2020

Teacher And Parent Perspectives Regarding Challenging Behavior Of Preschool Children Of Deployed Parents, Stacie Phillips

Walden Dissertations and Doctoral Studies

The problem addressed in this basic qualitative study was understanding the underlying reasons for challenging behavior exhibited in preschool children who experience disruption in social bonds and trust following deployment of a parent. Many teachers and parents are challenged by the need to support these children during this stressful time and untreated stress can lead to long-term issues. The purpose of this study was to increase understanding of teacher and parent perspectives of challenging behavior exhibited in preschool children experiencing disruption in social bonds and trust following deployment of a parent. Interviews of 7 parents and 7 preschool teachers addressed …

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College Freshmen Perspectives Of Teaching And Learning About Emotional Wellbeing, Kathrine Ann Pigeon Jan 2020

College Freshmen Perspectives Of Teaching And Learning About Emotional Wellbeing, Kathrine Ann Pigeon

Walden Dissertations and Doctoral Studies

This case study responded to a problem reported by freshman on evaluations from a university experience course. The students identified mental health as a significant barrier to succeeding academically, and the most critical area of students’ need. The rationale for this study was to develop policy recommendations based on the content of the interviews that provide new insights and information to improve student experiences, offer adequate support and relief, and more effectively meet student needs. The first research question explored the perceptions of first-year students enrolled in a freshmen experience course at a local 4-year college regarding their learning about …

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Perceptions Of Middle School Teachers’ Experiences With Student-Centered Learning Strategies, Lucy Judith Plaisir Jan 2020

Perceptions Of Middle School Teachers’ Experiences With Student-Centered Learning Strategies, Lucy Judith Plaisir

Walden Dissertations and Doctoral Studies

Teachers in the local research site are using student-centered learning (SCL) strategies as an instructional pedagogy to support students’ learning. However, they are experiencing barriers in implementing SCL strategies consistently. The purpose of this study was to examine teachers' perceptions of the barriers that prevent SCL strategies from being implemented consistently at a middle school in the Northeastern United States to support students’ learning. The conceptual framework used for this qualitative study was Schlossberg’s transitional theory. Data were gathered through semistructured interviews with 15 participants who taught at a middle school and used SCL strategies for at least 5 years. …

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Effect Of Clinical Hours And Program Type On Nclex Pass Rates, Kara Potter Jan 2020

Effect Of Clinical Hours And Program Type On Nclex Pass Rates, Kara Potter

Walden Dissertations and Doctoral Studies

Clinical education is an essential portion of prelicensure nursing education throughout the United States. There is a lack of research examining clinical education in nursing programs and minimum competency for entry into practice as measured by the National Council Licensure Exam (NCLEX) results and differences in levels of care between associate degree (ADN) nurses and bachelor’s degree (BSN) nurses. The purposes of this study, guided by Benner’s novice to expert theory, were to determine whether the total number of clinical hours, program type (ADN vs. BSN) ,simulation hours, patient care clinical hours, and skills lab hours between ADN and BSN …

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A Program Evaluation Of A Community College’S New Faculty Seminar, Kari Mclean Proft Jan 2020

A Program Evaluation Of A Community College’S New Faculty Seminar, Kari Mclean Proft

Walden Dissertations and Doctoral Studies

A community college (CC) in the midwestern United States launched a New Faculty Seminar (NFS) in 1999 for new tenure-track faculty. The problem that prompted this project study is that the NFS has been implemented yearly since 1999 without a formal evaluation. Without an evaluation plan, college leadership cannot determine whether the program is meeting stated goals. The purpose of this program evaluation was to explore how faculty described the NFS inputs and processes they experienced and how they perceived the outcomes and impact of the NFS on their understanding of the CC environment and the development of their instructional …

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Verbal Abuse Toward Early Career Nurses And The Effect To Workforce Operations, Steven G. Purdon Jan 2020

Verbal Abuse Toward Early Career Nurses And The Effect To Workforce Operations, Steven G. Purdon

Walden Dissertations and Doctoral Studies

AbstractSeveral studies report that healthcare workers face verbal abuse from patients, patients’ family members, and other healthcare personnel at increasingly higher rates, and trends depict early-career registered nurses (ECRNs) are affected disproportionally. This negative trend can affect the future registered nurse (RN) workforce and create a potential shortfall of qualified nurses. It has become increasingly important for hospital administrators to mitigate verbal abuse among ECRNs to manage their future RN workforce. This purpose of this quantitative study was to empirically evaluate the effects of verbal abuse towards ECRNs. This study used the social exchange theory to provide a framework that …

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Perspectives Of Mentor Teachers For Early Childhood Teacher Preparation, Shannon J. Rivera Jan 2020

Perspectives Of Mentor Teachers For Early Childhood Teacher Preparation, Shannon J. Rivera

Walden Dissertations and Doctoral Studies

Early childhood (EC) teacher education programs and public-school partnerships have broadened preparation of preservice teachers by providing more learning opportunities during preservice field experiences. These experiences require mentoring from highly qualified supervising teachers. The purpose of this basic qualitative study was to explore mentors’ perspectives of their qualifications to mentor EC preservice teachers in a 4-year university laboratory school. Ambrosetti’s theory of mentor preparation guided this study. The research question addressed mentor teachers’ perspectives of their mentoring qualifications for EC preservice teachers. A snowball sample of 8 mentor teachers, with at least 4 years’ experience mentoring EC preservice teachers, volunteered …

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Strategies Used By It Project Managers To Integrate Icts In The Eastern Caribbean, Carl St. Aubin Roberts Jan 2020

Strategies Used By It Project Managers To Integrate Icts In The Eastern Caribbean, Carl St. Aubin Roberts

Walden Dissertations and Doctoral Studies

Current practices used to guide information and communication technology (ICT) projects in the Caribbean and developing countries lead to high project failure rates. Project managers must adopt new innovative approaches for transformation towards a 21st-century information society and sustainable digital economies. Grounded in the technology acceptance model (TAM), the purpose of this qualitative multiple-case study was to explore strategies information technology (IT) project managers use to implement IT frameworks designed to guide Caribbean ICT integration. Data were collected from face to face interviews and company documents and analyzed using coding, thematic analysis, and methodological triangulation. The participants were 12 IT …

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Exploring The Lived Experiences Of The Prelicensure Hispanic Nursing Student, Mary Valerie Santos Jan 2020

Exploring The Lived Experiences Of The Prelicensure Hispanic Nursing Student, Mary Valerie Santos

Walden Dissertations and Doctoral Studies

AbstractNursing constitutes the largest group of healthcare professionals in the United States. Despite decades of discussion about the need to diversify the nursing profession, there continues to be a significant lack of diversity, particularly in the number of Hispanic nurses. The purpose of this qualitative study was to explore the lived experiences of Hispanic nursing students who have enrolled in a pre-licensure nursing program using Leininger’s culture care theory as the theoretical framework for this phenomenological study. This study sought to explore the lived experiences of the prelicensure Hispanic nursing student attempting to complete nursing school successfully and what factors …

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Exploring Persistence Of Indigenous Students At A Midwest University, Michelle Lynne Sayers Jan 2020

Exploring Persistence Of Indigenous Students At A Midwest University, Michelle Lynne Sayers

Walden Dissertations and Doctoral Studies

Indigenous students attending non-tribal colleges represent approximately 1% of the college student body, with a smaller percentage that graduate. Indigenous students often encounter racism and experience cultural differences. The purpose of this qualitative case study was to explore Indigenous students’ persistence at a mainstream college in the northern Midwest. Purposeful and snowball sampling was used to create a final sample of 10 self-identified Indigenous students who completed at least one semester and were 18 years or older, one full-time staff person, and two-part time student workers. Data also included a review of university strategic documents, social media pages, and observations …

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Wrongful Conviction: Using Lived Experience To Explore Errors In Juror Cognition, Danielle Nicole Schulte Lewis Jan 2020

Wrongful Conviction: Using Lived Experience To Explore Errors In Juror Cognition, Danielle Nicole Schulte Lewis

Walden Dissertations and Doctoral Studies

AbstractWrongful conviction is a pressing legal and social justice issue that requires scholarly attention in the United States. The role of jurors in the criminal justice system has been empirically investigated and debated for many decades as researchers attempt to understand the juror decision-making process and how jurors contribute to wrongful conviction. The purpose of this study was to qualitatively explore how errors in juror cognition during decision-making led to juror reliance on narrative construction and commonsense reasoning rather than legal and judicial instruction in wrongful conviction cases. In-depth interviews were conducted with 12 jurors who served on a criminal …

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Addressing Cardiovascular Disease Among Populations Disproportionately Impacted In The United States, Michael Leron Sells Jan 2020

Addressing Cardiovascular Disease Among Populations Disproportionately Impacted In The United States, Michael Leron Sells

Walden Dissertations and Doctoral Studies

Cardiovascular disease (CVD) causes the most deaths in the United States and is disproportionately impacting certain groups more than others. A gap in the research exists when focusing on national data for those who bear the highest burden of CVD amongst people with hypertension when cardiovascular morbidity and mortality are examined. There is also a need to investigate the relationships between key indicators for CVD health disparities in people with hypertension. The purpose of this quantitative study is to investigate the cumulative effect of key health disparities indicators such as race, age, gender, education, and income using national-level surveillance data …

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Parent-Teacher Relationships Of Students Diagnosed With Autism, Job Burnout, And Stress As Predictors Of Teacher Self-Efficacy, Sohna Shook Jan 2020

Parent-Teacher Relationships Of Students Diagnosed With Autism, Job Burnout, And Stress As Predictors Of Teacher Self-Efficacy, Sohna Shook

Walden Dissertations and Doctoral Studies

Excessive workload, personal stress, and a lack of resources are some of the factors that contribute to teacher stress and burnout. One third of new teachers quit the teaching profession within their first 3 years, half leaving within 5 years, and 10% quitting every year after that. Research has identified a relationship between work stress and burnout among teachers. However, this relationship has not been explored among teachers who have students diagnosed with autism in their classrooms. The purpose of this study was to examine the relationship between teacher job-related stress, burnout, quality of parent-teacher relationships, and teacher self-efficacy among …

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Therapeutic Wilderness Experiences And Empathetic Perception Of At-Risk Adolescent Youth, Sandra Short-Robbins Jan 2020

Therapeutic Wilderness Experiences And Empathetic Perception Of At-Risk Adolescent Youth, Sandra Short-Robbins

Walden Dissertations and Doctoral Studies

Current research involving wilderness therapy (WT) programs indicates that therapeutic wilderness or outdoor interventions have increased in popularity as alternative approaches for treating at-risk or adjudicated adolescents. However, the role that empathetic perception plays in advancing the efficacy of WT intervention absent from the majority of extant literature. The purpose of this generic qualitative study was to address a gap in research involving how empathetic perception may be affected by WT program participation. The conceptual framework for the project involved ecopsychology, a branch of science that addresses the connection between human beings and the natural world. Nine young adults between …

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Structural Predictors Of Lights And Sirens Use By Emergency Medical Services, Justin Alex Sleffel Jan 2020

Structural Predictors Of Lights And Sirens Use By Emergency Medical Services, Justin Alex Sleffel

Walden Dissertations and Doctoral Studies

Ambulances regularly respond to scenes and transport patients while using lights and sirens (L&S), which are associated with an increased risk of vehicle crashes. The use of L&S persists, despite the risks, which impact emergency medical service (EMS) workers, patients, and other drivers and pedestrians on U.S. roadways. To understand the factors associated with ambulance crashes while using L&S, this study applied the Donabedian model to the problem. The purpose of this study was to investigate the association between 3 organizational structural factors—organizational type, organizational status (staffing model), and level of service—and ambulance crash rates while using L&S. This study …

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Flipped Classroom Approach To A Critical Care Educational Program For New Graduates, Deborah Ann Smithers Jan 2020

Flipped Classroom Approach To A Critical Care Educational Program For New Graduates, Deborah Ann Smithers

Walden Dissertations and Doctoral Studies

Of the new graduate registered nurses hired to work in critical care areas, a few percent do not receive a formal critical care orientation. Furthermore, there is a high attrition rate of new graduates hired to work in high acuity patient care units. Many resign before their first work anniversary due to a lack of education and training. An initiative was put forth by critical care administration, at the study site, to critical care clinical leadership to significantly revise a critical care educational offering known as critical care core. The revision would allow for the satisfaction of the novice nurses …

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Predicting Recidivism Following Participation In Treatment/Intervention Programs For Ex-Offenders, Shaunae Colita Smith Jan 2020

Predicting Recidivism Following Participation In Treatment/Intervention Programs For Ex-Offenders, Shaunae Colita Smith

Walden Dissertations and Doctoral Studies

Failure to participate in rehabilitative programs during or after prison has led to increased recidivism, which, in turn, has contributed to overcrowded prisons and lack of rehabilitation services for offenders. The purpose of this descriptive, quantitative, regression study was to explore the relationship between inmates’ program participation (i.e., during prison education program, during prison drug treatment program, during prison alcohol treatment program, and during prison sex offense treatment program) by and subsequent recidivism. Banduras' social learning theory provided the theoretical framework for the study. The study data were drawn from recidivism data of 38,624 prisoners who were released in 1994 …

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The Use Of Special Events To Promote Financial Sustainability In Nonprofit Organizations, Anora Snyder Jan 2020

The Use Of Special Events To Promote Financial Sustainability In Nonprofit Organizations, Anora Snyder

Walden Dissertations and Doctoral Studies

Services provided by nonprofit organizations (NPOs) benefit many individuals, but without the ability to raise adequate funds—an ongoing challenge—their ability to fulfill their mission is diminished. Hence, the use of, special events. But there are challenges related to being labor-intensive, meeting financial goals, obtaining sponsorship, donor development, event fatigue, competition from other events, marketing the event, and logistics of the event. The purpose of this multiple case study was to explore how 11 leaders of NPOs in Ohio implemented special events to contribute to the financial sustainability of the organization. Data were collected from interviews with participants and from internal …

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The Impact Of Workplace Bullying On Days Absent Of Registered Nurses, Vitina Rita Speciale-Olmo Jan 2020

The Impact Of Workplace Bullying On Days Absent Of Registered Nurses, Vitina Rita Speciale-Olmo

Walden Dissertations and Doctoral Studies

Workplace bullying (WPB) among registered nurses (RNs) in all forms has been a continual issue among nurses and healthcare professionals for decades. Among nurses, it is a healthcare administrative issue, as it increases the number of days RNs are absent from work, which, in turn, may result in short staffing and reduce the quality of care. Its psychological effects can lead to higher rates of absenteeism and reduce the quality of care. The purpose of this quantitative study was to use secondary data to inform healthcare administrators on the impact, if any, that WPB has on registered nurses (RN) and …

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Hiv Prevention: Pre-Exposure Prophylaxis, Sexual Decision Making, Risk Taking, And Condoms, Jonathan D. Spencer Jan 2020

Hiv Prevention: Pre-Exposure Prophylaxis, Sexual Decision Making, Risk Taking, And Condoms, Jonathan D. Spencer

Walden Dissertations and Doctoral Studies

HIV is an infectious disease that continues to have new cases each year within high-risk populations, such as men who have sex with men (MSM). To help in the fight against new HIV infections within the MSM population, new medications such as pre-exposure prophylaxis (PrEP) are being used. The purpose of this cross-sectional online survey study was to address whether PrEP use had any relationship with (a) sexual decision-making, (b) risk-taking, and (c) condom use in the MSM population 18-64 years of age, after controlling for socioeconomic status, race, and age while using the behavioral disinhibition and risk compensation models. …

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Barriers That Influence The Underuse Of Mental Health Services By African Americans Diagnosed With Schizophrenia, Pamela Gail Stackhouse-Hinsey Jan 2020

Barriers That Influence The Underuse Of Mental Health Services By African Americans Diagnosed With Schizophrenia, Pamela Gail Stackhouse-Hinsey

Walden Dissertations and Doctoral Studies

African Americans diagnosed with schizophrenia have longer wait times to be treated by mental health care professionals, resulting in their underuse of mental health services. This problem has motivated medical professionals to reexamine the ways in which services are rendered and then make appropriate improvements. The purpose of the study was to explore the lived experiences of African Americans diagnosed with schizophrenia and identify the reasons for their underuse of mental health services. A phenomenological research design was used to understand and explore the participants’ lived experiences of the phenomenon. Participants were recruited from an independent living facility. Purposive sampling …

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Relationship Between Virtual Employee Engagement, Self-Efficacy, And Productivity, Centelle St Aimee Jan 2020

Relationship Between Virtual Employee Engagement, Self-Efficacy, And Productivity, Centelle St Aimee

Walden Dissertations and Doctoral Studies

The low productivity in organizations can cost millions of dollars in lost revenue. Low productivity is important to organizational leaders because it can lead to lower profits for businesses. Organizational leaders who understand employee behaviors that increase productivity can reduce lost revenue from high turnover rates and low employee retention. Grounded in social cognitive theory, the purpose of this quantitative correlational study was to examine the relationship between virtual employee engagement, employee self-efficacy, and productivity. Survey data from 81 virtual workers were analyzed using multiple linear regression. Results indicated the full model containing 2 predictor variables (employee self-efficacy and employee …

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Predictors Of Postdivorce Adjustment In The Orthodox Jewish Population, Judah Stern Jan 2020

Predictors Of Postdivorce Adjustment In The Orthodox Jewish Population, Judah Stern

Walden Dissertations and Doctoral Studies

AbstractIn general, divorce can be stigmatizing and can lead to social and financial hardships for those who experience it. However, the impact of divorce may be more severe for members of the Orthodox Jewish population, whose culture places significant value and importance on marriage. The purpose of this study was to address the gap in the literature pertaining to the experience of divorce in the Orthodox Jewish population and the factors contributing to or hindering postdivorce adjustment in this population. Family stress and coping theory served as the foundation for this study. One research question guided the study examining whether …

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