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Policies And Procedures To Address Respite Care, Hannah Washington Williams Jan 2017

Policies And Procedures To Address Respite Care, Hannah Washington Williams

Walden Dissertations and Doctoral Studies

Hospice services are utilized by more than 1.6 million people yearly, and there are a great number of caregivers who are tasked with caring for these individuals at home. Caregivers are at risk for fatigue, burnout, and decline in their own physical and mental health. While the Centers for Medicare and Medicaid Services (CMS) cover costs of temporary respite care for hospice patients, the caregivers' needs for respite care are often unrecognized and unaddressed. The purpose of this project was to plan a respite program within the hospice agency consisting of revised respite policy and procedures, the Caregiver Reaction Assessment …

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The Effect Of Emotionally Validating And Invalidating Responses On Emotional Self-Efficacy, Gregory Witkowski Jan 2017

The Effect Of Emotionally Validating And Invalidating Responses On Emotional Self-Efficacy, Gregory Witkowski

Walden Dissertations and Doctoral Studies

The power of abuse, either in childhood or in adulthood, is clear in many cases. Yet certain types of abuse are harder to detect and understand. Emotional invalidation is one type of abuse that is characterized by an incongruence or minimization of another person's emotions. This experimental study explored effects of emotional invalidation and emotional validation on people's level of emotional self-efficacy. Participants (n = 230) were recruited through Quest Mindshare using a survey created through SurveyMonkey, and randomly placed into 3 groups. All participants were given a survey that asked them to choose how certain pictures made them feel. …

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Maternal Health Literacy, Antenatal Care, And Pregnancy Outcomes In Lagos, Nigeria, Olubunmi Adanri Jan 2017

Maternal Health Literacy, Antenatal Care, And Pregnancy Outcomes In Lagos, Nigeria, Olubunmi Adanri

Walden Dissertations and Doctoral Studies

Maternal mortality, an example of poor maternal health outcomes, is widely accepted as an indicator of the overall health of a population. One of the Millennium Development Goals was reduction in maternal mortality by 3 quarters by 2015. These goals were not met in Nigeria and it is important to look at some of the reasons why. Education has been shown to have positive impact on pregnancy outcomes; however, the characteristics of pregnant women, their health literacy level, their usage of antenatal care services and how these impact pregnancy outcomes are yet to be analyzed in Lagos, Nigeria. Guided by …

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Perceptions Of Homeless Shelter Staff Workers On Chronic Homeless Individuals, Jimmy L. Griffith Jan 2017

Perceptions Of Homeless Shelter Staff Workers On Chronic Homeless Individuals, Jimmy L. Griffith

Walden Dissertations and Doctoral Studies

While researchers have identified the Housing First model of putting homeless persons into permanent housing as the best means of improving the quality of life for chronically homeless individuals, few studies have examined the perceptions of shelter staff workers on the barriers the homeless face in obtaining and maintaining long-term housing. This case study of 2 homeless shelters in New Jersey examined the relationship that fair and just democratic processes play in supporting or undermining Housing First. Data came from New Jersey's annual Point in Time counts of the number of homeless individuals and families and the causes and service …

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Program Evaluation Of Patient Safety And Risk Mitigation Educational Interventions For Medical Errors In Primary Care Settings By Patricia Rose Gould, Patricia Rose Gould Jan 2017

Program Evaluation Of Patient Safety And Risk Mitigation Educational Interventions For Medical Errors In Primary Care Settings By Patricia Rose Gould, Patricia Rose Gould

Walden Dissertations and Doctoral Studies

The Institute of Medicine reported in 2016 that medical errors are the 3rd leading cause of death in the United States. In the primary care setting, frequency and severity are unknown. Medical error research is limited related to evaluation of interventions conducted by medical professional liability (MPL) companies of risk mitigation strategies. The purpose of this program evaluation was to determine the impact of multifaceted patient safety and risk mitigation educational interventions conducted in primary care settings on patient safety, reporting, and liability. The program evaluation employed a retrospective secondary analysis of actuarial data from a MPL carrier's educational interventions …

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Promoting Policy Advocacy In Nursing Via Education, Carolyn Sue Jurns Jan 2017

Promoting Policy Advocacy In Nursing Via Education, Carolyn Sue Jurns

Walden Dissertations and Doctoral Studies

Nurses have a professional, ethical, and social responsibility to advocate for optimal healthcare and an optimal professional environment. However, nurses often default on that responsibility. Leadership at a national nursing organization's state affiliate (SNO) perceived a need to optimize its members' policy advocacy. To meet that need, the Policy Advocacy Toolkit for Nurses (PATN) was developed for this doctoral project. The evidence-based PATN relied on established theories and frameworks, notably Knowles' adult education theory and Kingdon's multiple streams approach; research specific to this project; evidence from other researchers, healthcare organizations, and government websites; and input from a statistician, nursing education …

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Alleviating Discharge Confusion For Older Patients Using The Teach-Back Method, Tracey Marie Haire Jan 2017

Alleviating Discharge Confusion For Older Patients Using The Teach-Back Method, Tracey Marie Haire

Walden Dissertations and Doctoral Studies

Discharge instructions and medication directions can be overwhelming for older adults, which can lead to potential medication errors, noncompliance, readmissions, and patient safety concerns. At a specialty lung clinic, the goal is to improve patient safety and to decrease the chance of errors by standardizing the discharge process via a Teach-Back education policy and protocol. Without consistency, there is a potential for mistakes and misunderstandings. The Agency for Healthcare Research and Quality (AHRQ) and the Institute for Healthcare Improvement (IHI) considers the Teach-Back discharge method as best practice and should be considered universal practice among health care workers. Using the …

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Spirituality Among African American Christian Women Who Have Contemplated, Marilyn Wiley Jan 2017

Spirituality Among African American Christian Women Who Have Contemplated, Marilyn Wiley

Walden Dissertations and Doctoral Studies

The Centers for Disease Control and Prevention reported that African American women had the lowest recorded number of suicide completions among all ethnic and gender groups in the United States. In addition, the number of suicides among African American women continued to soar without a clear reason or understanding of their lowest completion rates. Further research in the area of spirituality among African American women may be critical in understanding why African American women's rates of completed suicides are statistically lower than other ethnic groups and how to prevent future rate increases. A phenomenological framework was used to examine the …

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Leadership Attributes And Behaviors As Predictors Of Organizational Resilience In Academic Health Care Systems, Patti Lynn Besuner Jan 2017

Leadership Attributes And Behaviors As Predictors Of Organizational Resilience In Academic Health Care Systems, Patti Lynn Besuner

Walden Dissertations and Doctoral Studies

Research intentionally addressing how leadership attributes and behaviors collectively contributed to the socioecological perspective of organizational resilience were not found. This is a problem for organizations who must hire without benefit of how a collective leadership effect might influence their psychological capital. The purpose of this study was to explore whether or not self-efficacy, psychological empowerment, personal resilience, and leadership style were associated with or predicted organizational resilience among clinical managers in an academic medical center setting. Metatheory of resilience and resiliency was used to frame the study. A quantitative correlational design was used. Self-reported data was collected via the …

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Rumination And Self-Medication Among Women With Posttraumatic Stress And Alcohol Use Disorders, Deeann Dawn Lizarraga Jan 2017

Rumination And Self-Medication Among Women With Posttraumatic Stress And Alcohol Use Disorders, Deeann Dawn Lizarraga

Walden Dissertations and Doctoral Studies

Women with posttraumatic stress disorder (PTSD) often develop alcohol use disorders (AUD) resulting from the use of alcohol to self-medicate from negative affect. Research supports the relationship between comorbid PTSD and AUD, and studies with women additionally identify the role of rumination, or excessive thinking about distress and its causes, as a precipitating aspect leading to self-medication. Female-based data is sparse, however, regarding specific thought patterns and factors which trigger the need to self-medicate with alcohol. Numerous researchers have studied the relationship between stress, anxiety, and alcohol use, although, there exists a need for qualitative studies providing thick, rich information. …

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Perfecting Patient Bed Flow In The Emergency Department, Kim-Sun Moreira Jan 2017

Perfecting Patient Bed Flow In The Emergency Department, Kim-Sun Moreira

Walden Dissertations and Doctoral Studies

Emergency department (ED) crowding is a serious problem in the United States. Crowding in the ED can result in delays that may negatively affect patient outcomes and increase the cost of care. The purpose of this project was to understand strategies that can help to improve patient flow in the ED. The plan-to-do-study act model for process improvement influenced this project. Secondary data were collected for a 2-month period to determine the impact of workflow processes (patient boarding time in ED, surge capacity and workflow processes including the impact of ancillary departments) on the movement of admitted patients from the …

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Hiv Prevalence Determinants Among Young People In Zimbabwe: Sexual Practices Analysis, Joyce Caroline Mphaya Jan 2017

Hiv Prevalence Determinants Among Young People In Zimbabwe: Sexual Practices Analysis, Joyce Caroline Mphaya

Walden Dissertations and Doctoral Studies

A decline in Human Immunodeficiency Virus (HIV) prevalence rates have been observed among females ages 15 to 19 years and 20 to 24 years in Zimbabwe between 2005 and 2010. However, for males 15 to 19 years, rising trends were observed, whereas for males ages 20 to 24 years, rates fluctuated between 2005 and 2011. The purpose of this cross-sectional study was to examine relationships between sexual behaviors and practices and HIV prevalence among young males and females ages 15 to 24 years in Zimbabwe. Guided by constructs of proximate determinants framework, extracted data from two National Demographic Health surveys …

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Strategies For Managing The Shortages Of Registered Nurses, Jody-Kay Mcfarlane Peterson Jan 2017

Strategies For Managing The Shortages Of Registered Nurses, Jody-Kay Mcfarlane Peterson

Walden Dissertations and Doctoral Studies

The purpose of this multiple case study was to explore strategies that healthcare facility leaders in Central Minnesota use to recruit and retain qualified nurses. Participants were 6 healthcare facility leaders including 2 nursing directors, 2 human resource personnel, 1 nurse supervisor/administrator, and 1 nurse recruiter who had the knowledge and experience in recruitment and retention of Registered Nurses (RNs) in healthcare facilities in Central Minnesota. The Herzberg 2-factor theory was the conceptual framework. Semistructured interviews were used to collect data. Data were analyzed using Morse's 4 steps data analysis process. The major themes were recruitment strategies and retention incentives. …

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Strategies To Reduce Stress In The Insurance Industry, Rhonda Gene Bell Jan 2017

Strategies To Reduce Stress In The Insurance Industry, Rhonda Gene Bell

Walden Dissertations and Doctoral Studies

Approximately 40% of American workers report their jobs are extremely stressful. Business leaders who fail to address workplace stress increase employee propensity for poor performance, resulting in diminished profits. Grounded in the person-environment fit framework, the purpose of this single case study was to explore strategies 9 insurance industry leaders in Franklin County, Ohio used to mitigate workplace stress. The 9 insurance leaders who participated in the study work closely with staff, have experience working in stressful work environments, and utilize various tools to reduce stress. Data collected from face-to-face interviews and reviews of organizational documentation were useful for the …

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Perceptions, Beliefs, And Behaviors Toward Breast Cancer Screening Of Filipino Women In Saudi Arabia, Cherry Rose Aguilar Fronda Jan 2017

Perceptions, Beliefs, And Behaviors Toward Breast Cancer Screening Of Filipino Women In Saudi Arabia, Cherry Rose Aguilar Fronda

Walden Dissertations and Doctoral Studies

Despite the existence of breast cancer screening that could promote early diagnosis and survival of breast cancer, high mortality rates of breast cancer persist among Filipino women. The purpose of the qualitative study was to describe the perceptions, beliefs, and behaviors of Filipino women working as Overseas Filipino Workers (OFWs) in Saudi Arabia. Face-to-face interviews were conducted with 20 Filipino women between the ages of 40 to 60 years who were recruited voluntarily using purposeful sampling technique. Guided by the structures of health belief model (HBM), the study used an inductive coding technique to elicit common themes from the raw …

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Willingness Of Nurses To Respond After An Alaskan Earthquake: Systematic Literature Review, Jane Marie Luscumb Jan 2017

Willingness Of Nurses To Respond After An Alaskan Earthquake: Systematic Literature Review, Jane Marie Luscumb

Walden Dissertations and Doctoral Studies

Nurses may share a commonality of issues which can affect their willingness and ability to respond as post-disaster emergency care providers. Guided by expectancy, locus of control, and chaos theory, a systematic literature review was conducted to identify the barriers which affect nurses' willingness and ability to report to their unit after a disaster occurs. Briggs methodology guided this systematic review, and Fineout-Overholt's and Melnyk levels of evidence were used to evaluate the reliability of information and effectiveness of their interventions. Fifteen articles meeting the inclusion criteria (addressed nurses' willingness to report to their unit or to contact the incident …

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Theory Of Planned Behavior Analysis And Organic Food Consumption Of American Consumers, Marie Elizabeth Donahue Jan 2017

Theory Of Planned Behavior Analysis And Organic Food Consumption Of American Consumers, Marie Elizabeth Donahue

Walden Dissertations and Doctoral Studies

The majority of organic foods consumed by Americans are sourced internationally, which has global-reaching implications on health, economics, and sustainability. Current research findings show that environmental devastation and negative health outcomes have resulted from unsustainable, nonorganic agricultural practices; including herbicides, pesticides, and overcultivation. However, there is a lack of quantitative research on factors that motivate Americans to consume organic food. Based on the theory of planned behavior, this quantitative study employed an online survey to examine the role of attitudes, subjective norms, descriptive norms, and perceived behavioral control on the intention and behavior of American consumers to consume organic foods. …

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Minimizing Nepotistic Practices In Family Owned And Operated Businesses: The Private Sector, Darlene Thomas Thomas Jan 2017

Minimizing Nepotistic Practices In Family Owned And Operated Businesses: The Private Sector, Darlene Thomas Thomas

Walden Dissertations and Doctoral Studies

Owners of family businesses in the private sector must be cognizant of nepotism to reduce skilled employee turnover. Guided by Herzberg two-factor theory as the conceptual framework, the purpose of this multiple case study was to explore strategies used by family owned and operated business leaders to minimize nepotistic practices that reduce skilled nonfamily employees' voluntary turnover. The population for this study included 3 family owned and operated funeral establishments in the Midwest region of St. Louis, Missouri. These participants had sustained their family businesses longer than 5 years while minimizing skilled nonfamily employees' voluntary turnover. Data were collected from …

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Perceived Barriers To Lifestyle Change In Obese, Low-Income Hispanic Women, Mariana Daniela Torchia Jan 2017

Perceived Barriers To Lifestyle Change In Obese, Low-Income Hispanic Women, Mariana Daniela Torchia

Walden Dissertations and Doctoral Studies

Low-income Hispanic women are the fastest growing minority population in the United States, and they have increased risks of obesity and secondary health issues, such as diabetes, related to their obesity. The purpose of this phenomenological study was to explore the barriers to lifestyle change among obese, low-income Hispanic women (OLHW). A health belief model lens was used. The study sample consisted of 15 OLHW who were clinic patients and ranged in age from 20-59. Recruitment occurred in a low-income, Southern California, outpatient clinic setting through volunteer participation from recruitment flyers. Fifteen women took part in 1-hour, in-depth interviews, which …

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Integrating Public Affairs Information Strategy With Organizational Practices In Healthcare Delivery Organizations, Brian S. Vamstad Jan 2017

Integrating Public Affairs Information Strategy With Organizational Practices In Healthcare Delivery Organizations, Brian S. Vamstad

Walden Dissertations and Doctoral Studies

Public affairs professionals are responsible for monitoring the sociopolitical environment and using information strategies to respond to public policy proposals on behalf of firms and organizations. To develop, implement, and legitimize public policy, lawmakers and public administrators rely on the input from external experts and stakeholders. The purpose of this research was to explore how public affairs engage with healthcare intraorganizational stakeholders to leverage their knowledge for information strategies. Knowledge transfer served as a theoretical framework through a qualitative multiple case study of 3 healthcare delivery organizations in the upper Midwest of the United States. Primary data were collected using …

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Succession Planning In Family-Owned Businesses, Daisy Chesley Jan 2017

Succession Planning In Family-Owned Businesses, Daisy Chesley

Walden Dissertations and Doctoral Studies

Many family-owned businesses lack strategies regarding succession planning. Succession planning is a company's way of embracing the future. The majority of U.S.-based family-owned businesses do not survive to the second generation, and only 3% of family-owned businesses make it past a third generation. This descriptive case study explored strategies that 4 leaders of a family-owned financial business in the Washington, DC area use to prepare future generations to assume leadership roles in their company. The theory of family systems and the theory of organizational and business development were the conceptual frameworks for this study. In-depth interviews with purposively selected members …

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Enhancing Existing Disaster Recovery Plans Using Backup Performance Indicators, Gwen White Jan 2017

Enhancing Existing Disaster Recovery Plans Using Backup Performance Indicators, Gwen White

Walden Dissertations and Doctoral Studies

Companies that perform data backup lose valuable data because they lack reliable data backup or restoration methods. The purpose of this study was to examine the need for a Six Sigma data backup performance indicator tool that clarifies the current state of a data backup method using an intuitive numerical scale. The theoretical framework for the study included backup theory, disaster recovery theory, and Six Sigma theory. The independent variables were implementation of data backup, data backup quality, and data backup confidence. The dependent variable was the need for a data backup performance indicator. An adapted survey instrument that measured …

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African American Graduates' Experiences Of Managing College Debt, Christal Blalock Jan 2017

African American Graduates' Experiences Of Managing College Debt, Christal Blalock

Walden Dissertations and Doctoral Studies

Higher education is a means to improve professional status and economic mobility; however, mounting college debt has become a hindrance to college graduates, primarily African Americans. A disproportionate number of these graduates incur significant debt while attending college. The purpose of this descriptive phenomenological study was to understand the lived experiences of African American college graduates who were managing debt incurred to pay for their education. Human capital theory and critical race theory provided the conceptual framework. Two research questions motivated this study: How do African American college graduates living in the state of Georgia manage their college debt? What …

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Impact Of The Zambian Agricultural Policy On Grain Trade, Onesphore Karuho Jan 2017

Impact Of The Zambian Agricultural Policy On Grain Trade, Onesphore Karuho

Walden Dissertations and Doctoral Studies

The agricultural sector in Zambia is supported through the government use of public expenditure programs to spur the production and subsidize the consumption of key grains to stabilize prices. Previous research has documented the effects of public spending on agriculture in terms of food prices and food security. The effects of government spending on the trade of key grains, however, is not well understood. As such, there is a gap in knowledge regarding the impact of agricultural policy on the agricultural trade. The purpose of this study was to determine the impact of Zambian agricultural policy on grain trade. A …

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The Influence Of Leadership On Nursing Professionalism, Lorelle Anne Wuerz Jan 2017

The Influence Of Leadership On Nursing Professionalism, Lorelle Anne Wuerz

Walden Dissertations and Doctoral Studies

Leadership style has been studied from various perspectives including transformational leadership and the components of leadership competencies needed to exhibit transformational styles. However, there was a gap in the literature on the influence of leadership style on nursing professional behaviors and overall professionalism. The purpose of this descriptive, phenomenological study was to understand and explore the beliefs, attitudes, and perceptions of staff nurses on leadership style and its influence on professional nursing behaviors working in an inpatient care unit at a tertiary care center. The theory of transformational leadership was the conceptual framework for the study. A phenomenological approach was …

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Strategies To Prevent Security Breaches Caused By Mobile Devices, Tony Griffin Jan 2017

Strategies To Prevent Security Breaches Caused By Mobile Devices, Tony Griffin

Walden Dissertations and Doctoral Studies

Data breaches happen almost every day in the United States and, according to research, the majority of these breaches occur due to a lack of security with organizations' mobile devices. Although most of the security policies related to mobile devices currently in place may meet the guidelines required by law, they often fail to prevent a data breach caused by a mobile device. The main purpose of this qualitative single case study was to explore the strategies used by security managers to prevent data breaches caused by mobile devices. The study population consisted of security managers working for a government …

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Responsibilities Of General And Special Education Teachers Serving Students With Learning Disabilities, Antonia Lynn Kittrell Jan 2017

Responsibilities Of General And Special Education Teachers Serving Students With Learning Disabilities, Antonia Lynn Kittrell

Walden Dissertations and Doctoral Studies

Third-grade students in a small rural school district in North Carolina are not meeting reading benchmarks on End-of-Grade Tests. Parents and educators have concerns regarding the service delivery plan for students with disabilities who have deficits in reading. The purpose of this qualitative study was to examine the roles and responsibilities of special education and general education teachers in relation to Common Core Reading Standards instruction for students with disabilities. Vygotsky's theory of social constructivism and concept of the zone of proximal development formed the conceptual framework for the exploration of how students' academic needs are met with appropriate support …

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Small Business Strategies For Sustainability Beyond 10 Years, Gabriel E. Warren, Lynn Szostek Jan 2017

Small Business Strategies For Sustainability Beyond 10 Years, Gabriel E. Warren, Lynn Szostek

International Journal of Applied Management and Technology

Small businesses are vital to the health of the U.S. economy, as they account for approximately 50% of all jobs and 99% of all firms. Historically, there has been a problem with small businesses being able to sustain their operations beyond 10 years. According to the U.S. Small Business Administration, when averaged across all industries, approximately 75% of new businesses failed within the first 5 years. The purpose of this multiple case study was to explore the business strategies some small business owners use to sustain their company beyond 10 years of operation. Data were gathered through semistructured interviews and …

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The Lived Experiences Of Low Income Parents Of Children With Autism, Renee L. Sullivan Jan 2017

The Lived Experiences Of Low Income Parents Of Children With Autism, Renee L. Sullivan

Walden Dissertations and Doctoral Studies

Previous studies indicated that parents raising children with autism (CWA) experience higher rates of stress; however, no qualitative studies have addressed low-income parents' lived experiences of raising CWA. The purpose of this hermeneutic phenomenological study was to understand the challenges that low-income parents of CWA face daily within the framework of family systems theory and biopsychosocial theory. Research questions focused on the impact of income and the core symptoms of autism (social deficits, communication deficits, and repetitive behaviors) on marital and interpersonal relationships. Semistructured interviews with 13 parents were conducted, and transcripts were analyzed for themes using a 4-step process. …

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Effects Of Transformational Leadership On Fire Lieutenant Development, Angelo Lamar Jan 2017

Effects Of Transformational Leadership On Fire Lieutenant Development, Angelo Lamar

Walden Dissertations and Doctoral Studies

Research does not sufficiently address how fire lieutenants in the central United States experience leadership development. Leadership development training, coaching, and mentoring are important processes that prepare followers to become effective leaders in public safety organizations. The intent of this qualitative research study was to explore the lived experiences and stories of fire lieutenants to obtain a clear understanding of how transformational leadership training was perceived to affect their careers. Face-to-face interviews from a purposeful sample of 7 fire suppression lieutenants queried 3 relevant areas derived from the literature, comprising of transformational leadership, critical success factors, and mentoring and coaching. …

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