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Up From The Ashes: The Role Of Posttraumatic Growth In The Decision To Become A Clinical Psychologist, Richard Warmke Mar 2025

Up From The Ashes: The Role Of Posttraumatic Growth In The Decision To Become A Clinical Psychologist, Richard Warmke

Walden Dissertations and Doctoral Studies

Clinical psychologists report experiencing higher levels of trauma than other professionals, potentially impacting their ability to provide effective mental healthcare services. Although trauma can result in psychological problems, it can also result in posttraumatic growth (PTG). The purpose of this research was to explore the role of PTG in the decision to become a clinical psychologist to help inform the recruitment and training of clinical psychologists. The theoretical foundations of this study were PTG, vocational choice theory (VCT), and career construction theory (CCT). The key research question of this study was, “What is the role of PTG in the decision …

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Navigating The Low Covid-19 Vaccination Rate Nexus: Biblical Interpretations & Practices Of Pentecostal Christians In Dmv, Patricia Mbah Nchamukong Mar 2025

Navigating The Low Covid-19 Vaccination Rate Nexus: Biblical Interpretations & Practices Of Pentecostal Christians In Dmv, Patricia Mbah Nchamukong

Walden Dissertations and Doctoral Studies

The development and release of a vaccine during an epidemic is aimed at mitigating the adverse effects of infection, transmission, and spread of the disease. However, this does not always guarantee the acceptance of the vaccine by the entire population, as was the case with the COVID-19 vaccine. The low COVID-19 vaccine rate within the Black Pentecostal Christian community in Washington, D.C., Maryland, and Virginia (DMV) is a public health concern. Some factors that might have influenced the decision of this population to accept or reject the vaccine have been linked to politics, anti-COVID-19 vaccine sentiments, and religion. The purpose …

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Staff Education Program On Utilizing Non-Pharmacological Interventions To Manage Aggression Among Psychiatric Patients, Olivia Nguh Mar 2025

Staff Education Program On Utilizing Non-Pharmacological Interventions To Manage Aggression Among Psychiatric Patients, Olivia Nguh

Walden Dissertations and Doctoral Studies

The staff education project aimed to address the gap in practice regarding the management of aggression in psychiatric patients at a local mental health clinic. Approximately 40% of the clinic’s patient population exhibited aggressive behaviors, including verbal threats, and physical altercations. However, nurses primarily relied on pharmacological interventions and physical restraints to manage these behaviors, which failed to address underlying causes, such as psychiatric conditions and environmental stressors. A review of the literature demonstrated strong evidence supporting the effectiveness of non-pharmacological interventions, with studies highlighting how structured training programs significantly reduced aggression, and improved patient and staff outcomes. The project …

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Strategies Behavioral Health Agency Managers Use To Retain Key Employees, Nicola James Mar 2025

Strategies Behavioral Health Agency Managers Use To Retain Key Employees, Nicola James

Walden Dissertations and Doctoral Studies

Employee retention in the behavioral health sector is a critical challenge that directly impacts the quality of care for clients and the long-term sustainability of healthcare organizations. Despite the importance of retention, some healthcare agency managers face difficulties in implementing effective strategies for retaining trained behavioral health professionals. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry was to identify strategies seven behavioral health agency managers in South Florida used to retain behavioral health professionals. Data gathered through semistructured interviews were thematically analyzed, leading to the identification of three themes: (a) a culture of appreciation, (b) instrumental …

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Perceptions Of Muslim Women On The 2019 Reforms To The Saudi Guardianship System, Isatu Jalloh Mar 2025

Perceptions Of Muslim Women On The 2019 Reforms To The Saudi Guardianship System, Isatu Jalloh

Walden Dissertations and Doctoral Studies

In Saudi Arabia, the 2019 reforms to the guardianship system were implemented to grant women greater autonomy in areas such as education, employment, and travel. However, despite legal advancements, recent research shows that deeply ingrained cultural and societal norms continue to impact the full realization of gender equality, and a literature gap exists involving professional and educational contexts. The purpose of this research was to examine Saudi women’s perspectives on the 2019 guardianship reforms and explore how these changes have affected their higher education and employment opportunities. The study used Islamic feminist theory and the narrative policy framework as a …

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Exploring Housing Instability Faced By Youth Aging Out Of Foster Care, Jerri Linda Malone Mar 2025

Exploring Housing Instability Faced By Youth Aging Out Of Foster Care, Jerri Linda Malone

Walden Dissertations and Doctoral Studies

Despite the well-documented prevalence of homelessness, past research primarily focused on post-emancipation housing experiences, often overlooking housing instability, including affordability, availability, and quality. The purpose of the study was to understand youth transitioning from foster care, focusing on housing instability while transitioning to independent living. This qualitative study used generic qualitative inquiry grounded in cumulative disadvantage theory. The study explored how early adversities in foster care led to compounded challenges, particularly during the transition to adulthood. The key research question that guided the study asked what are the lived experiences of youth who have aged out of foster care and …

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A Phenomenological Analysis Of Race-Based Stress Among Black Women Leaders In Counselor Education, Jamila A. Wilson Mar 2025

A Phenomenological Analysis Of Race-Based Stress Among Black Women Leaders In Counselor Education, Jamila A. Wilson

Walden Dissertations and Doctoral Studies

Despite calls from the Council for Accreditation of Counseling and Related Educational Programs (CACREP) and the American Counseling Association (ACA), counseling programs struggle to recruit and retain Black women. One contributing factor to this issue is gendered racism directed toward Black women in the counseling profession. However, the research surrounding the race-based stress (RBS) and race-based traumatic stress (RBTS) experienced as a result of encounters with gendered racism among Black women leaders in this profession remains limited. This inquiry utilized a hermeneutic phenomenological qualitative methodology and the race-based traumatic stress inquiry model as a conceptual framework to explore the nature …

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Clinical Practice Guideline For Delirium Screening, Raji George Mar 2025

Clinical Practice Guideline For Delirium Screening, Raji George

Walden Dissertations and Doctoral Studies

Summary This doctoral project developed a clinical practice guideline (CPG) to address the critical health issue of early identification of delirium among hospitalized high-risk patients. Hospital delirium is associated with prolonged hospital stay, increased nursing home or rehab use after hospitalization, and higher mortality. Evidence shows that systematic screening improves delirium identification among hospitalized high-risk adults. However, there was no clinical practice guideline for delirium screening at the project facility for high-risk, non-intensive care unit patients. Therefore, the practice-focused question for the project was, “Does the evidence support the development of a CPG for delirium screening in high-risk hospitalized patients …

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Obesity Awareness Among Pregnant Hispanic Women In Urban New Jersey, Cloris Bustamante Mar 2025

Obesity Awareness Among Pregnant Hispanic Women In Urban New Jersey, Cloris Bustamante

Walden Dissertations and Doctoral Studies

The rising prevalence of obesity among pregnant women presents significant health risks for mothers and children, beginning as early as intrauterine life throughout adulthood. The purpose of this quantitative cross-sectional study was to investigate whether demographic factors influenced obesity awareness as a personal issue in pregnant Hispanic women. The precaution adoption process model guided the study, a theoretical framework focusing on stages of health behavior change, including awareness, decision making, and action. A purposive sample of 134 pregnant Hispanic women aged 18 years or older receiving prenatal care in urban New Jersey was surveyed using the English (15) and Spanish …

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Legislative Framework And Regulatory Policy Impacts On The Mining Industry In Ghana, Najat Jawula Mar 2025

Legislative Framework And Regulatory Policy Impacts On The Mining Industry In Ghana, Najat Jawula

Walden Dissertations and Doctoral Studies

Ghana’s legislative framework and regulatory policies play a crucial role in the mining industry, particularly in ensuring compliance and addressing socioeconomic and environmental challenges. However, despite the presence of various regulatory policies, challenges within the existing framework led to inadequate compliance with mining laws, negatively affecting development and the environment. Previous research has primarily focused on the environmental impacts of mining, with limited studies examining the regulatory framework, policy impacts, and the well-being of the community. The purpose of this generic qualitative study was to explore the challenges in the current legislative framework and regulatory policies from the perspectives of …

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Staff Education To Improve Knowledge Of Evidence-Based Strategies For Medication Adherence, Doris Tioko Mar 2025

Staff Education To Improve Knowledge Of Evidence-Based Strategies For Medication Adherence, Doris Tioko

Walden Dissertations and Doctoral Studies

This doctoral project was a staff education initiative to address medication nonadherence among psychiatric patients, a critical issue impacting clinical outcomes, hospitalizations, and healthcare costs. The practice problem stemmed from the inconsistent use of evidence-based strategies by nursing staff, underscoring the need for targeted interventions to address this gap. Addressing this issue is vital to improving patient outcomes, reducing healthcare costs, and enhancing the delivery of evidence-based nursing care. The practice-focused question guiding the project was whether providing education to nursing staff on evidence-based strategies for medication adherence would improve their knowledge and confidence. The project aimed to enhance nursing …

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Dual Enrollment Course Location And Retention In Higher Education, Joanne Krueger Mar 2025

Dual Enrollment Course Location And Retention In Higher Education, Joanne Krueger

Walden Dissertations and Doctoral Studies

College students in the United States begin their higher education journey intending to graduate, but almost 37% do not earn a degree. The problem addressed in this study is that while dual enrollment has been shown to affect graduation rates in higher education positively, it was unclear if the location of dual enrollment courses, high school or college campus, influenced retention at a southwestern United States community college. Using Tinto’s student integration theory, the research question sought to discover the extent to which the location of dual enrollment courses, high school or college campus, predicts student retention to the second …

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Teachers’ Perceptions Of Risk Factors, Protective Factors, And Intervention Strategies For School Shooters, Emily Michelle Hudson Mar 2025

Teachers’ Perceptions Of Risk Factors, Protective Factors, And Intervention Strategies For School Shooters, Emily Michelle Hudson

Walden Dissertations and Doctoral Studies

Over 1,000 lives have been lost in school shootings in the United States. Many school shooters are current or former students ages 12 to 18, predisposed to risk factors (e.g., mental illness, bullying, trauma). Teachers have a crucial role in school safety, but their voices are underrepresented regarding school shooting interventions. Guided by the social ecological model, this generic qualitative research explored teachers’ perspectives of the risk factors, protective factors, and intervention strategies for school shootings. Data were collected through semistructured interviews with 10 secondary education teachers from various states in the United States. The collected data were then thematically …

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Leadership Strategies For Navigating The Integration Of Physical And Behavioral Healthcare, Seán David Mclawhorn Mar 2025

Leadership Strategies For Navigating The Integration Of Physical And Behavioral Healthcare, Seán David Mclawhorn

Walden Dissertations and Doctoral Studies

The separation of physical and behavioral healthcare and a dominant medical model have left a void in practice and research, especially pertaining to the leadership strategies necessary to integrate the two forms of care in college campus healthcare clinics. This is especially important given the rise of mental health concerns on and off college campuses. Without integration, there are missed opportunities for care delivery, in general, and a missed opportunity for the provision of care to individuals who historically have not accessed physical and behavioral healthcare at equivalent rates as other populations. The subject of care integration is addressed in …

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Lived Experiences Of Clinicians Who Support African American Men In Treatment Programs For Opioid Use Disorder In Georgia, Christian Ann Paige Mar 2025

Lived Experiences Of Clinicians Who Support African American Men In Treatment Programs For Opioid Use Disorder In Georgia, Christian Ann Paige

Walden Dissertations and Doctoral Studies

The prevalence of opioid use disorder (OUD) among African American men in Georgia has risen significantly, highlighting the need for specialized clinical approaches. Clinicians face complex challenges in delivering effective treatment and support. This qualitative interpretive phenomenological study examined the lived experiences of clinicians working with African American men in OUD treatment programs in Georgia. Grounded in cognitive behavioral therapy, the study utilized semistructured interviews with eleven clinicians. Four key themes emerged from the analysis: (a) barriers to treatment, as stigma and systemic inequities hinder engagement; (b) cultural competency challenges, as clinicians strive to provide care that aligns with clients’ …

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The Impact Of Level Of Trauma Training On Counselor’S Intent To Leave Community Mental Health Organizations, Denise Lynne Takakjy Mar 2025

The Impact Of Level Of Trauma Training On Counselor’S Intent To Leave Community Mental Health Organizations, Denise Lynne Takakjy

Walden Dissertations and Doctoral Studies

Mental health counselors working with traumatized clients in community mental health agencies may develop vicarious trauma resulting in job burnout which further results in high turnover rates when counselors leave. High turnover results in high costs for the organization in recruiting, hiring, and training new counselors and leads to a decrease in the quality of care that clients receive. Reducing vicarious trauma and job burnout in counselors by providing training in evidence-based trauma treatment modalities could reduce these negative impacts. The purpose of this quantitative, cross-sectional study was to examine whether there was a statistically significant impact on a counselor’s …

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Staff Education On Evidence-Based Educational Content For Patient Fall Prevention Measures, Ogochukwu Vera Nnakwe Mar 2025

Staff Education On Evidence-Based Educational Content For Patient Fall Prevention Measures, Ogochukwu Vera Nnakwe

Walden Dissertations and Doctoral Studies

Patient falls continue to be a challenge due to the injury associated with them. They can be disabling, costly, and most often lead to increased morbidity and mortality. Falls at home lead to hospitalization of the patient and complication of other health issues and/or aggravation of preexisting health problems. The practice problem was that the clinic did not have patient education content in place for fall prevention measures to discuss with patient at discharge. The practice-focused question was, Will a staff education on evidence-based falls prevention measures result in an increase in staff knowledge on fall prevention? The purpose of …

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Probation Officer Perspectives Of Rehabilitation Programs In The Federal Bureau Of Prisons, Brandon Christopher Harper Mar 2025

Probation Officer Perspectives Of Rehabilitation Programs In The Federal Bureau Of Prisons, Brandon Christopher Harper

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological study was to better understand the federal probation officer's perspective of rehabilitation programs in the federal bureau of prisons. The following research question provided a guide: What are federal probation officers' perspectives regarding the success of rehabilitation programs offered in the federal bureau of prisons? Semi structured interviews were conducted with 10 employees of a federal probation office located in the southern United States. Interviews were conducted using Zoom and audio-recorded and transcribed to text files for thematic analysis. The main findings in this study included the need to tailor programs for prisoners to …

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Narrative Inquiry: Exploring Black Female Professional Counselors’ Storied Experiences Of Supervision, Donald Theophilus Cooper Mar 2025

Narrative Inquiry: Exploring Black Female Professional Counselors’ Storied Experiences Of Supervision, Donald Theophilus Cooper

Walden Dissertations and Doctoral Studies

Black women supervisees are underrepresented in research. Given the importance of relational connections in women’s lives and how the supervision process occurs in relational interactions of intersecting contextual variables, an investigation into the supervision experiences of Black female professional counselor supervisees was warranted. This narrative inquiry aimed to explore and understand how Black female professional counselor supervisees narrate their supervision experience. The research question focused on how Black female professional counselor supervisees narrated their supervision experience. Eight participants were recruited from social media. They self-identified as Black and female, lived in the United States, and were licensed professional counselors. Narrative …

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Effective Strategies For Improving Customer Experience In African American Retail Business, Oluwafemi Tosin Ashaye Mar 2025

Effective Strategies For Improving Customer Experience In African American Retail Business, Oluwafemi Tosin Ashaye

Walden Dissertations and Doctoral Studies

African American business owners experience challenges in enhancing customer experience and increasing sales. African American retail business owners are concerned with financial and technological limitations because these factors directly impact customer satisfaction and overall sales growth. Grounded in the theory of technology advancement and heuristic theory, the purpose of this qualitative pragmatic inquiry was to explore the financial and technological strategies that African American retail business owners of medium-sized retail supply chain retail organizations in the Northeastern United States use to enhance the customer experience and increase organization sales. The participants were six African American retail business owners who have …

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Experiences Of African American Women Working In Higher Education Leadership Positions In Predominantly White Institutions, Angela Renee Hall Carrington Mar 2025

Experiences Of African American Women Working In Higher Education Leadership Positions In Predominantly White Institutions, Angela Renee Hall Carrington

Walden Dissertations and Doctoral Studies

Despite significant educational achievements, African American women remain underrepresented in academic leadership at predominantly White institutions. The purpose of this basic qualitative study was to explore the experiences, challenges, and barriers of African American women when navigating leadership pathways. The conceptual framework guiding this study was Crenshaw’s intersectionality theory. For this basic qualitative study, purposive and snowball sampling led to semistructured interviews with 8 African American women who had at least 2 years of experience in academic leadership roles at predominantly White institutions. Participants were African American women in leadership positions at 2 predominantly White institutions in California and 3 …

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Effective Risk Management Strategies Minority Small Business Owners Use To Address Challenges Of Changing Business Environments, Sabit Yasin Mohammed Mar 2025

Effective Risk Management Strategies Minority Small Business Owners Use To Address Challenges Of Changing Business Environments, Sabit Yasin Mohammed

Walden Dissertations and Doctoral Studies

As a result of a lack of effective risk management strategies, some minority small business owners are unable to address business challenges during changing business environments. Small business leaders who cannot mitigate challenges in changing business environments risk financial loss and business failure. Grounded in general system theory and entrepreneurship theory, the purpose of this qualitative pragmatic inquiry study was to explore effective risk management strategies of minority small business owners used to mitigate challenges of changing business environments. The participants were six minority small business owners from southwest region of the United States who successfully mitigated the challenges of …

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Strategies To Attract And Retain Employees In Full-Service Chain Restaurants, Beverly Cecilia Johnson Mar 2025

Strategies To Attract And Retain Employees In Full-Service Chain Restaurants, Beverly Cecilia Johnson

Walden Dissertations and Doctoral Studies

The inability of full-service chain restaurant managers to attract and retain employees leads to significant understaffing. The shortage raises concerns about their capacity to meet consumer demand and maintain profitability. This qualitative pragmatic inquiry, grounded in transformational leadership theory, explored strategies restaurant managers use to attract and retain employees. The participants were six full-service chain restaurant managers in the locales of Maryland, Virginia, and Washington, D.C. of the United States, who had successfully used their strategies to attract and retain employees. Data were collected using semistructured interviews and reviewing publicly available restaurant websites. Using thematic analysis, four themes were identified: …

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Rural Nonprofit Employees’ Perceptions Of Employee Retention, Melody Annette Cole Mar 2025

Rural Nonprofit Employees’ Perceptions Of Employee Retention, Melody Annette Cole

Walden Dissertations and Doctoral Studies

In this qualitative case study, the employee retention problem of a rural nonprofit organization in North Carolina was explored. Specifically, the employees’ feelings regarding the issues affecting the organization’s employee retention problem were collected to provide administrators at the organization with recommendations to increase employee retention. Through interviews, participants shared their perspectives on employee retention and why they believe there is a retention problem at the organization. In addition, 10 exit interview records of previous employees were reviewed. Applying the conceptual framework of Maslow’s hierarchy of needs, the data collected from the interviewed participants and from exit interviews of previous …

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Exploring An Infection Control Game To Reinforce Learning In Health Professions Education, Stephanie Anne Lea Mar 2025

Exploring An Infection Control Game To Reinforce Learning In Health Professions Education, Stephanie Anne Lea

Walden Dissertations and Doctoral Studies

Globally, there remains a high occurrence of healthcare-associated infections (HAIs). The problem under study was the lack of information about the experiences of health professions students with a serious game on infection control. The purpose of this basic qualitative study was to explore health professions student experiences with a serious game on infection control as a tool to reinforce learning. This study was framed by Bonwell and Eison’s active learning theory and Kolb’s experiential learning cycle. The participants were 12 health professions students who played an online serious game on infection control. The data were collected from semistructured interviews with …

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Human Services Professionals’ Continuity Of Reentry Services For Post-Incarcerated Black And Latinx Women With Mental Health Disorders, Vanessa E. Suggs-Crudup Mar 2025

Human Services Professionals’ Continuity Of Reentry Services For Post-Incarcerated Black And Latinx Women With Mental Health Disorders, Vanessa E. Suggs-Crudup

Walden Dissertations and Doctoral Studies

Human services professionals play a vital role in managing the continuity of reentry services for post-incarcerated Black and Latinx women with mental health disorders, a significant concern in the United States. Human services professionals' perceptions of providing continuity of care in community-based reentry settings for Black and Latinx women with mental health disorders were explored. The conceptual framework of continuity of care was used to understand the professionals’ roles in supporting reentry services and how they align with or diverge from continuity of care, particularly the perceptions of human services professionals in a community-based treatment facility regarding the provision of …

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The Relationship Between Sexual Orientation, Anxiety, And Mental Health Access With Suicidal Ideation Among Veterans, Winsome R. Ashley Mar 2025

The Relationship Between Sexual Orientation, Anxiety, And Mental Health Access With Suicidal Ideation Among Veterans, Winsome R. Ashley

Walden Dissertations and Doctoral Studies

Prior studies have examined the connection between minority sexual orientation (MSO) and mental health; however, very little is known about the effect among veterans. The objective of this cross-sectional quantitative study aimed to determine the relationship between veteran status, sexual orientation, anxiety levels, access to mental health services, and suicidal ideation among veterans. More specifically, it addressed if veteran status modifies the association between anxiety and suicidal ideation, if marital status modifies the association between mental health care access and suicidal ideation, and if veteran status modifies the association between sexual orientation and suicidal ideation after controlling for age, gender, …

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Reasons Teachers Of Color Leave The Field Of Education In A Suburban School Division In Virginia, Arianne Hayes Mar 2025

Reasons Teachers Of Color Leave The Field Of Education In A Suburban School Division In Virginia, Arianne Hayes

Walden Dissertations and Doctoral Studies

Teacher retention remains a persistent challenge in the field of education, with teachers of color (TOCs) experiencing disproportionately higher attrition rates compared to their White counterparts while affect schools nationwide, particularly in high-need areas. The purpose of this qualitative study was to investigate why TOCs left their teaching positions in Virginia. This study was grounded in job demands-resources theory and focused on the significance of the demands and available resources within a workplace. For this basic qualitative design, eight former TOCs that had at least 3 years of experience in a suburban district in Virginia participated in semi structured interviews. …

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Effective Strategies To Increase Workplace Inclusivity In The Oil And Gas Industry, Patricia Lindsey Isaac Mar 2025

Effective Strategies To Increase Workplace Inclusivity In The Oil And Gas Industry, Patricia Lindsey Isaac

Walden Dissertations and Doctoral Studies

Some oil and gas industry leaders face challenges in implementing effective strategies to increase workplace inclusivity, which can result in lower profits, decreased employee engagement, and reduced productivity. Executive leaders and managers, responsible for organizational performance and workforce retention, are particularly concerned about addressing these challenges to sustain business success and competitiveness. Grounded in the leader-member exchange theory, the purpose of this qualitative pragmatic inquiry was to explore strategies executive leaders use to enhance inclusivity in the oil and gas industry. The participants were nine executives, leaders, and managers from the oil and gas sector who had previously implemented effective …

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Nepotism In Employee Recruitment And Student Admissions In Nigeria’S Tertiary Education System, Dianabasi Ukpong Mar 2025

Nepotism In Employee Recruitment And Student Admissions In Nigeria’S Tertiary Education System, Dianabasi Ukpong

Walden Dissertations and Doctoral Studies

Corruption in Nigeria’s educational sector, especially the tertiary sector, exists as a gap in the literature between policy formulation and implementation. Government agencies structure educational policies for their personal goals rather than enacting a policy framework promoting broad national interest. Current literature reveals that policies on recruitment and admissions in the tertiary education system are personality-oriented and allow tribalism, nepotism, favoritism, and even discrimination. This general qualitative study used the narrative policy framework to examine nepotistic practices in recruitment and admissions in Nigeria’s tertiary education sector. The purpose was to examine how nepotism in recruiting qualified employees impacts the tertiary …

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