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Strategies For Recruiting, Retaining, And Developing The Knowledge And Skills Of Behavioral Health Technicians, Shirley Ann Williams Jan 2023

Strategies For Recruiting, Retaining, And Developing The Knowledge And Skills Of Behavioral Health Technicians, Shirley Ann Williams

Walden Dissertations and Doctoral Studies

To be effective, behavioral health organization leaders must recruit and retain behavioral health technicians (BHTs) to provide nonclinical services. The focus of this case study was on identifying strategies to promote the recruitment and retention of BHTs and to help these workers develop the knowledge and skills they need for effective job performance. The Baldrige Framework for Excellence was used to guide this case study of a behavioral health organization located in the southeastern United States. The organization had one residential substance use facility serving men and five serving women and experienced a constant shortage of BHTs. Data were collected …

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Using Multi-Theory Model To Explain Hiv Screening Behaviors Among College-Aged People, Joshua David Kamimoto Jan 2023

Using Multi-Theory Model To Explain Hiv Screening Behaviors Among College-Aged People, Joshua David Kamimoto

Walden Dissertations and Doctoral Studies

There is a need to examine novel approaches that explain the association between the initiation and sustenance of HIV screening behavior. This quantitative, cross-sectional study was used to examine if the components of the multi-theory model (MTM) of health behavior change can explain the initiation and sustenance of HIV screening behavior among college-aged people. A convenience sample of 151 consenting college-aged people between the ages of 18 and 34 in a western US state completed a self-administered 44-item instrument. Multiple regression analysis was used to assess the correlation between the constructs of the multi-theory model of health behavior change (independent …

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Perioperative Nurse Education For Undiagnosed Obstructive Sleep Apnea Screening, Juanita Turnipseed Jan 2023

Perioperative Nurse Education For Undiagnosed Obstructive Sleep Apnea Screening, Juanita Turnipseed

Walden Dissertations and Doctoral Studies

AbstractApproximately one third of surgical patients have undiagnosed obstructive sleep apnea (OSA), the most common form of sleep disordered breathing, which presents a risk in the perioperative setting. OSA is underdiagnosed and undertreated in the adult population and has an economic impact on limited healthcare resources. The need existed for nurses in the perioperative setting to be educated on OSA, including the introduction of the STOP-BANG screening questionnaire. The analysis, design, development, implementation, and evaluation model of instructional design informed this project. The purpose of this Doctor of Nursing Practice project was to plan, implement, and evaluate a perioperative nurse …

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Staff Education: Improving Hypertension Management Among African American Adults, Marie Survie Tunis-Blanc Jan 2023

Staff Education: Improving Hypertension Management Among African American Adults, Marie Survie Tunis-Blanc

Walden Dissertations and Doctoral Studies

AbstractHypertension (HTN) is a frequent diagnosis in primary care settings and is disproportionately higher among African Americans. Observed in the clinic were frequent office visits by patients with uncontrolled blood pressure and nonadherence to medication in an outpatient cardiology clinic in Northeast New Jersey. Also, a knowledge gap was noticed among clinical staff on current HTN guidelines. An awareness of evidence-based guidelines was necessary to combat poorly controlled BP in the clinic. The purpose of this Doctor of Nursing Practice project was to create an education program on current HTN guidelines to bridge the knowledge gap among clinic staff. The …

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Impact Of Family Health Outcomes And Work Balance On Health Services Organizations’ Workplace Attendance, Marcus Levinsky Wade Jan 2023

Impact Of Family Health Outcomes And Work Balance On Health Services Organizations’ Workplace Attendance, Marcus Levinsky Wade

Walden Dissertations and Doctoral Studies

Work-life balance (WLB) is employees’ ability to effectively manage between job obligations and everyday life activities involving family, health, and social life. Successful WLB has become increasingly important to healthcare administrators due to staff shortages and essentials of job performance, attendance, and satisfaction. The purpose of this quantitative study was to determine if there was a correlation between WLB, workplace stress, and employee workplace attendance. The two research questions were correlational; the dependent variable was workplace attendance, and the independent variables were workplace stress and WLB. The compensation theory served as the foundation for the study, in which both family …

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A Qualitative Study Of Moral Distress In Physicians During The Covid-19 Pandemic, William Washington Jan 2023

A Qualitative Study Of Moral Distress In Physicians During The Covid-19 Pandemic, William Washington

Walden Dissertations and Doctoral Studies

Abstract The spread of Coronavirus (COVID-19) created a pandemic and had a world-shattering effect on healthcare organizations. As a result, many healthcare professionals were exposed to health situations that stretched them beyond their professional ethics, mental health, and emotional capacity. Throughout the last 30 years, moral distress has been understood as the type of stress that medical professionals experience. Research has substantially grown regarding COVID-19 and moral distress, exposing gaps in the ability of experts to care as they should. Moral distress was a term created to define the emotional disruption that occurs when a professional cannot work within their …

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Effective Strategies For Small Business Sustainability, Kathleen A. Watson-Wilkin Jan 2023

Effective Strategies For Small Business Sustainability, Kathleen A. Watson-Wilkin

Walden Dissertations and Doctoral Studies

AbstractSmall businesses in the United States experience a higher failure rate than medium-sized and large corporations. Small business owners without successful strategies to sustain their businesses may fail. Grounded in the McKinsey 7S model, the purpose of this multiple case study was to explore strategies small general construction contractor business owners use to sustain their businesses beyond 5 years. The participants were three small general construction contractor business owners within Miami, Florida, who sustained businesses for 5 years. Data were collected using semistructured and audio-recorded face-to-face interviews. Through thematic analysis, four themes emerged: (a) creating strategies for a solid customer …

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Cultural Humility As A Predictor Of Intention To Leave Moderated By Authentic Leadership, Dennis Whitfield Jan 2023

Cultural Humility As A Predictor Of Intention To Leave Moderated By Authentic Leadership, Dennis Whitfield

Walden Dissertations and Doctoral Studies

The problem addressed in this research was the inappropriate treatment of multicultural individuals by their immediate supervisors and the need for a thorough examination of cultural humility in organizational settings. This quantitative study used linear regression and moderation analyses to examine the relationship between cultural humility and intention to leave moderated by authentic leadership to determine how the participants’ perception of cultural humility in their immediate supervisor predicted their intention to leave. Another purpose was to examine whether authentic leadership moderated the relationship with intention to leave. The theoretical framework for this study included cultural humility, authentic leadership, and intention …

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Patient-Rated Physician Compassion And Patient Compliance With Colorectal Cancer Screening, Christine Caputo Winn Jan 2023

Patient-Rated Physician Compassion And Patient Compliance With Colorectal Cancer Screening, Christine Caputo Winn

Walden Dissertations and Doctoral Studies

In 2021, colorectal cancer was the second leading cause of cancer deaths in the United States, where screening prevented 46%–63% of colorectal cancer deaths. Compassionate care has been an area of study among scholars since Hippocrates. The purpose of this quantitative research study was to examine whether there was a relationship between the independent variables of provider compassion, patient gender, and length of provider patient relationship with the dependent variable of patient adherence behavior for prescribed colorectal cancer screening tests among primary care patients between 2019 and 2020 in a northeastern U.S. state. Guided by the theory of planned behavior …

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Social Workers’ Philosophical Attitudes Towards Harm Reduction Services In Housing First Organizations, John Gay Woolley Jan 2023

Social Workers’ Philosophical Attitudes Towards Harm Reduction Services In Housing First Organizations, John Gay Woolley

Walden Dissertations and Doctoral Studies

AbstractOver the past three decades, harm reduction has gradually become more prevalent among social workers and is now viewed as an instrumental approach in treating people with drug and alcohol problems. Although there have been several studies that described how harm reduction approaches were applied in Housing First (HF) settings, there are few studies that have described social workers’ perspectives of their philosophical attitudes regarding harm reduction in HF settings. The purpose of this study was to understand social workers’ perspectives of their philosophical attitudes toward harm reduction services and how those attitudes were apparent in their interactions with substance-using …

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American Women's Motivations To Join Overseas Terrorist Groups, Zuri Sushil Birla Jan 2023

American Women's Motivations To Join Overseas Terrorist Groups, Zuri Sushil Birla

Walden Dissertations and Doctoral Studies

An increasing number of American women are actively engaging in overseas terrorist organizations and networks. Their motives, though, are little understood by researchers, although familial relationships and other associations, gender roles, and social media propaganda may play a role. The purpose of this qualitative narrative case study was to better understand the motives, decision-making, and behaviors of radicalized American women. The theoretical framework was social behavior theory and the research design, narrative case study based on Maslow’s Hierarchy of Needs and Motivation. The research question addressed American women’s immersion into terrorism through social media outlets and familial partnerships that emphasize …

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Predictive Effects Of Length Of Treatment And Type Of Dialysis On African Americans’ Quality Of Life, Latoya Benjamin Jan 2023

Predictive Effects Of Length Of Treatment And Type Of Dialysis On African Americans’ Quality Of Life, Latoya Benjamin

Walden Dissertations and Doctoral Studies

Individuals on dialysis often face challenges with the management of their health, resulting in low health-related quality of life (HRQOL), but the extent of this impact has not been fully examined. The purpose of this quantitative cross-sectional study was, having accounted for relevant demographic variables such as age, gender, family history, employment status, to examine the effects of length of time for treatment and type of dialysis on HRQOL in African American end-stage renal disease (ESRD) patients. This study was guided by the socioecological model. Secondary data from 2016 to 2021 was obtained from the Chronic Renal Insufficiency Cohort (CRIC) …

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The Perceived Effectiveness And Evolution Of First-Semester Nursing Students’ Studying Methods, Elizabeth Brown Jan 2023

The Perceived Effectiveness And Evolution Of First-Semester Nursing Students’ Studying Methods, Elizabeth Brown

Walden Dissertations and Doctoral Studies

Little research has been done to identify the study strategies used by nursing students during their first nursing classes despite studies indicating they have poor study skills, making the nursing program challenging and causing many of the students to decide to leave after their first semester. The purpose of this qualitative study was to improve the understanding of registered nursing students’ study strategies during their first semester of nursing classes. Winne and Hadwin’s self-regulated learning model was used as the conceptual framework to answer the research questions about students’ study strategies during their first semester of nursing classes, how they …

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Administrative Use Of Prior Review In High School Journalism Programs, Pedro J. Cabrera Jan 2023

Administrative Use Of Prior Review In High School Journalism Programs, Pedro J. Cabrera

Walden Dissertations and Doctoral Studies

In Hazelwood v. Kuhlmeier (1988), the U.S. Supreme Court established that school administrators have the right to review, change, or remove student-created media if the school sponsors it and if the school administrator has a “legitimate pedagogical interest,” which has been inconsistent across high school student-created media in a metro area of a southern region in a southwestern state. Because of the vagueness, the administration can review, change, or remove student-created media based on personal social, cultural, ethical, or political beliefs. The purpose of this basic qualitative research was to examine how campus administrators determined “legitimate pedagogical interest.” Gatekeeping theory …

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Staff Education Project: The Emergency Severity Index, Jo Crabtree Jan 2023

Staff Education Project: The Emergency Severity Index, Jo Crabtree

Walden Dissertations and Doctoral Studies

AbstractThe triage process is an important precursor to ensuring expeditious and appropriate medical care in the Emergency Department (ED). There is a positive correlation between proper triage technique and improved patient outcomes, making triage an essential issue for nursing practice. The purpose of this project addressed the results of a staff education program directed at teaching the Emergency Severity Index (ESI) Triage System to 42 triage nurses working in an ED in a critical access facility in the rural Midwest. The practice-focused problem for this project was as follows: Will a staff educational program improve understanding of the ESI triage …

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Lived Experiences Of Employees Working With Homeless Veterans In Transitional Housing Programs In New Jersey, Ieshia C. Davis Jan 2023

Lived Experiences Of Employees Working With Homeless Veterans In Transitional Housing Programs In New Jersey, Ieshia C. Davis

Walden Dissertations and Doctoral Studies

Homelessness among veterans has been a widespread concern for over three decades. Individuals employed in transitional housing settings play a pivotal role in helping veterans overcome homelessness. There is a lack of qualitative studies that explores the experiences of these employees, which limits understanding of what is needed to help homeless veterans regain their place back in society and the ability to develop and implement better programs for the population. In this phenomenological study, semi-structured interviews were used to help understand and describe the lived experiences of employees who work directly with the homeless veteran population in transitional housing settings …

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Strategies For Clinical Managers To Reduce Nosocomial Infections, Samisha Lynn Davis Jan 2023

Strategies For Clinical Managers To Reduce Nosocomial Infections, Samisha Lynn Davis

Walden Dissertations and Doctoral Studies

Increasing nosocomial infection rates threaten patient safety when approximately 100 million patients annually acquire at least one nosocomial infection during their hospital stay. Some clinical managers lack strategies to reduce the incidence and costs of nosocomial infections. Clinical managers need training in proactive infection control guidelines that may reduce infection rates and increase profitability. Grounded in adaptive leadership theory, the purpose of this qualitative multiple case study was to explore successful strategies that clinical managers used to reduce incidence and costs associated with nosocomial infections. The participants were four clinical managers employed by health care organizations in the Southeast Texas …

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Local Anesthetic Systemic Toxicity Education For Perianesthesia Nurses, Rachelle Lynn Dix Jan 2023

Local Anesthetic Systemic Toxicity Education For Perianesthesia Nurses, Rachelle Lynn Dix

Walden Dissertations and Doctoral Studies

Local anesthetic systemic toxicity (LAST) is a potentially life-threatening event following a local anesthetic bolus into the circulatory system. Because LAST is a low-volume, high-risk event, clinical exposure is lacking, creating a knowledge gap among perianesthesia nurses. A knowledge gap regarding LAST among perianesthesia nurses was identified at the project site, an ambulatory surgery center in south Mississippi. The practice-focused question was: Whether a web-based education intervention would increase perianesthesia nurses’ knowledge about LAST. The doctoral project aimed to provide perianesthesia nurses with the clinical knowledge essential for early detection of LAST symptoms. A LAST education module was developed using …

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Help Seeking Behavior For Mental Health Issues Among College Students At A Southern University, Amanda Brooke Espinoza Jan 2023

Help Seeking Behavior For Mental Health Issues Among College Students At A Southern University, Amanda Brooke Espinoza

Walden Dissertations and Doctoral Studies

The mental health of college students continues to decline, leading to increased suicide rates among young adults. College campuses provide mental health resources; however, many college students do not effectively utilize the resources. This quantitative research study allowed for a deeper understanding of why college students are not using mental health resources on their campus. A non-probability convenience sample was used. This sample of convenience was comprised of students who volunteered to complete the study survey sent via a university email. The survey was created for the purposes of this study using social cognitive theory constructs. The instrument contained four …

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Barriers, Challenges &Successes Among Human Service Professionals Stigma Reduction Treatment Among People With Mental Illness, Maureen Epps Jan 2023

Barriers, Challenges &Successes Among Human Service Professionals Stigma Reduction Treatment Among People With Mental Illness, Maureen Epps

Walden Dissertations and Doctoral Studies

According to the National Alliance on Mental Illness, over 9 million people in the United States suffer from a mental illness (MI). Although human service professionals seek the best practices to treat people with MI, people with MI sometimes struggle to seek treatment because of stigma. The purpose of this generic qualitative study was to explore the barriers and challenges of human service professionals who experienced using a stigma reduction treatment on a person with MI. The mental illness stigma framework and Goffman’s stigma theory provided the conceptual framework for the study. Data were collected through semistructured interviews with eight …

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Head Start Teachers’ Perspectives On The Implementation Of Head Start Program Performance Standard 1302.17, Leslie Shumate Floyd Jan 2023

Head Start Teachers’ Perspectives On The Implementation Of Head Start Program Performance Standard 1302.17, Leslie Shumate Floyd

Walden Dissertations and Doctoral Studies

Federal Head Start Program Performance Standards (HSPPS) were revised in 2016 to strengthen and improve the quality of all Head Start (HS) programs. The problem addressed in this basic qualitative study is that teachers in a local urban HS program in the southwestern region of Virginia have decreased levels of job satisfaction and cannot support the social-emotional development of their students due to difficulty implementing the standard HSPPS 1302.17. The purpose of this basic qualitative study was to investigate the perspectives of HS teachers regarding their job satisfaction while supporting the implementation of HSPPS 1302.17. Lacey’s theory of social strategies …

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Nonprofit Business And Management Challenges Encountered When Delivering Services And Fulfilling Organizational Missions, Becky A. Hammer Jan 2023

Nonprofit Business And Management Challenges Encountered When Delivering Services And Fulfilling Organizational Missions, Becky A. Hammer

Walden Dissertations and Doctoral Studies

Failure of nonprofit organizations (NPOs) causes negative impacts to community service users and the NPO workforce. Although the impact of NPO failure has been researched, a comprehensive understanding of business and organizational challenges from the NPO leaders’ perspective was not well documented. Learning more about these challenges may assist with understanding how to best support and solve them. The purpose of this qualitative single case study was to explore the business and management-related barriers and challenges NPO leaders encounter when delivering services and fulfilling organizational missions in the Greater Austin Metropolitan Statistical Area in Texas. The conceptual model included the …

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Organizational Engagement Strategies Used By Midlevel Managers In The Energy Industry, Joni Hoxsey Jan 2023

Organizational Engagement Strategies Used By Midlevel Managers In The Energy Industry, Joni Hoxsey

Walden Dissertations and Doctoral Studies

Company employees often see an organizational engagement breakdown when managers do not combine processes and knowledge transfer strategies to achieve goals. Some midlevel managers lose communication and collaboration among business departments as well as with their subordinates, leading to a breakdown in organizational performance. The purpose of this qualitative single case study was to explore organizational engagement strategies midlevel managers use to encourage organizational performance. The theory of organizational learning provided the conceptual framework for the study. Six midlevel managers from various departments in an energy company in the midwestern and southern regions of the United States independently participated in …

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Comparing Motivation And Ambition Between Adolescent Mothers And Child-Free Women, Deirdre Lynn Jones Lowman Jan 2023

Comparing Motivation And Ambition Between Adolescent Mothers And Child-Free Women, Deirdre Lynn Jones Lowman

Walden Dissertations and Doctoral Studies

Recent studies have concluded that adolescent pregnancy and subsequent motherhood can contribute to mental health stressors, acting as potential barriers to ambition and motivation. Researchers have explored motivation and ambition; however, there is little or no research comparing motivation and ambition between adolescent mothers and child-free women. The purpose of this casual-comparative study was to compare motivation levels and ambition values between adolescent mothers, age 18-24, and women of the same age range who are child-free. Deci and Ryan's self-determination theory as the theoretical lens, and the Intrinsic Motivation Inventory and Aspirations Index, were used as data collection instruments. Recruitment …

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Strategies To Mitigate Foreign Trade Costs And Regulations That Reduce Revenues, Allan Dithan Mugisa Jan 2023

Strategies To Mitigate Foreign Trade Costs And Regulations That Reduce Revenues, Allan Dithan Mugisa

Walden Dissertations and Doctoral Studies

Foreign trade costs and regulations can lead to unfavorable business outcomes. Business leaders in firms engaged in global trade express concerns about the potential negative impact of foreign trade costs and regulations on revenues. Grounded in the resource-based theory of firms, the purpose of this qualitative multiple case study was to explore strategies some small medical devices and supplies business leaders use to mitigate foreign trade costs and regulations that reduce revenues. Participants were four business leaders of medical device and supply firms who reversed declining revenues. Data were collected using in-person semi-structured interviews. Through thematic analysis, four themes were …

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Women Veterans’ Social Experiences, Challenges, And Responsive Strategies During Civilian Reintegration, Amanda Najar-Cabrera Jan 2023

Women Veterans’ Social Experiences, Challenges, And Responsive Strategies During Civilian Reintegration, Amanda Najar-Cabrera

Walden Dissertations and Doctoral Studies

In this study, women veterans’ reintegration experiences, challenges, and responsive strategies with social identity, social connection, and social support were explored. Military discharge is a significant life change that disrupts the lives of women veterans in ways different from men and the scientific community is only beginning to research the long-term implications of social determinants of health in different populations. As the U.S. military women veteran population continues to increase, their social experiences, challenges, and responsive strategies during civilian reintegration have remained unexplored. The purpose of this study was to explore the social experiences of women veterans during reintegration to …

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Strategies To Increase Membership In A Canadian Nonprofit Protecting Rights And Benefits Of Retired Military Personnel, Bruce Requa Jan 2023

Strategies To Increase Membership In A Canadian Nonprofit Protecting Rights And Benefits Of Retired Military Personnel, Bruce Requa

Walden Dissertations and Doctoral Studies

Nonprofit organization leaders with an advocacy mission are increasingly challenged to identify, convert, and maintain their membership base to sustain the effectiveness of their advocacy reach and effectiveness. Grounded in stakeholder theory, the purpose of this qualitative single case study was to explore strategies some nonprofit leaders used to increase membership in a Canadian nonprofit protecting the rights and benefits of retired military personnel. The participants included four leaders of a small nonprofit organization in Ontario, Canada, who have directly or indirectly implemented membership strategies. Data were collected through semistructured interviews, client organizational documents, the organization’s website, an assessment of …

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Ambiguous Loss Feelings Amongst Caregivers Of Operation Enduring Freedom Veterans, Stephanie T. Spann Jan 2023

Ambiguous Loss Feelings Amongst Caregivers Of Operation Enduring Freedom Veterans, Stephanie T. Spann

Walden Dissertations and Doctoral Studies

This quantitative study compares the possible relationship between ambiguous loss and the stress level of caregivers of Operation Enduring Freedom (OEF) veterans who served in combat. Injured servicemembers need caregivers to assist them in caring for their physical and mental health needs. This study examined whether there is a relationship between the perceived ambiguous loss among caregivers of OEF injured veterans and the stress level experienced by caregivers. The theoretical framework for this study is the ambiguous loss theory. The methodology used to test the hypothesis is a quantitative correlational design to compare ambiguous loss variables amongst caregivers of injured …

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Lived Experiences Of Non-Licensed African American Pastors Providing Counseling For Race-Related Mental Health Issues To Their Parishioners, Brian Sutton Jan 2023

Lived Experiences Of Non-Licensed African American Pastors Providing Counseling For Race-Related Mental Health Issues To Their Parishioners, Brian Sutton

Walden Dissertations and Doctoral Studies

It is important to understand treatment practices of clergy members due to their influence on the treatment seeking behavior for professional counseling services among African American parishioners. The purpose of this qualitative study was to explore and describe African American pastors’ experiences of providing counseling for race-related mental health issues to their parishioners. The conceptual framework for this study was critical race theory. The research design included a descriptive phenomenological study with semi structured interviews with five non-licensed pastors and clergy members. The results of data analysis revealed three main themes and nine subthemes related to the participants’ experiences. The …

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Strategies To Increase Competitive Advantage In The Automotive Manufacturing Supply Chain, Amber Willis Jan 2023

Strategies To Increase Competitive Advantage In The Automotive Manufacturing Supply Chain, Amber Willis

Walden Dissertations and Doctoral Studies

Some automotive manufacturing supply chain leaders lack strategies that are needed to implement information technology (IT) systems. Business leaders are concerned with implementing IT systems to achieve and maintain a competitive advantage. Grounded in the resource-based view theory (RBV), the purpose of this qualitative single case study was to explore information system strategies used by leaders in the automotive manufacturing supply chain to achieve competitive advantage. Participants were five leaders of an automotive manufacturing supply chain organization who implemented IT systems. Data were collected through semistructured interviews and a review of organization project documents. Through thematic analysis, five themes were …

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