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Maternal-Early-Warning-System Education To Improve Registered Nurse Knowledge Of And Appropriate Responses To Triggers, Dawn Marie Moore Jan 2023

Maternal-Early-Warning-System Education To Improve Registered Nurse Knowledge Of And Appropriate Responses To Triggers, Dawn Marie Moore

Walden Dissertations and Doctoral Studies

The maternal early warning system (MEWS) is the single most reliable response tool to improve maternal outcomes in obstetrics. Recognition and response by nurses to the MEWS triggers was worrisome at the project site as the MEWS trigger to detect changes in the clinical conditions in obstetric patients was not applied consistently at the bedside. This project was developed to evaluate whether providing an education program on the application of MEWS to nurses in obstetrics at the practicum site would improve registered nurses’ knowledge of and appropriate responses to the MEWS trigger alarms. A literature search targeting the key words …

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Teachers’ Perceptions Of Social Emotional Learning Instruction And High Residential Mobility Students’ Reading Literacy, Janel Dorene Morris Jan 2023

Teachers’ Perceptions Of Social Emotional Learning Instruction And High Residential Mobility Students’ Reading Literacy, Janel Dorene Morris

Walden Dissertations and Doctoral Studies

Based on recommendations from research, leaders in a north Texas public school district implemented social emotional learning (SEL) to address academic gaps among high residential mobility (HRM) students. Incorporating SEL instruction improves academic achievement 11 percentile points on average; however, in Adoniram School District (ASD), 2021 passing rates fell 8% from 2019 despite adopting SEL curriculum. The purpose of this qualitative case study was to explore how ASD elementary teachers instructed SEL, and their perceptions of how SEL techniques influenced HRM elementary students’ reading literacy development. The study on social and emotional skills (SSES) conceptual framework guided this study because …

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Perceptions Of Female Veterans Regarding Mental Health Services In The Veterans Administration System, Linda Kaye Perry Jan 2023

Perceptions Of Female Veterans Regarding Mental Health Services In The Veterans Administration System, Linda Kaye Perry

Walden Dissertations and Doctoral Studies

Over the past 2 decades, women’s roles in the United States military have changed which has increased their risk of developing post-traumatic stress disorder. In 2016, all military occupational specialty were opened to women which allowed women to fight and be exposed to a combat environment. As more female veterans are returning home and reintegrating into their communities, they are seeking care for combat-related post-traumatic stress disorder and combat exposure. The purpose of this generic qualitative study was to understand the female veterans’ perception of the utilization of the Veterans Health Administration when seeking care for combat-related post-traumatic stress disorder …

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Parent Perspectives On How The Covid-19 Pandemic Affected Symptoms Of Autism Spectrum Disorder In Their Children, Desiree Marie Vanderlick Jan 2023

Parent Perspectives On How The Covid-19 Pandemic Affected Symptoms Of Autism Spectrum Disorder In Their Children, Desiree Marie Vanderlick

Walden Dissertations and Doctoral Studies

Autism is a disorder that is characterized by struggles with socialization anddevelopmental delays that often involve much guidance and support. The purpose of this study was to explain the experience of parents as they attempted to manage behaviors related to symptoms of autism during the worldwide quarantine prompted by COVID-19. This study aimed to close the gap in literature and explore to see if there were any concerns that could be addressed by future studies. The study was framed around Bowen’s theory, which addresses emotions within a family unit, and the interdependence theory, which addresses how humans thrive to be …

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Help-Seeking Behavior Of African American And Non-African American Victims Of Elderly Abuse, Tesfaye Yigletu Wosene Jan 2023

Help-Seeking Behavior Of African American And Non-African American Victims Of Elderly Abuse, Tesfaye Yigletu Wosene

Walden Dissertations and Doctoral Studies

Elderly abuse is a pervasive public health problem in the United States. Most abuse and neglect go unreported due to barriers including fear for safety, concerns about the consequences, culture, lack of knowledge about elder abuse, shame, and self-blame. However, there is limited research on how race and ethnicity impact help-seeking behaviors of the elderly. This cross-sectional quantitative study examined the difference in reporting and help-seeking behavior between African American and non-African American victims of elderly abuse. Applying the behavioral model of health services use, this study involved a secondary data analysis using the Nation Elderly Mistreatment Study Wave II …

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The Effects Of Secondary Traumatic Stress And Resilience On The Indicators Of Compassion Fatigue Among Occupational Therapists, Gayla Ann Aguilar Jan 2023

The Effects Of Secondary Traumatic Stress And Resilience On The Indicators Of Compassion Fatigue Among Occupational Therapists, Gayla Ann Aguilar

Walden Dissertations and Doctoral Studies

AbstractCompassion fatigue (CF) has been described as the “cost of caring” for traumatized individuals, which may lead to missed workdays, diminished work satisfaction, increased turnover, and decreased client care. CF has long been studied in other caring professionals, but occupational therapy practitioners (OTPs) have been largely overlooked. The purpose of this quantitative correlation study was to determine the relationship between secondary traumatic stress (STS) and resilience (RES) on burnout (BO) and compassion satisfaction (CS; i.e., indicators of CF) in OTPs. In this study, the moderation effect that RES has on STS and BO as related to CF in 68 completed …

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The Essence Of Therapeutic Relationships In Equine-Assisted Psychotherapy, Joy Clark Akin Jan 2023

The Essence Of Therapeutic Relationships In Equine-Assisted Psychotherapy, Joy Clark Akin

Walden Dissertations and Doctoral Studies

AbstractTraditional psychotherapeutic approaches are not always effective in alleviating psychological symptoms and improving functioning in young adults. Equine-assisted psychotherapy (EAP) has been shown as a beneficial alternative therapeutic method developed for clients not helped by traditional methods. However, the essence of the therapeutic relationship that develops between the client, horse, therapist, and equine specialist has not been explored. The purpose of this phenomenological study was to explore the lived experience of the therapeutic relationship in young adults who participated in EAP. The frameworks of person-centered theory and self psychology guided the development of interview questions, data analysis, and interpretation. Four …

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Retention Strategies For Managers Of Generation Y Employees, Michael Askari Jan 2023

Retention Strategies For Managers Of Generation Y Employees, Michael Askari

Walden Dissertations and Doctoral Studies

Employee turnover may lead to increased business costs, degradation of employee mental health, and more taxes on social programs. Managers of Generation Y employees are concerned with turnover because Generation Y employees tend to leave within 12 months of being hired. Grounded in the job embeddedness theory, the purpose of this qualitative multiple-case study was to explore management retention strategies to reduce Generation Y turnover. The participants were six managers of Generation Y employees from six retail businesses who successfully retained employees for more than 12 months. Data were collected using semistructured interviews, journal notes, and a review of public …

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Closing The Knowledge Gap For Advanced Practice Nurses On Medical Cannabis, Regina Bernice Askew-Gibbs Jan 2023

Closing The Knowledge Gap For Advanced Practice Nurses On Medical Cannabis, Regina Bernice Askew-Gibbs

Walden Dissertations and Doctoral Studies

AbstractSince cannabis, also called marijuana, has been decriminalized or legalized as a prescription for medical purposes, more patients are using cannabis recreationally for medical purposes or as a holistic therapeutic approach in contrast to Western medicine. With increased use among patients, it has become important for the advanced practice nurse (APN) to have a basic knowledge of the therapeutic benefits of marijuana. The goal of this DNP project was to supply APNs with education on marijuana and cannabis to prevent poor patient assessment and education. Pre-and posttest data from 6 participants who work at a medical, ambulatory clinical site, were …

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The Lived Experiences Of Civilian Review Board Members, Vereen Charmaine Barton Jan 2023

The Lived Experiences Of Civilian Review Board Members, Vereen Charmaine Barton

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this transcendental phenomenological research was to describe the lived experiences of investigative civilian review board (CRB) members. The central research question of the study examined the lived experiences of investigative civilian review board members as it related to recruitment and selection, training, and support. Eight participants from two CRBs in the Northeast and Midwest formed a random sample of six females and two males. Three data collection instruments were used in this research (in-depth interviews, writing prompts, and personal narratives) to elicit information. The instruments were designed to prompt information about CRB members' experiences based on the …

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An Evaluation Of Community-Based Juvenile Firesetting Programs Through The Custodial Lens, Peter William Blaich Jan 2023

An Evaluation Of Community-Based Juvenile Firesetting Programs Through The Custodial Lens, Peter William Blaich

Walden Dissertations and Doctoral Studies

Using general strain theory and social learning theory as the foundation, this generic qualitative study addressed whether interventions and prevention services for juvenile firesetters in the City of Charlotte–Mecklenberg County met needs from the perspectives of critical stakeholders. Data were collected through in-depth interviews with 12 parents/guardians of justice-involved adolescent fire offenders. Interviews were transcribed and analyzed using a six-step procedure for thematic analysis by Braun and Clarke. The study's results revealed that the current juvenile firesetters intervention and prevention program is perceived as inadequate when applied without input from the adolescent’s parent or guardian. The participants perceived the need …

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Mental Health In Black Women With Endometriosis-Related Symptoms During Covid-19, Anjanette Jaye Blunt Jan 2023

Mental Health In Black Women With Endometriosis-Related Symptoms During Covid-19, Anjanette Jaye Blunt

Walden Dissertations and Doctoral Studies

Endometriosis is an incurable chronic illness impacting 190 million women worldwide. Despite the prevalence of this painful disease, research addressing how it affects Black women in the United States was limited. Research addressing this phenomenon during the COVID-19 pandemic was further limited. The purpose of this qualitative study employing an interpretative phenomenological analysis was to understand the mental health of Black women with endometriosis-related symptoms during the COVID-19 pandemic and how having the illness during the pandemic might have impacted individuals in this population. The strong Black woman schema and biopsychosocial model were the theoretical foundations for the study. Data …

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Lived Experiences Of College Students With Social Anxiety Disorder Accessing Support Services, Patrice Nicole Broaden Jan 2023

Lived Experiences Of College Students With Social Anxiety Disorder Accessing Support Services, Patrice Nicole Broaden

Walden Dissertations and Doctoral Studies

Many college students exhibit symptoms related to social anxiety disorder (SAD); however, they were not addressed or diagnosed until college. College counseling centers are experiencing an increased number of students with SAD. College students with SAD often experience failing grades, have limited social interaction with peers, and lack appropriate assertiveness. The purpose of this hermeneutic phenomenological study was to investigate the lived experiences of college students with SAD accessing support services. Phenomenology was the framework used to support the study. Semi structured interviews with 10 students were used to generate rich, detailed descriptions of the phenomenon. An interpretative phenomenological analysis …

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Attachment And Its Prediction Of Emotional-Social Intelligence (Esi) Of African American Females During Mid-To-Late Adolescence, Lauren N. Callahan Jan 2023

Attachment And Its Prediction Of Emotional-Social Intelligence (Esi) Of African American Females During Mid-To-Late Adolescence, Lauren N. Callahan

Walden Dissertations and Doctoral Studies

Attachment and emotional-social intelligence (ESI) have been an area of study among scholars since attachment has been shown to impact important areas of psychosocial development. This study involved exploring attachment or the adolescent bonding experience, and its prediction of ESI of African American females during mid-to-late adolescence. Researchers have demonstrated there are ethnic differences in terms of attachment and ESI but have not established predictive relationships among African Americans. The purpose of this study was to examine attachment and its prediction of ESI of African American females between 15 and 18. Using a quantitative design, the Adolescent Attachment Questionnaire and …

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Teach-Back As An Evidence-Based Tool In Patient Education, Andrea Clyne Jan 2023

Teach-Back As An Evidence-Based Tool In Patient Education, Andrea Clyne

Walden Dissertations and Doctoral Studies

AbstractDischarge instructions are a valuable component of patient education as they can influence outcomes post-discharge, leading to positive social change through improved morbidity and mortality. The use of teach-back education by registered nurses is a best practice that assures understanding of discharge instructions. However, consistent use of this method relies on the staff’s conviction and confidence in this manner of education. The purpose of this project was to develop, deliver, and evaluate a program to educate staff on the best practice of teach-back to effectively deliver patient education. The logic model helped guide and develop the stages of the project …

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Adverse Childhood/Adolescent Experiences And Risk Of Recruitment Into Sex Trafficking, Shwana Coleman Jan 2023

Adverse Childhood/Adolescent Experiences And Risk Of Recruitment Into Sex Trafficking, Shwana Coleman

Walden Dissertations and Doctoral Studies

Human trafficking victims are negatively impacted by the process of coercion, kidnapping, and forced sexual interactions. Previous research studies showed that sex trafficking impacts victims’ mental health. The purpose of this quantitative study was to investigate whether adverse childhood/adolescent experiences (i.e., substance abuse, psychological abuse, and physical abuse) influence recruitment to sex trafficking in the United States and whether age acts as a moderator. The health belief model provided the theoretical framework for the study that includes data from 2010–2015 collected by the Polaris Project, a global sex trafficking database. Convenience sampling was done to delineate the study variables and …

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Leadership And Spirituality: The Relationship Of Incorporating Spirituality In Ethical Workplace Decision Making, Tiffany D. Cooper Jan 2023

Leadership And Spirituality: The Relationship Of Incorporating Spirituality In Ethical Workplace Decision Making, Tiffany D. Cooper

Walden Dissertations and Doctoral Studies

Unethical actions such as fraud, corruption, and corporate scandals have led to a global loss of more than $7.1 trillion. The unethical actions concern business leaders because unethical decision-making can lead to business closure. Grounded in Fry's spiritual leadership theory, the purpose of this quantitative correlation study was to examine the relationship between spiritual leadership, spiritual well-being, and ethical decision-making. The participants were 102 mid-level managers in the United States who completed the Spiritual Leadership Survey. The results of the multiple linear regression were significant, F(4, 97) = 7.808, p < .001, R2 = .244. In the final model, hope/faith was the only significant predictor (t = 2.079, p = .040, ß = .314). A key recommendation is for organizations' leaders to incorporate hope/faith in their overall decision-making. The implications for positive social change include the potential of leaders enlightening an individual's thinking toward ethical decisions for themselves, their organizations, and personnel within the workplace.

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Resiliency Perceptions Of Women In Organizational Management, Brandi Dehart Jan 2023

Resiliency Perceptions Of Women In Organizational Management, Brandi Dehart

Walden Dissertations and Doctoral Studies

Exploring the perceptions of women managers involving effective strategies to remain within their roles is essential to further understand resiliency. A literature gap exists regarding the resilience strategies of women managers to stay in leadership roles. The purpose of this qualitative single case study with embedded units was to explore perceptions of women managers with at least five years of experience in management regarding how they remained resilient throughout their careers. The overarching research question was developed to address the purpose of this qualitative single case study with embedded units. Qualitative data were collected from semistructured interviews with nine women …

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Examining The Relationship Between Patient Care Quality, Patient Care Safety, And Socioeconomic Status In Chicago's Acute Care Hospitals, Theresa Ann Doby Jan 2023

Examining The Relationship Between Patient Care Quality, Patient Care Safety, And Socioeconomic Status In Chicago's Acute Care Hospitals, Theresa Ann Doby

Walden Dissertations and Doctoral Studies

AbstractEnsuring high quality and safe patient care are among the main goals of all acute care hospitals. This study found that quality of patient care is not consistent across all patient populations, which draws attention to the issue of disparity in access to safe and quality health care. The purpose research questions of this quantitative study examined if patient care quality and safety are related to hospitals’ socioeconomic status (SES) among Chicago’s acute care hospitals. Secondary data were derived from a sample of 20 acute care hospitals (i.e., 10 acute care hospitals of high SES and 10 of low SES) …

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Entrepreneurial Leadership Strategies For Catalyzing Innovation Performance, Jason D'Souza Jan 2023

Entrepreneurial Leadership Strategies For Catalyzing Innovation Performance, Jason D'Souza

Walden Dissertations and Doctoral Studies

Inadequate innovation performance has the potential for adverse business outcomes. Business leaders are concerned with inadequate innovation performance, as innovation is a significant driver of business growth. Grounded in entrepreneurial leadership, the purpose of this qualitative multi-case study was to explore entrepreneurial leadership strategies that some healthcare business leaders used to catalyze innovation performance. The participants were six business leaders within three healthcare sectors who contributed to strategic healthcare innovation decisions using entrepreneurial leadership strategies within the last 5 years. Data were collected using semistructured interviews and a review of organizational strategy documents and websites. Through thematic analysis, six themes …

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Improving Staff Knowledge Of The Value Of Hourly Rounding, Dr. Melissa Gagliano, Dnp, Nea-Bc Jan 2023

Improving Staff Knowledge Of The Value Of Hourly Rounding, Dr. Melissa Gagliano, Dnp, Nea-Bc

Walden Dissertations and Doctoral Studies

Research has shown that consistent hourly rounds improve patient satisfaction and quality of care. Successful implementation and maintenance of this patient-centered practice hinges on nursing knowledge and proper training in the processes and procedures that support timely, purposeful, and effective hourly rounds. The purpose of this doctoral project was to implement a staff education project to improve staff perception of the value of hourly rounding on an inpatient orthopaedic unit. Project materials supplemented the hourly rounding program already in place at the facility. Following an in-depth literature search, pre-intervention multiple-choice knowledge assessment questionnaires were distributed to staff who volunteered to …

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Occupational Burnout Factors Among Correctional Mental Health Providers, Morgan Gruhot Jan 2023

Occupational Burnout Factors Among Correctional Mental Health Providers, Morgan Gruhot

Walden Dissertations and Doctoral Studies

Burnout rates of correctional employees are higher than employees in the general public. The purpose of this study was to identify how occupational factors impact burnout rates among correctional mental health workers. Grounded in the job-demands theoretical model, this study compared burnout rates among mental health staff within county jails and state prisons. Burnout was measured using the Maslach Burnout Inventory and Occupational factors were measured using the Areas of Work life Survey and Pandemic Experience and Perception Survey. Data was analyzed using IBM SSPS software to address multiple a priori directional research questions. Research questions considered how occupational factors …

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Relationship Between Maternal Language And Use Of Electronic Cigarettes In Pregnancy, Tara Halpern Jan 2023

Relationship Between Maternal Language And Use Of Electronic Cigarettes In Pregnancy, Tara Halpern

Walden Dissertations and Doctoral Studies

Tobacco use has been a long-standing known modifiable risk factor to maternal health. Although there have been many efforts to encourage smoking cessation, use of electronic cigarettes in pregnancy has been increasing over the years. Understanding potential factors that may play a role in the increased use of electronic cigarettes is important to improve maternal and fetal health outcomes. The social ecological model provides the theoretical framework for this study. The purpose of this study is to determine whether a woman’s primary language and pregnancy health care factors (i.e., access to health care 12 months prior to pregnancy, access to …

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Far-Right Extremist Influence On American Immigration Policy, Christopher Joseph Heinrich Jan 2023

Far-Right Extremist Influence On American Immigration Policy, Christopher Joseph Heinrich

Walden Dissertations and Doctoral Studies

There is little information on the increase in far-right extremist influence on policymakers’ ideology that affect immigration law. The purpose of this qualitative study was to understand how far-right extremists influence American policymakers in supporting the perspective that immigrants are replacing White Americans and how that affects non-White and/or non-Christian immigration. The framework for this study was based on policy feedback theory by Mettler and SoRelle. Research questions focused on federal legislation that supports anti-immigration between 2017 and 2021 and far-right extremist ideology. Document analysis was done through purposive sampling to select public records of individuals, groups, and laws. Data …

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Resilience Characteristics In Law Enforcement Officers, Jocelyn Grace Jameson Jan 2023

Resilience Characteristics In Law Enforcement Officers, Jocelyn Grace Jameson

Walden Dissertations and Doctoral Studies

Resilience characteristics in law enforcement officers have been a focus of scholars for several decades. Repetitive trauma requires officers to establish coping mechanisms and manufacture varying resilience factors. Researchers have demonstrated that interventions to improve resilience may result in a higher demand for psychoeducation, training and well-being, and stress management. Researchers have yet to establish what shared characteristics are among law enforcement officers that promote resilience. The purpose of this study was to examine the lived experiences of law enforcement officers’ experiences, beliefs, and knowledge about their exposure to repetitive traumatic events. The resilience theory supported the research. A qualitative, …

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Early Childhood Teachers’ Perspectives On Referring Black Students For Disciplinary Action, Adriuna Johnson Jan 2023

Early Childhood Teachers’ Perspectives On Referring Black Students For Disciplinary Action, Adriuna Johnson

Walden Dissertations and Doctoral Studies

Schools have reported disparities in the use of discipline on a nationwide scale. The problem for this study was that early childhood teachers referred Black students for disciplinary action or exclusionary discipline at higher rates than their peers.The purpose of this basic qualitative study was to explore early childhood teachers’ perspectives of referring Black students for disciplinary action. Weinstein, Curran, and Tomlinson-Clarke’s model of culturally responsive classroom management formed the conceptual framework that guided this study. The research question focused on teacher perspectives about referring Black students for disciplinary action. A basic qualitative design was used to capture the insights …

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Gender Disparities: 5 Year Survival Rates Of Elderly Colorectal Cancer Patients With Depression, Riya Joshi Jan 2023

Gender Disparities: 5 Year Survival Rates Of Elderly Colorectal Cancer Patients With Depression, Riya Joshi

Walden Dissertations and Doctoral Studies

AbstractColorectal cancer (CRC) is a life-threatening health condition known to greatly affect the elderly than younger populations. CRC, if comorbid with mental condition such as depression, can seriously affect patients’ quality of life with a direct influence on the survival rate. There is a connection between depression and worsened cancer progression and survival rate of CRC, little is known on gender differences in survival rates on elderly CRC patients with pre-existing depression (PD). A socioeconomic model study was used to evaluate gender, initial diagnostic stage, and marital status (MS) at diagnosis as major independent variables and 5-years survival rate (5-YS) …

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Survival Rates And Clinical Trial Participation Among Rural Cancer Patients, Tatiana Kurilo Jan 2023

Survival Rates And Clinical Trial Participation Among Rural Cancer Patients, Tatiana Kurilo

Walden Dissertations and Doctoral Studies

The literature indicates that cancer patients in rural areas lack adequate access to clinical trials and may experience more harmful consequences than patients residing in urban areas. The purpose of the study was to compare cancer survival rates among patients living in rural and urban counties in a southeastern U.S. state with breast cancer and lung cancer. Analysis was conducted using secondary data from the National Cancer Institute’s Surveillance, Epidemiology and End Results (SEER) Program tumor registry, Comprehensive Cancer Center (CCC) tumor registry, and CCC OnCore Subject Accrual Data. A series of independent samples t-tests and factorial ANOVA were conducted …

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Strategies For Emotional Intelligence Training For Improving Employee Performance, Dale Elizabeth Laing-Hall Jan 2023

Strategies For Emotional Intelligence Training For Improving Employee Performance, Dale Elizabeth Laing-Hall

Walden Dissertations and Doctoral Studies

The nursing home industry's lack of emotional intelligence (EI) can negatively impact patient satisfaction and performance. Nursing home leaders who lack strategies to apply EI training to increase job satisfaction, reduce employee turnover, and improve interpersonal skills risk financial loss and business failure. Grounded in the EI framework, the purpose of this multiple qualitative case study was to explore strategies nursing home leaders use to apply EI training to reduce employee turnover, increase job satisfaction, and improve interpersonal skills for performance improvement. The participants comprised four nursing home leaders from multiple nursing homes in Florida who implemented strategies to reduce …

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Strategies Organizational Leaders Use To Engage Employees, Latisha Valencia Lewis Jan 2023

Strategies Organizational Leaders Use To Engage Employees, Latisha Valencia Lewis

Walden Dissertations and Doctoral Studies

For many organizations, employee engagement is a major component that drives a business’s productivity, performance, and profitability. Some healthcare leaders lack strategies to engage employees. Grounded in Kahn’s employee engagement theory, the purpose of this qualitative single case study was to explore strategies healthcare leaders use to engage employees. The participants were eight healthcare leaders in a greater Atlanta, Georgia, healthcare facility who successfully implemented strategies to engage employees. Data were collected from Press Ganey quarterly engagement scores and semistructured interviews. Data were analyzed using Yin’s five-phase process, from which three themes emerged: (a) mentorship, (b) leadership, and (c) teamwork. …

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