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Differences Between Nurse-Led Intervention Topics, Longevity, Changed Practices, And Sustainability Planning, Robin Anselm Jan 2023

Differences Between Nurse-Led Intervention Topics, Longevity, Changed Practices, And Sustainability Planning, Robin Anselm

Walden Dissertations and Doctoral Studies

Though health care providers use evidence-based interventions (EBIs), a knowledge gap exists regarding lasting change associated with doctorate-prepared nurse interventions and sustainability planning. This quantitative cross-sectional descriptive design guided by the five pillars of the United Nations sustainable development goals (SDGs) was used to examine the differences between doctorate-prepared nurses’ sustainable EBI topics, intervention longevity, changed clinical practices, and sustainability planning. The dynamic sustainability framework, the adult learning theory, and the social learning theory framed this study. The design included a survey of 1,365 nurse anesthesiologists using a questionnaire composed of the Program Sustainability Assessment Tool (PSAT) version 2 and …

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Factors Associated With Intent To Quit Smoking Among U.S. Adult Smokers, Patrese Ann Nesbitt Jan 2023

Factors Associated With Intent To Quit Smoking Among U.S. Adult Smokers, Patrese Ann Nesbitt

Walden Dissertations and Doctoral Studies

Smoking and tobacco use continue to be a public health issue for over 40 million Americans, which explains the appropriateness and abundance of smoking cessation programs throughout the United States. The purpose of this quantitative correlational study was to examine the associations between independent variables of marital status, advice from a medical clinician, and use of community smoking cessation resources and the dependent variable of intent to quit smoking, controlling for race, ethnicity, gender, and age. The theory of reasoned action was used to guide the study. Data from the National Adult Tobacco Survey (N = 12,357) were analyzed using …

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Logistics Leader Strategies For Retaining Employees, Sandra Northern Jan 2023

Logistics Leader Strategies For Retaining Employees, Sandra Northern

Walden Dissertations and Doctoral Studies

Low employee retention can lead to a lack of the knowledge, skills, and abilities required for sustainable logistics operations. Logistics leaders are concerned with employee retention because turnover increases business costs, reduces operational efficiency, and decreases profitability. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies logistics leaders use to increase employee retention. The participants were three senior leaders from a logistics organization in the northeast region of the United States who possessed knowledge and experience of the research phenomena. Data were collected through semistructured interviews, company documents, publicly available data, and …

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The Experiences Of Women In The Healthcare Profession With Alcohol Use During The Covid-19 Pandemic, Amber Olsen Jan 2023

The Experiences Of Women In The Healthcare Profession With Alcohol Use During The Covid-19 Pandemic, Amber Olsen

Walden Dissertations and Doctoral Studies

Women have severe health risks associated with drinking alcohol long-term and excessively. The purpose of this qualitative study was to explore the lived experience of women in healthcare positions regarding alcohol use during the COVID-19 pandemic. The study was informed by the theory of planned behavior. Semistructured interviews were used to gather information from participants based on their firsthand experiences with alcohol usage. Understanding women’s attitudes toward alcohol use during the COVID-19 pandemic can improve intervention. Data were analyzed using an inductive, thematic procedure. Participants associated their own use of alcohol with socialization, and all participants reported that they regarded …

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Nurses’ Perception Of Pain Assessment In Cognitively Impaired Older Residents In Long-Term Care, Abigail Owolabi Jan 2023

Nurses’ Perception Of Pain Assessment In Cognitively Impaired Older Residents In Long-Term Care, Abigail Owolabi

Walden Dissertations and Doctoral Studies

AbstractPain has been a significant problem in old age and is more problematic in cognitively impaired older residents (CIOR) because of their inability to express themselves. The goal of pain assessment in CIOR is to treat pain before it escalates to behavioral problems. This descriptive qualitative study aimed to explore nurses’ perceptions of pain assessment in CIOR in long-term care facilities. Watson’s theory of human caring was used to frame the study. A purposive sample of eight nurses was recruited from two long-term care facilities for interviews conducted using the telephone and continued until saturation was reached. Data was manually …

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Intersectionality Of Black Women Managers' Experiences With Gendered Racism In Corporate Finance, Venessa Marie Perry Jan 2023

Intersectionality Of Black Women Managers' Experiences With Gendered Racism In Corporate Finance, Venessa Marie Perry

Walden Dissertations and Doctoral Studies

Experiences of Black women with gendered racism remain a challenge in corporate America. Limited studies explore how Black women experience gendered racism due to the intersectionality of their dual identities. Black women experience chronic stress, burnout, and racial trauma. Disparities among Black women in management positions have gained traction and increased awareness; however, they remain underrepresented in corporate America. This qualitative study involved understanding Black women managers’ experiences with gendered racism in corporate finance. The generic qualitative study used intersectionality theory to illuminate the challenges of the intersecting identities of being a Black woman in corporate finance. Thirteen participants were …

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Lived Experiences Of African American Women Engineers Regarding Employee Engagement, Organizational Support, And Organizational Commitment, Tamika Gwendolyn Riley Jan 2023

Lived Experiences Of African American Women Engineers Regarding Employee Engagement, Organizational Support, And Organizational Commitment, Tamika Gwendolyn Riley

Walden Dissertations and Doctoral Studies

African American women are underrepresented in the engineering workforce. Limited research exists focusing on the experiences of African American women engineers. This qualitative study aimed to understand the perceived lived experiences of African American women engineers concerning employee engagement, organizational support, and organizational commitment. Relational cultural theory and feminist theory comprised the theoretical framework used to guide this descriptive phenomenological study. Data were collected using semi structured interviews with 11 African American women engineers. An inductive thematic data analysis produced 15 themes to answer the study’s three research questions. The themes that addressed the first research question, on engagement, included …

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Predictive Relationships Between Organizational Climate, Teacher Stress, And Teacher Turnover Intention, Susan L. Roebuck Jan 2023

Predictive Relationships Between Organizational Climate, Teacher Stress, And Teacher Turnover Intention, Susan L. Roebuck

Walden Dissertations and Doctoral Studies

The turnover rate for secondary school educators has increased to the highest in almost 30 years. Public teachers who leave teaching reported that general working conditions, increased job demands, and the inability to manage their workloads (organizational climate) contributed to their decision. The problem addressed in this study is that teacher turnover has negative impacts, including poor student performance and decreased teacher effectiveness of remaining teachers. The purpose of this quantitative correlational study was to determine the extent to which organizational climate and teacher stress predict teacher turnover intention. The theoretical framework applied to the interpretation of the statistical results …

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Perception Of Effective Leadership Concerning Nurse Satisfaction And Intent To Leave, Tina Marie Rose Jan 2023

Perception Of Effective Leadership Concerning Nurse Satisfaction And Intent To Leave, Tina Marie Rose

Walden Dissertations and Doctoral Studies

Nurses are an essential part of patient care, and improving retention is important to quality outcomes and the cost of care. An integral aspect of nurse retention is job satisfaction, which may relate to communication provided by organizational leadership. The purpose of this quantitative study was to determine if there was a relationship between perceived effective leadership, nurse job satisfaction, and nurse turnover intent. This potential relationship between leadership communication and nurse turnover was studied with the competing values framework as the theoretical structure. The two research questions addressed the independent variables of perceived effective leadership in a hospital setting …

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Hospital-Acquired Infections And Differences Between Magnet And Non-Magnet Hospitals, Linda Mary Valenti Jan 2023

Hospital-Acquired Infections And Differences Between Magnet And Non-Magnet Hospitals, Linda Mary Valenti

Walden Dissertations and Doctoral Studies

Hospital-acquired infections (HAIs), specifically clostridioides difficile (CDI) and methicillin-resistant staphylococcus aureus (MRSA) bacteremia, increase mortality and length of stay and cost the United States billions of dollars each year. Though preventable, continued incidence demonstrates that infection prevention interventions remain challenging for health system administrators. The purpose of this quantitative study was to identify whether there was a significant difference between Magnet accreditation and non-Magnet accreditation and the frequency of HAIs, specifically, CDI and MRSA bacteremia. The independent variable was Magnet accreditation status; the dependent variables were CDI and MRSA bacteremia. The foundation of the study focused on Donabedian’s framework of …

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Transitional Care For The End Stage Renal Disease Patient, Elaine Vitto Jan 2023

Transitional Care For The End Stage Renal Disease Patient, Elaine Vitto

Walden Dissertations and Doctoral Studies

AbstractThe prevalence rates for end stage renal disease (ESRD) have continued to rise by approximately 20,000 cases per year, and the number of patients with kidney failure requiring dialysis in the United States had reached 554,038 at the end of 2018. Transition of care for patients between acute care facilities and other care facilities such as dialysis centers remains challenging for providers. Lack of clear communication between providers, poor patient understanding of post-hospital self-care, and gaps in healthcare scheduling contribute to a high rate of adverse events. This facility did not have a detailed clinical guideline for ESRD communication between …

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Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White Jan 2023

Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White

Walden Dissertations and Doctoral Studies

This case study addressed how to best use health coaches in the field of behavioral health to improve the accessibility and outreach of a new program launched by the target organization that emphasizes coaching as an intervention for improving well-being and mental fitness. The purpose of this qualitative case study was to investigate the potential influence of coaching within the behavioral health field and explore how health coaches could partner with clinicians or behavioral health leaders to allow for more collaboration and accessibility to services. The RQs centered on how health coaches might support the treatment of those who have …

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Former High School Bullying Victim Perceptions Of Support To Prevent Bullying Incidents, Aaron James John Woods Jan 2023

Former High School Bullying Victim Perceptions Of Support To Prevent Bullying Incidents, Aaron James John Woods

Walden Dissertations and Doctoral Studies

Bullying was a pervasive issue affecting high schools in the United States despite anti-bullying programs. The purpose of this qualitative study was to explore the perceptions of former high school bullying victims about why anti-bullying programs have not reduced incidents of bullying. The conceptual framework that supported this study was Bronfenbrenner’s ecology of human development, a theory that assumes an individual’s development is affected by the changing environment and the larger social context in which the environment resides. The research questions were designed to find out why anti-bullying efforts have been ineffective in preventing bullying incidents and what participants believe …

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Retention Of Foster Parents For At-Risk Youth In Tennessee, Marvin Amos Jan 2023

Retention Of Foster Parents For At-Risk Youth In Tennessee, Marvin Amos

Walden Dissertations and Doctoral Studies

Federal legislation with the Family First Prevention Service Act (FFPSA) of 2017 required Tennessee to increase foster parent retention strategies. Tennessee does not have enough available foster homes for adolescents. The purpose of this generic qualitative study was to explore foster parent retention in Tennessee and to inform policymakers on how to adapt policy to increase the retention. The theoretical foundation for this study was based on the policy feedback theory, to identify the policy scope in Tennessee, and the two-factor theory, to guide the data analysis in the context of employee satisfaction and retention measures. Purposive sampling techniques were …

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Former Juvenile Delinquents’ Perceptions Of Community Resources In Reducing Juvenile Recidivism, Mardochee Terese Casimir Jan 2023

Former Juvenile Delinquents’ Perceptions Of Community Resources In Reducing Juvenile Recidivism, Mardochee Terese Casimir

Walden Dissertations and Doctoral Studies

AbstractJuvenile recidivism is a concern for human service professionals who are dedicated to developing policies aimed at addressing and reducing such recidivism. The purpose of this generic qualitative study was to explore the perceptions of former juvenile delinquents as to how community institutions and resources prevented them from recidivating. Social learning theory was used to frame this study. Data were collected through semistructured interviews with nine former juvenile delinquents who had experience with community institutions and resource use. Saldana’s inductive coding process was used for data analysis. Nine themes were identified: (a) behavior modification contributed to prevention of recidivism, (b) …

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Structural Empowerment Of Nurse Leaders In New York State During The Covid-19 Pandemic, Tracey Braithwaite Jan 2023

Structural Empowerment Of Nurse Leaders In New York State During The Covid-19 Pandemic, Tracey Braithwaite

Walden Dissertations and Doctoral Studies

The current phenomenological study explored the lived experience of Acting Chief Nursing Officers, Chief Nursing Officers, Chief Nursing Executives (henceforth CNOs) at hospitals in New York State who were charged with responding to executive orders while maintaining quality of patient care despite staffing constraints, inadequate supplies, or lack of additional support for the duties associated with their role. Their experience of structural empowerment in relation to the COVID-19 pandemic was also studied. The theoretical framework was Kanter’s theory of structural empowerment that addressed organizational behavior in the context of employee empowerment. The research question addressed how the CNOs perceived their …

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Professional Discretion Of Child Protective Services Investigators In Foster Care Placements, Leonard Fikes Jan 2023

Professional Discretion Of Child Protective Services Investigators In Foster Care Placements, Leonard Fikes

Walden Dissertations and Doctoral Studies

Families of color in North Carolina have been disproportionately affected in the child welfare system, particularly in the foster care system. The purpose of this qualitative research study examined the discretionary powers of Child Protective Services (CPS) investigators and how they interpreted and applied child welfare policies that disproportionally impacted African American families from marginalized, underrepresented communities. Guided by Wallander and Molander’s professional discretion as the framework, this research expanded the current literature and increased awareness of racial disproportionality and the continued disproportionality of African American children in the child welfare system, especially foster care placements. The central research question …

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Trauma-Informed Behavioral Health Leadership And Employee Engagement At A Child Advocacy Center, Andrew Krantz Jan 2023

Trauma-Informed Behavioral Health Leadership And Employee Engagement At A Child Advocacy Center, Andrew Krantz

Walden Dissertations and Doctoral Studies

Employee engagement is essential for an organization to meet its mission and vision. When employees are not engaged, there are higher levels of turnover, secondary traumatic stress, and burnout. Furthermore, when employees are not engaged, there is a decrease in the quality of patient care. Behavioral health leaders can positively impact employee engagement by engaging in trauma-informed behavioral health leadership. This qualitative case study reviews the impact of trauma-informed behavioral health leadership on employee engagement at a large Child Advocacy Center in the northeastern United States who was struggling with low levels of employee engagement and high levels of turnover …

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Exploring Supervisory Experiences After The Legalization Of Recreational Marijuana In Colorado, Charles Daniel Mason Jan 2023

Exploring Supervisory Experiences After The Legalization Of Recreational Marijuana In Colorado, Charles Daniel Mason

Walden Dissertations and Doctoral Studies

AbstractColorado became the first state to decriminalize recreational marijuana in 2014. This new public policy resulted in unproven regulatory changes in any population in the United States. The purpose of the study was to discover the core perspective and experiences of 12 supervisors who experienced this phenomenon in their professional occupations, through the lens of accountability. The risk perceptions of supervisors’ due to policy shifts regarding recreational marijuana in Colorado were analyzed using the Delve system and hand coding. Findings indicated employees’ use of marijuana had a direct impact on productivity, which decreased significantly over time. Employees displayed signs of …

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Organizational Strategies For Improving The Present State Of A Behavioral Health Center Within A Historically Black College And University, Tonya Channell Cleveland Jan 2023

Organizational Strategies For Improving The Present State Of A Behavioral Health Center Within A Historically Black College And University, Tonya Channell Cleveland

Walden Dissertations and Doctoral Studies

This study aimed to explore the perceptions of university behavioral health counselors and other healthcare professionals relevant to the funding strategies and initiatives they used to help college students access the high-quality behavioral health services they need. On-campus counseling centers are valuable resources that benefit student well-being, including academic performance and retention. Understanding what factors create barriers for students who desire to seek counseling can help higher education professionals work to improve access to counseling. This qualitative case study focused on a university counseling center at a Southern Historically Black College and University serving a population of majority African American …

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Admission Timing, Age, Sex, Pain, And Disability As Outcome Predictors Of Short-Term Pain Programs, Nanesha Courtney Jan 2023

Admission Timing, Age, Sex, Pain, And Disability As Outcome Predictors Of Short-Term Pain Programs, Nanesha Courtney

Walden Dissertations and Doctoral Studies

Researchers have found that age, sex, education level, and pretreatment pain levels may be significant predictors of patient outcomes; however, it remained unknown whether the timing of treatment predicts pain and disability after a multidisciplinary short-term intensive pain treatment program. The purpose of this quantitative nonexperimental study was to use archival data to examine whether the timing of entry into a multidisciplinary short-term intensive pain treatment program predicted pain and functioning levels at posttreatment. Glasser’s choice theory was used to examine whether the combined effect of pretreatment pain, occupational disability level, age, sex, education level, and time of entrance predicted …

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The Experiences Of Middle-Aged Women In An Online Weight-Loss Community, Holly Fields Jan 2023

The Experiences Of Middle-Aged Women In An Online Weight-Loss Community, Holly Fields

Walden Dissertations and Doctoral Studies

The obesity epidemic continues to be a public health crisis in the United States. The number of obese middle-aged women has risen dramatically over the past few decades. Despite multiple levels of support available, not all women are receiving the support they need to reduce overweight/obesity, as evidenced by the continuing rise in obesity. Using a qualitative phenomenological approach, this study examined middle-aged women's views on exercising, eating healthily, and social support in online weight-loss communities. For this study, the health belief model (HBM) and social learning theory (SLT) were used as conceptual frameworks to understand a person's behavioral intentions …

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The Perceived Impact Of Effective Leadership On Employee Engagement And Compliance, Ayana Gilham Jan 2023

The Perceived Impact Of Effective Leadership On Employee Engagement And Compliance, Ayana Gilham

Walden Dissertations and Doctoral Studies

The focus of this study was the perceived impact of effective leadership on employee engagement and compliance. The Baldridge Excellence Framework was used as a guide for this qualitative case study of a behavioral health organization (BHO) located in the southeastern region of the United States. Research questions were used to examine the definition of effective leadership, the impact effective leadership has on employee engagement and compliance, and training needed to implement effective leadership practices. Data sources were semi-structured interviews with the organization’s Vice President of Operations and Clinical Director, the organization’s website, government websites, archival data provided by the …

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Teachers’ Perceptions Of High Teacher Turnover In Special Education, Anikko Gorham Jan 2023

Teachers’ Perceptions Of High Teacher Turnover In Special Education, Anikko Gorham

Walden Dissertations and Doctoral Studies

Nationally, special education teacher turnover is a significant issue for school districts. The problem addressed in this study was the high special education teacher turnover rate in one local school district in North Carolina. Guided by Maslow’s hierarchy of needs, this basic qualitative study explored previous special education teachers’ perceived motives for leaving their workplace in the local school district. Fifteen special education teachers who had separated from the local school district over the prior five years participated in semistructured interviews. Interview data were analyzed using open inductive coding following Yin’s five-phase approach. Themes derived from the analysis included (a) …

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Small And Medium-Sized Enterprise Beauty Salon Employer Strategies Used To Improve Employee Retention, Angela Lynette Loyd Jan 2023

Small And Medium-Sized Enterprise Beauty Salon Employer Strategies Used To Improve Employee Retention, Angela Lynette Loyd

Walden Dissertations and Doctoral Studies

Retention strategies are important to beauty salon leaders as they directly affect retaining a reliable workforce. Grounded in self-determination theory, the purpose of this generic qualitative case study was to explore retention strategies used by some SME beauty salon leaders in the United States to improve employee retention. The participants were five SME beauty salon leaders who retained at least two employees for 2 consecutive years. Data were collected using semistructured interviews and company documents. The four themes from the thematic analysis were leadership, psychological needs satisfaction, motivation, and engagement. A key recommendation is to have SME beauty salon leaders …

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Social Worker Perspectives On Implementation Of Harm Reduction Into Abstinence-Based Substance Abuse Programs, Susan Woomer Jan 2023

Social Worker Perspectives On Implementation Of Harm Reduction Into Abstinence-Based Substance Abuse Programs, Susan Woomer

Walden Dissertations and Doctoral Studies

Opioid addiction is a growing epidemic in the United States and was declared a public health emergency by the Department of Health and Human Services in October of 2017. There is a growing recognition that the current treatment for heroin and opioid addiction, abstinence-based treatment programs, is not readily available and has minimal success in addressing the epidemic. Harm reduction therapy is recognized as an effective way to address the opioid epidemic. This study aimed to develop further insight and understanding of how to integrate harm reduction therapy in abstinence-based treatment programs. The theoretical framework for this study was the …

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Instructional Strategies Teachers Use To Assist Students With Convergence Insufficiency In Notetaking, Jennifer Wiggins-Lambert Jan 2023

Instructional Strategies Teachers Use To Assist Students With Convergence Insufficiency In Notetaking, Jennifer Wiggins-Lambert

Walden Dissertations and Doctoral Studies

Two to three students per class suffer from visual-motor deficits such as convergence insufficiency. Though there are treatment plans to assist with the disability over time outside of the school, there are no general inventions set in place in the public school system to assist visual-motor deficit students from systemically falling behind academically each year. The purpose of this study was to explore instructional strategies secondary special education teachers of an inclusive setting use to assist students who struggle with notetaking due to visual or visual-motor deficits known or unknown as convergence insufficiency. Using the universal design for learning theoretical …

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Exploring Strategies To Protect Nonprofit Organizations’ Assets From Fraud, Georjean W. Trinkle Jan 2023

Exploring Strategies To Protect Nonprofit Organizations’ Assets From Fraud, Georjean W. Trinkle

Walden Dissertations and Doctoral Studies

Community action agencies serve low-income individuals, families, and communities. Community action agencies may be at risk of fraud if they do not have board members with the knowledge to implement effective governance strategies to protect the organization's assets from fraud. Grounded in agency theory, the purpose of this qualitative multiple case study was to explore effective governance strategies that some community action board members use to protect their organization's assets from fraud. The participants were three board members of two community action agencies in New Jersey who implemented effective governance strategies to protect the organization's assets from fraud. Data were …

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Identifying And Examining Key Themes Emanating From The U.S. Legislative Tobacco Policy Subsystem, Arnon Dayak Jan 2023

Identifying And Examining Key Themes Emanating From The U.S. Legislative Tobacco Policy Subsystem, Arnon Dayak

Walden Dissertations and Doctoral Studies

Americans’ continuously increasing tobacco use in the form of smoking presents an ongoing and rising negative health impact on this leading cause of preventable death. Despite existing U.S. federal level tobacco regulation through the Family Smoking Prevention and Tobacco Control Act (FSPTCA), U.S. tobacco use remains ubiquitous demonstrating existent ineffectiveness of tobacco control legislation. Unknown underlying attributing factors present critical information gaps which, when exposed, could improve tobacco regulation. Using a case study approach, the question, “What key themes are aligned with legislative subsystem actors when voting on the FSPTCA” was examined. Multi-source data streams using existing secondary datasets including …

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Single-Term Soldiers’ Job Satisfaction And Job Meaningfulness In Second Careers, Bethanie Hiramoto Jan 2023

Single-Term Soldiers’ Job Satisfaction And Job Meaningfulness In Second Careers, Bethanie Hiramoto

Walden Dissertations and Doctoral Studies

Past researchers have informed future researchers of the challenges soldiers experience when transitioning to civilian life and the civilian workplace. This qualitative study aimed to understand the lived experiences of six single-term soldiers and their levels of job satisfaction through job meaningfulness in their second careers. Data for this study was collected using semi-structured interviews and interview protocols. The theoretical framework combined Herzberg’s two-factor theory, McClelland’s needs theory, and Organizational Socialization. The entire study was framed through this framework, and collected data were analyzed. The findings of this study indicated that job meaningfulness occurred while in their single term in …

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