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Effective Revenue Planning For Small Minority-Owned Mental Health Organizations, Beonko Alejandro Sampson Jan 2023

Effective Revenue Planning For Small Minority-Owned Mental Health Organizations, Beonko Alejandro Sampson

Walden Dissertations and Doctoral Studies

AbstractRevenue planning for minority-owned organizations is vital for sustainability. This is a significate concern for behavioral health practitioners who must deal with the changing landscape of mental health and the financial worries of sustaining a successful organization. This case study examined effective revenue planning for a minority-owned behavioral health organization located in the mideastern part of the United States. The organization provides several different behavioral treatment services for children, adolescents, and adults. The Baldrige excellence framework for healthcare guided a system-based approach to assessing the minority-owned organization. The systems approach identified noted organizational components of leadership, strategy, and operations. Themes …

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School Counselor Leadership: Illuminating The Lived Experiences Of Principals Who Utilize Counselors In Leadership, Amanda Schwyn Jan 2023

School Counselor Leadership: Illuminating The Lived Experiences Of Principals Who Utilize Counselors In Leadership, Amanda Schwyn

Walden Dissertations and Doctoral Studies

AbstractThe topic of principal–school counselor partnerships has been emerging over the last several decades. The American School Counselor Association (ASCA) helped introduce and streamline counselor roles and responsibilities in 1952 and has been advocating for schools to have comprehensive school counseling programs since. Despite articles, research, and ASCA’s work to promote school counselors as leaders in the school and the importance of a comprehensive school counseling program, a gap remains with respect to counselors working with principals to establish comprehensive school counseling programs from the principal’s perspective. To understand the principal’s experience, the study was conducted using eight principals at …

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Leading A Motivated Home Healthcare Company, Jekea Scott Jan 2023

Leading A Motivated Home Healthcare Company, Jekea Scott

Walden Dissertations and Doctoral Studies

The lack of employee engagement and increase in employee turnover adversely affect the healthcare industry’s business outcomes. Home healthcare leaders need engagement strategies to retain experienced employees as failure to engage employees results in decreased productivity and increased expenses associated with recruiting and training new hires. Grounded in Blau’s social exchange theory, the purpose of this qualitative multiple case study was to explore strategies that home healthcare leaders use to increase employee engagement and decrease employee turnover. The participants comprised eight current and former leaders and employees of home healthcare companies in Charlotte, North Carolina. The data collection processes included …

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Lived Experiences Of Technology-Based Legal Resources, Michael Ray Stanley Jan 2023

Lived Experiences Of Technology-Based Legal Resources, Michael Ray Stanley

Walden Dissertations and Doctoral Studies

AbstractLack of access to United States civil courts by individuals who cannot afford or are otherwise unable to retain legal counsel has attracted the interest of policy makers and members of the legal community in recent years. The literature revealed a wide range of efforts and public and private resources that have been employed to address the problem. The purpose of this phenomenological study was to explore the experiences, perceptions, and insights of individuals in a medium-size Michigan city who had utilized services that deliver legal resources by technology-based platforms. Social construction of targeted populations and the technology acceptance model …

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Incorporating Mind-Body Therapies In Behavioral Health To Improve Patient Outcomes, Silvia Stark Jan 2023

Incorporating Mind-Body Therapies In Behavioral Health To Improve Patient Outcomes, Silvia Stark

Walden Dissertations and Doctoral Studies

AbstractMental health disorders are a global epidemic that continue to drain society of money, resources, and overall human life expectancy. The purpose of this qualitative case study was to analyze how a behavioral health organization that provides mind body therapies, such as yoga and meditation, in conjunction with clinical interventions to treat mental health disorders contributed to providing quality care and better patient outcomes. Currently, the behavioral health organization included mind body therapies within a clinical session and their goal was to separate yoga and meditation from a clinical session as reimbursable and evidence-based treatment for individuals with mental health …

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Exploring Care Recipients’ Health Conditions Influence On Caregivers And Caregivers’ Meaning Of Care Dependence, Yolanda Suarez-Calvo Jan 2023

Exploring Care Recipients’ Health Conditions Influence On Caregivers And Caregivers’ Meaning Of Care Dependence, Yolanda Suarez-Calvo

Walden Dissertations and Doctoral Studies

Little is known about the ways in which caregivers are affected or influenced by their care recipients’ health conditions. Additionally, the meaning of care dependence for caregivers is also understudied. The purpose of this generic qualitative study was to examine caregivers’ affection/influence due to the physical and psychosocial health conditions of the individuals for whom they care. Further, the meaning of care dependence, from the perspectives of the caregivers, was sought. The theoretical framework to further this research was Montgomery and Kosloski’s (2009) caregiver’s identity theory The research question addressed the ways caregivers are affected or influenced by the care …

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The Recidivism Rate In Correlation To The Effectiveness Of The Bridges To Life Reentry Program In Texas, Steven Steen Jan 2023

The Recidivism Rate In Correlation To The Effectiveness Of The Bridges To Life Reentry Program In Texas, Steven Steen

Walden Dissertations and Doctoral Studies

This research explored the relationship between reentry programs and recidivism in the state of Texas. One program in particular, Bridges To Life (BTL), has had an impact on recidivism in the state, and this research analyzed how the overall organization of BTL correlated to recidivism. Recidivism is the repeated or habitual relapse into crime. The purpose of this quantitative research study was to determine whether there was a direct correlation between the reduction of recidivism and the effectiveness of reentry programs through BTL in the state of Texas. The research question for this study explored the correlation between BTL and …

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Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate Jan 2023

Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate

Walden Dissertations and Doctoral Studies

Many individuals prefer to remain in their homes as they age instead of entering a long-term care facility. As the proportion of older Americans rapidly grows, the demand for delivery of nonmedical services by home healthcare aides (HHAs) is expected to increase. However, the national and local supply of HHAs is insufficient and must be rectified to meet a projected increase of older Americans by 2050. This research study involved exploring this problem for one small home healthcare organization in the Maryland suburbs outside of Washington, DC with an HHA workforce that was comprised predominantly of Black/African American and African …

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Occupational Stress Of Adult Protective Service Workers, Tiffany Taylor Jan 2023

Occupational Stress Of Adult Protective Service Workers, Tiffany Taylor

Walden Dissertations and Doctoral Studies

Research has revealed that adult protective service workers experience high levels of occupational stress that often result in health complications such as burnout, secondary traumatic stress, and compassion fatigue. Although several qualitative studies have been conducted over the past decade, there was limited information on the phenomenon of how stress is experienced by adult protective service workers investigating cases of alleged elder abuse. The purpose of this study was to examine the lived experiences of a sample of adult protective service caseworkers from the southwestern United States that have experienced occupational stress while investigating cases of elder abuse. This study …

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Religious Parents’ Awareness Of And Attitudes Toward Their Adolescent Children's Utilization Of Sexual Health Services, Ashley Thompson Jan 2023

Religious Parents’ Awareness Of And Attitudes Toward Their Adolescent Children's Utilization Of Sexual Health Services, Ashley Thompson

Walden Dissertations and Doctoral Studies

Parents are a key influence on their adolescent children's sexual health care decisions. Few researchers have considered the impact of religious environments and parental expectations on adolescents’ use of sexual health services, and research on religious parents’ awareness of adolescents’ use of sexual health services in Christian environments is scarce. The purpose of this basic qualitative study was to explore religious parents' awareness of and attitudes toward their adolescents’ use of sexual health services. The social ecological theory provided the conceptual lens for this study. Eight Christian parents participated in in-depth virtual interviews to discuss their encouragement or discouragement of …

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A Sociotechnical Systems View Of Computer Self-Efficacy And Usability Determinants Of Technical Readiness, Stefani L. Tucker Jan 2023

A Sociotechnical Systems View Of Computer Self-Efficacy And Usability Determinants Of Technical Readiness, Stefani L. Tucker

Walden Dissertations and Doctoral Studies

The specific research problem was that it is unknown whether computer self-efficacy and usability determine technical readiness in hourly and exempt information technology support employees in the United States. The purpose of this correlational study was to examine the relationship between computer self-efficacy and technical readiness, usability and technical readiness, and computer self-efficacy, usability, and technical readiness in hourly and exempt information technology support employees in the United States. Sociotechnical system theory suggests that every transaction has a human and technical aspect; thus, the theoretical framework. The convenience sample included 136 information technology support employees aged 18-70. The regression results …

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Nigerian Women Entrepreneurs’ Narratives On Collective Action For Economic Empowerment And Gender Parity, Elizabeth Oyanu Ujah Jan 2023

Nigerian Women Entrepreneurs’ Narratives On Collective Action For Economic Empowerment And Gender Parity, Elizabeth Oyanu Ujah

Walden Dissertations and Doctoral Studies

While entrepreneurship has offered some potential for empowering subordinated women in urban areas of Nigeria, a literature gap exists on urban Nigerian women entrepreneurs' narratives to understand better how their collective action may further support economic empowerment and gender parity. The purpose of this qualitative, narrative inquiry study was to understand how women entrepreneurs in urban Nigeria view their work to gain economic empowerment and gender parity through collective action. The narrative inquiry method was used to address the problem and answer the research question using interview data from 10 urban female Nigerian entrepreneurs. This study was framed by two …

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The Student’S Perspective Of Therapeutic Day Treatment, Krystal Vaughan Jan 2023

The Student’S Perspective Of Therapeutic Day Treatment, Krystal Vaughan

Walden Dissertations and Doctoral Studies

Attention deficit hyperactivity disorder (ADHD) has continued to be diagnosed in school-aged children at a high rate. Students with this diagnosis often display negative behaviors and poor academic performance, leading to the need for school-based interventions. Although the use of school-based interventions has shown to be moderately effective, the need to identify the student’s perspective is warranted. The purpose of this general qualitative study was to explore the effectiveness of therapeutic day treatment from the student’s perspective. While parents and teachers have found therapeutic day treatment useful, research to date from the student’s perspective is lacking. Vygotsky’s theory of cognitive …

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Exploring Dual Roles In Law Enforcement Officers Who Administer Naloxone, Regina Sullivan Wachenheim Jan 2023

Exploring Dual Roles In Law Enforcement Officers Who Administer Naloxone, Regina Sullivan Wachenheim

Walden Dissertations and Doctoral Studies

With the introduction of law enforcement-administered naloxone, officers are assuming the dual role of law enforcer and caregiver with opioid users. This study used cognitive role theory and Thorne’s interpretive approach to explore the dual roles experienced by officers. The purpose of this study was to understand (1) how officers who administer naloxone describe their experience of the dual role, and (2) how the officers describe the role expectations of law enforcer and caregiver. Seven officers completed semi-structured, one-on-one, telephone interviews. The eight themes that emerged were related to the officers’ views of (1) saving and changing opioid users’ lives; …

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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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Addressing Conflict-Related Sexual Violence In Liberia, Nathaniel Benjamin Walker Jan 2023

Addressing Conflict-Related Sexual Violence In Liberia, Nathaniel Benjamin Walker

Walden Dissertations and Doctoral Studies

The phenomenon of sexual violence against women in Liberia is a disturbing problem. Despite the significant number of individuals who have faced sexual assault in this country, little is known about the roots and long-term implications of this phenomenon within the context of Liberia, as well as the instruments that could be effective in remedying its effects. This study was conducted to understand how conflict-related sexual violence affects women in Liberia and suggest ways to help address it. The research questions addressed the effect of war-related sexual violence against women in Liberia and the strategies that are necessary to remedy …

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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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Exploring Social Workers And Self-Care, Justyna Wawrzonek Jan 2023

Exploring Social Workers And Self-Care, Justyna Wawrzonek

Walden Dissertations and Doctoral Studies

First responder social workers are exposed to a stressful work environment, which puts them at risk for burnout. Burnout increases turnover rates, which negatively impacts both social workers and the clients they serve. The use of self-care practices mitigates the harmful effects of burnout. Because first responder social workers in southern California have an average turnover rate of 6 to 12 months after hire, this study explored southern California first responder social workers’ experiences with self-care practices. A basic qualitative design using semistructured interviews was applied through the purposeful sampling of eight first responder social workers. The study was grounded …

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Issues Of Inmates Not Receiving Mental Health Treatment: A Prison-Based Counselor Perspective, Ashley Celestine Westmoreland Jan 2023

Issues Of Inmates Not Receiving Mental Health Treatment: A Prison-Based Counselor Perspective, Ashley Celestine Westmoreland

Walden Dissertations and Doctoral Studies

Mental illnesses in correctional facilities have been an issue for decades and have increased over time. According to recent studies, correctional facilities have become known as mental health institutions without access to treatment. It is unclear why correctional facilities have limited resources, but research indicates that offenders are not receiving the appropriate treatment. This qualitative phenomenological study aimed to explore how five prison-based counselors perceive the quality and quantity of mental health services provided to inmates. The data were analyzed and coded using the Interpretative Phenomenological Analysis (IPA). The current study’s findings further added to the base of knowledge that …

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Effective Strategies To Sustain Small African American Food Service Businesses Beyond 5 Years, Alvin West Jan 2023

Effective Strategies To Sustain Small African American Food Service Businesses Beyond 5 Years, Alvin West

Walden Dissertations and Doctoral Studies

AbstractAfrican American small food service business owners contribute to national and local economies; however, only 45% of them sustain their businesses beyond 5 years. African American small food service business owners are concerned with the lack of effective business strategy implementation, as it is the number one predictor of actual business failure. Grounded in the general systems theory, the purpose of this qualitative multiple case study was to explore strategies African American small food service business owners used to sustain their businesses beyond 5 years. The participants were seven African American small food service business owners in the southeastern United …

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Strategies Call Center Managers Use To Reduce Employee Turnover, Sheena R. Wheeler Jan 2023

Strategies Call Center Managers Use To Reduce Employee Turnover, Sheena R. Wheeler

Walden Dissertations and Doctoral Studies

Excessive employee turnover can disrupt an organization's efficient operational performance. Call center managers remain concerned with excessive employee turnover due to the expense of lost productivity, recruiting, and training new employees. Grounded in Herzberg’s two-factor theory of motivation, the intent of this qualitative single case study was to explore strategies call center managers use to reduce employee turnover. The participants consisted of five managers in one financial service call center in Nebraska who used successful strategies to reduce employee turnover. Data was collected using semistructured interviews and a review of the employee handbook. Four themes emerged through Yin’s 5-step process: …

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Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman Jan 2023

Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman

Walden Dissertations and Doctoral Studies

Firefighters are repeatedly exposed to trauma on the job, which could result in the need for mental health services; however, many firefighters experience barriers that impede their access to available resources. Additional research is needed from a qualitative lens on firefighters' help-seeking behaviors to inform the development of treatment interventions. The purpose of this study was to explore firefighters’ perceptions and experiences of seeking professional mental health treatment services. A generic qualitative approach and interpretive lens were used for the investigation. Twelve active U.S. firefighters with a minimum of 2 years on the job participated in semistructured interviews. Thematic analysis …

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Implementation Of Night Shift Rounding To Improve Nursing Communication And Reduce Days Of Intubation In The Intensive Care Setting, Lisa Wilkinson Jan 2023

Implementation Of Night Shift Rounding To Improve Nursing Communication And Reduce Days Of Intubation In The Intensive Care Setting, Lisa Wilkinson

Walden Dissertations and Doctoral Studies

Multidisciplinary rounds are the gathering of various health care providers who have a shared interest in a patient’s well-being to discuss the plan of care and the patient’s progress through their hospital stay. This multidisciplinary group of staff can be the providers, the nurse, charge nurse, social worker, pharmacist, dietician, respiratory, chaplaincy, and occupational and physical therapists. On night shift at the project site, this rounding process did not occur, leaving the staff feeling they were not involved in the plan of care. The purpose of this quality improvement evidenced-based project was to create a process change, introduced to the …

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Lived Experience Of Women Veterans Navigating The Veteran Healthcare System, Candance Willett Jan 2023

Lived Experience Of Women Veterans Navigating The Veteran Healthcare System, Candance Willett

Walden Dissertations and Doctoral Studies

Many women veterans who navigate the Veterans Affairs (VA) healthcare system across the United States have felt that their voices have not been heard regarding their input and lived experiences concerning inclusion to the quality-of-care delivery for their health needs. The purpose of this study was to explore the lived experiences of women veterans who were currently facing or had previously faced difficulty navigating the VA healthcare system. The framework used for this qualitative study was interpretive phenomenological analysis. The qualitative method used was hermeneutics which was designed by Edmund Husserl and Martin Heidegger. Semi structured interviews were of 12 …

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African American Men’S Lived Experiences Of Stigma Regarding Use Of Mental Health Services, Leon M. Wilson Jan 2023

African American Men’S Lived Experiences Of Stigma Regarding Use Of Mental Health Services, Leon M. Wilson

Walden Dissertations and Doctoral Studies

African American men are disproportionately more likely to live with untreated mental health challenges; the incidence of mental illness in African Americans is, per capita, 30% higher than among non-Hispanic Whites. African American men experience significant barriers and deterrents to psychological help seeking, which are primarily due to internalized stigma. The purpose of this qualitative phenomenological study was to explore and describe African American men’s experiences that influenced internalized stigma regarding seeking and using traditional mental health services. The theoretical framework included the theory of social stigma and minority stress theory. Nine purposively selected African American men from the Mid-Atlantic …

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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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Association Between Psychosocial, Obstetric, And Lifestyle Factors And Antenatal Depression, Tomnema Xiong Jan 2023

Association Between Psychosocial, Obstetric, And Lifestyle Factors And Antenatal Depression, Tomnema Xiong

Walden Dissertations and Doctoral Studies

Antenatal depression, or depression during pregnancy, is a mental health concern in the United States that impacts mothers and their infants. This study examined the associations between psychosocial, obstetric, lifestyle factors, and antenatal depression. This study was guided by social cognitive theory, specifically the reciprocal determinism construct. Secondary data from the 2007–2018 National Health and Nutritional Examination Survey (NHANES) were used in this quantitative cross-sectional study. Every participant of the NHANES completed the Patient Health Questionnaire-9 depression screening form. The study sample consisted of 274 women who were pregnant at the time of participating in the NHANES, approximately 28.8% of …

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Nonprofit Leader Strategies For Revenue Growth And Financial Sustainability, William David Woods Jan 2023

Nonprofit Leader Strategies For Revenue Growth And Financial Sustainability, William David Woods

Walden Dissertations and Doctoral Studies

Nonprofit leaders must ceaselessly endeavor to become more entrepreneurial by accumulating strategies for growing organizational revenue and promoting financial sustainability when charitable contributions cannot fund their business operations. The failure to obtain charitable contributions can lead to nonprofit closure. Grounded in behavioral portfolio theory, the purpose of this qualitative single case study was to explore strategies a leader of a small Wisconsin nonprofit used to increase revenue and financial sustainability when charitable contributions were insufficient to finance business operations. Data collection included semistructured interviews; organizational documents and reports; financial records and reports; social media; and internet reports. Data were analyzed …

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Variables Associated With Police Use Of Excessive Force In The United States, Leander Shane Zanders Jan 2023

Variables Associated With Police Use Of Excessive Force In The United States, Leander Shane Zanders

Walden Dissertations and Doctoral Studies

AbstractA negative relationship persists among minority communities and law enforcement officers, including officers’ use of excessive force. Use of force researchers hold that a high percentage of African American men and boys can expect to die at the hands of police in the United States. Further, African American men are more likely than their White peers to die during an encounter with police. The purpose of this quantitative study was to examine the relationship between predictor variables and the use of excessive force against racial and ethnic minorities in the United States, controlling for race, gender, and household income. The …

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