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Advanced Practice Registered Nurses Expanding Treatment For Opioid Use Disorder With Buprenorphine, Toni Deniese Mason Jan 2022

Advanced Practice Registered Nurses Expanding Treatment For Opioid Use Disorder With Buprenorphine, Toni Deniese Mason

Walden Dissertations and Doctoral Studies

The practice problem this doctoral project addressed was the misuse of opiates and the alarming number of intentional and unintentional overdose deaths that occur yearly as a result. The practice-focused question was the following: Providing education on the use of the medication-assisted treatment (MAT) protocol to advanced practice registered nurses (APRNs) in this practice setting will increase both knowledge and confidence in using the MAT protocol? The health belief model and The Johns Hopkins nursing evidence-based practice model were used as the framework for this project. The health belief model was used to explain and predict an individual’s behavior surrounding …

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Exploring The Lived Experiences Of Human Resources Managers Hiring Applicants With Past Criminal Convictions, Semone Martin Jan 2022

Exploring The Lived Experiences Of Human Resources Managers Hiring Applicants With Past Criminal Convictions, Semone Martin

Walden Dissertations and Doctoral Studies

Felony convictions leave ex-offenders searching for employment but are regularly denied jobs due to their status as past felons. Inability to obtain employment has been shown to increase recidivism. The research problem was that the hiring managers' perception of the applicants with past criminal convictions could distort their hiring decisions. This qualitative descriptive phenomenological study aimed to explore the lived experiences of seven human resources managers within New York City through random sampling. This study's conceptual framework was grounded in Durkheim's labeling and Goffman's social stigma theories. The research question asked what the lived experiences of hiring managers were when …

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Career Motivation In Millennials And Generation Z As Predictors Of Turnover Intention And Organizational Commitment, Valamere Sharran Mikler Jan 2022

Career Motivation In Millennials And Generation Z As Predictors Of Turnover Intention And Organizational Commitment, Valamere Sharran Mikler

Walden Dissertations and Doctoral Studies

By 2025, more than 50% of the U.S. labor workforce will be comprised of millennials and Generation Z as previous generational cohorts leave the workforce. The inclusion of millennials and Generation Z in the workforce has led to organizational leaders encountering a challenge in retaining and motivating millennials and Generation Z, who change jobs every 2-5 years. The purpose of this quantitative correlational study was to examine if the career motivation of millennials and Generation Z moderated the predictive relationship between organizational commitment and turnover intention. The survey data used in this study had a sample size of 235 U.S. …

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Increase Knowledge And Attitude In End-Of-Life For Long-Term Care Nurses, Lisa Mitchell Jan 2022

Increase Knowledge And Attitude In End-Of-Life For Long-Term Care Nurses, Lisa Mitchell

Walden Dissertations and Doctoral Studies

Nurses are key health professionals in long-term care facilities who have an essential role in providing compassionate care at the end-of-life. The customary education that nurses receive in end-of-life care is inadequate to meet the complex care of dying patients. The purpose of this scholarly project was to implement an evidence-based end-of-life educational program to improve the nursing staff knowledge, attitudes towards care of the dying, and standards in long-term care. The theoretical framework to guide this project is Bandura’s self-efficacy to support the confidence and attitude of nurses caring for the dying. The End-of-Life Nursing Education Consortium (ELNEC) Geriatric …

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Strategies For Attracting And Retaining Highly Skilled It Professionals For The High-Tech Workforce, Mia Gyjuan Moore Jan 2022

Strategies For Attracting And Retaining Highly Skilled It Professionals For The High-Tech Workforce, Mia Gyjuan Moore

Walden Dissertations and Doctoral Studies

Many information technology (IT) managers have experienced challenges retaining high-tech professionals. Organization leaders lose investments of time and money when essential personnel leave. Grounded in the task-technology fit theory and the technology acceptance model, the purpose of this qualitative multiple-case study was to explore technology-focused strategies IT managers use to attract and retain IT professionals. The participants included five IT managers from five high-tech organizations who implemented strategies to attract and retain IT professionals. Data were collected from semistructured interviews and online resources. Thematic analysis revealed four themes: (a) using high-tech tools and alternative methods, (b) employing talent management techniques, …

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Factors Influencing Burnout Among African American Clergy, Antoinette Moyer Jan 2022

Factors Influencing Burnout Among African American Clergy, Antoinette Moyer

Walden Dissertations and Doctoral Studies

Human service professionals such as clergy have taken part in the connection of community to public policy awareness through their leadership and advocacy especially in the Black community. Research has identified burnout in clergy; however, there is minimal research to offer insight on factors of burnout for African American clergy through exploring whether a relationship existed between burnout and transformational leadership. The purpose of this quantitative correlational study was to analyze the influencing factors of burnout among African American clergy. Effort–reward imbalance and person–environment fit theories were used as theoretical foundation to support the findings. An electronic survey was distributed …

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Factors That Predict Military-Connected Student Academic Success At A Community College, Susan Elizabeth Neimic Jan 2022

Factors That Predict Military-Connected Student Academic Success At A Community College, Susan Elizabeth Neimic

Walden Dissertations and Doctoral Studies

The problem addressed through this study is the low graduation rate of military-connected students who received benefits from military funding programs (FMCSs) at a community college in the northeastern United States (CCNE). Increasing the graduation rate will prepare more FMCSs for gainful employment and their transition into civilian life. The purpose of this quantitative study was to measure the effects of the nontraditional predictors, age, gender, and ethnicity on completing a 2-year associate degree within 6 years for FMCSs. The research questions determined whether nontraditional predictors for success were the same for FMCSs. Knowles’s theory of andragogy provided the framework …

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A Study Of The Impact Of Judicial And Environmental Factors On Increasing Juvenile Court Dependency Cases, Marcea O'Brien Jan 2022

A Study Of The Impact Of Judicial And Environmental Factors On Increasing Juvenile Court Dependency Cases, Marcea O'Brien

Walden Dissertations and Doctoral Studies

AbstractThe number of families being referred to the Department of Children and Family Services following allegations of neglect, or the inability to care for a child in the state of Georgia has been increasing. Many children removed from their parents’ custody are placed in foster care. The purpose of this qualitative case study was to examine the impact of the socioeconomic factors facing these parents and the court processes and procedures on the increased number of foster care cases. Data were collected from participant interviews with attorneys, judges, and a clerk who work in the juvenile court system in two …

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Predictors Of Medication Alternative Cost-Saving Strategies Among Adults With Type 2-Diabetes, Olaseni Solomon Oduwaye Jan 2022

Predictors Of Medication Alternative Cost-Saving Strategies Among Adults With Type 2-Diabetes, Olaseni Solomon Oduwaye

Walden Dissertations and Doctoral Studies

Adults with type 2 diabetes (T2D) in the United States experience a significant financial burden in managing their condition due to prescription medication, higher out-of-pocket (OOP) costs, number of prescribed medications, and health insurance status to stay compliant with their medications. This study examined the association between the alternative medication cost-saving strategies, including obtaining free samples from doctors or patient assistance programs, splitting pills or changing dosage frequency, purchasing from other countries, purchasing over the internet, and the three independent variables among adults diagnosed with T2D. Reasoned action approach theory helped guide how external factors may influence an alternative medication …

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Strategies For Hiring Candidates Who Can Pass A Drug Test In The U.S. Manufacturing Sector, Michael Olson Jan 2022

Strategies For Hiring Candidates Who Can Pass A Drug Test In The U.S. Manufacturing Sector, Michael Olson

Walden Dissertations and Doctoral Studies

Some manufacturing business leaders struggle to hire candidates due to drug usage, which negatively impacts profitability. Grounded in Vroom’s expectancy theory, the purpose of this multiple case study was to explore strategies manufacturing business leaders use to hire candidates who can pass a drug test in the southeast region of the United States. Participants included four manufacturing business leaders with at least 1 year of ownership or 5 years of managerial experience who implemented strategies for hiring candidates who could pass a drug test. Data were collected using semistructured audio interviews and documents, such as U.S. drug and alcohol policies …

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Association Between Family Structure And Childhood Obesity In Essex County, Nj., Chima Tony Onyeagoro Jan 2022

Association Between Family Structure And Childhood Obesity In Essex County, Nj., Chima Tony Onyeagoro

Walden Dissertations and Doctoral Studies

Obesity is one of the most prevalent nutritional disorders in children in the United States. There are many factors associated with childhood obesity, but there is limited information about the association between family structure and childhood obesity. This quantitative retrospective cross-sectional study, guided by the Social Ecological Model, was carried out to identify the effect of family structure on childhood obesity. For this study, the 2017 National Survey of Children’s Health (NSCH) of children 6-13 years old residing in the state of New Jersey was analyzed. Binary logistic regression was used to determine the relationship between family structure and obesity, …

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Assessing Cancer And Heart Disease Occurrence From Groundwater Contaminated With Volatile Organic Compounds, Courtnie S. Owens Jan 2022

Assessing Cancer And Heart Disease Occurrence From Groundwater Contaminated With Volatile Organic Compounds, Courtnie S. Owens

Walden Dissertations and Doctoral Studies

This study examined the effects of the toxic chemicals contained in volatile organic compounds (VOCs) on cancer occurrence and heart disease through occupational and environmental exposure to groundwater sources. This study was important because it provided critical insight for the public health community on the association between variations of past and current levels of VOCs in water sources and cancers and heart disease. The key research questions examined what proportion of occupational and nonoccupational individuals in southeastern North Carolina were diagnosed with cancer or heart disease and whether VOCs were associated with the long-term effects of cancer or heart disease …

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The Relationship Of Servant Leadership And Psychological Safety On Team Performance In Healthcare, Amy Lynn Palmiero Jan 2022

The Relationship Of Servant Leadership And Psychological Safety On Team Performance In Healthcare, Amy Lynn Palmiero

Walden Dissertations and Doctoral Studies

AbstractTeamwork in healthcare is a dynamic and complex process where interdisciplinary individuals must come together to deliver high-quality patient care. Despite significant overall improvements in healthcare delivery, process failures and communication breakdowns continue to be problematic leading to inefficiencies within the healthcare system resulting in higher costs, and in some instances, preventable patient harm. An examination of the relationship between leadership, psychological safety, and team performance provides valuable insight on the importance of the role leadership plays in shaping psychologically safe environments and enhancing team performance. Using servant leadership theory as the framework for this study, a quantitative correlational approach …

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Motivational Strategies Warehouse Managers Use To Improve Employees’ Performance, Brooks Latonya Demming Jan 2022

Motivational Strategies Warehouse Managers Use To Improve Employees’ Performance, Brooks Latonya Demming

Walden Dissertations and Doctoral Studies

Failure to improve employee performance can have unfavorable organizational outcomes. Organizational leaders are concerned about employee performance because improving employee performance is critical for achieving organizational goals. Grounded in Vroom’s expectancy theory of motivation, the purpose of this multiple-case study was to explore strategies warehouse managers use to improve employees’ performance. Data were collected using semistructured interviews with three warehouse managers, member-checking interviews, and a review of public company documents. Data were analyzed using thematic analysis. Three themes emerged: organizational communication, employee empowerment, and a supportive work environment. A key recommendation for warehouse managers is to communicate expectations to employees …

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Leaders’ Strategies For Accommodating Flexible Work Arrangements To Retain Employees Post-Covid-19, Tracy Eubanks Jan 2022

Leaders’ Strategies For Accommodating Flexible Work Arrangements To Retain Employees Post-Covid-19, Tracy Eubanks

Walden Dissertations and Doctoral Studies

As the constraints of the COVID-19 pandemic subside, business leaders are concerned about retaining employees. Business leaders are concerned with employee retention, as replacing an employee can be costly and erode profitability. Grounded in McGregor's theory X and theory Y, the purpose of this qualitative single case study was to explore strategies five first-line leaders in one organization in the Southwest United States used to retain employees who wanted to continue flexible work arrangements post-COVID-19. Data were collected using semistructured interviews and a review of the participants’ corporate websites about the future of the workplace. The three themes that emerged …

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Strategies To Improve Minority Business Enterprises’ Access To Capital For Competitive Positioning And Profitability, Darlene Hill Jan 2022

Strategies To Improve Minority Business Enterprises’ Access To Capital For Competitive Positioning And Profitability, Darlene Hill

Walden Dissertations and Doctoral Studies

Some minority business enterprises (MBEs) have limited capital for setting up their businesses, which often leads to business failure. Grounded in entrepreneurship theory, the purpose of this qualitative multiple-case study was to explore strategies MBEs used to access capital to improve their competitive positioning and profitability. The participants were six MBE owners from Alabama who demonstrated success at maintaining and securing working capital to maintain a profitable business for a minimum of 5 years. Data were collected from semistructured interviews and reviews of organization documents and websites. Using Yin’s five-step data analysis process, four themes emerged: owner financing, government loans …

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Health Department Prevention/Education Plans And Perceived Risks Of Zika Infection, Lacey Jacques Jan 2022

Health Department Prevention/Education Plans And Perceived Risks Of Zika Infection, Lacey Jacques

Walden Dissertations and Doctoral Studies

AbstractZika virus is an infectious disease caused by the bite of an infected mosquito that has been linked to increased rates of microcephaly and other devastating birth defects. The existing body of knowledge has focused on the individual-level factors that influence a person’s decisions about prevention activities and risk perceptions related to Zika virus. The purpose of this study was to determine the relationship between state-level plans for prevention and education and individual-level risk perceptions. Rosenstock’s health belief model lays a foundation for why individuals make the health decisions they do and helps explain how these can be influenced for …

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Title I Middle School Teacher And Principal Perspectives On Inquiry-Based Science Instruction, Kirsten R. King Jan 2022

Title I Middle School Teacher And Principal Perspectives On Inquiry-Based Science Instruction, Kirsten R. King

Walden Dissertations and Doctoral Studies

Title I middle schools face challenges delivering effective inquiry-based science instruction within the framework of Title I requirements. The purpose of this basic qualitative study was to explore Title I middle school teacher and principal perspectives on and experiences with the challenges of delivering inquiry-based science instruction within the framework of Title I requirements. Dewey’s theories of experiential learning and Vygotsky’s theory of sociocultural constructivism provided the conceptual framework for this study. The research questions focused on teacher and principal experiences with inquiry-based science instruction and the impact Title I school policies and practices had on the delivery of inquiry-based …

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Implementing The Sponge City Concept On North Carolina’S Federal Emergency Management Agency’S Acquired Properties, Artriel Askew Kirchner Jan 2022

Implementing The Sponge City Concept On North Carolina’S Federal Emergency Management Agency’S Acquired Properties, Artriel Askew Kirchner

Walden Dissertations and Doctoral Studies

In North Carolina, the U.S. Federal Emergency Management Agency (FEMA) offers a grant program to assist communities with purchasing flood–prone, private properties to decrease the effects of flooding within flood–prone communities. In flood management, incorporating the Sponge City concept within federally acquired properties is not widely considered by flood management professionals as an effective means to manage floods. The purpose of this qualitative single case study was to explore the feasibility of incorporating the Sponge City concept on federally–acquired properties to reduce significant flooding within designated flood–prone communities. The concept of disaster recovery, which focuses on the process of restoring, …

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Pink Bamboo Ceiling: Barriers And Breakthroughs For Asian American Women Leaders, Mele W. Kramer Jan 2022

Pink Bamboo Ceiling: Barriers And Breakthroughs For Asian American Women Leaders, Mele W. Kramer

Walden Dissertations and Doctoral Studies

AbstractAsian Americans are the most diverse and fastest-growing minority group in the U.S. and have the highest average level of education of all minority and dominant groups in America making up 6.2 % of the labor market. However, Asian Americans overall hold one percent of the executive leadership roles in Fortune 500 organizations. Low leadership representation leaves this demographic without a decision-making voice and without power in society. The purpose of this qualitative study was to learn about the lived experiences of Asian American women (AAW) leaders and potential leaders as it pertains to race, gender, and stereotypes in the …

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Links Between Screen Tim, Montessori Preschool Exposure, And Working Memory, Paula Lyn Larsen Mamani Jan 2022

Links Between Screen Tim, Montessori Preschool Exposure, And Working Memory, Paula Lyn Larsen Mamani

Walden Dissertations and Doctoral Studies

A high-quality, foundational education offers lifelong benefits for young children. The problem is that working memory in pre-school-aged children is declining and could be impaired by the extraneous cognitive load imposed during engagement with screen media apps and/or preschool programs. Although the pedagogical practices associated with Montessori preschool programs have been found supportive of cognitive load germane to learning and improved working memory, they have not been fully considered in relation to preschoolers' screen media use. The cognitive load created by screen media apps could affect their usefulness as learning tools. The purpose of this quantitative study was to discover …

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Links Between Screen Time, Montessori Preschool Exposure, And Working Memory, Paula Lyn Larsen Mamani Jan 2022

Links Between Screen Time, Montessori Preschool Exposure, And Working Memory, Paula Lyn Larsen Mamani

Walden Dissertations and Doctoral Studies

A high-quality, foundational education offers lifelong benefits for young children. The problem is that working memory in pre-school-aged children is declining and could be impaired by the extraneous cognitive load imposed during engagement with screen media apps and/or preschool programs. Although the pedagogical practices associated with Montessori preschool programs have been found supportive of cognitive load germane to learning and improved working memory, they have not been fully considered in relation to preschoolers' screen media use. The cognitive load created by screen media apps could affect their usefulness as learning tools. The purpose of this quantitative study was to discover …

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The Evolving Challenges, Issues Of Cybercrime, Law Enforcement Personnel, Preparedness, And Training, Eileen Victoria Martin Jan 2022

The Evolving Challenges, Issues Of Cybercrime, Law Enforcement Personnel, Preparedness, And Training, Eileen Victoria Martin

Walden Dissertations and Doctoral Studies

Cybercrime is an escalating phenomenon recognized by law enforcement personnel and others as a serious ever-increasing problem. The need is critical to equip police with cybercrime preparedness to combat and eradicate the problem. Cyber-attacks have negatively impacted the growing epidemic needing constructive solutions. The police personnel’s experiences provided essential cybercrime preparedness, acquired in diverse locations, and applied in the workplace with preventive cybercrime recommendations. Moustakas provided the overall design with theoretical underpinnings of the cybercrime phenomenon with a scientific design. The sample size was eight participants who met the inclusion criteria with the underlying principles of Kolb’s experiential learning theory …

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Nurses’ Role In Reducing Mental Health Stigma In Health Care, Angel Vivian Mbome Jan 2022

Nurses’ Role In Reducing Mental Health Stigma In Health Care, Angel Vivian Mbome

Walden Dissertations and Doctoral Studies

Many patients with mental illness around the world face mental health-related stigma. Compared to other health care workers, nurses express the highest level of stigmatizing attitudes toward mentally ill patients. The purpose of this project was to change staff nurses’ attitudes in a long-term care facility by educating them on mental health stigma. The practice-focused question guiding this study was whether educating staff nurses on mental health stigma changed nurses’ attitudes and behavioral intentions towards people with mental illness. This project was guided by the constructivist theory of learning. Seventeen staff members voluntarily participated in a 30-minute nursing staff education …

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Wellness Programs: Strategies For Increasing Employees’ Productivity And Reducing Health Care Costs, Lymari Rentas González Jan 2022

Wellness Programs: Strategies For Increasing Employees’ Productivity And Reducing Health Care Costs, Lymari Rentas González

Walden Dissertations and Doctoral Studies

Business executives risk higher healthcare costs and absenteeism rates without implementing cost-effective strategies to support wellness within the organization. To offset rising healthcare costs and absenteeism, executives should implement wellness programs as a component of the benefits package provided to their employees and families. Grounded in the theory of planned behavior, the purpose of this qualitative multiple case study was to explore the cost-effective strategies that executives in the private and not-for-profit sectors implemented to encourage employees to adopt healthy habits for increasing productivity and decreasing organizations’ healthcare costs. Six executives from the healthcare sector within the southern region of …

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The Lived Experience Of Expectant Mothers During The Covid-19 Pandemic, Bridgette Schulman Jan 2022

The Lived Experience Of Expectant Mothers During The Covid-19 Pandemic, Bridgette Schulman

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic has resulted in many changes to obstetric care practices. While the changes aimed to decrease transmission and protect mothers and infants, the study revealed unintended consequences of the changes put in place during COVID-19. Currently, there is a gap in knowledge and understanding of how the changes in obstetric care practices affect women’s perceptions of the birth experience. The purpose of the study was to explore the lived experience of mothers who gave birth in the health care setting during the COVID-19 pandemic through the eyes of those who experienced it. The research question was: What is …

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Staff Education On Psychosocial Rehabilitation Management Of Individuals Diagnosed With Severe Mental Health Illness, Evarist O. Oguguo Jan 2022

Staff Education On Psychosocial Rehabilitation Management Of Individuals Diagnosed With Severe Mental Health Illness, Evarist O. Oguguo

Walden Dissertations and Doctoral Studies

Serious mental illness (SMI) is common in America and is associated with behavioral and emotional conditions that can lead to serious functional impairment and interfere with a person's decision making and general life activities, negatively impacting themselves and their caregivers, families, and communities. Psychosocial rehabilitation (PSR) is one evidence-based, person-centered approach known to be effective in helping individuals diagnosed with SMI manage their symptoms and improve their daily functioning. To effectively participate in providing PSR, caregivers must have special PSR knowledge. A staff education program was developed to educate and increase staff knowledge about PSR. The purpose of the project …

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Former Offender Perspectives On The Effectiveness Of The Missouri Reentry Process, Brian Clay Roper Jan 2022

Former Offender Perspectives On The Effectiveness Of The Missouri Reentry Process, Brian Clay Roper

Walden Dissertations and Doctoral Studies

The criminal justice system in the United States has tried to reduce repeat offending through various tactics over the years including reentry/rehabilitation programs in the past 2 two decades. The state of Missouri was one of the first states to participate in this type of transitional model. While the recidivism rate has dropped, it is still one of the highest in the nation. The purpose of this qualitative phenomenological study was to determine if a program called the Missouri Reentry Process (MRP) has been effective at aiding men at (re)integrating and (re)acclimating in society. Social disorganization theory and desistance theory …

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The Perceptions Of Adult Patients Who Experience Needle Fear During Cosmetic Injections, Julia Hoy Jan 2022

The Perceptions Of Adult Patients Who Experience Needle Fear During Cosmetic Injections, Julia Hoy

Walden Dissertations and Doctoral Studies

Adult patients receiving cosmetic injections frequently experience needle fear symptoms which results in patient discomfort, suffering, and poor injection outcomes. The needle fear experience contributes to a decreased quality of life and possible avoidance behaviors involving other medical treatments requiring needles. Researchers have conducted quantitative studies which explored interventions on pain reduction but there are no qualitative studies from the perspectives of adults experiencing needle fear. The purpose of this research study was to explore the perceptions of needle fear in adult patients receiving cosmetic injections in a medical office setting. The interpretative phenomenological approach was used to provide an …

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Exploring Nurse Leader Self-Efficacy, Burnout, And Intent To Leave, Donna Donova Johnson Jan 2022

Exploring Nurse Leader Self-Efficacy, Burnout, And Intent To Leave, Donna Donova Johnson

Walden Dissertations and Doctoral Studies

Nurse leader turnover is an emerging issue in healthcare services. Considerable research has been done over the last decade revealing that nurse leaders are experiencing an increased rate of burnout with an intent to leave their jobs. Less research has been done to understand how to mitigate the rate of nurse leader burnout and retain nurse leaders in the workforce. Higher levels of self-efficacy have mediated the effects of work stress on job burnout in other service related fields. The purpose of this quantitative, non-experimental, cross-sectional study was to explore the possible mediating effect of leader self-efficacy between burnout and …

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