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Variables On The Proportion Of Children With Sickle Cell Hemoglobin, Oyekola Oluyimika Oloyede Jan 2022

Variables On The Proportion Of Children With Sickle Cell Hemoglobin, Oyekola Oluyimika Oloyede

Walden Dissertations and Doctoral Studies

AbstractThe case fatality rate among children living with sickle cell disease was approximately 50% to 90% in Sub-Saharan Africa. Though researchers have contributed social determinants of health more broadly, they have not provided adequate screening information on children living with sickle cell disease aged 6 months to 59 months. The purpose of this cross-sectional study was to examine the association between sickle cell disease status, infection prevention, pain and anemia management, demography, socioeconomic status, and healthcare use. This study included approximately 11,536 genotype results of children under 5-years-old in Nigeria. Bronfenbrenner’s systems theory and Krieger’s ecological theory formed the theoretical …

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Influence Of An Afterschool Reading Program On Elementary Student Reading Achievement, Chapple Osborne-Arnold Jan 2022

Influence Of An Afterschool Reading Program On Elementary Student Reading Achievement, Chapple Osborne-Arnold

Walden Dissertations and Doctoral Studies

AbstractMany elementary school students require and may benefit from supplemental reading support and interventions that can be provided by afterschool programs. The problem addressed in this study was that it was not known if third grade students benefited from an afterschool reading program in one East Tennessee District. The purpose of this quantitative study was to compare end of year scale scores on the Standardized Test for the Assessment of Reading (STAR) of third grade students who attended the afterschool reading program for 30 or more days and those who did not attend the afterschool reading program while controlling for …

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Development Of An Insomnia Assessment Guideline For Bipolar Disorder, Daniel Oyewusi Oyewole Jan 2022

Development Of An Insomnia Assessment Guideline For Bipolar Disorder, Daniel Oyewusi Oyewole

Walden Dissertations and Doctoral Studies

AbstractBipolar disorder (BD) affects more than 1% of the world’s population regardless of race, sex, ethnicity, or socioeconomic status. BD is a severe and chronic mental illness characterized by insomnia, depressed and elevated mood, racing thoughts, mood swings, anxiety and depression, and suicide. Insomnia is prevalent in BD and occurs across all stages of BD, yet no guidelines exist. The clinical practice guideline entitled the Insomnia Assessment Guideline for Bipolar Disorder (IAGBD) was developed using best-practice evidence from the published literature. The IAGBD is a step-by-step process for assessing insomnia in bipolar patients. Clinicians follow a series of questions in …

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Exploring Infant Massage As Standard Nonpharmacological Treatment For Neonatal Opioid Withdrawal Syndrome, Christine Ann Perez Jan 2022

Exploring Infant Massage As Standard Nonpharmacological Treatment For Neonatal Opioid Withdrawal Syndrome, Christine Ann Perez

Walden Dissertations and Doctoral Studies

The opioid epidemic in the United States has increased opioid use in women of reproductive age, leading to in utero exposure causing withdrawal symptoms in newborns known as neonatal opioid withdrawal syndrome (NOWS). State perinatal quality collaboratives (SPQCs) have been used in hospitals with quality initiatives (QIs) to improve standardization for NOWS; however, there remains a gap in knowledge in interventions to support the mother-infant dyad such as infant massage. This general qualitative research study explored the process and experiences of implementing infant massage as a standard practice for NOWS to inform national, state, and local policy. Participants in the …

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The Impact Of Wrongful Death Lawsuits On Police Officers, Richard Kevin Powers Jan 2022

The Impact Of Wrongful Death Lawsuits On Police Officers, Richard Kevin Powers

Walden Dissertations and Doctoral Studies

Law enforcement has become known as one of the most stressful occupations. Stress can have negative impacts on police officers’ professional careers and their personal life. This qualitative research revealed the unseen pressure of wrongful death lawsuits involving police officers, especially those cleared of any criminal wrongdoings. The study explored the police officers' perceptions while gaining knowledge from their lived experiences of how wrongful death lawsuits impacted them professionally and personally. This qualitative study was guided by the person-in-environment theory, which means that the environment can affect the police officer. In return, the police officer can affect the environment. The …

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Hiring Managers’ Perceptions Of Hiring Adults With Intellectual And Developmental Disabilities, Carol L. Price-Guthrie Jan 2022

Hiring Managers’ Perceptions Of Hiring Adults With Intellectual And Developmental Disabilities, Carol L. Price-Guthrie

Walden Dissertations and Doctoral Studies

AbstractMultiple barriers impede individuals with intellectual and developmental disabilities (IDDs) from gaining access to jobs that are competitive and integrated and that offer them a living wage. People with IDDs experience an inability to develop necessary employable skills and may be affected by hiring manager perceptions and lack of awareness of available job opportunities. The purpose of this basic qualitative study was to explore hiring managers’ perceptions of hiring individuals with IDDs in competitive integrated employment (CIE) settings in Tennessee. Critical disability theory was used to frame this study. Nine hiring managers in Tennessee who have worked with people with …

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Strategies To Manage Reduced Demand Among Mattress Manufacturers In Puerto Rico, Damaris Rivera Perez Jan 2022

Strategies To Manage Reduced Demand Among Mattress Manufacturers In Puerto Rico, Damaris Rivera Perez

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic reduced consumer demand in Puerto Rico, resulting in manufacturing jobs decreasing from 76,000 in March 2020 to 72,600 in August 2020, and the PMI decreasing falling from 50.5 to 48.1 in the same period. Owners of mattress manufacturing firms in Puerto Rico who lack strategies to increase consumer demand risk financial losses. Grounded in the strategic management theory, the purpose of this qualitative multiple case study was to explore strategies owners of mattress manufacturing firms in Puerto Rico use to increase demand for mattresses. The participants included three owners of mattress manufacturing firms in Puerto Rico who …

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Cost-Saving Strategies For Municipal Wastewater Treatment Plant Managers, Rosalie Rivera Jan 2022

Cost-Saving Strategies For Municipal Wastewater Treatment Plant Managers, Rosalie Rivera

Walden Dissertations and Doctoral Studies

Wastewater treatment plant (WWTP) managers deal with increased costs while facing declining budgets to meet treated water standards. Biological disinfection processes comprise 65% of a typical WWTP's energy use and are of significant concern to WWTP managers. Grounded in the resource-based view theory and Six Sigma DMAIC approach as the conceptual framework, the purpose of this qualitative embedded single case study was to explore strategies WWTP managers use to lower water disinfection costs. Data were collected using semistructured interviews with four plant managers of the same organization in the central region municipalities of Florida who successfully implemented strategies to lower …

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Fire Safety Education And Increasing Functioning Smoke Detectors In Residential Apartments, Enrique Fernandez Robinson Jan 2022

Fire Safety Education And Increasing Functioning Smoke Detectors In Residential Apartments, Enrique Fernandez Robinson

Walden Dissertations and Doctoral Studies

The lack of functioning smoke detectors poses significant life safety risks to people in low-income residential communities. In 2019, a fire incident occurred in an urban Maryland community due to the lack of a functioning smoke detector. Although no deaths or injuries resulted, there was significant property damage and resident displacement. The purpose of this study was to assist a local fire department in an urban area of the state of Maryland with developing and implementing a fire safety community outreach program designed to reduce the percentage of residential homes in a low-income community without functioning smoke detectors. A qualitative …

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Relationship Changes Of African Americans With Nontraditional Spiritual Practices, Della Sanders Jan 2022

Relationship Changes Of African Americans With Nontraditional Spiritual Practices, Della Sanders

Walden Dissertations and Doctoral Studies

Researchers have explored the subject of belongingness for decades. However, there is limited research on how belongingness may change for African Americans who transitioned from traditional Christianity to other spiritual practices. In this study, the relationship changes (in terms of family, friends, significant others, and former church relationships) of African Americans who identify as spiritual but not religious (SBNR) after leaving traditional Christianity were explored. The theoretical framework of the social connectedness theory was used to explore the need for belongingness to avoid social isolation and loneliness within a social network. Six African American Generation Xers, four women and two …

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Staff Education On Perinatal Depression, Kirenia Santiuste Jan 2022

Staff Education On Perinatal Depression, Kirenia Santiuste

Walden Dissertations and Doctoral Studies

Perinatal depression (PND) is a global mood disorder affecting women transitioning into parenthood and is closely related to extensive psychosocial and financial consequences for the family. Ten to twenty percent of new mothers in the US are affected by PND in the year after giving birth. The problem identified for this Doctor of Nursing Practice project was the need for staff education on knowledge of and screening for PND in the obstetrical clinic for which the project was developed in a southeastern state of the US. Using the analysis, design, development, implementation, and evaluation model, the purpose of this Doctor …

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Parents’ Perspectives On Early Intervention For Children With Autism, Tiffany Schmidt Jan 2022

Parents’ Perspectives On Early Intervention For Children With Autism, Tiffany Schmidt

Walden Dissertations and Doctoral Studies

The purpose of this study was to analyze parent perspectives on early intervention services for children with autism. Research has shown a significant positive impact of early intervention on children with autism. A total of eight parents participated in this basic qualitative study guided by social cognitive theory. Participating parents were those whose child had an autism diagnosis and were receiving or had received early intervention services in Southeast Michigan. Data analysis included establishing themes and codes to organize the data into categories. Thematic analysis was applied by analyzing interview transcripts. The research questions used to collect data addressed parents’ …

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Relationship Between Student-Centered, Active Learning Strategies And Student Success In An Undergraduate Nursing Course, Camden Seal Jan 2022

Relationship Between Student-Centered, Active Learning Strategies And Student Success In An Undergraduate Nursing Course, Camden Seal

Walden Dissertations and Doctoral Studies

In 2010, the Institute of Medicine issued a report calling for the transformation of undergraduate nursing education to prepare new graduates for the complexities of practice. To improve preparation for practice, faculty responded by incorporating student-centered, active learning strategies (SCALS); however, the effectiveness of SCALS has not been examined. The purposes of this descriptive correlational study, guided by Brunner’s constructivist theory, were to determine the relationship between (a) a nurse educator’s use of SCALS and the percent of students that successfully completed the course, (b) an educator’s self-perception of their learner-centeredness and the use of SCALS, and (c) an educator’s …

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Leveraging Electronic Alerts And Telemonitoring For Early Detection Of Maternal Hypertension, Philidah Seda Jan 2022

Leveraging Electronic Alerts And Telemonitoring For Early Detection Of Maternal Hypertension, Philidah Seda

Walden Dissertations and Doctoral Studies

AbstractThe United States has the highest maternal mortality rate among industrialized nations, and hypertension is one of the leading causes of maternal morbidity and mortality. Given that pregnancy-related hypertension can develop anytime during the perinatal period, and complications arising from this condition can cause harm, early detection is associated with better outcomes. Best practice alerts in the electronic health record and Blue-tooth-enabled medical devices linked to health information systems can provide real-time notification of critical values to health care professionals. This project evaluated the clinical usefulness of two health care technologies—preeclampsia e-alerts and remote blood pressure monitoring—in facilitating early detection …

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Impact Evaluation Of The Brfss In New York On Obesity Prevention For Weight Loss Among Women, Nikisha Skeete Jan 2022

Impact Evaluation Of The Brfss In New York On Obesity Prevention For Weight Loss Among Women, Nikisha Skeete

Walden Dissertations and Doctoral Studies

Abstract Obesity has increased among the adult population, specifically women, in the United States within the past few decades. While the increase in obesity has been linked to a lack of physical activity and poor dietary intake, obesity lacks contextual analysis within adult women as a group. The purpose of this quantitative study was to examine the impact of the Behavioral Risk Factor Surveillance System (BRFSS) on obesity prevention for weight loss in women. Health behavior change theory, the transtheoretical theory model, and the health behavior model guided this study. The research questions were designed to examine whether modifiable lifestyle …

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Effective Leadership Strategies To Engage Employees, Wanda Trujillo Smith Jan 2022

Effective Leadership Strategies To Engage Employees, Wanda Trujillo Smith

Walden Dissertations and Doctoral Studies

Businesses in the United States lose millions of dollars annually due to low employee performance. However, leaders who develop effective strategies to engage employees may increase employee performance and productivity. Grounded in Khan's theory of employee engagement, the purpose of this qualitative descriptive study was to explore strategies health managers use to engage employees. Participants were eight health care managers from two locations in the northeast region of the United States who demonstrated successful strategies to engage employees. Data were collected from semistructured interviews. The themes that emerged from the thematic analysis were (a) transparency, (b) training, and (c) effective …

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The Sustained Effects Of Mindfulness-Based Interventions On Distress Symptoms In Female Breast Cancer Patients, Candace K. Sprouse Jan 2022

The Sustained Effects Of Mindfulness-Based Interventions On Distress Symptoms In Female Breast Cancer Patients, Candace K. Sprouse

Walden Dissertations and Doctoral Studies

The purpose of this study was to illuminate the magnitude and prevalence of distress symptoms among female breast cancer patients and help identify best social work practices for treating distress symptoms in cancer patients. Using the social cognitive model of restorative well-being, the sustained effects of mindfulness-based interventions on distress symptoms female breast cancer patients experienced were examined in this study. Grounded in social cognitive theory, this model facilitated understanding of the recovery of well-being after an emotional setback. This quantitative experimental study included analysis of secondary data with pre- and post testing with multiple follow ups to measure the …

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The Lived Experience Of Older, Independent Residents During The Covid-19 Pandemic, Karen Graeb Stanley Jan 2022

The Lived Experience Of Older, Independent Residents During The Covid-19 Pandemic, Karen Graeb Stanley

Walden Dissertations and Doctoral Studies

The growing older population confronting the risks of the COVID-19 pandemic have a story to tell of their experiences that may influence the way society confronts future pandemics. Little research has been done on older adults in independent living communities and their experiences with the COVID-19 pandemic. This study aimed to fill that gap using the biopsychosocial model as a framework to guide the exploration of the research question addressing the lived experiences of older, independent residents during the COVID-19 pandemic. Using a basic qualitative analysis design, a purposive sample of 10 participants from a continuing care retirement community were …

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School Social Workers’ Perceptions Of The Effectiveness Of Truancy Interventions For Primary School Students, Laniesha Stephens-Dunn Jan 2022

School Social Workers’ Perceptions Of The Effectiveness Of Truancy Interventions For Primary School Students, Laniesha Stephens-Dunn

Walden Dissertations and Doctoral Studies

Academic performance is a growing concern for students in kindergarten through Grade 3 (K-3) in the United States, especially those students with a high number of unauthorized absences (i.e., a high truancy rate). When students are absent from school, they may have a lower chance of succeeding academically compared to students with better attendance. School social workers can help these students address barriers to attendance, such as student or family member health, poverty, and psychological and social concerns, and could benefit from more insight on how to effectively engage parents, students, school personnel, and community agencies in eliminating truancy. The …

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Clinical Practice Guideline On Suicide Prevention Among Adolescents, Beltta Gangwab Tachi Jan 2022

Clinical Practice Guideline On Suicide Prevention Among Adolescents, Beltta Gangwab Tachi

Walden Dissertations and Doctoral Studies

AbstractIncreasing rates of suicide among adolescents in the United States is an unsettling problem whereby suicide is the second leading cause of mortality among adolescents. Although interventions exist to address this problem, there is a lack of clinical practice guidelines (CPGs) to assist healthcare providers to identify and prevent adolescent suicide. Guided by the zero-suicide model, the purpose of this project was to develop a CPG to address this gap in practice. A literature review on adolescent suicide prevention resulted in 24 peer-reviewed articles published in the past 5 years that were graded and arranged in a literature matrix. These …

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How Teachers Promote Academic Success Of Primary Grade Students In Rural Schools By Supporting Their Resilience, Miranda Kay Teston Jan 2022

How Teachers Promote Academic Success Of Primary Grade Students In Rural Schools By Supporting Their Resilience, Miranda Kay Teston

Walden Dissertations and Doctoral Studies

Low levels of academic success for primary grade students attending rural schools located in the southern region of the United States may be related to student resilience. Researchers have found that educators can support the development of students’ resilience, which can result in improved academic success, but little is known about how teachers in rural schools promote their students’ academic success by supporting the development of their resilience. Guided by a conceptual framework that combined ecological systems theory with resilience theory, this basic qualitative study explored how rural-school teachers promoted the academic success of primary grade students by supporting the …

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Chronic Obstructive Pulmonary Disease 30-Day Readmission Rates In California, Illinois, And New York, Theresa Teverbaugh Jan 2022

Chronic Obstructive Pulmonary Disease 30-Day Readmission Rates In California, Illinois, And New York, Theresa Teverbaugh

Walden Dissertations and Doctoral Studies

AbstractThe Centers for Medicare and Medicaid Services (CMS) have implemented financial penalties to reduce hospital readmissions for various conditions, including chronic obstructive pulmonary disease (COPD). As a result, hospital administrators explore ways to prevent financial penalties for excessive COPD 30-day hospital readmissions. The purpose of this quantitative study was to determine if there was a correlation between hospital Medicare reimbursement, quality-of-care measures related to patient satisfaction, and 30-day readmissions rates for COPD patients in California, Illinois, and New York. The quality-of-care measures included communication with nurses, communication with doctors, the hospital staff's responsiveness, and medicine communication. The secondary data were …

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African American Women Leader Perspectives On Advancement Strategies In A Community College System, Laquanda Rena Thomas Jan 2022

African American Women Leader Perspectives On Advancement Strategies In A Community College System, Laquanda Rena Thomas

Walden Dissertations and Doctoral Studies

AbstractAfrican American women are not retained or advanced in the community college system, resulting in an underrepresentation of African American women in administrative decision-making roles. The purpose of this basic qualitative study was to examine the experiences of African American female leaders in the community college setting and to explore the strategies that these women used to obtain these positions. Semistructured interviews were conducted with seven African American women in decision-making roles within a southeastern state’s community college system. Critical race theory and Black feminist theory helped to inform how race and gender impacted the selection of strategies used by …

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Correlation Of Meaning Making And Complex Trauma In Women Trafficked For Sex, Brenda Louise Tracey Jan 2022

Correlation Of Meaning Making And Complex Trauma In Women Trafficked For Sex, Brenda Louise Tracey

Walden Dissertations and Doctoral Studies

AbstractThe trafficking of women and girls into the sex industry is one of the world’s fastest growing crimes against humanity. The psychological impact of human trafficking for the purpose of sexual exploitation on survivors has not been widely studied, creating a gap in the literature that merits further research to understand the processes of survivor rehabilitation and community. The purpose of this study was to analyze the relationship between complex posttraumatic stress disorder and having purpose in life among U.S. female citizens who were trafficked into the sex industry. Frankl’s theory of finding meaning was paired with Park’s theory of …

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Financial Strategies For Sustainability Of Small- And Medium-Sized Enterprises In Nigeria, Okey Okoro Udo Jan 2022

Financial Strategies For Sustainability Of Small- And Medium-Sized Enterprises In Nigeria, Okey Okoro Udo

Walden Dissertations and Doctoral Studies

Although small and medium enterprises (SMEs) contribute significantly to Nigeria’s socioeconomic and political development, most of the country’s SMEs no longer operate by their fifth anniversary. Many owners lack knowledge of the financial strategies required for the long-term performance and growth of their enterprise. The aim of this qualitative multiple case study was to gain an in-depth understanding of financial strategies that SMEs owner-managers can adopt to enhance the sustainability of their business operations in Nigeria. This study was grounded in entrepreneurship theory and Porter’s model of competitive strategy. Qualitative data from multiple sources, including semistructured interviews, scholarly works, and …

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Management Motivation Strategies And Their Impact On Motivating Healthcare Employees, Ifechi Emmanuel Umeh Jan 2022

Management Motivation Strategies And Their Impact On Motivating Healthcare Employees, Ifechi Emmanuel Umeh

Walden Dissertations and Doctoral Studies

AbstractHealthcare employee motivation is essential in achieving quality healthcare service delivery and mid-level healthcare managers are key sources of potential motivation for employees to achieve organizational goals. The management problem was that mid-level healthcare managers might not use the best strategies to motivate their employees. The focus of this qualitative hermeneutic phenomenological study was the lived experiences of mid-level healthcare managers and their current use and knowledge of motivational strategies as they relate to the motivation of their employees in Dallas, Texas. Using Maslow’s hierarchy of needs and Herzberg’s theory of motivation, 15 mid-level healthcare managers working in hospital systems …

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Barriers In Quality Healthcare Delivery In The Veterans Healthcare Systems, Kelly A. Walker Jan 2022

Barriers In Quality Healthcare Delivery In The Veterans Healthcare Systems, Kelly A. Walker

Walden Dissertations and Doctoral Studies

The VHA and Department of Veterans Affairs (DVA) have been labeled negligent in providing healthcare for U.S. veterans. Strategies to resolve the problems included legislative changes, watchdog responsibilities, and removal of top officials within the VA. The case studies presented underscore reported problems within Veterans Healthcare Systems. The present research was conducted to determine if the negligence was the result of a toxic work environment and whether the problems continue to affect healthcare delivery to U.S. veterans. Beccaria’s Rational Choice Theory served as the theoretical basis of the research. A mixed method, transformative design was used to conduct the study. …

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Acculturation Experiences Of Formerly Undocumented Jamaican Immigrants In New York, Winston Wallace Jan 2022

Acculturation Experiences Of Formerly Undocumented Jamaican Immigrants In New York, Winston Wallace

Walden Dissertations and Doctoral Studies

All immigrants undergo acculturation. Acculturation in and of itself poses significant challenges for immigrants and even more challenges for undocumented immigrants as they attempt to navigate the immigration system to obtain legal immigration status. This study examined the experiences of former undocumented Jamaican immigrants who lived within the five boroughs of New York (Brooklyn, Bronx, Manhattan, Queens, and Staten Island) during their period of being undocumented. This qualitative study used a virtual face-to-face interview method to inquire about the lived experiences of the 10 participants of the study. A tridimensional acculturation model was used as the conceptual framework to view …

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The Effects Of Authentic Leadership On Individual Occupational Well-Being, Tedd Allen Wheeler Jan 2022

The Effects Of Authentic Leadership On Individual Occupational Well-Being, Tedd Allen Wheeler

Walden Dissertations and Doctoral Studies

Leaders play a critical role in an organization, and their presence and behavior significantly affect nonmanagement employee work performance, behavior, and well-being. Authentic leadership has a positive effect on an organization. The problem was nonmanagement employees spend so much time at work and desire meaningful experiences and relationships during the workday to counter feelings of uncertainty and a lack of job satisfaction. The purpose of this transcendental phenomenological study was to identify and report the lived experiences of nonmanagerial employees of the architect, engineer, and construction (AEC) industry located in the Northeastern United States about work-related well-being defined as people’s …

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Military Emergency And Critical Care Nurses’ Lived Experiences Of Resilience, Carla Ann Wiese Jan 2022

Military Emergency And Critical Care Nurses’ Lived Experiences Of Resilience, Carla Ann Wiese

Walden Dissertations and Doctoral Studies

Resilience has been studied across a myriad of populations. Many resilience studies have focused on military service members, including military healthcare personnel, specifically nurses. Although many quantitative resilience studies have been conducted, there have been few qualitative studies in this area. Qualitative studies have focused solely on spiritual resilience, although mixed methods studies have identified other resilience characteristics. The aim of this descriptive phenomenological study was to identify resilience characteristics through rich description within the situational and philosophical patterns of resilience and gain a better understanding of how emergency and critical care military nurses honed resilience in the face of …

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