Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network™

Open Access. Powered by Scholars. Published by Universities.®

Walden University

Discipline
Keyword
Publication Year
Publication
Publication Type
File Type

Articles 961 - 990 of 16767

Full-Text Articles in Entire DC Network

Legal Permanent Residents’ Five-Year Residency Benefits Restriction, Enoch Olayinka Badamosi Mar 2026

Legal Permanent Residents’ Five-Year Residency Benefits Restriction, Enoch Olayinka Badamosi

Walden Dissertations and Doctoral Studies

The contemporary U.S. welfare system, shaped by the 1996 Personal Responsibility and Work Opportunity Reconciliation Act and reinforced by the Illegal Immigration Reform and Immigrant Responsibility Act, established structural exclusions that bar lawful permanent residents (LPRs) from accessing core social welfare programs during their first five years of residency. Existing research provides support that exclusionary provisions caused economic instability, bureaucratic discrimination, and racialized stigma for immigrant participants, limiting access to basic needs, reinforcing poverty, and ultimately eroding trust in U.S. institutions. The purpose of this study was to bridge the gap in knowledge by examining the cumulative socio-economic and moral …


Justice-Involved Adults’ Perspectives On Multidisciplinary Treatment Teams During Community Re-Entry, Monique D. Brown Wellons Mar 2026

Justice-Involved Adults’ Perspectives On Multidisciplinary Treatment Teams During Community Re-Entry, Monique D. Brown Wellons

Walden Dissertations and Doctoral Studies

Adults with mental illnesses have been disproportionately represented in the criminal justice system, often due to limited access to timely mental health treatment and fragmented community-based support. When continuity of care was inadequate, justice involvement frequently replaced coordinated interventions designed to promote stabilization and recovery. This qualitative study was guided by the sequential intercept model and the risk-need-responsivity model to examine how multidisciplinary treatment teams influenced rehabilitation and reoffending outcomes among formerly incarcerated adults diagnosed with mental illness. Data was collected through semi-structured interviews with justice-involved adults who described their experiences with multidisciplinary support during their reentry process and analyzed …


Exploring Identity Development Of Therapeutic Boarding School Alumni, Travis Philipsen Mar 2026

Exploring Identity Development Of Therapeutic Boarding School Alumni, Travis Philipsen

Walden Dissertations and Doctoral Studies

Research on therapeutic boarding schools (TBS) has largely focused on treatment experiences and immediate adolescent outcomes, with limited attention to identity development after program discharge. The purpose of this qualitative descriptive study was to examine identity development during emerging adulthood in TBS alumni aged 18-24 and to explore how internal strengths and external supports influenced participants’ developmental experiences after leaving TBS. Positive youth development was the guiding theoretical framework, emphasizing the bidirectional relationship between a person and the external ecological assets they access. Semistructured interviews were conducted with six alumni, and data were analyzed using reflexive thematic analysis within a …


Faith-Based School Leaders’ Strategies For Addressing Achievement Gaps Since The Covid-19 Pandemic, Jolene Culver Mar 2026

Faith-Based School Leaders’ Strategies For Addressing Achievement Gaps Since The Covid-19 Pandemic, Jolene Culver

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that faith-based school leaders are challenged to support teachers to address student achievement gaps following the COVID-19 pandemic. Grounded in Bass’s transformational leadership theory, the purpose of this qualitative study was to investigate strategies veteran faith-based school leaders use to support teachers in addressing student achievement gaps in six Ohio districts that had a minimum of 50 students. For this basic qualitative design, semistructured interviews were conducted with one faith-based school leader from each of the six Ohio districts. Thematic coding yielded four themes encompassing the strategies that veteran faith-based school …


Implementation Of Sustainable Development Goals In Higher Education, Adam Mehmet Kilic Mar 2026

Implementation Of Sustainable Development Goals In Higher Education, Adam Mehmet Kilic

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that higher education institutions play a critical role in advancing the United Nations sustainable development goals (SDGs), yet limited research offers guidance on how institutions can implement the SDGs through systems-oriented strategic planning. Guided by Hofstede’s cultural dimensions and Senge’s systems thinking, the purpose of this qualitative study was to examine the integration of SDGs into its policies and practices to inform effective, transformative approaches at a private Texas university. For this case study design, data were collected through 11 semistructured interviews, a focus group with five administrators and faculty, and …


Psychologists’ And Psychiatrists’ Views On Criminal Behavior, Fetal Alcohol Spectrum Disorder, And Federally Sentenced Indigenous Women In The Prairie Region And British Columbia, Rina Asghar Mar 2026

Psychologists’ And Psychiatrists’ Views On Criminal Behavior, Fetal Alcohol Spectrum Disorder, And Federally Sentenced Indigenous Women In The Prairie Region And British Columbia, Rina Asghar

Walden Dissertations and Doctoral Studies

The overrepresentation of federally sentenced Indigenous women in Canada reflects longstanding structural and systemic injustices within the criminal justice system. Constituting approximately 5% of the female population, Indigenous female offenders are disproportionately represented, especially in maximum security facilities and structured intervention units. This qualitative study examined psychologists’ and psychiatrists’ perspectives on the potential role of fetal alcohol spectrum disorder (FASD) related neurocognitive impairments in increasing justice system involvement among Indigenous women in Western Canada. Guided by the multidimensional Indigenous developmental framework, which integrates historical trauma theory and attachment theory, nine psychologists and one psychiatrist were interviewed in semi-structured interviews. The …


Ethical Leadership And Funding Strategies In Nonprofit Organizations, George Edward Walker Mar 2026

Ethical Leadership And Funding Strategies In Nonprofit Organizations, George Edward Walker

Walden Dissertations and Doctoral Studies

A lack of effective funding strategies can negatively affect nonprofit program sustainability and growth. Nonprofit leaders are concerned with inadequate funding practices as they lessen organizational sustainability, donor trust, and reliable program delivery. Grounded in deontological ethical theory, the purpose of this qualitative pragmatic inquiry was to explore funding strategies nonprofit leaders use to expand and sustain programs and services. The participants were eight nonprofit leaders from the West Coast of the United States with 10+ years of leadership experience. Data were collected using semistructured interviews and peer-reviewed journals. Through thematic analysis, five themes were identified: (a) research and data …


Food Insecurity’S Influence On Obesity, Hypertension, And Diabetes In Rural Vermont And Adirondack New York, Lindsay Morse Mar 2026

Food Insecurity’S Influence On Obesity, Hypertension, And Diabetes In Rural Vermont And Adirondack New York, Lindsay Morse

Walden Dissertations and Doctoral Studies

Food insecurity (FI) is a persistent public health challenge in the United States and disproportionately affects rural communities. Guided by syndemic theory, this quantitative cross-sectional study examined associations between FI and chronic disease outcomes among rural residents of Vermont and the Adirondack region of New York. Social determinants of health screenings and electronic medical records from 35 rural primary care sites were analyzed. Secondary data from n = 72,505 adults were used to evaluate these relationships. Binary logistic regression models assessed obesity, hypertension (HTN), and diabetes (DM), and a multinomial logistic regression model evaluated the combined presence of obesity and …


Emergent Patterns In Individual Perceptions Of Domestic Violence Among African Immigrants, Annah Ezuma Mar 2026

Emergent Patterns In Individual Perceptions Of Domestic Violence Among African Immigrants, Annah Ezuma

Walden Dissertations and Doctoral Studies

Domestic abuse continues to be a prevalent and intricate matter within society, frequently concealed by silence. The comprehension of individuals’ perceptions of abuse is of utmost importance in the advancement of efficacious interventions and support systems. Among African immigrants in the United States, perceptions of domestic violence were often influenced by several factors like religion and migration stressors. Despite increasing concerns about abuse within this population, limited research has explored how they interpret abuse and how these perceptions shape help seeking behaviors and disclosure. The gap was significant because of the cultural transition and many immigrant experiences. This qualitative study …


Examining Undergraduate Nursing Faculty’S Job Satisfaction Related To Workload, Work-Life Balance, And Student Incivility, Melissa Walch Mar 2026

Examining Undergraduate Nursing Faculty’S Job Satisfaction Related To Workload, Work-Life Balance, And Student Incivility, Melissa Walch

Walden Dissertations and Doctoral Studies

Exploring nursing faculty job satisfaction is important for retaining faculty in undergraduate nursing programs because they are vital to training future bedside nurses. There is a nursing faculty shortage in the United States, and retaining faculty is critical to addressing it. The purpose of this study, guided by Herzberg’s motivation-hygiene theory, was to (a) understand the relationship between workload, work-life balance, and nursing faculty job satisfaction and (b) the relationship between student incivility and nursing faculty job satisfaction in undergraduate nursing programs. Undergraduate nursing faculty in Ohio and Florida with at least 2 years of teaching experience were recruited via …


How Recruitment And Retention Of Staff Affect Behavioral Health Care Facilities, Teresa A. Rodriguez Mar 2026

How Recruitment And Retention Of Staff Affect Behavioral Health Care Facilities, Teresa A. Rodriguez

Walden Dissertations and Doctoral Studies

ABC Organization identified the barriers of how recruitment and retention of staff affect a behavioral health care agency. The goal of the study was to determine how these barriers affect behavioral health care organizations. The framework used for the study was the Baldridge framework. The research questions that guided the study addressed how recruitment of staff affects an organization and how retention of staff affect an organization. The methodology was a qualitative case study with 10 participants. Data was analyzed by coding and identifying themes. The results showed that when an organization invests in the leaders and offers benefit packages, …


Enhancing Staff Knowledge And Confidence In Depression Screening Using The Patient Health Questionnaire-9, Melkamzer Chari Mar 2026

Enhancing Staff Knowledge And Confidence In Depression Screening Using The Patient Health Questionnaire-9, Melkamzer Chari

Walden Dissertations and Doctoral Studies

Depression is a serious public health concern affecting over 280 million people globally and leading to significant morbidity and mortality if left undetected and untreated. At the local organization, leadership identified inconsistent depression screening as a practice problem among nursing staff. Thus, the purpose of this doctor in nursing practice (DNP) project was to determine if an educational intervention focused on depression, the importance of depression screening, and the use of the Patient Health Questionnaire-9 (PHQ-9) increased knowledge and confidence among nursing staff working in a local organization. Fifteen participants volunteered to participate in the project. The average age was …


School-Based Human Service Professionals’ Perceptions Of The Relationships Between Black Families And Southern Schools, Vanessa Faye Barnhill Mar 2026

School-Based Human Service Professionals’ Perceptions Of The Relationships Between Black Families And Southern Schools, Vanessa Faye Barnhill

Walden Dissertations and Doctoral Studies

The experiences that Black parents had in school have been found to influence how they view and interact with schools and the challenges and barriers related to their child’s education attainment. It is important to understand school-based human service professionals’ perceptions about the relationship that Black families have with Southern schools and suggestions these professionals have about promoting better communication and understanding with Black families. The purpose of this qualitative generic study was to examine school human service professionals’ perceptions about the relationship that Black families have with schools and to gather suggestions about how they could promote communication and …


Relationships Between Resource Utilization And Relapse In Rural Areas, Shane Sneddon Mar 2026

Relationships Between Resource Utilization And Relapse In Rural Areas, Shane Sneddon

Walden Dissertations and Doctoral Studies

In the United States, over 100,000 deaths were attributed to drug overdose in 2021. Relapse rates are higher in rural communities than in urban communities due to sociocultural barriers such as employment, limited entrainment activities, and peer pressure during social events. Previous research did not indicate whether the increase or decrease of Daily Living Assessment (DLA-20) scores have a correlation between community resource utilization and relapse. Using systems theory as the research lens, this study examined the correlation between use of community engagement resources and relapse as manifested by scores on the DLA-20. Data were collected from 100 individuals enrolled …


Enhancing Staff Education On Antidepressant Side Effects For Adolescents At Discharge, Mingdi Gao Mar 2026

Enhancing Staff Education On Antidepressant Side Effects For Adolescents At Discharge, Mingdi Gao

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) evidence-based staff education project aimed to improve the quality and consistency of discharge medication education for adolescents prescribed antidepressants. Adolescents are at increased risk for antidepressant-related adverse effects, including suicidal ideation, particularly during the early stages of treatment. The identified practice problem was the lack of consistent, developmentally appropriate, and culturally sensitive discharge teaching for adolescents and their families. This gap in practice contributes to poor adherence, preventable readmissions, and diminished safety outcomes. The project was guided by the PICO question: For adolescents discharged from inpatient or outpatient behavioral health care, how does a …


Staff Education On The Patient Health Questionnaire-9 (Phq-9) To Improve Depression Screening In A Mental Health Clinic, Agatha Onyemaechi Okemkpa Mar 2026

Staff Education On The Patient Health Questionnaire-9 (Phq-9) To Improve Depression Screening In A Mental Health Clinic, Agatha Onyemaechi Okemkpa

Walden Dissertations and Doctoral Studies

For this doctoral project, I implemented a staff education program on the Patient Health Questionnaire-9 (PHQ-9) to address depression screening practices in a mental health clinic. The practice problem addressed was limited depression screening due to a lack of education on the PHQ-9. The project aimed to answer the question: “For staff in a mental health clinic, will an educational offering on the Patient Health Questionnaire improve knowledge towards the goal of increasing screening for depression among clients?” To evaluate the outcome, a pre- and post-knowledge-based assessment using a 10-question multiple-choice test was administered to 20 staff members, and the …


The Appropriation Of Indigenous Land In HawaiʻI, Julie Loo Mar 2026

The Appropriation Of Indigenous Land In HawaiʻI, Julie Loo

Walden Dissertations and Doctoral Studies

In the transition from a monarchical to a democratic governance system in Hawaiʻi, Indigenous perspectives have not been fully integrated into land-use decision-making, resulting in mistrust, cultural marginalization, and inequitable policy outcomes. While prior researchers have examined colonization in Hawaiʻi, there is limited understanding of how Hawaiian cultural protocols may impact modern state-level decisions regarding Indigenous land use. The purpose of this qualitative ethnographic case study was to explore perceptions and lived experiences related to the cultural protocol of Kapu Aloha among Kanaka Maoli who participated in the Mauna Kea blockade and government officials involved in permitting Indigenous land for …


Staff Education To Improve Nurse Confidence In Managing Co-Occurring Conditions, Gloria Johnston Mar 2026

Staff Education To Improve Nurse Confidence In Managing Co-Occurring Conditions, Gloria Johnston

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) staff education project addressed a lack of confidence and training for nursing staff who care for patients with co-occurring substance use and mental health disorders. The practice problem identified at the local project site was the inconsistent care of this patient population. Addressing this gap was essential because inadequate training can reduce care quality among patients with co-occurring conditions. The practice-focused question for this project was: In nursing staff caring for patients with co-occurring mental health and substance use disorders, how does an evidence-based staff education program on integrated treatment approaches compare to standard …


Staff Education To Optimize Pain Management In Home Health Care, Marie Natacha Francis Mar 2026

Staff Education To Optimize Pain Management In Home Health Care, Marie Natacha Francis

Walden Dissertations and Doctoral Studies

This DNP project is a nurse-led quality improvement initiative that responds to the age-old issue of ineffective pain management in the home healthcare setting. The issue is the absence of standardization in staff education regarding pain assessment and intervention, leading to unfavorable patient outcomes and a reduced quality of life. The purpose of the project is to assess the efficacy of educational interventions delivered by nurses to enhance staff knowledge, confidence, and consistency in the management of pain procedures. The project question is: How effective are nurse-led educational interventions in improving staff knowledge and practices in pain assessment and management, …


Staff Education To Improve Nurses’ De-Escalation Skills In Substance Abuse Treatment Settings, Joy Atufunwa Mar 2026

Staff Education To Improve Nurses’ De-Escalation Skills In Substance Abuse Treatment Settings, Joy Atufunwa

Walden Dissertations and Doctoral Studies

Nearly 50% of patients in substance abuse treatment settings exhibit aggressive behaviors, placing staff and other patients at risk. In the absence of structured de-escalation training, clinicians frequently rely on physical restraints or pharmacologic interventions, which contribute to staff burnout, injury, and ethical concerns. The project implemented an evidence-based staff education program to improve nurses’ knowledge, confidence, and competence in managing aggression using nonviolent de-escalation strategies. The project question guiding this initiative was: Can education improve nurses’ de-escalation skills in a substance abuse treatment setting? Using an evidence-based practice (EBP) approach and the PICO framework, the project evaluated the impact …


Quality Of Prenatal Care, Provider Preference, And Preeclampsia Among African American Women In Georgia, Lyteasha Bass Mar 2026

Quality Of Prenatal Care, Provider Preference, And Preeclampsia Among African American Women In Georgia, Lyteasha Bass

Walden Dissertations and Doctoral Studies

African American women experience disproportionately high rates of preeclampsia in the United States; however, the contributions of prenatal care provider type, health care access, and quality of care to this disparity were insufficiently defined. Guided by the quality health outcomes model, this quantitative case-control study used primary data to examine associations between these factors and the occurrence of preeclampsia among African American women age 18–40 who had given birth within the previous 5 years in Georgia. Descriptive statistics and binary and multinomial logistic regression analyses were conducted. Prenatal care quality was measured using the Quality of Prenatal Care Questionnaire (QPCQ), …


Emotional And Psychological Well-Being In Early Postmenopausal Women: A Phenomenological Study, Marjorie F. Leon Mar 2026

Emotional And Psychological Well-Being In Early Postmenopausal Women: A Phenomenological Study, Marjorie F. Leon

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological study was to explore how early postmenopausal women experience and navigate emotional and psychological well-being during the postmenopausal transition. Although menopause has been widely examined as a biological process, women’s lived emotional and psychosocial experiences during the early postmenopausal period remain underexplored in psychological research. Conceptually informed by Engel’s biopsychosocial model, this study examined how biological, psychological, and social factors intersect in shaping resilience, identity, and coping during this transitional life stage. Thirteen women within 5 years of menopause onset participated in semi structured interviews. Data were analyzed using Braun and Clarke’s six-phase reflexive …


Internal Family Systems Therapy For Trauma Recovery And Addiction In Sexual And Gender Minorities, Walter Saunders Mar 2026

Internal Family Systems Therapy For Trauma Recovery And Addiction In Sexual And Gender Minorities, Walter Saunders

Walden Dissertations and Doctoral Studies

Sexual and gender minorities (SGM) experience disproportionately high rates of substance use disorders linked to trauma exposure, minority stress, and barriers to affirming behavioral health care. Although trauma-informed approaches have expanded, little is known about how SGM individuals experience and make meaning of their engagement in internal family systems (IFS) therapy for trauma and addiction. Guided by Schwartz’s theory of the multiplicity of the mind and minority stress theory, the purpose of this qualitative phenomenological study was to explore how SGM individuals describe and interpret their engagement in IFS therapy within the context of trauma and addiction. Interpretative phenomenological analysis …


Child Protection Workers’ Perceptions Of Burnout And Work Dissatisfaction, Ashley-Camille Jackson Mar 2026

Child Protection Workers’ Perceptions Of Burnout And Work Dissatisfaction, Ashley-Camille Jackson

Walden Dissertations and Doctoral Studies

Child protection workers work in a stressful and demanding occupation, subject to high staff turnover and inexperienced staff. This situation has created problems for child protection workers in doing their jobs effectively—for example, handling their daily tasks and caseload—leading to potential burnout and work dissatisfaction. Existing literature has explained how burnout begins to develop as a response to chronic exposure to job-related stressors, to a point of emotional exhaustion and reduced personal accomplishment. Researchers have found that work-related conditions have contributed to the development of burnout, especially when attempting to define how one could be overworked and how much labor …


Hbcu Presidents’ Perceptions About The Unique Financial Challenges Influencing Enrollment, Tiffany Hardy Terrell Mar 2026

Hbcu Presidents’ Perceptions About The Unique Financial Challenges Influencing Enrollment, Tiffany Hardy Terrell

Walden Dissertations and Doctoral Studies

Historically Black Colleges and Universities (HBCUs) are important to the educational landscape. The problem that was addressed through this study was the unique financial challenges that influence enrollment at HBCUs. Guided by the conceptual framework of transformational leadership, the purpose of this basic qualitative study was to explore HBCU presidents’ perceptions about the unique financial challenges as well as recommendations on how to overcome these challenges that influence enrollment at their institutions. Semistructured interviews were conducted with five former and three current HBCU presidents who had been in their role for a minimum of 1 year. Using in vivo coding, …


Leadership Strategies Nonprofit Leaders Use To Motivate Employees, Clara Dube Mar 2026

Leadership Strategies Nonprofit Leaders Use To Motivate Employees, Clara Dube

Walden Dissertations and Doctoral Studies

Unmotivated nonprofit organization (NPO) employees threaten NPO mission fulfillment. NPO leaders are concerned with poor employee motivation as it negatively correlates with organizational performance. Grounded in the integration of self-determination theory and Vroom’s expectancy theory, the purpose of this qualitative single-case study was to explore the leadership strategies that some NPO leaders use to motivate employees. The targeted population was five leaders of an NPO in the Tigray region of Ethiopia who implemented successful leadership strategies to motivate employees. The participants comprised five leaders, purposively selected from an Ethiopian NPO, who had demonstrated the ability to motivate their employees. Data …


Communication Challenges Experienced By Telephone Triage Registered Nurses Providing Assessment Of Health Symptoms, Stacy Huddleston Mar 2026

Communication Challenges Experienced By Telephone Triage Registered Nurses Providing Assessment Of Health Symptoms, Stacy Huddleston

Walden Dissertations and Doctoral Studies

Telephone triage nurses routinely assess symptoms and make clinical decisions without visual contact, which introduces complex communication challenges. Language differences, emotional distress, cultural misunderstandings, and the absence of visual cues may influence how symptoms are described, interpreted, and acted upon during telephone encounters. The purpose of this qualitative interpretive description study, guided by Peplau’s theory of interpersonal relations, was to explore how RNs experience and manage communication barriers in telephone triage practice. Six RNs with recent experience in telephone triage participated in semistructured interviews, and the data were analyzed using interpretive description and thematic analysis. Findings indicated that participants relied …


Lived Experiences Of Texas Construction Workers Reporting Near Misses On Their Jobsite, Joaquin Manuel Diaz Mar 2026

Lived Experiences Of Texas Construction Workers Reporting Near Misses On Their Jobsite, Joaquin Manuel Diaz

Walden Dissertations and Doctoral Studies

Near miss incidents in the construction industry, when reported, serve as critical indicators of safety performance. When reported, organizations can identify hazards early and reduce the incidence of injuries and illnesses. Limited research exists on how construction workers perceive near miss incidents and how they are influenced to report them. Semi-structured audio-recorded interviews with 15 Texas-based construction workers in three cities about their lived experiences with near-miss reporting were conducted between July 18 and August 22, 2025. Data were organized using NVivo software and analyzed according to the phenomenological procedures outlined by Burns et al. and the qualitative analysis guidance …


Former Foster Youth Lack The Understanding And Training In How To Access Medical And Preventative Care Benefits, Gloria Harrison Mar 2026

Former Foster Youth Lack The Understanding And Training In How To Access Medical And Preventative Care Benefits, Gloria Harrison

Walden Dissertations and Doctoral Studies

The purpose of this qualitative action research study was to explore Dallas, Texas, human services professionals’ perceptions of the services that former foster youth need to ensure that they have access to medical and preventative care benefits when they age out of the system. The conceptual framework of Aday and Andersen’s health behavior model provided a structure for the lack of medical care access, the need for improvement, and the desire to use services for various marginalized at-risk populations. The action research design was chosen to help solve real-life healthcare problems that directly affect participants within their community. A purposeful …


Perceived Black Maternal Narcissism And Their Daughters’ Delinquency: Chronicles From A Daughter’S Interpretation, Nzinga Cates Mar 2026

Perceived Black Maternal Narcissism And Their Daughters’ Delinquency: Chronicles From A Daughter’S Interpretation, Nzinga Cates

Walden Dissertations and Doctoral Studies

This qualitative study examined the intricate dynamics between perceived Black narcissistic mothers and their daughters, particularly regarding potential delinquent behaviors exhibited by the daughters. By utilizing in-depth interviews with seven participants, I sought to uncover the psychological and relational factors contributing to these behaviors’ development. Thematic analysis indicated that daughters of narcissistic mothers often endure emotional neglect, manipulation, and lack of healthy role modeling. This can result in feelings of inadequacy and rebellion. Themes of identity confusion, low self-esteem, and desire for autonomy surfaced as significant contributors to the daughters’ engagement in delinquent activities. The study underscored the importance of …