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Exploring Leadership Barriers To Patient Experience Improvement In The Acute Care Hospital Setting, James Scott Cooper Apr 2026

Exploring Leadership Barriers To Patient Experience Improvement In The Acute Care Hospital Setting, James Scott Cooper

Walden Dissertations and Doctoral Studies

Resistance to patient experience initiatives remains a persistent challenge in acute care hospitals, often undermining organizational efforts to improve engagement, culture, and care delivery despite broad acknowledgment of their importance. Healthcare leaders need to understand this challenge as a primary indicator affecting patient experience outcomes. The purpose of this qualitative narrative inquiry was to explore the factors that cause resistance to change faced by patient experience leaders (PELs) in the acute care hospital setting. The theory of planned behavior grounded this study. The participants consisted of 15 PELs working in acute care hospitals across the United States. Data were collected …


Effective Strategies Used By Small U.S. Technology Business Leaders To Reduce Turnover And Improve Productivity, Iesha Tyrie Hayes Apr 2026

Effective Strategies Used By Small U.S. Technology Business Leaders To Reduce Turnover And Improve Productivity, Iesha Tyrie Hayes

Walden Dissertations and Doctoral Studies

High employee turnover in small U.S. technology firms undermines productivity and disrupts workforce stability. Small U.S. technology business leaders are concerned with employee turnover because persistent workforce attrition weakens operational continuity, increases organizational strain, and limits the ability to sustain a stable and effective workforce. Grounded in psychological capital (PsyCap) theory, this qualitative pragmatic inquiry was to explore leadership strategies used by small U.S. technology business leaders in North Carolina to mitigate negative employee experiences that contribute to turnover and reduced productivity. Data were collected using semistructured interviews and publicly available organizational documents. Using thematic analysis, three themes emerged: (a) …


Strategies Higher Education Leaders Use To Improve Job Satisfaction Among Administrative Staff, Jerrod Jaquii Pass Apr 2026

Strategies Higher Education Leaders Use To Improve Job Satisfaction Among Administrative Staff, Jerrod Jaquii Pass

Walden Dissertations and Doctoral Studies

Organizational change initiatives in higher education often lead to decreased job satisfaction among administrative staff. Higher education leaders are concerned with maintaining employee job satisfaction during such periods because disengagement among administrative staff can reduce performance and increase turnover. The purpose of this qualitative pragmatic inquiry was to explore strategies higher education leaders use to improve administrative staff job satisfaction during organizational change. Lewin’s change management theory served as the foundation for the capstone research project. Data were collected through semistructured interviews with a purposive sample of six higher education leaders in the United States who had implemented change initiatives …


Strategic Digital Adaptation Among Small And Medium-Size Enterprise Leaders In Grenada For Implementing Digital Technologies To Achieve Long-Term Sustainability, Competitive Advantage, And Scalability, Devon Junior Charles Apr 2026

Strategic Digital Adaptation Among Small And Medium-Size Enterprise Leaders In Grenada For Implementing Digital Technologies To Achieve Long-Term Sustainability, Competitive Advantage, And Scalability, Devon Junior Charles

Walden Dissertations and Doctoral Studies

Many small and medium-sized enterprise (SME) leaders in Grenada struggle to implement digital technologies effectively, which limits business sustainability, competitive advantage, and scalability. This issue is particularly concerning for SME leaders, as ineffective digital implementation threatens business survival, workforce stability, and economic resilience in small island developing states (SIDS). Grounded in a composite conceptual framework integrating the technology–organization–environment framework and dynamic capabilities theory, the purpose of this qualitative pragmatic inquiry was to explore strategies SME leaders in Grenada used to implement digital technologies to achieve sustainability, competitive advantage, and scalability. The participants were six SME leaders in Grenada with at …


Effective Postmerger Strategies To Enhance Shareholder Value In The Banking Industry, Olajide Farouq Adenrele Apr 2026

Effective Postmerger Strategies To Enhance Shareholder Value In The Banking Industry, Olajide Farouq Adenrele

Walden Dissertations and Doctoral Studies

Bank mergers continue to produce unintended declines in shareholder value, posing risks to financial stability, customer confidence, and long-term competitiveness in the southeastern United States. This challenge is especially critical for senior banking leaders, who must ensure that postmerger activities strengthen rather than undermine institutional performance. The purpose of this qualitative pragmatic inquiry was to examine the business strategies used by bank leaders in the southeastern United States to mitigate the unintended negative effects of postmerger activities on shareholder value. The study, grounded in agency theory, involved six senior bank leaders responsible for merger integration in the region. Data from …


Hr Strategies Used To Reduce Employee Turnover And Employee Replacement Costs, Karlita Mcclinton Mar 2026

Hr Strategies Used To Reduce Employee Turnover And Employee Replacement Costs, Karlita Mcclinton

Walden Dissertations and Doctoral Studies

Ineffective employee well-being strategies can contribute to elevated levels of voluntary turnover, resulting in increased employee replacement costs, lost organizational knowledge, and operational disruption. Human resource (HR) leaders who do not successfully develop employee well-being strategies may find their organization facing operational disruptions as a result. Grounded in social sustainability and the European corporate sustainability frameworks, the purpose of this qualitative pragmatic inquiry research project was to identify and explore effective employee well-being strategies used by HR leaders to reduce employee turnover and employee replacement costs. The participants were 10 HR leaders who had implemented effective employee well-being strategies. Data …


Relationship Between Teacher Psychological Safety And Perceived Administrator Support In Independent Schools, Kim Schinzel Mar 2026

Relationship Between Teacher Psychological Safety And Perceived Administrator Support In Independent Schools, Kim Schinzel

Walden Dissertations and Doctoral Studies

No abstract provided.


Reducing Social Isolation In Elderly Hospice Patients Through Structured Social Interventions, Ashley Babayan Mar 2026

Reducing Social Isolation In Elderly Hospice Patients Through Structured Social Interventions, Ashley Babayan

Walden Dissertations and Doctoral Studies

This doctoral project was conducted as a quality improvement organizational change initiative aimed at reducing social isolation among elderly hospice patients through structured social interventions. Social isolation is a significant psychosocial concern in hospice populations and is associated with increased emotional distress, depression, and decreased quality of life. Despite hospice care’s holistic philosophy, structured and standardized social engagement interventions are inconsistently implemented across settings, creating a gap in practice. The practice-focused question guiding this project was: In elderly hospice patients experiencing social isolation, how do structured social interventions (regular visits, group activities, and emotional support systems), compared to standard hospice …


Effective Marketing Strategies Of Private Entities For Leading The United States Military Armed Forces, Harry B. Willis Iii Mar 2026

Effective Marketing Strategies Of Private Entities For Leading The United States Military Armed Forces, Harry B. Willis Iii

Walden Dissertations and Doctoral Studies

Ineffective marketing strategies contribute to lower retention outcomes by failing to communicate the value of training programs and build sustained community engagement. Training managers must implement intentional marketing strategies that strengthen community engagement and improve participant retention. Grounded in organization theory, the purpose of this qualitative pragmatic inquiry was to explore the successful marketing strategies used by training managers of private organizations in the United States to increase military numbers. The participants were six training managers from the Southwest United States. Data were collected from semistructured interviews. Through thematic analysis, four themes emerged: (a) marketing strategies, (b) training managers, (c) …


From Silos To Systems: Examining Leadership Communication During Change In A Non-Profit Behavioral Health Organization, Julie Skye Raskin-Li Mar 2026

From Silos To Systems: Examining Leadership Communication During Change In A Non-Profit Behavioral Health Organization, Julie Skye Raskin-Li

Walden Dissertations and Doctoral Studies

Silo mentality within nonprofit behavioral health organizations creates barriers to effective leadership communication and undermines change management efforts. This case study involved examining how siloed practices influenced leadership communication during organizational change at a nonprofit behavioral health organization in a rural area of California. The study was grounded in the Baldrige Excellence Framework, which emphasizes leadership, workforce engagement, and systems alignment. Data were collected through semi-structured interviews with leaders at multiple organizational levels and review of internal archival documents. Thematic analysis revealed 3 central themes: siloed decision-making, information gatekeeping, and inconsistent communication, as well as localized resilience practices that were …


Human Services Administrators’ Perceptions Of Youth In Acute Crisis Needs, Carey Alvord Mar 2026

Human Services Administrators’ Perceptions Of Youth In Acute Crisis Needs, Carey Alvord

Walden Dissertations and Doctoral Studies

There is a lack of acute crisis services for youth in the United States. In San Luis Obispo County, California, there are no designated facilities with crisis stabilization services near family homes for children in acute crisis. Grounded in Stroul et al.’s system of care approach for children and families, the purpose of this qualitative force field analysis study was to explore human service administrators’ perceptions of the services youth in acute crisis need to stabilize within San Luis Obispo County. Directors at youth human services county departments and nonprofits were contacted to help recruit a purposeful sample of 11 …


Describing The Creation Of Physician Burnout Prevention Efforts: A Phenomenological Investigation, Amy Cowan Mar 2026

Describing The Creation Of Physician Burnout Prevention Efforts: A Phenomenological Investigation, Amy Cowan

Walden Dissertations and Doctoral Studies

Despite physician burnout being a recognized problem, no single, successful, clear strategy has been developed to lessen this issue. The purpose of this qualitative phenomenological study was to explore the motivations underlying the development of responses to physician burnout by their creators and the factors that influenced their decision-making in creating these responses. A purposeful sample of 17 creators of physician burnout and suicide prevention strategies in the United States was selected based on Moustakas’s conventions for conducting a qualitative descriptive phenomenological study. Notwithstanding this sample, data collection continued until saturation was achieved. The qualitative data were collected using semi-structured …


Single Custodial Fathers And The Challenges To Receiving Services, Oriesha Anyah Peña Mar 2026

Single Custodial Fathers And The Challenges To Receiving Services, Oriesha Anyah Peña

Walden Dissertations and Doctoral Studies

Single fathers are an increasing population in the United States and worldwide. However, the literature and programs that guide human services professionals supporting single fathers’ parenting experience are limited in Anne Arundel County, Maryland. There is a need to further study the varied challenges these fathers experience so that professionals in social support organizations and agencies can implement appropriate services, support, programs, and resources into practice and ensure access to support their families and parenting. This qualitative study includes a force field analysis as part of a formative program needs assessment to explore human services professionals' perceptions of service needs, …


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 …


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, …


The Impact Of Second-Tiered Leadership Behavior On Postmerger Experience In The Jamaica Constabulary Force, James Theophilus Golding Feb 2026

The Impact Of Second-Tiered Leadership Behavior On Postmerger Experience In The Jamaica Constabulary Force, James Theophilus Golding

Walden Dissertations and Doctoral Studies

Following the merger of the Jamaica Constabulary Force (JCF) and the Island Special Constabulary Force (ISCF) in May 2014, complaints emerged about inequitable treatment of former ISCF members, raising questions about social justice and breaches of the moral contract. Although prior research highlighted the importance of leadership in mergers, it neglected to examine the role of second-tier leadership. The purpose of this qualitative phenomenological study was to investigate the potential role of second-tiered JCF leadership behavior in these perceived social justice breaches. A transformational leadership framework, which centers on leaders’ behavior and communication to motivate followers, underpinned the study. Purposeful …


Exploring Effective Retention Strategies Of Skilled And Productive Personnel In The Healthcare Industry, Joshua Emmanuel Banks Feb 2026

Exploring Effective Retention Strategies Of Skilled And Productive Personnel In The Healthcare Industry, Joshua Emmanuel Banks

Walden Dissertations and Doctoral Studies

Employee retention remains a significant challenge for healthcare organizations. Healthcare human resource (HR) managers are concerned about high turnover because it increases staffing costs, disrupts continuity of care, and threatens patient safety and workforce stability. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry project was to explore strategies that healthcare HR managers use to retain skilled and productive employees to ensure continuity of care, patient safety, and overall organizational success. The participants were seven HR managers from the healthcare industry in Virginia; West Virginia; Washington, DC; and Maryland who retained skilled and productive employees to ensure …


The Lived Experiences Of Visually Impaired Professionals, Robert Anthony Hoyt Feb 2026

The Lived Experiences Of Visually Impaired Professionals, Robert Anthony Hoyt

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study explored the lived experiences of visually impaired professionals (VIPs) as they navigate workplace inclusion, identity, and systemic accessibility. Drawing on Giorgi’s descriptive phenomenological psychological method, the study analyzed in-depth interviews with eleven purposefully selected participants across diverse professions. The research aimed to address a gap in disability studies by centering on the psychological meanings embedded in the narratives of VIPs; voices that are often underrepresented in organizational research. Through rigorous thematic analysis, three essential themes emerged: (1) the silent erasure of competence, reflecting the emotional labor required to assert professional legitimacy in ableist environments; (2) resilience …


Building Sustainability Via Financial Resilience Among Nongovernmental Organizations In Cameroon, Ruthaford Bankufon Feb 2026

Building Sustainability Via Financial Resilience Among Nongovernmental Organizations In Cameroon, Ruthaford Bankufon

Walden Dissertations and Doctoral Studies

Nongovernmental organizations (NGOs) in unstable developing nations face major sustainability challenges. In Cameroon, an ongoing sociopolitical crisis has increased demand on NGOs, including VWXZY, which supports girls and women fleeing civil unrest. This study investigated sustainable strategies to strengthen VWZYZ’s financial stability. Drawing on financial resilience literature and the strengths, weaknesses, opportunities, and threats (SWOT) framework, it addressed two questions: (a) How can VWXZY-Cameroon effectively leverage SWOT analysis to address financial challenges, improve financial oversight, diversify funding sources, and strengthen operational efficiency? (b)What strategies can VWXZY-Cameroon use to enhance its financial resilience and ensure sustainability amid sociopolitical and economic instability? …


Retrospective Narrative Analysis Of Perceived Manifestations Of Burnout Among Emergency Physicians Amid Covid-19 Pandemic, Nicole Jauregui Feb 2026

Retrospective Narrative Analysis Of Perceived Manifestations Of Burnout Among Emergency Physicians Amid Covid-19 Pandemic, Nicole Jauregui

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic has placed stress on healthcare systems globally, with emergency department (ED) physicians experiencing an acute impact due to their frontline role. Burnout, characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment, has been widely reported by healthcare providers during the pandemic. However, the specific manifestations of burnout among ED physicians remain underexplored, particularly from their own perspectives. This study is grounded in Maslach’s Multidimensional Theory of Burnout and Alan Card’s theory of Avoidable versus Unavoidable Suffering, providing a framework to interpret ED physicians’ experiences and distinguish between the inherent challenges of frontline work and …


Effective Human Resources Strategies For Flexible Parental Leave Applications, Omolola Balogun Feb 2026

Effective Human Resources Strategies For Flexible Parental Leave Applications, Omolola Balogun

Walden Dissertations and Doctoral Studies

A lack of flexibility in the application of human resources (HR) parental leave policy can negatively affect employee capacity and organizational sustainability. HR leadership policymakers are concerned that parental leave policies fail to accommodate individual employee circumstances, limiting effective workforce support and retention. Grounded in the resource-based view theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective strategies that HR leadership policymakers use to develop and implement flexible parental leave HR policy applications tailored to individual employee situations, thereby supporting improved employee capacity and the overall success and sustainability of the business. The participants …


Leadership Practices And Staff Well-Being In Psychiatric Emergency Services: The Impact Of Staff Morale And Burnout On Retention And Attrition, Shamagne N. Richardson Feb 2026

Leadership Practices And Staff Well-Being In Psychiatric Emergency Services: The Impact Of Staff Morale And Burnout On Retention And Attrition, Shamagne N. Richardson

Walden Dissertations and Doctoral Studies

Workforce burnout, low morale, and high turnover are persistent challenges in psychiatric emergency services, where clinicians work in high-acuity environments. These conditions threaten workforce sustainability and continuity of crisis care. The problem addressed in this study was difficulty retaining staff within a nonprofit psychiatric emergency services organization due to burnout and morale erosion. The purpose of this study was to examine how leadership practices influence staff morale, burnout, and workforce retention at Psychiatric Emergency Stabilization Services X, located in New Jersey. The study was grounded in a qualitative conceptual framework informed by the Baldrige Excellence Framework. The study population included …


Strategies To Reduce Turnover And Retain Substance Abuse Treatment Center Counseling Staff, Hilary Harris Feb 2026

Strategies To Reduce Turnover And Retain Substance Abuse Treatment Center Counseling Staff, Hilary Harris

Walden Dissertations and Doctoral Studies

Many outpatient substance use treatment centers struggle with retention and recruitment of counseling staff. Without sufficient staff, substance use outpatient treatment centers are unable to provide services to patients who need such support, and patients often seek care in places like the emergency department, which creates problems for the healthcare system, such as overcrowding. The purpose of this research was to identify strategies to increase retention and improve recruiting effectiveness for counseling staff at outpatient substance use treatment centers. The conceptual framework of plan, recruit, retain underpinned this integrative review. The review question centered on the best strategies to reduce …


Ethical Decision-Making And Modification Of Service Delivery: Social Workers In Connecticut During Covid, Marie Elana Hollingsworth Feb 2026

Ethical Decision-Making And Modification Of Service Delivery: Social Workers In Connecticut During Covid, Marie Elana Hollingsworth

Walden Dissertations and Doctoral Studies

Social work professionals often experience demanding and intense situations while facing organizational restructuring during crisis situations. The purpose of this generic qualitative study was to explore the viewpoints of frontline social workers regarding their ethical decision-making processes in response to the mandatory modifications of the service delivery protocol during the COVID-19 pandemic. Enck’s biomedical and ethical decision-making framework grounded the study. Data were collected from semi-structured interviews with 10 frontline social workers in Connecticut who had been employed with a social service agency for at least 3 years, but no more than ten. Findings from coding and thematic analysis yielded …


Strategies Used By Information Technology Business Managers For Improved Competitive Drive In Organizational Culture, Kenechukwu Laura Mukaila-Lawal Feb 2026

Strategies Used By Information Technology Business Managers For Improved Competitive Drive In Organizational Culture, Kenechukwu Laura Mukaila-Lawal

Walden Dissertations and Doctoral Studies

Poorly managed organizational culture changes can weaken competitive drive in information technology business organizations, limiting their ability to respond effectively to rapid technological advancements. This problem affects information technology business leaders, employees, and organizations operating in competitive markets, as a misaligned culture reduces innovation, employee engagement, and long-term sustainability. Grounded in organizational culture theory, the purpose of this qualitative pragmatic inquiry project was to explore effective strategies that information technology business managers use to improve competitive drive in organizational culture in the Southwestern region of Nigeria. The participants were seven information technology business leaders who devised and implemented strategies to …


Strategies To Engage Physicians In Reforming Healthcare Administrative Policies And Processes, Sara Hunt Feb 2026

Strategies To Engage Physicians In Reforming Healthcare Administrative Policies And Processes, Sara Hunt

Walden Dissertations and Doctoral Studies

A lack of physician engagement in healthcare reform initiatives is a persistent problem that can negatively affect hospital performance and patient care outcomes. Hospital leaders and healthcare administrators are concerned with low levels of physician engagement because of its association with reduced organizational effectiveness and quality of care. Grounded in the distributed leadership framework, the purpose of this qualitative single case study was to explore strategies hospital leaders used to engage physicians in reforming administrative policies and processes to improve patient service delivery. Semistructured interviews were conducted with five hospital leaders from one hospital in the southeastern United States who …


Emergency Nurses’ Perspectives On Workload, Stress, And Violence In The Context Of The U.S. Nursing Shortage, Wanda Marie Haynes Feb 2026

Emergency Nurses’ Perspectives On Workload, Stress, And Violence In The Context Of The U.S. Nursing Shortage, Wanda Marie Haynes

Walden Dissertations and Doctoral Studies

The nursing shortage is a critical global issue that significantly impacts emergency nurses (ER), leading to increased workloads, psychological stress, and heightened exposure to workplace violence (WPV). This phenomenon raises concerns among healthcare administrators and nurse leaders who seek strategies to improve retention and ensure quality patient care. The purpose of this qualitative study was to explore the meaning of workload, stress, and WPV among ER nurses during the U.S. nursing shortage. Guided by Herzberg’s two-factor theory, the study employed a phenomenological approach to capture nurses’ lived experiences. Data were collected through semi-structured interviews with eight ER nurses from diverse …


Preventing Burnout In School-Based Behavioral Health Clinicians: Organizational Strategies For Mitigating Work-Related Mental Health Impairment, Virginia W. Lee Feb 2026

Preventing Burnout In School-Based Behavioral Health Clinicians: Organizational Strategies For Mitigating Work-Related Mental Health Impairment, Virginia W. Lee

Walden Dissertations and Doctoral Studies

This is a qualitative case study on Organization X that used the Baldrige Framework to investigate employee burnout, a growing concern associated with staff turnover, reduced job satisfaction, depression, and disengagement. The goal was to examine how organizational leaders assess the effectiveness of burnout prevention strategies, identify organizational factors and leadership practices that either mitigate or increase burnout, and discover key factors that contribute to burnout. Semi-structured interviews, guided by the Baldrige Framework, were conducted with three leaders at Organization X. The themes resulting from interviews included burnout, open-ended communication, team cohesion, real-time protection, ethical leadership and authenticity, restoring norms, …


Reasons For Digital Transformation Project Failures Based On U.S. Project Managers’ Lived Experiences, Susan D. Landes Feb 2026

Reasons For Digital Transformation Project Failures Based On U.S. Project Managers’ Lived Experiences, Susan D. Landes

Walden Dissertations and Doctoral Studies

Digital transformation projects have a failure rate of 66% to 84%, costing U.S. companies billions of dollars each year. Organizational leaders need to understand the implications of these costly failures, leading to substantial financial losses. The purpose of this qualitative descriptive phenomenological study was to explore the reasons for digital transformation project failures from the perspective of the lived experiences of U.S. project managers. The conceptual framework consisted of Lewin’s 3-stage change management model, Correani et al.’s digital transformation implementation model, Herzberg’s 2-factor theory of motivation-hygiene, and von Bertalanffy’s systems theory. The participants were 13 U.S. active, certified professional project …