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Staff Education Presentation: Addressing Polypharmacy As A Risk Factor For Falls Among Older Adults With Psychiatric Disorders, Yetunde E. Adegoroye Nov 2024

Staff Education Presentation: Addressing Polypharmacy As A Risk Factor For Falls Among Older Adults With Psychiatric Disorders, Yetunde E. Adegoroye

Walden Dissertations and Doctoral Studies

The focus of this doctoral project was to address the practice problem of polypharmacy and its association with falls among older adults with psychiatric conditions. The existing evidence shows that polypharmacy, which is defined as the concurrent use of five or more medications, increases the risk of falls, which leads to hospitalization, higher healthcare costs, and reduced quality of life (Varghese et al., 2024). Within the practice setting, it is Crucial to manage polypharmacy to enhance patient safety. The purpose of this project was to enhance medical staff knowledge regarding effective evidence-based strategies for reducing polypharmacy, through an educational presentation. …


Defining The Hospital Social Worker’S Role And Geriatric Depression, Cara M. Galob Nov 2024

Defining The Hospital Social Worker’S Role And Geriatric Depression, Cara M. Galob

Walden Dissertations and Doctoral Studies

Hospital readmissions, compliance issues, increased long-term nursing home placements, and social determinants of health are significant concerns that burden the hospital inpatient industry. A notable factor that may impact these outcomes is the surprisingly high rates of depression in older adults. In various settings, social workers have historically provided clinical assessments and interventions for people suffering from depression. This study examines how clinical social workers can be utilized in a hospital inpatient setting to identify and treat older adults suffering from major depression. Social work interventions can positively impact many hospitals' long-term goals, such as improving the patient experience, achieving …


Influence Of Officers’ Race, Suspects’ Characteristics, And Arrest Contexts On Police Homicide Victim Risk Factors, Dominique Damon Block Nov 2024

Influence Of Officers’ Race, Suspects’ Characteristics, And Arrest Contexts On Police Homicide Victim Risk Factors, Dominique Damon Block

Walden Dissertations and Doctoral Studies

Media attention on the fatal use of force by law enforcement personnel has worsened the divide amongst the police and minority communities, intensifying the lack of confidence between groups. Further research is called for to understand how the fatal use of force by law enforcement is influenced by officer race, suspect race, and characteristics of the alleged crime. Implicit bias theory and procedural justice theory were used as theoretical and conceptual frameworks. The three research questions examined the extent to which characteristics of the officer, characteristics of the alleged perpetrator, and circumstances of the homicide predicted (a) perpetrator mental illness, …


Defining The Hospital Social Worker’S Role And Geriatric Depression, Cara M. Galob Nov 2024

Defining The Hospital Social Worker’S Role And Geriatric Depression, Cara M. Galob

Walden Dissertations and Doctoral Studies

Hospital readmissions, compliance issues, increased long-term nursing home placements, and social determinants of health are significant concerns that burden the hospital inpatient industry. A notable factor that may impact these outcomes is the surprisingly high rates of depression in older adults. In various settings, social workers have historically provided clinical assessments and interventions for people suffering from depression. This study examines how clinical social workers can be utilized in a hospital inpatient setting to identify and treat older adults suffering from major depression. Social work interventions can positively impact many hospitals' long-term goals, such as improving the patient experience, achieving …


Mortality Disparities Amongst African American Infants In Wisconsin, Enica C. Saffold Nov 2024

Mortality Disparities Amongst African American Infants In Wisconsin, Enica C. Saffold

Walden Dissertations and Doctoral Studies

African American mothers have the highest infant mortality rate of any other racial group, in the United States. In Milwaukee, the rates for non-Hispanic African Americans were two to three times higher than those for non-Hispanic Whites and Hispanics between 2016 and 2018. According to the Wisconsin Department of Health Services in 2022, the infant mortality rate in 2021 was 12.9 for every 1,000 live births. This cross-sectional quantitative epidemiological study explores risk factors correlated with high infant mortality rates among Wisconsin African American mothers who gave birth to live infants between 2011 and 2021. To determine whether there is …


Successful Human Resource Leader Strategies Used To Reduce Employee Turnover, Gilda Beatrice Lomas Nov 2024

Successful Human Resource Leader Strategies Used To Reduce Employee Turnover, Gilda Beatrice Lomas

Walden Dissertations and Doctoral Studies

Some Human Resource Managers (HRMs) and team leaders in customer service settings struggle to effectively implement conflict resolution strategies. HRMs are particularly concerned about the impact of unresolved conflicts, as they can lead to higher employee turnover. Grounded in emotional intelligence (EI), the purpose of this qualitative pragmatic inquiry study was to explore strategies that six HRMs in the United States use to retain customer service employees. Data were collected using semistructured interviews, public documents, websites, and professional artifacts that included direct involvement in managing teams within customer service settings. Through thematic analysis, four key themes were identified: conflict management …


Staff Education Presentation: Addressing Polypharmacy As A Risk Factor For Falls Among Older Adults With Psychiatric Disorders, Yetunde E. Adegoroye Nov 2024

Staff Education Presentation: Addressing Polypharmacy As A Risk Factor For Falls Among Older Adults With Psychiatric Disorders, Yetunde E. Adegoroye

Walden Dissertations and Doctoral Studies

The focus of this doctoral project was to address the practice problem of polypharmacy and its association with falls among older adults with psychiatric conditions. The existing evidence shows that polypharmacy, which is defined as the concurrent use of five or more medications, increases the risk of falls, which leads to hospitalization, higher healthcare costs, and reduced quality of life (Varghese et al., 2024). Within the practice setting, it is Crucial to manage polypharmacy to enhance patient safety. The purpose of this project was to enhance medical staff knowledge regarding effective evidence-based strategies for reducing polypharmacy, through an educational presentation. …


Staff Education Presentation: Addressing Polypharmacy As A Risk Factor For Falls Among Older Adults With Psychiatric Disorders, Yetunde E. Adegoroye Nov 2024

Staff Education Presentation: Addressing Polypharmacy As A Risk Factor For Falls Among Older Adults With Psychiatric Disorders, Yetunde E. Adegoroye

Walden Dissertations and Doctoral Studies

The focus of this doctoral project was to address the practice problem of polypharmacy and its association with falls among older adults with psychiatric conditions. The existing evidence shows that polypharmacy, which is defined as the concurrent use of five or more medications, increases the risk of falls, which leads to hospitalization, higher healthcare costs, and reduced quality of life (Varghese et al., 2024). Within the practice setting, it is Crucial to manage polypharmacy to enhance patient safety. The purpose of this project was to enhance medical staff knowledge regarding effective evidence-based strategies for reducing polypharmacy, through an educational presentation. …


Psychoeducation On Addiction For Healthcare Providers, Lovester Duncan Nov 2024

Psychoeducation On Addiction For Healthcare Providers, Lovester Duncan

Walden Dissertations and Doctoral Studies

Summary Walden University College of Nursing This is to certify that the doctoral study by Lovester Duncan has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Kristina Bohm, Committee Chairperson, Nursing Faculty Dr. Mary Martin, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2024 The DNP project aimed to increase healthcare providers’ knowledge, awareness, and comfort with prescribing medication-Assisted Treatments (MATs). Inadequate treatment and higher overdose and death risks result from providers lacking experience with …


Strategies For Information Technology Managers To Mitigate Data Manipulation Challenges Within Healthcare Cloud, Oluwtosin Joseph Adeola Nov 2024

Strategies For Information Technology Managers To Mitigate Data Manipulation Challenges Within Healthcare Cloud, Oluwtosin Joseph Adeola

Walden Dissertations and Doctoral Studies

Healthcare information technology (IT) managers often lack effective protection strategies against cloud-based data manipulation, leaving their organizations vulnerable to significant financial, health, and privacy risks. Grounded in the technology threat avoidance theory, the purpose of this qualitative pragmatic inquiry was to explore strategies healthcare IT managers have to mitigate data manipulation that threatens data integrity related to the healthcare cloud. The participants were four IT managers of healthcare organizations in the Central Texas region of the United States who had strategies to mitigate data manipulation in the healthcare cloud. The data were collected using semistructured interviews and reviewing journals available …


Effective Strategies Human Resource Business Leaders Use To Implement Diversity, Equity, And Inclusion Initiatives That Reduce Worker Turnover, Kerese Whyte-Phillips Nov 2024

Effective Strategies Human Resource Business Leaders Use To Implement Diversity, Equity, And Inclusion Initiatives That Reduce Worker Turnover, Kerese Whyte-Phillips

Walden Dissertations and Doctoral Studies

Human resource (HR) business leaders who prioritize diversity, equity, and inclusion (DEI) champion a more dynamic and innovative workforce and alleviate labor turnover, a costly hindrance to growth. HR business leaders orchestrate these strategies, promoting an environment where diverse talents are valued and equitable opportunities abound, reducing labor turnover. Rooted in the social identity theory (SIT) and the Equity, Diversity, and Inclusion (EDI) framework, this qualitative pragmatic inquiry aimed to identify and explore effective strategies HR business leaders use to implement DEI initiatives that reduce employee turnover in the Southeast United States. The participants were seven HR business leaders in …


Religious Attitudes And Fear Toward Traditional Biomedical And Psychological Services Among People Of The Christian Faith, Brennan Cackett Nov 2024

Religious Attitudes And Fear Toward Traditional Biomedical And Psychological Services Among People Of The Christian Faith, Brennan Cackett

Walden Dissertations and Doctoral Studies

Adults who identify as Christian often seek help within their religious communities for mental health issues. Research suggested that religious counseling services may discourage members from reporting mental health issues to traditional biomedical and psychological providers. The purpose of this quantitative study was to examine the extent to which people who identify as Christian in Southern California seek help outside of the Church and whether their help seeking is influenced by their religious attitudes and perceived fear of traditional psychological services. Southern California was chosen as it is where the Christian Counseling movement was started and has a large population …


Clinical Practice Guideline End Of Shift Handover Toolkit, Sasha Samaroo-Burgos Nov 2024

Clinical Practice Guideline End Of Shift Handover Toolkit, Sasha Samaroo-Burgos

Walden Dissertations and Doctoral Studies

The DNP project is a Clinical Practice Guideline (CPG) to guide nurses in performing end-of-shift reports at a Medical Center in the West Indies. The gap in practice identified is that nurses perform end-of-shift reporting without using a standardized document. This affects patient safety because the absence of a structured handover process disrupts the continuity of patient care and the transmission of vital patient data. The nurse administrator and general manager reported that many adverse events at the facility were related to miscommunication of information among nurses. The purpose of the project was to develop a CPG that nurses will …


Experiences Of Newly Graduated Registered Nurses’ Successful Transition Into Practice In Their First Year, Angelica Calvillo Nov 2024

Experiences Of Newly Graduated Registered Nurses’ Successful Transition Into Practice In Their First Year, Angelica Calvillo

Walden Dissertations and Doctoral Studies

The transition into nursing practice can be described as a phase that significantly impacts nurses’ professional development, quality of care, and attrition rates. Newly graduated registered nurses’ experiences during the transition into practice may be challenging and stressful, affect job satisfaction, attrition rates, and burnout. The purpose of this interpretive descriptive qualitative study, guided by Duchscher’s transition theory, was to describe the experiences of newly graduated registered nurses who report a successful transition into clinical practice in their first year postgraduation to identify what factors contribute to their success and retention. Nine newly graduated registered nurses, with 9-12 months of …


The Effect Of Call Center Agent Burnout On Employee Engagement, Shyriah M. Marshall Nov 2024

The Effect Of Call Center Agent Burnout On Employee Engagement, Shyriah M. Marshall

Walden Dissertations and Doctoral Studies

Call center organizations have become important contact centers for various fields to conduct customer service. Within the automotive industry, call centers are used for emergency roadside assistance. The customer service representatives who are responsible for handling roadside assistance may be managing various issues, including burnout, which may carry over into their performance and ability to properly service customers. The relationships between burnout and employee engagement for inbound emergency roadside assistance agents were not well understood. The purpose of this study was to examine the relationship between customer service representatives’ level of burnout and employee engagement. A quantitative, cross-sectional research design …


Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger Nov 2024

Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger

Walden Dissertations and Doctoral Studies

This study was conducted to identify the perceptions of experiences of formerly incarcerated individuals who have been actively involved in community-based reentry programming (CBRP). Utilizing a qualitative interview approach with previously incarcerated persons, the study’s focus was to identify the differences in literature, lived experiences, and the connection between CBRP and recidivism through the perceptions of formerly incarcerated persons who have completed CBRP. A key goal was to identify difficulties in the reentry process through the perception of lived experience and offer suggestions for improvements through the lens of actuarial justice. Using a qualitative, phenomenological approach, data was collected through …


Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger Nov 2024

Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger

Walden Dissertations and Doctoral Studies

This study was conducted to identify the perceptions of experiences of formerly incarcerated individuals who have been actively involved in community-based reentry programming (CBRP). Utilizing a qualitative interview approach with previously incarcerated persons, the study’s focus was to identify the differences in literature, lived experiences, and the connection between CBRP and recidivism through the perceptions of formerly incarcerated persons who have completed CBRP. A key goal was to identify difficulties in the reentry process through the perception of lived experience and offer suggestions for improvements through the lens of actuarial justice. Using a qualitative, phenomenological approach, data was collected through …


Social Support, Employee Engagement, And Turnover Intention Of Hybrid Working Leaders In The Pharmaceutical Industry, Victoria Terrell Nov 2024

Social Support, Employee Engagement, And Turnover Intention Of Hybrid Working Leaders In The Pharmaceutical Industry, Victoria Terrell

Walden Dissertations and Doctoral Studies

Retaining leaders in the U.S. pharmaceutical industry is a challenge, and leadership attrition can negatively impact a company. Following the COVID-19 pandemic, hybrid work arrangements are used to retain leaders in the U.S. pharmaceutical industry, yet challenges exist with social support and employee engagement within hybrid work. The purpose of this quantitative, correlational study was to examine the relationships, if any, between social support, employee engagement, and turnover intentions among hybrid working leaders in the U.S. pharmaceutical industry. The job demands-resources model and the social exchange theory provided the study’s foundation. The study sample consisted of 245 leaders in middle-management …


Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger Nov 2024

Perceptions Of Experiences Of Formerly Incarcerated Individuals On Community Reentry Programs To Reduce Recidivism, Kelly Sieger

Walden Dissertations and Doctoral Studies

This study was conducted to identify the perceptions of experiences of formerly incarcerated individuals who have been actively involved in community-based reentry programming (CBRP). Utilizing a qualitative interview approach with previously incarcerated persons, the study’s focus was to identify the differences in literature, lived experiences, and the connection between CBRP and recidivism through the perceptions of formerly incarcerated persons who have completed CBRP. A key goal was to identify difficulties in the reentry process through the perception of lived experience and offer suggestions for improvements through the lens of actuarial justice. Using a qualitative, phenomenological approach, data was collected through …


Socioeconomic Status, Obesity, Breast Cancer, And 5-Year Survival Among Men, Taye Oloruntobi Olabode Nov 2024

Socioeconomic Status, Obesity, Breast Cancer, And 5-Year Survival Among Men, Taye Oloruntobi Olabode

Walden Dissertations and Doctoral Studies

Although male breast cancer (MBC) is rare, affecting 2,000 men in the United States each year and comprising approximately 1% of all breast cancer diagnoses, mortality for those diagnosed with MBC is significantly higher than for women diagnosed with breast cancer. Recent research on the disparities in mortality rates between men and women revealed that there may be unexplained factors for the diagnostic disparities between men and women. Bandura’s (1986) SCT was used as the theoretical framework for this quantitative study.The purpose of this quantitative cross-sectional study was to determine whether there was an association between socioeconomic status, obesity, stage …


Perceptions Of Effectiveness Of Eye Movement Desensitized And Reprocessing For Those Diagnosed With Generalized Anxiety Disorder, Megan C. Stefanelli Nov 2024

Perceptions Of Effectiveness Of Eye Movement Desensitized And Reprocessing For Those Diagnosed With Generalized Anxiety Disorder, Megan C. Stefanelli

Walden Dissertations and Doctoral Studies

Eye movement desensitization and reprocessing (EMDR) is a short-term psychotherapy approach first introduced in 1987 by Francine Shapiro. Currently, EMDR is only a first-line treatment to relieve symptoms of post-traumatic stress disorder (PTSD). However, this treatment modality could be expanded to generalized anxiety disorder if additional research was available. Further, research has demonstrated the effectiveness of EMDR from a quantitative perspective; however, there has been scarce research supporting the use of EMDR as a first-line treatment approach from a qualitative perspective. This hermeneutic qualitative study aimed to explore the psychological and physiological effects of EMDR on the brain from a …


Implementing Motivational Interviewing And Psycho-Education To Improve Medication Adherence Among Patients With Schizophrenia, Francis Ihejirika Nov 2024

Implementing Motivational Interviewing And Psycho-Education To Improve Medication Adherence Among Patients With Schizophrenia, Francis Ihejirika

Walden Dissertations and Doctoral Studies

This quality improvement staff education Doctor of Nursing practice (DNP) project was implemented to address the quality issue related to medication nonadherence in patients with schizophrenia. Medication nonadherence is a major health issue facing psychiatric patients, with studies showing high rates of nonadherence among patients with schizophrenia. Nonadherence to treatment heightens the risk of relapse, rehospitalization, suicide, and early death. This staff education project focused on increasing the knowledge and attitudes of healthcare professionals about evidence-based strategies to improve medication adherence in patients with schizophrenia. Five nurses participated in the education program. The participants completed the pretest prior to participating …


American Sign Language Educators’ Perceptions Of Incorporating Multicultural Content In U.S. Higher Education Classrooms, Noe Alexander Turcios Nov 2024

American Sign Language Educators’ Perceptions Of Incorporating Multicultural Content In U.S. Higher Education Classrooms, Noe Alexander Turcios

Walden Dissertations and Doctoral Studies

American Sign Language (ASL) courses in U.S. higher education often inadequately incorporate multicultural content, with many educators lacking knowledge of multiculturalism and relevant cultural resources. The purpose of this study was the exploration of ASL educators' perspectives on the incorporation of multicultural content in ASL classrooms and the identified barriers to doing so. The multilevel inclusion framework and the integrated framework for a culture of diversity offered a conceptual lens for the study. For this basic qualitative design, semistructured interviews were conducted with 11 ASL educators with at least 3 years of experience. In the reflexive thematic analysis of the …


Executive Summary: Staff Education Project Staff Education To Enhance Nursing Competency Through Simulation Technology, Mollie Mae Ellington Nov 2024

Executive Summary: Staff Education Project Staff Education To Enhance Nursing Competency Through Simulation Technology, Mollie Mae Ellington

Walden Dissertations and Doctoral Studies

Simulation-based training is a key component of nursing education, providing immersive, hands-on experiences that enhance clinical skills in a controlled environment. In the local organization, leadership determined there was an underutilization of advanced simulation equipment stemming from a lack of standardized training among staff. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine whether an educational intervention focused on simulation improved competency among nurses at a local health care organization. To measure competency, 15 items from the Nurse Professional Competence Scale were used. Fifty-eight individuals were invited to participate in the educational intervention, and a …


Volunteer Perceptions Of Commitment In A Humanitarian Organization Involved With Nigerian Community Development Projects, Olaitan Ojuroye Nov 2024

Volunteer Perceptions Of Commitment In A Humanitarian Organization Involved With Nigerian Community Development Projects, Olaitan Ojuroye

Walden Dissertations and Doctoral Studies

Research has shown that output from volunteers is unpredictable and uncontrollable, rendering strategic planning futile for organizations. This study explored adult volunteers' lived experiences regarding their perceptions of commitment to a humanitarian organization involved with Nigerian community development projects. Identifying why volunteers adopted attitudes was essential to support the organization's development and promote the community's development by helping practitioners better understand the volunteers and deploy them more appropriately. The framework that grounded this study included psychological contract theory, organizational commitment, and social undermining. This interpretative phenomenological analysis study involved a purposeful sample of 10 adult volunteers who participated in semistructured …


Teachers’ Perceptions Of Job Stress And Its Meaning On Intent To Remain At A Title I School, Salmata Saaka-Lyons Nov 2024

Teachers’ Perceptions Of Job Stress And Its Meaning On Intent To Remain At A Title I School, Salmata Saaka-Lyons

Walden Dissertations and Doctoral Studies

The shortage of teachers in Title I schools undermines educational equity and quality in underserved communities, necessitating concerted efforts from educators, policymakers, and local communities. The purpose of this qualitative phenomenological study was to explore the lived experiences of Title I teachers regarding job stress and its meaning on their decisions to remain in the profession and within Title I environments. Grounded in Lazarus and Folkman’s transactional theory of stress and coping and Bakker and Demerouti’s job demands-resources model, the study explored how perceived job stress shapes teachers’ commitment to their roles. An interpretative phenomenological analysis was employed to analyze …


Experience Of Stress And Coping Among Male Police Officers In Trinidad And Tobago, Coryse Penco Nov 2024

Experience Of Stress And Coping Among Male Police Officers In Trinidad And Tobago, Coryse Penco

Walden Dissertations and Doctoral Studies

Police officers in Trinidad and Tobago face highly stressful environments due to increasing violent crimes and threats to their lives. Organizational stress contributes to emotional exhaustion, highlighting the need for research on stress and coping among these officers. The purpose of this basic qualitative study was to explore job-related stressors and coping strategies that male police officers in Trinidad and Tobago use to deal with their everyday job demands. Han Selye’s theory of stress and Lazarus’ transactional model of stress and coping were used as theoretical frameworks for this study. Semi-structured interviews were conducted with 12 male police officers from …


Effective Strategies Nonprofit Leaders Use To Reduce Employee Turnover Costs, Amy Carroll Kreidemaker Nov 2024

Effective Strategies Nonprofit Leaders Use To Reduce Employee Turnover Costs, Amy Carroll Kreidemaker

Walden Dissertations and Doctoral Studies

Nonprofit agencies face increased financial stress because of employee retention challenges. Nonprofit leaders worry about rising turnover costs, as retaining staff effectively is crucial for stability, reducing financial burdens, and maintaining program continuity. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to identify and explore effective strategies nonprofit leaders used to retain staff and reduce subsequent financial costs. The participants comprised six purposefully sampled organization leaders of a central Massachusetts nonprofit who successfully implemented strategies to retain staff and reduce subsequent financial costs. Data were collected using semistructured interviews and a review of organizational …


Military Spouses’ Perceptions Of Family Stress And Resilience During Multiple Relocations, Mauranda Nikki Jones Nov 2024

Military Spouses’ Perceptions Of Family Stress And Resilience During Multiple Relocations, Mauranda Nikki Jones

Walden Dissertations and Doctoral Studies

The purpose of this qualitative transcendental phenomenological study was to increase understanding of military spouses’ perceptions of family stress and resilience during multiple relocations. On average, active-duty military families relocate every 2 to 4 years, placing additional stress on them. It has been argued that military spouses, because of their central roles, are uniquely positioned to demonstrate resilience, thus providing an important perspective for this study. Understanding specific risks and resiliency from the perspectives of service members’ spouses can enrich knowledge from which human service professionals can learn. The study was grounded in the resiliency model of stress, adjustment, and …


Coping With And Surviving Domestic Violence Among African American Women In A Rural Community, Kimberly Evonne Wimbush Nov 2024

Coping With And Surviving Domestic Violence Among African American Women In A Rural Community, Kimberly Evonne Wimbush

Walden Dissertations and Doctoral Studies

Domestic violence (DV) or intimate partner violence is a widespread public health problem in the United States that knows no boundaries. Previous researchers have found that in the United States, African American women experience more severe effects from DV than women in other ethnic groups. The purpose of this generic qualitative study was to identify the coping strategies used by African American women who have survived DV living in rural areas where there are limited professional resources. Premises from the superwoman schema and adult resilience theory guided this research. Semistructured audio-recorded interviews, conducted via Zoom and face-to-face, were used to …