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Healthcare System Barriers To Somali Refugees In Kenya, Zahra Sharif Hashim Sep 2026

Healthcare System Barriers To Somali Refugees In Kenya, Zahra Sharif Hashim

Walden Dissertations and Doctoral Studies

Access to health care is a fundamental right of every refugee, yet gaps in implementing Kenya's Refugees Acts of 2006 and 2021 continue to limit access for Somali refugees in Dadaab camp. Existing research has documented resource constraints, movement restrictions, and other barriers to refugee health care, but how policy implementation gaps shape access in Dadaab has not been well explored. The purpose of this qualitative descriptive study was to understand barriers to health care access for Somali refugees resulting from gaps in implementing Kenya's refugee health policies. The narrative policy framework guided the study. Data from semistructured interviews with …

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Strategies General Practitioners Use To Effectively Communicate Patient Cases To Medical Specialists In Saudi Arabia, Alshraefarana Alharthi Sep 2026

Strategies General Practitioners Use To Effectively Communicate Patient Cases To Medical Specialists In Saudi Arabia, Alshraefarana Alharthi

Walden Dissertations and Doctoral Studies

Effective communication between general practitioners (GPs) and medical specialists is essential for reducing healthcare costs and improving continuity of care. Healthcare leaders are concerned that ineffective communication between GPs and specialists may contribute to delays in care, fragmented services, and inefficient use of healthcare resources. Grounded in relational coordination theory, the purpose of this qualitative pragmatic inquiry was to explore the effective communication strategies used by six GPs in Saudi Arabia when communicating patient cases to medical specialists to reduce healthcare costs and improve the quality of patient care. The participants were six GPs in Saudi Arabia. Data were collected …

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Strategies Used By Small Information Technology Business Leaders For Retaining Employees And Business Sustainability, Ayodeji Rex Abitogun Sep 2026

Strategies Used By Small Information Technology Business Leaders For Retaining Employees And Business Sustainability, Ayodeji Rex Abitogun

Walden Dissertations and Doctoral Studies

Failure to retain employees remains a significant concern for small information technology (IT) business leaders. Without clear, actionable strategies, these leaders may struggle to avoid the high costs associated with employee turnover, negatively affecting revenue. Grounded in situational leadership theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore effective strategies small IT business leaders in Nigeria use to retain IT employees for business sustainability. Participants included seven small IT business leaders in Nigeria who had used effective strategies to retain employees. Data were collected from semistructured interviews and publicly available documentation. Six themes emerged from …

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Youths' Responses To Street-Level Bureaucratic Failures In Lebialem, Division Cameroon, Forchenmbin Charles Abessoh Sep 2026

Youths' Responses To Street-Level Bureaucratic Failures In Lebialem, Division Cameroon, Forchenmbin Charles Abessoh

Walden Dissertations and Doctoral Studies

No abstract provided.

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Strategies That Black American Female Business Owners Use To Secure Government Contracts, Darrilyn Marie Brittian Sep 2026

Strategies That Black American Female Business Owners Use To Secure Government Contracts, Darrilyn Marie Brittian

Walden Dissertations and Doctoral Studies

Black American female business owners remain underrepresented in government contracting despite the availability of federal, state, and local procurement opportunities. Some Black American female business owners lack effective strategies to secure government contracts, which may limit business growth and profitability. Grounded in innovation and entrepreneurship theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the strategies Black American female entrepreneurs use to secure government contracts. The participants were six Black American female entrepreneurs who had successfully secured government contracts and possessed experience navigating government procurement processes. Data were collected using semistructured interviews and organizational documents. Through …

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Young Adults’ Perceptions Of Their Life Course Development After Their Parents Were Imprisoned For Violent Crimes, Selena Robinson Sep 2026

Young Adults’ Perceptions Of Their Life Course Development After Their Parents Were Imprisoned For Violent Crimes, Selena Robinson

Walden Dissertations and Doctoral Studies

Parental incarceration is an adverse childhood experience that can influence children’s emotional, educational, relational, and developmental outcomes into adulthood. Although previous research had examined the effects of parental incarceration on children, limited research had explored how young adults perceive their life course development when a parent was incarcerated for a violent crime. The purpose of this generic qualitative study was to explore the perceptions of young adults, age 18–25, regarding their life course development following parental incarceration for a violent crime. Elder’s life course development theory was the framework for this study. Data were collected through semistructured interviews with three …

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School Principals’ Perspectives Regarding Successful Professional Development, Kathryn L. Bauserman, Diana Quatroche, Linda E. Martin Sep 2026

School Principals’ Perspectives Regarding Successful Professional Development, Kathryn L. Bauserman, Diana Quatroche, Linda E. Martin

Journal of Educational Research and Practice

This descriptive study examined K–12 principals’ perspectives on providing and supporting school‑based professional development in one Midwestern state. Survey responses from 300 principals explored how they defined successful professional development, how they determined teacher learning needs, and the challenges they encountered. Findings revealed that principals valued professional development aligned with instructional improvement, yet many relied on their control of decision‑making processes. Professional development was commonly delivered by school or district personnel, funded through limited local and state resources, and typically offered in short sessions. Principals identified success through surveys, observations, and student achievement data while noting challenges related to funding, …

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Clinical Supervision In Local County Jails: The Descriptive Experiences Of Mental Health Supervisors, Vanessa Qualls Sep 2026

Clinical Supervision In Local County Jails: The Descriptive Experiences Of Mental Health Supervisors, Vanessa Qualls

Walden Dissertations and Doctoral Studies

The overrepresentation in correctional settings of persons who are seriously mentally ill and/or challenged with addiction has necessitated the presence of qualified mental health professionals. Implementation of quality mental health treatment in correctional settings has been met with various barriers, such as limited resources, physical space constraints, and safety concerns. While these barriers are present in most correctional settings, jails are more likely to encounter individuals who are experiencing acute symptoms related to mental illness and addiction, aggression, and crisis. Mental health counselors make up a significant portion of the mental health workforce in jail settings and may assume clinical …

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Nurses' Perceptions On Emotional Exhaustion, Hannah Espera Sep 2026

Nurses' Perceptions On Emotional Exhaustion, Hannah Espera

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that U.S. nurses experience high levels of emotional exhaustion (EE) in their role as professional caregivers, adult learners, and educators. Grounded in Maslach's burnout theory, the purpose of this qualitative study was to explore U.S. nurses’ perceptions of EE as professional caregivers, adult learners, and educators. For this basic qualitative design, semistructured interviews were conducted with 10 nurses licensed in the United States who were working in direct patient care roles, across multiple specialties, and with various levels of experience and licensure. Through in vivo and pattern coding, the following findings …

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The Lived Experiences Of Workplace Discrimination Of Transgender People In Mississippi, Wendy Mann Sep 2026

The Lived Experiences Of Workplace Discrimination Of Transgender People In Mississippi, Wendy Mann

Walden Dissertations and Doctoral Studies

In recent years, transgender people have been more open to living as the gender they believe they were meant to be, instead of the gender they were born as. With this decision, they are more susceptible to mistreatment and discrimination in the workplace. The purpose of this qualitative study was to explore and understand the experiences and perceptions of discrimination of transgender individuals within workplaces in the U.S. state of Mississippi. Transgender identity development (TID) and social identity theory provided a theoretical framework for examining participants’ lived experiences of perceived transgender workplace discrimination, navigation of this discrimination, and the role …

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Navigating Sexuality In Therapy: Counselors Lived Experiences Of Initiating Conversations With Clients, Sandra Mireles Sep 2026

Navigating Sexuality In Therapy: Counselors Lived Experiences Of Initiating Conversations With Clients, Sandra Mireles

Walden Dissertations and Doctoral Studies

Gaps in counselor education leave many counselors inadequately prepared to initiate sexuality-related conversations with clients. This qualitative hermeneutic phenomenological study was an exploration of the lived experiences of independently licensed mental health counselors and the personal, cultural, and professional meanings they constructed around initiating conversations related to sexuality. Guided by hermeneutic phenomenology and social constructivism, semistructured interviews were conducted with six independently licensed mental health counselors who had practiced independently for at least 5 years and primarily worked with adult clients. Data were analyzed using interpretative phenomenological analysis (IPA). Three overarching themes emerged: (a) societal and religious influences and misconceptions …

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U.S. Rural And Frontier Stakeholders’ Use Of Storytelling To Advocate For Competency Development, Aliza Ruby Quinlan Aug 2026

U.S. Rural And Frontier Stakeholders’ Use Of Storytelling To Advocate For Competency Development, Aliza Ruby Quinlan

Walden Dissertations and Doctoral Studies

Although rural advocacy is widely recognized as important to community change, the experiences of rural and frontier advocates, particularly in regard to their use of storytelling to support skill acquisition, relational trust, and asset-focused advocacy competencies, have been understudied. The purpose of this constructivist grounded theory qualitative study was to understand how rural and frontier community advocates describe their experiences and how sharing lived experiences may inform advocacy competency development. Semistructured interviews were conducted with nine advocates across the Pacific Northwest region of the United States, including caregivers, health care professionals, educators, nonprofit leaders, and individuals with lived experience working …

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Revictimization Of Female Sexual Assault Survivors During Cross-Examination From The Perspective Of Criminal Prosecutors, Robyn Fuchs Aug 2026

Revictimization Of Female Sexual Assault Survivors During Cross-Examination From The Perspective Of Criminal Prosecutors, Robyn Fuchs

Walden Dissertations and Doctoral Studies

Sexual assault is a heinous crime that remains one of the most underreported crimes. Victims of sexual assault face scrutiny for reporting and may be revictimized by the process. The intent of this study was to examine how cross-examination has the potential to revictimize female sexual assault survivors from the perspective of criminal prosecutors. This study may provide insight on whether defense attorneys intentionally cause harm to victims or if there is an automatic level of trauma in testifying. Ten interviews were conducted with criminal prosecutors across the United States. After the interviews, the transcripts were manually analyzed to identify …

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The Impact Of Inclusive Leadership And Leader Cultural Intelligence On The Work Engagement Of Migrant Employees, Dena Semonia Whittle Aug 2026

The Impact Of Inclusive Leadership And Leader Cultural Intelligence On The Work Engagement Of Migrant Employees, Dena Semonia Whittle

Walden Dissertations and Doctoral Studies

With the rise of globalization and the growing demand for skilled workers, the number of foreign-born employees in the American workforce has grown significantly over the last 20 years. These numbers continue to grow, as the upward trend of foreign-born employees has been even more significant over the last 5 years. However, despite having a now more diverse workforce, there are still signs of discrimination and unequal treatment of migrants in the workplace. Such mistreatment has been linked to health-related, occupational, and psychological consequences and has been negatively associated with work engagement. The purpose of this quantitative study was to …

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Optimizing Advanced Ehr And Enhanced Data-Sharing And Reporting In Rural Health Clinics, Adaeze Honesta Duru Aug 2026

Optimizing Advanced Ehr And Enhanced Data-Sharing And Reporting In Rural Health Clinics, Adaeze Honesta Duru

Walden Dissertations and Doctoral Studies

Rural clinics continue to face several barriers in utilizing advanced electronic health record (EHR) features, including interoperability, data sharing, and care coordination. The purpose of this integrative review was to investigate strategies to overcome barriers to the use of advanced EHRs and enhance data-sharing and reporting capabilities in rural clinics. The review question emphasized viable strategies for overcoming barriers to advanced EHR utilization and enhancing data-sharing and reporting capabilities in rural clinics. The consolidated framework for implementation research provided a conceptual model for understanding the various facets of EHR optimization. A literature search initially resulted in 135 relevant articles. After …

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Principals’ Experiences With Implementation Practices For School Board Policies In An Urban School District, Andrea J. Richardson Aug 2026

Principals’ Experiences With Implementation Practices For School Board Policies In An Urban School District, Andrea J. Richardson

Walden Dissertations and Doctoral Studies

Effective policy implementation is crucial for improving educational outcomes and ensuring equitable learning environments. While existing literature has shown that policy implementation is influenced by factors such as leadership capacity, stakeholder engagement, communication, resource availability, organization context, and accountability, there is little known about how K-12 urban principals narrate, interpret, and make meaning of their experiences to implementing board-mandated policies. This study addressed this gap by exploring how principals in an urban school district in Ohio navigated the complexities of implementing school board policies amid resource limitations, stakeholder resistance, and accountability pressures. The purpose of this qualitative narrative inquiry study …

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Nihilistic Violence Aesthetics In Public Online Communication, Heath Nicholas Landress Aug 2026

Nihilistic Violence Aesthetics In Public Online Communication, Heath Nicholas Landress

Journal of Social, Behavioral, and Health Sciences

Public online communication has increasingly included violence-related content that is meme-based, ironic, visually stylized, multimodal, and only partially ideological. This comprehensive literature review synthesized research on online extremism, extremist memes, toxic multimodal content, dehumanizing digital communication, nihilistic violent extremism, warning behaviors, platform affordances, and youth-facing online environments. The purpose was to clarify what the literature had established; identify where the scholarship remained fragmented; and map research domains relevant to social, behavioral, public safety, and human services scholarship. The review used a structured, comprehensive literature review strategy supported by integrative synthesis procedures. The final corpus contained 34 scholarly sources, including 32 …

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Beyond Boundaries: Unlocking Positive Social Change Through Shared Expertise, Sigifredo Castell Britton Aug 2026

Beyond Boundaries: Unlocking Positive Social Change Through Shared Expertise, Sigifredo Castell Britton

Journal of Social Work in the Global Community

Societal progress thrives through the dynamic interplay of diverse disciplines, each contributing unique insights to advance positive change. Interdisciplinary collaboration plays a crucial role in addressing complex social challenges by combining the strengths of various fields. This article explores the historical evolution, theoretical foundations, and practical applications of interdisciplinary collaboration to foster positive social change. The discussion provides definitions of key terms, such as societal progress and positive social change, within distinct ideological and contextual frameworks. It makes use of these to clarify the direction of positive change in different societal settings. Historical and contemporary examples, such as Bolivia’s social …

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Navigating Trauma And Scarcity: A Phenomenological Inquiry Into Well-Being Among Black Adult Males In Ohio Valley, Devron Demont Hobbs Aug 2026

Navigating Trauma And Scarcity: A Phenomenological Inquiry Into Well-Being Among Black Adult Males In Ohio Valley, Devron Demont Hobbs

Walden Dissertations and Doctoral Studies

Black adult males in resource-scarce Ohio Valley communities have historically experienced trauma that disrupted their well-being. The purpose of this qualitative phenomenological study, grounded in developmental trauma disorder (DTD) theory, was to explore how Black adult males understood and sustained well-being while living with DTD in resource-scarce environments. The participants comprised six Black adult males who resided in Ohio Valley communities and experienced trauma during childhood and adulthood. Data were collected through confidential, semi-structured, face-to-face interviews and analyzed using interpretative phenomenological analysis (IPA). Five themes emerged: healing through connection and role-modeling, historical and systemic trauma as a daily barrier, navigating …

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Personal Experiences With Remarkable Outcomes Of Stage 4 Cancer: A Phenomenological Study, Gail Firman Porter Aug 2026

Personal Experiences With Remarkable Outcomes Of Stage 4 Cancer: A Phenomenological Study, Gail Firman Porter

Walden Dissertations and Doctoral Studies

Prayer as a source of improved physical outcomes for individuals with medically diagnosed Stage 4 cancer has not been thoroughly addressed in recent academic literature, despite an increase in individual reporting within nonacademic sources.. The purpose of this phenomenological study was to explore the lived experiences of individuals in the United States who experienced remarkable healing from Stage 4 cancer after receiving Christian prayer for healing. Using the biopsychosocial-spiritual model as the conceptual framework, this study investigated the lived experiences of participants regarding their decision to seek prayer to heal their Stage 4 cancer, and its subsequent effects on their …

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The Post-Covid Experiences Of Low-Income Single Mothers In Maintaining Social Capital And Informal Social Support, Marissa L. Goldman Aug 2026

The Post-Covid Experiences Of Low-Income Single Mothers In Maintaining Social Capital And Informal Social Support, Marissa L. Goldman

Walden Dissertations and Doctoral Studies

Low-income single mothers often manage financial, caregiving, emotional, and logistical demands with limited resources and rely on informal support networks that may be inconsistent. This problem matters to social workers, community-based practitioners, and researchers because a greater understanding can guide interventions that reduce isolation and role overload and improve resource access. The purpose of this generic qualitative study was to explore how low-income single mothers used trust, reciprocity, social norms, and collective support to maintain informal networks in the post-COVID era. Guided by Bourdieu’s social capital theory, the study included 10 English-speaking U.S. mothers with household incomes at or below …

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Staff Education To Enhance Clinical Staff Knowledge Of Medication Adherence Strategies In Bipolar Disorder, George Niyi Ojewale Aug 2026

Staff Education To Enhance Clinical Staff Knowledge Of Medication Adherence Strategies In Bipolar Disorder, George Niyi Ojewale

Walden Dissertations and Doctoral Studies

Medication nonadherence in bipolar disorder is a significant contributor to relapse, hospitalization, and functional decline. This doctor of nursing practice (DNP) staff education project addressed a practice gap at the project site involving inconsistent clinician knowledge and absence of a standardized approach to adherence education. The practice-focused question for this project was: How does implementing an evidence-based staff educational program improve clinical staff knowledge in supporting medication adherence in patients with bipolar disorder? The purpose of this project was to implement a structured, evidence-based educational intervention to improve clinician knowledge related to medication adherence strategies. The intervention consisted of a …

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Electrical Leaders’ Effective Strategies To Reduce Workplace Fatalities And Injuries, Amy Clark Aug 2026

Electrical Leaders’ Effective Strategies To Reduce Workplace Fatalities And Injuries, Amy Clark

Walden Dissertations and Doctoral Studies

Workplace electrical safety programs help reduce injuries and fatalities, yet some U.S. electrical leaders who manage safety programs and oversee safety issues lack effective strategies to sustain safe environments to reduce electrical accidents. Grounded in Heinrich’s incident/accident pyramid theory and behavior-based safety theory, this qualitative pragmatic inquiry explored strategies used by six electrical leaders who successfully reduced workplace incidents. Data were collected through semistructured interviews and document analysis and analyzed using Castleberry and Nolen’s inductive thematic approach. Key themes included hazard identification, controls, personal protective equipment and inspections, common challenges (time, resistance, complacency), communication and engagement, safety culture and leadership, …

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Workplace Loneliness And The Impact Of Social Connections In Distributed Teams, Belkys Stallings Aug 2026

Workplace Loneliness And The Impact Of Social Connections In Distributed Teams, Belkys Stallings

Walden Dissertations and Doctoral Studies

Workplace loneliness is a growing organizational challenge as the rise of distributed teams reshapes opportunities for social connection and engagement. Business leaders need to understand this challenge because it is associated with reduced belonging, lower job satisfaction, diminished productivity, and increased turnover intentions. The purpose of this quantitative correlational study was to examine the extent to which distributed team environments (remote, hybrid, or flexible) impacted workplace loneliness and whether social connectedness moderated this relationship. Social exchange theory, self-determination theory, and Weiss’s concept of loneliness grounded this study. The participants comprised 84 adults working full-time in distributed team environments across the …

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The Relative Strength Of Compulsive Reward-Driven Eating, Weight Self-Efficacy, And Physical Appearance Comparison In Predicting Feelings Of Self-Worth, Kathleen Rowe Aug 2026

The Relative Strength Of Compulsive Reward-Driven Eating, Weight Self-Efficacy, And Physical Appearance Comparison In Predicting Feelings Of Self-Worth, Kathleen Rowe

Walden Dissertations and Doctoral Studies

Walden University College of Psychology and Community Services This is to certify that the doctoral dissertation by Kathleen Rowe 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. Hedy Dexter, Committee Chairperson, Psychology Faculty Dr. Medha Talpade, Committee Member, Psychology Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2026

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Effective Strategies To Increase Employee Engagement Within Small And Medium Enterprise (Sme) Remote Workforces, Marion Catherine Hulse-Lawlor Aug 2026

Effective Strategies To Increase Employee Engagement Within Small And Medium Enterprise (Sme) Remote Workforces, Marion Catherine Hulse-Lawlor

Walden Dissertations and Doctoral Studies

The prevalence of remote work environments has created challenges for small and medium enterprise (SME) healthcare leaders who must sustain workforce productivity while increasing employee engagement. Declining employee engagement affects not only productivity but also organizational effectiveness and profitability. The purpose of this qualitative pragmatic inquiry research project was to identify and explore the effective strategies that some leaders of remote SME healthcare workforces use to improve employee engagement. Using engagement theory as the conceptual lens to guide the research project, six purposefully sampled United States business leaders who demonstrated successful engagement practices within remote SME healthcare workforces were studied. …

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The Individual And Combined Effects Of Individualism-Collectivism Orientation And Mental Health Stigma On Perceived Social Support In Firefighters, Emma Schafer Schutte Aug 2026

The Individual And Combined Effects Of Individualism-Collectivism Orientation And Mental Health Stigma On Perceived Social Support In Firefighters, Emma Schafer Schutte

Walden Dissertations and Doctoral Studies

Repetitive trauma exposure predisposes firefighters to a variety of mental health issues. Despite efforts to expand mental health resources and peer support, stigma remains a significant barrier to formal (professional) and informal (peer) support-seeking within the fire service. According to social influence theory, firefighters may avoid using available support services because they perceive support-seeking as stigmatized by their peers and feel compelled to conform. Research across cultural groups suggests that individualism-collectivism orientation, which defines how individuals assign value to individual or group needs, has nuanced effects on perceptions of social support. However, the interplay of individualism-collectivism orientation, stigma, and perceived …

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Inclusive Leadership And Employee Engagement In Multigenerational Nigeria’S Public Sector, Monday Kohwo Unurhiere Aug 2026

Inclusive Leadership And Employee Engagement In Multigenerational Nigeria’S Public Sector, Monday Kohwo Unurhiere

Walden Dissertations and Doctoral Studies

Ineffective leadership continues to engender disengaged employees whose work ethics contribute to inefficient and ineffective public service delivery across several African countries. The specific research problem is the inadequacy of knowledge about leadership behaviors that foster a sense of being valued among employees of different generational cohorts, leading to intellectual, social, and emotional engagement at work. The purpose of this quantitative correlational cross-sectional study was to investigate the influence of inclusive leadership (openness, availability, and accessibility) on employee engagement (intellectual, social, and affective) in the multigenerational Nigerian public sector. The theoretical framework included the constructs of inclusive leadership, employee engagement, …

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Mentor Evaluation Of A Black Male Youth Mentoring Program, Kenneth Brown Aug 2026

Mentor Evaluation Of A Black Male Youth Mentoring Program, Kenneth Brown

Walden Dissertations and Doctoral Studies

This study was an exploration of how Black male mentors perceived organizational practices, culturally responsive mentoring, relational safety, and systems level barriers shaping their effectiveness and continued participation. The purpose was to examine early mentor-mentee match dissolution and low mentor retention in a nonprofit youth mentoring through the lens of the ecological systems theory and program evaluation framework. The practice-focused research questions were: How do volunteer mentors and program staff perceive the organizational practices and culturally responsive strategies that influence mentor effectiveness and retention in youth mentoring programs, and what organizational and systemic challenges do Black male mentors encounter in …

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Strategies To Enhance Employee Retention Among Leaders In The U.S. Poultry Processing Industry, Gary Dale Sisson Aug 2026

Strategies To Enhance Employee Retention Among Leaders In The U.S. Poultry Processing Industry, Gary Dale Sisson

Walden Dissertations and Doctoral Studies

Employee turnover remains a persistent challenge in the U.S. poultry processing industry. Leaders in the U.S. poultry processing industry are concerned that high employee turnover increases operating costs, disrupts productivity, and contributes to workforce instability. Grounded in organizational support theory, this qualitative pragmatic inquiry research project explored successful strategies that leaders in the U.S. poultry processing industry use to enhance employee retention. The participants were six leaders from poultry processing facilities in the southeastern United States. Data were collected through semistructured interviews and supplemented with workplace observations and organizational records related to retention initiatives and turnover trends. Data were analyzed …

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