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Medical Laboratory Managers Success With Preanalytical Errors, Huong Q. Ly Jan 2017

Medical Laboratory Managers Success With Preanalytical Errors, Huong Q. Ly

Walden Dissertations and Doctoral Studies

Clinicians rely heavily on accurate laboratory results to diagnose and treat their patients. Laboratory errors can occur in any area of total testing phases, but more than half of the errors occur in the preanalytical phase. Framed by the total quality management theory, the purpose of this multiple case study was to explore medical laboratory managers' strategies to reduce preanalytical errors. A purposive sample of 2 organizations with laboratories in southern California participated in semistructured face-to-face interviews. Company A had 2 participants and 3 participants participated in the study from Company B. Each participant had at least 5 years of …

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Stakeholders' Perceptions Of Ethical Leadership: Implications For Organizational Success, Adejobi Sunday Odeneye Jan 2017

Stakeholders' Perceptions Of Ethical Leadership: Implications For Organizational Success, Adejobi Sunday Odeneye

Walden Dissertations and Doctoral Studies

Leaders focus on the attainment of personal and organizational goals without consideration for the needs of stakeholders, especially those of followers. Ethical leadership (EL) studies' focus on leaders' perspectives represented a research gap that necessitated this study. Followers are the least researched among stakeholders; thus, this study explored EL from their viewpoints. Stakeholder theory, social learning theory, eudaimonia, and utilitarianism were the conceptual frameworks that guided this study. Twenty participants drawn from followers in a public organization in New Jersey were questioned about their experiences and expectations of EL using open-ended interview questions. Participants with shared experiences were selected based …

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The Impact Of Nursing Staff Ratios On Falls Rates In Skilled Nursing Facilities, Akudo Okeorji Jan 2017

The Impact Of Nursing Staff Ratios On Falls Rates In Skilled Nursing Facilities, Akudo Okeorji

Walden Dissertations and Doctoral Studies

Falls and complications from falls are a common problem among adults aged 65 years and older. About 60% of older adults fall every year, causing injuries, hospitalization, nursing home placement, and even death. Most studies on falls among skilled nursing facility (SNF) residents focus on fall preventive measures that fail to include staffing variables such as nursing hours. Although researchers have examined the relationship between nursing staff and patient outcomes in hospital settings, similar studies have not occurred in long-term care facilities. The purpose of this retrospective longitudinal study was to determine whether a correlation exists between nursing staff hours …

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Sustainability And Social Responsibility In Small Food Enterprises: Barriers And Enablers, Aurora Dawn Reinke Jan 2017

Sustainability And Social Responsibility In Small Food Enterprises: Barriers And Enablers, Aurora Dawn Reinke

Walden Dissertations and Doctoral Studies

Small to medium enterprises (SMEs) in the food industry contend with a variety of corporate sustainability and social responsibility (CSSR) issues, ranging from the environmental impact of food waste to human health concerns about specific ingredients and production methods. In this qualitative multicase study, based on the conceptual frameworks of strategic development, stakeholder management, and institutional theory, I explored barriers and enablers for Washington, DC-based food SMEs as they proactively addressed CSSR issues. I interviewed five SME owner-managers. The transcripts were then coded and analyzed. Three themes emerged. Strategic development tended to be ad hoc and experimental, but with equal …

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Factors Affecting Hampton Roads, Virginia, Elected Official Emergency Management Recovery Policy Decisions, William Francis Reiske Jan 2017

Factors Affecting Hampton Roads, Virginia, Elected Official Emergency Management Recovery Policy Decisions, William Francis Reiske

Walden Dissertations and Doctoral Studies

For many regions and local governments, budgetary restraints limit funds appropriated for emergency management activities to inadequate levels, and little guidance exists related to decision factors used by elected officials in identifying budget and ordinance priorities. Using Kwon, Choi, and Bae's conceptualization of punctuated equilibrium theory, the purpose of this case study was to examine how decision factors influenced Hampton Roads, Virginia, elected official disaster recovery policy between 2003 and 2012. Data were collected through review of 1,310 city documents and 10 semistructured interviews with elected officials. Data were inductively coded and analyzed using a thematic analysis procedure. Data analysis …

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A Quantitative Comparison Of Adult Children Of Alcoholics (Acoas) And Non-Acoas On Attachment, Carly Rodgers Jan 2017

A Quantitative Comparison Of Adult Children Of Alcoholics (Acoas) And Non-Acoas On Attachment, Carly Rodgers

Walden Dissertations and Doctoral Studies

Children who grow up in an environment where at least 1 parent is an alcoholic can experience behavioral and emotional problems that continue into adulthood. A critical literature gap concerning the relationship between attachment and adult child of an alcoholic (ACOA) status, as well as personal alcohol abuse and levels of hope, was identified. The purpose of this study was to gain a better understanding of the influence of having alcoholic parents on personal alcohol abuse, attachment, and hope among ACOAs. Informed by attachment theory, this cross-sectional study compared attachment among ACOAs and non-ACOAs and the impact of attachment on …

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10,000 Step Challenge For Bedside Registered Nurses Working 12 Hour Shifts, Katherine Louise Schnebly Jan 2017

10,000 Step Challenge For Bedside Registered Nurses Working 12 Hour Shifts, Katherine Louise Schnebly

Walden Dissertations and Doctoral Studies

Obesity is a pandemic that directly affects chronic health problems and mortality. Researchers have shown that more than 54% of nurses are obese. The increasing rate of obesity among nurses and the long hours they work make healthy lifestyles, including daily physical activity, difficult. Tracking daily activity using a pedometer or fitness application has shown improved awareness and sustainability of daily physical activity. This project was an investigation of the daily steps of bedside nurses working a 12-hour shift, and their subsequent awareness of their daily physical activity. Pender's Health Promotion Model was used to consider motivating factors for improving …

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Wellness Education And Job-Related Injuries And Illnesses For Federal Employees, Eunice Scott Jan 2017

Wellness Education And Job-Related Injuries And Illnesses For Federal Employees, Eunice Scott

Walden Dissertations and Doctoral Studies

Work-related injuries and illnesses may lead to absenteeism, which affects the level of productivity. The purpose of this study was to determine the success of an employee workplace training program on work-related injury and illness rates at selected federal districts within a federal organization. Newman's model, which describes internal and external factors that may have an effect on an individual's health, was the framework that guided this project. A pre-post design was used to compare data from 2 publically available data sets, the Occupational Safety and Health Administration Illness and Injury and the Voice of the Employee Survey, for the …

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Influence Of Succession Planning On Knowledge Transfer, Robinson Ejakpomewhe Jan 2017

Influence Of Succession Planning On Knowledge Transfer, Robinson Ejakpomewhe

Walden Dissertations and Doctoral Studies

The problem was the lack of effective succession planning strategies to facilitate the transfer of technical expertise from retiring employees to younger employees. A rebound of oil exploration activities in Nigeria would adversely affect the drilling sector due to lack of preparation and succession planning to meet the demand for technical expertise. The purpose of this case study was to explore how a succession planning program contributes to knowledge transfer and development of expertise for business continuity and prevents loss of knowledge in the oil-drilling sector in Nigeria. Twenty-four participants from one oil-drilling contractor in Nigeria participated in the study. …

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Senescence Disorder Literacy Among Prelingual/Culturally Deaf Individuals Age 50 And Older, J. Delores Hart Jan 2017

Senescence Disorder Literacy Among Prelingual/Culturally Deaf Individuals Age 50 And Older, J. Delores Hart

Walden Dissertations and Doctoral Studies

The preferred method of communication for most prelingual/culturally Deaf individuals is American Sign Language (ASL), and members of this linguistic/cultural minority community are often not recognized as being bilingual. Many prelingually/culturally Deaf individuals have limitations and deficits in English proficiency; which can lead to deficits in general knowledge of health-related terminology. Current projections are that older adults are expected to live longer, and will also experience the development of, increases in and more extended periods of living with senescence/age-related health disorders, also includes prelingual/culturally Deaf individuals. This quantitative research project, utilizing the theoretical framework of health literacy and a modified …

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Assessing The Influence Of Smart Mobile Devices On How Employees Work, Adam L. Gorski Jan 2017

Assessing The Influence Of Smart Mobile Devices On How Employees Work, Adam L. Gorski

Walden Dissertations and Doctoral Studies

The smart mobile device market penetration reached 50% and has been increasing an average of 39% per year in the United States. More than 70% of the smart mobile device owners use such devices for personal and work activities. The problem was the lack of management's understanding of the effect smart mobile device use has on how employees work when they are in the office, while traveling, or during the off-hours to improve productivity and customer service. The purpose of this phenomenological study was to understand why, when, and how employees used smart mobile devices. The transformational technology conceptual framework …

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How Heroin-Addicted Offenders Experience Sobriety Upon Release From Jail, Rebecca Lynn Foster Jan 2017

How Heroin-Addicted Offenders Experience Sobriety Upon Release From Jail, Rebecca Lynn Foster

Walden Dissertations and Doctoral Studies

Heroin addiction is a growing epidemic in the United States. The need for proper treatment programs accessible by heroin users who wish to or are mandated to participate in recovery programs is a growing need, and pathways to sobriety for ex-offenders have presented in literature as understudied. The purpose of this study was to examine heroin-addicted offenders' experiences prior to and after release on their paths to sobriety. This study followed a qualitative phenomenological approach based on the theory of personal causation, which posits that individuals see events in life as either driven by themselves or caused by others, both …

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Market Capitalization And Firm Value: The Size Factor, Rajiv.Issar Issar Jan 2017

Market Capitalization And Firm Value: The Size Factor, Rajiv.Issar Issar

Walden Dissertations and Doctoral Studies

Current multifactor valuation pricing models use size (measured by market capitalization) of a firm as one factor to determine the value of a security. The problem with current standard models was that none of them could explain the value of a security consistently and accurately based on current factors and in particular the size factor. The purpose of this quantitative study using existing time-series data over a 10-year period from 2006 to 2015 was to examine the impact of size factor on the realized rate of return of financial securities, while controlling for the impact of market rate of return. …

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Trust In Union Leaders And Decline In Union Membership, Seth Ellery Francois Jan 2017

Trust In Union Leaders And Decline In Union Membership, Seth Ellery Francois

Walden Dissertations and Doctoral Studies

As of 2015, public opinion of the ethical and honesty standards of labor union leaders was low, with 36% of the public reporting a low or very low rating, and only 18% reporting high or very high ratings. Grounded in leadership behavioral theory, the purpose of this correlation study was to examine the relationship between union members' perceptions of union leadership consideration, union members' perceptions of leadership initiation of structure, and union members' perceptions of leadership trust. Forty-four union members completed a brief demographic survey, the Leader Behavior Description Questionnaire XII, and the Trust and Employee Satisfaction Survey. The results …

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Effects Of Transformational Leadership On Fire Lieutenant Development, Angelo Lamar Jan 2017

Effects Of Transformational Leadership On Fire Lieutenant Development, Angelo Lamar

Walden Dissertations and Doctoral Studies

Research does not sufficiently address how fire lieutenants in the central United States experience leadership development. Leadership development training, coaching, and mentoring are important processes that prepare followers to become effective leaders in public safety organizations. The intent of this qualitative research study was to explore the lived experiences and stories of fire lieutenants to obtain a clear understanding of how transformational leadership training was perceived to affect their careers. Face-to-face interviews from a purposeful sample of 7 fire suppression lieutenants queried 3 relevant areas derived from the literature, comprising of transformational leadership, critical success factors, and mentoring and coaching. …

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Exploring Which Leadership Styles Are Effective With Millennial Employees, Samuel Long Jan 2017

Exploring Which Leadership Styles Are Effective With Millennial Employees, Samuel Long

Walden Dissertations and Doctoral Studies

Managers struggle with how to motivate the Millennial generation employee. Research that explores which leadership styles are effective with Millennial generation employees is limited. The purpose of this study was to explore what leadership styles are effective with Millennial employees, which led to a key research question: Which leadership styles facilitate employee motivation for the Millennial generation? The theoretical framework was based on the social learning, transformational leadership, and servant leadership theories, which were used to identify effective leadership styles. In the theoretical framework, different motivation theories were presented to establish the context in which motivation was discussed. This quantitative …

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Examining Intellectual Property Rights, Innovation And Technology Within The Caricom Single Market And Economy, Abiola Inniss Jan 2017

Examining Intellectual Property Rights, Innovation And Technology Within The Caricom Single Market And Economy, Abiola Inniss

Walden Dissertations and Doctoral Studies

Caricom Single Market and Economy (CSME) firms operate under various laws and policies on intellectual property rights (IPRs), innovation and technology. International analyses and rankings rate the CSME countries' performance as poor in comparison with others at the same level of economic development. This results in negative impacts on the economic and social welfare of their communities. A paucity of data existed concerning the effects of policies on decisions by local firms to engage in innovation and technology activities. The purpose of this qualitative case study was to examine the effects of policies on IPRs, innovation, and technology on firms …

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Improving Breastfeeding Knowledge Of Staff Nurses, Patience Sirri Mbonifor Jan 2017

Improving Breastfeeding Knowledge Of Staff Nurses, Patience Sirri Mbonifor

Walden Dissertations and Doctoral Studies

The World Health Organization advocates that newborn babies require exclusive breastfeeding until 6 months of age to attain a desired level of growth. Despite this recommendation, exclusive breastfeeding rates continue to be at low levels globally. The purpose of this DNP project was to examine best practices for increasing the breastfeeding knowledge of health care workers, and to understand how breastfeeding is promoted in different healthcare systems. The Critical Appraisal Checklist and the Cochrane Handbook for Systematic Reviews framed this systematic literature review. Additionally, Melnyk's levels of evidence was used to evaluate each article. Articles for inclusion were limited to …

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Use Of Tai Chi To Treat Mental Health Disorders In Veterans, Mekeesha Mcclure Jan 2017

Use Of Tai Chi To Treat Mental Health Disorders In Veterans, Mekeesha Mcclure

Walden Dissertations and Doctoral Studies

Clinicians have a challenge of discovering and implementing new ways to address their patients' health concerns. Some healthcare needs are not completely managed with pharmacotherapy and invasive procedures alone. Military veterans compose a special group due to multiple needs related to physical and emotional symptoms resulting from exposure to trauma. This project explored the benefits of a Tai Chi recreational therapy program. The goal of this trial was to examine gentle movement routines of Tai Chi for emotional benefits for veterans. The literature review provided insight from current evidence into the probable outcome of including alternative medicine options into regular …

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Customer Relationship Management Strategies At Historically Black Colleges And Universities, Johnny Balman Mcdonald Jan 2017

Customer Relationship Management Strategies At Historically Black Colleges And Universities, Johnny Balman Mcdonald

Walden Dissertations and Doctoral Studies

Historically Black colleges and university managers lack sufficient understanding of customer-relationship management strategies to create high enrollment rates leading to increased financial stability. The focus of this qualitative single case study was to explore customer-relationship management strategies managers use to improve financial performance from historically Black colleges and universities located within the state of Georgia with a student enrollment that exceeds 2,000 students. The conceptual framework for this study was the general system theory. Data were collected using semistructured interviews and employee handbooks. The data analysis consisted of compiling the data, disassembling the data into common codes, reassembling the data …

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Employee Perceptions Of Merit Pay And Its Influence On Work Performance, Michael John Mcknight, Sr. Jan 2017

Employee Perceptions Of Merit Pay And Its Influence On Work Performance, Michael John Mcknight, Sr.

Walden Dissertations and Doctoral Studies

The work performance of employees remains a vital factor both in an organization's viability as well as in the prosperity of its employees. Merit pay can influence employee performance and is one of the most frequently used monetary reward incentives for motivating employees to achieve a higher level of performance. The problem is the limited knowledge on how state employees in a southern state perceive merit pay and how those perceptions may influence employee work performance. Using a conceptual framework built from elements of various motivational theories including Maslow's hierarchy of needs and Herzberg's 2 factor theory, the purpose of …

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Perceptions Of Ethnic Federalism And The Ethiopian Diaspora Community In The Us, Kassaw Tafere Merie Jan 2017

Perceptions Of Ethnic Federalism And The Ethiopian Diaspora Community In The Us, Kassaw Tafere Merie

Walden Dissertations and Doctoral Studies

Diaspora communities are becoming an essential part of socioeconomic and political developments of their homeland countries. The problem addressed by this study is that after ethnic federalism was implemented in Ethiopia, the Ethiopian diaspora in the US is divided along ethnic lines, causing human resource management and law enforcement challenges within the communities in the host country. The purpose of this study was to describe the impacts of Ethiopia's ethnic-based federalism on its diaspora residing in a US metropolitan area. The theoretical framework was based on Teshome and ZáhoÅ?ík's theory of ethnic federalism and Safran's theory of diaspora. The key …

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Hassles Of African Americans With Type 2 Diabetes, Sharon H. Murff Jan 2017

Hassles Of African Americans With Type 2 Diabetes, Sharon H. Murff

Walden Dissertations and Doctoral Studies

There has been a steady increase in the incidence of diabetes in the United States. The purpose of this study was to determine whether there was a difference in the daily hassles of African American adults with a self-reported diagnosis of type 2 diabetes compared to those of African American adults without a self-reported diagnosis of type 2 diabetes. The theoretical underpinning for this quantitative, descriptive study was the cognitive appraisal theory (CAT), but the concept of stress and the effects stress has on the body was the broad framework that connected all the variables. The CAT was used to …

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Impact Of The Childcare Setting And Caregiver Education On Toddler Language Environment, Snejana Nihtianova Jan 2017

Impact Of The Childcare Setting And Caregiver Education On Toddler Language Environment, Snejana Nihtianova

Walden Dissertations and Doctoral Studies

Young children's early language development is strongly related to their school performance, and slow language growth may predict later academic problems. The link between the language quality and amount of speech that children hear and their language development is well documented; however, the factors that impact variability in linguistic input are not well understood. The purpose of this quantitative study was to assess the association between childcare settings and childcare provider education level and toddlers' language environment. The study sample consisted of 29 Bulgarian children. The study used a new technology called Language Environment Analysis, which is the preferred method …

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Understanding The Role Of Federal Procurement Policy In Federal Social Policy, Howard Wilson Pierce Jan 2017

Understanding The Role Of Federal Procurement Policy In Federal Social Policy, Howard Wilson Pierce

Walden Dissertations and Doctoral Studies

Human sex trafficking is a significant issue in the modern world. The International Labor Organization has estimated that 4.5 million people are the victims of forced commercial sexual exploitation worldwide. The United States' laws on human sex trafficking can be found in 22 U.S.C. -§7104 Prevention of Trafficking, and promulgate the strategy of prevention of trafficking, protection of trafficking victims, and punishment of traffickers. Under the terms of 22 U.S.C. -§7104, federal contractors can be penalized if any of their employees or subcontractor employees engage in a commercial sex act. The reliance on the private sector to curb sex trafficking …

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The Role Of Project Leadership In Global Multicultural Project Success, Jamal Nassif Jan 2017

The Role Of Project Leadership In Global Multicultural Project Success, Jamal Nassif

Walden Dissertations and Doctoral Studies

Global projects have a high failure rate, with many project failures attributed to lack of effective leadership. A knowledge gap about leadership requirements and complexities in a global project management environment has increased the risks in global projects. The problem is evident in the increasing project failure rate and the struggling national strategies in the oil and gas industry in the Arabian Gulf Cooperation Council (GCC). The purpose of this study was to explore the role of leadership in project success and adaptation complexities in GCC. The conceptual framework consisted of complex adaptive systems and contingency theories. A qualitative approach …

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Medical Floor Confusion Assessment Method: Implementation And Assessment Of Risk Factors, Michaelynn R. Paul Jan 2017

Medical Floor Confusion Assessment Method: Implementation And Assessment Of Risk Factors, Michaelynn R. Paul

Walden Dissertations and Doctoral Studies

An estimated 50% of older hospitalized patients experience delirium. This has created significant complications costing an estimated $164 billion or more per year worldwide. The ability to identify patients developing delirium would allow the implementation of specific interventions to decrease or eliminate the adverse effects of delirium. The purpose of this quality improvement project was to provide high quality delirium education to determine if medical unit nursing staff could successful implement the Confusion Assessment Method (CAM) screening tool to identify patients experiencing delirium as the first phase of an overall plan. Implementation of the project followed Roger's diffusion of innovations …

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Building Consensus Among General Counsel To Address Managerial Legal Strategy Perspectives, Evan Andrew Peterson Jan 2017

Building Consensus Among General Counsel To Address Managerial Legal Strategy Perspectives, Evan Andrew Peterson

Walden Dissertations and Doctoral Studies

The research problem for this study focused on organizations' inability to derive strategic value from the law due to the lack of integration between legal strategy and business strategy. The purpose of this study was to build consensus among in-house general counsel working across business industries in the United States with regard to techniques that will alter unreceptive managerial viewpoints toward the strategic value of law within the corporate setting. The research question centered on assessing the level of consensus among general counsel relative to those techniques. This 3-round qualitative Delphi study began with open-ended questions in Round 1 and …

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Pre-Employment Polygraphs And Ohio Law Enforcement Officers' Perceptions Of Police Misconduct, Peter Thomas Piraino Jan 2017

Pre-Employment Polygraphs And Ohio Law Enforcement Officers' Perceptions Of Police Misconduct, Peter Thomas Piraino

Walden Dissertations and Doctoral Studies

Despite convincing evidence of the polygraph instrument's lack of scientific validity and reliability in assessing deceptiveness in individuals, public-sector organizations in the United States continue to use the polygraph examination as a pre-employment screening tool. In addition to its lack of acceptance in the scientific community, little is known about the effectiveness of polygraph examinations, given as part of pre-employment screening, in predicting future misconduct in law enforcement officers. Two theoretical frameworks, Baumgartner and Jones' punctuated equilibrium model of policy change and Alvesson and Spicer's theory of functional stupidity, provided the theoretical foundation for this study. The purpose of this …

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Leadership Strategies For Employee Retention In Small Lodging Establishments, Adi Raz Jan 2017

Leadership Strategies For Employee Retention In Small Lodging Establishments, Adi Raz

Walden Dissertations and Doctoral Studies

In 2015, turnover in the lodging accommodations and food services industry was 72.1%, accounting for 6.5 million incidents of voluntary quits. The purpose of this correlational study was to examine the relationship between antecedent independent variables and employee turnover in bed and breakfasts (B&Bs) and inns. The independent variables were ethical leadership, organizational support, coworker support, work-family conflict, employee empowerment, employee voice, and work schedule. Organizational support theory provided the theoretical framework for the study. Survey data were collected from 105 B&B and inn managers in California, Arizona, Oregon, and Washington. Data analysis included descriptive statistics, a correlation matrix, chi-square …

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