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Assessing The Influence Of Core Transformational Leadership Style On Job Satisfaction And Organizational Citizenship Behavior In A Rural Healthcare Facility, Bruce Daryl Mitchell May 2025

Assessing The Influence Of Core Transformational Leadership Style On Job Satisfaction And Organizational Citizenship Behavior In A Rural Healthcare Facility, Bruce Daryl Mitchell

Walden Dissertations and Doctoral Studies

The successful application of core transformational leadership (CTL) in healthcare may enhance the quality of patient care and foster a positive and optimistic workforce. As such, CTL may be linked with job satisfaction (JS) and organizational citizenship behavior (OCB). There was a knowledge gap in understanding CTL’s relation to JS and OCB. In this quantitative study, the influence of the predictor variable CTL on the dependent variables JS and OCB was examined. Maslow’s hierarchy of needs provided a theoretical lens for the investigation. The secondary data set included data from 221 participants: 37 physicians, 111 nurses, and 73 other workforce …

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The Relationship Between Adverse Childhood Experiences And Posttraumatic Symptomology In Rio Grande Valley Hispanic Adults, Timothy Hollinger May 2025

The Relationship Between Adverse Childhood Experiences And Posttraumatic Symptomology In Rio Grande Valley Hispanic Adults, Timothy Hollinger

Walden Dissertations and Doctoral Studies

Childhood adversity is a known predictor of poor psychological outcomes in adulthood, yet little is known about this relationship among Hispanic adults in South Texas. This study examined whether adverse childhood experiences (ACEs) are associated with posttraumatic stress disorder (PTSD) symptoms and whether gender, marital status, or educational attainment moderate this relationship. The central research questions were: (1) What is the relationship between ACEs and PTSD symptoms among Hispanic adults in South Texas? and (2) Do gender, marital status, or education moderate this relationship? Guided by Bronfenbrenner’s ecological systems theory, this quantitative archival study used a non-experimental, correlational design. Linear …

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Workplace Mobbing, Job Satisfaction, And Intent To Leave The Information Technology Industry, Sherry Elaine Baker-Thompson May 2025

Workplace Mobbing, Job Satisfaction, And Intent To Leave The Information Technology Industry, Sherry Elaine Baker-Thompson

Walden Dissertations and Doctoral Studies

Some information technology leaders are increasingly concerned about employees’ intent to leave their organizations, as it contributes to higher turnover rates, increased recruitment costs, and potential disruptions to project continuity and service delivery. Grounded in affective events theory, the purpose of this quantitative correlational study was to examine the relationship between workplace mobbing, job satisfaction, and the intent to leave the information technology industry. The study surveyed 101 information technology employees residing in the United States who had experienced workplace mobbing. The participants completed the Negative Acts Questionnaire, the Job Satisfaction Questionnaire, and the Turnover Intention Questionnaire. Results from a …

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Clinical Practice Guideline For Wound Care Management In Primary Healthcare Settings Across The British Virgin Islands To Minimize Clinical Practice Variations, Trorisia Shanika John May 2025

Clinical Practice Guideline For Wound Care Management In Primary Healthcare Settings Across The British Virgin Islands To Minimize Clinical Practice Variations, Trorisia Shanika John

Walden Dissertations and Doctoral Studies

This quality improvement (QI) initiative in a British Virgin Islands (BVI) primary healthcare setting involved the problem of inconsistent wound care management among registered nurses, which was a concern that was identified in a 2023 audit. The BVI Health Service Authority (HSA)’s diverse nursing staff, which is recruited across the Caribbean, contributed to varied wound care approaches, negatively impacting healthcare delivery and quality. These inconsistencies led to unequal resource access, increased infection and complication risks, and potential financial and legal liabilities. Furthermore, it could negatively affect staff and patient perceptions, potentially decreasing patient satisfaction, highlighting the urgent need for standardized …

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Staff Education Program On Smoking Cessation Strategies, Justina Ugorji May 2025

Staff Education Program On Smoking Cessation Strategies, Justina Ugorji

Walden Dissertations and Doctoral Studies

This doctoral project implemented a staff education program to enhance smoking cessation knowledge in a mental-health care setting. Despite the well-documented risks, smoking cessation efforts remain insufficient, often due to providers’ limited knowledge and confidence in delivering effective interventions. The practice-focused question for this project was: Will implementing a staff education program improve health care providers’ knowledge of smoking cessation strategies as compared pre- to posteducation? The purpose was to equip providers with evidence-based techniques to enhance patient smoking cessation. A comprehensive literature review using the Johns Hopkins evidence-based practice model was performed, and 20 relevant articles were identified supporting …

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Relationship Between Job Satisfaction, Diversity, Equity, Inclusion, Accessibility (Deia) Issues, And Turnover Intention, Mica Hunter May 2025

Relationship Between Job Satisfaction, Diversity, Equity, Inclusion, Accessibility (Deia) Issues, And Turnover Intention, Mica Hunter

Walden Dissertations and Doctoral Studies

Federal leaders are concerned about rising turnover intentions and low job satisfaction among employees, particularly in relation to diversity, equity, inclusion, and accessibility (DEIA) issues. These challenges pose a threat to organizational stability, reduce productivity, and hinder the federal government’s ability to retain diverse talent and fulfill its mission effectively. Grounded in Frederick Herzberg's two-factor theory, the purpose of this quantitative ex post facto correlational study was to examine the relationship between job satisfaction, DEIA issues, and turnover intention within federal agencies. The participants were 254 federal employees who completed the 2023 Federal Employee Viewpoint Survey. The results of the …

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Intersectional Analysis Of Vaccination Inequity Among Individuals With Disabilities In The United States During The Covid-19 Pandemic, Philip Ndoki, Heba M. Athar, David O. Anderson May 2025

Intersectional Analysis Of Vaccination Inequity Among Individuals With Disabilities In The United States During The Covid-19 Pandemic, Philip Ndoki, Heba M. Athar, David O. Anderson

Journal of Social, Behavioral, and Health Sciences

We investigated how disability status, types, sociodemographic indicators, and reasons for not receiving vaccinations influenced COVID-19 vaccination rates among individuals with disabilities in the United States. Despite efforts, vaccination disparities persisted, necessitating a nuanced understanding of the barriers to vaccination. Using intersectionality theory and the social determinants of health framework, we examined the impact of marginalized identities and structural inequalities. Key questions included the association between disability status and vaccination uptake, differences among disability types moderated by sociodemographic factors, and the interaction between disability status and reasons for not vaccinating. We used Household Pulse Survey data from the U.S. Census …

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Comorbidities, Therapy And Health System Factors Associated With Treatment Interruption Among Males With Tuberculosis In Nairobi County, Kenya, Lorraine Nkirote Mugambi-Nyaboga May 2025

Comorbidities, Therapy And Health System Factors Associated With Treatment Interruption Among Males With Tuberculosis In Nairobi County, Kenya, Lorraine Nkirote Mugambi-Nyaboga

Walden Dissertations and Doctoral Studies

While males are recognized as key drivers of tuberculosis (TB) transmission, the association between comorbidities (i.e., diabetes and malnutrition), adverse drug reactions (ADRs), and health system factors (i.e., frequency of drug refills) with TB treatment interruption, remains unclear. I aimed to determine the association between these factors and TB treatment interruption among males diagnosed with TB in Nairobi County, Kenya controlling for age, sub-county of residence, alcohol use, HIV co-infection, type of TB and presence of treatment supporter. Guided by WHO’s framework on adherence to long-term therapies, a quantitative, case-control study was conducted using secondary analysis of Kenya’s TB surveillance …

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Staff Education To Improve Oncology Nurses' Cultural Competency Literacy, Sharon Taziwa May 2025

Staff Education To Improve Oncology Nurses' Cultural Competency Literacy, Sharon Taziwa

Walden Dissertations and Doctoral Studies

Executive Summary: Staff Education Project Staff Education to Improve Oncology Nurses' Cultural Competency Literacy by Sharon Taziwa MSN, Walden University, 2023 BSN, University of Texas at Arlington, 2015 Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University May 2025 Summary A staff education project was implemented at a comprehensive cancer center in the Southwest United States. The nurses at the comprehensive cancer center faced challenges in delivering culturally competent care to a diverse patient population, necessitating enhanced training in cultural knowledge, skills, and awareness. The lack of consistent cultural competence …

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The Association Between Neighborhood Environment, Social Relations, And The Prevalence Of Irritable Bowel Syndrome, Negin Iranfar May 2025

The Association Between Neighborhood Environment, Social Relations, And The Prevalence Of Irritable Bowel Syndrome, Negin Iranfar

Walden Dissertations and Doctoral Studies

Irritable bowel syndrome (IBS) is a disorder of gut-brain interaction influenced by biological, psychological, and social factors. Stress and socioeconomic influences on IBS have been studied, however few studies have explored the impact of neighborhood and social environments across racial and ethnic groups and sex at birth. The biopsychosocial framework was used to examine whether built environment and social context contribute to IBS prevalence. A cross-sectional analysis of 80,874 participants from the All of Us Research Program was conducted to assess the associations between IBS and six neighborhood and social factors: safety, structure, cohesion, supportive relationships, social relationships, and perceived …

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Staff Education To Improve Staff Knowledge Of Medication Adherence Strategies For Mood Disorders, Samnang Son Oeur May 2025

Staff Education To Improve Staff Knowledge Of Medication Adherence Strategies For Mood Disorders, Samnang Son Oeur

Walden Dissertations and Doctoral Studies

Executive Summary: Staff Education Project Staff Education to Improve Staff Knowledge of Medication Adherence Strategies for Mood Disorders by Samnang Oeur MS, University of California, San Francisco, 2019 BS, University of Massachusetts, Lowell, 2009 Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2025

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Prohibitive Factors Of Successful Completion In Rural Drug Courts: A Quantitative Study, Travis Zimmerman May 2025

Prohibitive Factors Of Successful Completion In Rural Drug Courts: A Quantitative Study, Travis Zimmerman

Walden Dissertations and Doctoral Studies

Drug courts have been heralded as largely successful alternative sentencing programs for criminal drug offenders. While these programs demonstrate their ability to be effective with clients, little insight has been gained into the factors that impact client success and failure. The study utilized data from the Multi-site Adult Drug Court Evaluation (MADCE) to investigate the factors that lead to program failure for participants in drug court. Borrowing from the tenants of generalized strain theorists, the study batched together raw data into four “strain factors,” which were then analyzed to discern any corollary effect between the presence of these strains and …

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Burnout, Life Satisfaction, And Meaning-Focused Coping In Correctional Mental Health Providers, Danielle Janet Tsamouris May 2025

Burnout, Life Satisfaction, And Meaning-Focused Coping In Correctional Mental Health Providers, Danielle Janet Tsamouris

Walden Dissertations and Doctoral Studies

Studies have found that burnout among correctional mental health providers is related to unique stressors that impact their physical, psychological, and emotional health, including the perceived and actual threat of violence. Using the transactional theory of stress and coping, the purpose of this quantitative study was to examine the influence of burnout and meaning-focused coping strategies on life satisfaction in correctional mental health providers. Online survey data from 102 master’s-holding correctional mental health professionals were recruited by SurveyMonkey who also administered the survey. Results from a standard multiple regression analysis suggested that meaning-focused coping strategies significantly and positively influenced life …

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The Impact Of Functional Disabilities On The Quality Of Life Of Older U.S. Adults, Bernadette Lavender May 2025

The Impact Of Functional Disabilities On The Quality Of Life Of Older U.S. Adults, Bernadette Lavender

Walden Dissertations and Doctoral Studies

Among older U.S. adults, functional disabilities are critical determinants of quality of life (QoL), influencing mobility, social engagement, and independence. Despite growing evidence of these impacts, limited research examines how healthcare access, social support, and socioeconomic factors moderate this relationship. This quantitative study explored the effects of functional disabilities on QoL, operationalized through self-reported health, while examining the moderating roles of key social determinants. Using a cross-sectional design, secondary data from the Health and Retirement Study (HRS) were analyzed. The sample included 42,405 participants aged 60 years and above from all 50 states. Multiple regression analyses and ANOVA were employed …

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Middle-Income Housing Affordability: An Exploration Of The Residual Income Approach In Delaware, Alexis Bryan-Dorsey May 2025

Middle-Income Housing Affordability: An Exploration Of The Residual Income Approach In Delaware, Alexis Bryan-Dorsey

Walden Dissertations and Doctoral Studies

Families with children face challenges finding affordable housing. The research problem addressed through this quantitative group comparison design study was the need for alternative measures of determining housing affordability for families with children. Efforts to determine the best evaluation of housing affordability could help some families that may fall into the gap and lack a substantiated voice in the development of public policy. Researchers have demonstrated issues with housing affordability, such as the rising costs of housing and a shortage of affordable housing units but have not established the significance of using alternative measures to determine affordability and the implementation …

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A Quality Improvement Initiative To Implement An Educational And Behavioral Intervention To Address Childhood Obesity And Depression, Hillary Oluwatosin Ayokunle May 2025

A Quality Improvement Initiative To Implement An Educational And Behavioral Intervention To Address Childhood Obesity And Depression, Hillary Oluwatosin Ayokunle

Walden Dissertations and Doctoral Studies

Summary The doctoral project was a quality improvement initiative aimed at addressing the co-occurrence of obesity and depression in children aged 9-18 years. The practice problem is critical within the context of nursing practice, as both childhood obesity and depression are significant public health concerns that impact physical and mental well-being. The practice-focused question guiding the project explored whether the implementation of an educational program centered on nutrition, physical activity, and mental health leads to improvements in body mass index (BMI) and reductions in depressive symptoms, as measured by the Patient Health Questionnaire-9 (PHQ-9). The purpose of the doctoral project …

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Food Insecurity, Myplate Utilization, And Hba1c In United States Adults With Prediabetes, Lindley R. Sharp May 2025

Food Insecurity, Myplate Utilization, And Hba1c In United States Adults With Prediabetes, Lindley R. Sharp

Walden Dissertations and Doctoral Studies

The rising prevalence of prediabetes in the United States presents a significant public health challenge, particularly due to its progression into Type 2 diabetes. Despite national dietary guidelines, disparities in dietary adherence persist, especially among food-insecure adults. This quantitative study examined the impact of food insecurity and MyPlate utilization on HbA1C levels in prediabetic U.S. adults, while accounting for structural and intermediary determinants of health. Guided by the Commission on Social Determinants of Health framework, this cross-sectional study utilized secondary data from the 2015–March 2020 National Health and Nutrition Examination Survey including a sample size of 1,417 noninstitutionalized male and …

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Reasonable Suspicion And Racial Profiling In The Enforcement Of Immigration Laws In Arizona, George L. Wajackoyah May 2025

Reasonable Suspicion And Racial Profiling In The Enforcement Of Immigration Laws In Arizona, George L. Wajackoyah

Walden Dissertations and Doctoral Studies

The delegation of immigration enforcement authority to local law enforcement under Section 287(g) raised concerns about increased racial profiling, fueling fear and distrust in immigrant communities. Understanding these effects aided in evaluating the broader impact of immigration policies on public safety and community relations. Grounded in critical race theory, this study explored how Section 287(g) enabled racial profiling by giving local law enforcement broad discretionary authority over immigration enforcement. A qualitative research design was employed using thematic analysis of interview data from 26 immigrants and law enforcement officers. Manual coding and NVivo software were utilized to conduct the analysis. The …

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A Grounded Theory Approach To Intergenerational Adverse Childhood Experiences, Jessica Schweigert May 2025

A Grounded Theory Approach To Intergenerational Adverse Childhood Experiences, Jessica Schweigert

Walden Dissertations and Doctoral Studies

Extensive research has been conducted on the relationship of adverse childhood experiences (ACEs) and negative long term physical and mental health outcomes, intervention strategies after exposure in childhood, as well preventative education measures to limit ACE exposure; however, limited research has been conducted on how the exposure to ACEs could influence parental behaviors, practices, the overall experience for parents, and the intergenerational continuity of these experiences for their children. The purpose of this qualitative grounded theory study was to explore how the adverse childhood experiences of parents could have influenced their parental behaviors and practices, parenting style and approach, and …

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Educational Program Focused On Medication-Assisted Treatment To Improve Healthcare Providers’ Knowledge Of Managing Opioid Use Disorder In Primary Care Setting, Genean Marie Doyle May 2025

Educational Program Focused On Medication-Assisted Treatment To Improve Healthcare Providers’ Knowledge Of Managing Opioid Use Disorder In Primary Care Setting, Genean Marie Doyle

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project is a staff education project focused on enhancing healthcare providers’ knowledge of managing opioid use disorder (OUD) through medication-assisted treatment (MAT) in a primary care setting. The practice problem focuses on the lack of provider knowledge and persistent misconceptions about MAT. Primary care providers often feel ill-equipped to manage OUD, due to inadequate formal training and report insufficient understanding of MAT medications, regulatory requirements, and patient management strategies, contributing to underutilization of MAT, even in settings where patient need is high. Given the ongoing opioid epidemic and the important role that primary care …

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Early Childhood Teachers’ Perspectives On The Challenges Of Closing The African American Achievement Gap, Cherie Mcelroy-Burch May 2025

Early Childhood Teachers’ Perspectives On The Challenges Of Closing The African American Achievement Gap, Cherie Mcelroy-Burch

Walden Dissertations and Doctoral Studies

There is a persistent academic achievement gap between African American students and their White peers in Grades 1–3. Federal and state governments have made numerous efforts, implemented policy changes, and allocated more resources to struggling school districts, yet the disparity in academic achievement persists. The purpose of this basic qualitative study was to explore early childhood teachers’ perspectives on the challenges of closing the achievement gap between African American students and their White peers in Grades 1–3. The conceptual framework for this study was based on Coll and Lamberty’s model of developmental competencies in minority children. The research question for …

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Barriers Faced By College Sexual Violence Survivors Who Identify As A Racial And Gender Minority, Brittany A. Gordon May 2025

Barriers Faced By College Sexual Violence Survivors Who Identify As A Racial And Gender Minority, Brittany A. Gordon

Walden Dissertations and Doctoral Studies

Sexual violence is a significant issue in the US, and specifically on college campuses. Students who identify as a racial and gender minority have been found to be at increased risk. While research has examined the barriers to disclosure, reporting, or help-seeking among survivors within higher education who identify as a racial minority and those who identify as a gender minority, no qualitative studies have looked at the barriers faced by student survivors who identify as both a racial and gender minority. The purpose of this study was to understand the barriers faced by students who identify as a racial …

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Barriers Rural African American Mothers Experience Accessing Healthcare, Lovelia Dixon May 2025

Barriers Rural African American Mothers Experience Accessing Healthcare, Lovelia Dixon

Walden Dissertations and Doctoral Studies

Walden University College of Psychology and Community Services This is to certify that the doctoral dissertation by Lovelia Latrese Dixon 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. Tracy Jackson, Committee Chairperson, Human Services Faculty Dr. Antoinette Pigatt, Committee Member, Human Services Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2025 The study examined the barriers African American mothers living in rural areas face when accessing healthcare due to lack of information, transportation, and affordability. Understanding the …

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Work Experience Of Millennials Resigning Abruptly From Mental Health Positions, Melonie K. Bland May 2025

Work Experience Of Millennials Resigning Abruptly From Mental Health Positions, Melonie K. Bland

Walden Dissertations and Doctoral Studies

The phenomenon of millennials resigning from mental health positions with little or no notice remains understudied, yet understanding it is essential for improving the consistency and effectiveness of care for individuals receiving mental health services. This generic qualitative study explored the work experiences of millennial mental health workers. The Strauss-Howe generational theory served as the theoretical framework, offering insight into how millennials’ work ethics, personal beliefs, and job expectations influenced their decisions to resign abruptly. Data were collected through semistructured interviews with nine participants, and thematic analysis was used to identify key themes and insights related to the research question. …

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Perceptions Of Connections Among Technology Instructors And Their Students Working Remotely, Angela Dawn Riddle May 2025

Perceptions Of Connections Among Technology Instructors And Their Students Working Remotely, Angela Dawn Riddle

Walden Dissertations and Doctoral Studies

In 2020, educators were forced to learn new ways to instruct students due to the COVID-19 pandemic. In response to the transition from in-person to online courses, educators explored new ways of producing the learning experience. Due to the hands-on nature of industrial and engineering technology, these courses did not generally use online learning systems. The purpose of this qualitative study was to explore the experiences of industrial and engineering technology instructors connecting with students remotely during this period. Garrison’s community of inquiry framework was used to ground the study and understand the connection that occurs in the learning environment …

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Gender And Age Differences Among Juvenile Homicide Offenders, Amanda Nichole-Wells Jabaay May 2025

Gender And Age Differences Among Juvenile Homicide Offenders, Amanda Nichole-Wells Jabaay

Walden Dissertations and Doctoral Studies

The involvement of juveniles in homicide-related crimes has been a matter of growing public concern in the United States. Although prior research suggests that boys and girls who kill vary in important ways, there is limited research that has examined gender and age differences among juvenile homicide offender (JHO) characteristics and crime-related variables on a national level, with only eight previous national studies to date. Guided by the social control theory, the purpose of this non-experimental quantitative study was to explore gender and age differences among JHOs and other crime-related variables on a current national level. Archival data (N = …

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The Effects Of Sudden Telework On The Productivity And Engagement Of Hr Employees, Lisa Renee Schlichtig May 2025

The Effects Of Sudden Telework On The Productivity And Engagement Of Hr Employees, Lisa Renee Schlichtig

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic forced a change in how individuals perceived the way of conducting work in the United States. Human resources (HR) leaders need to understand this change because many employees lost their jobs without the means for sustainable work. Other employees maintained their jobs, suddenly shifting to telework, resulting in mixed productivity and work engagement levels. The purpose of this quantitative moderation analysis study was to examine whether there was a moderating effect of employer-provided psychological resources on perceived productivity and work engagement among HR employees after the sudden shift to telework. The conservation of resources theory and the …

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Principals’ Perspectives On Supporting Novice Alternatively Certified Teachers, Temperance Truitt Tobe May 2025

Principals’ Perspectives On Supporting Novice Alternatively Certified Teachers, Temperance Truitt Tobe

Walden Dissertations and Doctoral Studies

Nationwide teacher shortages have resulted in states utilizing alternative certification programs to recruit, attract, and retain teacher candidates. The problem was secondary principals are challenged to assist novice alternatively certified teachers (NACTs) in the United States. The purpose of this qualitative study was to explore experienced secondary principals' perspectives on their successes and challenges to assist NACTs. Experiential learning theory served as the basis for the conceptual framework. For this basic qualitative design, I conducted semistructured interviews with 11 experienced secondary school principals who worked directly with NACTs. Braun and Clarke’s six step framework was used for thematic analysis of …

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Strategies To Identify And Manage Toxic Leaders For Mitigating Organizational Toxicity, Ellen Scott May 2025

Strategies To Identify And Manage Toxic Leaders For Mitigating Organizational Toxicity, Ellen Scott

Walden Dissertations and Doctoral Studies

The prevalence of toxic leadership across various sectors like healthcare, the military, corporations, and educational institutions presents a significant challenge, undermining organizational culture and employee well-being, leading to increased turnover and reduced performance. Guided by the toxic triangle as the conceptual framework, this qualitative Delphi study’s purpose involved leadership experts from across the United States to reach a consensus on organizational strategies for identifying, managing, and mitigating organizational toxicity. The research questions were focused on determining the most suitable strategies for recognizing toxicity in the organization and addressing it effectively. A panel of 30 leadership experts from across the United …

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Community Health Workers’ Lived Experience Of Using Videoconferencing With Community Members, Valdora Lejune Avery May 2025

Community Health Workers’ Lived Experience Of Using Videoconferencing With Community Members, Valdora Lejune Avery

Walden Dissertations and Doctoral Studies

Community health workers in the United States faced significant challenges in conducting in-person community practice during the COVID-19 pandemic, which adversely affected their communication, training, and service delivery outcomes. Videoconferencing enabled workers to connect with underserved populations for individual and community crisis response. The purpose of this study was to describe the lived experiences of community health workers in the Rural Community Health Worker Network (RCHWN) regarding the use of videoconferencing among community members in practice and how members in RCHWN perceive the availability of videoconferencing devices to communicate in the community. Transcendental phenomenology provided the conceptual framework and research …

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