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Strategies Behavioral Health Agency Managers Use To Retain Key Employees, Nicola James Mar 2025

Strategies Behavioral Health Agency Managers Use To Retain Key Employees, Nicola James

Walden Dissertations and Doctoral Studies

Employee retention in the behavioral health sector is a critical challenge that directly impacts the quality of care for clients and the long-term sustainability of healthcare organizations. Despite the importance of retention, some healthcare agency managers face difficulties in implementing effective strategies for retaining trained behavioral health professionals. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry was to identify strategies seven behavioral health agency managers in South Florida used to retain behavioral health professionals. Data gathered through semistructured interviews were thematically analyzed, leading to the identification of three themes: (a) a culture of appreciation, (b) instrumental …


Clinical Practice Guideline For Delirium Screening, Raji George Mar 2025

Clinical Practice Guideline For Delirium Screening, Raji George

Walden Dissertations and Doctoral Studies

Summary This doctoral project developed a clinical practice guideline (CPG) to address the critical health issue of early identification of delirium among hospitalized high-risk patients. Hospital delirium is associated with prolonged hospital stay, increased nursing home or rehab use after hospitalization, and higher mortality. Evidence shows that systematic screening improves delirium identification among hospitalized high-risk adults. However, there was no clinical practice guideline for delirium screening at the project facility for high-risk, non-intensive care unit patients. Therefore, the practice-focused question for the project was, “Does the evidence support the development of a CPG for delirium screening in high-risk hospitalized patients …


A Phenomenological Analysis Of Race-Based Stress Among Black Women Leaders In Counselor Education, Jamila A. Wilson Mar 2025

A Phenomenological Analysis Of Race-Based Stress Among Black Women Leaders In Counselor Education, Jamila A. Wilson

Walden Dissertations and Doctoral Studies

Despite calls from the Council for Accreditation of Counseling and Related Educational Programs (CACREP) and the American Counseling Association (ACA), counseling programs struggle to recruit and retain Black women. One contributing factor to this issue is gendered racism directed toward Black women in the counseling profession. However, the research surrounding the race-based stress (RBS) and race-based traumatic stress (RBTS) experienced as a result of encounters with gendered racism among Black women leaders in this profession remains limited. This inquiry utilized a hermeneutic phenomenological qualitative methodology and the race-based traumatic stress inquiry model as a conceptual framework to explore the nature …


Legislative Framework And Regulatory Policy Impacts On The Mining Industry In Ghana, Najat Jawula Mar 2025

Legislative Framework And Regulatory Policy Impacts On The Mining Industry In Ghana, Najat Jawula

Walden Dissertations and Doctoral Studies

Ghana’s legislative framework and regulatory policies play a crucial role in the mining industry, particularly in ensuring compliance and addressing socioeconomic and environmental challenges. However, despite the presence of various regulatory policies, challenges within the existing framework led to inadequate compliance with mining laws, negatively affecting development and the environment. Previous research has primarily focused on the environmental impacts of mining, with limited studies examining the regulatory framework, policy impacts, and the well-being of the community. The purpose of this generic qualitative study was to explore the challenges in the current legislative framework and regulatory policies from the perspectives of …


Obesity Awareness Among Pregnant Hispanic Women In Urban New Jersey, Cloris Bustamante Mar 2025

Obesity Awareness Among Pregnant Hispanic Women In Urban New Jersey, Cloris Bustamante

Walden Dissertations and Doctoral Studies

The rising prevalence of obesity among pregnant women presents significant health risks for mothers and children, beginning as early as intrauterine life throughout adulthood. The purpose of this quantitative cross-sectional study was to investigate whether demographic factors influenced obesity awareness as a personal issue in pregnant Hispanic women. The precaution adoption process model guided the study, a theoretical framework focusing on stages of health behavior change, including awareness, decision making, and action. A purposive sample of 134 pregnant Hispanic women aged 18 years or older receiving prenatal care in urban New Jersey was surveyed using the English (15) and Spanish …


Teachers’ Perceptions Of Risk Factors, Protective Factors, And Intervention Strategies For School Shooters, Emily Michelle Hudson Mar 2025

Teachers’ Perceptions Of Risk Factors, Protective Factors, And Intervention Strategies For School Shooters, Emily Michelle Hudson

Walden Dissertations and Doctoral Studies

Over 1,000 lives have been lost in school shootings in the United States. Many school shooters are current or former students ages 12 to 18, predisposed to risk factors (e.g., mental illness, bullying, trauma). Teachers have a crucial role in school safety, but their voices are underrepresented regarding school shooting interventions. Guided by the social ecological model, this generic qualitative research explored teachers’ perspectives of the risk factors, protective factors, and intervention strategies for school shootings. Data were collected through semistructured interviews with 10 secondary education teachers from various states in the United States. The collected data were then thematically …


Probation Officer Perspectives Of Rehabilitation Programs In The Federal Bureau Of Prisons, Brandon Christopher Harper Mar 2025

Probation Officer Perspectives Of Rehabilitation Programs In The Federal Bureau Of Prisons, Brandon Christopher Harper

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological study was to better understand the federal probation officer's perspective of rehabilitation programs in the federal bureau of prisons. The following research question provided a guide: What are federal probation officers' perspectives regarding the success of rehabilitation programs offered in the federal bureau of prisons? Semi structured interviews were conducted with 10 employees of a federal probation office located in the southern United States. Interviews were conducted using Zoom and audio-recorded and transcribed to text files for thematic analysis. The main findings in this study included the need to tailor programs for prisoners to …


Staff Education On Evidence-Based Educational Content For Patient Fall Prevention Measures, Ogochukwu Vera Nnakwe Mar 2025

Staff Education On Evidence-Based Educational Content For Patient Fall Prevention Measures, Ogochukwu Vera Nnakwe

Walden Dissertations and Doctoral Studies

Patient falls continue to be a challenge due to the injury associated with them. They can be disabling, costly, and most often lead to increased morbidity and mortality. Falls at home lead to hospitalization of the patient and complication of other health issues and/or aggravation of preexisting health problems. The practice problem was that the clinic did not have patient education content in place for fall prevention measures to discuss with patient at discharge. The practice-focused question was, Will a staff education on evidence-based falls prevention measures result in an increase in staff knowledge on fall prevention? The purpose of …


Lived Experiences Of Clinicians Who Support African American Men In Treatment Programs For Opioid Use Disorder In Georgia, Christian Ann Paige Mar 2025

Lived Experiences Of Clinicians Who Support African American Men In Treatment Programs For Opioid Use Disorder In Georgia, Christian Ann Paige

Walden Dissertations and Doctoral Studies

The prevalence of opioid use disorder (OUD) among African American men in Georgia has risen significantly, highlighting the need for specialized clinical approaches. Clinicians face complex challenges in delivering effective treatment and support. This qualitative interpretive phenomenological study examined the lived experiences of clinicians working with African American men in OUD treatment programs in Georgia. Grounded in cognitive behavioral therapy, the study utilized semistructured interviews with eleven clinicians. Four key themes emerged from the analysis: (a) barriers to treatment, as stigma and systemic inequities hinder engagement; (b) cultural competency challenges, as clinicians strive to provide care that aligns with clients’ …


Effective Risk Management Strategies Minority Small Business Owners Use To Address Challenges Of Changing Business Environments, Sabit Yasin Mohammed Mar 2025

Effective Risk Management Strategies Minority Small Business Owners Use To Address Challenges Of Changing Business Environments, Sabit Yasin Mohammed

Walden Dissertations and Doctoral Studies

As a result of a lack of effective risk management strategies, some minority small business owners are unable to address business challenges during changing business environments. Small business leaders who cannot mitigate challenges in changing business environments risk financial loss and business failure. Grounded in general system theory and entrepreneurship theory, the purpose of this qualitative pragmatic inquiry study was to explore effective risk management strategies of minority small business owners used to mitigate challenges of changing business environments. The participants were six minority small business owners from southwest region of the United States who successfully mitigated the challenges of …


Experiences Of African American Women Working In Higher Education Leadership Positions In Predominantly White Institutions, Angela Renee Hall Carrington Mar 2025

Experiences Of African American Women Working In Higher Education Leadership Positions In Predominantly White Institutions, Angela Renee Hall Carrington

Walden Dissertations and Doctoral Studies

Despite significant educational achievements, African American women remain underrepresented in academic leadership at predominantly White institutions. The purpose of this basic qualitative study was to explore the experiences, challenges, and barriers of African American women when navigating leadership pathways. The conceptual framework guiding this study was Crenshaw’s intersectionality theory. For this basic qualitative study, purposive and snowball sampling led to semistructured interviews with 8 African American women who had at least 2 years of experience in academic leadership roles at predominantly White institutions. Participants were African American women in leadership positions at 2 predominantly White institutions in California and 3 …


Effective Strategies For Improving Customer Experience In African American Retail Business, Oluwafemi Tosin Ashaye Mar 2025

Effective Strategies For Improving Customer Experience In African American Retail Business, Oluwafemi Tosin Ashaye

Walden Dissertations and Doctoral Studies

African American business owners experience challenges in enhancing customer experience and increasing sales. African American retail business owners are concerned with financial and technological limitations because these factors directly impact customer satisfaction and overall sales growth. Grounded in the theory of technology advancement and heuristic theory, the purpose of this qualitative pragmatic inquiry was to explore the financial and technological strategies that African American retail business owners of medium-sized retail supply chain retail organizations in the Northeastern United States use to enhance the customer experience and increase organization sales. The participants were six African American retail business owners who have …


Rural Nonprofit Employees’ Perceptions Of Employee Retention, Melody Annette Cole Mar 2025

Rural Nonprofit Employees’ Perceptions Of Employee Retention, Melody Annette Cole

Walden Dissertations and Doctoral Studies

In this qualitative case study, the employee retention problem of a rural nonprofit organization in North Carolina was explored. Specifically, the employees’ feelings regarding the issues affecting the organization’s employee retention problem were collected to provide administrators at the organization with recommendations to increase employee retention. Through interviews, participants shared their perspectives on employee retention and why they believe there is a retention problem at the organization. In addition, 10 exit interview records of previous employees were reviewed. Applying the conceptual framework of Maslow’s hierarchy of needs, the data collected from the interviewed participants and from exit interviews of previous …


Nepotism In Employee Recruitment And Student Admissions In Nigeria’S Tertiary Education System, Dianabasi Ukpong Mar 2025

Nepotism In Employee Recruitment And Student Admissions In Nigeria’S Tertiary Education System, Dianabasi Ukpong

Walden Dissertations and Doctoral Studies

Corruption in Nigeria’s educational sector, especially the tertiary sector, exists as a gap in the literature between policy formulation and implementation. Government agencies structure educational policies for their personal goals rather than enacting a policy framework promoting broad national interest. Current literature reveals that policies on recruitment and admissions in the tertiary education system are personality-oriented and allow tribalism, nepotism, favoritism, and even discrimination. This general qualitative study used the narrative policy framework to examine nepotistic practices in recruitment and admissions in Nigeria’s tertiary education sector. The purpose was to examine how nepotism in recruiting qualified employees impacts the tertiary …


Reasons Teachers Of Color Leave The Field Of Education In A Suburban School Division In Virginia, Arianne Hayes Mar 2025

Reasons Teachers Of Color Leave The Field Of Education In A Suburban School Division In Virginia, Arianne Hayes

Walden Dissertations and Doctoral Studies

Teacher retention remains a persistent challenge in the field of education, with teachers of color (TOCs) experiencing disproportionately higher attrition rates compared to their White counterparts while affect schools nationwide, particularly in high-need areas. The purpose of this qualitative study was to investigate why TOCs left their teaching positions in Virginia. This study was grounded in job demands-resources theory and focused on the significance of the demands and available resources within a workplace. For this basic qualitative design, eight former TOCs that had at least 3 years of experience in a suburban district in Virginia participated in semi structured interviews. …


Integrating E-Commerce To Reduce Postharvest Losses In Rural Cameroon, Maurice Tchasso Mar 2025

Integrating E-Commerce To Reduce Postharvest Losses In Rural Cameroon, Maurice Tchasso

Walden Dissertations and Doctoral Studies

E-commerce has the potential of assisting the agriculture market to curb postharvest losses by connecting new and existing customers to agricultural products more efficiently. The purpose of this qualitative phenomenological study was to explore and describe the lived experiences of successful farmers in rural Cameroon to obtain insights into the e-commerce factors and strategies they use to manage and reduce postharvest losses. The study sample was 20 rural Cameroonian farmers using e-commerce in reducing postharvest losses. The conceptual framework for this study was Rogers’s diffusion of innovation theory. The data collection occurred through virtual interviews with the participants and their …


Human Services Professionals’ Continuity Of Reentry Services For Post-Incarcerated Black And Latinx Women With Mental Health Disorders, Vanessa E. Suggs-Crudup Mar 2025

Human Services Professionals’ Continuity Of Reentry Services For Post-Incarcerated Black And Latinx Women With Mental Health Disorders, Vanessa E. Suggs-Crudup

Walden Dissertations and Doctoral Studies

Human services professionals play a vital role in managing the continuity of reentry services for post-incarcerated Black and Latinx women with mental health disorders, a significant concern in the United States. Human services professionals' perceptions of providing continuity of care in community-based reentry settings for Black and Latinx women with mental health disorders were explored. The conceptual framework of continuity of care was used to understand the professionals’ roles in supporting reentry services and how they align with or diverge from continuity of care, particularly the perceptions of human services professionals in a community-based treatment facility regarding the provision of …


Exploring An Infection Control Game To Reinforce Learning In Health Professions Education, Stephanie Anne Lea Mar 2025

Exploring An Infection Control Game To Reinforce Learning In Health Professions Education, Stephanie Anne Lea

Walden Dissertations and Doctoral Studies

Globally, there remains a high occurrence of healthcare-associated infections (HAIs). The problem under study was the lack of information about the experiences of health professions students with a serious game on infection control. The purpose of this basic qualitative study was to explore health professions student experiences with a serious game on infection control as a tool to reinforce learning. This study was framed by Bonwell and Eison’s active learning theory and Kolb’s experiential learning cycle. The participants were 12 health professions students who played an online serious game on infection control. The data were collected from semistructured interviews with …


Strategies To Attract And Retain Employees In Full-Service Chain Restaurants, Beverly Cecilia Johnson Mar 2025

Strategies To Attract And Retain Employees In Full-Service Chain Restaurants, Beverly Cecilia Johnson

Walden Dissertations and Doctoral Studies

The inability of full-service chain restaurant managers to attract and retain employees leads to significant understaffing. The shortage raises concerns about their capacity to meet consumer demand and maintain profitability. This qualitative pragmatic inquiry, grounded in transformational leadership theory, explored strategies restaurant managers use to attract and retain employees. The participants were six full-service chain restaurant managers in the locales of Maryland, Virginia, and Washington, D.C. of the United States, who had successfully used their strategies to attract and retain employees. Data were collected using semistructured interviews and reviewing publicly available restaurant websites. Using thematic analysis, four themes were identified: …


Effective Strategies To Increase Workplace Inclusivity In The Oil And Gas Industry, Patricia Lindsey Isaac Mar 2025

Effective Strategies To Increase Workplace Inclusivity In The Oil And Gas Industry, Patricia Lindsey Isaac

Walden Dissertations and Doctoral Studies

Some oil and gas industry leaders face challenges in implementing effective strategies to increase workplace inclusivity, which can result in lower profits, decreased employee engagement, and reduced productivity. Executive leaders and managers, responsible for organizational performance and workforce retention, are particularly concerned about addressing these challenges to sustain business success and competitiveness. Grounded in the leader-member exchange theory, the purpose of this qualitative pragmatic inquiry was to explore strategies executive leaders use to enhance inclusivity in the oil and gas industry. The participants were nine executives, leaders, and managers from the oil and gas sector who had previously implemented effective …


The Relationship Between Sexual Orientation, Anxiety, And Mental Health Access With Suicidal Ideation Among Veterans, Winsome R. Ashley Mar 2025

The Relationship Between Sexual Orientation, Anxiety, And Mental Health Access With Suicidal Ideation Among Veterans, Winsome R. Ashley

Walden Dissertations and Doctoral Studies

Prior studies have examined the connection between minority sexual orientation (MSO) and mental health; however, very little is known about the effect among veterans. The objective of this cross-sectional quantitative study aimed to determine the relationship between veteran status, sexual orientation, anxiety levels, access to mental health services, and suicidal ideation among veterans. More specifically, it addressed if veteran status modifies the association between anxiety and suicidal ideation, if marital status modifies the association between mental health care access and suicidal ideation, and if veteran status modifies the association between sexual orientation and suicidal ideation after controlling for age, gender, …


Gender Differences In Weight Perceptions And Intentions Among Hispanic Youth In The United States, Kristy Gregurek Mar 2025

Gender Differences In Weight Perceptions And Intentions Among Hispanic Youth In The United States, Kristy Gregurek

Walden Dissertations and Doctoral Studies

Childhood obesity is a global epidemic and a serious issue for children and adolescents in the United States. Despite recognition of its dangers, obesity remains a public health concern, with both genetic and environmental factors contributing to its prevalence. Of particular concern is the higher obesity rates among Hispanic children, who face disproportionately significant psychological and physical health risks. Using the theory of planned behavior, this study aimed to investigate the lack of knowledge regarding gender differences in weight perceptions and intentions, the relationship between physical activity and weight perception, and the role each may play in obesity among Hispanic …


Queer Connections: Relationship Initiation Approach And Relationship Quality For Queer Couples, Kai Ambakad Mar 2025

Queer Connections: Relationship Initiation Approach And Relationship Quality For Queer Couples, Kai Ambakad

Walden Dissertations and Doctoral Studies

Queer individuals encounter unique challenges in romantic relationships, making it essential to explore factors that influence their relationship quality. The purpose of this quantitative study was to compare relationship quality among queer individuals based on the method of meeting (i.e., through dating applications vs. in person) and to test communication quality as a moderating variable. This study examined commitment and satisfaction as the dependent variables for relationship quality and meeting method as the independent variable. The research addressed whether there were (1) differences in relationship quality based on meeting method and (2) whether communication quality moderated this relationship. The study …


Principals’ Perceptions Of Covid-19 Learning Strategies’ Influence On Reading Achievement In Title I Urban Elementary Schools, Kadian Alicia Grant Mar 2025

Principals’ Perceptions Of Covid-19 Learning Strategies’ Influence On Reading Achievement In Title I Urban Elementary Schools, Kadian Alicia Grant

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic significantly intensified reading achievement challenges among Title I urban elementary school students. There was a need to understand the impact of district-implemented strategies to improve reading achievement during the pandemic. Guided by Fullan’s educational change theory, this qualitative case study explored principals’ perceptions of the influence of district strategies on reading achievement implemented due to the COVID-19 pandemic during the 2021–2022 school year, particularly in Title I urban elementary schools. The study specifically aimed to explore (a) principals’ perceptions of the influence of lesson acceleration, (b) principals’ perceptions of the influence of personalized learning, and (c) challenges …


Mental Health Literacy, Education, And Implications For Mental Disorder, Robert Louis Sims Jr Mar 2025

Mental Health Literacy, Education, And Implications For Mental Disorder, Robert Louis Sims Jr

Walden Dissertations and Doctoral Studies

Mental health literacy (MHL) improves the recognition and treatment of mental disorders. The completion of a bachelor’s degree has been correlated with higher levels of MHL, and higher levels of MHL are reported to improve mental health status (MHS). While educational attainment has a significant positive relationship with MHL, the strength and significance of education in predicting MHL level remains unclear. A health literacy conceptualization and self-efficacy theory underpinned further examination of these variables in this study. A survey was administered to a sample of 105 university graduates in Georgia enrolled in one of five bachelor’s degree disciplines: education, humanities, …


General Education Teachers’ Perceptions On Preparation And Support To Teach Students With Disabilities, Bethany Lelaurin Mar 2025

General Education Teachers’ Perceptions On Preparation And Support To Teach Students With Disabilities, Bethany Lelaurin

Walden Dissertations and Doctoral Studies

Students with disabilities have many diverse needs that must be met for them to thrive academically and socially. The problem that was addressed in this study was that general education teachers experience challenges to meet the needs of students with disabilities in an inclusive classroom. The purpose of this qualitative study was to explore general education teachers’ perceptions on the challenges of meeting the needs of students with disabilities in an inclusive classroom setting as well as their suggestions for improved training and resources. The conceptual framework that grounded this study was Rose and Meyer’s universal design for learning. For …


Understanding Hereditary Breast And Ovarian Cancer Syndrome In Black/African American Women: Implications For Equitable Outcomes And Interventions, Alexandria E. Fletcher Mar 2025

Understanding Hereditary Breast And Ovarian Cancer Syndrome In Black/African American Women: Implications For Equitable Outcomes And Interventions, Alexandria E. Fletcher

Walden Dissertations and Doctoral Studies

Black/African American women face significant health disparities in hereditary breast and ovarian cancer syndrome (HBOC) due to systemic barriers to genetic counseling and testing, leading to poorer survival outcomes. Guided by the Social Determinants of Health (SDH) framework and Intersectionality Theory, this quantitative descriptive study examined disparities in access to genetic services, socioeconomic barriers, and healthcare biases. Data from the 2023 National Health Interview Survey (NHIS) included 1,357 Black/African American and White women aged 25–65 with a family history of HBOC. The Surveillance, Epidemiology, and End Results (SEER) dataset analyzed 15,684 Black/African American and 105,547 White women with breast cancer, …


Community College Science Faculty’S Perceptions On Fidelity Of Implementation Of A Strategic Plan, Allison Santillo Mar 2025

Community College Science Faculty’S Perceptions On Fidelity Of Implementation Of A Strategic Plan, Allison Santillo

Walden Dissertations and Doctoral Studies

The administration at a Mid-Atlantic regional community college in the United States created a strategic plan to increase students’ critical thinking and metacognition skills by focusing on improving students’ problem-solving skills with problem-based learning. However, the problem in this study was that the faculty’s fidelity of implementation (FOI) a strategic plan to implement metacognition instruction at a community college in the Mid-Atlantic U. S. region had not been effectively monitored. The purpose of this basic qualitative study was to investigate the FOI of metacognitive instruction to a strategic plan as perceived by the community college’s science faculty. Century et al.’s …


The Impact Of On-The-Job Traumatic Events From The Perspective Of African American Law Enforcement Officers, Stefanie Marie Hadley Mar 2025

The Impact Of On-The-Job Traumatic Events From The Perspective Of African American Law Enforcement Officers, Stefanie Marie Hadley

Walden Dissertations and Doctoral Studies

Most law enforcement officers (LEOs) enter their profession with the intent to positively impact their communities. However, the emotional and psychological toll of their work often goes unaddressed, leaving officers to navigate repeated exposure to trauma with limited support or preparation. While research has examined the effects of trauma on LEOs, there remains a gap in understanding the impact on African American LEOs. This study explored the effects of frequent on-the-job traumatic events from the perspective of African American LEOs and the barriers to seeking mental health treatment. Guided by social cognitive theory and rational choice theory, this qualitative study …


Adverse Childhood Experiences In Early Adolescence And Adult Interpersonal Relationships Violence, Jenalee M. Dawson Mar 2025

Adverse Childhood Experiences In Early Adolescence And Adult Interpersonal Relationships Violence, Jenalee M. Dawson

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a pervasive social issue that affects individuals and communities, often rooted in early life experiences such as adverse childhood experiences (ACEs). Understanding the link between ACEs and IPV is crucial for developing effective prevention and intervention strategies. This quantitative research explored the potential link between ACEs encountered during early adolescence and the subsequent occurrence of IPV in adult domestic relationships, building upon the foundational work of Felitti et al. Using a quantitative survey design, 30 participants aged 18 and older who had experienced at least one ACE were recruited via social media and surveyed. Bandura's …