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The Relationships Between Social Stress, Anxiety, And School Attendance/Absenteeism Among Middle School Students With High-Incidence Disabilities, Rebecca Caroline Canady Feb 2025

The Relationships Between Social Stress, Anxiety, And School Attendance/Absenteeism Among Middle School Students With High-Incidence Disabilities, Rebecca Caroline Canady

Walden Dissertations and Doctoral Studies

Chronic absenteeism has been on the rise across the United States since schools fully reopened to in-person learning after COVID-19-related closures. Historically, students with disabilities are more likely to experience increased rates of absenteeism. However, there is a lack of research on specific psychosocial factors related to school attendance/absenteeism (SA/A) for students with disabilities. The purpose of this quantitative study of archival data was to examine through analyses of variance what extent the relationship between anxiety and SA/A is moderated by social stress among middle school students with high-incidence disabilities. Additionally, trends in the relationship between variables from before and …

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Accessing Local Health Programs For Afro-Caribbean Families In The Greater Tampa Bay Area, Michelle Jacqueline Swift Feb 2025

Accessing Local Health Programs For Afro-Caribbean Families In The Greater Tampa Bay Area, Michelle Jacqueline Swift

Walden Dissertations and Doctoral Studies

Access to quality healthcare is essential for the well-being of immigrant families, especially Afro-Caribbean immigrants in the Greater Tampa Bay area. Disparities in use and satisfaction with health services are known. Guided by Andersen’s healthcare utilization model, a quantitative cross-sectional design employing multiple linear regression analyzed the relationships between self-reported income, education, years since immigration, and health-seeking behaviors (IVs) and satisfaction with care, measured by the PSQ-18 (DV). This study involved 92 English-speaking Afro-Caribbean migrant families with minors residing in Hillsborough, Pasco, and Pinellas Counties. The IVs did not emerge as significant variables in the model output F(14, 68) = …

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Increasing The Physician Workforce In Rural Hospitals, Tagny Isabel Diaz Solis Feb 2025

Increasing The Physician Workforce In Rural Hospitals, Tagny Isabel Diaz Solis

Walden Dissertations and Doctoral Studies

Rural hospitals experience challenges in supplying the physician workforce, leading to poor organizational and population health outcomes. The purpose of this integrative review was to determine factors that affect physician recruitment and retention in rural hospitals and provide strategies for administrators to support sufficient physician staffing. The review question was used to identify effective strategies to improve physician recruitment and retention in rural hospitals. An integrative review was completed using empirical and nonempirical research published between 2019 and 2024. The results of the literature demonstrated components affecting physician motivation and job satisfaction. Five main themes surfaced: (a) professional education, (b) …

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Cancer-Related Stigma, Attitudes, And Cultural Beliefs On Intentions To Receive Lung Cancer Screening In African American Female Smokers, Sonia M. M Salmon-Gayle Feb 2025

Cancer-Related Stigma, Attitudes, And Cultural Beliefs On Intentions To Receive Lung Cancer Screening In African American Female Smokers, Sonia M. M Salmon-Gayle

Walden Dissertations and Doctoral Studies

In the United States, lung cancer is responsible for killing more people than prostate, breast, and colon cancer combined. African Americans are at a greater risk of dying from the disease due to the infrequency of early detection achieved through screening. This research focused on African American female smokers (AAFS) in the District of Columbia, Maryland, and Virginia between the ages of 50 and 80 with a 20-year pack history and who were smoking or had quit within the past 15 years. A quantitative correlational research design was employed with a sample of 101 participants to explore the relationship between …

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Lived Experiences Of Geriatric African American Males In Recovery And Participation In Spiritual Social-Oriented Communities, Gail Venerable Feb 2025

Lived Experiences Of Geriatric African American Males In Recovery And Participation In Spiritual Social-Oriented Communities, Gail Venerable

Walden Dissertations and Doctoral Studies

Substance use among older persons has increased among the aging baby boomer generation. At the same time, individuals aged 65 and beyond see increased longevity. The utilization of alcohol and drugs as a means of managing associated challenges has been shown to contribute to health problems that lead to a diminished quality of life and early death rates. Empirical investigations have demonstrated that social-oriented interventions such as Alcoholics Anonymous (AA) have a beneficial role in sustaining an individual’s recovery process. However, joining such programs may pose challenges for African American males 65 and older due to African Americans’ distrust of …

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Perceptions And Role Of Cultural Competency In Clinical Social Work Practice, Vivian Adelaide Aba Dadzie Feb 2025

Perceptions And Role Of Cultural Competency In Clinical Social Work Practice, Vivian Adelaide Aba Dadzie

Walden Dissertations and Doctoral Studies

In practice, social workers are expected to translate cultural competency skills and knowledge they have acquired to handle diverse clients whose gender, racial, ethnic, religious, and personal beliefs and orientations can conflict. Using a qualitative research approach, the study addressed perceptions and roles of cultural competence in social work practice. Three research questions guided the study. The Campinha-Bacote framework of culturally competent healthcare was used for this study. The study involved employing thematic analysis to analyze research questions. It was determined that social workers must meet clients where they are culturally, respecting and learning from them to adapt interventions accordingly. …

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Executive Summary: Clinical Practice Guideline Primary Care Management Of Overweight/Obesity In Adult Women, Getrude Tate Nguatem Feb 2025

Executive Summary: Clinical Practice Guideline Primary Care Management Of Overweight/Obesity In Adult Women, Getrude Tate Nguatem

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was a clinical practice guideline project focused on overweight and obesity management of adult women in primary care. The practice problem identified was the lack of an evidence-based clinical practice guideline to manage overweight/obesity in adult women. It was important to address this problem because overweight and obesity were significant health concerns at this clinical site in the United States and the world. The practice-focused question was the following: “Does the evidence support the development and Appraisal of Guideline for Research and Evaluation (AGREE) II instrument quality scoring of a clinical practice guideline on …

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Leadership Development In Millennial Corporate Employees With Nonnative Accents, Clara Philor Feb 2025

Leadership Development In Millennial Corporate Employees With Nonnative Accents, Clara Philor

Walden Dissertations and Doctoral Studies

Employees with nonnative accents sometimes avoid leadership roles, engage less in the workplace, and perform poorly. Organizational leaders need to understand how the challenges of individuals with nonnative accents specifically affect millennials. Grounded in attribution theory and social identity theory, the purpose of this qualitative study was to explore how millennial employees with nonnative accents experience leadership opportunities in the corporate workplace. The participants were 10 millennial corporate employees in the United States with nonnative accents working toward or already holding leadership positions. Data were collected using in-depth interviews for thematic and interpretive phenomenological analysis. Seven themes emerged: (a) challenges …

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Staff Education To Improve Phq-9 Depression Screening In Primary Care, Adella Kweyila Feb 2025

Staff Education To Improve Phq-9 Depression Screening In Primary Care, Adella Kweyila

Walden Dissertations and Doctoral Studies

The staff education project aimed to address the gap in practice regarding the use of the PHQ-9 depression screening tool in a primary care setting. The providers at the setting demonstrated variations in screening practices leading to potential missed opportunities for early depression identification and treatment. This Doctor of Nursing Practice project explored the question: “What is the effect of implementing a staff education program to improve staff knowledge to effectively implement changes that affect the use of the PHQ-9 screening tool to improve depression identification and treatment of adult patients in a primary care clinic?” This project aimed to …

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Software Developer, Analyst, And Consultant Communication Strategies In Enterprise Resource Planning Projects, Martin Gene Culberson Feb 2025

Software Developer, Analyst, And Consultant Communication Strategies In Enterprise Resource Planning Projects, Martin Gene Culberson

Walden Dissertations and Doctoral Studies

Enterprise resource planning (ERP) software projects have an alarmingly high failure rate, with communication challenges cited as a major contributing factor. Poor communication during ERP development and implementation can ultimately reduce return on investment (ROI) for organizations. IT technical and functional specialists have a vested interest in improving communication strategies to enhance ERP success, ensuring business continuity, operational efficiency, and professional growth for project participants. Grounded in actor-network theory, the purpose of this pragmatic inquiry was to examine communication strategies used in ERP software projects among software developers, analysts, and consultants. The participants were eight ERP developers, analysts, and consultants …

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Leaders’ Experience Of Spiritual Leadership Concerning Followership In Brazilian Organizations, Livia Mandelli Feb 2025

Leaders’ Experience Of Spiritual Leadership Concerning Followership In Brazilian Organizations, Livia Mandelli

Walden Dissertations and Doctoral Studies

Spiritual leadership has been the focus of scholars since 2003. Researchers have demonstrated the relevance of spiritual leadership as a new leadership model. Researchers have yet been able to understand the practice of spiritual leadership in Latin America. The purpose of this phenomenological qualitative study was to describe the leaders’ lived experiences concerning followership, taking into consideration the meanings they ascribe to the relationship with their followers and the description of the subjective lived experiences of adopting spiritual leadership practice. The nexus between leaders’ lived experiences and their meaning regarding followership was given special consideration. This was a qualitative research …

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Medical Readmissions In Coronary Artery Bypass Graft Patients And The Correlation With Physician Communication, Megan Vandyke Feb 2025

Medical Readmissions In Coronary Artery Bypass Graft Patients And The Correlation With Physician Communication, Megan Vandyke

Walden Dissertations and Doctoral Studies

Rising costs in healthcare is a social problem in the United States with medical errors contributing to the rising costs; communication has been identified as a key contributor to medical errors. The purpose of this quantitative study was to further examine if there was a correlation between the independent variable of doctor communication scores and the dependent variable of readmission rates of coronary artery bypass graft surgery patients. This research could contribute to the social problem of rising healthcare costs specifically by identifying variables that may be contributors to costs due to errors. The theoretical framework was Donabedian’s theory of …

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Promoting Consistency In Phq-9 Depression Screening For Young Adults In An Outpatient Mental Health Clinic., Abena V. Prempeh Feb 2025

Promoting Consistency In Phq-9 Depression Screening For Young Adults In An Outpatient Mental Health Clinic., Abena V. Prempeh

Walden Dissertations and Doctoral Studies

This project aimed to improve the consistency of PHQ-9 depression screenings for young adults in an outpatient mental health clinic. Through the implementation of standardized protocols and staff training, the goal was to reduce variability in screening outcomes. The evaluation method of the project involved staff interviews, surveys, and comparing pretest and post-test results to measure staff knowledge and confidence improvements. The results showed that there were significant improvements in staff knowledge and confidence. This project highlights the importance of standardized procedures in improving mental health care for young adults.

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Agile Culture As Experienced By Scrum Masters In The Financial Sector, Andrew John Haigh Feb 2025

Agile Culture As Experienced By Scrum Masters In The Financial Sector, Andrew John Haigh

Walden Dissertations and Doctoral Studies

There is a high failure rate for software development projects, even those that have adopted an Agile approach, despite the United States spending more than $250 billion yearly on developing 175,000 software projects costing $2,322,000 on average. Scrum masters on software development projects with an Agile approach need to adopt more than just the process and procedures; they need to adopt the Agile culture. The purpose of this general qualitative study was to explore the implementation of the Agile culture experienced by scrum masters in the financial sector. The Scrum software development framework is the most popular variant of the …

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The Relationship Between The Acute Care For Elders Unit In A Mississippi Critical Access Hospital, And Length Of Stay, And Readmission Rates, Angela Christine Middleton Feb 2025

The Relationship Between The Acute Care For Elders Unit In A Mississippi Critical Access Hospital, And Length Of Stay, And Readmission Rates, Angela Christine Middleton

Walden Dissertations and Doctoral Studies

Hospitals with high readmission rates face financial penalties due to the Medicare Hospital Readmissions Reduction Program (HRRP). The purpose of this quantitative, retrospective, quasi-experimental study was to determine the relationship between pre- and post-implementation of an Acute Care for Elders (ACE) Unit in a critical access hospital (CAH) and length of stay (LOS) and readmission rates within 30 days. The theoretical framework used for this study was Donabedian’s theory of evaluating the quality of medical care delivered. Donabedian’s theory of quality care delivery is composed of three elements, structure, process, and outcome. For the purpose of this study, structure consists …

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Enhancing Staff Impact On Medication Adherence In A Mental Health Outpatient Clinic, Uzoamaka Lynda Mbadugha Feb 2025

Enhancing Staff Impact On Medication Adherence In A Mental Health Outpatient Clinic, Uzoamaka Lynda Mbadugha

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project addressed the critical issue of medication nonadherence among mental health patients by implementing a staff education program at an outpatient clinic in the Mid-Atlantic region USA. The program focused on enhancing staff knowledge and confidence through training in psychoeducation, motivational interviewing, and multidisciplinary collaboration. Nonadherence often leads to relapse, hospitalization, and poor outcomes, compounded by a lack of structured interventions at the project site. Sixteen clinic staff members participated in biweekly training sessions over a one-month period. Pre- and post-training assessments revealed a 44.79% increase in staff knowledge and a 50% improvement in confidence …

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Improving The Consistency And Accuracy Of Depression Screening Using The Phq-9 In A Behavioral Health Facility, Adaku Anike Feb 2025

Improving The Consistency And Accuracy Of Depression Screening Using The Phq-9 In A Behavioral Health Facility, Adaku Anike

Walden Dissertations and Doctoral Studies

Depression is one of the most common psychiatric illnesses and one of the main causes of disability globally. Currently, at behavioral care facility patients are not consistently screened during the initial and follow-up visits due to limited staff knowledge in using the Patient Health Questionnaire-9 (PHQ-9) screening tool. Evidence-based literature recommends depression screening be done at every initial and follow-up visit. The PHQ-9 tool is valid and reliable for identifying, diagnosing, and monitoring depression treatment outcomes. Inadequate use of the PHQ-9 tool can lead to several negative patient outcomes. The project practice-focused question was: Does comprehensive education increase the knowledge …

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Scientific Evidence: Impact On A Jury, Thomas B. Scavone Feb 2025

Scientific Evidence: Impact On A Jury, Thomas B. Scavone

Walden Dissertations and Doctoral Studies

The goal of this qualitative study was to better understand the impact of scientific evidence ‘s influence on a jury’s verdict. The presence of scientific evidence has the potential to convict the defendant or overturn a guilty verdict as seen in cases involving the innocence project. The theoretical framework for this qualitative study was Gerbner’s Cultivation Theory which postulates heavy exposure to television has the potential to influence the individual’s perception of the world. The researcher implemented an exploratory research design using purposive sampling. A total of 68 participants (prior jurors) applied for the study, 66 from an advertisement placed …

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The Impact Of Age, Gender, Race, And Socioeconomic Background On Montana Students’ Reading Achievement, Robin Cormier Feb 2025

The Impact Of Age, Gender, Race, And Socioeconomic Background On Montana Students’ Reading Achievement, Robin Cormier

Walden Dissertations and Doctoral Studies

The problem in this study was that 88% of local Montana elementary school students were not proficient in reading by the end of the 2023–2024 school year. The study’s purpose was to determine whether a relationship existed between students' performance on standardized reading tests in the local school setting and the key variables: age, gender, race, and socioeconomic background. Grounded in Piaget’s constructivist theory of cognitive development, the analysis explored whether the demographic factors contributed to differences in reading performance. Using a quasi-experimental, ex post facto design, (N = 64) students were categorized by age, gender, race, and socioeconomic status. …

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Preservice Elementary Educators’ Perceptions Of Teaching Proficiency Within A Blended Curriculum Context, Vincent M. Harris Feb 2025

Preservice Elementary Educators’ Perceptions Of Teaching Proficiency Within A Blended Curriculum Context, Vincent M. Harris

Walden Dissertations and Doctoral Studies

The problem that was investigated through this study is that preservice elementary teachers struggle to incorporate blended learning pedagogy. The purpose of this qualitative study was to investigate preservice elementary teachers’ perceptions on instructional opportunities and primary concerns when incorporating blended learning pedagogy. The conceptual frameworks for this study were Rogers’ theory for educational technology and Garrison and Archer’s community of inquiry. For this basic qualitative design, eight semistructured interviews with preservice elementary teachers were conducted. Interviews were coded with a priori, open, and axial codes and then thematically analyzed with the following themes emerging: Preservice teachers (a) see the …

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Public Policy And Trust In Artificial Intelligence Decision Making, Avril A. Bunbury-Thomas Feb 2025

Public Policy And Trust In Artificial Intelligence Decision Making, Avril A. Bunbury-Thomas

Walden Dissertations and Doctoral Studies

Technology is largely unregulated at present, which raises a safety issue for the automated decision-making process of multiagent systems (MAS) using AI applications. This study was conducted to explore whether a policy-making rule for decisions can protect the public from the social implications of biases, challenges, risks, and uncertainty while exposing a trust gap. Computers can dominate life, and this research was conducted to explore how to trust the decision-making process of MAS, mainly when there are no guardrails or regulations to manage the system. As a result, the generic qualitative inquiry was used to explore how concerned computer users …

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The Relationship Between Anthropometric Sizing, Fit Issues, And Return Rates In Plus-Size Women's Apparel, Cassondra Smith Feb 2025

The Relationship Between Anthropometric Sizing, Fit Issues, And Return Rates In Plus-Size Women's Apparel, Cassondra Smith

Walden Dissertations and Doctoral Studies

Retail business owners remain concerned with apparel sizing and return sales, as sizing is a frequent predictor of apparel returns and decreased revenue. Grounded in new product development theory (NPD), the purpose of this quantitative correlational study was to examine the relationship between anthropometric apparel sizing standards, sizing and fit issues, and return sales. The participants were 89 women’s bridal apparel owners and leaders within the retail business sector who completed a 5-point Likert-type survey. The results of the multiple linear regression were significant, 3, 85) = 32.301, p < .001, R2 = .533. In the final model, there were two predictors which were significant, sizing and fit (t = 9.718, p = <.001, ß = .735) and sizing standards (t = 2.478, p = .01, ß = .205). A key recommendation is for retail business leaders to acknowledge the growth in the U.S. female apparel consumer. Further, the alignment of sizing standards and product offerings provides functional apparel and mitigates return sales due to sizing. The implications for positive social change include the potential for the apparel industry to acknowledge the growing complexity of women’s sizing, which is influenced by diverse cultural backgrounds and body types. This shift could promote greater inclusivity, enhance consumer confidence, reduce return rates, and foster broader acceptance of diverse female body types within the industry.

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The Lived Experiences Of Prediabetes And Type 2 Diabetes Among African Americans In Rural West Virginia, Orlando Craighead Feb 2025

The Lived Experiences Of Prediabetes And Type 2 Diabetes Among African Americans In Rural West Virginia, Orlando Craighead

Walden Dissertations and Doctoral Studies

African Americans in rural Appalachian West Virginia experience disproportionate rates of diabetes, with limited research examining their unique challenges in managing this chronic condition. This qualitative study aimed to explore how African Americans in rural Appalachia develop and utilize diabetes management skills, examining the intersections of cultural influence, healthcare access, and technological adoption. Using a hermeneutic phenomenological approach grounded in the Social Determinants of Health theory, Health Belief Model, and Social Ecological Model, semi-structured interviews were conducted with nine African American adults diagnosed with pre-diabetes or Type 2 diabetes in Kanawha County. Thematic analysis revealed four main themes: Cultural and …

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Stories Of Pastors' Wives, Their Responsibilities, And Their Mental Health, Marsha Patrice Wilson Feb 2025

Stories Of Pastors' Wives, Their Responsibilities, And Their Mental Health, Marsha Patrice Wilson

Walden Dissertations and Doctoral Studies

Church ministry has many written and unwritten rules, responsibilities, and expectations for those who choose to serve in pastoral roles. Some responsibilities and expectations cause church pastors to experience stress and burnout, which has residual effects on their wives and families. Many church leaders or congregations are not aware of or consider the emotional impact of unwritten rules and expectations on the pastors’ wives. The purpose of this narrative research was to explore the stories of Protestant church pastors’ wives and highlight how their various supportive roles in marriage and ministry impacts their emotional and mental health. With a feminist …

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Social Media Influence On African American Women Mental Health And Self-Image, Terressa Sanchez Gamble Feb 2025

Social Media Influence On African American Women Mental Health And Self-Image, Terressa Sanchez Gamble

Walden Dissertations and Doctoral Studies

African American women’s perspectives on the influence of social media content on their mental health (i.e., moods, thoughts, and behaviors) and self-image were explored in this qualitative study. The theoretical framework chosen for this study was Festinger’s (1954) social comparison theory, which was used to examine whether there was a logical connection between the study topic and the framework presented. Data were collected through semistructured interviews that were conducted via Zoom. The data from 10 participants’ interviews were transcribed and analyzed using a thematic analysis approach, resulting in the following two emergent themes: (a) pressure to compare and emulate and …

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Black Online College Students' Perceptions Of Their Unmet Needs During Covid-19, Zanita Gaither Feb 2025

Black Online College Students' Perceptions Of Their Unmet Needs During Covid-19, Zanita Gaither

Walden Dissertations and Doctoral Studies

Black college students face unique challenges in achieving academic success, particularly when their unmet needs are not addressed adequately. The COVID-19 pandemic worsened these challenges for online learners in this group, impacting motivation and learning experiences. This interpretive phenomenological analysis explored the lived experiences of Black online college students and their perceptions of unmet needs during the pandemic. Despite numerous studies on Black college students during the pandemic, little literature has been focused on their perceptions of unmet needs. To understand their needs and experiences, this study considered internal and external influences based on Maslow’s hierarchy of needs and Rovai’s …

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The Perceptions Of Nursing Faculty Who Experience Student Incivility Behavior, Dehlia Abaya Parsons Feb 2025

The Perceptions Of Nursing Faculty Who Experience Student Incivility Behavior, Dehlia Abaya Parsons

Walden Dissertations and Doctoral Studies

Incivility among nursing students is well documented in the academic, clinical, and leadership literature. Student incivility towards faculty was less studied, and merited investigation because incivility can lead to faculty discontentment, stress, and attrition, exacerbating the scarcity of nursing faculty. The purpose of this qualitative phenomenological study, which was underpinned by the health belief model, was to explore the perceptions of nursing faculty who experience student incivility in the Western region of the United States. Open-ended, semistructured interviews were conducted with 11 nursing faculty who shared perceptions of their experience of student incivility behavior. Open coding and thematic analysis yielded …

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Executive Leadership Practice Through The Lens Of Religiosity And Ethics, Christopherlie Roger Feb 2025

Executive Leadership Practice Through The Lens Of Religiosity And Ethics, Christopherlie Roger

Walden Dissertations and Doctoral Studies

The specific research problem addressed through this study is executive leadership religiosity and decision-making that leads to unethical behaviors and practices that could result in corporate corruption at Fortune 500 companies in the United States region of New York State. The purpose of this qualitative multiple case study research was to explore executive leadership religiosity and decision-making through three research questions, for example, how executive leadership perceives unethical leaders' behaviors and practices that could result in corporation corruption. This study's conceptual foundation and key concepts included religiosity, ethics, decision-making, and the theory of planned behavior. The participants comprised nine executive …

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Violence Among Nigeria’S Female And Predictors Of Help-Seeking Behavior Using Technology, Abayomi Karunwi Feb 2025

Violence Among Nigeria’S Female And Predictors Of Help-Seeking Behavior Using Technology, Abayomi Karunwi

Walden Dissertations and Doctoral Studies

The decision-making autonomy of female intimate partner violence (IPV) survivors to make financial transactions is a stronger predictor of help-seeking behavior that is not yet fully explored. Despite the plausibility of using the mobile phone for financial transactions, it is yet to be explored as a predictor of help-seeking behavior after IPV events through digital financial inclusion. The dataset from the 2018 Nigerian Demographic Health Survey was used to explore if digital financial inclusion could predict help-seeking behavior instead of the severity of abuse among ever-partnered Nigerian female IPV survivors (aged 15 to 49 years) who use their mobile phones …

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University Counselor Perceptions Of Safety And Safety Coping Strategies After On-Campus Mass Shootings, Tonya Sims Feb 2025

University Counselor Perceptions Of Safety And Safety Coping Strategies After On-Campus Mass Shootings, Tonya Sims

Walden Dissertations and Doctoral Studies

For over 2 decades, mass college campus shootings have been a problem in the United States. College counselors are required to assist and support others on campus after mass shootings and coping with their own concerns and safety. The purpose of this generic qualitative study was to explore coping strategies and perceptions of safety of college counselors in response to the potential risk of gun violence on campus. The framework was based on Figley’s principles of stress theory. Semistructured interviews were conducted with a purposeful sample of eight university counselors. Narrative data were collected and analyzed manually for emerging themes. …

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