Digital Commons Network^™

Effective Strategies For Retaining Employees And Increasing Workplace Productivity In A Changing Healthcare Environment, Marie D. Exantus

Walden Dissertations and Doctoral Studies

Employee turnover and declining workplace productivity remain persistent challenges for healthcare organizations operating in a rapidly evolving industry environment. Healthcare leaders are concerned about employees’ intent to leave, as it is the strongest predictor of rising turnover, directly threatening both productivity and organizational stability. Grounded in equity theory, the purpose of this qualitative pragmatic inquiry project was to explore effective strategies healthcare leaders use to retain employees and increase workplace productivity in a changing healthcare environment. The participants were seven healthcare leaders who had implemented effective strategies to retain employees and increase workplace productivity in a changing healthcare environment. Data …

Socioecological Factors Associated With Advanced Primary Tumor Category At Diagnosis Among Adults With Head And Neck Cancer Residing In Pennsylvania And New Jersey, Diane Elizabeth Crawford

Walden Dissertations and Doctoral Studies

Disparities in head and neck cancer (HNC) diagnosis may contribute to poorer outcomes among socially and economically disadvantaged populations. This quantitative secondary data analysis examined associations between socioecological factors and advanced primary tumor category among adults with HNC residing in Pennsylvania and New Jersey. Guided by the socioecological model, deidentified data (N = 350) from two Fox Chase Cancer Center research protocols were analyzed using three domain-specific multivariable logistic regression models. Primary tumor category was classified as lower (Tis–T2) or advanced (T3–T4) based on tumor size and/or local extent. Black participants had greater adjusted odds of advanced primary tumor category …

Displaced By Disaster: Examining The Effects Of Hurricanes Maria And Irma On Chronic Homelessness In The United States Virgin Islands, Clinton Hart

Walden Dissertations and Doctoral Studies

The United States Virgin Islands (USVI) is an island territory that is geographically isolated and has a fragile economy that has a limited capacity to address homelessness particularly when exacerbated by natural disasters. Existing literature demonstrated that major hurricanes can be associated with displacement, housing instability, and increased demand for emergency housing resources among socially vulnerable populations. However, limited longitudinal quantitative research has examined the impact of hurricanes on changes in homelessness trends in the USVI, representing a gap in territory-specific research. The purpose of this quantitative interrupted time series study was to examine homelessness trends associated with hurricanes Irma …

Enhancing Hiv Knowledge And Resource Awareness Among Chief Nursing Officers, Susan Louise Cooper Bailey

Walden Dissertations and Doctoral Studies

Human immunodeficiency virus (HIV) remains a significant public health concern in rural communities, where limited specialty care, geographic isolation, transportation barriers, and stigma may delay testing and entry into care. The Texas Panhandle is a geographically expansive rural region served by rural hospitals with limited resources. Although area HIV services are available, they are inconsistently utilized. Although chief nursing officers (CNOs) influence practice and care coordination, knowledge gaps regarding HIV guidelines, prevention strategies, and regional resources may limit identification, referral, and continuity of care. The purpose of this doctor of nursing practice (DNP) project was to determine whether a targeted …

Drug Court Graduation Rates Of African American Males Attending Habilitation Empowerment Accountability Therapy, Tierney President

Walden Dissertations and Doctoral Studies

African American males between the ages of 18 and 29 have lower rates of successful completion in drug court programs compared to other populations, increasing their risk of incarceration and recidivism. This study examined whether participation in the Habilitation Empowerment Accountability Therapy (HEAT) program, a culturally responsive intervention, was associated with improved drug court graduation outcomes among African American male participants. Guided by cognitive behavioral theory, a quantitative retrospective causal-comparative design was used to analyze archival data from 96 African American male participants enrolled in a drug treatment court program in Columbia, Missouri. A chi-square test of independence was conducted …

The Impact Of Leadership Styles From Traditional Policing To Community Policing, Ryan Gates

Walden Dissertations and Doctoral Studies

This study examines leadership in a community policing context. It addresses a long-standing problem: injustice, inequality, and unfair treatment. Specifically, it examines community policing and the impact of law enforcement leadership, particularly servant leadership, on policing outcomes. Greenleaf’s Theory of Servant Leadership guided this study. Participants included mid- to senior-level law enforcement officers with community policing experience, at least three years of leadership experience, and at least 18 years of age. Recruitment occurred through social media outlets such as Facebook and Instagram. Data were collected through semi-structured interviews with 19 participants. Thematic analysis produced six themes: community engagement and partnerships; …

Fractured Identities: Military–Civilian Dissonance And The Well-Being Of Women Veterans, Melissa D. Smith

Walden Dissertations and Doctoral Studies

For many women leaving military service, the path to civilian life involves a fundamental renegotiation of identity. Gender-specific pressures, institutional norms, and fractured belonging compound reintegration, yet the lived experiences of women veterans navigating competing identities remain underexplored. The purpose of this phenomenological study was to understand the lived experiences of women veterans at least 5 years postdischarge who struggled with identity dissonance between their military and civilian identities. The study was informed by reculturation theory. Seven women veterans participated in semistructured interviews, and data were analyzed using Braun and Clarke’s thematic analysis, revealing five themes: institutions, culture, and unequal …

Why Was I Stopped? How Police Encounters Shape The Perceptions Of Black Adults, Darilyn Anita Monk

Walden Dissertations and Doctoral Studies

Racial disparities in police encounters persist in Illinois, where Black adults are disproportionately subjected to investigatory stops despite ongoing oversight efforts. This study examined how citizens affected by these stops experienced and interpreted these encounters. The participants were seven Black adults from Lake County, Illinois. Data were collected using semi-structured interviews. Thematic analysis revealed racial profiling and discrimination as central, structuring features of police interactions. Participants described being stopped without clear justification, subjected to heightened suspicion, and treated as presumptively criminal. These encounters were understood not as isolated incidents but as patterned practices, producing mistrust, anxiety, and diminished perceptions of …

Practitioners’ Perceptions: Evidence-Based Practices And Evidence-Based Interventions To Reduce Burnout In Third-Sector Organizations, Elizabeth Riley

Walden Dissertations and Doctoral Studies

Third-sector organizations (TSOs) face challenges providing effective evidence in reducing stress and burnout for human services professionals (HSPs) to remain in the field. Burnout is a social phenomenon that has received much attention in the helping professions for the past 50 years, due to the nature of the work that HSPs perform. Researchers have confirmed that HSPs are at critical risk of burnout, which affects not only their health and work performance, but also their delivery of service. Current literature lacks studies on what supports HSPs’ need in TSOs to reduce their stress and burnout to remain in the field. …

Protective Factors Among African American Offspring Of Teen Parents, Janelle Ewing

Walden Dissertations and Doctoral Studies

Adolescent pregnancy remains a major public health and social issue, but research has primarily focused on risk factors and not the protective factors that contribute to resilience among those who successfully break the cycle. This qualitative study explored protective factors that African American adult offspring of teenage parents identified as supporting them in avoiding teenage pregnancy and parenthood. The study was theoretically grounded in Bronfenbrenner’s ecological systems theory, which was used to explore the role of influence across environmental systems in participants’ developmental outcomes. The primary research question was “How do African American adult offspring of teenage parents describe the …

From Service To Start-Up: Personality Prediction Of Individual Entrepreneurial Orientation In Female Veterans And Current Service Members, Carolyn Flinn Gaskill

Walden Dissertations and Doctoral Studies

The entrepreneurial orientation of female veterans and current service members remains insufficiently understood despite their growing presence in the military and small-business sectors. Organizational leaders need to understand this concern as an important indicator of entrepreneurial potential, innovation capacity, and business development outcomes among women with military experience. Grounded in personality theory and the individual entrepreneurial orientation framework, this quantitative predictive correlational study examined whether the Big Five traits, individually and collectively, predicted individual entrepreneurial orientation (Ind-EO) among 135 U.S. female veterans and current female service members. They completed the Big Five Inventory-2 and the Individual Entrepreneurial Orientation Scale in …

Black American School Counselors’ Experiences Of Racial Discrimination In The Workplace, Tiffany Jackson

Walden Dissertations and Doctoral Studies

While school counselors play a pivotal role in promoting equity and inclusion within educational institutions, they may experience systemic challenges themselves, particularly in predominantly White professional environments. The purpose of this hermeneutic phenomenological study was to explore the experiences of Black American school counselors who experienced racial discrimination in the workplace and how they made meaning of those experiences. The research addressed the lived experiences of Black American school counselors who experienced racial discrimination in the workplace and how they make meaning of those experiences. The study was grounded in hermeneutic phenomenology and critical race theory. Six Black American school …

Effective Strategies For Stewarding Artificial Intelligence In Wellness Entrepreneurship, Aliyah Harmon

Walden Dissertations and Doctoral Studies

Wellness entrepreneurs increasingly use artificial intelligence (AI) to manage growing business demands, yet responsible use requires strategies that protect human judgment, trust, and care-centered wellness practice. The specific business problem was that some wellness entrepreneurs lacked effective strategies to practice stewardship while using AI as a supportive tool to reduce burnout. The purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies wellness entrepreneurs used to practice stewardship while using AI to reduce burnout. The participants consisted of six wellness entrepreneurs in the Northeastern United States who used effective wellness strategies. Stewardship theory grounded the project through …

Evaluation Of The Association Between School Prevention Programs And Adolescents’ Opioid Abuse In The United States, Lida Moazezi

Walden Dissertations and Doctoral Studies

This study examined adolescent opioid misuse in the United States and the role of school-based prevention. Guided by the health belief model, the purpose was to test whether participation in school-based drug prevention lessons was associated with past-year opioid misuse among adolescents ages 14–17 and whether race and gender moderated that association. This quantitative, cross-sectional, nonexperimental secondary analysis used the 2019 National Survey on Drug Use and Health (N = 8,965). Analyses included weighted descriptives, chi-square tests, and complex-samples logistic regression controlling for age and socioeconomic status. The sample included adolescents ages 14–17 with complete data on school-based prevention participation, …

Exploring Multicultural Competence Among Mental Health Workers When Providing Treatment To African American Males, Ashley Hightower

Walden Dissertations and Doctoral Studies

African American men experience disproportionately low rates of mental health service utilization and often report negative perceptions of mental illness. Despite documented mental health disparities, limited research has explored how mental health workers understand and apply multicultural competence when providing treatment to African American men. Grounded in the theory of planned behavior and social identity theory, the purpose of this qualitative descriptive phenomenological study was to explore the lived experiences of mental health workers regarding multicultural competence in their work with African American men. Data were collected through semi-structured interviews with seven mental health workers recruited through purposive sampling. Interview …

Smaller State Development By Competitiveness In Productivity And Sustainability, Anthony Wayne Jerome Phillips-Spencer

Walden Dissertations and Doctoral Studies

Persistent poverty, middle-income traps, uneven growth, and productivity gaps expose smaller countries, defined as those with fewer than nine million people, to multidimensional vulnerability that retards development. Research revealed a positive relationship between competitiveness and growth in larger and developed countries. However, the competitiveness-development nexus in smaller and developing countries was omitted from previous research. Growth is not development. The purpose of this quantitative, longitudinal, comparative study was to examine the development-by competitiveness experiences of smaller states at different stages of development with productivity and sustainability through the lens of punctuated equilibrium theory and the national competitive development model. Results …

Surviving The Divide: Exploring Endometrial Cancer Survival In Idaho’S Urban And Rural Landscapes, Elena G. Estrada

Walden Dissertations and Doctoral Studies

Endometrial cancer is the fourth most common gynecologic malignancy in the United States, with a rising incidence among postmenopausal women. Although geographic disparities in cancer outcomes have been documented nationally, survival differences by urban versus rural residence and receipt of surgery remain understudied in Idaho. The purpose of this quantitative, retrospective cohort study was to examine the associations of urban versus rural residence, and receipt of surgery with 5-year survival among women in Idaho, a largely rural and underserved state. Guided by the social-ecological model and social determinants of health, this study used secondary data from the National Cancer Institute, …

Developing The Social And Legal Competence Of Future Social Counselors, Lazzat Suleimenova, Saira Zhiyenbayeva, Kamchat Yessenova, Yernar Onalbekov, Elmira Bayarystanova

Higher Learning Research Communications

Objectives: The social and legal (also referred to as sociolegal) competence of future social counselors is one of the key factors that ensures the effectiveness of their professional activities—protecting the rights of the individual, collaborating with other professionals, and contributing to the creation of a safe social environment. The study aimed to create and implement a model and pedagogical conditions for the development of sociolegal competence of future social counselors in higher education institutions of the Republic of Kazakhstan.

Methods: As part of a study conducted at L.N. Gumilyov Eurasian National University, Faculty of Social Sciences, in the social pedagogy …

The Effects Of Short-Term Individual Development Account For Young Workers In South Korea, Intae Yoon, Dong-Ho Jang

Journal of Social Work in the Global Community

This study evaluated a short-term individual development account for young workers (SIDAY) with low income in Gwangju Metropolitan City, South Korea. SIDAY used random sampling methods to form an experimental group (n = 191) and a control group (n = 106) out of 2,589 applications. The experimental group received a 100,000 Korean Won (KRW), which is the equivalent to an $85 USD monthly savings match for 10 months, as well as financial capability programs and services, such as online financial mentoring, spending plan consultations, and electronic financial newsletters. Upon completion of SIDAY, the experimental group on average had …

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

Walden Dissertations and Doctoral Studies

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

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

Walden Dissertations and Doctoral Studies

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

Visual Arts Teachers’ Perception Of Integrating Visual Arts To Help With Student Core Content Achievement, Amanda Munoz

Walden Dissertations and Doctoral Studies

The problem addressed in this study was that local school districts in Texas do not offer a visual arts-integrated curriculum despite the known academic and social-emotional benefits for K–12 students. The purpose of this basic qualitative study was to explore the perceptions of Texas K–12 visual arts teachers regarding arts integration to enhance core content learning. Grounded in Gardner’s multiple intelligences theory, the research questions focused on teachers' perceptions of arts integration and their recommendations for implementation. Data were collected through semistructured interviews with 10 K–12 visual arts teachers in Texas who had at least 1 year of teaching experience. …

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

Walden Dissertations and Doctoral Studies

No abstract provided.

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

Walden Dissertations and Doctoral Studies

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

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

Journal of Educational Research and Practice

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

A Study On Police Budgets And Impact On Public Safety, Vera Thompson

Walden Dissertations and Doctoral Studies

Law enforcement agencies face ongoing organizational and resource challenges, yet there is limited research on how changes in police funding relate to crime rates and violent crime. There has been increased public awareness concerning police related encounters with civilians, and this has intensified debates about reducing law enforcement budgets. Current literature indicates that although police funding, staffing, and community trust are closely associated with public safety outcomes, empirical evidence on the relationship between police budget reductions and changes in violent crime and overall crime rates remains limited and insufficient to support definitive policy conclusions. The purpose of this quantitative study …

Level Of Stroke Center Designation And The Association With Hcahps Nurse Communication Scores And Hcahps Discharge Instruction Scores In North Carolina Hospitals In 2023, Donna Lee Frederick

Walden Dissertations and Doctoral Studies

Strokes are costly and the leading cause of disability and a leading cause of death in the United States. Stroke management has improved through a partnership between The Joint Commission and The American Heart Association, which established stroke care center certifications for hospitals nationwide. Despite this progress, North Carolina (NC) remains within the Stroke Belt due to the high prevalence of stroke there. In some areas of NC, the stroke mortality rate is 40% higher than the national average. Guided by the Donabedian model, this quantitative correlational study investigated the association between stroke center designation levels and the Hospital Consumer …

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

Walden Dissertations and Doctoral Studies

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

Nurses' Perceptions On Emotional Exhaustion, Hannah Espera

Walden Dissertations and Doctoral Studies

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

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

Walden Dissertations and Doctoral Studies

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