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Walden Dissertations and Doctoral Studies

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Digital Trust Recovery: Effective Data Breach Management Approaches, Milbert Flores Dacayana Jan 2026

Digital Trust Recovery: Effective Data Breach Management Approaches, Milbert Flores Dacayana

Walden Dissertations and Doctoral Studies

In the digital economy, organizations face an increasing number of data breaches that compromise sensitive information and erode consumer trust. Some organizational leaders are concerned about the lack of effective strategies to manage data breaches and restore stakeholder confidence, which threatens organizations’ reputation and financial stability, and long-term trust in digital systems. Grounded in cybersecurity risk management theory (CRMT) and situational crisis communication theory (SCCT), the purpose of this qualitative pragmatic inquiry was to explore the strategies employed by data managers in Virginia, Maryland, and Washington, DC, to manage data breaches and rebuild consumer trust. Participants were 10 experienced data …


Staff Education To Improve Nurses' Knowledge And Confidence In Suicide Risk Assessment, Sherica Mcbride Jan 2026

Staff Education To Improve Nurses' Knowledge And Confidence In Suicide Risk Assessment, Sherica Mcbride

Walden Dissertations and Doctoral Studies

The purpose of this Doctor of Nursing Practice staff education project was to strengthen nurses’ knowledge and confidence in suicide risk assessments. Suicide remains a crucial patient safety issue, and nurses report uncertainty in early recognition and intervention; therefore, brief, practice-proximal training is essential. The practice-focused question that informed this project’s purpose was whether a short education module with pre- and post testing improves nurses’ knowledge and confidence in suicide risk assessment. Three nurses participated in a structured session covering risk factors, warning signs, standardized screening, and safety planning. I then used descriptive analysis to compare their pre- and posttest …


Reflective Parenting, Psychological Needs, And Parental Interpretation Of Children’S Negative Emotions, Julia Pappas Jan 2026

Reflective Parenting, Psychological Needs, And Parental Interpretation Of Children’S Negative Emotions, Julia Pappas

Walden Dissertations and Doctoral Studies

Parents’ ability to understand and respond effectively to children’s negative emotions plays a critical role in children’s emotional development and regulation. However, it remains unclear whether parents interpret negative emotions as potential signals of underlying psychological needs. Based in the conceptual framework of parental reflective functioning and basic psychological needs theory, and grounded in interpretivist- constructivist paradigm, the purpose of this basic qualitative study was to examine how parents interpret children’s negative emotions and how their meaning-making processes relate to basic psychological needs. Semistructured interviews were conducted with parents of children between ages 3 and 9 years old (N = …


Strategies Leaders In Structured Alternative Academic Environments Use To Improve Resource Management, Operational Efficiency, And Program Sustainability, Sean D. Clark Jan 2026

Strategies Leaders In Structured Alternative Academic Environments Use To Improve Resource Management, Operational Efficiency, And Program Sustainability, Sean D. Clark

Walden Dissertations and Doctoral Studies

Leaders of structured alternative academic environments often struggle to sustain operations because of limited resources, fragmented leadership, and high staff turnover. This business problem is important to leaders of structured alternative academic environments because ineffective resource management and operational inefficiencies threaten program sustainability and continuity of services for at-risk student populations. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to explore the strategies leaders in structured alternative academic environments use to improve resource management, operational efficiency, and program sustainability. The participants were six leaders from structured alternative academic programs in southeastern New Mexico. Data were …


Leadership Strategies Used By Entrepreneurial Ecosystem Resource Providers To Support Entrepreneurial Success, Sarah Niehaus Jan 2026

Leadership Strategies Used By Entrepreneurial Ecosystem Resource Providers To Support Entrepreneurial Success, Sarah Niehaus

Walden Dissertations and Doctoral Studies

Failure to collaborate effectively within entrepreneurial ecosystems remains a significant concern for leaders of entrepreneurial ecosystem organizations. Without clear, actionable collaboration strategies, these leaders may struggle to support entrepreneurial success and make informed decisions that enhance financial performance. Grounded in Mockler’s complex adaptive systems theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies some leaders within entrepreneurial ecosystem organizations use to collaborate in a manner that supports entrepreneurial success. Participants included seven leaders of entrepreneurial ecosystem organizations located in the Midwest United States with successful experiences using such strategies. Data were collected from semistructured …


An Assessment Of New Employee Training In A U.S. Government Agency, Kisaana Fernanders Jan 2026

An Assessment Of New Employee Training In A U.S. Government Agency, Kisaana Fernanders

Walden Dissertations and Doctoral Studies

This study evaluated the utility of a newly developed employee training initiative within a U.S. government disaster recovery agency. The purpose of the professional administrative study was to examine the existing training architecture and recommend improvements aligned with the agency’s mission. A general qualitative approach was employed, using interviews and surveys with government personnel to elicit their perceptions of the training’s effectiveness. The research aimed to identify key elements to incorporate into a revised employee training program, with the goal of enhancing disaster response readiness and policy implementation. It also sought to recommend strategies for continuous improvement. The study was …


Self-Stigma Of Seeking Help, Psychological Safety, And Employee Assistance Program Use In Nurses, Latisha Lenee Marshall Jan 2026

Self-Stigma Of Seeking Help, Psychological Safety, And Employee Assistance Program Use In Nurses, Latisha Lenee Marshall

Walden Dissertations and Doctoral Studies

Employee assistance programs (EAPs) remain underutilized across various U.S. work sectors, including nursing. There are several barriers that impede nurses from using EAP services, including self-stigma of seeking help (SSOSH) and psychological safety (PS). The purposes of this study, which used the health promotion model as its theoretical framework, were to determine (a) if there was a difference in the level of SSOSH in nurses who have used EAPs and those who have not used EAPs, (b) if there was a difference in the level of PS in nurses who have used EAPs and nurses who have not used EAPs, …


Implementation Of Structured Nursing Leadership Rounding To Improve Hospital Policy Adherence, Irma Rose Maize Jan 2026

Implementation Of Structured Nursing Leadership Rounding To Improve Hospital Policy Adherence, Irma Rose Maize

Walden Dissertations and Doctoral Studies

Variability in nursing policy compliance contributes to inconsistent clinical practice and compromises the delivery of standardized care. Limited leadership presence, support, and accountability have been identified as significant contributors to this practice gap. This Doctor of Nursing Practice project focused on educating nurse leaders about the importance and benefits of consistent unit-based leadership rounding as a strategy to support frontline nurses and reinforce policy adherence. A structured leadership rounding checklist was developed to guide purposeful, consistent check-ins with nursing staff, facilitating real-time support and identification of barriers to practice. Implementation of the checklist promoted increased leadership accessibility, improved communication, and …


Strategies To Reduce The Physician Documentation Burden In Adult Primary Care, Glenda Cascalla Jan 2026

Strategies To Reduce The Physician Documentation Burden In Adult Primary Care, Glenda Cascalla

Walden Dissertations and Doctoral Studies

Primary care physicians face high rates of burnout, with electronic health record (EHR) documentation identified ass a significant contributing factor. EHR systems consume substantial physician time, diverting attention from meaningful patient interactions toward administrative tasks and increasing documentation burden. The purpose of this study is to identify and evaluate best practices for minimizing the documentation burden on primary care providers. The review question centered on how best practices can be implemented by healthcare administrators to reduce the physician documentation burden in primary care. This integrative review used the sociotechnical systems theory framework to identify and evaluate effective strategies to alleviate …


Caribbean Early Childhood Educators, Primary Educators, And Student Teachers' Perceptions Of Visual Literacy And Visual Images Across The Curriculum, Monica Yvonne Hines-Graham Jan 2026

Caribbean Early Childhood Educators, Primary Educators, And Student Teachers' Perceptions Of Visual Literacy And Visual Images Across The Curriculum, Monica Yvonne Hines-Graham

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is the gap in knowledge about the integration and evaluation of visual literacy and visual images across the curriculum of early childhood educators, primary educators, and student teachers, despite it being a requirement for teachers in the Caribbean education system. Grounded in Hall and Hord’s concerns-based adoption model, the purpose of this study was to explore the perceptions of early childhood educators, primary educators, and student teachers with the integration and evaluation of visual literacy and visual images across the curriculum. For this basic qualitative design, semistructured interviews with 12 participants from …


Implementing Emotional Intelligence To Enhance Leadership Abilities In A Skilled Nursing Home, Nkechi Amaechina Jan 2026

Implementing Emotional Intelligence To Enhance Leadership Abilities In A Skilled Nursing Home, Nkechi Amaechina

Walden Dissertations and Doctoral Studies

To meet dynamic changes in healthcare, effective leadership is necessary. A major problem with effective leadership is the lack of emotional intelligence (EI). The purpose of this integrative review is to identify strategies that enhance skilled nursing home leadership abilities using EI. The Leader-Member Exchange (LMX) theory was used, supported by Complex Adaptive Systems (CAS)Theory. LMX theory explains that leaders-members relationships affect an organization while CAS theory describes healthcare industry as ever-changing. The review question (RQ) that guided this integrative review is: what best EI strategies can be implemented to enhance leadership abilities in a skilled nursing home? Twenty-six articles …


Teaching Staff About Pressure Ulcers, Ann Maria Stewart Jan 2026

Teaching Staff About Pressure Ulcers, Ann Maria Stewart

Walden Dissertations and Doctoral Studies

Pressure ulcers are local injuries to the skin and underlying tissue primarily caused by prolonged pressure, friction, or shear forces. These preventable complications are prevalent among immobile patients and can lead to poor patient outcomes and increased healthcare costs. Despite the availability of evidence-based prevention strategies, significant gaps in practice continue due to limited staff knowledge, ineffective communication systems, and inconsistent implementation of established guidelines. This Doctor of Nursing Practice (DNP) project focused on enhancing nursing staff knowledge through an evidence-based educational strategy designed to educate staff on strategies for preventing pressure ulcers. The education program included a PowerPoint presentation …


Strategies Financial Institutions Use To Mitigate Security Breaches For Mobile Customers, Steven F. Knese Jan 2026

Strategies Financial Institutions Use To Mitigate Security Breaches For Mobile Customers, Steven F. Knese

Walden Dissertations and Doctoral Studies

Mobile fraud attack rates are increasing rapidly. Financial institutions, cybersecurity managers, and regulators need effective strategies to reduce consumer financial harm and operational risk. Grounded in the cybernetics model, this qualitative, pragmatic inquiry identified the cybersecurity strategies that cybersecurity professionals use at financial institutions to mitigate data breaches for mobile customers accessing financial data. Data were collected from five cybersecurity professionals through semistructured interviews and from publicly available documents and guidance issued by financial institutions and standards bodies. Six significant themes emerged from thematic analysis: implementing multifactor authentication, deploying virtual private networks (VPNs), delivering user education, promoting regular account monitoring, …


K-8 School Administrators' Implementation Of Positive Behavior Intervention And Support Systems To Reduce Out-Of-School Suspensions In A Southeastern U.S. School District, Chantell H. Walker Jan 2026

K-8 School Administrators' Implementation Of Positive Behavior Intervention And Support Systems To Reduce Out-Of-School Suspensions In A Southeastern U.S. School District, Chantell H. Walker

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that the implementation of positive behavior interventions and supports (PBIS) has not resulted in a consistent reduction in the use of out-of-school suspensions as a disciplinary consequence in K–8 schools in a Southeastern U.S. school district. Grounded in Horner and Sugai’s PBIS, the purpose of this qualitative study was to explore K–8 school administrators’ perceptions of their implementation of PBIS in a Southeastern U.S. school district. For this basic qualitative design, semistructured interviews were conducted with three principals and three assistant principals in the local school district. Thematic analysis using inductive …


Hiv Pre-Exposure Prophylaxis Uptake And Continuation Among 15-24-Year-Old Women In Mulago, Uganda, Dithan Kiragga Jan 2026

Hiv Pre-Exposure Prophylaxis Uptake And Continuation Among 15-24-Year-Old Women In Mulago, Uganda, Dithan Kiragga

Walden Dissertations and Doctoral Studies

Young women in Uganda face disproportionately high HIV risk compared to the general population. While pre-exposure prophylaxis (PrEP) demonstrates proven effectiveness, poor uptake and nonadherence limit its potential impact. This study examined the relationship between perceived HIV susceptibility, PrEP benefits, behavioral risk factors, service delivery models, and PrEP uptake and continuity among young women aged 15–24 in Uganda, guided by the health belief model. Data were ed from surveillance records at Mulago National Referral Hospital’s STI clinic from January 2024 to September 2025. Of N=23,765 young women screened (median age 21 years; 98.9% single or separated; 48.7% with primary education), …


Staff Education To Improve Diabetes Management Knowledge For Primary Healthcare Providers, Helen Njoku Jan 2026

Staff Education To Improve Diabetes Management Knowledge For Primary Healthcare Providers, Helen Njoku

Walden Dissertations and Doctoral Studies

I developed this Doctor of Nursing Practice staff education project to improve primary healthcare providers’ knowledge of diabetes management. Given the vital role nurses, advanced practice providers, and physicians play in patient education, chronic illness management, and care coordination, this issue must be addressed within nursing practice. The practice-focused question guiding this project was: Among primary healthcare providers, does implementing a structured diabetes education training program, compared to the current standard practice, improve provider knowledge in diabetes management? The purpose of this project was to develop, implement, and evaluate a targeted education intervention session. As analytical strategies, I employed expert …


Staff Education To Address Workplace Violence Against Staff, Julie Ann Childers Jan 2026

Staff Education To Address Workplace Violence Against Staff, Julie Ann Childers

Walden Dissertations and Doctoral Studies

In this Doctor of Nursing Practice (DNP) project, the primary focus was on addressing knowledge of workplace bullying within the hospital setting. The project involved developing and implementing an educational program to raise awareness, prevent workplace bullying, and effectively respond to it among healthcare staff. Workplace bullying harms physical and emotional well-being, reduces productivity, increases absenteeism, and increases turnover. The practice-focused question was as follows: In a hospital setting, does implementing a workplace violence (WPV) prevention education program for healthcare workers lead to increased knowledge of WPV incidents, awareness, and management among staff? Using evidence-based strategies and resources, the DNP …


Early Atopic Dermatitis And Risk Of Later Autism Spectrum Disorders, Annissa Courtney Heslope-Mathieu Jan 2026

Early Atopic Dermatitis And Risk Of Later Autism Spectrum Disorders, Annissa Courtney Heslope-Mathieu

Walden Dissertations and Doctoral Studies

Early-onset atopic dermatitis (AD) affects approximately 10-20% of children in the United States, and emerging evidence suggests potential links between early immune dysregulation and neurodevelopmental outcomes. Limited research has examined whether early AD serves as a specific risk factor for later ASD diagnosis. Guided by life course theory, the purpose of this study was to examine whether AD diagnosed within the first two years of life predicts later diagnosis of ASD among U.S. children younger than five years. A secondary analysis of the Fragile Families and Child Wellbeing Study was conducted using a retrospective cohort design. The sample included 2,949 …


Mental Health Provider Perceptions Of Self-Efficacy Following Prison Budget Reductions, Angela Frankland Jan 2026

Mental Health Provider Perceptions Of Self-Efficacy Following Prison Budget Reductions, Angela Frankland

Walden Dissertations and Doctoral Studies

Burnout rates for mental health workers are impacted due to budget restrictions in treatment programs. Fiscal challenges and their impact on the experiences of mental health providers have yet to be explored within correctional settings. There is a lack of research concerning mental health professional’s self-efficacy beliefs when providing treatment services to inmates. The purpose of this qualitative, phenomenological study was to explore mental health professional’s self-efficacy beliefs in correctional systems with context towards diminishing fiscal resources. Self-efficacy theory and prison rehabilitation management theory are the theoretical frameworks used as the foundation for this study. The research question was designed …


Students’ Perceptions Of The Use Of Technology In Rural Elementary Schools, Evadney Moncrieffe - Jumpp Jan 2026

Students’ Perceptions Of The Use Of Technology In Rural Elementary Schools, Evadney Moncrieffe - Jumpp

Walden Dissertations and Doctoral Studies

Rapid technological advancements have transformed educational experiences, optimizing learning outcomes while providing interesting experiences to learners and educators. More insight was needed on how students perceive learning via technology, as this information can shape how teachers implement technology, especially in rural elementary schools. The main purpose of this research was to investigate the perceptions of students in rural areas between Grades 1–5 regarding the increased use of technology education. The research questions concerned how students in rural elementary schools perceive (a) the use of technology in education and (b) the quality of the teaching–learning process when using or mediating technological …


Fire Service Leadership Cost-Effective Strategies To Reduce Sudden Cardiac Death, Kathryn Marie Bernardo-Preston Jan 2026

Fire Service Leadership Cost-Effective Strategies To Reduce Sudden Cardiac Death, Kathryn Marie Bernardo-Preston

Walden Dissertations and Doctoral Studies

Abstract A high incidence of on-duty firefighter sudden cardiac death (SCD) results in increased costs and decreased organizational performance. Fire department leaders are concerned about the financial burden of SCDs as they put strain on departmental budgets and subsequently limit operational readiness. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry project was to explore how fire department leaders used cost-effective strategies to reduce SCD episodes among on-duty firefighters. Participants comprised six fire department leaders located on the East Coast of the United States who had successfully implemented strategies to minimize firefighter SCD. Data were collected using …


Faculty Perceptions Of Student Use Of Critical Thinking And Clinical Judgment In Prelicensure Alternative Pediatric Clinical Education, Vanessa Lee Lugo Jan 2026

Faculty Perceptions Of Student Use Of Critical Thinking And Clinical Judgment In Prelicensure Alternative Pediatric Clinical Education, Vanessa Lee Lugo

Walden Dissertations and Doctoral Studies

Both the changing healthcare environment and diverse pediatric care needs highlight the importance of exploring nontraditional clinical placements for entry-level pediatric nursing students to assess their critical thinking (CT) and clinical judgment (CJ). Many graduates are unprepared for pediatric care, creating safety risks and gaps in meeting children’s healthcare needs. The purpose of this study, guided by communities of practice theory, was to explore faculty experiences with and perceptions of CT and CJ use at alternative pediatric clinical sites for prelicensure undergraduate students in the Northeastern United States. Eleven nursing faculty with recent experience working in nontraditional pediatric sites and …


Navigating Blended Family Dynamics: Lived Experiences Of Newly - Married Black American Couples With Children, Nichole King-Price Jan 2026

Navigating Blended Family Dynamics: Lived Experiences Of Newly - Married Black American Couples With Children, Nichole King-Price

Walden Dissertations and Doctoral Studies

Remarriage offers the opportunity to create new family structures, giving individuals second chances to forge meaningful connections and develop new family dynamics. This study involved investigating the experiences of newly-married Black American couples with children as they faced challenges inherent to blended family dynamics. The objective was to understand how these families navigated the complexities of integrating different family systems during their formative years. Using a basic qualitative research design, the study was guided by Bowen’s family systems theory, which emphasizes how individuals construct knowledge within their socioemotional contexts. A convenience sample of nine spouses from blended families was purposefully …


Underrepresented And Understudied: Exploring The Lived Experiences Of African American Women In Policing, Brenda Goss Andrews Jan 2026

Underrepresented And Understudied: Exploring The Lived Experiences Of African American Women In Policing, Brenda Goss Andrews

Walden Dissertations and Doctoral Studies

African American women are underrepresented in policing and understudied in the research. Grounded in Collins’ Black feminist thought, whose theme seeks to empower Black women to speak in their authentic voices, this qualitative phenomenological study explored the lived experiences of 12 African American female officers from Midwest departments. It examined how the intersection of race and gender shaped their workplace realities. The purpose of the study was to gain perspectives from the participants on strategies to recruit and retain African American female officers. Historically, policing has been a gendered and hypermasculine profession, making it difficult for African American female officers …


Narratives Of First-Generation Mexican American Bilingual Licensed Counselors, Marleny Soriano Jan 2026

Narratives Of First-Generation Mexican American Bilingual Licensed Counselors, Marleny Soriano

Walden Dissertations and Doctoral Studies

Despite the growing demand for mental health services in Spanish, bilingual counselors are often ill-equipped to provide services in Spanish and frequently enter state-required supervised licensure without adequate training or opportunities for clinical supervision to support their growth as bilingual counseling professionals. The purpose of this qualitative narrative inquiry was to answer the research question: What are the narratives of first-generation Mexican American bilingual counselors during supervised licensure? Guided by Anzaldua’s Borderlands Theory as a conceptual framework, data were collected from eight participants through semi-structured virtual interviews and analyzed using thematic analysis. Findings revealed four themes mirroring the stages of …


Improving Alcoholism Treatment Through Adverse Childhood Events Score Education, Miranda Cobenais Jan 2026

Improving Alcoholism Treatment Through Adverse Childhood Events Score Education, Miranda Cobenais

Walden Dissertations and Doctoral Studies

Summary I conducted this Doctor of Nursing Practice (DNP) staff education project to improve knowledge and clinical practice among mental health professionals. The problem identified at the project site was the limited awareness and use of Adverse Childhood Events (ACE) assessments in treating alcoholism. The practice focused question for this project was: Will educating staff on how ACE scores can improve treatment of alcoholism increase staff knowledge regarding the importance of assessing ACE scores to decrease relapse rates? The purpose of this doctoral project was to evaluate if an educational intervention can enhance staff understanding of the connection between ACEs …


Best Practices To Reduce Patient Falls In Skilled Nursing Facilities In Virginia, Kianna J. Tinsley Jan 2026

Best Practices To Reduce Patient Falls In Skilled Nursing Facilities In Virginia, Kianna J. Tinsley

Walden Dissertations and Doctoral Studies

Patient falls in skilled nursing homes highlight the need for effective, evidence-based strategies to reduce falls and improve residents' quality of life. The purpose of this integrative review was to identify administrative strategies for reducing patient falls within skilled nursing facilities. The review question centered on the most effective strategies and best practices that healthcare administrators can use to reduce patient falls and injuries and increase patient satisfaction. The Donabedian model served as the theoretical framework, providing a strong foundation for evaluating health services and quality of care to reduce patient falls. A comprehensive literature review identified 50 relevant articles, …


Fort William First Nation People’S Perceptions Of Receiving Nursing Care To Meet Their Wholistic Health Needs, Kara Morriseau Jan 2026

Fort William First Nation People’S Perceptions Of Receiving Nursing Care To Meet Their Wholistic Health Needs, Kara Morriseau

Walden Dissertations and Doctoral Studies

There was limited knowledge of First Nations people’s experiences receiving nursing care to meet their wholistic health needs in Northern Ontario. The purpose of this qualitative interpretive description study, grounded in the two-eyed seeing framework and the Indigenous wholistic theory, was to explore First Nations people’s descriptions of receiving nursing care to meet their wholistic health needs in Northern Ontario. The study took place in the community of Fort William First Nation, a First Nations community in Northern Ontario. With approval from the Chief and Council of Fort William First Nation, semistructured interviews were conducted in person and on Zoom …


Reducing Youth False Confessions With Attorney Presence, Rosa Bowden-Maccalla Jan 2026

Reducing Youth False Confessions With Attorney Presence, Rosa Bowden-Maccalla

Walden Dissertations and Doctoral Studies

Interrogation techniques are influenced by the interrogator's style and the individual being interviewed. Most law enforcement agencies use adult-centered interrogation methods, leading to suboptimal results when working with youth. The research has focused on youth offenders in the interrogation room and the choices they make, often leading to false confessions when an attorney is absent. This suggests that the presence of legal representation helps protect youths' vulnerability, suggestibility, and rights, thereby reducing the likelihood of false confessions. This qualitative collective case study aimed to understand why youth offenders falsely confess by collecting seven anonymous questionnaires from multigender U.S. practicing attorneys …


Managerial Strategies To Increase Employee Retention In The Health Care Industry, Albert Scales Iii Jan 2026

Managerial Strategies To Increase Employee Retention In The Health Care Industry, Albert Scales Iii

Walden Dissertations and Doctoral Studies

Employee turnover remains a significant business concern for Hawaiian health care organizations. Health care organization leaders are concerned about employee retention because of its implications for organizational effectiveness and the continuity of customer care. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry was to identify and explore successful strategies used by eight purposively selected health care leaders in Hawaii to improve employee retention. Thematic analysis of semistructured interview data and public organizational documents revealed six themes: (a) competitive compensation and benefits, (b) professional development and training, (c) recognition and rewards, (d) work–life balance and flexibility, (e) …