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Walden Dissertations and Doctoral Studies

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Improving The Completion Rate Of Advance Directives In Home Health Agencies, Ndidiamaka Ezinne Mbakpuo Jan 2016

Improving The Completion Rate Of Advance Directives In Home Health Agencies, Ndidiamaka Ezinne Mbakpuo

Walden Dissertations and Doctoral Studies

The number of individuals aged more than 65 years in the United States and their life expectancy has been increasing in the past decades. In spite of the presence of federal and accreditation policies recommending completion of advance directive documents by patients admitted to health care settings, advance directive completion rates are low in most health care organizations. The purpose of this study was to determine the level of advance directive completion among home health patients. The health belief model provided the theoretical framework that guided this study. A retrospective chart review was carried out in a home health agency …

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Risk Factors For Hypertension Among African-Born Immigrants In The United States, John Ojih Jan 2016

Risk Factors For Hypertension Among African-Born Immigrants In The United States, John Ojih

Walden Dissertations and Doctoral Studies

Essential hypertension (HTN) has been and continues to be a serious public health problem across the globe, particularly among Black races, with an estimated morbidity rate of over 1 billion people and an estimated mortality rate of 9.4 million people worldwide. Essential HTN can lead to a host of chronic diseases including cardiovascular disease (CVD), stroke, myocardial infarction, brain damage, kidney failure, and retinopathy. The main purpose of this quantitative, descriptive, nonexperimental study was to investigate the association of physical inactivity, length of stay in the United States, immigrants' health status, and food security as risk indicators in the development …

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A Qualitative Study Of The Growth Strategies Of Mature Small Businesses, Racquel Thompson-Elliott Jan 2016

A Qualitative Study Of The Growth Strategies Of Mature Small Businesses, Racquel Thompson-Elliott

Walden Dissertations and Doctoral Studies

Some small businesses have slower growth as they age and have limited strategies to maximize profit, productivity, and job creation. The purpose of this qualitative study was to explore the strategies small business managers use to capitalize on growth opportunities. Area small business managers and support program stakeholders could gain new knowledge to develop effective support for mature small businesses. Twenty managers participated in this case study. These managers were from small businesses operating in the state of Florida for more than 5 years with less than 500 employees. The data collection approach included purposeful sampling and semistructured interviews with …

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Using Auditory Modalities To Develop Rhythmic Competency In Children's Fundamental Movement Skills, Sally Suzanne Severy Jan 2016

Using Auditory Modalities To Develop Rhythmic Competency In Children's Fundamental Movement Skills, Sally Suzanne Severy

Walden Dissertations and Doctoral Studies

Physical education classrooms often have low levels of moderate to vigorous physical activity levels. This is a problem since many young elementary students are not building a foundation of fundamental movement skills necessary to be lifelong participants in physical activities. This study investigated how elementary physical education teachers used auditory modalities in their classrooms. The research question explored the emergence of rhythmic competency in fundamental movement skills to increase overall moderate to vigorous activity levels. This concurrent, mixed-methods, multiple case study used a constructivist paradigm using the schema and dynamic system theories as the underlying motor system theoretical framework. Two …

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Successful Enterprise Resource Planning System Implementation: A Higher Education Managerial Perspective, Elizabeth A. Arthur Jan 2016

Successful Enterprise Resource Planning System Implementation: A Higher Education Managerial Perspective, Elizabeth A. Arthur

Walden Dissertations and Doctoral Studies

The overall success rate of implementing enterprise resource planning systems is about 30%. Guided by systems theory, the purpose of this qualitative single case study was to explore the strategies used to ensure a successful implementation by information technology managers working in higher education settings. The data were derived from semistructured interviews of 6 managers and documentation from a higher education institution in the northeastern United States that successfully implemented an ERP system. Data analysis consisted of reviewing interview transcripts, from which themes and patterns were identified and coded. Three recurring factors arose throughout the analysis involved commitment, communication, and …

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An Interpretive Phenomenological Investigation Of The Meaning Of Job Satisfaction Among Veteran Special Educators, Raeann Barnes Jan 2016

An Interpretive Phenomenological Investigation Of The Meaning Of Job Satisfaction Among Veteran Special Educators, Raeann Barnes

Walden Dissertations and Doctoral Studies

The attrition rate among special education teachers is ranked among the highest in the education profession. Retaining teachers early in their careers continues to be a concern due to increased job responsibilities, larger caseloads, challenging student behaviors, minimal support from colleagues, increased paperwork, and diminishing resources. The purpose of this phenomenological study was to examine the meaning of satisfaction special education teachers made of their careers. The transactional model developed by Lazarus and Folkman (1984) can help to explain how the occurrence of stressful events can impact an individual. A purposive sample of 9 tenured, certified special education teachers currently …

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Domestic Violence Intervention Program Facilitators' Motivation For Working With Repeat Offenders, Elaine Marie Barclay Jan 2016

Domestic Violence Intervention Program Facilitators' Motivation For Working With Repeat Offenders, Elaine Marie Barclay

Walden Dissertations and Doctoral Studies

Domestic violence (DV) rehabilitative program facilitators administer the same treatment programs to males who reoffend. When DV facilitators administer the same unsuccessful treatment programs to repeat offenders, facilitators may lose intrinsic and extrinsic motivation to perform their job. For this study a hermeneutic phenomenological methodology approach was used to explore the phenomenon of DV facilitators' motivation. Self-determination theory was used to frame the influence of intrinsic and extrinsic motivation on DV facilitators who administer treatment programs to repeat offending males. A recruitment flyer was placed in the DV organization, data were collected from 7 participants through face-to-face or telephone interviews …

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Exploring Generation Y Leaders' Motivation And Retention Within The Service Industry, Jason Earl Wiggins Jan 2016

Exploring Generation Y Leaders' Motivation And Retention Within The Service Industry, Jason Earl Wiggins

Walden Dissertations and Doctoral Studies

The retention of millennial leaders continues to be a concern for executive leadership. The problem addressed in this study was the gap in research regarding how the motivation of Generation Y leaders affects employee satisfaction and retention factors. The purpose of this phenomenological inquiry was to explore the retention rate for 20 Generation Y service leaders in the southwestern United States to illuminate patterns of satisfied millennial leaders by drawing from employers' role in motivating and retaining millennial leaders in the service industry. Herzberg's 2-factor theory, Vroom's expectancy theory, Adams's equity theory, and Maslow's hierarchy of needs comprised the conceptual …

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Alignment Of Standards, Assessment, And Compliance For A Residential Support Provider Organization, Monique Day Jan 2016

Alignment Of Standards, Assessment, And Compliance For A Residential Support Provider Organization, Monique Day

Walden Dissertations and Doctoral Studies

Although Code of Maryland policy mandates multidisciplinary, integrated teams for residential service provider organizations (RPOs) for an intellectual/developmental disabilities (IDD) population, alignment criteria to identify and evaluate the functional characteristics of such teams do not exist. This ambiguity has resulted in potential conflict in the goals of service delivery, as well as misaligned quality assessment and policy development criteria. The intent of this general qualitative study was to use complex adaptive systems theory and Vitkiene's work on corporate ethos to determine whether the services provided by a single RPO were consistent and aligned with the regulatory mandate set by the …

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Exploring Barriers To Fathers' Implementation Of Behavioral Interventions For Nonverbal Children With Autism, Michael Lafasakis Jan 2016

Exploring Barriers To Fathers' Implementation Of Behavioral Interventions For Nonverbal Children With Autism, Michael Lafasakis

Walden Dissertations and Doctoral Studies

Many families, regardless of their ethnic and cultural background, find it challenging to raise a nonverbal child with autism. Parent-implemented behavioral interventions can contribute to positive behavior change related to joint attention, imitation, and communication. However, many parents face barriers that prevent them from implementing behavioral interventions in the home. Very little research has been conducted on fathers of nonverbal children with autism to ascertain their perspectives on these barriers. In this qualitative study, a phenomenological design was used to obtain input from 12 fathers of diverse ethnic and cultural backgrounds residing in New York City regarding barriers to implementing …

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The Perception Of Obesity Among African American Women 35 Years And Older In Houston, Texas, Bernadette Ebere Osuji Jan 2016

The Perception Of Obesity Among African American Women 35 Years And Older In Houston, Texas, Bernadette Ebere Osuji

Walden Dissertations and Doctoral Studies

As obesity has reached an epidemic level, the female population age 35 years and older is struggling with increased risks of death from type 2 diabetes, hypertension, coronary heart disease, stroke, and certain cancers. The purpose of this study was to explore the perception of overweight and obesity among African American women 35 years and older in Houston, Texas. A phenomenological approach was adopted for this study to explore the perception of overweight and obesity among African American women 35 years and older in Houston, Texas. This study was also guided by the Health Belief Model as a conceptual framework …

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Perceived Effects Of The Affordable Care Act On Emergency Preparedness, Tanya Marie Scherr Jan 2016

Perceived Effects Of The Affordable Care Act On Emergency Preparedness, Tanya Marie Scherr

Walden Dissertations and Doctoral Studies

National healthcare as executed through the Patient Protection and Affordable Care Act (ACA) was introduced in 2010, but was discussed for several decades prior to its enactment. Section 5210 of the ACA established funding for a Regular and Ready Reserve Corps (RRRC) to provide support to local healthcare entities with emergency preparedness. It is unknown what impact Section 5210 of the ACA has had on local emergency preparedness, as well as what obstacles are encountered with implementing this piece of legislation at the local level. The purpose of this case study was to understand the obstacles encountered at a local …

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Rural Obese African American Women And Depression, Food Culture, And Binge Eating, Tracee Tamiko Smith Jan 2016

Rural Obese African American Women And Depression, Food Culture, And Binge Eating, Tracee Tamiko Smith

Walden Dissertations and Doctoral Studies

The rural African American population has a high incidence of severe psychosocial problems and a skewed perception of obesity, despite obesity's extremely high prevalence rate in this population. Despite the acknowledgements of these problems, there is a gap in literature relative to the effective treatments for obese African Americans diagnosed with depression. This study measured correlations between obesity and depression, binge eating, and food culture amongst African American women residing in Jefferson County, MS. The health belief model was used to guide an assessment of beliefs, perceptions, susceptibility, cues to action, and self-efficacy. A cross-sectional design was used based on …

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Exploring The Process Of Lean Training In The Healthcare Industry, Rose Bailey Jan 2016

Exploring The Process Of Lean Training In The Healthcare Industry, Rose Bailey

Walden Dissertations and Doctoral Studies

Organizational leaders use lean training as a process improvement strategy to eliminate waste and inefficiencies in processes. Of the 91% of company leaders who believed lean training was important, 64% of those leaders expressed the perception that workers do not comprehend lean training and methodology. The purpose of this qualitative single case study was to explore how healthcare managers successfully implemented lean training strategies to combat escalating costs. The target population consisted of healthcare managers in a single rural care hospital located in Tennessee who had implemented lean training strategies to train staff in lean principles and lean tools. The …

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The Relationship Between Christian Religiosity And Heterosexism In The Southern United States, Patricia Hare Jan 2016

The Relationship Between Christian Religiosity And Heterosexism In The Southern United States, Patricia Hare

Walden Dissertations and Doctoral Studies

The internalization of heterosexism places lesbian, gay, and bisexual (LGB) individuals at disproportionately higher risks of depression and self-destructive behaviors. For LGB Christians, this phenomenon is often exacerbated. Although literature on heterosexism has increased, little research has examined more insular, religious environments. The purpose of this study was to examine the relationship between Christian denominational religiosity and heterosexism and to compare the degree of religiosity and heterosexism between members of 5 Christian denominations and between same-sex sexuality perspectives in the southern United States. Guided by the attribution theory, a correlational, cross-sectional survey design was used to analyze degree of religiosity …

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Fresh Fruits And Vegetables In A Rural Elementary School: A Mixed-Methods Program Evaluation, Patricia Marie Moore Jan 2016

Fresh Fruits And Vegetables In A Rural Elementary School: A Mixed-Methods Program Evaluation, Patricia Marie Moore

Walden Dissertations and Doctoral Studies

The Fresh Fruits and Vegetables Program is a federally funded program intended to increase public school students' fruit and vegetable consumption. The purpose of this mixed-method study was to evaluate the implementation of this program at a rural southwestern Title 1 elementary school to determine teacher perceptions of the program and whether the program met federal goals. Social ecological model and social cognitive theory grounded the investigation. The mixed method design included semi-structured interviews with 11 teachers accompanied by an anonymous web-based open response questionnaire and document reviews. Descriptive statistics were reported for Likert scale survey items and invoice documents …

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Exploring Best Practices To Utilize Business Intelligence Systems, John James Mchenry Jan 2016

Exploring Best Practices To Utilize Business Intelligence Systems, John James Mchenry

Walden Dissertations and Doctoral Studies

Organizational leaders who can manage business intelligence system (BIS) resources may achieve sustainable success in economic, political, and corporate environments. The review of professional literature indicated that effective resource management in a BIS environment requires the establishment of best practice. The purpose of this qualitative, single-case study was to explore best practices among 9 BIS practitioners for effective resource management. Participation criteria included the active engagement in BIS professional disciplines and the willingness to share their perspectives. The conceptual framework for this study was the cognitive experiential self-theory (CEST). Five leaders and 4 data analysts at an eastern U.S. county …

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Parent-Adolescent Sexual Health Communication In Immigrant Nigerian American Families, Susan Modupe Ogunnowo Jan 2016

Parent-Adolescent Sexual Health Communication In Immigrant Nigerian American Families, Susan Modupe Ogunnowo

Walden Dissertations and Doctoral Studies

Poor sexual health communication among first generation Nigerian American parents and their adolescent children due to disparities in cultural integration constitutes a barrier to effective parent-child relationships. The purpose of this phenomenological study, which was guided by the acculturative family distancing (AFD) model, was to explore the lived experience of Nigerian immigrant families in the United States regarding communication effectiveness about sex and integration into the American way of life. The research questions addressed cultural bias, parent-adolescent communication effectiveness, strategies employed, resources available to new immigrants, and barriers to their usage. Data collection was by individual interviews of 5 Nigerian-born …

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Strategies To Retain Employees In Clinical Laboratories, Amber Rose Phipps Jan 2016

Strategies To Retain Employees In Clinical Laboratories, Amber Rose Phipps

Walden Dissertations and Doctoral Studies

With 30 million citizens gaining access to U.S. healthcare through the Affordable Care Act by 2016, healthcare managers need preanalytic employees to ensure quality healthcare services can be provided. The purpose of this qualitative single case study explored strategies used to retain preanalytic employees. The target population consisted of 10 clinical laboratory managers in a single community-based clinical laboratory in the mid-southern United States, selected because of prior success in improved employee retention strategies. The conceptual framework grounding this study was the theory of work adjustment. Data triangulation occurred from using semistructured interviews and company documents. All interpretations from the …

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Reducing Employee Turnover In Retail Environments: An Analysis Of Servant Leadership Variables, Beatriz Rodriguez Jan 2016

Reducing Employee Turnover In Retail Environments: An Analysis Of Servant Leadership Variables, Beatriz Rodriguez

Walden Dissertations and Doctoral Studies

In a competitive retail environment, retail store managers (RSMs) need to retain retail customer service employees (RCSE) to maximize sales and reduce employee turnover costs. Servant leadership (SL) is a preferred leadership style within customer service organizations; however, there is disagreement regarding the usefulness of SL in the retail industry. The theoretical framework for this correlational study is Greenleaf's SL theory. Seventy-four of 109 contacted human resources managers (HRMs) from a Fortune 500 United States retailer, with responsibility for evaluating leadership competencies of the RSMs they support, completed Liden's Servant Leadership Questionnaire. RCSE turnover rates were available from company records. …

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Midlevel Manager Strategies To Improve Employee Engagement In Small Businesses, Patricia Ann Silva Jan 2016

Midlevel Manager Strategies To Improve Employee Engagement In Small Businesses, Patricia Ann Silva

Walden Dissertations and Doctoral Studies

The ability to improve employee engagement in small businesses is critical, not only to workers but also to midlevel managers who want to retain productive employees in the workplace. Supervisors who lack efficient managerial practices also risk decreases in productivity, profitability, and sustainability. The conceptual framework for this qualitative, exploratory single-case study was Kahn's theory of personal engagement and disengagement. The population consisted of 2 midlevel managers from a single, small, franchise company in metropolitan Alabama, both of whom used engagement practices, and managed at least 5 subordinates in the company. Data collected, analyzed, and triangulated were from semistructured interviews, …

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Exploring Obesity Risk Factors In Five Regions Of Virginia, Karen Toth Carpenter Jan 2016

Exploring Obesity Risk Factors In Five Regions Of Virginia, Karen Toth Carpenter

Walden Dissertations and Doctoral Studies

Obesity continues to weaken our nation physiologically, psychologically and financially with an overall prevalence rate of 34.9% or 78.6 million Americans affected. Variance in obesity prevalence rates, in the state of Virginia, account for over a 15% difference from one health district to the next. The purpose of this research was to better explore the regional obesogenic factors that may exist among five health districts in the state of Virginia. The socio ecological theory provides the conceptual framework of the study to understand the variance in regional obesity rates, as a function of the contributing risk factors that a region …

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After-School Activities Policy And The Atlanta Fulton Public Library System, Vincent Chukumah Jan 2016

After-School Activities Policy And The Atlanta Fulton Public Library System, Vincent Chukumah

Walden Dissertations and Doctoral Studies

Public libraries are evolving from their traditional role as promoters of literacy to a new role as providers of community resources, including after-school activities for teenagers. A policy mandate for such activities appears to be lacking though, which might impact negatively their effectiveness. The purpose of this study was to get a better understanding of the existing policy and implementation mechanisms of after-school activities offered by the Atlanta Fulton Library System in Georgia to at-risk teenaged patrons. Moore's theory of innovation and public value provided the theoretical framework for the study. An embedded case study research design was used to …

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Decision Making Of Environmental Engineers On Project Selection, Millicent Amanda Davis Jan 2016

Decision Making Of Environmental Engineers On Project Selection, Millicent Amanda Davis

Walden Dissertations and Doctoral Studies

Some environmental engineers do not understand how to perceive profitable opportunities in redeveloping the large number of contaminated brownfield sites in New Jersey. The purpose of this qualitative exploratory case study was to find effective decision-making strategies that help environmental engineers acquire profitable environmental redevelopment projects. The target population consisted of 4 environmental engineers in an environmental organization in Camden County, New Jersey who possessed proven decision-making strategies that helped them acquire profitable environmental redevelopment projects in the past 5 years. The conceptual framework for this study was the multiple criteria decision method (MCDM). Semistructured interviews were conducted with the …

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Barriers Faced By Canadian Aboriginal Adults As They Return To Postsecondary School, Robert Lawrence Campbell Jan 2016

Barriers Faced By Canadian Aboriginal Adults As They Return To Postsecondary School, Robert Lawrence Campbell

Walden Dissertations and Doctoral Studies

Aboriginal people in Canada are less likely to complete postsecondary education than are non-Aboriginal people. This lack of education leads to increased rates of unemployment and poverty and the need for additional government supports. The purpose of this project study was to identify and examine barriers faced by Canadian Aboriginal adult students as they return to school for postsecondary education. The conceptual framework for this qualitative study was based on the work of Ertmer, which suggests barriers can be placed into broad categories of extrinsic and intrinsic barriers. A case study design was used with a purposeful sample from a …

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The Use Of Online Supplemental Materials In College Courses To Improve Retention, Amy Lynn Hennings Jan 2016

The Use Of Online Supplemental Materials In College Courses To Improve Retention, Amy Lynn Hennings

Walden Dissertations and Doctoral Studies

First-generation college students continue to have lower retention and success rates in colleges and universities, reducing their likelihood of staying above the poverty line. The study tested Bandura and Vygotsky's social cognitive theories of self-efficacy, self-regulation, and student ability to self-pace in the classroom. The purpose of this study was to explore if offering supplemental online materials to traditional class delivery, which can be self-regulated and self-paced, impacted students' success rates in the class and semester-to-semester retention. Using a quasi-experimental method, first-semester college students, in a small private liberal arts college (N = 678); were compared on use of supplemental …

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Core Leader Competencies For Implementing Sustainability Strategies In Small And Medium-Sized Enterprises, Alan William Jackson Jan 2016

Core Leader Competencies For Implementing Sustainability Strategies In Small And Medium-Sized Enterprises, Alan William Jackson

Walden Dissertations and Doctoral Studies

Because small- and medium-sized enterprises contribute as much as 70% of the world's pollution, small-business leaders need to develop and implement strategic approaches to sustainable development. Global sustainable development spending may reach $5 trillion by 2030. Guided by leadership competency theory, this qualitative multiple case study explored the core competencies of 5 independent small business leaders who had successfully implemented environmentally sustainable initiatives in their manufacturing firms in eastern Nebraska. Interviews and company planning documents including strategic business plans were gathered, coded, and cross-case analyzed, and member checking was periodically conducted to strengthen the trustworthiness of interpretations. Thematic analysis identified …

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Causes And Effects Of Teacher Burnout, Donna Ault Jacobson Jan 2016

Causes And Effects Of Teacher Burnout, Donna Ault Jacobson

Walden Dissertations and Doctoral Studies

Teacher burnout is not a new problem; however, with increasing frequency, teacher burnout leads to teacher attrition. Teacher burnout is a problem that affects school districts nationwide because of the financial and academic toll it has on education. The purpose of this qualitative case study was to explore teacher burnout, its perceived causes, and its effects in an urban high school in the northeastern United States. The conceptual framework was based on Vygotsky's social development theory. The research questions focused on factors that contribute to teacher burnout and teachers' perceptions of the ways in which their burnout affected instruction as …

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Relationship Between Destructive Leadership Behaviors And Employee Turnover, Craig Michael Hyson Jan 2016

Relationship Between Destructive Leadership Behaviors And Employee Turnover, Craig Michael Hyson

Walden Dissertations and Doctoral Studies

The loss of 6 million U.S. manufacturing jobs since 2000 has severely affected communities that have lost a vital source of employment. Voluntary employee turnover has compounded the problem. The purpose of this correlational study was to examine the relationship between employee turnover and destructive leadership behaviors of managers in small and medium enterprise (SME) manufacturing businesses in Warren County, New Jersey. The constructive-destructive leadership model formed the theoretical framework for the study. A random sample of 96 SME manufacturing firm employees completed the destructive leadership scale (DLS), multifactor leadership questionnaire (MLQ), and the turnover intention scale (TIS-6) via an …

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Development Of A Mentorship Program To Help Support And Retain New Nurses, Sherrie Marie Jones Jan 2016

Development Of A Mentorship Program To Help Support And Retain New Nurses, Sherrie Marie Jones

Walden Dissertations and Doctoral Studies

Many newly graduated registered nurses (NGRNs) leave the nursing profession within the first 2 years of employment in a rural hospital located in the Southwestern region of Oklahoma. A strategy to address this problem was to introduce a mentorship process that would help support the NGRNs as they transition into independent practice in the clinical setting. The goal of this project was to develop a mentorship program for future implementation. The Partners In Nursing (PIN) program sponsored by the Robert Wood Johnson Foundation, and developed by the American Association of Colleges of Nursing and the American Nurses Association, was selected …

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