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Walden Dissertations and Doctoral Studies

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Succession Planning Strategies In Polish Family-Owned Businesses, Jan Marcin Klaczak Jan 2023

Succession Planning Strategies In Polish Family-Owned Businesses, Jan Marcin Klaczak

Walden Dissertations and Doctoral Studies

Family-owned businesses contribute to social and economic advancement, yet many business owners struggle with employing succession planning during intergenerational leadership transitions. Family business leaders are concerned with identifying effective succession planning strategies for the leadership transition to the next generation for business continuity. Grounded in Rothwell’s seven-step model for succession planning, the purpose of this qualitative multiple-case study was to explore succession planning strategies Polish family business leaders used for the leadership transition to the next generation. Three Polish family business leaders who successfully implemented succession planning in their organizations participated in the study. Data were collected through semistructured interviews, …

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Fall Prevention On The In-Patient Neurological Stroke Unit, Syvol Letwan Middleton Jan 2023

Fall Prevention On The In-Patient Neurological Stroke Unit, Syvol Letwan Middleton

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this quality improvement (QI) evaluation project was to decrease patient falls on a neurological stroke unit. This unit had the most falls throughout the hospital system. The unit averaged 50-60 falls per year with an average of 4.75 falls per month. Guided by Neumann’s system model, the project targeted those patients at the highest risk for falling related to deficits post-stroke and post-neurological disease process. Staff were informed about Last fall, Express needs, Awareness of safety, and Frequency of bowel and bladder (LEAF) to determine if this tool could decrease falls in the neurological stroke population patients. …

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Assessing Fire Station Response And Coverage Ability In A Pennsylvania Town, Timothy Moore Jan 2023

Assessing Fire Station Response And Coverage Ability In A Pennsylvania Town, Timothy Moore

Walden Dissertations and Doctoral Studies

AbstractThere was a gap in fire station response times in a Pennsylvania township. Although there were two fire stations located in the township, one area was contractually serviced by a nearby borough. Stations are staffed by volunteers, which creates problems with coverage and timely responses. The “nine-minute-90%-of-the-time” National Fire Protection Association standard was not always achieved. The purpose of the study was to determine what gaps in fire station response times or coverage existed. A risk-based methodology was used to develop a baseline in standards of coverage. Using a risk methodology with historical data helped in informing issue identification. This …

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Fathers’ Perceptions Of Stress And Resiliency In Raising Children With Down Syndrome: A Qualitative Study, Latanya M. Randolph Jan 2023

Fathers’ Perceptions Of Stress And Resiliency In Raising Children With Down Syndrome: A Qualitative Study, Latanya M. Randolph

Walden Dissertations and Doctoral Studies

Little was known about how fathers perceived stress and resiliency when parenting children diagnosed with Down syndrome. Therefore, the purpose of this generic qualitative study was to explore perceptions involving stress and resiliency among fathers whose children had been diagnosed with Down syndrome and understand how stress and resiliency affected the parenting skills of those fathers who resided in Prince George's County, Charles County, or St. Mary's County in Maryland. This involved recruiting eight participants who completed semi-structured interviews where they were asked the same 10 open-ended questions. This study involved using a qualitative thematic analysis, was guided by the …

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Learning Support For Adult Nontraditional Learners On Campus In A Southeastern University, Philip D. Rausch Jan 2023

Learning Support For Adult Nontraditional Learners On Campus In A Southeastern University, Philip D. Rausch

Walden Dissertations and Doctoral Studies

The problem at the southeastern university study site is that adult nontraditional learners taking classes on campus are graduating at a low rate, which may indicate a lack of needed support services. The purpose of this basic qualitative study was to explore the learning support needs of adult nontraditional learners and institutional support provided and used as well as to make recommendations to eventually increase the graduation rate of this population at the study site. Tinto’s theory of student retention, specifically the aspects of institutional experiences and integrations, was used as the conceptual framework. The three research questions focused on …

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Predictive Relationships Between Organizational Climate, Teacher Stress, And Teacher Turnover Intention, Susan L. Roebuck Jan 2023

Predictive Relationships Between Organizational Climate, Teacher Stress, And Teacher Turnover Intention, Susan L. Roebuck

Walden Dissertations and Doctoral Studies

The turnover rate for secondary school educators has increased to the highest in almost 30 years. Public teachers who leave teaching reported that general working conditions, increased job demands, and the inability to manage their workloads (organizational climate) contributed to their decision. The problem addressed in this study is that teacher turnover has negative impacts, including poor student performance and decreased teacher effectiveness of remaining teachers. The purpose of this quantitative correlational study was to determine the extent to which organizational climate and teacher stress predict teacher turnover intention. The theoretical framework applied to the interpretation of the statistical results …

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Nutrient Pollution And Chlorophyll-A As A Precursor To Harmful Algal Blooms And Cyanotoxins In Rehabilitated Machado Lake, California, Michael E. Shiang Jan 2023

Nutrient Pollution And Chlorophyll-A As A Precursor To Harmful Algal Blooms And Cyanotoxins In Rehabilitated Machado Lake, California, Michael E. Shiang

Walden Dissertations and Doctoral Studies

Algal blooms result in the formation of cyanotoxic conditions in a freshwater lake causing severe detrimental impacts to community and public health. Nitrogen, phosphorous, and ammonia stimulate the growth of phytoplankton biomass and algae, as measured by chlorophyll. This retrospective quantitative research study, grounded in the socioecological model, examined the relationship between nutrient pollutants and chlorophyll-a (Chl-a) that forecast harmful algal blooms, a precursor to cyanotoxins. A former impaired lake, Machado Lake in California, provided an ideal setting to assess relationships among nutrient indicators and Chl-a post-lake rehabilitation. Correlation and multiple regression analyses were performed to determine if a relationship …

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Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton Jan 2023

Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic increased the need for research and discussions about trauma, trauma-informed care (TIC), and care delivery processes. Little is known about how nurses recognize, assess, treat, and support patients who experience trauma although knowledge of TIC is important for delivering care to trauma survivors. The purpose of this qualitative descriptive study was to explore nurses’ perceptions of TIC principles and their experiences delivering care to patients with psychological trauma. Harris and Fallot’s TIC theory was used to guide the study. Purposeful sampling was used to recruit ten nurses for individual semi structured interviews using open-ended questions conducted via …

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Strategies To Improve Nonprofit Governance To Increase Donations, Charmaine Nicola Williams Tate Jan 2023

Strategies To Improve Nonprofit Governance To Increase Donations, Charmaine Nicola Williams Tate

Walden Dissertations and Doctoral Studies

AbstractThe leaders of nonprofit organizations rely on donors to achieve the organization’s mission, and governance practices are a key contributor to donor confidence and positive donor behavior. Some nonprofit leaders lack effective strategies to improve governance processes and encourage donor confidence to increase donations. Grounded in resource dependence theory, the purpose of this qualitative single case study was to explore strategies that nonprofit leaders use to improve governance processes and encourage donor confidence to increase levels of donations. The participants comprised four senior executive members of a donor-amalgamation nonprofit organization in the Midwestern United States. Data were collected from semistructured …

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Social Workers’ Philosophical Attitudes Towards Harm Reduction Services In Housing First Organizations, John Gay Woolley Jan 2023

Social Workers’ Philosophical Attitudes Towards Harm Reduction Services In Housing First Organizations, John Gay Woolley

Walden Dissertations and Doctoral Studies

AbstractOver the past three decades, harm reduction has gradually become more prevalent among social workers and is now viewed as an instrumental approach in treating people with drug and alcohol problems. Although there have been several studies that described how harm reduction approaches were applied in Housing First (HF) settings, there are few studies that have described social workers’ perspectives of their philosophical attitudes regarding harm reduction in HF settings. The purpose of this study was to understand social workers’ perspectives of their philosophical attitudes toward harm reduction services and how those attitudes were apparent in their interactions with substance-using …

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Educating Nurses On Mental Fatigue, Tawanna Ann Canty Jan 2023

Educating Nurses On Mental Fatigue, Tawanna Ann Canty

Walden Dissertations and Doctoral Studies

Education correlates with nurse performance and avoiding mental fatigue. This project attempted to answer the question, “Educating nurses on mental fatigue will increase knowledge” focusing on educating rehabilitative nurses regarding mental fatigue. The project was guided by the Analysis, Design, Develop, Implement, and Evaluate model. Twenty rehabilitative nurses were administered a pretest consisting of 10 multiple-choice test questions. They received education on mental fatigue through PowerPoint presentations and handouts. After completing the education, participants were administered a posttest with the same 10 questions. An evaluation tool consisting of six questions was completed measuring an increase in knowledge after the posttest. …

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Association Between Antidepressant Adherence And Major Depressive Disorder Complications, Philip Lisinge Jan 2023

Association Between Antidepressant Adherence And Major Depressive Disorder Complications, Philip Lisinge

Walden Dissertations and Doctoral Studies

Despite evidence that antidepressants are more effective at treating major depressive disorder (MDD) symptoms, there is growing evidence that MDD management is still hampered by nonadherence to antidepressant treatment regimens. Researchers have suggested that MDD, if untreated, might lead to MDD-related complications, but other researchers have argued that adherence to antidepressants can lead to these same MDD-related complications. This quantitative cross-sectional study used primary data collected from 298 volunteers to examine the association between MDD-related complications and antidepressant adherence to clarify these diverging opinions. The study’s objective was to provide evidence to accept or reject the premise that antidepressant adherence …

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Trade Liberalization And Income Inequality Among Automotive Manufacturing Workers In The Automotive Industry, Lacee Harris Jan 2023

Trade Liberalization And Income Inequality Among Automotive Manufacturing Workers In The Automotive Industry, Lacee Harris

Walden Dissertations and Doctoral Studies

Little is known about the impact trade openness has on income inequality in developed nations. Researchers have demonstrated that income inequality and globalization largely benefit underdeveloped nations. However, there is little research that exists on developed countries such as the United States. The purpose of this quantitative study was to compare similarities between trade liberalization and income inequality among manufacturing workers in the automotive industry, specifically in the United States. This study was framed using the Heckscher–Ohlin theory. The study attempted to determine how trade liberalization has affected income inequality among the automotive industry in places such as Detroit, specifically …

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Impact Of An Outpatient Chronic Care Model On Uninsured Inpatient And Emergency Department Utilization, Jamie L. Judd Jan 2023

Impact Of An Outpatient Chronic Care Model On Uninsured Inpatient And Emergency Department Utilization, Jamie L. Judd

Walden Dissertations and Doctoral Studies

Healthcare systems incur significant uncompensated costs due to uninsured chronic disease patients’ overutilization of urgent and emergent emergency care. This study was important because there was very little literature addressing the impact of the chronic care model (CCM) on reducing uncompensated healthcare system costs regarding patients with chronic disease. The purpose of the study was to investigate whether the Healthy Education Lifestyles Program (HELP) was of any significance to healthcare system’s cost of uninsured chronic disease patients. The theoretical foundation for the study was the CCM espoused by Wagner and colleagues. The research questions were to determine significant differences in …

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A Quantitative Study On Molecular Cluster Detection In Virally Suppressed Communities, Mariska Belinda Osborne-Wells Jan 2023

A Quantitative Study On Molecular Cluster Detection In Virally Suppressed Communities, Mariska Belinda Osborne-Wells

Walden Dissertations and Doctoral Studies

Viral suppression within human immunodeficiency virus (HIV) care and treatment planning is the gold standard of care for most providers when engaging with their patients. In many settings, the patient has received a positive lab that is indicative of HIV antibodies being detected; this in turn means they need additional medical attention to manage the infection. Upon receiving linkage to care services and attending an initial appointment, an initial genetic sequence is usually completed to assess the patient’s strain of HIV and how antiretroviral medications may antagonize or complement the HIV strain. It is possible that access, bias, and colorism …

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Impact Of Minority Incarceration On The Family Unit, Huey S. Ratcliff Jan 2023

Impact Of Minority Incarceration On The Family Unit, Huey S. Ratcliff

Walden Dissertations and Doctoral Studies

The economic impact of incarceration on minority family units has both secondary and third-order effects on the minority family unit when a family member is incarcerated, which is exacerbated when the incarcerated family member was both the primary breadwinner and a parent. The purpose of this study was to identify the social and economic effects incarceration has on minority families. The study addressed how minority families adjust to changes in organic composition and how the minority family copes with increased debt and loss of earning potential. Further, the study sought to answer how minority families overcome economic hardship when the …

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Social Networks And Self-Efficacy Among Hawaiian Homeless, Blake Shavers Jan 2023

Social Networks And Self-Efficacy Among Hawaiian Homeless, Blake Shavers

Walden Dissertations and Doctoral Studies

AbstractHomelessness affects over half a million people in the United States and millions worldwide. While permanent supportive housing initiatives like Housing First have successfully improved homeless wellbeing, recent research has shown that housing alone is not a solution; it requires add-on programming to assist in mitigating the causal factors. The purpose of this study was to explore and describe the social networking and self-efficacy of currently homeless and those who have successfully transitioned to supportive housing in the unique social and geographical environment of O’ahu, Hawai’i. A phenomenological study design using criterion sampling for semi structured interviews of four houseless …

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Covid-19 And Its Impact On Nursing Care Facility Business Operations: A Phenomenological Inquiry, Lashonda Bonsu Jan 2023

Covid-19 And Its Impact On Nursing Care Facility Business Operations: A Phenomenological Inquiry, Lashonda Bonsu

Walden Dissertations and Doctoral Studies

AbstractThe research problem was the lack of knowledge regarding how nursing care facility leaders sustained business operations within the climate of adversity created by the COVID-19 pandemic. The purpose was to explore and understand the essence of nursing care facility leaders’ perceptions and experiences in maintaining business operations during the COVID-19 pandemic. The conceptual framework was based on resiliency theory. The central research question and subquestion for this qualitative transcendental, phenomenological study focused on what strategies nursing care facility leaders use to sustain business operations during the COVID-19 pandemic, as well as their perceptions and experiences regarding their response to …

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Education Program To Increase Nurses' Knowledge Of Faith Community Nursing, Lovell Thurmon Sweeten Cartwright Jan 2023

Education Program To Increase Nurses' Knowledge Of Faith Community Nursing, Lovell Thurmon Sweeten Cartwright

Walden Dissertations and Doctoral Studies

AbstractThe practice problem was a group of nurses practicing as faith community nurses (FCNs) who had no training in FCN practice, a specialty recognized by the American Nurses Association. This problem was important to address within the context of nursing practice because the nurses could have acted outside of their scope of practice and caused harm. The practice-focused question addressed whether a staff education program for FCNs would increase their knowledge of their role in a church setting with the goal of developing independent FCNs. The model guiding the project was the health promotion model. Eleven registered nurses were recruited …

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Lived Experiences Of College-Educated African American Males During Police Interactions In Central Kentucky, Lawerence Eric Charles Jan 2023

Lived Experiences Of College-Educated African American Males During Police Interactions In Central Kentucky, Lawerence Eric Charles

Walden Dissertations and Doctoral Studies

Recent high-profile incidents involving police interaction with Black citizens have increased community outrage and racial divisions between police and African Americans. Despite previous research on relations between African Americans and police, little literature has focused on the lived experiences of college-educated African American males when interacting with police. In the study 12 participants were interviewed. The analytical approach was grounded theory, which identified seven themes that most of the men had in common. One shared lived experience expressed the need for collaborative and inclusive policies that prevent bias, police brutality, and wrongful arrest and detention of the African American community. …

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Educating Nurses To Implement Serious Illness Conversations, Colleen Patricia Desai Jan 2023

Educating Nurses To Implement Serious Illness Conversations, Colleen Patricia Desai

Walden Dissertations and Doctoral Studies

AbstractAs part of investigating staff nurses’ reluctance to have serious illness conversations (SIC) at a local hospital, an educational deficit was noted. Nurses articulated they felt uneducated about how to have a SIC with a patient in need and questioned if the practice of conducting SICs was part of the nurses’ scope of practice in the New England State where they were employed. The purpose of this project was to create an educational tool and have it validated by a multidisciplinary group of experts. Once validated, the goal will be to educate nurses, raise awareness on the topic of SICs, …

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Staff Education To Promote Probiotic Breastfeeding Therapy, José Diaz Jan 2023

Staff Education To Promote Probiotic Breastfeeding Therapy, José Diaz

Walden Dissertations and Doctoral Studies

Preterm birth is the leading cause of death in children under 5. In addition, there are 22 million babies born underweight each year which also contributes to the infant mortality rate. Some reasons for the inability to thrive and survive are the infants' immature system, allostatic load inadaptability, and undiversified and underdeveloped microbiota. Human breast milk (HBM) provides lifesaving nutrients, which prevents necrotizing enterocolitis and mortality. In addition, probiotic supplementation helps reduce late-onset sepsis, morbidities, and mortality. A literature review provided substantial evidence that HBM and probiotics can improve an infant's microbiota, thus improving thrivability and survivability. Probiotics offset the …

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Facilitating Staff Education To Improve Effective Styles Of Nursing Leadership In An Orientation Setting, Tammy Melinda Finney Jan 2023

Facilitating Staff Education To Improve Effective Styles Of Nursing Leadership In An Orientation Setting, Tammy Melinda Finney

Walden Dissertations and Doctoral Studies

Nursing leadership is the cornerstone of the ever-changing landscape of healthcare. Minimal courses are included in nursing curriculums to prepare nurses to become proficient and develop knowledge of nursing leadership styles. There is a direct correlation of evidence-based leadership styles that impact effective communication, improved patient outcomes, succession planning, nursing retention, and relationship management. In an effort to bridge the gap of knowledge, an educational face-to-face training was developed and presented to new nursing staff in an orientation setting. The project practice question focused on commitment from nursing staff to implement increased knowledge of nursing leadership styles into their practice. …

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Implementation Of Response To Intervention In An Urban Elementary School, Carla P. Graham Jan 2023

Implementation Of Response To Intervention In An Urban Elementary School, Carla P. Graham

Walden Dissertations and Doctoral Studies

AbstractIn an urban Midwestern elementary school, the teachers and administrators were perplexed by the rise in special education referrals even with the implementation of response to intervention (RTI). The problem addressed in this study is the general education teachers’ implementation of RTI to identify if there were any gaps in practice and, if so, to create a plan that could correct those gaps and potentially decrease the number of special education referrals and students identified for special education services. The conceptual framework for this study was the multitiered system of support, of which RTI is one component. Four research questions …

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Food Environment As A Moderator In The Relationship Between Ultra-Processed Food Intake And Mortality In The United States, Brandon Jerod Grandy Jan 2023

Food Environment As A Moderator In The Relationship Between Ultra-Processed Food Intake And Mortality In The United States, Brandon Jerod Grandy

Walden Dissertations and Doctoral Studies

According to recent studies, the consumption of ultra-processed food is a major issue that leads to fatal outcomes within the United States, which is relevant because this type of food has become more accessible over the years. Using data from the National Health And Nutrition Examination Survey III (NHANES III), previous researchers found that frequent consumption of ultra-processed foods was associated with greater chances of all-cause mortality in U.S. adults, but little research has focused on factors that can impact ultra-processed food consumption, such as food environment. The purpose of this quantitative longitudinal study was to examine the effect of …

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Stressors And Depression Among Adolescents With Co-Rumination As A Moderator, Angela Grosso-Burke Jan 2023

Stressors And Depression Among Adolescents With Co-Rumination As A Moderator, Angela Grosso-Burke

Walden Dissertations and Doctoral Studies

Stress, depression, and co-rumination have been a focus of scholars in recent years. Although studies have considered the relationship among stressors, depression, and co-rumination, little is known about the moderating effects of co-rumination. This study aimed to address the gap in the literature by examining moderating effects of co-rumination on relations between stressors and depression, along with further moderating effects of sex, race, and grade. The current study examined mean-level race, sex, and grade differences in the relation among stressors (total, family, peer, physical appearance, sport/physical activity, school) and depressive symptoms in adolescents. Analyses were conducted to determine the relationship …

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Clinicians' Perceptions Of Telehealth Services During The Covid-19 Pandemic In Virginia, Johnetta Hill Guishard Jan 2023

Clinicians' Perceptions Of Telehealth Services During The Covid-19 Pandemic In Virginia, Johnetta Hill Guishard

Walden Dissertations and Doctoral Studies

The onset of COVID-19 introduced unprecedented changes to how U.S. public health services were delivered. Many public and private agencies faced mandatory closures, social distancing mandates, and rapid transitions to telehealth interventions and treatment. Mental health clinicians witnessed disruptions in continuity of care and an increase in mental health risks overall. Although some studies have been conducted to survey clinicians’ perceptions of the usefulness and ease of use of technology-based interventions, knowledge about mental health clinicians’ experiences and perceptions in Virginia was sparse. The purpose of this generic qualitative study was to explore how mental health clinicians in Virginia described …

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The Effect Of Public Budgeting Decisions And Tuition Costs On Student Graduation Outcomes In Michigan, Travis Charles Hadden Jan 2023

The Effect Of Public Budgeting Decisions And Tuition Costs On Student Graduation Outcomes In Michigan, Travis Charles Hadden

Walden Dissertations and Doctoral Studies

AbstractTuition costs for U.S. public universities have steadily risen in response to decreased state funding in the aftermath of the 2008 Great Recession. Researchers have studied the relationship between public budgeting and higher education but have not established the direct effects of budgeting decisions on student graduation outcomes. The purpose of this quantitative study was to understand why state funding has not kept up with tuition prices and how that affects student graduation rates. The effect of (a) tuition costs and (b) Michigan state funding for public universities on student outcomes was examined. Punctuated equilibrium theory and policy feedback theory, …

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The Correlation Of Adverse Childhood Experiences And Pornography Consumption In Adulthood, Branden Henry Jan 2023

The Correlation Of Adverse Childhood Experiences And Pornography Consumption In Adulthood, Branden Henry

Walden Dissertations and Doctoral Studies

Over the past 25 years, significant research has gone into understanding how adverse childhood experiences (ACEs) correlate with a variety of negative health and behavioral outcomes, while at the same time, pornography consumption has increased dramatically. However, limited research has been done to understand whether a relationship exists between ACEs and pornography consumption. Attachment theory, which was used as the theoretical framework for this study, includes the idea that childhood experiences play a major role in a person’s development of various behaviors throughout life, including coping mechanisms like pornography consumption. The purpose of this quantitative, cross-sectional, correlational study was to …

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Professional Staffing Small Business Strategies For Reducing Voluntary Employee, Gwendolyn L. Johnson Jan 2023

Professional Staffing Small Business Strategies For Reducing Voluntary Employee, Gwendolyn L. Johnson

Walden Dissertations and Doctoral Studies

Some small business owners need help reducing voluntary employee turnover, often putting the business at risk for performance failure. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies professional staffing small business owners used to decrease voluntary employee turnover. The participants were five professional staffing small business leaders in the Washington, D.C., area with successful strategies to retain talented employees. Data were collected through semistructured interviews and analyzed using Yin’s five-step process. Three themes emerged: (a) employee recognition, (b) communication, and (c) advancement and training. A key recommendation for small business owners …

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