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Articles 121 - 150 of 1377
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Executive Leadership System Improvement: System- Level Program To Improve Care For Type-Ii Diabetic Patients, Jane Chukwura
Executive Leadership System Improvement: System- Level Program To Improve Care For Type-Ii Diabetic Patients, Jane Chukwura
Walden Dissertations and Doctoral Studies
The DNP Scholarly Project presents the Diabetes Interprofessional Management Program, an organization-wide, logic-model–driven initiative to improve glycemic control, empower self-management, and advance health equity for adults with type II diabetes. The project leverages an interprofessional team, targeted training, culturally tailored education, health technology tools, and community partnerships to translate resources into team-based care, personalized plans, self-management support, and continuous education, with outputs including trained staff, engaged patients, and standardized care protocols. Short-term outcomes center on reduced mean HbA1c, more patients achieving HbA1c <7%, and widespread adoption of evidence-based pathways with standardized testing cadences. Long-term outcomes focus on fewer complications, higher patient satisfaction, and reduced disparities through the expansion of Diabetes Self-Management Education (DSME) and culturally appropriate resources, underpinned by robust data governance. The evaluation and implementation plan measures clinical outcomes, patient experience, and equity over 0–24 months, using formative metrics (workflow deployment, training, testing timeliness, DSME referrals, portal use) and summative metrics (HbA1c changes, HbA1c <7% at 12 months, hospitalizations, complications, knowledge and quality of life, equity indicators, and ROI). Governance features a Data Steering Subcommittee and quarterly dashboards. Deliverables include standardized protocols, DSME curricula, EHR workflows, training, and a scalable, sustainable model for broader deployment.
Increasing Knowledge And Awareness Of Cultural Competency Among Providers, Veronica Rodriguez
Increasing Knowledge And Awareness Of Cultural Competency Among Providers, Veronica Rodriguez
Walden Dissertations and Doctoral Studies
In today’s challenging healthcare environment, coupled with increasing global migration, healthcare delivery has become more diverse, and providers must deliver high-quality, patient-centered care across diverse populations. Cultural competency, the ability to understand and effectively interact with patients from diverse backgrounds, is essential for reducing health disparities, improving patient satisfaction, and enhancing health outcomes. However, many providers struggle to integrate these practices into daily care due to limited or inconsistent knowledge on applying these concepts in real-world settings. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine whether an educational intervention focused on cultural competency increased …
The Process Of Enduring Prolonged Undiagnosed Ptsd And The Impact Of Treatment Expressed By Women, Kelli Elaine Hudgins
The Process Of Enduring Prolonged Undiagnosed Ptsd And The Impact Of Treatment Expressed By Women, Kelli Elaine Hudgins
Walden Dissertations and Doctoral Studies
Prolonged undiagnosed posttraumatic stress disorder (PTSD) has been examined from various perspectives and represents a significant medical concern across diverse populations. Research on PTSD often targets specific groups, such as postpartum women or military veterans. This narrow focus in much of the literature tends to obscure the broader impact of prolonged undiagnosed PTSD on the general population, thereby overlooking the critical need to highlight systemic shortcomings that hinder effective interventions and reform. Furthermore, personal narratives detailing the challenges individuals face when seeking help or treatment – factors that contribute to delays in care – and the subsequent effects on their …
Cancer Screening Disparities Among Women With Disabilities In The United States, Kathleen Young
Cancer Screening Disparities Among Women With Disabilities In The United States, Kathleen Young
Walden Dissertations and Doctoral Studies
Breast and cervical cancer screening reduces mortality; however, women with disabilities and mental health challenges experience persistent disparities in access to preventive services. The purpose of this quantitative study was to examine the relationships between self-reported serious difficulty hearing, serious difficulty seeing, and frequent mental distress with breast (mammogram) and cervical (Pap test) cancer screening use among women in the United States (mammogram model, n = 844; Pap model n = 774), using the 2023 Behavioral Risk Factor Surveillance System dataset. The social-ecological model provided the framework. Two logistic regression models were conducted, adjusting for age, race/ethnicity, education, income, marital …
Experiences Of Northern Ontario Nurse Educators In Adapting Teaching Methods, Julianna Panontin
Experiences Of Northern Ontario Nurse Educators In Adapting Teaching Methods, Julianna Panontin
Walden Dissertations and Doctoral Studies
Nursing education is evolving, requiring educators to adapt teaching methods due to advances in technology, pedagogy, and accreditation standards. In Northern Ontario, geographic and resource limitations make this adaptability critical for ensuring equitable, high-quality education. Guided by Lewin’s change theory, this qualitative phenomenological study examined how Bachelor of Science in Nursing (BScN) nursing educators in Northern Ontario adapted their teaching practices to these evolving demands. Six full-time educators teaching in BScN programs with at least 3 years of recent nursing education experience using synchronous instructional methods participated in semistructured qualitative interviews. Data were analyzed using Saldaña’s coding framework. Four themes …
Improving Suicide Risk Detection And Management In Primary Care, Syndie Volcy
Improving Suicide Risk Detection And Management In Primary Care, Syndie Volcy
Walden Dissertations and Doctoral Studies
Suicide remains a critical public health issue in the United States, with rates continuing to rise despite national prevention initiatives. Primary care settings serve as a pivotal point for early detection, yet inconsistent use of standardized screening and safety planning tools contributes to under-recognition of suicide risk. This Doctor of Nursing Practice (DNP) project aimed to enhance the identification and management of suicide risk in primary care by developing and implementing an evidence-based clinical practice guideline (CPG). The project addressed the practice-focused question: Does implementing a standardized suicide prevention guideline using validated tools improve risk detection and management in primary …
Elementary Teachers' Challenges To Implement Letrs In A Local Alabama School District, Jessica Morton
Elementary Teachers' Challenges To Implement Letrs In A Local Alabama School District, Jessica Morton
Walden Dissertations and Doctoral Studies
While the Language Essentials for Teachers of Reading and Spelling (LETRS) professional development provided elementary teachers with a new form of instruction, third-grade reading scores remain below proficiency levels on the Alabama state test. Guided by Vygotsky’s theory of social constructivism, the purpose of this basic qualitative study was to explore elementary teachers’ challenges of implementing LETRS in a local Alabama school district. Two research questions addressed the challenges of and suggestions for implementing LETRS. Data were collected through semistructured interviews with 10 elementary teachers in local school districts who were trained in LETRS, implemented LETRS in classroom instruction, and …
Exploring Challenges Of Parents With Disabilities Affecting Custody Of The Children, Kendyll King
Exploring Challenges Of Parents With Disabilities Affecting Custody Of The Children, Kendyll King
Walden Dissertations and Doctoral Studies
Despite the Americans with Disabilities Act of 1990 promoting equality for people with disabilities, parents with developmental and intellectual disabilities experience high rates of involvement with child welfare services due to outdated terminology, information about disabilities, and policies. The purpose of this study was to identify the challenges of parents with intellectual and developmental disabilities and determine if they differ from those of parents without a disability. This was a generic qualitative study grounded in intersectionality theory. Education, employment, health and safety concerns, independence, assistive technology, social services involvement, and supports or resources were examined through the perspective of the …
The Relationship Between Income And Race With The Utilization Of Oral Health Services Among Older Adults, Mishael Smith
The Relationship Between Income And Race With The Utilization Of Oral Health Services Among Older Adults, Mishael Smith
Walden Dissertations and Doctoral Studies
Oral health disparities continue to present a significant public health challenge for older adults in the United States, particularly among racial minority and low-income populations. Despite national discussions around healthcare equity, there remains limited empirical insight into how race and income influence dental service utilization among Medicare beneficiaries. In this quantitative, cross-sectional study, the extent to which these demographic factors predicted oral healthcare utilization, using nationally representative data from the 2021 Medicare Current Beneficiary Survey, was assessed. Guided by the social determinants of health framework, chi-square tests, binary logistic regression, and negative binomial regression were performed to analyze the data. …
Exploring The Black Woman Experience Related To Sexual Practice, Sexual Identity, And Sexual Expression: A Qualitative Study, Ashley V. Rodriguez
Exploring The Black Woman Experience Related To Sexual Practice, Sexual Identity, And Sexual Expression: A Qualitative Study, Ashley V. Rodriguez
Walden Dissertations and Doctoral Studies
This study revealed the complex interplay between personal identities and social constructs, focusing on Black-identifying women and their lived experiences with sex, sexuality, and sexual expression. Over centuries, societal influences depicted Black women as hypersexual, simultaneously exposing them to criticism, shame, and judgment for their sexual expression and meaning-making related to sex and sexuality. Consequently, Black women remain a high-risk demographic for unsafe sexual practices and sexually transmitted infections. Using intersectionality theory and Black feminist theory, this study explored how Black-identifying women give meaning to sex, sexuality, and sexual expression as they shape the Black feminine experience. I sought to …
Secondary World Language Teachers’ Perspectives On Gamification-Based Assessments, Taryn Thompson
Secondary World Language Teachers’ Perspectives On Gamification-Based Assessments, Taryn Thompson
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was that there was a gap in the literature about secondary world language teachers using gamification-based assessments and the influence on student learning. The purpose of this basic qualitative study was to explore teachers’ perspectives on the benefits and challenges of gamification-based assessments. The study was grounded in the unified theory of acceptance and use of technology, digital game-based language learning, and Krashen’s second language acquisition theory. To secure a sample of 12 participants for this study, purposeful and snowball sampling were employed, wherein potential secondary world language teachers were solicited through …
The Exploration Of The Housing Exclusion Impact Among Michigan Ex-Offenders, Jackie Adam Harris
The Exploration Of The Housing Exclusion Impact Among Michigan Ex-Offenders, Jackie Adam Harris
Walden Dissertations and Doctoral Studies
Ex-offenders possibly felt excluded when private landlords or property managers conducted background checks and decided to immediately deny ex-offenders housing opportunities. The problem this study addressed was how landlords and property managers’ exclusion of ex-offenders impacted reentry post-incarceration. There was a gap regarding how Michigan private landlords impacted ex-offenders’ success factor in securing safe housing upon reentry back to society. The key findings related to the literature in ways that showed how landlords acknowledged outside biases, yet described ex-offender tenants as appreciative, positive, and respectful. The purpose of this general qualitative study was to explore how state and federal policies …
Experiences Of Early Childhood Professionals Regarding Selective Mutism, Jessica Denise Huffman
Experiences Of Early Childhood Professionals Regarding Selective Mutism, Jessica Denise Huffman
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that the experiences of early childhood professionals (ECPs) working with children with selective mutism are unknown. Grounded in Bronfenbrenner’s ecological theory of child development, the purpose of this basic qualitative study was to explore the experiences of ECPs working with children with selective mutism. Data were collected through semistructured interviews with 12 ECPs who support children with selective mutism in several districts in southern California. Through open coding, the following themes emerged: ECPs noted (a) limited knowledge about selective mutism; (b) supporting children who have selective mutism is both enjoyable and …
School Leaders’ Perceptions Of Post-Covid-19 Recruiting And Retention Of Special Education Teachers In A Local School District, Framy Diaz
Walden Dissertations and Doctoral Studies
School leaders in a local school district continue to struggle keeping their special education (SPED) positions appropriately staffed. The problem was that the inability to fill these large numbers of vacancies could adversely affect the quality of services SPED students receive and impact school personnel's ability to meet legal IEP compliance requirements. Guided by Maslow’s hierarchy of needs and Herzberg’s two-way factor theories, the purpose of this qualitative study was to gain the perspectives of school and district leaders regarding difficulties in post-COVID-19 recruiting and retention of SPED teachers. A basic qualitative design was used to capture the insights of …
Perceptions Of Whole Plant-Based Diets And Weight Among Hispanics In Miami, Florida, Zoraida Powell
Perceptions Of Whole Plant-Based Diets And Weight Among Hispanics In Miami, Florida, Zoraida Powell
Walden Dissertations and Doctoral Studies
Being overweight or obese poses major public health concerns and contributes to the development of chronic illnesses. While researchers have explored how a total plant-based diet impacts excess body weight or obesity, there is still a lack of clarity about how Hispanics living in Miami, FL, perceive or understand this diet concerning overweight and obesity. Using a generic qualitative approach, this study was conducted on how Hispanics in Miami, FL, understand and view a whole plant-based diet (WPBD) for preventing and reducing overweight and obesity. Through interviews with 14 diverse Hispanic participants, the study revealed that they see WPBD as …
Association Between Embedded No-Cost Materials And Student Success For Undergraduate Students In For-Profit Universities, Gaby Gabriela Johnson
Association Between Embedded No-Cost Materials And Student Success For Undergraduate Students In For-Profit Universities, Gaby Gabriela Johnson
Walden Dissertations and Doctoral Studies
Purchasing educational materials adds to college costs. The problem addressed in this study is the lack of research on the association between student success and the use of no-cost educational materials in for-profit universities. Grounded in Rawls’ principles of justice, the purpose of this quantitative study was to investigate the association between student success as measured by pass/fail outcomes and the use of embedded no-cost educational and open educational resources (OER) materials in undergraduate courses at a for-profit university. Academic outcomes of 751 undergraduate students across three courses were analyzed using the chi-square test of association. Results showed a weak …
Implementing Patient Health Questionnaire-9 Screening In Adult Mental Health: A Staff Education Initiative, Precious Nmachi Adaso
Implementing Patient Health Questionnaire-9 Screening In Adult Mental Health: A Staff Education Initiative, Precious Nmachi Adaso
Walden Dissertations and Doctoral Studies
This project was a staff education program aimed at the use of the Patient Health Questionnaire-9 (PHQ-9) as a universal depression screening instrument within a mental health facility. The project was conducted in an urban area of the United States at an outpatient behavioral health facility and was focused on addressing the stagnation in the staff’s correct use of evidence-based measures of depression screening that inhibits the prompt detection and treatment of major depressive disorder (MDD). The practice focused question was: Following participation in a staff education program, will staff demonstrate increased knowledge on depression screening and use of the …
Improving Staff Knowledge On Hourly Rounding Using The 4ps To Reduce The Fall Rate, Chukwuemeka Igboanugo
Improving Staff Knowledge On Hourly Rounding Using The 4ps To Reduce The Fall Rate, Chukwuemeka Igboanugo
Walden Dissertations and Doctoral Studies
I designed this Doctor of Nursing Practice (DNP) project to develop an educational program that increases staff knowledge of hourly rounding using an evidence-based approach, specifically pain, position, potty, and possession (the 4Ps), to prevent falls among residents in a long-term care facility. According to facility leadership, the observed gap in practice was the nursing staff members’ lack of knowledge in performing hourly rounding. The facility’s fall records for the lockdown units indicated a surge in fall rate, with 32 falls among 62 residents per month, reflecting a need for action. The practice-focused question guiding the project was: For staff …
The Perceptions Of Middle School Educators Concerning Failed Proficiency In Reading And Writing By Multilingual Learners, Carolyne Carter
The Perceptions Of Middle School Educators Concerning Failed Proficiency In Reading And Writing By Multilingual Learners, Carolyne Carter
Walden Dissertations and Doctoral Studies
Multilingual learners (MLs) education has been a topic of study among scholars for many years. The problem that was investigated is that middle school (MS) English Language Arts (ELA) teachers are challenged to improve reading and writing instruction for MLs. The purpose of this qualitative study was to explore the challenges MS ELA teachers face when trying to improve the reading and writing proficiency of MLs. The conceptual frameworks that guided this study were Vygotsky’s sociocultural theory of literacy and Ladson-Billing’s theory on culturally relevant pedagogy. For this basic qualitative design, data were collected through 11 semistructured interviews with MS …
Access Barriers To Early Childhood Development Surveillance And Screenings: Insights From Pediatric Office Providers, Pamela Russell Ledesma
Access Barriers To Early Childhood Development Surveillance And Screenings: Insights From Pediatric Office Providers, Pamela Russell Ledesma
Walden Dissertations and Doctoral Studies
Scholarly literature review found a gap in the identification of barriers experienced by pediatric office providers (POPs) for the provision of early childhood development (ECD) surveillance among culturally and linguistically diverse (CALD) children under the age of three years. The barriers may inhibit access to recommended screenings at defined milestones during the state of neurogenesis, whereby a child’s life trajectory may be negatively impacted and further handicap society at large. This qualitative study aimed to explore the access barriers and remedial strategies identified in the reconstructed narratives of southeast Florida POPs. The research design was premised on the behavioral model …
Experiences Of Immigrant Adults About English As A Second Language Classes With Instructors Who Do Not Speak Learners’ Languages, Gatluak Pal
Walden Dissertations and Doctoral Studies
The problem addressed in this study was the lack of research on the experiences of adult immigrant English language (EL) learners regarding their engagement in college-level English as a second language (ESL) courses with instructors who do not speak the learners’ native language. Researchers have reported that EL-learning immigrant adults are not actively engaging in their learning process. The purpose of this basic qualitative study was to investigate the experiences of EL-learning adult immigrants regarding their engagement in ESL college classes with instructors who do not speak the native language of their learners. A basic qualitative study was conducted using …
Premenopausal And Postmenopausal Malignant Cervical Cancer Diagnosis Among Disaggregated Subethnic Groups Of Asian American Women In The United States, Nilofar Haider Mirza
Premenopausal And Postmenopausal Malignant Cervical Cancer Diagnosis Among Disaggregated Subethnic Groups Of Asian American Women In The United States, Nilofar Haider Mirza
Walden Dissertations and Doctoral Studies
Despite being the United States' fastest-growing and diverse population, Asian Americans are often aggregated with Native Hawaiian and Pacific Islanders in prior research, resulting in masking disparities in cervical cancer screening/diagnosis among Asian American subethnic groups. Guided by Bronfenbrenner's ecological model, the association between disaggregated subethnic groups and cervical cancer diagnosis among Asian American women aged 20+ in the United States was examined using binary logistic regression. How histology type/behavior and age at diagnosis moderate the relationship between disaggregated subethnic groups and cervical cancer diagnosis was also explored. A quantitative cross-sectional design was employed using cases (N=1014) from the U.S. …
Implementation Of Culturally Relevant Pedagogy In Elementary Reading Instruction, Chelsea Renae Little
Implementation Of Culturally Relevant Pedagogy In Elementary Reading Instruction, Chelsea Renae Little
Walden Dissertations and Doctoral Studies
Culturally relevant pedagogy (CRP) has been shown to help educators address the unique educational needs of African American students. While research has supported the belief that CRP promotes a sense of belonging and positively influences academic achievement, there remains a lack of research regarding elementary teachers’ perceptions of their implementation of CRP specifically when teaching reading to African American students. Framed by Ladson-Billings’s CRP framework, the purpose of this basic qualitative study was to explore elementary teachers' perceptions of their implementation of CRP when teaching reading to African American students. Using a basic qualitative design, data were collected through semistructured …
Effects Of Summer School Attendance On The Assessed Reading Proficiency Of Third Grade Students, Lydia Evers
Effects Of Summer School Attendance On The Assessed Reading Proficiency Of Third Grade Students, Lydia Evers
Walden Dissertations and Doctoral Studies
Evidence shows students who are not reading proficiently by the end of third grade are more likely to eventually drop out of high school or be considered illiterate as adults, making it challenging to function adequately in society. The problem addressed through this study was that as many as 60% of U.S. third-grade students scored below proficiency on annual standardized reading assessments. Guided by faucet theory by Alexander et al., the purpose of this causal-comparative quantitative study was to compare reading standardized test scores of third-grade students who participated in a summer school program (SSP) in the summer following second …
Understanding Loss To Follow-Up: The Role Of Social Determinants Of Health In Infants Referred After A Positive Newborn Screening – A Quantitative Analysis, Betsy Graham-Moeller Graham-Moeller
Understanding Loss To Follow-Up: The Role Of Social Determinants Of Health In Infants Referred After A Positive Newborn Screening – A Quantitative Analysis, Betsy Graham-Moeller Graham-Moeller
Walden Dissertations and Doctoral Studies
Newborn screening (NBS) is a vital U.S. public health initiative that identifies medical conditions shortly after birth. Patients with positive screenings are referred for medical follow-up or evaluation. However, many patients do not receive the recommended long-term follow-up, posing concerns for healthcare providers and public health professionals working to ensure timely treatment and care continuity. Based on the Social Determinants of Health framework, this quantitative, retrospective cohort study aimed to examine demographic and clinical factors associated with follow-up adherence among 691 infants identified through NBS in Colorado and Wyoming. The purpose of the study was to determine whether race, ethnicity, …
Reconciling Harm Reduction Philosophy And Approaches Among Abstinence-Only Substance Abuse Treatment Professionals, Amy Rose Ashton-Williams
Reconciling Harm Reduction Philosophy And Approaches Among Abstinence-Only Substance Abuse Treatment Professionals, Amy Rose Ashton-Williams
Walden Dissertations and Doctoral Studies
Historically, substance use disorder (SUD) treatment in the United States has been firmly grounded in abstinence-only treatment approaches. Harm reduction as a treatment model has gained additional traction. With increased rates of opioid use, overdoses, and advancements in medications for SUDs, harm reduction treatment approaches are becoming more important to improve lives of people who use drugs. Little is known about how counselors who have been educated, trained, and deliver abstinence-based SUD treatment reconcile use of harm reduction into their practice. To address this gap in literature, a generic qualitative study was conducted using the social constructivism theory. A purposive …
The Association Between Sunlight Exposure Duration, Region Of Birth And Skin Conditions Linked To Skin Cancer Risk Among Migrant Hispanic Farmworkers, Uchechukwu Fidelia Nnoruka
The Association Between Sunlight Exposure Duration, Region Of Birth And Skin Conditions Linked To Skin Cancer Risk Among Migrant Hispanic Farmworkers, Uchechukwu Fidelia Nnoruka
Walden Dissertations and Doctoral Studies
Prolonged exposure to sunlight increases the risk of developing skin conditions linked to skin cancer. Migrant Hispanic farmworkers are especially at risk due to extended outdoor labor, limited access to preventive care, and minimal occupational protections. The purpose of this quantitative study was to examine the association between sun exposure duration and region of birth with the presence of skin conditions associated with skin cancer among migrant Hispanic farmworkers in the United States. This study was grounded by the Social Ecological Model, which provided a comprehensive framework for examining multilevel factors influencing skin health outcomes. Using a cross-sectional design, secondary …
Teachers’ Perceptions On Implementing Iready To Support Elementary Mathematics Instruction In Georgia, Cassandra Denise Walker
Teachers’ Perceptions On Implementing Iready To Support Elementary Mathematics Instruction In Georgia, Cassandra Denise Walker
Walden Dissertations and Doctoral Studies
The problem addressed through this study was that a significant number of 3rd to 5th grade students score below grade level on the mathematics portion of the Georgia Milestones assessment within a Georgia School District, despite the training and implementation of iReady. The purpose of this qualitative study was to explore 3rd to 5th grade teachers’ perceptions of their successes, challenges, and suggestions for implementing iReady in their mathematics instruction. The study was grounded in Chomsky’s concept of competency-based education, which asserts that as long as students can progress at their own pace, the majority of students will achieve competency …
Educational Leaders’ Perceptions Of Disproportionality In The Identification Of Elementary Gifted Students, Vincent Corrigan
Educational Leaders’ Perceptions Of Disproportionality In The Identification Of Elementary Gifted Students, Vincent Corrigan
Walden Dissertations and Doctoral Studies
Despite years of research on best practices in gifted program identification, racially diverse, linguistically diverse, and socioeconomically disadvantaged student populations continue to be underrepresented in elementary gifted programs. Guided by Renzulli’s three-ring conception of giftedness and practical system for identifying gifted and talented students, the purpose of this qualitative study was to explore local educational leaders’ perceptions of disproportionality in the identification of students for elementary gifted programs in a large public school system in the Eastern United States. For this basic qualitative design, data were collected through semistructured interviews with 18 educational leaders from the local elementary principal population. …
Effective Strategies For Mitigating Skills Gaps Postpandemic In The Automotive Industry, Neil Shah
Effective Strategies For Mitigating Skills Gaps Postpandemic In The Automotive Industry, Neil Shah
Walden Dissertations and Doctoral Studies
Inadequate approaches to filling employee skill gaps can seriously weaken workforce stability and organizational performance. Canadian automotive sector leaders are concerned about the risk of persistent employment shortages, high employee turnover, and decreased productivity. Grounded in Alderfer's existence, relatedness, and growth theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the strategies employed by Canadian auto manufacturers to address skill shortages in their workforce in the wake of the pandemic and subsequent digitalization. Six senior executives from Canadian auto manufacturers who led successful skill-development and retention initiatives participated in semistructured interviews, complemented by a review of …