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Walden Dissertations and Doctoral Studies

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Enhancing Emergency Department Communication: Structural Requirements And Outcomes Of Standardized Handover Processes, Bridgette A. Moss-Sherman Apr 2025

Enhancing Emergency Department Communication: Structural Requirements And Outcomes Of Standardized Handover Processes, Bridgette A. Moss-Sherman

Walden Dissertations and Doctoral Studies

Effective communication during patient handovers is crucial for ensuring safe, quality care in the emergency departments (EDs) of small to medium-sized hospitals. The absence of standardized communication tools presents significant challenges, potentially leading to errors and hindering care coordination. This integrative review evaluates strategies for implementing standardized handover processes while examining their outcomes, underscoring the urgent need for enhanced communication practices. Grounded in the Donabedian quality conceptual framework, which encompasses structure, process, and outcomes as interconnected components of healthcare quality, the review identifies five key themes: (a) standardized communication protocols, advocating for the adoption of structured tools like SBAR and …


Successful Leadership Strategies Hotel Managers Use To Reduce Employee Turnover, Sean Reid Apr 2025

Successful Leadership Strategies Hotel Managers Use To Reduce Employee Turnover, Sean Reid

Walden Dissertations and Doctoral Studies

Employee turnover remains a significant challenge in the hotel industry, impacting service quality and increasing operational costs. Hotel managers are particularly concerned with this issue as it affects their ability to maintain a financially sustainable business. Grounded in the transformational leadership theory, the purpose of this qualitative multiple case study was to explore successful leadership strategies hotel managers use to reduce employee turnover. The participants comprised four hotel managers from four different hotels in the Caribbean. Data were gathered from semistructured interviews, interview notes, and a review of documents provided by the participants. Four themes emerged from the use of …


Police Officers’ Use Of Force In The Low Country Of South Carolina, Mariah Roy Apr 2025

Police Officers’ Use Of Force In The Low Country Of South Carolina, Mariah Roy

Walden Dissertations and Doctoral Studies

United States police officers' use of force is an ongoing concern of many community members. As these encounters continue to occur, lawmakers in states, including South Carolina (SC), have revitalized or implemented statutes addressing the use of force. The purpose of this qualitative phenomenological study was to better understand the use of force in law enforcement from the perspectives of community members in the Low Country region of SC. The rational model and contact hypothesis served as the study’s foundation. Data were collected from interviews with 10 participants over the age of 18 from Charleston, SC, a city within the …


Leadership Strategies For Navigating The Integration Of Physical And Behavioral Healthcare, Seán David Mclawhorn Mar 2025

Leadership Strategies For Navigating The Integration Of Physical And Behavioral Healthcare, Seán David Mclawhorn

Walden Dissertations and Doctoral Studies

The separation of physical and behavioral healthcare and a dominant medical model have left a void in practice and research, especially pertaining to the leadership strategies necessary to integrate the two forms of care in college campus healthcare clinics. This is especially important given the rise of mental health concerns on and off college campuses. Without integration, there are missed opportunities for care delivery, in general, and a missed opportunity for the provision of care to individuals who historically have not accessed physical and behavioral healthcare at equivalent rates as other populations. The subject of care integration is addressed in …


Effective Strategies To Increase Workplace Inclusivity In The Oil And Gas Industry, Patricia Lindsey Isaac Mar 2025

Effective Strategies To Increase Workplace Inclusivity In The Oil And Gas Industry, Patricia Lindsey Isaac

Walden Dissertations and Doctoral Studies

Some oil and gas industry leaders face challenges in implementing effective strategies to increase workplace inclusivity, which can result in lower profits, decreased employee engagement, and reduced productivity. Executive leaders and managers, responsible for organizational performance and workforce retention, are particularly concerned about addressing these challenges to sustain business success and competitiveness. Grounded in the leader-member exchange theory, the purpose of this qualitative pragmatic inquiry was to explore strategies executive leaders use to enhance inclusivity in the oil and gas industry. The participants were nine executives, leaders, and managers from the oil and gas sector who had previously implemented effective …


Exploring Cybersecurity Policy Compliance Strategies To Secure E-Government Systems, Michael Oyedele Arowosegbe Mar 2025

Exploring Cybersecurity Policy Compliance Strategies To Secure E-Government Systems, Michael Oyedele Arowosegbe

Walden Dissertations and Doctoral Studies

Nigerian government organizations face significant challenges in complying with cybersecurity policies, threatening the security and efficiency of their e-government systems. IT leadership groups are concerned that compliance issues could lead to data breaches, service disruptions, and diminished public trust, ultimately hindering economic growth and digital transformation efforts. This qualitative multiple-case study, framed through the lens of neo-institutional theory, aimed to explore the cybersecurity policies and effective compliance strategies employed by information security officers to secure e-government systems against cyberattacks. The participants consisted of nine information security officers from three information security-certified government institutions in central Nigeria. Data collection included semi-structured …


Strategies For Independent Restaurant Business Leaders In The United States To Retain Employees, Ayman Hussein Mar 2025

Strategies For Independent Restaurant Business Leaders In The United States To Retain Employees, Ayman Hussein

Walden Dissertations and Doctoral Studies

Employee turnover poses a significant threat to the stability and growth of businesses, particularly in the restaurant industry. Independent restaurant owners and managers are especially concerned about the consequences of high turnover rates, which can negatively impact their operations. This includes disruptions in productivity, declines in profitability, and diminished competitiveness, all of which undermine the long-term viability of their establishments. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies employed by leaders of independent U.S. restaurants to retain employees. The participants included 10 leaders from independent Florida-based restaurants, each with at least …


Successful Leadership Strategies Used By Front-Line Leaders In Crises, Robi Washington Mar 2025

Successful Leadership Strategies Used By Front-Line Leaders In Crises, Robi Washington

Walden Dissertations and Doctoral Studies

Unskilled front-line leaders in the production industry can contribute to operational inefficiencies and delays in crisis response. Effective crisis management requires front-line leaders to employ evidence-based leadership strategies that enhance organizational resilience. Grounded in the transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to explore successful leadership strategies front-line leaders use for crisis management. The participants were seven front-line leaders in the central Mississippi production industry who successfully implemented leadership strategies for crisis management. Data were collected using semistructured virtual interviews and a review of public documents related to crisis management, public safety policies, and code of …


Female Students With Disabilities’ Perceptions Of Science, Technology, Engineering, Mathematics Education, Toni Anne Walkowiak Feb 2025

Female Students With Disabilities’ Perceptions Of Science, Technology, Engineering, Mathematics Education, Toni Anne Walkowiak

Walden Dissertations and Doctoral Studies

The demand to increase enrollment in science, technology, engineering, and mathematics (STEM) education programs has intensified globally since the early 21st century. Researchers have concentrated on the gender divide with limited research on female students with disabilities (FSwDs). The purpose of this qualitative study was to explore FSwDs’ perceptions of their successes and challenges with accessibility, inclusion, and support experienced in STEM education programs, as well as their recommendations for improving policies and practices in STEM higher education. The study was grounded in social identity and social learning theories. For this basic qualitative design, semistructured interviews were conducted with nine …


Principals Perceptions Of Balancing Leadership And Self-Care, Marchelle Latanya Williams-Hines Feb 2025

Principals Perceptions Of Balancing Leadership And Self-Care, Marchelle Latanya Williams-Hines

Walden Dissertations and Doctoral Studies

The increasing demands of educational leadership place significant stress on school principals, leading to challenges in balancing leadership responsibilities with self-care. This study explored principals’ perceptions of three key aspects: the challenges of balancing leadership and self-care, the demands contributing to stress, burnout, and turnover, and the resources that help mitigate these challenges. Guided by the job demands-resources model and mindfulness theory, this qualitative study utilized semistructured interviews with 10 elementary school principals in a southern Jamaican district. Data collection focused on self-care practices, leadership demands, and coping strategies, with thematic analysis identifying six major themes: the unpredictability and overload …


High School Teachers’ Perceptions Of School Leadership Practices That Support Retention In Oregon Schools, Isaac Ej Anthony Reyes Tenorio Feb 2025

High School Teachers’ Perceptions Of School Leadership Practices That Support Retention In Oregon Schools, Isaac Ej Anthony Reyes Tenorio

Walden Dissertations and Doctoral Studies

While numerous studies have addressed teacher turnover, significant research gaps still exist, highlighting the need for further investigation. The problem addressed in this study was the high teacher turnover rate in a high school compared to its district counterparts in a northwest Oregon school district. Guided by Hersey and Blanchard’s situational leadership theory, the purpose of this basic qualitative study was to explore high school teachers’ perceptions of leadership practices that support teacher retention in a northwest Oregon school district with a high turnover rate. Twelve high school teachers currently employed in the school district with at least five years …


Dialectical Behavior Therapy Implementation Experiences Among Mental Health Professionals In Correctional Settings, Angdi Karim Impelee Feb 2025

Dialectical Behavior Therapy Implementation Experiences Among Mental Health Professionals In Correctional Settings, Angdi Karim Impelee

Walden Dissertations and Doctoral Studies

This study investigated the challenges and experiences of mental health professionals implementing Dialectical Behavior Therapy (DBT) within forensic populations in the United States, filling a significant gap in research that primarily focused on DBT in non-forensic contexts. Utilizing qualitative methods, data were collected through semi-structured interviews with practitioners from various correctional settings, emphasizing their perceptions of DBT's efficacy, adaptation strategies to meet the cultural and institutional demands of their unique environments, and resultant behavioral outcomes for incarcerated individuals. Thematic analysis revealed key challenges, including resource limitations, institutional resistance, and the necessity for extensive cultural adaptations of therapeutic techniques. Participants highlighted …


Solutions To Retaining Leaders In Behavioral Health Organizations, Kelly Murphy Feb 2025

Solutions To Retaining Leaders In Behavioral Health Organizations, Kelly Murphy

Walden Dissertations and Doctoral Studies

Retaining qualified behavioral health leaders is critical to the success of the behavioral health organization. Continually exploring solutions and strategies helps the organization to assess and improve its effectiveness in meeting its mission, vision, and values. This study focused on the development and execution of the strategic plan as a tool for the organization to successfully meet its goals. The problem addressed in this study is the leadership turnover rate and how this change impacts progress toward achieving the mission, vision, and values of the organization. The Baldrige Excellence Framework was used in this study to evaluate processes of hiring, …


Stratgies Used By Small Fashion Retail Business Leaders To Survive Beyond 5 Years, Lakeshia Nicole Chaney Feb 2025

Stratgies Used By Small Fashion Retail Business Leaders To Survive Beyond 5 Years, Lakeshia Nicole Chaney

Walden Dissertations and Doctoral Studies

Small fashion retail business leaders face survival challenges due to rapidly shifting consumer spending patterns and growing demands for social responsibility. The leaders care deeply about addressing these challenges to maintain profitability, protect jobs, and ensure sustainable growth in an increasingly competitive market. Grounded in strategic contingency theory, the purpose of this qualitative pragmatic inquiry study was to explore strategies small fashion retail business leaders use to survive beyond 5 years in South Central United States. The participants were six small fashion business leaders from a retail sector entity who successfully implemented survival strategies for at least 5 years. Data …


Increasing The Physician Workforce In Rural Hospitals, Tagny Isabel Diaz Solis Feb 2025

Increasing The Physician Workforce In Rural Hospitals, Tagny Isabel Diaz Solis

Walden Dissertations and Doctoral Studies

Rural hospitals experience challenges in supplying the physician workforce, leading to poor organizational and population health outcomes. The purpose of this integrative review was to determine factors that affect physician recruitment and retention in rural hospitals and provide strategies for administrators to support sufficient physician staffing. The review question was used to identify effective strategies to improve physician recruitment and retention in rural hospitals. An integrative review was completed using empirical and nonempirical research published between 2019 and 2024. The results of the literature demonstrated components affecting physician motivation and job satisfaction. Five main themes surfaced: (a) professional education, (b) …


The Relationship Between Remote Followers’ Perceptions Of Leader’S Emotional Intelligence And Followers’ Psychological Safety, Gender, And Tenure, Jeanine P. Stroud Feb 2025

The Relationship Between Remote Followers’ Perceptions Of Leader’S Emotional Intelligence And Followers’ Psychological Safety, Gender, And Tenure, Jeanine P. Stroud

Walden Dissertations and Doctoral Studies

This quantitative study explored the relationship between remote workers’ perceptions of their leaders’ emotional intelligence and their self-reported psychological safety, with gender and tenure as moderating variables. Data from 172 remote employees using a cross-sectional online survey revealed that perceived leader emotional intelligence was a significant predictor of psychological safety, both as a composite measure and across its four dimensions of emotional intelligence: self-emotional appraisal, others’ emotional appraisal, regulation of emotion, and use of emotion. Gender moderated the relationship with the combined interaction of worker and leader gender in female leader–female follower dyads. Tenure with the leader did not moderate …


The Lived Experience Of Leaders With Work-Related Unresolved Grief, Jennifer Harden Feb 2025

The Lived Experience Of Leaders With Work-Related Unresolved Grief, Jennifer Harden

Walden Dissertations and Doctoral Studies

Unresolved grief within organizational contexts has remained an underexplored area in literature, with most research focusing on grief related to personal loss rather than unique challenges leaders face during organizational transitions. The purpose of this qualitative phenomenological hermeneutic study was to explore and understand the leaders’ lived experiences with unresolved grief for addressing intricate emotions, perceptions, and coping mechanisms within the context of organizational change. The grief model, the dual process model, and the sensemaking theory grounded this study. Ten human services industry leaders were participants in semistructured interviews. The thematic analysis revealed four themes: the emotional and physical toll …


Sustaining Diversity, Equity, And Inclusion Through Transformational Leadership In Behavioral Health Management, Ndubuisi Christopher Egunetugo Feb 2025

Sustaining Diversity, Equity, And Inclusion Through Transformational Leadership In Behavioral Health Management, Ndubuisi Christopher Egunetugo

Walden Dissertations and Doctoral Studies

This case study examines the challenges of Diversity, Equity, and Inclusion (DEI) within an organization, emphasizing systemic biases, workforce diversity, and the necessity of culturally competent care. The Behavioral Health Organization in the southern United States faces significant DEI challenges due to its diverse clientele, workforce, and various stakeholders. Transformational leadership, marked by visionary thinking and actionable initiatives, is crucial for sustaining DEI efforts and addressing disparities in service access, care quality, management practices, and treatment outcomes. The Baldrige Framework of Excellence is employed as a systematic method to embed DEI principles across organizational operations, facilitated by transformational leadership to …


Patient Satisfaction And Nurse Communication Pre- And Posthospital Mergers And/Or Acquisitions, Shakeeya Sorrells Feb 2025

Patient Satisfaction And Nurse Communication Pre- And Posthospital Mergers And/Or Acquisitions, Shakeeya Sorrells

Walden Dissertations and Doctoral Studies

Amid continuing mergers and/or acquisitions (M&As) of their institutions, U.S. hospital leaders have found it challenging to maintain favorable patient satisfaction Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS) scores. The purpose of this quantitative, quasi-experimental study was to explore the correlation between patient satisfaction (identified as the “likelihood to recommend” metric) and “nurse communication” HCAHPS scores pre- and post-hospital M&As. Donabedian’s theoretical framework and triad model of structure, process, and outcomes within health care quality served as the foundation for the evaluation. HCAHPS and 2019 change of hospital ownership data were obtained from the Centers for Medicaid …


Patient Satisfaction And Nurse Communication Pre- And Posthospital Mergers And/Or Acquisitions, Shakeeya Sorrells Feb 2025

Patient Satisfaction And Nurse Communication Pre- And Posthospital Mergers And/Or Acquisitions, Shakeeya Sorrells

Walden Dissertations and Doctoral Studies

Amid continuing mergers and/or acquisitions (M&As) of their institutions, U.S. hospital leaders have found it challenging to maintain favorable patient satisfaction Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS) scores. The purpose of this quantitative, quasi-experimental study was to explore the correlation between patient satisfaction (identified as the “likelihood to recommend” metric) and “nurse communication” HCAHPS scores pre- and post-hospital M&As. Donabedian’s theoretical framework and triad model of structure, process, and outcomes within health care quality served as the foundation for the evaluation. HCAHPS and 2019 change of hospital ownership data were obtained from the Centers for Medicaid …


Examining Organizational Changes In A Lead Organization With Local Chapters, Scottie Y. Mcclaney Jan 2025

Examining Organizational Changes In A Lead Organization With Local Chapters, Scottie Y. Mcclaney

Walden Dissertations and Doctoral Studies

This qualitative study examined the balance between local autonomy and organizational uniformity in a statewide nonprofit organization. Local chapters operated within the lead organization’s framework while retaining flexibility to establish their own bylaws, presenting challenges in communication, representation, and consistency. Guided by the research questions—How do the autonomous structures of the local chapters affect internal communication both within individual chapters and across local chapters? and To what extent do operational practices, methodologies, and goals vary across the local chapters, and are there identifiable lead practices that can be universally adopted to enhance the overall efficiency of chapters? —this study explored …


Improving Financial Employee Organizational Commitment During Post-Merger Integration, Natalie Yve Cote Canestro Jan 2025

Improving Financial Employee Organizational Commitment During Post-Merger Integration, Natalie Yve Cote Canestro

Walden Dissertations and Doctoral Studies

Mergers and acquisitions (M&A) remain a top growth strategy for organizational leaders. However, the success of these initiatives is often undermined during post-merger integration (PMI) due to challenges in aligning organizational cultures, processes, and employee commitment. A lack of focus on enhancing employees’ organizational commitment (OC) during this critical phase can lead to disengagement, resistance to change, decreased productivity, and higher turnover rates. The purpose of the pragmatic inquiry was to explore how financial managers enhance their employees’ OC during PMI through the Leader-Member Exchange (LMX) framework. Data were collected through semistructured interviews of six financial managers. Data were then …


Improving Financial Employee Organizational Commitment During Post-Merger Integration, Natalie Yve Cote Canestro Jan 2025

Improving Financial Employee Organizational Commitment During Post-Merger Integration, Natalie Yve Cote Canestro

Walden Dissertations and Doctoral Studies

Mergers and acquisitions (M&A) remain a top growth strategy for organizational leaders. However, the success of these initiatives is often undermined during post-merger integration (PMI) due to challenges in aligning organizational cultures, processes, and employee commitment. A lack of focus on enhancing employees’ organizational commitment (OC) during this critical phase can lead to disengagement, resistance to change, decreased productivity, and higher turnover rates. The purpose of the pragmatic inquiry was to explore how financial managers enhance their employees’ OC during PMI through the Leader-Member Exchange (LMX) framework. Data were collected through semistructured interviews of six financial managers. Data were then …


Examining Organizational Changes In A Lead Organization With Local Chapters, Scottie Y. Mcclaney Jan 2025

Examining Organizational Changes In A Lead Organization With Local Chapters, Scottie Y. Mcclaney

Walden Dissertations and Doctoral Studies

This qualitative study examined the balance between local autonomy and organizational uniformity in a statewide nonprofit organization. Local chapters operated within the lead organization’s framework while retaining flexibility to establish their own bylaws, presenting challenges in communication, representation, and consistency. Guided by the research questions—How do the autonomous structures of the local chapters affect internal communication both within individual chapters and across local chapters? and To what extent do operational practices, methodologies, and goals vary across the local chapters, and are there identifiable lead practices that can be universally adopted to enhance the overall efficiency of chapters? —this study explored …


A Qualitative Exploration Of The Milwaukee Chapter Of My Brother’S Keeper Community Challenge Program, Courtney Santanna Hayward Jan 2025

A Qualitative Exploration Of The Milwaukee Chapter Of My Brother’S Keeper Community Challenge Program, Courtney Santanna Hayward

Walden Dissertations and Doctoral Studies

Although the mayor of Milwaukee and other stakeholders launched and committed resources to the My Brother’s Keeper (MBK) program, it was unclear whether the program was meeting its goal of increasing graduation rates and college readiness of young Black males in Milwaukee. The purpose of this generic qualitative study was to explore administrators’ perspectives on whether the current funding resources of the MBK program in Milwaukee were adequate to ensure the program’s ability to meet its goal of increasing graduation rates and college readiness of its participants. Resource dependence theory and the teleological process theory guided the study. Braun and …


A Qualitative Exploration Of The Milwaukee Chapter Of My Brother’S Keeper Community Challenge Program, Courtney Santanna Hayward Jan 2025

A Qualitative Exploration Of The Milwaukee Chapter Of My Brother’S Keeper Community Challenge Program, Courtney Santanna Hayward

Walden Dissertations and Doctoral Studies

Although the mayor of Milwaukee and other stakeholders launched and committed resources to the My Brother’s Keeper (MBK) program, it was unclear whether the program was meeting its goal of increasing graduation rates and college readiness of young Black males in Milwaukee. The purpose of this generic qualitative study was to explore administrators’ perspectives on whether the current funding resources of the MBK program in Milwaukee were adequate to ensure the program’s ability to meet its goal of increasing graduation rates and college readiness of its participants. Resource dependence theory and the teleological process theory guided the study. Braun and …


Southern Californian Clinicians’ Perspectives Of Online Treatment For Adolescents With Eating Disorders, Sandra Mcintyre Jan 2025

Southern Californian Clinicians’ Perspectives Of Online Treatment For Adolescents With Eating Disorders, Sandra Mcintyre

Walden Dissertations and Doctoral Studies

Treatment for eating disorders in adolescents is constantly changing and improving. With the recent COVID-19 pandemic, there has been a major transition to telehealth treatment. Studies on the efficacy and experience of telehealth have mainly focused on clients and families, leaving out clinician perspectives. Little research has also been done on how telehealth can be improved on now that it is more commonly used. Lewin’s field theory formed the framework for this qualitative study to explore clinicians’ suggestions to improve telehealth treatment for eating disorders. Ten specialized mental health clinicians provided data collected using two sequenced questionnaires. Analysis of the …


Southern Californian Clinicians’ Perspectives Of Online Treatment For Adolescents With Eating Disorders, Sandra Mcintyre Jan 2025

Southern Californian Clinicians’ Perspectives Of Online Treatment For Adolescents With Eating Disorders, Sandra Mcintyre

Walden Dissertations and Doctoral Studies

Treatment for eating disorders in adolescents is constantly changing and improving. With the recent COVID-19 pandemic, there has been a major transition to telehealth treatment. Studies on the efficacy and experience of telehealth have mainly focused on clients and families, leaving out clinician perspectives. Little research has also been done on how telehealth can be improved on now that it is more commonly used. Lewin’s field theory formed the framework for this qualitative study to explore clinicians’ suggestions to improve telehealth treatment for eating disorders. Ten specialized mental health clinicians provided data collected using two sequenced questionnaires. Analysis of the …


Administrators' Perceptions Of Their Roles In Facilitating Data-Driven Classroom Instruction In Elementary Schools, Aisha L. Pruett Jan 2025

Administrators' Perceptions Of Their Roles In Facilitating Data-Driven Classroom Instruction In Elementary Schools, Aisha L. Pruett

Walden Dissertations and Doctoral Studies

In the United States, a critical issue in contemporary education is the role of elementary school administrators in promoting data-driven instructional strategies to improve educational outcomes in the elementary classroom. The purpose of this basic qualitative study was to explore elementary school administrators’ perceptions of their roles in helping teachers utilize data in the facilitation of instruction in the classroom. The conceptual framework guiding this study was the leadership for learning theory. For this basic qualitative design, purposeful sampling resulted in semistructured interviews with 10 elementary school administrators from three elementary schools within a district in an Eastern County and …


Administrators' Perceptions Of Their Roles In Facilitating Data-Driven Classroom Instruction In Elementary Schools, Aisha L. Pruett Jan 2025

Administrators' Perceptions Of Their Roles In Facilitating Data-Driven Classroom Instruction In Elementary Schools, Aisha L. Pruett

Walden Dissertations and Doctoral Studies

In the United States, a critical issue in contemporary education is the role of elementary school administrators in promoting data-driven instructional strategies to improve educational outcomes in the elementary classroom. The purpose of this basic qualitative study was to explore elementary school administrators’ perceptions of their roles in helping teachers utilize data in the facilitation of instruction in the classroom. The conceptual framework guiding this study was the leadership for learning theory. For this basic qualitative design, purposeful sampling resulted in semistructured interviews with 10 elementary school administrators from three elementary schools within a district in an Eastern County and …