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Walden Dissertations and Doctoral Studies

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Frontline And Middle-Level Nursing Leader Transition Within The Military Health System, Rudolph George Newman Jan 2016

Frontline And Middle-Level Nursing Leader Transition Within The Military Health System, Rudolph George Newman

Walden Dissertations and Doctoral Studies

Healthcare delivery within the military requires a multifaceted approach to achieve the desired outcomes of safe, effective, patient-centered, timely, efficient, and equitable health care. The prospect of maintaining a cycle of continuous process improvements within military clinical settings hinge on frontline leaders and middle-level managers who must be prepared to execute the mission and motivate, supervise, coach and mentor the staff. This project showcases a review of current literature translated into the development of an evidence-based Transformational Leadership Induction Program (TLIP) module that consisted of 4 subsections: the environment of care, clinical decision support systems, human resources management, and change …

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Behavioral Health Medical Interpreters: Cluster Analysis Of Vicarious Traumatization And Posttraumatic Growth, Pauline N. Stahlbrodt Jan 2016

Behavioral Health Medical Interpreters: Cluster Analysis Of Vicarious Traumatization And Posttraumatic Growth, Pauline N. Stahlbrodt

Walden Dissertations and Doctoral Studies

Medical interpreter services will be essential for developing and implementing culturally relevant interventions and treatment for limited English proficiency (LEP) populations. This study sought to identify the possible risks or protective factors that may be associated with vicarious traumatization (VT) or vicarious posttraumatic growth among medical interpreters in behavioral health settings. A 2-step cluster analysis was conducted yielding 2 distinct groupings of medical interpreters (Subtype 1, n = 73; Subtype 2, n = 101). The most important predictor determining the 2 subtypes was whether the participant had a personal history of trauma. In addition, there were significant differences between the …

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A Phenomenological Study Of Single Fathers Of Children With Autism In Trinidad, Merisha Shirwell Margaret Seepersad Jan 2016

A Phenomenological Study Of Single Fathers Of Children With Autism In Trinidad, Merisha Shirwell Margaret Seepersad

Walden Dissertations and Doctoral Studies

With an increase in diagnosis rates of autism in Trinidad, more parents of children with autism, especially single fathers, face numerous challenges on a daily basis. There is a lack of research on this topic and therefore an inadequate understanding of the experiences of Trinidadian single fathers as primary caregivers for children with autism. The purpose of this phenomenological study was to explore and depict the lived experiences of single fathers of children with autism. Social support theory was the guiding conceptual framework to explore and understand how single fathers effectively manage their daily challenges. Ten single fathers from Southern …

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Success Of The African American Female Military Field Grade Officers In An Army Environment, Sandra Thompson Jan 2016

Success Of The African American Female Military Field Grade Officers In An Army Environment, Sandra Thompson

Walden Dissertations and Doctoral Studies

African American female field grade officers perform many missions in the United States Army and often excel in their careers. Unfortunately, the factors accounting for the success of African American female military officers' career are understudied, and this gap in knowledge may prevent younger female military officers from advancing their careers. The purpose of this phenomenological study was to understand the success factors of African American female field grade officers. Participants were women who were currently serving on active duty, who retired after serving 20 or more years, or who had resigned their commissions. Success was defined as achieving rank …

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Impact Of Orientation Programs On Nontraditional Students' Perceived Academic Success In Adult Education Programs, Marsha Ann Webster Jan 2016

Impact Of Orientation Programs On Nontraditional Students' Perceived Academic Success In Adult Education Programs, Marsha Ann Webster

Walden Dissertations and Doctoral Studies

Many administrators and faculty within higher education institutions have grappled with identifying and employing effective strategies to facilitate student success and persistence. The current study focuses on assessing nontraditional students' self-efficacy beliefs and their perception of the orientation program at a 2-year continuing education program in a Caribbean nation. The study is important as the findings have the potential to increase nontraditional students' persistence and learning. Bandura's social cognitive theory and the theory of self-efficacy served as the theoretical frameworks of this sequential mixed-methods design study. The quantitative research questions examined the reported self-efficacy levels of 77 participants and nonparticipants …

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Childhood Attention Deficit Hyperactivity Disorder: A Stress Factor For African Immigrant Mothers, Helen Agatha Awatefe Jan 2016

Childhood Attention Deficit Hyperactivity Disorder: A Stress Factor For African Immigrant Mothers, Helen Agatha Awatefe

Walden Dissertations and Doctoral Studies

Children between the ages of 6-17 years suffering from childhood attention deficit hyperactivity disorder (ADHD) need constant attention as they are more likely to be accident proned, hospitalized, disruptive, and educationally challenged. The constant attention required for children with ADHD may impose stress on mothers and primary caregivers, yet this stress has not been sufficiently studied. The objective of this study was to fill a gap in literature by studying the stress experienced by African immigrant mothers living in the United States who are living with and caring for a child with ADHD, and then comparing the level of stress …

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Clinician Perspectives Of Adult High-Functioning Autism Support Groups' Use Of Neurodiversity Concept, Gwendolyn Spencer Barnhart Jan 2016

Clinician Perspectives Of Adult High-Functioning Autism Support Groups' Use Of Neurodiversity Concept, Gwendolyn Spencer Barnhart

Walden Dissertations and Doctoral Studies

Ample research has examined the impact of autism for children and families, but less has addressed the effects of this condition for adults. The literature indicates that adults on the autism spectrum suffer from depression and have a heightened risk of suicidal ideation because of their social skills deficits. Research also shows that individuals with high-functioning autism (HFA) can benefit from participating in support groups. In addition, research indicates that use of the term "neurodiversity" rather than other diagnostic labels encourages increased self-esteem to persons on the autism spectrum. This grounded theory study sought to understand the belief of clinicians …

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What Are The Perspectives Of Osteoporosis Screening Among Black Women?, Angela Alsberry Wilkins Jan 2016

What Are The Perspectives Of Osteoporosis Screening Among Black Women?, Angela Alsberry Wilkins

Walden Dissertations and Doctoral Studies

Osteoporosis is a serious disease which often brings pain, disability, hospitalization, and even death. An increasing number of studies have been conducted on the prevention and treatment of osteoporosis in White women, yet a paucity of research exists to explain disparities in screening and treatment of osteoporosis in Black women. This narrative study describes the perspectives of Black women regarding individual barriers to osteoporosis screening. The purpose of this study was to better understand the perspectives of Black women regarding prevention of and screening for osteoporosis. Selections included purposive, criterion sampling of 10 Black women who were 50 years and …

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The Impact Of Religiosity And Gender On Attitudes Toward Juvenile Sex Offenders, Angela Marie Barteau Jan 2016

The Impact Of Religiosity And Gender On Attitudes Toward Juvenile Sex Offenders, Angela Marie Barteau

Walden Dissertations and Doctoral Studies

Personal characteristics of mental health professionals can impact their attitudes toward juvenile sex offenders (JSOs) and affect treatment. The correlation between mental health professionals' religiosity and their attitudes has not been examined, and there is limited research about the correlation between professionals' gender and attitudes. The purpose of this study was to examine how mental health professionals' religiosity and gender related to their attitudes toward JSO treatment. Labeling theory provided the theoretical foundation for this study. This theory posits that individuals label certain populations, such as sex offenders, as deviant and this labeling perpetuates a cycle of criminal behavior. Using …

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Transition And Transformation - From Military Combat To College Classroom: Strategies For Success, Charles Mark Brewer Jan 2016

Transition And Transformation - From Military Combat To College Classroom: Strategies For Success, Charles Mark Brewer

Walden Dissertations and Doctoral Studies

Research shows that faculty, staff, and administrators at institutions of higher learning have a fundamental responsibility to create a safe and effective learning environment for returning military combat veterans. Studies of student veterans have shown that combat veterans have both unique strengths and barriers that must be taken into account if they are to complete an advanced degree. This study contributes to the literature on educational barriers faced by student veterans and their educators. Knowles' andragogy theory provided the theoretical framework for this transcendental-phenomenological research study. Ten randomly chosen student military veterans from Tacoma Community College in Tacoma, Washington, participated …

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Comparison Of Thyroid Disease Mortality Between Urban And Rural Populations In Southwest Georgia, Donyale Bouie Childs Jan 2016

Comparison Of Thyroid Disease Mortality Between Urban And Rural Populations In Southwest Georgia, Donyale Bouie Childs

Walden Dissertations and Doctoral Studies

Twenty million people in the United States have some form of thyroid disease. In 2014, there were 62,980 new cases of thyroid cancer and 1,890 deaths. Water source is a known risk factor for thyroid disease. Pollutants that are known to alter thyroid function can find their way into water sources. The effect of various water sources on thyroid- related mortality has not been determined in the state of Georgia. The purpose of this correlational study was to investigate whether invasive thyroid disease mortality differs between urban participants who drank municipal water and rural participants who drank untreated water in …

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Impact Of Pneumococcal Conjugate Vaccine Thirteen Valent On The Reduction Of Invasive Pneumococcal Disease, Aissata Coulibaly Jan 2016

Impact Of Pneumococcal Conjugate Vaccine Thirteen Valent On The Reduction Of Invasive Pneumococcal Disease, Aissata Coulibaly

Walden Dissertations and Doctoral Studies

Many children under the age of 5 die each year of invasive pneumococcal disease. Childhood vaccination against this disease reduces morbidity and mortality. Despite the introduction of a pneumococcal conjugate vaccine (PCV13) in a central African country in 2011, all provinces have not yet been vaccinated. The purpose of this quantitative quasi-experimental study was to determine whether there was an association between the introduction of PCV13 and new cases of pneumococcal disease in 2 provinces in central Africa. The sample size for the study was 380. The theoretical framework for this study was the epidemic model supported by the concept …

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Exploring The Transition Of First-Generation Mexican American Students From Grade 8 To High School, Mary C. Curry Jan 2016

Exploring The Transition Of First-Generation Mexican American Students From Grade 8 To High School, Mary C. Curry

Walden Dissertations and Doctoral Studies

The dropout rate for first-generation Mexican Americans students in American schools has increased in the past decade. The purpose of this study, as reflected in the central research question, was to explore the factors that influenced the decision of first-generation Mexican American students to transition to high school or drop out after Grade 8. The research design was a phenomenological case study. The conceptual framework was based on current research surrounding first-generation Mexican American student dropout questions. In addition, how the concepts of family and community involvement and relationships between the home and school have an impact on the first …

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An Exploration Of Leadership Styles And Motivation In Egyptian Business Organizations, Nady Ahmed El-Zayaty Jan 2016

An Exploration Of Leadership Styles And Motivation In Egyptian Business Organizations, Nady Ahmed El-Zayaty

Walden Dissertations and Doctoral Studies

Leadership styles can have a profound impact on employee motivation and performance. The changing global business landscape has drawn much attention to transformational leadership as an approach that addresses the demands of organizations in this complex environment. The purpose of this qualitative grounded theory study was to understand the nature of employee motivation with regard to leadership styles and the role of transformational leadership in Egyptian business organizations. Seventeen Egyptian professionals were recruited through a combination of e-mail and telephone procedures and were interviewed regarding their experiences with organizational leaders; their perception of the ideal organizational leader; their feelings about …

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Relationship Between Safety Climate, Job Tenure, And Job Satisfaction Among Railroad Workers, Maurice Cortez Etheridge Jan 2016

Relationship Between Safety Climate, Job Tenure, And Job Satisfaction Among Railroad Workers, Maurice Cortez Etheridge

Walden Dissertations and Doctoral Studies

Researchers have reported that corporations in the United States incur hundreds of billions of dollars of annual direct and indirect costs from workplace injuries. Employing a theoretical framework underpinned by the job characteristics theory, this correlational study examined the relationships between task identity, safety climate, and job satisfaction to assist transportation managers with information for improving workers' job satisfaction for increasing productivity and organizational performance. Three validated survey instruments (Safety Climate, Job Characteristics Inventory, and Job Satisfaction) and one demographic instrument were distributed to railroad workers in the eastern region of North Carolina (n = 80). The survey response data …

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African American Clergy's Attitude Toward Professional Mental Health Services, Ebony Gaffney Jan 2016

African American Clergy's Attitude Toward Professional Mental Health Services, Ebony Gaffney

Walden Dissertations and Doctoral Studies

Evaluating the attitude of African American clergy toward parishioners seeking professional mental health services for mental illness has important treatment implications. Religion and spirituality are equally important determinants of mental health and can affect African American clergy's attitudes toward professional care for mental illness. Utilizing the health belief model (HBM), this quantitative study examined the role of theological beliefs, education, and personal experience with mental illness as they correlated with clergy's attitudes toward seeking professional mental illness services. Approximately 98 African American Protestant Clergy in the states of Georgia and South Carolina participated in this study. Data were collected using …

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Relationships Among Administrative Computerization, Hospital Size, And Administrative Expenses, Pamela J. Gallagher Jan 2016

Relationships Among Administrative Computerization, Hospital Size, And Administrative Expenses, Pamela J. Gallagher

Walden Dissertations and Doctoral Studies

The healthcare industry is computerizing administrative functions in an attempt to reduce expenses and remain competitive. This correlational study of 3,088 Medicare-certified, short-term, acute-care hospitals in the United States was based on a general systems theory framework; it sought to examine the relationships among the independent variables of hospital size and administrative computerization and the dependent variable of administrative expenses. Secondary data from Health Information Management Systems Society's surveys and cost reports from the Centers for Medicare and Medicaid services were used. Correlation analyses with an alpha of .05 were used to test 3 of the 4 hypotheses; regression analysis …

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Hospital Profiling Of The Cesarean Delivery Procedure For The State Of Georgia, 2012, Denise Frances Giles Jan 2016

Hospital Profiling Of The Cesarean Delivery Procedure For The State Of Georgia, 2012, Denise Frances Giles

Walden Dissertations and Doctoral Studies

Approximately 35.1% of live births for the state of Georgia were delivered by the cesarean delivery procedure with significant variation among hospitals. The purpose of this research was to develop a population-based hospital profiling methodology for study of the cesarean delivery procedure. This was a retrospective, observational design, using a 2012 linked dataset that included maternity deliveries from all nonfederal hospitals. The research was guided by Robson 10 Group Classification System, propensity score methodologies, and ethical precepts, for the development of hospital profiles and the study of variations in the cesarean delivery procedure. Key research questions aimed to determine whether …

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Initiating Nicotine Cessation In A Community Mental Health Center, Rosalind R. Keith Jan 2016

Initiating Nicotine Cessation In A Community Mental Health Center, Rosalind R. Keith

Walden Dissertations and Doctoral Studies

Individuals suffering from mental illness are often adversely affected by tobacco use. Historically, clinicians are reluctant and inadequately prepared to recognize and treat comorbid nicotine addiction in the chronic mentally ill (CMI) client. As evidenced by a review of the literature, healthcare providers are missing opportunities for nicotine cessation treatment. There is a lack of educational preparation amongst clinicians to treat nicotine addition and a concern that treatment of nicotine addiction can negatively impact existing psychiatric disorders. The purpose of this project was to create an educational plan for nicotine cessation for CMI clients at a community health center. The …

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A Case Study On Parent's Perceptions Of Their Role In The Educational Process, Tanya Summers Miles Jan 2016

A Case Study On Parent's Perceptions Of Their Role In The Educational Process, Tanya Summers Miles

Walden Dissertations and Doctoral Studies

A school district in rural Alabama has encountered a lack of parental involvement, which research shows could have a deleterious effect on student achievement. The purpose of this qualitative case study was to explore parents' perceptions about their involvement and the impact of that involvement on students' academic achievement. The conceptual framework that informed this study was Vygotsky's theory of social constructivism. The research questions addressed the parents' perceptions of their role in the education process as well as the effectiveness of the district's 2 parental involvement programs. A purposeful sample of 6 parents of students at an elementary school …

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Educator Perceptions Of Visual Support Systems And Social Skills For Young Adults With Autism Spectrum Disorders, David James Miller Jan 2016

Educator Perceptions Of Visual Support Systems And Social Skills For Young Adults With Autism Spectrum Disorders, David James Miller

Walden Dissertations and Doctoral Studies

Young adults with Autism Spectrum Disorder (ASD) face unique social skills challenges as they transition into independent living environments and seek fulfilling relationships within their communities. Research has focused on social education and interventions for children with autism, while transitioning young adults with ASD have received insufficient attention. The purpose of this multisite case study was to explore perceptions of school personnel related to the use of visual support system (VSS) technology and enhancement of social skillsets for young adults with ASD. Information processing theory and social learning theory provided the research framework. Research questions addressed perceptions related to the …

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Teachers' Perceptions Of The Impact Of The Jolly Phonics Program On Students' Literacy, Lorane Evadney Moodie-Reid Jan 2016

Teachers' Perceptions Of The Impact Of The Jolly Phonics Program On Students' Literacy, Lorane Evadney Moodie-Reid

Walden Dissertations and Doctoral Studies

At 2 primary schools in Western Jamaica, students at the Grade 1 level lacked basic literacy skills of comprehension, letter recognition, letter sounds, and oral communication. The purpose of this qualitative evaluation study was to investigate teachers' perceptions of the Jolly Phonics program implemented to improve students' literacy in Grades 1-3. Guided by Engestrom's activity theory, the effectiveness of the Jolly Phonics approach was examined based on the sociocultural learning theories of Vygotsky, Dewey, and Piaget. The research questions focused on teachers' perceptions of the program's impact on students' literacy improvement and of the strategies used in the Jolly Phonics …

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The Experience Of Being Unsheltered In Atlanta, Ikeranda Smith Jan 2016

The Experience Of Being Unsheltered In Atlanta, Ikeranda Smith

Walden Dissertations and Doctoral Studies

In the United States, it is estimated that millions of adults are homeless. Some individuals choose not to use homeless shelters or are ineligible for their use. Researchers have indicated that many unsheltered homeless are men over the age of 45 years. The purpose of this phenomenological study was to examine the experiences with social services providers among unsheltered men. Understanding the social networks of unsheltered homeless and the use of spirituality or faith as a resource for coping was also examined, as a significant gap exists in the research on unsheltered homeless. Face-to-face, in-depth interviews were conducted with 8 …

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Counselor Educators' Multicultural Competencies: Understanding Relationships Between Race And Ethnic Identity Awareness, Ariel Winston Jan 2016

Counselor Educators' Multicultural Competencies: Understanding Relationships Between Race And Ethnic Identity Awareness, Ariel Winston

Walden Dissertations and Doctoral Studies

Current literature explains that multiculturally incompetent behaviors demonstrated by counselor educators have negatively affected the personal and professional lives of students, clients, counselors, counselor educators, and supervisees. Using the theoretical framework of critical race theory (CRT), this study examined the relationship among race, ethnic identity awareness, and multicultural competence in counselor educators. CRT involves recognizing conscious and unconscious biases, attributed to race, that individuals might experience. Ninety self-identified counselor educators currently employed in Council for Accreditation of Counseling and Related Educational Programs (CACREP) counseling programs completed online surveys containing questions concerning racial classification, adapted questions from the Multicultural Counseling Knowledge …

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Job Satisfaction, Life Satisfaction And The Unemployed Spouse, Julie Anchustigui Jan 2016

Job Satisfaction, Life Satisfaction And The Unemployed Spouse, Julie Anchustigui

Walden Dissertations and Doctoral Studies

The recent economic recession has led to a large number of dual-income families losing their second income or having a smaller overall household income as a result of hourly wage cuts. Previous research has examined how job satisfaction can spill over into home life satisfaction; however, literature on how life satisfaction can affect job satisfaction is scarce. Based on theories of job satisfaction, personality, conservation of resources, and affective spillover, this study examined whether job satisfaction of the working partner was affected when the other became unemployed. Measures of job satisfaction, life satisfaction, personality, spousal status, and some demographic data …

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Predictors Of Excessive Alcohol Consumption Among U.S. Business Travelers, Jennifer Clore Barrickman Jan 2016

Predictors Of Excessive Alcohol Consumption Among U.S. Business Travelers, Jennifer Clore Barrickman

Walden Dissertations and Doctoral Studies

Excessive alcohol consumption (EAC) is an important public health problem. Several researchers have examined work-related influences on EAC, but few have investigated the predictors of EAC related to business travel. This study measured the association between EAC and frequency of business travel, duration of business travel, and job industry among U.S. business travelers. Research was conducted within the social-ecological theoretical framework. Snowball sampling was used to gather data from 187 business travelers. Data were evaluated using bivariate analysis to assess the association between measures of EAC and each independent variable. Multiple logistic regression was used to adjust for covariates. Respondents …

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Effect Of Whole Brain Teaching On Student Self-Concept, Heather Winona Schulte Clark Jan 2016

Effect Of Whole Brain Teaching On Student Self-Concept, Heather Winona Schulte Clark

Walden Dissertations and Doctoral Studies

Sufficient research exists indicating that the brain mechanisms involved with use of whole brain teaching (WBT) techniques will likely lead to improved academic achievement and that academic self-concept (ASC) is both a cause and consequence of academic achievement. However, it is not known if there is a relationship between WBT and ASC. Given the benefits derived from positive ASC, it becomes important to assess WBT as a predictor variable of positive ASC. The purpose of this quantitative study was to examine the relationship between different levels of exposure to WBT techniques and the mean difference in ASC, as measured by …

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A Phenomenological Exploration Of Children's Experiences During The Therapeutic Process, Katherine Destefano Jan 2016

A Phenomenological Exploration Of Children's Experiences During The Therapeutic Process, Katherine Destefano

Walden Dissertations and Doctoral Studies

Billions of mental health care dollars for millions of children and adolescents in need has garnered significant attention within the behavioral health industry to reduce costs while improving treatment efficacy through the identification and implementation of evidence based practices with youth populations requiring therapeutic services. This hermeneutic phenomenological qualitative research approach in the field of psychology is a consumer driven one in the world of business. Line by line context and discourse analyses, which included both a prior and inductive coding, of the verbiage and phraseology of 10 boys and 10 girls, aged 8-12, actively engaged in outpatient psychotherapy, formed …

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The Implementation Of Governance To Counter Islamist Militancy In Pakistan's Khyber-Pakhtunkhwa Province, David Robert Diorio Jan 2016

The Implementation Of Governance To Counter Islamist Militancy In Pakistan's Khyber-Pakhtunkhwa Province, David Robert Diorio

Walden Dissertations and Doctoral Studies

Militancy inspired by Islamists is escalating globally, and government action is necessary to protect vulnerable populations. Security professionals generally agree that governance may complement the use of force to defeat militants; however, current doctrine does not address the concurrent integration of governance in a comprehensive strategy. This interpretive case study explored Pakistan's application of governance during the 2009 Khyber operation in Swat Valley, code-named Operation Rah-e-Rast. The central research question focused on how governance activities were integrated with military operations to subdue militancy. Data were collected through interviews with 6 planners, Pakistani secondary source survey data, and government artifacts. Data …

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Leader Strategies To Reduce Sales Personnel Attrition, Nicole Lea Hawkins Jan 2016

Leader Strategies To Reduce Sales Personnel Attrition, Nicole Lea Hawkins

Walden Dissertations and Doctoral Studies

Because sales are the primary revenue generators for insurance companies, reducing attrition of sales agents is essential to organizational success. The purpose of this single descriptive case study was to explore strategies that 6 Nebraskan sales leaders within the insurance industry used to reduce attrition. Participants had experience in sales leadership and the attrition of sales personnel and were able to provide insight into the unique perspectives on attrition in the insurance industry. Participants met the following criteria: (a) manage an insurance sales office or organization or (b) held an insurance sales leadership position for at least 1 year and …

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