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Walden Dissertations and Doctoral Studies

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Teaching Motivational Interviewing To Staff In A Mental Health Clinic To Improve Retention Rates Among The Homeless, Barry Godwin, Chinemerem Uzoechi Nov 2024

Teaching Motivational Interviewing To Staff In A Mental Health Clinic To Improve Retention Rates Among The Homeless, Barry Godwin, Chinemerem Uzoechi

Walden Dissertations and Doctoral Studies

Summary Poor treatment retention rates are significant problems in mental health, with adverse outcomes being more profound for vulnerable populations, such as individuals experiencing homelessness. The current project was vital because the lack of engaging strategies in working with individuals experiencing homelessness contributes to high rates of treatment dropout. The purpose of the project was to equip mental health clinical staff with knowledge and skills in motivational interviewing (MI) to use MI in clinical settings to improve treatment retention for homeless populations. The practice-focused question that guided the project was: For staff in a mental health clinic, will training on …


Intrinsic Motivation And Career Satisfaction Among Immigrant Health Care Workers, Michelle Marie Henderson-Darling Nov 2024

Intrinsic Motivation And Career Satisfaction Among Immigrant Health Care Workers, Michelle Marie Henderson-Darling

Walden Dissertations and Doctoral Studies

Caribbean immigrants are vital to the U.S. health care workforce, yet they face barriers that often hinder their career satisfaction and well-being. This qualitative study aimed to explore how intrinsic motivations, specifically competence, autonomy, and relatedness, shape the career experiences of Caribbean immigrants in health care. Using self-determination theory as the theoretical framework, this study addressed the research question of how these intrinsic motivations shape immigrant experiences in the U.S. health care sector. Data were collected from 10 Caribbean immigrants who were naturalized U.S. citizens using semistructured, audio-recorded interviews. The data were thematically analyzed to detect patterns and themes. The …


Perceptions Of Women With Cardiovascular Disease Who Chose Conservative Therapy Over Advanced Therapy, Vanessa Pugh Nov 2024

Perceptions Of Women With Cardiovascular Disease Who Chose Conservative Therapy Over Advanced Therapy, Vanessa Pugh

Walden Dissertations and Doctoral Studies

Cardiovascular disease is the leading cause of death for women. Women with cardiovascular diseases are less likely to receive the available advanced therapies such as defibrillators, pacemakers, and left ventricular assist devices as part of their cardiovascular care plan when compared to their male counterparts. Kelly’s theory of personal constructs and his11 corollaries were used as the theoretical foundation for this basic qualitative study to help explore and understand the perceptions of women who chose a conservative therapy instead of a more advanced therapy for their cardiovascular disease. Social media platforms and snowballing technique were used to recruit the six …


The Perceptions Of Law Enforcement Officers In Combating Carjacking And Auto Theft During The Covid-19 Pandemic, Daniel L. Gray Nov 2024

The Perceptions Of Law Enforcement Officers In Combating Carjacking And Auto Theft During The Covid-19 Pandemic, Daniel L. Gray

Walden Dissertations and Doctoral Studies

The purpose of this qualitative study was to explore law enforcement officers’ perceptions in combating carjacking and auto theft during the COVID-19 pandemic in the southeast region of Louisiana. The framework selected to guide the study was the crime pattern theory by Brangtingham and Brangtinham. Using the purposive sampling method and snowballing sampling method, 10 active law enforcement officers were recruited from agencies across the Southeast region of Louisiana until data saturation occurred. The research questions focused on perceptions of law enforcement officers in combating carjacking and auto theft during the COVID-19 pandemic. Strategies used and preparedness to combat carjacking …


Moderating Effect Of Urban/Rural Status, State Of Residence, And Health Risk Factors On Maternal Mortality Among Different Races, Emmanuel Agubata Nov 2024

Moderating Effect Of Urban/Rural Status, State Of Residence, And Health Risk Factors On Maternal Mortality Among Different Races, Emmanuel Agubata

Walden Dissertations and Doctoral Studies

Maternal mortality in the United States is significantly higher than in most developed nations and has been increasing since 2000. Persistent between-group disparities among White, Black, and Hispanic women occur in terms of maternal mortality; however, the reason for this is largely unknown. Using the intersectionality theory, this quantitative study examined if racial groups predicted maternal mortality and to what extent relationships were moderated by geographic area and health risk factors. This nonexperimental correlational historical research design addressed three research questions. The Healthcare Cost and Utilization Project dataset was used for the analysis. The minimum sample size was 988 cases, …


Patrol-Level Law Enforcement Experiences With Gray Area Mental Health Crises, Stephanie Louise Schilling Nov 2024

Patrol-Level Law Enforcement Experiences With Gray Area Mental Health Crises, Stephanie Louise Schilling

Walden Dissertations and Doctoral Studies

Law enforcement officers (LEOs) often find themselves responding to mental health crises that are gray area situations that neither clearly warrant arrest nor hospitalization but still require intervention. This qualitative study involved addressing the critical issue of how patrol-level officers in California manage such crises despite limited mental health training and restrictive legal frameworks. The study involved filling a gap in literature by focusing on nuanced challenges officers face in these situations, rather than use of force or racial disparities. Grounded in Bronfenbrenner’s bioecological model, the research involved exploring lived experiences of six patrol-level officers using interpretative phenomenological analysis (IPA). …


The Perceptions Of Law Enforcement Officers In Combating Carjacking And Auto Theft During The Covid-19 Pandemic, Daniel L. Gray Nov 2024

The Perceptions Of Law Enforcement Officers In Combating Carjacking And Auto Theft During The Covid-19 Pandemic, Daniel L. Gray

Walden Dissertations and Doctoral Studies

The purpose of this qualitative study was to explore law enforcement officers’ perceptions in combating carjacking and auto theft during the COVID-19 pandemic in the southeast region of Louisiana. The framework selected to guide the study was the crime pattern theory by Brangtingham and Brangtinham. Using the purposive sampling method and snowballing sampling method, 10 active law enforcement officers were recruited from agencies across the Southeast region of Louisiana until data saturation occurred. The research questions focused on perceptions of law enforcement officers in combating carjacking and auto theft during the COVID-19 pandemic. Strategies used and preparedness to combat carjacking …


The Experiences Of Veteran African American Military Officers With Social Influences On Promotions And Career Opportunities, Veronica Denise Green Nov 2024

The Experiences Of Veteran African American Military Officers With Social Influences On Promotions And Career Opportunities, Veronica Denise Green

Walden Dissertations and Doctoral Studies

While programs and procedures are in place in the US Military to increase diversity and inclusion of minorities and women in senior level positions, the problem is African Americans continue to remain below the relative national percentage rate compared to their White male counterparts. The purpose of this qualitative multiple case study was to explore African American veteran Military officers' experiences with promotion and access to career opportunities, and to identify how their social and cultural relationships influenced those opportunities. Khawaja’s theory of workplace relationships provided a lens into the key role of relationships in organizational conflict, teamwork, and inclusion …


The Experiences Of Veteran African American Military Officers With Social Influences On Promotions And Career Opportunities, Veronica Denise Green Nov 2024

The Experiences Of Veteran African American Military Officers With Social Influences On Promotions And Career Opportunities, Veronica Denise Green

Walden Dissertations and Doctoral Studies

While programs and procedures are in place in the US Military to increase diversity and inclusion of minorities and women in senior level positions, the problem is African Americans continue to remain below the relative national percentage rate compared to their White male counterparts. The purpose of this qualitative multiple case study was to explore African American veteran Military officers' experiences with promotion and access to career opportunities, and to identify how their social and cultural relationships influenced those opportunities. Khawaja’s theory of workplace relationships provided a lens into the key role of relationships in organizational conflict, teamwork, and inclusion …


Teaching Sbirt To Nurses In A Mental Health Setting For Improved Assessment And Management Of Patients With Substance Use Disorders, Kifle Gashie Jikamo Nov 2024

Teaching Sbirt To Nurses In A Mental Health Setting For Improved Assessment And Management Of Patients With Substance Use Disorders, Kifle Gashie Jikamo

Walden Dissertations and Doctoral Studies

Addressing the knowledge gap is essential in nursing practice, as RNs are the first point of contact for patients in mental health settings where substance use significantly influences overall health and recovery. This Doctor of Nursing Practice project focused on the need for staff education in an inpatient mental health unit regarding the assessment and triage of patients with substance use disorders (SUDs). The guiding question for this project was: “In nurses working within an inpatient mental health setting, does the implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) training improve knowledge in assessing, managing, and providing care …


The Perceptions Of Law Enforcement Officers In Combating Carjacking And Auto Theft During The Covid-19 Pandemic, Daniel L. Gray Nov 2024

The Perceptions Of Law Enforcement Officers In Combating Carjacking And Auto Theft During The Covid-19 Pandemic, Daniel L. Gray

Walden Dissertations and Doctoral Studies

The purpose of this qualitative study was to explore law enforcement officers’ perceptions in combating carjacking and auto theft during the COVID-19 pandemic in the southeast region of Louisiana. The framework selected to guide the study was the crime pattern theory by Brangtingham and Brangtinham. Using the purposive sampling method and snowballing sampling method, 10 active law enforcement officers were recruited from agencies across the Southeast region of Louisiana until data saturation occurred. The research questions focused on perceptions of law enforcement officers in combating carjacking and auto theft during the COVID-19 pandemic. Strategies used and preparedness to combat carjacking …


The Experiences Of Veteran African American Military Officers With Social Influences On Promotions And Career Opportunities, Veronica Denise Green Nov 2024

The Experiences Of Veteran African American Military Officers With Social Influences On Promotions And Career Opportunities, Veronica Denise Green

Walden Dissertations and Doctoral Studies

While programs and procedures are in place in the US Military to increase diversity and inclusion of minorities and women in senior level positions, the problem is African Americans continue to remain below the relative national percentage rate compared to their White male counterparts. The purpose of this qualitative multiple case study was to explore African American veteran Military officers' experiences with promotion and access to career opportunities, and to identify how their social and cultural relationships influenced those opportunities. Khawaja’s theory of workplace relationships provided a lens into the key role of relationships in organizational conflict, teamwork, and inclusion …


Relationship Of Cyber Threat Intelligence And Critical Infrastructure Assets On Information Technology Critical Infrastructure Attacks, Albert Su Nov 2024

Relationship Of Cyber Threat Intelligence And Critical Infrastructure Assets On Information Technology Critical Infrastructure Attacks, Albert Su

Walden Dissertations and Doctoral Studies

Ransomware cyberattacks on critical infrastructure can disrupt critical services with the capacity to impact human lives. Some security operations center (SOC) analysts feel overwhelmed by the influx of threat indicators of compromise (IoC), making it challenging to discern which alerts are significant for their organization. Grounded in John Boyd's OODA (Observe, Orient, Decide, Act) theoretical framework, the purpose of this quantitative correlational study was to examine the relationship between cyber threat intelligence (CTI) and critical infrastructure assets on information technology critical infrastructure attacks. Data were collected by ingesting information from a U.S. CTI vendor and alerting IoCs related to critical …


Organizational Strategies To Better Serve The Behavioral Health Needs Of Teachers, Caterina Antonietta Viscomi Nov 2024

Organizational Strategies To Better Serve The Behavioral Health Needs Of Teachers, Caterina Antonietta Viscomi

Walden Dissertations and Doctoral Studies

Since the COVID-19 pandemic, many teachers have faced increased mental health challenges and insufficient administrative support. Effective behavioral health care is essential for organizations aiming to enhance teachers' mental well-being. However, there is a need to explore strategies that best meet the current mental health needs of educators. This qualitative case study used interviews and documentation to assess the needs of a small New Jersey behavioral health organization and to develop strategies addressing the growing mental health crisis among teachers. Data sources included four informal interviews with behavioral health leaders, secondary data from the host agency, and a review of …


Interactive Educational Program For Purposeful Leader Rounding, Gina Lupi Nov 2024

Interactive Educational Program For Purposeful Leader Rounding, Gina Lupi

Walden Dissertations and Doctoral Studies

This education project was to introduce nurse managers to the evidence-based practice of daily purposeful leader rounding on all staff in this acute care facility. The need for practice change was evidenced by low all employee survey and the Survey of Healthcare Experience of Patients (SHEP) results; low retention rates throughout the inpatients units; and an increase of patient safety events in fiscal year 2023. Leadership rounding is an evidence-based practice that increases staff retention by supporting and engaging staff. The purpose of the interactive education was to increase the knowledge and self-confidence of the participants to assist in hardwiring …


African American Women’S Lived Experiences With Obstetrics/Gynecology Services In Atlanta, Georgia, Audrey M. Blake Nov 2024

African American Women’S Lived Experiences With Obstetrics/Gynecology Services In Atlanta, Georgia, Audrey M. Blake

Walden Dissertations and Doctoral Studies

African American women in Georgia die during the perinatal period at almost three times the rate of other ethnic groups. Adverse maternal outcomes demonstrate a disparity among African American women. In this phenomenological qualitative study, the lived experiences of African American women receiving obstetrical and gynecological (OB/GYN) care in the Atlanta, Georgia, Metropolitan area were explored. The study included women who identified as African American, ages 18 – 45 years old, receiving OB/GYN care in Georgia. No income limits were applied, allowing women across income levels to be included. Feagin’s systemic racism theory, along with Greenwald and Krieger’s implicit bias …


African American Women’S Lived Experiences With Obstetrics/Gynecology Services In Atlanta, Georgia, Audrey M. Blake Nov 2024

African American Women’S Lived Experiences With Obstetrics/Gynecology Services In Atlanta, Georgia, Audrey M. Blake

Walden Dissertations and Doctoral Studies

African American women in Georgia die during the perinatal period at almost three times the rate of other ethnic groups. Adverse maternal outcomes demonstrate a disparity among African American women. In this phenomenological qualitative study, the lived experiences of African American women receiving obstetrical and gynecological (OB/GYN) care in the Atlanta, Georgia, Metropolitan area were explored. The study included women who identified as African American, ages 18 – 45 years old, receiving OB/GYN care in Georgia. No income limits were applied, allowing women across income levels to be included. Feagin’s systemic racism theory, along with Greenwald and Krieger’s implicit bias …


How Secondary Disciplinary Teachers Integrate Literacy Strategies To Improve Outcomes On State Assessments, Miracle T. Brewington Nov 2024

How Secondary Disciplinary Teachers Integrate Literacy Strategies To Improve Outcomes On State Assessments, Miracle T. Brewington

Walden Dissertations and Doctoral Studies

According to recent research, secondary disciplinary teachers’(DTs) role in increasing disciplinary literacy skills is vital. The problem in this urban school district in the Southern United States was that middle school DTs acknowledge they struggle to integrate literacy strategies in their specific disciplines to improve reading outcomes on state assessments. Guided by Shanahan and Shanahan’s disciplinary framework and Knowles’s theory of andragogy, the purpose of this study was to investigate DTs’ perceptions on integrating literacy strategies to improve reading outcomes on state assessments. A basic qualitative design was used with 10 purposefully selected secondary DTs using one-to-one, semistructured interviews. Data …


African American Women’S Lived Experiences With Obstetrics/Gynecology Services In Atlanta, Georgia, Audrey M. Blake Nov 2024

African American Women’S Lived Experiences With Obstetrics/Gynecology Services In Atlanta, Georgia, Audrey M. Blake

Walden Dissertations and Doctoral Studies

African American women in Georgia die during the perinatal period at almost three times the rate of other ethnic groups. Adverse maternal outcomes demonstrate a disparity among African American women. In this phenomenological qualitative study, the lived experiences of African American women receiving obstetrical and gynecological (OB/GYN) care in the Atlanta, Georgia, Metropolitan area were explored. The study included women who identified as African American, ages 18 – 45 years old, receiving OB/GYN care in Georgia. No income limits were applied, allowing women across income levels to be included. Feagin’s systemic racism theory, along with Greenwald and Krieger’s implicit bias …


Exploring The Wealth Creation Struggles Of Black Millennials, Jasmine Allen Nov 2024

Exploring The Wealth Creation Struggles Of Black Millennials, Jasmine Allen

Walden Dissertations and Doctoral Studies

The equity gap for Black millennials continues to lag compared to other racial groups. The purpose of this qualitative study was to understand the experiences of Black millennials in navigating the landscape of quality internships, high-paying careers, and generational wealth through the lens of individual, interpersonal, organizational, and community system levels. Using a narrative approach, the qualitative analysis of narratives from eight participants who have experienced these obstacles is presented. A purposive sampling technique through social media platforms was used. This study was guided by Bronfenbrenner’s ecological systems theory. Thematic analysis was employed. The themes were (a) limited exposure, (b) …


Success Factors Linking New Environmental Products With Academic Knowledge And Firm Knowledge Partnerships: An Examination Of Biosurfactant Decision-Making Complexity, Cecilia Akinyi Wandiga Nov 2024

Success Factors Linking New Environmental Products With Academic Knowledge And Firm Knowledge Partnerships: An Examination Of Biosurfactant Decision-Making Complexity, Cecilia Akinyi Wandiga

Walden Dissertations and Doctoral Studies

Business managers risk failure if they do not correctly integrate academic knowledge transfer with their firms’ investments and their absorptive capabilities to generate viable industrial designs for new products. The purpose of this quantitative, correlational study was to test the relationship between nine academic-industry collaboration factors and the number of new products that firms generate. Three theoretical frameworks formed the basis of the completed study: (a) the quintuple helix, (b) the natural resource based view theory, and (c) the circular bioeconomy. Multiple regression analysis was used to test the relationship between nine academic-industry success factors and the number of new …


Reducing Turnover Rate And Burnout Among Non-Medical Minority Home Health, Jasmine Janice Paddio Nov 2024

Reducing Turnover Rate And Burnout Among Non-Medical Minority Home Health, Jasmine Janice Paddio

Walden Dissertations and Doctoral Studies

High turnover rates and burnout among minority direct care staff are global concerns in the behavioral health industry, particularly in long-term facilities. As the population of elderly citizens continues to expand, the demand for non-medical services by direct care staff is projected to increase by 2050. However, this industry is facing a critical shortage and must find a solution to meet the needs of the vulnerable in the coming decades. This case study addresses burnout and turnover among minority home health aides (HHA) in Southeast U.S. behavioral health organizations. It explores solutions through evaluation, analysis, and recommendation, anchored in the …


Reducing Turnover Rate And Burnout Among Non-Medical Minority Home Health, Jasmine Janice Paddio Nov 2024

Reducing Turnover Rate And Burnout Among Non-Medical Minority Home Health, Jasmine Janice Paddio

Walden Dissertations and Doctoral Studies

High turnover rates and burnout among minority direct care staff are global concerns in the behavioral health industry, particularly in long-term facilities. As the population of elderly citizens continues to expand, the demand for non-medical services by direct care staff is projected to increase by 2050. However, this industry is facing a critical shortage and must find a solution to meet the needs of the vulnerable in the coming decades. This case study addresses burnout and turnover among minority home health aides (HHA) in Southeast U.S. behavioral health organizations. It explores solutions through evaluation, analysis, and recommendation, anchored in the …


Reducing Turnover Rate And Burnout Among Non-Medical Minority Home Health, Jasmine Janice Paddio Nov 2024

Reducing Turnover Rate And Burnout Among Non-Medical Minority Home Health, Jasmine Janice Paddio

Walden Dissertations and Doctoral Studies

High turnover rates and burnout among minority direct care staff are global concerns in the behavioral health industry, particularly in long-term facilities. As the population of elderly citizens continues to expand, the demand for non-medical services by direct care staff is projected to increase by 2050. However, this industry is facing a critical shortage and must find a solution to meet the needs of the vulnerable in the coming decades. This case study addresses burnout and turnover among minority home health aides (HHA) in Southeast U.S. behavioral health organizations. It explores solutions through evaluation, analysis, and recommendation, anchored in the …


Concealed Cognitive Disabilities, Bullying In The Workplace, And The Americans With Disabilities Act, Craig Darrell Taylor Nov 2024

Concealed Cognitive Disabilities, Bullying In The Workplace, And The Americans With Disabilities Act, Craig Darrell Taylor

Walden Dissertations and Doctoral Studies

This qualitative study uniquely explores the perceptions of individuals with concealable cognitive disabilities (CCDs) regarding Titles I–III of the Americans with Disabilities Act and its amendments (ADAAA). The research addresses a significant gap in understanding this population’s views on workplace experiences, particularly in the context of harassment, privacy, self-identification, and labeling. Using Schneider and Ingram’s social construction framework to examine societal power dynamics, the study analyzed interviews with eight participants, employing rigorous thematic coding. The analysis revealed four key themes: social construction (perception in the workplace and the power of employment protections), disability (cognitive disabilities and the challenges of disclosure …


Strategies For Articulating Information In Disaster And Emergency Response Common Operating Pictures, Donald Leon Mccue Nov 2024

Strategies For Articulating Information In Disaster And Emergency Response Common Operating Pictures, Donald Leon Mccue

Walden Dissertations and Doctoral Studies

Emergency management leaders face challenges building common operating pictures (COPs) to display and share critical information, foster collaboration, and improve decision-making among response teams during crises. Without evidence-based strategies to help curb those challenges, poorly implemented COPs can impede situational awareness, decision making, and undermine efforts to get critically needed resources to populations in need. Grounded in a multi-theory model conceptual framework that leveraged the formulation of SA, decision making, and cognitive load psychology, this pragmatic qualitative inquiry explored the strategies that emergency management leaders use to implement the display and sharing of data in COPs to enhance the effectiveness …


The Relationship Among Emotional Intelligence And Leadership Styles Of Female Law Enforcement Executives, Durriyyah Drummond Nov 2024

The Relationship Among Emotional Intelligence And Leadership Styles Of Female Law Enforcement Executives, Durriyyah Drummond

Walden Dissertations and Doctoral Studies

Effective leadership within police organizations has contributed to challenges in retention, recruitment, and increased negative public attention. While researchers have proposed a relationship between emotional intelligence (EI), leadership effectiveness, and leadership styles, limited research has explored these dynamics within law enforcement, particularly among female law enforcement executives. This study utilized transformational leadership theory, the full-range leadership model, and trait EI theory as its theoretical frameworks. The primary objective of this quantitative research was to assess the relationship between gender, EI, and leadership styles, building on previous studies that examined similar correlations among African American and Caucasian law enforcement executives. The …


Nurses' Perceived Sense Of Self-Efficacy And Communication In Domestic Violence Screening, Claudette Arlene Richardson Nov 2024

Nurses' Perceived Sense Of Self-Efficacy And Communication In Domestic Violence Screening, Claudette Arlene Richardson

Walden Dissertations and Doctoral Studies

Nurses working in health care settings, especially nurses working in emergency rooms and urgent care settings, play a crucial role in the identification, prevention, and management of domestic violence. However, nurses with lower self-efficacy relative to communication about this role may face increased challenges in job performance. Grounded in Bandura’s theory of self-efficacy, the goal of this quantitative study utilizing a survey design was to investigate the relationships between nurse education and training and their perceived sense of self-efficacy in screening for domestic violence. Participants included a convenience sample of 86 registered nurses aged 18 and above holding state licenses. …


Closing The Gaps: Optimizing Emergency Department Protocols For Vaping-Related Respiratory Illnesses, Dominique Roy Nov 2024

Closing The Gaps: Optimizing Emergency Department Protocols For Vaping-Related Respiratory Illnesses, Dominique Roy

Walden Dissertations and Doctoral Studies

The rising prevalence of vaping-related illnesses poses significant challenges for healthcare systems worldwide. Hospitals increasingly encounter patients with symptoms related to vaping, such as respiratory issues and lung injuries, which strain emergency departments (EDs). Addressing these challenges requires the development and implementation of effective standard operating procedures (SOPs) to enhance the diagnosis and treatment of vaping-related illnesses. This integrative review examined how SOPs can enhance clinical practices within hospitals by identifying gaps in current approaches and providing recommendations to improve patient care. The review, analyzing literature from 2016 to 2023, highlighted several important themes, including the necessity of standardized protocols …


Discovering Strategies To Lead Teams Abruptly Forced Into Virtual Environments Due To The Covid-19 Pandemic, Shonelle Maria Ramserran Nov 2024

Discovering Strategies To Lead Teams Abruptly Forced Into Virtual Environments Due To The Covid-19 Pandemic, Shonelle Maria Ramserran

Walden Dissertations and Doctoral Studies

COVID-19 was an unprecedented time in the global economy, causing a massive shift for many organizations conducting business. The speed at which organizations needed to implement World Health Organization’s restrictions and transition their teams from face-to-face to virtual environments was unpredictable. The purpose of this qualitative single case study was to explore what leaders prepared for an organization to cope with situations like COVID-19 when abruptly moving employees from face-to-face to virtual environments. A conceptual framework based on the organizational change theory and the team adaptation theory was used to direct this study. The research question address what strategies leaders …