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Addressing Nursing Shortages In Rural Hospitals: Strategies For Recruitment And Retention, Harrison Efosa Omoruyi
Addressing Nursing Shortages In Rural Hospitals: Strategies For Recruitment And Retention, Harrison Efosa Omoruyi
Walden Dissertations and Doctoral Studies
Abstract The shortage of nursing staff in rural hospitals has created a critical workforce challenge in the United States, negatively affecting patient care, organizational performance, and community health. The purpose of this integrative review was to identify evidence-based strategies to improve the recruitment and retention of nurses in rural hospital settings. A search of literature published between 2021 and 2025 yielded 20 high-quality and good-quality studies that addressed the problem. Guided by Herzberg’s two-factor theory, thematic analysis revealed six overarching themes: (a) strategic improvements, (b) system efficiency and effectiveness, (c) service availability, (d) care models, (e) organizational support, and (f) …
Examining Emotional Intelligence Strategies Of Human Resource Administrators For Women’S Leadership In Healthcare, Selenda Johnson
Examining Emotional Intelligence Strategies Of Human Resource Administrators For Women’S Leadership In Healthcare, Selenda Johnson
Walden Dissertations and Doctoral Studies
Gender-based distinctions between leaders create differences in leadership methods that reshape their choices and teamwork approaches. Human Resource Administrators are concerned with how the lack of organizational support for Emotional Intelligence (EI) in female leaders influences them to leave, potentially leading to increased organizational costs. Grounded in Emotional Intelligence theory, the purpose of this qualitative pragmatic study was to explore EI strategies used by healthcare administrators in the Southeastern United States to increase female leadership retention in their organizations. The participants were 6 HR administrators with at least 2 years of experience from healthcare organizations who successfully implemented EI strategies …
Expressing Diversity And Anxiety Among Graduate Psychology Students, Selenda Johnson
Expressing Diversity And Anxiety Among Graduate Psychology Students, Selenda Johnson
Walden Dissertations and Doctoral Studies
Gender-based distinctions between leaders create differences in leadership methods that reshape their choices and teamwork approaches. Human Resource Administrators are concerned with how the lack of organizational support for Emotional Intelligence (EI) in female leaders influences them to leave, potentially leading to increased organizational costs. Grounded in Emotional Intelligence theory, the purpose of this qualitative pragmatic study was to explore EI strategies used by healthcare administrators in the Southeastern United States to increase female leadership retention in their organizations. The participants were 6 HR administrators with at least 2 years of experience from healthcare organizations who successfully implemented EI strategies …
Assessing Health Literacy In Somali Women Living In The United States With Hypertension, Tawanna Morris
Assessing Health Literacy In Somali Women Living In The United States With Hypertension, Tawanna Morris
Walden Dissertations and Doctoral Studies
Health literacy (HL) remains a critical public health concern, particularly among immigrant populations. This qualitative study explored how low health literacy relates to hypertension (HTN) management among Somali immigrant women. Low HL and chronic conditions such as HTN continue to affect this group disproportionately, emphasizing the need for targeted interventions. Guided by the Health Belief Model, this research examined Somali immigrant women’s perceptions of HL, how literacy levels influence hypertension management, and the barriers they encounter when managing their condition. Five Somali immigrant women who met the criteria participated in semi-structured interviews. All spoke English, were at least 18 years …
Predictors Of Sexual Violence Prevalence At U.S. Colleges And Universities, Theodore Daniel Hostikka
Predictors Of Sexual Violence Prevalence At U.S. Colleges And Universities, Theodore Daniel Hostikka
Walden Dissertations and Doctoral Studies
This research explored the prevalence of sexual harassment and assault among students at U.S. colleges and universities, aiming to quantify incident rates and assess their impact on academic and psychological well-being. Grounded in socioecological and intersectional theories, the research examined how environmental interactions and interconnected social identities shape individual experiences. Specifically, this research explored (a) the link between the percentage of female students and the prevalence of sexual violence on campuses; (b) how the proportion of first-generation students relates to sexual violence prevalence; (c) the connection between campus size and rates of sexual violence; and (d) whether gender makeup, first-year …
Healthcare Leaders’ Effective Strategies For Shaping Organizational Culture, Samuel H. Zoker
Healthcare Leaders’ Effective Strategies For Shaping Organizational Culture, Samuel H. Zoker
Walden Dissertations and Doctoral Studies
Some leaders in healthcare organizations lack effective leadership strategies and practices to influence and shape organizational culture, leading to inconsistent cultural values and behaviors that undermine organizational effectiveness and employee engagement. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to explore strategies healthcare leaders use to shape organizational culture and strengthen employee engagement. Using purposive sampling, seven healthcare leaders with three or more years of experience were recruited from a medical institution. Data were collected through semistructured interviews using a protocol refined with the IPR method. Using reflective thematic analysis, five themes emerged: (a) employee-engagement …
Strategies Top Airline Managers Use To Reduce Occupational Stress Among Cabin Crewmembers For Improved Flight Safety, Yograj Sewdat Raghunauth
Strategies Top Airline Managers Use To Reduce Occupational Stress Among Cabin Crewmembers For Improved Flight Safety, Yograj Sewdat Raghunauth
Walden Dissertations and Doctoral Studies
Airline cabin crew members face significant occupational stress, which adversely affects their psychological well-being and flight safety performance. Airline managers are concerned with identifying stress reduction strategies to support crew effectiveness and mitigate safety risks. Grounded in the job demands-resources theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies that top airline managers in the United States use to reduce occupational stress among cabin crew members for improved flight safety. The participants were six top airline managers in the United States with at least 5 years of experience in senior management and had implemented successful strategies …
Improving Nursing Staff Knowledge To Provide High-Value Dementia Care, Kimone L. Johns
Improving Nursing Staff Knowledge To Provide High-Value Dementia Care, Kimone L. Johns
Walden Dissertations and Doctoral Studies
This staff education project aimed to increase nurses' knowledge to provide high-value dementia care. At the project site, nurses indicated low self-confidence and knowledge in providing quality dementia care. Providing low-value care to persons with dementia (PwD) contributes to suboptimal clinical outcomes and poor quality of life and adversely influences nurses' satisfaction. Therefore, the project question addressed whether a staff education program would increase nurses' self-perceived ability and confidence to provide high-value dementia care. The staff education objective was to enhance patient-centered dementia care, provision of quality care that can improve quality of life (QoL) of PwD. Twenty peer-reviewed journal …
Staff Education On Burnout For Mental Healthcare Staff Mitigation Strategies For Psychiatric Outpatient Staff, Kadine Foreman-Westly
Staff Education On Burnout For Mental Healthcare Staff Mitigation Strategies For Psychiatric Outpatient Staff, Kadine Foreman-Westly
Walden Dissertations and Doctoral Studies
The purpose of this project is to determine whether implementing a staff education program in a psychiatric clinical setting can improve healthcare staff knowledge of strategies to prevent burnout. The project addresses a critical practice problem: a lack of structured education programs specifically targeting burnout recognition and management among mental healthcare staff. Burnout not only negatively impacts staff well-being but also affects patient safety and the overall quality of care. This project was designed to fill this gap by providing an educational intervention, with effectiveness measured through pre- and post-intervention surveys assessing staff knowledge. This staff education project was strengthened …
Counselors’ Experience Of Vicarious Trauma Symptoms During The Covid-19 Pandemic, Aleah B. Curley
Counselors’ Experience Of Vicarious Trauma Symptoms During The Covid-19 Pandemic, Aleah B. Curley
Walden Dissertations and Doctoral Studies
As caseloads increased during the COVID-19 pandemic, counselors experienced a shift to telehealth counseling and double exposure to trauma and pandemic elements. Some counselors experienced symptoms of vicarious trauma (VT). A gap in the literature existed regarding the interaction of the pandemic among clients and counselors’ experiences of VT symptoms. The purpose of this narrative inquiry was to explore the lessons learned by capturing the stories of counselors who experienced VT symptoms during the COVID-19 pandemic. The research question concerned the retrospective experiences of counselors who self-reported experiencing VT symptoms during the COVID-19 pandemic. Seven licensed professional counselors who experienced …
Engagement Strategies To Increase Employee Retention And Productivity Within The Accommodation Industry, Lathoya Felding
Engagement Strategies To Increase Employee Retention And Productivity Within The Accommodation Industry, Lathoya Felding
Walden Dissertations and Doctoral Studies
A lack of effective employee engagement strategies in the accommodations industry can undermine retention and productivity, imposing costs on organizations and harming morale. Grounded in Kahn’s employee engagement theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective employee engagement strategies that accommodations leaders use to increase employee retention and productivity. Participants were six leaders of accommodation industry organizations in the southern United States. Data were collected through semistructured interviews and analyzed using Braun and Clarke’s six-step thematic analysis. Five key themes were revealed: (a) implementing employee recognition programs, (b) providing career development and training …
Perception Of Veterans With Traumatic Brain Injury Regarding The Veterans Administration Rehabilitation Process, Kalangie J. Serrano
Perception Of Veterans With Traumatic Brain Injury Regarding The Veterans Administration Rehabilitation Process, Kalangie J. Serrano
Walden Dissertations and Doctoral Studies
There was a social work practice gap on the perceptions of veterans with traumatic brain injury (TBI) regarding the Veterans Administration's (VA’s) rehabilitation process in terms of its ability to enhance their vocational skills and employability. The purpose of this qualitative study was to explore the vocational and employment needs of military veterans with TBI and to understand their perceptions and challenges in navigating the vocational rehabilitation and employment process. Using a generic qualitative approach and ecological systems theory, data were collected through semistructured interviews with seven veterans who had participated in rehabilitation programs. Thematic analysis of the data revealed …
Effective Strategies To Attract And Retain Qualified Hospitality Staff In The Post-Pandemic Caribbean, Rajan Bhattarai
Effective Strategies To Attract And Retain Qualified Hospitality Staff In The Post-Pandemic Caribbean, Rajan Bhattarai
Walden Dissertations and Doctoral Studies
Employee attraction and retention remain critical constraints for Caribbean luxury-wellness resorts in the post-pandemic era. Hospitality and tourism leaders are concerned because persistent vacancy, churn, and extended time-to-competence impair service quality and performance of their organizations. Grounded in the Baldrige Excellence Framework and social exchange theory, the purpose of this qualitative single case study was to explore the effective strategies employed by tourism leaders to attract and retain qualified staff within a Caribbean hospitality organization. Data were collected from five Caribbean leaders (HR director, department manager, and supervisors) using semistructured interviews and analyzing organizational documents. Thematic analysis was used to …
Effective Strategies Hawaiian Food Truck Owners Use To Sustain Their Businesses, Eric J. Harring
Effective Strategies Hawaiian Food Truck Owners Use To Sustain Their Businesses, Eric J. Harring
Walden Dissertations and Doctoral Studies
Food trucks are popular choices for consumers seeking diverse cuisines and unique dining experiences, but running a successful food truck business presents significant challenges, including fluctuating customer preferences, regulatory hurdles, and intense competition. Addressing these obstacles is crucial for food truck owners to ensure the long-term viability of their enterprises. Grounded in contingency theory, the purpose of this qualitative pragmatic inquiry research project was to explore the strategies employed by food truck owners to overcome these challenges and foster sustainable growth. The participants were six business owners of Hawaiian food trucks who sustained their businesses for at least three years. …
The Effects Of Perceived Stress On First Responders' Job Performance While Moderating For Self-Efficacy, Diane Craig
The Effects Of Perceived Stress On First Responders' Job Performance While Moderating For Self-Efficacy, Diane Craig
Walden Dissertations and Doctoral Studies
Stress in the workplace results in substantial economic losses for U.S. organizations. The effects of perceived stress on reducing the job performance of first responders continue to be a concern for administrators in emergency response management. Grounded in self-efficacy theory, the purpose of this quantitative correlational study was to examine the moderating effects of self efficacy on the relationship between perceived stress and job performance among U.S. first responders. The sample comprised 78 men and 65 women (N = 143) from professional response agencies in the United States. They completed the Perceived Stress Scale, Endicott Work Productivity Scale, and the …
Strategies Leaders Use To Reduce Voluntary Attrition Among Employees With Access To Wellness Programs, Cara Murray
Strategies Leaders Use To Reduce Voluntary Attrition Among Employees With Access To Wellness Programs, Cara Murray
Walden Dissertations and Doctoral Studies
Voluntary employee attrition presents ongoing challenges for organizational leaders, particularly among employees whose workplace needs and preferences are unmet. The problem is that many leaders lack effective strategies to mitigate voluntary attrition, which negatively impacts productivity, morale, and overall organizational performance. Grounded in the job demands–resources model and wellness climate theory, the purpose of this qualitative pragmatic inquiry project was to explore strategies leaders used to reduce voluntary employee attrition among employees who have access to workplace wellness programs. The participants were six organizational leaders from mid-sized and public-sector organizations who successfully mitigated voluntary attrition. Data were collected through semistructured …
Strategies For Improving Supported Employment Services For Adults With Intellectual And Developmental Disabilities, Janelle Latoya Bailey
Strategies For Improving Supported Employment Services For Adults With Intellectual And Developmental Disabilities, Janelle Latoya Bailey
Walden Dissertations and Doctoral Studies
There is a growing need for supported employment services and improved programming among people with intellectual/developmental disabilities (I/DD). The research question for this study was; what are human service staff and administrators’ experiences and perceptions of what is working well in supported employment programs, and how to improve the services offered to adults with I/DD in a northeastern county? The tenets of Kurt Lewin’s change model form the theoretical framework for the study, to serve as a foundation for effective change. A force field analysis approach was used to gather narrative written data from open ended questionnaire responses to grasp …
An Examination Of Psychosocial Factors Related To Male Serial Killers, Rachael Elizabeth Tubbs
An Examination Of Psychosocial Factors Related To Male Serial Killers, Rachael Elizabeth Tubbs
Walden Dissertations and Doctoral Studies
Historically, studies on serial murderers have not concentrated in depth on analyzing what psychosocial factors are or how they could influence a man to become a serial killer. The focus of this qualitative study was on the psychosocial characteristics of male serial killers that are from, and based in, the United States. Using a case study analysis approach, the life course of serial killers in the FGCU Radford Database was analyzed to identify themes of adverse childhood experiences such as physical, emotional, or psychological abuse; abandonment by parent or guardian; limited or no social bonds; witnessing abuse; and signs of …
Effective Leadership Strategies Used To Retain Volunteers In Nonprofit Organizations, Celine Ejoh Njeck
Effective Leadership Strategies Used To Retain Volunteers In Nonprofit Organizations, Celine Ejoh Njeck
Walden Dissertations and Doctoral Studies
Abstract Nonprofit organizations provide critical services that address social, cultural, and economic needs within communities. Nonprofit leaders who cannot retain volunteers risk reduced organizational capacity, interruptions in program delivery, and weakened ability to achieve program objectives. Grounded in servant leadership theory, the purpose of this qualitative pragmatic inquiry project was to identify and explore the effective strategies nonprofit leaders use to retain volunteers to support their program objectives. Participants were six nonprofit leaders in north Texas who have successfully retained volunteers to support their program objectives. Data was collected using semi structured interviews and a review of publicly available documents …
Narratives Of Sexual Self-Esteem As A Domain Of Sexual Well-Being In Cisgender Women’S Long-Term Intimate Relationships, Lisa Criswell
Narratives Of Sexual Self-Esteem As A Domain Of Sexual Well-Being In Cisgender Women’S Long-Term Intimate Relationships, Lisa Criswell
Walden Dissertations and Doctoral Studies
Only within the last few decades has female sexual health become a topic of focus for researchers and practitioners to begin focusing on, leading to a gap in research between female sexual health and male sexual health. This has led to lack of knowledge and understanding on female sexual dysfunction and how interventions can effectively address it. An identified gap in knowledge of female sexual health and self-esteem is the lack of understanding of female narratives. This study was developed with the purpose of filling that gap and addressing domains within sexual health and self-esteem through exploration of the narratives …
Social And Contextual Factors Influencing Hypertension Among Latino Men Living In California, Leslie Ivett Ortega
Social And Contextual Factors Influencing Hypertension Among Latino Men Living In California, Leslie Ivett Ortega
Walden Dissertations and Doctoral Studies
Hypertension remains a critical and often silent public health issue that disproportionately affects Latino men in California. This quantitative, retrospective cross-sectional study explored the social and contextual factors influencing hypertension among this vulnerable population. Using the 2019 Behavioral Risk Factor Surveillance System dataset, which included a sample size of 2,060 participants, the study examined the relationship between hypertension and key variables including primary care utilization, health insurance, smoking, physical activity, mental health, and marital status, while controlling for age, education, and income. Guided by the health belief model, binary logistic regression analyses found health insurance and primary care utilization significantly …
Attrition Experiences Among Officers In A Texas Correctional Organization, Dewanou Frejus Aisse
Attrition Experiences Among Officers In A Texas Correctional Organization, Dewanou Frejus Aisse
Walden Dissertations and Doctoral Studies
The Texas Department of Criminal Justice (TDCJ) faces employee retention challenges, and recruiting and retaining correctional officers remains TDCJ’s most significant challenge and highest priority. Correctional facility leaders need to understand these challenges as indicators of workforce sustainability. Grounded in job embeddedness theory, the purpose of this general qualitative study was to explore the turnover experiences of Texas correctional officers, to understand why officers left their jobs, and the factors that contributed to their decisions to stay in their jobs. Participants comprised 11 former correctional officers who had worked between 5 months and 6 years for the TDCJ. Data were …
Access To Care Barriers To Sacral Neuromodulation Implantation In Adults With Overactive Bladder From Georgia, Tamara Lynn Wojciechowski
Access To Care Barriers To Sacral Neuromodulation Implantation In Adults With Overactive Bladder From Georgia, Tamara Lynn Wojciechowski
Walden Dissertations and Doctoral Studies
Sacral neuromodulation (SNM) is a safe and physically well-tolerated third-line treatment using an implantable device for the management of overactive bladder syndrome (OAB). Other first- and second-line treatments for OAB are frequently ineffective and often poorly tolerated. SNM implantation appears to be underutilized compared to other third-line treatments even though SNM has been rated more effective in OAB symptom mitigation with fewer side effects. Thus, the purpose of this quantitative correlational cross-sectional study was to explore whether health services factors are barriers to utilizing SNM implantation as the third-line treatment for OAB in adults. Andersen’s behavioral model of health services …
Internal Control Strategies To Reduce Occupational Fraud In Small Business, Karen Walauskas
Internal Control Strategies To Reduce Occupational Fraud In Small Business, Karen Walauskas
Walden Dissertations and Doctoral Studies
Small businesses can be at a heightened risk of occupational fraud if their internal control strategies are not effective. This risk is a major concern for small business owners, who might face financial and operational challenges as a result. Grounded in Cressey’s fraud triangle framework, the purpose of this qualitative multiple case study was to explore effective internal control strategies to reduce the risk of occupational fraud from occurring. Participants were six small business owners in New England who had developed effective internal controls. Data were collected through semistructured interviews and employee handbooks. Through thematic analysis, four themes emerged, including …
Second- Generation Korean American Adults’ Parenting Styles: The Role Of Acculturation And Enculturation, Teri Lynn Ku'ulei Kim
Second- Generation Korean American Adults’ Parenting Styles: The Role Of Acculturation And Enculturation, Teri Lynn Ku'ulei Kim
Walden Dissertations and Doctoral Studies
This quantitative survey study explored whether acculturation and enculturation predicted parenting styles among second-generation Korean American adults. The study was guided by Berry’s acculturation theory, Kim’s enculturation theory, and Baumrind’s parenting typology. Two research questions were addressed: (a) whether acculturation level predicted parenting style when controlling for parent age, gender, and number of children, and (b) whether enculturation level predicted parenting style when controlling for the same demographic variables. Emails and flyers were used to recruit participants from various Korean American groups on social media. A total of 146 Korean American parents completed anonymous online questionnaires about acculturation, enculturation, and …
Strategies Property Management Leaders Use To Strengthen Employee Engagement In The Workplace, Angela Hartleigh
Strategies Property Management Leaders Use To Strengthen Employee Engagement In The Workplace, Angela Hartleigh
Walden Dissertations and Doctoral Studies
Lack of employee engagement presents a significant risk and cost across the property management industry. Property management business leaders are concerned with this challenge because employee engagement directly affects performance efficiency and employee turnover costs. Grounded in the self-determination theory, the purpose of this qualitative pragmatic inquiry was to explore strategies property management leaders use to strengthen employee engagement in the workplace. The participants were six purposefully selected property management business leaders in the United States. Data were collected using semistructured interviews and a review of public industry documents. Through thematic analysis, six themes were identified: (a) communication, (b) mentorship, …
Early Life And Post-Traumatic Growth Among Urban African Americans, J. Howard Streeter Iii
Early Life And Post-Traumatic Growth Among Urban African Americans, J. Howard Streeter Iii
Walden Dissertations and Doctoral Studies
Post-traumatic growth (PTG) has received increasing attention in psychological research, yet the PTG experiences of African Americans remain underexplored. Trauma researchers have established the common prevalence of trauma within this population, but there have been very few studies on how African Americans traverse trauma according to PTG. Understanding PTG in this population is essential for clergy, coaches, parents, counselors, and others who work in these communities. The purpose of this quantitative survey study was to determine whether there was a statistically significant relationship between rumination, religious orientation, religious commitment, and stressful life events (SLEs) and PTG among urban African American …
Effective Change Management Strategies For Minimizing Financial Impact And Operational Disruption, Nhung K. Tran
Effective Change Management Strategies For Minimizing Financial Impact And Operational Disruption, Nhung K. Tran
Walden Dissertations and Doctoral Studies
Ineffective organizational change strategies represent a persistent challenge for organizations undergoing transitions. Business leaders who must maintain operational stability and safeguard financial performance during periods of change need effective strategies to support successful implementation. Grounded in an 8-step change model, organizational information processing, and stakeholder theories, the purpose of this qualitative pragmatic inquiry research project was to identify effective change management strategies used by business leaders to minimize financial loss and operational disruptions during transitions. The participants were eleven leaders from nonprofit, higher education, corporate, faith-based, agriculture, and military sectors who had effective change management strategies. Data were collected through …
Identifying Common Characteristics Among Female Serial Killers And The Role Of Early Childhood Abuse, Jill Marie Raichel
Identifying Common Characteristics Among Female Serial Killers And The Role Of Early Childhood Abuse, Jill Marie Raichel
Walden Dissertations and Doctoral Studies
Approximately 17% of known serial killers in the United States are women, and often their crimes go undetected for years accruing a higher number of victims than their male counterparts. The purpose of this study was to identify common characteristics of female serial killers (FSKs). A multidisciplinary, holistic and developmental approach was used to guide the identification of common characteristics based on theories by Erik Erikson and Carol Gilligan as well as feminist theory. Case studies of 15 FSKs were randomly selected for participation from a list of over 100 known FSKs documented in the Radford Serial Killer database. Common …
Motivation And Productivity Of Female Employees In China With Scoliosis Pain, Shauna-Kay Reeves
Motivation And Productivity Of Female Employees In China With Scoliosis Pain, Shauna-Kay Reeves
Walden Dissertations and Doctoral Studies
A scoliosis diagnosis can impact an individual’s work performance, particularly if there is a lack of proper ergonomics or workplace accommodations that might lead to increased pain and discomfort. Organizational leaders must understand this impact as an indicator of employee motivation and productivity. The purpose of this qualitative, interpretative phenomenological analysis was to explore the lived experience of female employees in China with scoliosis pain and its impact on their motivation and productivity. The theoretical foundations used in this study were the job demands-resources model and the self-determination theory. The participants consisted of eight female employees with scoliosis pain working …