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Walden Dissertations and Doctoral Studies

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Strategies For Reducing Employee Turnover In Retail Business, Mia Bulger Aug 2026

Strategies For Reducing Employee Turnover In Retail Business, Mia Bulger

Walden Dissertations and Doctoral Studies

Strategies for Reducing Employee Turnover in Retail Business by Mia S. Bulger MS, University of Phoenix, 2022 BS, Clark Atlanta University, 2005 Qualitative Pragmatic Inquiry Business Research Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration Walden University August 2026


African American Fathers’ Experiences Of Emotional Distress Within The Context Of Black Masculinity After Their Children’S Autism Diagnosis, John Notice Aug 2026

African American Fathers’ Experiences Of Emotional Distress Within The Context Of Black Masculinity After Their Children’S Autism Diagnosis, John Notice

Walden Dissertations and Doctoral Studies

Although parental experiences following a child's autism spectrum disorder (ASD) diagnosis have been examined, mothers’ experiences have garnered the most exploration, with comparatively less attention given to fathers’ experiences. There was a gap in knowledge, in particular, on how African American (AA) fathers experience their children's ASD diagnoses while navigating emotional distress within the context of Black masculinity. The purpose of this generic qualitative study was to explore how AA fathers experienced their children's ASD diagnoses while navigating emotional distress within the context of Black masculinity. Crenshaw's intersectionality theory served as the conceptual framework. Data were collected by conducting semistructured …


Staff Education For Medication Adherence Among Adults With Major Depressive Disorder In A Private Outpatient Psychiatric And Mental Health Practice, Judith Timbui Eta Aug 2026

Staff Education For Medication Adherence Among Adults With Major Depressive Disorder In A Private Outpatient Psychiatric And Mental Health Practice, Judith Timbui Eta

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project implemented a staff education initiative to improve medication adherence among adults with major depressive disorder (MDD) in a private outpatient psychiatric and mental health practice. Medication nonadherence remains a significant barrier to effective depression treatment and is associated with symptom relapse, increased healthcare utilization, and poorer patient outcomes. Evidence supports provider education as an effective strategy for improving adherence-related practices. The project examined whether a targeted educational intervention could improve staff knowledge and confidence in promoting medication adherence over a 12-week implementation period. Guided by the Johns Hopkins Evidence-Based Practice Model and the …


Teachers’ Perspectives About Early-Career Implementation Of Culturally Responsive Teaching Practices In Secondary Science Classrooms, Nicole D. Wilson-Pringle Aug 2026

Teachers’ Perspectives About Early-Career Implementation Of Culturally Responsive Teaching Practices In Secondary Science Classrooms, Nicole D. Wilson-Pringle

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study was that little was known about how secondary science teachers use their training to implement culturally responsive teaching practices (CRTPs) during their early careers in classrooms with diverse student populations. Grounded in the culturally relevant pedagogy and the teacher identity development frameworks, the purpose of this basic qualitative study was to explore secondary science teachers’ perspectives on the use of their training to implement CRTPs during their early careers in classrooms with diverse student populations. Data were collected through semistructured interviews with 10 middle and high school science teachers who received certification …


Strategies For Managing Change In Home Health Care Businesses, Halbert Brown Aug 2026

Strategies For Managing Change In Home Health Care Businesses, Halbert Brown

Walden Dissertations and Doctoral Studies

Home health care agencies may experience financial hardship when regulatory inspections result in deficiencies and administrative penalties. Home health company (HHC) leaders are concerned because ineffective change management strategies may contribute to ongoing regulatory deficiencies, penalties, and reduced business performance. Grounded in Lewin’s change management theory, the purpose of this qualitative pragmatic inquiry project was to explore change management strategies some HHC owners successfully implemented to reduce administrative deficiencies and penalties to augment business performance and profitability. The participants were six leaders from HHC firms in the southwestern region of the United States who had developed effective strategies to improve …


Staff Education To Improve Nursing Knowledge On Pressure Injury Prevention, Kheeda Kimberly Gopaul Aug 2026

Staff Education To Improve Nursing Knowledge On Pressure Injury Prevention, Kheeda Kimberly Gopaul

Walden Dissertations and Doctoral Studies

Staff education in this project was focused on improving nursing staff’s knowledge on pressure injury prevention, inspired by the persistent care quality gap. The gap in practice as of 2024 related to hospital-acquired pressure injury (HAPI) at the host health organization was reported to be approximately 0.2 per 1,000 discharges. It was apparent that education could benefit the nursing staff to improve their knowledge in pressure injury prevention. The education in service focused on continuous nursing skin assessments, to ensure over prolonged hospitalization, patients’ skin does not deteriorate with the development of pressure injuries or advancing of pre-existing pressure ulcers. …


Sbirt Staff Education To Registered Nurses In The Emergency Department, Rosemary Thuet Aug 2026

Sbirt Staff Education To Registered Nurses In The Emergency Department, Rosemary Thuet

Walden Dissertations and Doctoral Studies

Summary The project hospitals have, on average, 2,400 emergency department (ED) visits a month. Although patients receive a social screening, there are no specific assessments to determine if the person is at risk for alcohol use disorder (AUD). The lack of screening is a missed opportunity to provide a Screening, Brief Intervention and Referral to Treatment (SBIRT) assessment of over 2,400 patients a month or 48,000 people annually. Although several screening tools could be used for an SBIRT assessment, the recommendation of ED nursing leadership is to implement the tool known as the CAGE Questionnaire (Cut down, Annoyed, Guilty, and …


Youth With Mental Illness Transitioning Into Adult Judicial Systems, Susan K. Beltran Aug 2026

Youth With Mental Illness Transitioning Into Adult Judicial Systems, Susan K. Beltran

Walden Dissertations and Doctoral Studies

Despite attempts to alleviate the issues of recidivism in juveniles, this issue continues to have a major impact on young adults suffering from mental health challenges. Criminal justice involvement continues to present significant challenges for individuals with behavioral health disorders, underscoring the need to identify factors associated with arrest to inform prevention and intervention efforts. The purpose of this quantitative study was to determine the relationship between recidivism and the age of first arrest, gender, and psychiatric diagnosis for youths in an adult facility. The current study used data from the Northwestern Juvenile Project, with a sample size of N=1829. …


Lived Experiences And Competencies Of Mental Health Professionals Supporting Postpartum Mothers’ Mental Health And Well-Being, Shaynie Wolski Aug 2026

Lived Experiences And Competencies Of Mental Health Professionals Supporting Postpartum Mothers’ Mental Health And Well-Being, Shaynie Wolski

Walden Dissertations and Doctoral Studies

Perinatal mood and anxiety disorders (PMADs), including depression, anxiety, obsessive-compulsive disorder, posttraumatic stress disorder, and postpartum psychosis, affect postpartum individuals and their families. Limited research has examined the lived experiences and competencies of licensed mental health professionals who address PMADs, potentially limiting counselor educators’ ability to prepare counselors for postpartum mental health needs. Guided by hermeneutic phenomenology and informed by Ecological Systems Theory, the purpose of this qualitative study was to answer the guiding question: What are the lived experiences of licensed mental health professionals in recognizing, assessing, and treating PMADs among postpartum clients? Semi-structured interviews were conducted with eight …


Staff Education To Improve Hand Hygiene And Personal Protective Equipment Compliance, Suliat Oluwa Aug 2026

Staff Education To Improve Hand Hygiene And Personal Protective Equipment Compliance, Suliat Oluwa

Walden Dissertations and Doctoral Studies

This doctoral project is a staff education initiative designed to strengthen hand hygiene and personal protective equipment (PPE) practices among interdisciplinary staff in a long-term care (LTC) facility. The practice problem addressed inconsistent hand hygiene and PPE use across shifts and departments, contributing to healthcare-associated infections (HAIs). Because LTC residents are highly vulnerable due to advanced age, multiple comorbidities, and shared living environments, improving adherence to infection prevention practices is essential for enhancing resident safety, reducing preventable infections, and supporting compliance with Centers for Disease Control and Prevention (CDC) and Centers for Medicare & Medicaid Services (CMS) infection prevention standards. …


Fellowship Graduates’ Perceptions Of The Professional Competencies Developed In A Local Orthopedic Manual Physical Therapy Program In The Southern United States, Margaret Elaine Lonnemann Aug 2026

Fellowship Graduates’ Perceptions Of The Professional Competencies Developed In A Local Orthopedic Manual Physical Therapy Program In The Southern United States, Margaret Elaine Lonnemann

Walden Dissertations and Doctoral Studies

Orthopedic manual physical therapy (OMPT) fellowship programs focus on improving clinical skills and professional development in physical therapy. OMPT fellowship programs are 1–3-year postprofessional subspecialty training programs in manual physical therapy requiring prior orthopedic clinical experience. The problem that was addressed in this study is that professional competencies are not adequately assessed after program completion of an OMPT fellowship in the Southern United States. Grounded in Dreyfus’s skill acquisition model, the purpose of this basic qualitative study was to explore OMPT fellowship graduates’ perceptions of the professional competencies developed and recommendations for assessing these competencies in future graduates. Data were …


Kindergarten Classroom Educators’ Perceptions Of Social Emotional Learning Implementation, Thomasina A. Millner Aug 2026

Kindergarten Classroom Educators’ Perceptions Of Social Emotional Learning Implementation, Thomasina A. Millner

Walden Dissertations and Doctoral Studies

The problem addressed in this study was that research on social emotional learning (SEL) has largely focused on student outcomes, program effectiveness, and implementation practices, but limited research has examined kindergarten classroom educators’ perceptions of implementing SEL. Grounded in the Collaborative for Academic, Social, and Emotional Learning framework, the purpose of this study was to explore kindergarten classroom educators’ perceptions of SEL implementation. For this basic qualitative design, semistructured interviews with nine kindergarten educators who had at least 1 year experience implementing SEL were conducted. Through thematic data analysis the following five themes emerged: Educators noted (1) that SEL is …


Effective Strategies For Implementing Artificial Intelligence To Improve Businesses’ Value Chains, Jehan Forsythe Aug 2026

Effective Strategies For Implementing Artificial Intelligence To Improve Businesses’ Value Chains, Jehan Forsythe

Walden Dissertations and Doctoral Studies

Organizational leaders are increasingly adopting artificial intelligence (AI) to improve business operations; however, leaders of small and medium enterprises (SMEs) continue to face challenges associated with AI adoption. Understanding strategies for effective AI integration may facilitate AI adoption in SMEs, helping to enhance organizational value and improve competitive positioning. Grounded in Porter’s value chain framework, the purpose of this qualitative pragmatic inquiry project was to identify and explore effective strategies that U.S. SME leaders use to integrate AI into their value chain to increase organizational value and gain a competitive advantage. The participants were six U.S. SME leaders who led …


Prekindergarten Teachers' Perspectives On Coaching Following Professional Development On Early Childhood Programs, Donna Renee Morton Aug 2026

Prekindergarten Teachers' Perspectives On Coaching Following Professional Development On Early Childhood Programs, Donna Renee Morton

Walden Dissertations and Doctoral Studies

Coaching is recommended for prekindergarten (PK) teachers following professional development (PD) to increase implementation of instruction practices with fidelity in early childhood (EC) programs. The problem addressed in this study was PK teachers were challenged to engage in coaching experiences after PD to implement instructional practices with fidelity in a large EC program located in the Mideastern United States. Framed by Knowles’s adult learning theory, the purpose of this basic qualitative study was to explore PK teachers’ perspectives on coaching experiences after receiving PD to implement instructional practices with fidelity. Semistructured interview data were collected from eight PK teachers who …


The Lived Experiences Of Intimacy And Isolation In Single Mothers During Covid-19: An Eriksonian Perspective, Chante Renee Reeves Aug 2026

The Lived Experiences Of Intimacy And Isolation In Single Mothers During Covid-19: An Eriksonian Perspective, Chante Renee Reeves

Walden Dissertations and Doctoral Studies

Single mothers were largely absent from the COVID-19 literature, despite being head of household in approximately 80% of single-parent homes. The purpose of this phenomenological qualitative research study was to gain insight into the lived experiences of single mothers during the COVID-19 pandemic. This study addressed how this group connected with family, friends, and others in meaningful ways despite government-imposed lockdowns and restrictions. This phenomenon was explored through Erik Erikson’s psychosocial development theory, with a focus on the intimacy versus isolation stage. An Eriksonian perspective on relationship building and maintenance in adulthood can help better understand and address the social …


Completion Outcomes And Predictive Characteristics In Mandated Inpatient Substance Use Treatment, Tina Marie Moyer Aug 2026

Completion Outcomes And Predictive Characteristics In Mandated Inpatient Substance Use Treatment, Tina Marie Moyer

Walden Dissertations and Doctoral Studies

Treatment retention, specifically as it pertains to offenders who are mandated to receive substance use treatment rather than serve standard incarceration sentences, is receiving more scholarly attention. Although prior research indicates an association between substance use treatment and reduced criminal behavior, many studies have methodological limitations. The purpose of this quantitative non-experimental, comparative study was to compare treatment completion outcomes for mandated and non-mandated offenders and to examine individual predictors of treatment completion, thereby addressing gaps in the current research. Secondary data from adult offenders receiving treatment at an inpatient substance use rehabilitation facility were analyzed. The risk-needs-responsivity model was …


Licensed Counselors’ Professional Well-Being During The Covid-19 Pandemic, Jacqueline Flaherty Aug 2026

Licensed Counselors’ Professional Well-Being During The Covid-19 Pandemic, Jacqueline Flaherty

Walden Dissertations and Doctoral Studies

According to the American Counseling Association (ACA, 2014) Code of Ethics, professional counselors are responsible to monitor their own impairment. Specific interventions to prevent impairment and foster counselor professional well-being (PWB) and resiliency are imperative in a profession in which it is ethically required to continuously provide competent counseling. The purpose of this study was to explore the narratives of licensed counselors’ PWB during the onset of and successively during the coronavirus disease 2019 (COVID-19) pandemic. The theoretical orientation for this study was Dewey’s theory of experience. Nine counselor participants who were licensed by May 2018 shared detailed accounts of …


A Phq-9 Depression Screening Staff Education Program For Outpatient Nurses, Kaliym Hassaan Howell Aug 2026

A Phq-9 Depression Screening Staff Education Program For Outpatient Nurses, Kaliym Hassaan Howell

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project was an educative project to improve staff knowledge of the Patient Health Questionnaire-9 (PHQ-9) in an outpatient behavioral health unit. The PHQ-9 is a nine-item depression screening scale to evaluate depressive symptoms presence and severity (Ford et al., 2020; Negeri et al., 2021; Stanyte et al., 2023). One identified practice issue was a knowledge gap in administration, scoring, and interpretation of PHQ-9 among nurses, which was noted by inconsistencies in the interpretation and use of the tool. Since nurses are essential in PHQ-9 administration and interpretation, systematic education was needed to enhance competency. …


Staff Education To Improve Diabetic Care In A Primary Care Setting, Sally Uyen Nguyen Aug 2026

Staff Education To Improve Diabetic Care In A Primary Care Setting, Sally Uyen Nguyen

Walden Dissertations and Doctoral Studies

Inadequate patient education, inconsistent screening, missed referrals, and follow up with diabetes patients are challenges primary care managers and staff must overcome. Patients may experience negative effects that lead to poor health outcomes, delayed diagnosis, and undertreatment when provider and staff members are not educated about diabetes. The practice-focused question guiding the Doctor of Nursing Practice (DNP) staff education project involved exploring whether a staff education intervention on standardized diabetes care and screening protocols could improve physicians, managers, and medical assistants’ (MAs) knowledge of diabetes care in primary care clinics. The purpose of this project was to enhance staff knowledge …


Examining The Association Between Socioeconomic Factors And Cervical Cancer Among Minority Women In The United States, Darla Fils Aug 2026

Examining The Association Between Socioeconomic Factors And Cervical Cancer Among Minority Women In The United States, Darla Fils

Walden Dissertations and Doctoral Studies

Cervical cancer remains a significant public health concern, with African American and Hispanic women experiencing disproportionately higher incidence and mortality rates in the United States. Socioeconomic factors, including income, education, employment status, and place of residence, may contribute to these disparities by affecting access to preventive services, timely diagnosis, and follow-up care. This quantitative cross-sectional study examined associations between these factors and cervical cancer incidence among African American and Hispanic women while controlling for age and health insurance status. Guided by the socio-ecological model, the study used 2022 Behavioral Risk Factor Surveillance System data from N = 33,886 African American …


Staff Education To Improve Staff Knowledge On Fall Prevention, Nginjoh Presilia Njofang Aug 2026

Staff Education To Improve Staff Knowledge On Fall Prevention, Nginjoh Presilia Njofang

Walden Dissertations and Doctoral Studies

Patient safety risks associated with falls are a major issue in adult inpatient medical-surgical environments because nursing inconsistencies with regard to fall risk assessments, individualized fall prevention interventions, and documentation could impede adherence to best practices. To overcome this knowledge gap among RNs in the selected environment, a DNP education project aimed at standardized fall-prevention staff education was initiated. The question for the practice was whether standardized staff education would increase knowledge among nurses regarding fall-risk assessments, preventive measures, and documentation requirements, based on pretest and posttest results. In the course of a one-hour educational session conducted face-to-face, twenty RNs …


Clinical Practice Guideline For Fall Prevention And Reduction, Wendy Zitzloff Aug 2026

Clinical Practice Guideline For Fall Prevention And Reduction, Wendy Zitzloff

Walden Dissertations and Doctoral Studies

Falls are a significant concern for residents in long-term care facilities who are 65 years old or older, which places them at a higher risk of injury. The risk of falling is unique to each patient and cumulative with advanced age and complex comorbidities. A Long-Term Care (LTC) Facility in Minnesota had 6.6% of long-stay residents experience a fall resulting in a major injury, higher than the Minnesota average of 4.1%. This Clinical Practice Guideline (CPG) outlines foundational components for preventing and reducing falls among geriatric patients in long-term care facilities. The purpose of the CPG is to outline the …


Staff Education To Improve Hypertension Management Knowledge, Angelor Eliscard Aug 2026

Staff Education To Improve Hypertension Management Knowledge, Angelor Eliscard

Walden Dissertations and Doctoral Studies

In this Doctor of Nursing Practice (DNP) staff education project, I addressed inconsistent staff knowledge of evidence-based strategies for preventing and controlling hypertension among African American women in an outpatient primary care setting. The practice-focused question was: In an outpatient clinical setting, what was the impact of an evidence-based staff education program on healthcare providers' knowledge of hypertension prevention and control strategies for African American women, as measured by pretest and posttest scores? The purpose of this project was to implement and evaluate a structured staff education program to improve providers' knowledge of evidence-based strategies for preventing and controlling hypertension …


How Racial Bias And Job-Related Stressors Impact The Prospect Of Police Misconduct, Jean Emmanuel Brutus Aug 2026

How Racial Bias And Job-Related Stressors Impact The Prospect Of Police Misconduct, Jean Emmanuel Brutus

Walden Dissertations and Doctoral Studies

Police use of excessive force is an enduring challenge for criminal justice institutions and the public, particularly, affecting minority communities. This has contributed to diminished public confidence in U.S. policing institutions. Prior empirical studies among law enforcement officers, indicate that Black minorities have been discriminated by police officers. Stress research links social stress to mental health and identifies police brutality as an anticipatory stressor for minority groups. The purpose of this qualitative case study was to identify factors, including job-related stressors, and racial bias, that contribute to officers using excessive force, so to fill the gap in research, and develop …


Effective Strategies To Implement Equitable And Transparent Artificial Intelligence Technologies To Improve Employee Productivity, Ijeoma Appolonia Chukwunyelu Aug 2026

Effective Strategies To Implement Equitable And Transparent Artificial Intelligence Technologies To Improve Employee Productivity, Ijeoma Appolonia Chukwunyelu

Walden Dissertations and Doctoral Studies

Ineffective artificial intelligence (AI) implementation strategies can undermine transparency and ethics in AI technology use for organizational performance and diminish employee productivity. Without these strategies, information technology (IT) leaders risk reduced employee productivity, lower organizational adoption of AI technologies, and inequitable outcomes. The purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies IT leaders use to implement transparent, ethical AI technologies to improve employee productivity. The conceptual framework that grounded this project was transformational leadership theory. The project participants were six IT business leaders in the United States with experience implementing AI technologies within their organizations. …


Effective Leadership Strategies To Recruit And Retain A Multigenerational Workforce, Nnamdi Cajetan Onwuzulike Aug 2026

Effective Leadership Strategies To Recruit And Retain A Multigenerational Workforce, Nnamdi Cajetan Onwuzulike

Walden Dissertations and Doctoral Studies

A lack of effective leadership strategies for recruiting and retaining a multigenerational workforce poses a significant challenge for organizational leaders. Failure to address the diverse needs and expectations of employees across generations can reduce employee retention, hinder organizational effectiveness, and increase operational costs. Grounded in transformational leadership theory, the qualitative pragmatic inquiry identified and explored effective leadership strategies used by some organizational leaders to recruit and retain a multigenerational workforce. Participants were six organizational leaders from large organizations in the United States with experience leading multigenerational workforces. Data were collected through semistructured interviews and secondary data from publicly available sources …


Multidimensional Impacts Of Insecure Password Workaround Techniques On Modern Organizations, Emmanuel Paintsil Aug 2026

Multidimensional Impacts Of Insecure Password Workaround Techniques On Modern Organizations, Emmanuel Paintsil

Walden Dissertations and Doctoral Studies

Password workaround (PWWA) behaviors, such as password sharing, credential reuse, and other informal security practices, continue to expose organizations to significant cybersecurity risks. Small and medium-sized enterprise (SME) leaders are particularly vulnerable because they often operate with limited resources while balancing security requirements, regulatory obligations, and operational demands. Guided by Herzberg’s two-factor theory and activity theory. The purpose of this qualitative pragmatic inquiry was to explore [CS3.1]strategies SME leaders use to identify, manage, and mitigate the financial, reputational, and regulatory risks associated with PWWA behaviors. Data were collected through semistructured interviews with 10 cybersecurity professionals and organizational leaders who had …


Staff Education To Improve Obesity Risk Assessment And Referral Practices, Omolara Aminat Oshokoya Aug 2026

Staff Education To Improve Obesity Risk Assessment And Referral Practices, Omolara Aminat Oshokoya

Walden Dissertations and Doctoral Studies

Summary This staff education project addressed inconsistent obesity risk assessment practices in an adult primary care setting. Obesity is associated with increased rates of cardiovascular disease, diabetes, hypertension, and other chronic conditions. At the project site, obesity assessment practices relied largely on body mass index (BMI), resulting in inconsistent identification of obesity-related risks and referral needs. The purpose of this project was to educate providers on the Edmonton Obesity Staging System (EOSS) to improve obesity risk identification and referral practices. The project evaluated whether the staff education intervention improved providers' knowledge and use of the Edmonton Obesity Staging System (EOSS) …


Operating Room Scheduling And Workflow Optimization In Acute Care Hospitals, Waleed Tawfik Aug 2026

Operating Room Scheduling And Workflow Optimization In Acute Care Hospitals, Waleed Tawfik

Walden Dissertations and Doctoral Studies

Operating room scheduling inefficiencies in acute care hospitals contribute to delays, prolonged turnover times, cancellations, underused capacity, overtime, higher costs, and reduced timely access to surgery. This integrative review examined evidence-based, systems-oriented scheduling and workflow strategies to improve operating room utilization, reduce delays, and enhance operational efficiency. Guided by general systems theory, a structured search identified 196 database-level records; 28 articles underwent full-text review, and 20 sources were retained for thematic synthesis after critical appraisal using the Johns Hopkins Evidence-Based Practice criteria. The thematic analysis revealed four main themes: standardized workflow coordination, data-driven scheduling and decision support, integrated resource and …


Underrepresented Students’ Perceptions Of Precollege Programs And Challenges Of Transitioning To Postsecondary Education, Dana Truesdale Aug 2026

Underrepresented Students’ Perceptions Of Precollege Programs And Challenges Of Transitioning To Postsecondary Education, Dana Truesdale

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that underrepresented students (low-income and first generation college students) face challenges associated with the transition from secondary education to postsecondary education. Grounded in Schlossberg’s transition theory, the purpose of this study was to explore underrepresented students’ perceptions of support provided by precollege programs and remaining challenges when transitioning to higher education. For this basic qualitative design, semistructured interviews with 11 underrepresented students who participated in a precollege program were conducted. Braun and Clarke’s six-phase data analysis was used. After deductive and inductive analysis, the following themes emerged: Students indicated that the …