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Strategies To Eliminate Counterfeit Medications In The Pharmaceutical Supply Chain, Clarence Edward Mosby
Strategies To Eliminate Counterfeit Medications In The Pharmaceutical Supply Chain, Clarence Edward Mosby
Walden Dissertations and Doctoral Studies
Counterfeiting and drug diversion in the U.S. supply chain is a business problem that results in medication shortages for many ill patients. Successful strategies to augment the distribution of pedigree pharmaceuticals and reduce supply chain medication shortages are important to community pharmacists. Grounded in the theory of constraints as the conceptual framework, the purpose of this qualitative pragmatic inquiry study was to explore the strategies that pharmacists use to detect and reduce the dispensing of counterfeit medicines. The participants were 6 pharmacists in the Northeastern United States. Data were collected using semistructured interviews and publicly available documents. Through thematic analysis, …
Examining How Self-Advocacy Skills Are Taught To Students With Exceptionalities, Pamela Kay Choate
Examining How Self-Advocacy Skills Are Taught To Students With Exceptionalities, Pamela Kay Choate
Walden Dissertations and Doctoral Studies
Students with mild to moderate exceptionalities often do not receive adequate instruction in self-advocacy skills during their elementary or middle school years. The specific problem addressed in this study was that many teachers at the research setting are not teaching the four component skills of self-advocacy to students with mild to moderate exceptionalities. Grounded by the theory of self-advocacy, the purpose of this basic qualitative study was to explore the strategies used and the barriers faced by teachers who are not teaching the four component skills of self-advocacy to students with mild to moderate exceptionalities. Four elementary and five middle …
Enhancing Nurse Retention In Acute Care Hospitals By Creating An Environment Supportive Of Evidence-Based Practice, Vanessa Roxana Funes
Enhancing Nurse Retention In Acute Care Hospitals By Creating An Environment Supportive Of Evidence-Based Practice, Vanessa Roxana Funes
Walden Dissertations and Doctoral Studies
High nurse turnover rates in acute care hospitals negatively impact operations, increase turnover-related costs, and worsen organizational performance. Developing solutions for healthcare administrators to create environments supportive of evidence-based practice (EBP) can yield positive nurse outcomes, including reducing nurse turnover and increasing retention. This integrative review includes strategies to execute a system-wide environment supportive of EBP as an efficient strategy to reduce nurse turnover and increase retention in acute care hospitals. Using the advancing research and clinical practice through close collaboration (ARCC) model as a guiding framework and the Johns Hopkins evidence-based model as a tool to evaluate evidence, empirical …
The Impact Of Specific Foster Care Placement Factors On Attachment-Related Anxiety And Avoidance In The Adult Intimate Relationships Of Foster Care Alumni, Latasha Macklin
Walden Dissertations and Doctoral Studies
Children who have a history of maltreatment, like those placed in foster care, are at a significantly higher risk for developing an insecure attachment style, which may be correlated with various problems in adulthood, including adverse relationship outcomes, poor job satisfaction, low self-esteem, mood, and personality disorders. Prior research suggests a correlation between the attachment style of a foster child and specific foster care factors, including the type of placement, reason for placement, number of placements, age of the child at placement, and gender of the child. However, no research exists to examine how these factors might significantly impact the …
A Systematic Review Of Brief Cognitive Test Used Among The Veteran Population, Joel Mcpherson
A Systematic Review Of Brief Cognitive Test Used Among The Veteran Population, Joel Mcpherson
Walden Dissertations and Doctoral Studies
The practice problem this DNP project addressed was the lack of a of consensus for a brief cognitive screening (BCS) tool that can be most predictive of mild cognitive disorder (MCI) and dementia in a Veteran Affairs (VA) outpatient clinic. Addressing this gap in practice is important because the veteran population may be at increased risk of MCI and dementia due to age, a history of traumatic brain injury, and posttraumatic stress disorder. This DNP project was a systematic review of the literature. A population, exposure, outcome (PEO) framework and the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) theory guided …
Exploring The Underutilization Of Ai In Courtroom Decision-Making Processes, Dominique Lashaun Hilliard
Exploring The Underutilization Of Ai In Courtroom Decision-Making Processes, Dominique Lashaun Hilliard
Walden Dissertations and Doctoral Studies
The underutilization of AI in Texas state courtrooms challenges judicial efficiency, fairness, and transparency. Despite AI’s potential to enhance evidence management and decision-making, its adoption remains limited. Legal professionals and information technology (IT) managers stress the need for strategies to address these barriers and promote equitable justice. The purpose of this qualitative multiple-case study, which was grounded in the technology acceptance model, diffusion of innovation theory, and unified theory of acceptance and use of technology, was to explore strategies IT managers use to implement AI in criminal justice information systems. Semi-structured interviews and organizational documents provided data for thematic analysis, …
Experiences Of Black Women School Counselors Coping With Student Suicide, Megan Patrice Ray
Experiences Of Black Women School Counselors Coping With Student Suicide, Megan Patrice Ray
Walden Dissertations and Doctoral Studies
Suicide represents a major public health and educational concern and presents profound emotional and professional challenges for school counselors. This transcendental phenomenological study explored the lived experiences of nine certified school counselors of color who had experienced the death of a student by suicide while employed in K–12 educational settings. With this research, I sought to answer the question: What are the lived experiences of school counselors of color who have had a student die by suicide? Guided by Moustakas’ transcendental phenomenological framework, this study employed bracketing to set aside researcher bias and uncover the essence of participants lived experiences …
Development Of A Training Module For High School Teachers To Recognize And Assist Students Who Are In Non-Permanent Housing, Damian Michael Wilson
Development Of A Training Module For High School Teachers To Recognize And Assist Students Who Are In Non-Permanent Housing, Damian Michael Wilson
Walden Dissertations and Doctoral Studies
Student homelessness is an issue affecting Polk County Public Schools in Central Florida. It is important to address this problem to equip teachers with the skills necessary to recognize its signs. The practice-focused questions included: How familiar are teachers with student homelessness, and what should be done to help those students? The purpose of this administrative study was to explore teachers’ awareness of student homelessness and identify strategies to support affected students. The conceptual design for this study was based on environmental scanning, needs assessment, and strategic planning. A survey was sent out through email to over 100 teachers at …
Age, Race, Religious Commitment, And Fertility Quality Of Life, Dana L. Ward
Age, Race, Religious Commitment, And Fertility Quality Of Life, Dana L. Ward
Walden Dissertations and Doctoral Studies
Infertility is a major health issue that impacts an individual’s physical, social and mental well-being. Women who are childless due to infertility experience a reduced fertility quality of life. Quality of life is directly related to an individual’s overall well-being and happiness. Using family systems theory, this quantitative research study aimed to answer how age, race, and religious commitment influence the fertility quality of life in women aged 25 to 50 who are involuntarily childless due to infertility. Data were collected from 132 participants using a demographic survey, The Religious Commitment Inventory (RCI-10), and the Fertility Quality of Life Survey …
Strategies For Migrating Data Warehouses To Data Lakehouses Using Public Cloud Computing, Danny Robert Hermanus
Strategies For Migrating Data Warehouses To Data Lakehouses Using Public Cloud Computing, Danny Robert Hermanus
Walden Dissertations and Doctoral Studies
The exponential growth of big data—characterized by high volume, velocity, and variety—has overwhelmed the capacity of traditional data warehouses, making it difficult to deliver timely and actionable insights. This problem is critical for IT professionals in large organizations, who face the absence of robust, evidence-based migration strategies and rely on efficient data infrastructure to maintain competitive performance and support strategic decision-making. Anchored in the technology-organization-environment (TOE) framework, the purpose of this qualitative pragmatic study was to explore strategies employed by large organizations to migrate data warehouses to data lakehouses. The study involved semistructured interviews with six IT professionals from California-based …
Teachers’ Perspectives On The Obstacles To Implementing Inquiry-Based Learning In Secondary Science Classrooms, Gabrielle Gonzales
Teachers’ Perspectives On The Obstacles To Implementing Inquiry-Based Learning In Secondary Science Classrooms, Gabrielle Gonzales
Walden Dissertations and Doctoral Studies
The research problem for this study was that teachers are inconsistent in using inquiry-based instruction in secondary science classrooms. Guided by Vygotsky’s theory of constructivism, the purpose of this basic qualitative study was to explore teachers’ perspectives of the obstacles to implementing inquiry-based instruction in secondary science classrooms and what they believe will be needed to allow them to overcome these obstacles. Semistructured interviews were conducted with 10 certified, current Grade 8 to 12 teachers within the United States who had experience and familiarity with inquiry-based instruction. The data were analyzed through thematic analysis with open coding. The five themes …
Vocational Education Leaders’ Perceptions Of Institutional Readiness For Online And Blended Learning, Gennette P. Clacken
Vocational Education Leaders’ Perceptions Of Institutional Readiness For Online And Blended Learning, Gennette P. Clacken
Walden Dissertations and Doctoral Studies
Recent studies highlight institutional readiness as critical to the successful adoption of online and blended learning (OBL) in higher education; however, limited research in Jamaican vocational institutions presents a risk of implementation failure and reduced return on investment for stakeholders. This basic qualitative study explored how institutional leaders in Jamaican vocational education institutions describe institutional readiness for OBL adoption and implementation. Grounded in facilitating conditions as a construct of the unified theory of acceptance and use of technology and guided by the blended learning adoption framework, the study focused on the readiness of institutional strategy, structure, and support. Semistructured interviews …
Renal Patients’ Perception Of Self-Efficacy Through Rapport And Trust With Registered Dietitians, Michelle Denise Broussard
Renal Patients’ Perception Of Self-Efficacy Through Rapport And Trust With Registered Dietitians, Michelle Denise Broussard
Walden Dissertations and Doctoral Studies
End stage renal disease requires dietary education and behavior modifications to manage the condition. The purpose of this quantitative study was to investigate the role of rapport and trust between the patients and registered dietitians and its impact on self-efficacy. The study was implemented over 12 weeks in multi-site dialysis units in urban Georgia. The health belief model was used as the framework to explain the participants’ desire toward self-efficacy. Data were obtained for the 14-item Health Care Relationship Trust scale and the self-efficacy scales and analyzed using multiple linear regression. A convenience sample of 125 patients between the ages …
Servant Leaders’ Humility, Active Listening, And Trust-Building On Employee Engagement In U.S. Private Financial Organizations, Sunny M. Sung
Servant Leaders’ Humility, Active Listening, And Trust-Building On Employee Engagement In U.S. Private Financial Organizations, Sunny M. Sung
Walden Dissertations and Doctoral Studies
Ineffective leadership characteristics hinder employee engagement in the financial industry, leading to negative organizational outcomes. The purpose of this quantitative, correlational, cross-sectional study was to examine the relationship between servant leaders’ humility, active listening, and trust-building for employee engagement in U.S. private financial organizations. The servant leadership theory of serving followers and the social exchange theory of reciprocity grounded this study. Using simple random sampling, the participants comprised 190 employees from private financial organizations in the United States. They completed the Servant Leadership Scale-7, Servant Leadership Assessment Instrument factors six and seven, hearing, understanding, remembering, interpreting, evaluating, and responding (HURIER) …
School Principals’ Perceptions Of Hiring School Counselors, Wendy Carol Vaughn
School Principals’ Perceptions Of Hiring School Counselors, Wendy Carol Vaughn
Walden Dissertations and Doctoral Studies
School principals are the primary hiring authorities in U.S. K-12 public schools when employing school counselors. Despite the expansion and diversification of schools’ qualifications, characteristics, and roles, there is a gap in knowledge about principals’ hiring perspectives, priorities, and specific criteria. These elements provide vital information for school counseling educational programs and organizational advocacy for hiring school counselors based on current standards and qualifications. The purpose of this hermeneutic phenomenological study was to understand the perceptions of school principals regarding the hiring of school counselors. Targeting the research question “What are the perceptions of principals interviewing and hiring school counselors …
Assessing The Influence Of Core Transformational Leadership Style On Job Satisfaction And Organizational Citizenship Behavior In A Rural Healthcare Facility, Bruce Daryl Mitchell
Assessing The Influence Of Core Transformational Leadership Style On Job Satisfaction And Organizational Citizenship Behavior In A Rural Healthcare Facility, Bruce Daryl Mitchell
Walden Dissertations and Doctoral Studies
The successful application of core transformational leadership (CTL) in healthcare may enhance the quality of patient care and foster a positive and optimistic workforce. As such, CTL may be linked with job satisfaction (JS) and organizational citizenship behavior (OCB). There was a knowledge gap in understanding CTL’s relation to JS and OCB. In this quantitative study, the influence of the predictor variable CTL on the dependent variables JS and OCB was examined. Maslow’s hierarchy of needs provided a theoretical lens for the investigation. The secondary data set included data from 221 participants: 37 physicians, 111 nurses, and 73 other workforce …
The Relationship Between Adverse Childhood Experiences And Posttraumatic Symptomology In Rio Grande Valley Hispanic Adults, Timothy Hollinger
The Relationship Between Adverse Childhood Experiences And Posttraumatic Symptomology In Rio Grande Valley Hispanic Adults, Timothy Hollinger
Walden Dissertations and Doctoral Studies
Childhood adversity is a known predictor of poor psychological outcomes in adulthood, yet little is known about this relationship among Hispanic adults in South Texas. This study examined whether adverse childhood experiences (ACEs) are associated with posttraumatic stress disorder (PTSD) symptoms and whether gender, marital status, or educational attainment moderate this relationship. The central research questions were: (1) What is the relationship between ACEs and PTSD symptoms among Hispanic adults in South Texas? and (2) Do gender, marital status, or education moderate this relationship? Guided by Bronfenbrenner’s ecological systems theory, this quantitative archival study used a non-experimental, correlational design. Linear …
Relationship Between Job Satisfaction, Diversity, Equity, Inclusion, Accessibility (Deia) Issues, And Turnover Intention, Mica Hunter
Walden Dissertations and Doctoral Studies
Federal leaders are concerned about rising turnover intentions and low job satisfaction among employees, particularly in relation to diversity, equity, inclusion, and accessibility (DEIA) issues. These challenges pose a threat to organizational stability, reduce productivity, and hinder the federal government’s ability to retain diverse talent and fulfill its mission effectively. Grounded in Frederick Herzberg's two-factor theory, the purpose of this quantitative ex post facto correlational study was to examine the relationship between job satisfaction, DEIA issues, and turnover intention within federal agencies. The participants were 254 federal employees who completed the 2023 Federal Employee Viewpoint Survey. The results of the …
Comorbidities, Therapy And Health System Factors Associated With Treatment Interruption Among Males With Tuberculosis In Nairobi County, Kenya, Lorraine Nkirote Mugambi-Nyaboga
Comorbidities, Therapy And Health System Factors Associated With Treatment Interruption Among Males With Tuberculosis In Nairobi County, Kenya, Lorraine Nkirote Mugambi-Nyaboga
Walden Dissertations and Doctoral Studies
While males are recognized as key drivers of tuberculosis (TB) transmission, the association between comorbidities (i.e., diabetes and malnutrition), adverse drug reactions (ADRs), and health system factors (i.e., frequency of drug refills) with TB treatment interruption, remains unclear. I aimed to determine the association between these factors and TB treatment interruption among males diagnosed with TB in Nairobi County, Kenya controlling for age, sub-county of residence, alcohol use, HIV co-infection, type of TB and presence of treatment supporter. Guided by WHO’s framework on adherence to long-term therapies, a quantitative, case-control study was conducted using secondary analysis of Kenya’s TB surveillance …
Relationship Between Transformational Leadership And Employee Satisfaction In The Nigerian Natural Gas Industry, Andrew Ajinde Omomehin
Relationship Between Transformational Leadership And Employee Satisfaction In The Nigerian Natural Gas Industry, Andrew Ajinde Omomehin
Walden Dissertations and Doctoral Studies
Nigeria’s natural gas sector is economically vital but faces ongoing workforce productivity and satisfaction issues. Despite insecurity, pipeline vandalism, and corruption, the Nigerian natural gas industry has low employee job satisfaction. Organizational leaders need to understand this social problem and its negative effect on the local economy. The purpose of this nonexperimental quantitative correlational study was to examine the relationship between employee perceptions of their manager’s transformational leadership dimensions and job satisfaction in the Nigerian natural gas industry. The dimensions are idealized influence-attribute and behavior, inspirational motivation, intellectual stimulation, and individualized consideration. The transformational leadership and social exchange theories grounded …
Employee Engagement Within The E-Commerce Industry, Kwami Seyram Dzahini
Employee Engagement Within The E-Commerce Industry, Kwami Seyram Dzahini
Walden Dissertations and Doctoral Studies
Employee engagement poses a significant challenge for human resources (HR) managers in the e-commerce industry. Employees experiencing engagement issues may demonstrate lower commitment and heightened workplace incivility, ultimately affecting business profitability. Grounded in the employee engagement theory, the purpose of this quantitative correlational study was to examine the relationship between work-life balance, professional growth, and employee engagement initiatives within U.S. e-commerce companies. The study involved 72 HR managers and full-time employees from the Eastern U.S. region, who participated in an online survey. Data were analyzed using multiple linear regression. The results were statistically significant, F(2, 69) = 12.475, p < .001, R² = .266, indicating that the model accounted for 26.6% of the variance in employee engagement. Professional growth emerged as a significant predictor of employee engagement, t = 2.62, p = .011, ß = 0.36. A key recommendation for e-commerce HR managers is to monitor engagement levels through surveys, feedback sessions, and performance indicators. Analyzing trends in employee retention, absenteeism, and productivity can allow leadership to make data-driven decisions and adjust strategies as needed. The implications for positive social change include the potential for HR leaders to enhance the value and satisfaction of employees, improve retention, and foster a more productive workforce that contributes positively to the overall health of the e-commerce industry and broader economy.
Mediating Models Of Depression, Anxiety, And Ptsd In Adults With Early Versus Late Autism Spectrum Disorder Diagnoses, Kaycee Malaki Dobson
Mediating Models Of Depression, Anxiety, And Ptsd In Adults With Early Versus Late Autism Spectrum Disorder Diagnoses, Kaycee Malaki Dobson
Walden Dissertations and Doctoral Studies
Adults are being diagnosed with autism at greater rates than in the past two decades. This research study examined whether the age of autism diagnosis impacts the severity of comorbid mental health disorders in adults formally diagnosed with autism. The Empathizing-Systemizing theory, which posits that autistic individuals systemize at greater rates, was applied to understand the link between age of autism diagnosis and two common comorbid disorders, depression (measured by the PHQ-9) and post-traumatic stress disorder (PTSD; measured by the PCL-5). Mediation analyses were used to explore these relationships on a convenience sample of 232 adults with autism. No significant …
Surgical Technology Faculty Perceptions Of Using High-Fidelity Simulation In Teaching, Felicia Consoweller Mcghee
Surgical Technology Faculty Perceptions Of Using High-Fidelity Simulation In Teaching, Felicia Consoweller Mcghee
Walden Dissertations and Doctoral Studies
Surgical technology education is critical in equipping individuals for healthcare careers; however, educators in the field have recognized that a gap in practice exists regarding clinical preparedness between surgical technologists and other healthcare professionals. This study’s research explored faculty perspectives on implementing high-fidelity simulation (HFS) in surgical technology curricula, highlighting the importance of this issue for educators and program directors who seek to enhance the training of future surgical technologists. This basic qualitative study, guided by the technology acceptance model (TAM), examined how researchers and faculty using TAM perceived HFS and its effects on student learning and readiness. Two key …
Early Childhood Teachers’ Perspectives On The Challenges Of Closing The African American Achievement Gap, Cherie Mcelroy-Burch
Early Childhood Teachers’ Perspectives On The Challenges Of Closing The African American Achievement Gap, Cherie Mcelroy-Burch
Walden Dissertations and Doctoral Studies
There is a persistent academic achievement gap between African American students and their White peers in Grades 1–3. Federal and state governments have made numerous efforts, implemented policy changes, and allocated more resources to struggling school districts, yet the disparity in academic achievement persists. The purpose of this basic qualitative study was to explore early childhood teachers’ perspectives on the challenges of closing the achievement gap between African American students and their White peers in Grades 1–3. The conceptual framework for this study was based on Coll and Lamberty’s model of developmental competencies in minority children. The research question for …
Perceptions Of Connections Among Technology Instructors And Their Students Working Remotely, Angela Dawn Riddle
Perceptions Of Connections Among Technology Instructors And Their Students Working Remotely, Angela Dawn Riddle
Walden Dissertations and Doctoral Studies
In 2020, educators were forced to learn new ways to instruct students due to the COVID-19 pandemic. In response to the transition from in-person to online courses, educators explored new ways of producing the learning experience. Due to the hands-on nature of industrial and engineering technology, these courses did not generally use online learning systems. The purpose of this qualitative study was to explore the experiences of industrial and engineering technology instructors connecting with students remotely during this period. Garrison’s community of inquiry framework was used to ground the study and understand the connection that occurs in the learning environment …
The Effects Of Sudden Telework On The Productivity And Engagement Of Hr Employees, Lisa Renee Schlichtig
The Effects Of Sudden Telework On The Productivity And Engagement Of Hr Employees, Lisa Renee Schlichtig
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic forced a change in how individuals perceived the way of conducting work in the United States. Human resources (HR) leaders need to understand this change because many employees lost their jobs without the means for sustainable work. Other employees maintained their jobs, suddenly shifting to telework, resulting in mixed productivity and work engagement levels. The purpose of this quantitative moderation analysis study was to examine whether there was a moderating effect of employer-provided psychological resources on perceived productivity and work engagement among HR employees after the sudden shift to telework. The conservation of resources theory and the …
Strategies To Identify And Manage Toxic Leaders For Mitigating Organizational Toxicity, Ellen Scott
Strategies To Identify And Manage Toxic Leaders For Mitigating Organizational Toxicity, Ellen Scott
Walden Dissertations and Doctoral Studies
The prevalence of toxic leadership across various sectors like healthcare, the military, corporations, and educational institutions presents a significant challenge, undermining organizational culture and employee well-being, leading to increased turnover and reduced performance. Guided by the toxic triangle as the conceptual framework, this qualitative Delphi study’s purpose involved leadership experts from across the United States to reach a consensus on organizational strategies for identifying, managing, and mitigating organizational toxicity. The research questions were focused on determining the most suitable strategies for recognizing toxicity in the organization and addressing it effectively. A panel of 30 leadership experts from across the United …
Community Health Workers’ Lived Experience Of Using Videoconferencing With Community Members, Valdora Lejune Avery
Community Health Workers’ Lived Experience Of Using Videoconferencing With Community Members, Valdora Lejune Avery
Walden Dissertations and Doctoral Studies
Community health workers in the United States faced significant challenges in conducting in-person community practice during the COVID-19 pandemic, which adversely affected their communication, training, and service delivery outcomes. Videoconferencing enabled workers to connect with underserved populations for individual and community crisis response. The purpose of this study was to describe the lived experiences of community health workers in the Rural Community Health Worker Network (RCHWN) regarding the use of videoconferencing among community members in practice and how members in RCHWN perceive the availability of videoconferencing devices to communicate in the community. Transcendental phenomenology provided the conceptual framework and research …
Exploring Clinical Social Workers' Challenges And Strategies For Co-Occurring Disorders In Private Practice Settings, Shakeena Y. Speller
Exploring Clinical Social Workers' Challenges And Strategies For Co-Occurring Disorders In Private Practice Settings, Shakeena Y. Speller
Walden Dissertations and Doctoral Studies
Co-occurring mental health (MH) and substance use disorders (SUDs) pose a significant challenge for social work practice, especially for licensed clinical social workers (LCSWs) in private practice who often work with limited resources and support. The purpose of this basic qualitative study was to explore the service delivery, care coordination strategies, and challenges of LCSWs in private practice working with co-occurring MH and SUDs. Moore’s social work practice model of case management was used to explain how LCSWs in private practice settings manage complex cases within fragmented MH and SU care systems. Semistructured interviews were used to collect data from …
Postpandemic Perspectives Of Teleassessments In Clinical Psychology, Jacklin B. Cardentey
Postpandemic Perspectives Of Teleassessments In Clinical Psychology, Jacklin B. Cardentey
Walden Dissertations and Doctoral Studies
Teleassessments gained prominence as a viable means of conducting psychological assessments in the wake of the COVID-19 pandemic. This study was an exploration of teleassessment use catalyzed by the pandemic, with a focus on the postpandemic era. The aim was to identify the factors influencing perceptions and strategies used in effective postpandemic teleassessment adoption, including factors that influence licensed psychologists’ perceptions of effective teleassessments and strategies adopted to maintain quality practices since face-to-face restrictions were lifted. The significance of this inquiry extended to various stakeholders, including mental health care practitioners, policymakers, and the public, all of whom have a vested …