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Cervical Cancer Screening Among Women Across The United States, Srivathsan Vijaya Raghavan
Cervical Cancer Screening Among Women Across The United States, Srivathsan Vijaya Raghavan
Walden Dissertations and Doctoral Studies
While cervical cancer is not among the most frequently diagnosed cancers in the United States, it remains a significant concern due to its preventability through regular Pap smears and Human Papillomavirus (HPV) vaccination. However, incidence rates are rising as screening participation among U.S. women declines. This quantitative study (N = 15714) explored cervical cancer screening behaviors by analyzing levels of community involvement and social functioning, guided by the socioecological model (SEM). The dependent variable was cervical cancer screening, while the independent variables were community involvement and social functioning. The study controlled for health insurance status, age, race, ethnicity, employment, education, …
Exploring The Black Church’S Role In The Black Man’S Experience With Depression: A Qualitative Inquiry, Terry Edwards Jr.
Exploring The Black Church’S Role In The Black Man’S Experience With Depression: A Qualitative Inquiry, Terry Edwards Jr.
Walden Dissertations and Doctoral Studies
Black men experience disproportionate mental health disparities, particularly in relation to depression, yet remain less likely to engage in formal mental health treatment due to cultural stigma and barriers to care. The Black church, a historically trusted institution within the Black community, may influence how depression is understood and managed. The purpose of this generic qualitative study was to explore how Black men in Inkster, Michigan perceive the role of the Black church in influencing their understanding and management of depression. The Health, Illness, Men, and Masculinities (HIMM) framework guided this study. Data were collected through semi-structured interviews with 10 …
Southeastern United States African American Business Leaders’ Effective Business Profitability Strategies, Maurice Chamblin
Southeastern United States African American Business Leaders’ Effective Business Profitability Strategies, Maurice Chamblin
Walden Dissertations and Doctoral Studies
African American business leaders in the United States experience persistent operational constraints that affect business sustainability and long-term profitability. These leaders face recurring challenges in accessing capital, securing managerial support, and effectively utilizing resources, which may hinder their ability to remain viable and competitive. Grounded in resource-based view theory, this qualitative pragmatic inquiry project aimed to identify and explore the practical strategies used by African American business leaders in the Southeastern United States to increase their business profitability over more than 5 years. The participants were six African American business leaders from the Southeastern United States who had grown their …
Traditionally Certified, Second-Career Teachers’ Perceptions Of Intent To Stay In The Classroom, Tara L. Wells
Traditionally Certified, Second-Career Teachers’ Perceptions Of Intent To Stay In The Classroom, Tara L. Wells
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was the high teacher turnover, including traditionally certified, second-career teachers (TCSCTs), in United States classrooms, despite support and additional resources provided. The purpose of this qualitative study was to examine TCSCTs’ perceptions on the reasons and their recommendations to remain in the classroom. Ingersoll's teacher turnover and retention framework was used to conceptually frame this study. Using a basic qualitative design, semistructured interviews were conducted with 12 TCSCTs. Data were analyzed through thematic analysis. The following themes emerged: TCSCTs remain in the profession primarily due to a sense of purpose in their …
Burnout And Secondary Traumatic Stress Experiences In Mental Health Professionals Working With Military Veterans, Megan Carter
Burnout And Secondary Traumatic Stress Experiences In Mental Health Professionals Working With Military Veterans, Megan Carter
Walden Dissertations and Doctoral Studies
Burnout among mental health professionals has been a long-standing phenomenon when working with trauma individuals resulting in increased job turnover rates and decreased quality of care for patients. The job demands- resourced model and constructivist self- development theory were used to guide this study. The purpose of this research study was to explore how mental health professionals working with the military veteran population experience burnout and secondary traumatic stress. A descriptive qualitative design was used with purposive and snowball sampling to attain 10 mental health professionals from various facilities serving military veterans. Data were collected from semistructured interviews and were …
An Educational Intervention To Increase Nurses’ Knowledge And Confidence Of Patient Mobility, Debbie Ann Pytak
An Educational Intervention To Increase Nurses’ Knowledge And Confidence Of Patient Mobility, Debbie Ann Pytak
Walden Dissertations and Doctoral Studies
Immobility is a significant concern given that nearly half of all hospitalized adults are immobile during their hospitalization, placing them at increased risk for adverse outcomes. As a result, it is critical for nurses to implement strategies that promote safe, structured patient mobility. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine if an educational intervention focused on patient mobility and standardized mobility tool utilization increased knowledge and confidence among nursing staff in an acute care setting. Ten participants volunteered to attend the educational intervention. The average age of the participants was 44.30 years (SD …
Dementia De-Escalation Staff Education Program, Gretchan Edwards
Dementia De-Escalation Staff Education Program, Gretchan Edwards
Walden Dissertations and Doctoral Studies
Behavioral and psychological symptoms of dementia (BPSD), including agitation and aggression, present significant challenges in acute care settings and contribute to increased staff injury risk and inconsistent patient care. The purpose of this Doctor of Nursing Practice (DNP) project was to evaluate the impact of a structured dementia de-escalation education program on staff knowledge, confidence, and perceived ability to manage dementia-related behaviors. The guiding PICOT question asked: In acute care staff, how does participation in a structured de-escalation training program that incorporates environmental modifications and organizational support, compared with no formal de-escalation training, affect staff knowledge, confidence, and perceived impact …
Experiences Of Maternal Care In The Gypsy, Roma, And Traveller Population In The United Kingdom: A Cultural Care Model, Sarah Englebert Crowson
Experiences Of Maternal Care In The Gypsy, Roma, And Traveller Population In The United Kingdom: A Cultural Care Model, Sarah Englebert Crowson
Walden Dissertations and Doctoral Studies
Gypsy, Roma, and Traveller women (GRT) in the United Kingdom face persistent maternal health disparities and show poor engagement with healthcare services. Exclusion, discrimination, and a lack of cultural competence from healthcare professionals contribute to poor health outcomes including preterm births; and GRT women have more babies born with congenital anomalies than non-GRT women in the United Kingdom. The purpose of this focused ethnographic qualitative study was to explore how self-identified GRT women living in the United Kingdom experienced maternal care and how cultural identity and social structures influenced their interactions with healthcare providers based on Madeleine Leininger’s cultural care …
Education To Improving Prediabetes Management And Preventing Progression To Diabetes In The Primary Care Setting, Irene Mah Mebune
Education To Improving Prediabetes Management And Preventing Progression To Diabetes In The Primary Care Setting, Irene Mah Mebune
Walden Dissertations and Doctoral Studies
Prediabetes is a significant public health concern in the United States, as many individuals remain undiagnosed or inadequately managed, which increases the risk of progression to type 2 diabetes and associated complications. Primary care settings are essential for early identification and prevention. However, gaps in staff knowledge and inconsistent application of evidence-based guidelines frequently hinder effective management. This Doctor of Nursing Practice (DNP) staff education project aimed to enhance healthcare staff knowledge and confidence in screening for and managing prediabetes within a primary care clinic. The central question guiding this project was whether evidence-based staff education could improve healthcare staff …
Mapping Serial Killer Life Pathways With Behavior Sequence Analysis, Morgann Lynn Brafford
Mapping Serial Killer Life Pathways With Behavior Sequence Analysis, Morgann Lynn Brafford
Walden Dissertations and Doctoral Studies
Although adverse childhood experiences (ACEs) are known to influence criminal behavior in adulthood, their potential influence on serial killer actions has not been scrutinized. This study was an investigation of how ACEs might affect serial killer actions later in life. The trauma-control model provided a conceptual framework for the investigation. Marono et al.’s research featuring behavior sequence analysis (BSA) was broadened to examine the impact of psychological abuse, sexual abuse, physical abuse, violence against animals, head injury, and bullying serial killer behaviors like stalking or sexual assault. The participants were 364 anonymized male serial killers from the Radford/Florida Gulf Coast …
Strategic Digital Adaptation Among Small And Medium-Size Enterprise Leaders In Grenada For Implementing Digital Technologies To Achieve Long-Term Sustainability, Competitive Advantage, And Scalability, Devon Junior Charles
Walden Dissertations and Doctoral Studies
Many small and medium-sized enterprise (SME) leaders in Grenada struggle to implement digital technologies effectively, which limits business sustainability, competitive advantage, and scalability. This issue is particularly concerning for SME leaders, as ineffective digital implementation threatens business survival, workforce stability, and economic resilience in small island developing states (SIDS). Grounded in a composite conceptual framework integrating the technology–organization–environment framework and dynamic capabilities theory, the purpose of this qualitative pragmatic inquiry was to explore strategies SME leaders in Grenada used to implement digital technologies to achieve sustainability, competitive advantage, and scalability. The participants were six SME leaders in Grenada with at …
Risk Factors Affecting Functional Outcomes Of Traumatic Brain Injury Patients During Long-Term Acute Care Hospital Rehabilitation, Arturo Olazabal
Risk Factors Affecting Functional Outcomes Of Traumatic Brain Injury Patients During Long-Term Acute Care Hospital Rehabilitation, Arturo Olazabal
Walden Dissertations and Doctoral Studies
Traumatic brain injury (TBI) is a major public health concern associated with long-term disability and high healthcare utilization. Evidence guiding post-acute rehabilitation for medically complex TBI populations remains limited, particularly in long-term acute care hospital (LTACH) settings serving medically unstable patients. This study examined clinical and system-level factors associated with functional rehabilitation outcomes among adults with moderate-to-severe TBI in LTACHs. Guided by the Socioecological Model, recovery was conceptualized as interactions across individual, clinical, and organizational levels. This dissertation included three manuscripts using cross-sectional logistic regression and CMS Section GG measures. In Manuscript 1, longer time from injury to LTACH admission …
Leadership Practices To Influence Employee Satisfaction And Well-Being In The Behavioral Health Environment, Kandice Ferdon
Leadership Practices To Influence Employee Satisfaction And Well-Being In The Behavioral Health Environment, Kandice Ferdon
Walden Dissertations and Doctoral Studies
The increasing complexity and competitiveness of today’s health care system require innovative leadership approaches that support both high‑quality patient care and a healthy workforce. Although concerns about clinician burnout have grown, limited research has examined how leadership practices within behavioral health settings influence employee well‑being and satisfaction. This qualitative case study explored how behavioral health leaders shape workplace well‑being by integrating physical and psychological safety into daily practice. Methodological triangulation—combining survey data, organizational outcomes, and interview responses—strengthened the validity of the findings and provided a multidimensional understanding of leadership impact. Leaders emphasized that employee well‑being depends on both physical safety …
Exploring How Long-Term Residents Influence Environmental Policy Decisions In The Takushara Settlement In Abuja, Nigeria, Agbanusi Uchechukwu Jonathan
Exploring How Long-Term Residents Influence Environmental Policy Decisions In The Takushara Settlement In Abuja, Nigeria, Agbanusi Uchechukwu Jonathan
Walden Dissertations and Doctoral Studies
Rapid urbanization of Nigeria’s Federal Capital Territory (FCT) has increasingly marginalized indigenous communities, creating a significant disconnect between top-down environmental governance and how it affects residents. Previous research has found that this land swap displaces indigenous stewards and erodes their traditional ecological knowledge, endangering local livelihoods, food security, and sustainable management of natural resources. The purpose of this narrative qualitative study was to explore how long-term residents perceive and experience their influence in environmental policy decisions through the lens of the social-ecological systems framework and the theory of resilience. This study examined the systematic exclusion of long-term residents of the …
Foster Parents' Experiences Faced With Older Foster Children During Covid-19, Tisha S. Nicholson
Foster Parents' Experiences Faced With Older Foster Children During Covid-19, Tisha S. Nicholson
Walden Dissertations and Doctoral Studies
The COVID-19 virus was a new virus that caused a worldwide pandemic. There was not much information about what the virus was, what caused it, or how to stop its spread. Vulnerable populations such as those in foster care were especially affected because the foster children had no place to go. The purpose of this qualitative study was to explore the lived experiences of foster parents who had older foster children in their care during the COVID-19 pandemic. There was a lack of research specifically on foster parents and their personal lived experiences with the foster care system and foster …
Effective Strategies For Sustaining Massage Small Businesses Beyond 5 Years, Steven Brian Glover
Effective Strategies For Sustaining Massage Small Businesses Beyond 5 Years, Steven Brian Glover
Walden Dissertations and Doctoral Studies
Ineffective business strategies can lead to premature closure. Small business owners who struggle to develop long-term strategies may experience failure as a result. Grounded in the resource-based view and dynamic capabilities theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore practical strategies used by massage therapy small business owners to sustain their businesses for more than 5 years. The participants were 10 massage therapy small business owners who had sustained their businesses for more than 5 years. Data were collected through semistructured interviews, business documents, and public records. Through thematic analysis, six themes were …
Perioperative Pressure Injury Prevention Education Program, Stephanie M. Reed
Perioperative Pressure Injury Prevention Education Program, Stephanie M. Reed
Walden Dissertations and Doctoral Studies
Pressure injuries (PIs) are localized injury to the skin and/or underlying tissue, usually over a bony prominence, resulting from sustained pressure including pressure associated from shear. Surgical patients are estimated to represent 42% of hospital acquired PIs. PIs result in poor patient outcomes, increase length of stay, add billions to heath care costs are no longer reimbursed by Centers for Medicare/Medicaid Services. Prevention of PI is different in the perioperative setting due to the complexities of surgery. This project focused on developing, delivering, and evaluating a robust education program for perioperative staff on PI prevention in the perioperative setting. The …
Relationship Between Hepatitis B Virus Screening, Vaccination, And Spread In Sierra Leone, Muhammed Sarmodu Mansaray
Relationship Between Hepatitis B Virus Screening, Vaccination, And Spread In Sierra Leone, Muhammed Sarmodu Mansaray
Walden Dissertations and Doctoral Studies
Hepatitis B virus (HBV) presents a significant public health burden in Sierra Leone. Although the estimated prevalence was 8.7% in 2021, comprehensive statistical data has been limited in general. Programmatic interventions for HBV control such as systematic screening and vaccination have remained limited as well. The purpose of this quantitative cross-sectional study was to examine the relationship between screening and vaccination practices and HBV prevalence in Sierra Leone while controlling for age, sex, education and health care access. The theoretical framework incorporated the Integrated Screening Action model, which highlights screening as a critical disease prevention strategy, and the Social Ecological …
Succession Strategies For Family Business Owners, Sara Ann Neel
Succession Strategies For Family Business Owners, Sara Ann Neel
Walden Dissertations and Doctoral Studies
Family business succession remains a persistent challenge, as many family-owned enterprises fail to survive transitions in leadership and ownership. Family business owners and stakeholders are concerned with ineffective succession because failed transitions can threaten business longevity, family relationships, and the preservation of multigenerational wealth and legacy. Grounded in the family business three-circle model and stewardship theory, the purpose of this qualitative pragmatic inquiry was to explore effective succession strategies used by some family business owners to improve succession outcomes. The participants were eight senior family business owners in Texas whose business revenues were between $3 million and $250 million. Data …
Sociodemographic Factors And Dating Violence Among Adolescents Living In Rural Southern U.S. Communities, Kiara Patricia Sims-Thrasher
Sociodemographic Factors And Dating Violence Among Adolescents Living In Rural Southern U.S. Communities, Kiara Patricia Sims-Thrasher
Walden Dissertations and Doctoral Studies
Adolescent dating violence (ADV) is a significant public health issue that disproportionately affects youths in southern rural communities, yet these populations remain underrepresented in research. The purpose of this quantitative cross-sectional study was to examine the association between ADV and sociodemographic factors (gender, race, age, and education level), alcohol consumption, and bullying among adolescents in Alabama, Arkansas, and Mississippi using data from the 2021 Youth Risk Behavior Surveillance System. Guided by the social-ecological model, binary logistic regression analyses were conducted to assess relationships between ADV victimization and the selected predictors. Results indicated that females had significantly higher odds of reporting …
Psychologists’ Preparedness And Self-Efficacy In Serving Grieving Hispanics During Covid-19, Janet Salinas Sanchez
Psychologists’ Preparedness And Self-Efficacy In Serving Grieving Hispanics During Covid-19, Janet Salinas Sanchez
Walden Dissertations and Doctoral Studies
Mental health professionals working with Hispanic populations often face challenges in addressing grief, a culturally multifaceted experience influenced by traditions and familial and community practices. The purpose of this qualitative study was to examine psychologists’ self-efficacy and preparedness in managing grief among Hispanic individuals who have been affected by COVID-19, address cultural factors in grief management, and identify demographic or professional factors that predict higher self-efficacy in working with Hispanic clients. Data were collected at a single point in time from eight psychologists who were actively working or had worked with Hispanic populations during COVID-19 to explore psychologists’ self-efficacy, preparedness, …
Association Between Childhood Exposure To Family Substance Abuse, Mental Health Issues, And Cervical Screening Among Women Ages 18-65 In South Carolina, Ashley Laine Hamm
Association Between Childhood Exposure To Family Substance Abuse, Mental Health Issues, And Cervical Screening Among Women Ages 18-65 In South Carolina, Ashley Laine Hamm
Walden Dissertations and Doctoral Studies
Adverse childhood experiences (ACEs) have been associated with adverse health outcomes in adulthood; however, less is known about their relationship with preventive health behaviors such as cervical cancer screening. The purpose of this quantitative, correlational study was to examine associations between selected ACEs and cervical cancer screening among women aged 18–65 in South Carolina. Data were drawn from the 2020 South Carolina Behavioral Risk Factor Surveillance System (BRFSS) and included 1,323 women. Binary logistic regression analyses were used to examine unadjusted and adjusted associations between ACE exposures and being up to date with Pap testing, controlling for age, race/ethnicity, income, …
The Association Between Advanced Technology Use And Quality Of Life Among Those With A Disability, Sarah Antus
The Association Between Advanced Technology Use And Quality Of Life Among Those With A Disability, Sarah Antus
Walden Dissertations and Doctoral Studies
Advanced medical technology use among individuals with physical disabilities remains understudied, creating a significant gap in understanding its impact on quality-of-life (QoL) outcomes across demographic and age groups. Guided by the social ecological model, the purpose of this quantitative study was to examine associations between advanced medical technology use, disability status, demographic factors (age, gender, and race/ethnicity), and QoL outcomes using 2017–2018 National Health and Nutrition Examination Survey data. The sample included 9,254 individuals age 6 years and older with physical functional limitations and complete technology-use and QoL data. Advanced medical technology use was significantly associated with improved QoL (p < .001). Disability status demonstrated a statistically significant but modest association with technology use, OR = 0.84, 95% CI [0.83, 0.85], p < .001. Age-stratified analyses indicated that advanced technology use significantly predicted improved QoL among adults aged 20 years and older, OR = 6.90, 95% CI [6.89, 6.91], p < .001, but not among youths aged 6–19 years (p = .929). Gender was a significant predictor of technology use, with females having higher odds than males, OR = 1.07, 95% CI [1.06, 1.08], p < .001. Race/ethnicity was also significantly associated with technology use; compared with non-Hispanic White adults, Mexican American (OR = 0.43, 95% CI [0.42, 0.44], p < .001), other Hispanic (OR = 0.58, 95% CI [0.57, 0.59], p < .001), and non-Hispanic Black adults (OR = 0.79, 95% CI [0.78, 0.80], p < .001) had lower odds of advanced medical technology use. The study may inform health care stakeholders about strategies to promote equitable access to advanced medical assistive technologies for social change
Strategies To Address Employee Shortages In Allied Health, John O. Delozier
Strategies To Address Employee Shortages In Allied Health, John O. Delozier
Walden Dissertations and Doctoral Studies
Continuing shortages of allied health (AH) workers have become a critical business challenge for health care organizations, driven by an aging population, rising service demand, and the lasting effects of the COVID 19 pandemic. AH leaders remain concerned about meeting essential staffing requirements, as persistent recruitment and retention difficulties threaten the delivery of high-quality health care. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry was to explore strategies successful health care leaders used to recruit and retain skilled AH employees. The participants were seven Maryland health care leaders with experience successfully implementing recruitment and retention strategies …
Experiences Of Classroom Teachers’ Technology Use During And After A Pandemic, William Primrose
Experiences Of Classroom Teachers’ Technology Use During And After A Pandemic, William Primrose
Walden Dissertations and Doctoral Studies
The problem explored in this study was that during the COVID-19 pandemic, teachers began using new or existing technology for which they were unprepared. Framed by Davis’ technology acceptance model (TAM), the purpose of this basic qualitative study was to examine the experiences of middle school teachers’ technology use during and after the pandemic, including their perceived usefulness of the technology in their classrooms, their intended use of the technology moving forward, and what support they may need from administration to continue using technology consistently. Data was collected through interviews with 10 teachers who taught during and after the COVID-19 …
Administrative Burden: The Hidden Costs Associated With Participating In The Department Of Veterans Affairs’ Disability Compensation Process, Christopher Anthony Campagno
Administrative Burden: The Hidden Costs Associated With Participating In The Department Of Veterans Affairs’ Disability Compensation Process, Christopher Anthony Campagno
Walden Dissertations and Doctoral Studies
The U.S. Department of Veterans Affairs (VA) has characterized the Appeals Modernization Act (AMA) as a procedural success, citing reductions in remand rates and increases in grant rates. However, VA’s reporting on AMA performance has generally focused on adjudicatory outcomes and has not addressed the administrative burden costs veterans incur while navigating the disability compensation process. Although current scholarship documents administrative burden in other public programs, little empirical work has examined how it manifests in VA’s disability compensation process. The purpose of this general qualitative study was to examine how veterans describe the learning, psychological, and compliance costs they experienced …
Systemic Poverty Amongst Puerto Ricans In New Jersey, Karen M. Acevedo-Quintana
Systemic Poverty Amongst Puerto Ricans In New Jersey, Karen M. Acevedo-Quintana
Walden Dissertations and Doctoral Studies
Puerto Ricans account for over 20% of Hispanics in New Jersey. It is estimated that 27.8% live below the poverty line. The poverty rate amongst this community is higher than the state average. Prior to this study, no known study examined what advocates for improving socioeconomic conditions amongst Puerto Ricans in New Jersey believed were the barriers to and/or facilitators of reducing poverty. The purpose of the generic qualitative study was to identify and analyze the perceptions of expert advocates regarding the current barriers to and/or facilitators of reducing poverty amongst Puerto Ricans in New Jersey using interpretivism through the …
Fast-Food Consumption And Metabolic Syndrome Risk In African Children And Adolescents, Norkinsha Willis
Fast-Food Consumption And Metabolic Syndrome Risk In African Children And Adolescents, Norkinsha Willis
Walden Dissertations and Doctoral Studies
Childhood obesity and excessive fast-food intake represent a significant public health concern among African American children. Grounded in the social-ecological model, this quantitative, cross-sectional study examined whether frequency of fast-food or pizza meal consumption and reliance on low-cost food was associated with total cholesterol (mg/dL) and waist circumference among African American children and adolescents aged 6–15 years while controlling for key sociodemographic factors (age, gender, parental education status, and annual household income). Secondary data from the 2017–2018 National Health and Nutrition Examination Survey were analyzed (N=184). Descriptive statistics, nonparametric analyses, and a multiple linear regression model were used to analyze …
Developing Nursing Education On The Assessment Of Asthma Patients With Symptoms Of Shortness Of Breath In Urgent Care, Abigail Akorfa Adase
Developing Nursing Education On The Assessment Of Asthma Patients With Symptoms Of Shortness Of Breath In Urgent Care, Abigail Akorfa Adase
Walden Dissertations and Doctoral Studies
This quality improvement project aimed to enhance the assessment of dyspnea in patients presenting with shortness of breath, particularly those with asthma, through a staff education program. At the practice site, staff primarily relied on SpO₂ readings to evaluate dyspnea, which often led to misassessment and delays in care. The project addressed this gap by providing urgent care staff with training on comprehensive assessment techniques, including evaluation of respiratory rate, work of breathing, ability to speak, patient history, and use of validated tools such as Borg’s scale and peak flow meters. Twenty triage staff members participated, including licensed practical nurses, …
Long-Term Impact Of Covid-19 On Burnout, Turnover, And Job Satisfaction Among Hospital Nurses, Delaney Corona Martinez
Long-Term Impact Of Covid-19 On Burnout, Turnover, And Job Satisfaction Among Hospital Nurses, Delaney Corona Martinez
Walden Dissertations and Doctoral Studies
Hospital industry workforce separation has remained a persistent concern in the United States, with uncertainty regarding how national hospital industry separation patterns changed following the COVID-19 pandemic. The purpose of this quantitative, nonexperimental retrospective study was to examine whether national hospital industry monthly separation rates differed between the prepandemic period (2018–2019) and the postpandemic period (2023–2024), whether separation rates demonstrated a statistically significant linear trend from 2018 through 2024, and whether separation rate variance differed between periods. The conceptual framework for this study was grounded in Maslach’s Burnout Theory and Herzberg’s Two-Factor Theory of Job Satisfaction, which explain how workplace …