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Walden Dissertations and Doctoral Studies

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Experiences Of African American Students In A Stem-Focused Community Program, Angela Blount Jan 2023

Experiences Of African American Students In A Stem-Focused Community Program, Angela Blount

Walden Dissertations and Doctoral Studies

The United States has invested millions of dollars in STEM program initiatives; however, African Americans in STEM career fields are underrepresented. The purpose of this qualitative hermeneutic phenomenological study aimed to explore the lived experiences of African-American first-year college students from rural communities in a STEM program and whether their experiences influenced their decision to pursue a STEM major in college. Spencer’s phenomenological variant of ecological systems theory (PVEST) was used to frame the study. Data were collected from semistructured interviews with eight African American first-year college students from rural communities. Coding analysis involved identifying meaning units and situated narratives …

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Mental Health Treatment And The Criminal Justice System, Susana Lehan-Trasente Jan 2023

Mental Health Treatment And The Criminal Justice System, Susana Lehan-Trasente

Walden Dissertations and Doctoral Studies

The criminal justice system has established interventions for those who have mental illness and have been charged with criminal complaints. In New York State, the Mental Health Court has been established to address these issues and is to be used by all counties. However, the treatment and probation interventions vary from county to county. Saratoga County uses a Single Point of Access (SPOA) which receives referrals from the general court and probation officers. SPOA refers clients to a variety of treatment interventions available in the county. In Monroe County, the Mental Health Court refers the criminally involved/mentally ill individual to …

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Faith-Based Leaders’ Perception On The Need For Active Assailant Contingency Planning, Tanzania Merriweather Jan 2023

Faith-Based Leaders’ Perception On The Need For Active Assailant Contingency Planning, Tanzania Merriweather

Walden Dissertations and Doctoral Studies

Violence is identifiable as a common threat to public and community safety. Violent incidents have had an extensive history within society and are especially concerning when orchestrated against religious institutions. There is existing research concerning massive violent incidents in sanctuaries and churches; however, there is limited research on the perceptions of religious leaders on the need for safety planning to prepare for and combat these incidents. This phenomenological study was completed to explore the perceptions of eight faith-based leaders on the need for safety contingency planning for sanctuaries and churches. The research questions posed for this study were designed to …

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Mindfulness Skills And Retention Risk In First-Generation Undergraduate Students, Tim Morenz Jan 2023

Mindfulness Skills And Retention Risk In First-Generation Undergraduate Students, Tim Morenz

Walden Dissertations and Doctoral Studies

First-generation college students experience more negative emotional states and higher stress levels than their continuing generation peers, take approximately two years longer to complete undergraduate degree programs, and are less than one percent likely to re-enroll in college. Mindfulness skills have been reported to alleviate anxiety and stress, improve adjustment to college, and improve academic performance, but a gap in the literature existed specific to first-generation college students. Guided by the theory of planned behavior and the monitor and acceptance theory, the purpose of this quantitative study was to examine the relationship between trait mindfulness skills and retention risk in …

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Generational Shifts In The Perception Of Workforce Commitment, Christopher Donald Raiford Jan 2023

Generational Shifts In The Perception Of Workforce Commitment, Christopher Donald Raiford

Walden Dissertations and Doctoral Studies

Costs of staffing, training, and retention have always been significant expenses for U.S. corporations. The most recent addition to the workforce, the millennial generation cohort, presents a new set of challenges to leadership. The purpose of this qualitative phenomenological study was to explore the lived experiences related to the perception of commitment of millennial generation participants employed in the U.S. community banking sector. The conceptual framework included generational theory and organizational theory. Data were collected from 11 participants via semi-structed Zoom interviews. Data were analyzed for codes, categories, and themes. Results indicated that (a) millennials value leadership that invests in …

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University Interdisciplinary Linked Block Schedules And Developmental Student Success, Linda S. Reeves-Wymer Jan 2023

University Interdisciplinary Linked Block Schedules And Developmental Student Success, Linda S. Reeves-Wymer

Walden Dissertations and Doctoral Studies

Developmental education is the starting point for many 1st-year college students, especially from underrepresented, low-income, and first-generation populations. One such 1st-year program linked block-scheduled academic skill-development courses with a required interdisciplinary general education science course where instruction was provided simultaneously in a lecture format to college-ready nondevelopmental students and developmental students in three skill-development courses: reading, writing, and combined reading/writing. Although this program had existed for over 20 years, the effectiveness of the program, meaning whether the linked skill-development courses were associated with academic success, had not been assessed. Guided by Tinto’s integration theory, a causal comparative design with the …

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Nurses' Lived Experiences Caring For Covid-19 Patients In The United States, Cynthia Rose Rodriguez Jan 2023

Nurses' Lived Experiences Caring For Covid-19 Patients In The United States, Cynthia Rose Rodriguez

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic has affected healthcare services and delivery and may leave unprecedented effects on nurses’ physical and mental health. Research is sparse on the pandemic’s effects on nurses, but studies have identified the stressful factors that may contribute to nurses’ health and well-being. The purpose of this qualitative interpretive phenomenological study was to understand the lived experiences of nurses caring for COVID-19 patients in the United States and discover how their experiences impact them on a personal and professional level. Hans Selye’s general adaptation theory served as the theoretical basis for this study with Edmund Husserl’s life worldview used …

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Strategies To Improve Hospital Patient Satisfaction To Increase Performance-Based Reimbursements, Celso G. Silla Iii Jan 2023

Strategies To Improve Hospital Patient Satisfaction To Increase Performance-Based Reimbursements, Celso G. Silla Iii

Walden Dissertations and Doctoral Studies

Officials from the Centers for Medicare and Medicaid Services (CMS) created the hospital valued-based purchasing (VBP) program focused on controlling cost, inefficiencies, and quality-of-care. Hospital leaders are incentivized or penalized based on meeting quality outcomes and risk millions of dollars in reimbursement if they do not meet the quality-of-care standards specified in the CMS hospital VBP program. Grounded in the transformational leadership theory, the purpose of this qualitative multiple case study was to explore strategies hospital leaders used to improve patient satisfaction to increase VBP performance-based reimbursements. Participants included eight hospital leaders from seven hospitals in California who successfully implemented …

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Principals’ Perceptions Of Their Role In Novice Teacher Retention In Title 1 Schools, Kassia Sutton Jan 2023

Principals’ Perceptions Of Their Role In Novice Teacher Retention In Title 1 Schools, Kassia Sutton

Walden Dissertations and Doctoral Studies

Current research suggests that retaining novice teachers, teachers with less than 5 years of teaching experience, in Title 1 elementary schools in the Southeastern United States is a problem for principals. Prior research on Title 1 elementary principal’s perceptions of their role in retaining novice teachers is limited. The purpose of this basic qualitative study was to examine six Title 1 elementary school principals’ perceptions of their role in retaining novice teachers in the Southeastern United States. The conceptual framework for this study was the job demands-resources theory, which defined working conditions through job demands and job resources. Purposeful random …

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How Elementary Teachers Implement The Eureka Mathematics Curriculum To Improve Mathematics Outcomes, Shannell A. Swan-Clarke Jan 2023

How Elementary Teachers Implement The Eureka Mathematics Curriculum To Improve Mathematics Outcomes, Shannell A. Swan-Clarke

Walden Dissertations and Doctoral Studies

Many states use research-based mathematics curricula as an instructional tool to improve mathematics performance outcomes on state assessment scores. The problem was that despite the implementation of a research-based curriculum, students at XYZ Elementary School (pseudonym) had underperformed on the Partnership for Assessment of Readiness for College and Careers standardized mathematics tests since 2018. The purpose of this basic qualitative study was to discover the implementation practices of teachers using the Eureka Mathematics Curriculum to improve student outcomes at XYZ Elementary School. Dewey’s experiential learning theory was used to support and explore ideas involving the influences of curriculum implementation on …

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Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams Jan 2023

Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams

Walden Dissertations and Doctoral Studies

When children enter kindergarten, they are expected to demonstrate an interrelated set of skills and competencies including pre-academic skills, cognitive abilities, socioemotional well-being, and physical health. The problem that was the focus of this study was that many students who complete prekindergarten are not ready for kindergarten. Guided by Garcia’s kindergarten readiness framework, the purpose of this basic qualitative study was to increase understanding of the perspectives of parents and prekindergarten teachers regarding their role in developing kindergarten readiness, and the factors they believe support or hinder their efforts. Eight prekindergarten teachers and 8 parents of prekindergarten students from one …

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The Perceived Impact Of Childbirth Related Ptsd And Maternal Bonding, Sheila Baez Jan 2023

The Perceived Impact Of Childbirth Related Ptsd And Maternal Bonding, Sheila Baez

Walden Dissertations and Doctoral Studies

AbstractChildbirth has been increasingly viewed as a potentially traumatic event and process impacting both mother and infant. Previous research on childbirth has concentrated on the development of postpartum depression and its impact; research on posttraumatic stress disorder (PTSD) after childbirth has been limited. However, the results of this research study suggested that the development of childbirth-related PTSD may be a far more common phenomenon than previously suggested. Bowlby’s attachment theory and Ainsworth’s further development and expansion of the theory served as a framework which investigated the experiences of 10 biological females, aged 21 and over previously diagnosed with PTSD after …

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Exploring Goal Setting And Motivational Experiences For Adult Workers With Autism, Daniel Ball Jan 2023

Exploring Goal Setting And Motivational Experiences For Adult Workers With Autism, Daniel Ball

Walden Dissertations and Doctoral Studies

AbstractWhile the heterogeneity of autism for adults has been much more accepted over the past 40 years, research still has a broad gap to fill as there is scarce empirical evidence on how interventions, such as motivational tactics, need to be adapted to meet individual abilities and needs. Also, the number of workers entering the workforce each year is growing as a ratio. It is posited by various authors that one in 52 people are now diagnosed as having the disorder and this number has doubled over the past decade. Furthermore, 80% of this population is underemployed or unemployed, representing …

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Effective Succession Planning And Organizational Development For Behavioral Health Leadership, Amanda Brown Jan 2023

Effective Succession Planning And Organizational Development For Behavioral Health Leadership, Amanda Brown

Walden Dissertations and Doctoral Studies

High turnover rates can challenge an organization's ability to provide quality care to clients, maintain a safe environment, and achieve strategic goals. Effective retention strategies can allow the organization to grow and develop to continue to provide services for those in need. The focus of this study was identifying how an organization can improve its retention strategies, create succession plans, and decrease turnover to encourage organizational growth. The Baldrige Excellence Framework was used to guide the study, focusing on leadership, workforce, operations, and management. Data were collected through multiple sources. Semi structured interviews were used to gather data through open-ended …

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First-Generation College Graduates’ Perceptions Of Participating In Required Academic Advising Sessions For Degree Completion, Frances Paige Fowler Jan 2023

First-Generation College Graduates’ Perceptions Of Participating In Required Academic Advising Sessions For Degree Completion, Frances Paige Fowler

Walden Dissertations and Doctoral Studies

Many first-generation students enter college underprepared, leading them to face challenges that include failure to persist to degree completion. Empirical literature informs how academic advising programs help students persist to degree completion; however, a literature gap exists related to how regularly required academic advising programs influence students to persist to degree completion. This basic qualitative study provides insight into the perceptions of first-generation college graduates regarding how their regularly required academic advising sessions helped them to persist to degree completion. The conceptual framework is Tinto’s theory of student retention, which addresses students’ academic and social integration. Eight first-generation college graduates …

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Best Practice Strategies To Prevent Suicide In Behavioral Health, David Solomon Gamble Jan 2023

Best Practice Strategies To Prevent Suicide In Behavioral Health, David Solomon Gamble

Walden Dissertations and Doctoral Studies

AbstractThe capacity for mental health clinicians to provide culturally relevant suicide prevention services has become an issue within current society, given the complexity and impact of the circumstances that have disrupted everyday life. Thus, this became a problem for the organization and the target population used for this study. The current capacity of leadership and clinicians who provided prevention services was developed to address the underlying mental health disorders and not directly address the environmental impact. The approach for the study adhered to Yin's work on case studies. The case study research provided the process and outcome data by introducing …

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The Relationship Between Preterm Birth Rates, Sociodemographic Factors, And Prenatal Care, Natasha Grant Jan 2023

The Relationship Between Preterm Birth Rates, Sociodemographic Factors, And Prenatal Care, Natasha Grant

Walden Dissertations and Doctoral Studies

Reducing preterm births is a local, national, and global public health priority. Preterm birth rates continue to rise with evident racial and ethnic differences. The purpose of the quantitative study was to analyze the Mississippi Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 8 data to investigate the association between preterm births, timing of prenatal care, insurance types, and marital status among 5,666 women who gave birth in Mississippi between 2016 - 2020 using logistic regression. The social-ecological model was used to explain the impact of preterm births at the individual, interpersonal, and policy levels. Marital status was shown to be …

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Social Work's Unremitting Identity Crisis: Can The Dsw Provide Answers?, Debra Joyce Hall Jan 2023

Social Work's Unremitting Identity Crisis: Can The Dsw Provide Answers?, Debra Joyce Hall

Walden Dissertations and Doctoral Studies

AbstractThis study is centered on a long-standing professional identity dilemma that poses potential problems for the future of the field of social work. Current literature points to specific shortcomings in the field that threaten the future of the profession. Some researchers also suggest that the reemergence of the Doctorate of Social Work (DSW) may be used to solve some of the identity concerns with the profession. The study further asserts that practicing licensed clinical social workers (LCSW) have not been a part of the conversation regarding the identity issues or the remedies that the field is considering. Using both a …

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Practice Size And Geographical Location And Annual Merit-Based Incentive Payment System Scores In Dermatology, Issam H. Harmouch Jan 2023

Practice Size And Geographical Location And Annual Merit-Based Incentive Payment System Scores In Dermatology, Issam H. Harmouch

Walden Dissertations and Doctoral Studies

Despite the transition to value-based care in the healthcare industry using the Merit-Based Incentive Payment Systems (MIPS), small and rural physician practices still score in the poor category annually. These poor performances negatively impact funding for staffing and service availability; further, little research has focused on the factors behind these poor performance scores. The purpose of this study was to examine the relationship between practice size and organization geographical location on annual MIPS scores among dermatologists in the South-Central United States. The Donabedian model was used as the theoretical framework for this study that focused on the three qualities of …

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Effect Of A Stress Management Module On First-Year Osteopathic Medical Students’ Stress Levels, Yasmine Mignon Hill Jan 2023

Effect Of A Stress Management Module On First-Year Osteopathic Medical Students’ Stress Levels, Yasmine Mignon Hill

Walden Dissertations and Doctoral Studies

Medical students have consistently identified medical school as a stressful experience. Although studies show stress management to be beneficial for helping students alleviate stress, few studies have been conducted with osteopathic medicine (DO) students as participants. The purpose of the quasi-experimental study was to assess the effect of participation in a 4-week stress management module on first-year DO students’ stress levels. This study was grounded in Quick and Quick’s preventive stress management theory and Bandura’s self-efficacy theory, which together suggest that early recognition of stress and consistent stress management coping mechanisms are beneficial for altering and sustaining stress levels. For …

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The Relationship Between College Credits Earned In A Community College Dual Enrollment Program And First-Year Grade Point Average, Johnesa Hodge Jan 2023

The Relationship Between College Credits Earned In A Community College Dual Enrollment Program And First-Year Grade Point Average, Johnesa Hodge

Walden Dissertations and Doctoral Studies

The increased number of college credits earned in dual enrollment programs initiated concern by educators, researchers, and policymakers regarding college readiness. However, data are scarce and inconsistent across governing states and community colleges to measure college readiness and dual enrollment’s effectiveness. The purpose of this quantitative study examined early college credits earned in general education, career and technical education, college orientation disciplines, and first-year grade point average (GPA) to measure college readiness. Conley’s key dimensions of college and career readiness model grounded the study. Archival transcript data were collected from a Michigan community college for 524 former dual enrollment students. …

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Developing Consensus On The Use Of Emotional Intelligence Training In Small Utility Companies, Nathaniel E. Holloway Jan 2023

Developing Consensus On The Use Of Emotional Intelligence Training In Small Utility Companies, Nathaniel E. Holloway

Walden Dissertations and Doctoral Studies

Park and Shaw shared the impact on organizations from unmotivated and unsatisfied employees link to higher turnover ratios. The use of emotional intelligence in manager training lowered employee turnover by 13%. The problem address in this Delphi study was that small utility companies do not have an emotional intelligence plan in place for managerial training. Goleman and Mayer’s framework was used as the theorical lens for examining response of participants to the Delphi study. A panel of experts submitted data in the form of responses to three rounds of questions regarding the use of emotional intelligence training in small businesses. …

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The Social Construction Of Performance Enhancing Steroid Policies And Their Impact On U.S. Army Service Members, Trevor Scott Jackson Jan 2023

The Social Construction Of Performance Enhancing Steroid Policies And Their Impact On U.S. Army Service Members, Trevor Scott Jackson

Walden Dissertations and Doctoral Studies

The United States military has seen a continued rise in the use of illicit performance enhancing substances, particularly androgenic-anabolic steroids (AAS), by service members in highly demanding occupational specialties. Despite these rising trends, there remains a lack of understanding of how U.S. Army substance abuse policy impacts service members’ motivations to use banned performance enhancing drugs. The purpose of this qualitative study was to better understand the motivations of service members who use performance enhancing AAS, as well as the impacts of substance abuse policies on those individuals. This study’s questions asked how social constructs and Army policy impacted service …

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The Linear Evolution Of Local Emergency Management Training In Response To Domestic Terrorism, Jeffrey Januchowski Jan 2023

The Linear Evolution Of Local Emergency Management Training In Response To Domestic Terrorism, Jeffrey Januchowski

Walden Dissertations and Doctoral Studies

AbstractThis paper presents a research study in the field of emergency management. The study aims to identify training or educational needs for the emergency manager at the local level of government to effectively handle disasters. The study uses phenomenon theory with semi-structured interviews that gather data from emergency managers that have experience with major disasters and training requirements. Participants were experts in the emergency management profession with the ability to speak appropriately about the phenomenon. Research questions identified the training methods that produce the best results along with the specific hazards emergency managers may encounter. The research design used questionnaires …

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Associations Of Stress, Health Behaviors, And Obesity Among African American Immigrants, Wole David Akinsola Jan 2023

Associations Of Stress, Health Behaviors, And Obesity Among African American Immigrants, Wole David Akinsola

Walden Dissertations and Doctoral Studies

AbstractObesity has been identified as a predisposing factor that poses a serious threat for the development of chronic diseases and contributes to health disparities affecting both minority and vulnerable populations. Though previous studies reported the association of stress with health status and behavior, there is little or no research on the heterogeneity of obesity predictors in specific minority populations in the United States. The purpose of this study was to examine the predictors of obesity among adult African American immigrant populations in the United States. Studying obesity in this population may help policymakers tailor interventions that could reduce obesity prevalence. …

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A Comparison By Ethnicity Of Usage Of Medication, Intubation Use, And Mortality Rates Of Covid-19 Patients In An Urban Hospital, Howard Rubin Baruch Jan 2023

A Comparison By Ethnicity Of Usage Of Medication, Intubation Use, And Mortality Rates Of Covid-19 Patients In An Urban Hospital, Howard Rubin Baruch

Walden Dissertations and Doctoral Studies

Evidence from an urban hospital initially revealed that ethnicity had no bearing on treatment modalities or mortality among patients admitted and diagnosed with COVID-19 symptoms from January 1, 2020 to January 1, 2021. The purpose of this study was focused on answering three principal research questions concerning evidence at one hospital of differences in medication used, whether intubation was used, and mortality by ethnicity for those treated for COVID-19 while controlling for age, gender, and co-morbidities. The health belief model served as the theoretical framework. Data was collected from 1188 patient charts, and binary logistic regression was used to test …

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Educating Oncology Nurses On Identifying And Managing Cancer-Related Distress, Rosemary Vivella Irish Jan 2023

Educating Oncology Nurses On Identifying And Managing Cancer-Related Distress, Rosemary Vivella Irish

Walden Dissertations and Doctoral Studies

AbstractUp to 50% of patients diagnosed with cancer will experience significant levels of distress. Cancer is related to psychological distress and can negatively impact recovery from surgery, increase treatment side effects, and decrease overall quality of life. The National Comprehensive Cancer Network recommended screening for distress as part of comprehensive cancer care. In the practice setting, there was a need for better assessment of distress in cancer patients. The purpose of this staff education project was to address a gap in practice regarding the lack of knowledge of screening for distress by providing education to oncology nurses on how to …

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Strategies To Increase Emergency Department Patient Flow, Judith Faith Jones Jan 2023

Strategies To Increase Emergency Department Patient Flow, Judith Faith Jones

Walden Dissertations and Doctoral Studies

AbstractOvercrowding in emergency departments (EDs) is a systemic issue, resulting in inefficiencies affecting patient care quality. Hospital leaders struggle with reducing bottlenecks in EDs and providing a better patient care experience. Grounded in the general systems theory, the purpose of this qualitative single case study was to explore strategies used to reduce inefficiencies in EDs. The participants included five directors, administrators, and clinical managers from a hospital ED in Idaho Falls, Idaho, who successfully used strategies to reduce inefficiencies in EDs. Data were analyzed from semistructured interviews and a review of organization documents and artifacts following Yin’s five-step data analysis …

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Human Resource Managers’ Strategies To Reduce Coercive Management Practices, Lakerria Shantel Brown Jan 2023

Human Resource Managers’ Strategies To Reduce Coercive Management Practices, Lakerria Shantel Brown

Walden Dissertations and Doctoral Studies

Coercive management is a detrimental phenomenon in the health care industry that negatively impacts the organization and employees. Human resource managers in the health care industry who fail to identify and implement strategies to reduce coercive management practices experience poor employee engagement, increased voluntary turnover, and counterproductive work behavior by employees. Grounded in the leader-member exchange theory, the purpose of this qualitative multiple case study was to explore strategies human resource managers in the health care industry use to reduce coercive management practices. The participants were four human resource managers from the health care industry in Georgia who successfully developed …

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Staff Education Plan For Treatment Of Obstetrical Hypertension In The Emergency Department, Ashley Dawn Delia Jan 2023

Staff Education Plan For Treatment Of Obstetrical Hypertension In The Emergency Department, Ashley Dawn Delia

Walden Dissertations and Doctoral Studies

The United States has the highest childbearing morbidity and mortality rate of any industrialized nation, and the rate has steadily increased over the last three decades. It is estimated that at least half of all maternal deaths are preventable. Hypertensive disorders that present during pregnancy, regardless of etiology, are associated with this increased maternal morbidity and mortality. Obstetrical hypertension, when recognized in settings like the emergency department, readily responds to medical intervention. While guidelines for recognition and treatment of severe and high range blood pressure readings have been defined, hospital emergency departments do not consistently have a related education program …

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