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2017

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Implementation Of A Standardized Multifactorial Fall Prevention Program In A Rehabilitation Facility, Shanetta Monique Ancrum-Lee Jan 2017

Implementation Of A Standardized Multifactorial Fall Prevention Program In A Rehabilitation Facility, Shanetta Monique Ancrum-Lee

Walden Dissertations and Doctoral Studies

One and a half million people are currently living in residential care facilities; as the baby boomer generation ages, this number will increase to 3 million. Approximately 3 out of 4 residents of these facilities fall each year, and 10% to 20% of those falls result in serious injuries such as fractures, disability, and a decreased quality of living. The BOUNCE Back fall initiative is a multifactorial program that uses a systematic approach starting on admission and to re-evaluate a resident following a fall. Nursing and therapy uses the Morse Fall Scale and the Elderly Mobility Scale to assess and …

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Employee Turnover In The Long-Term Care Industry, Olalya Ayanna Bryant Jan 2017

Employee Turnover In The Long-Term Care Industry, Olalya Ayanna Bryant

Walden Dissertations and Doctoral Studies

Employee turnover costs long-term care facilities billions of dollars on an annual basis. The purpose of this correlational study was to examine the relationships between employee turnover intention of certified nursing assistants (CNAs) in the long-term care industry and employee compensation, engagement, job satisfaction, motivation, and work environment. The predictor variables were employee compensation, engagement, job satisfaction, motivation, and work environment. The criterion variable was employee turnover intention. The population of interest consisted of CNAs who were residents of Florida, over the age of 18 years, and employed in the long-term care industry. The theoretical framework that grounded this study …

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Relationship Between Teachers' Attitudes Toward Inclusion And Professional Development, Patricia Chatman Chatman Jan 2017

Relationship Between Teachers' Attitudes Toward Inclusion And Professional Development, Patricia Chatman Chatman

Walden Dissertations and Doctoral Studies

Integration of general and special education students in the classroom has become common in many educational systems. Researchers have found that some general education teachers may have negative attitudes of inclusion when they are inadequately prepared to instruct in an inclusion setting. The purpose of this causal-comparative study was to investigate the relationship of teachers' professional development (PD) on their attitudes about teaching in an inclusive classroom at a northeast Georgia middle school. Using Vygotsky's sociocultural developmental theory, the research question examined the difference in teachers' attitudes toward inclusion as measured by the Scale of Teachers' Attitudes Toward Inclusive Classrooms …

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Facebook And Teenagers: Investigating Changes Of Perceived Peer Pressures For Romantic Relationship Involvement Based On Facebook Attachment, Courtney Lynn Weiss Bennett Jan 2017

Facebook And Teenagers: Investigating Changes Of Perceived Peer Pressures For Romantic Relationship Involvement Based On Facebook Attachment, Courtney Lynn Weiss Bennett

Walden Dissertations and Doctoral Studies

Although youth aged 12-17 years old constitute a growing segment of Facebook users, the impact social networking websites may have on their psyche has not been well-studied. Additionally, researchers have not investigated peer pressure as a mediator between individuals overall attachment to Facebook and the desire to be involved in a romantic relationship among teens or adults. The purpose of this quantitative study was to examine the connection between Facebook attachment and perceived peer pressure, specifically with regard to romantic relationships in individuals aged 14-17 years. Impression management theory served as the theoretical framework. A survey design was used to …

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The Impact Of Parental Incarceration On Childhood Health, Nastassjiah Cunningham Jan 2017

The Impact Of Parental Incarceration On Childhood Health, Nastassjiah Cunningham

Walden Dissertations and Doctoral Studies

Many children in the United States have experienced the imprisonment of a parent, given the country's high rate of incarceration. Researchers have found that such children have a higher likelihood of having health problems than do other children. However, a gap in current literature exists regarding these children's ability to acquire needed health care services to accommodate health issues resulting from the experience of parental incarceration. Therefore, the purpose of this quantitative study was to examine the relationship between these children's health status and their experience of parental incarceration. Bowlby's attachment theory, along with life course theory, constituted the conceptual …

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Effect Of Response To Intervention On Developmental Education Students' Persistence, Retention, And Completion, Cheryl Garayta Jan 2017

Effect Of Response To Intervention On Developmental Education Students' Persistence, Retention, And Completion, Cheryl Garayta

Walden Dissertations and Doctoral Studies

In 2012, national rates of degree or certificate completion for students beginning college in developmental education courses were 35%. At a Midwestern state community college completion rates were even lower, with only 27% of developmental reading/writing (DRW) students completing their program. Therefore, the purpose of this causal- comparative study was to compare success rates for DRW students beginning college in a multileveled (MLI) program and in a response to intervention (RtI) based program. The MLI program was grounded in a scaffolded learning framework, and the RtI program was grounded in a transformative learning framework. Four research questions were posited to …

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Perceptions Of Community-Based Participatory Research From Community And Academic Members, Ivonne G. Kanko Jan 2017

Perceptions Of Community-Based Participatory Research From Community And Academic Members, Ivonne G. Kanko

Walden Dissertations and Doctoral Studies

Community-based participatory research (CBPR) is an increasingly popular form of public health research. However, little is known about the application of CBPR and the levels of involvement for partners in specific phases of the partnership. This phenomenological study addressed the application of CBPR from the perspectives of 7 academic researchers and 6 community members experienced in CBPR. Arnstein's ladder of citizenship participation and the community coalition action theory provided the framework for the study. Semi-structured interviews addressed participants' levels of involvement in the CBPR process, as well as challenges, concerns, successes, and recommendations for improvement. Interview transcripts were analyzed by …

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Correlations Between Management Behaviors And Financial Indicators With Fda Compliance Leading To Medicine Shortages, Francisco Gutierrez-Perez Jan 2017

Correlations Between Management Behaviors And Financial Indicators With Fda Compliance Leading To Medicine Shortages, Francisco Gutierrez-Perez

Walden Dissertations and Doctoral Studies

In the first 3 years of the Obama Administration, 2009-2011, the number of warning letters issued to pharmaceutical firms for manufacturing and quality issues increased by 81% to 49 letters. Only 9 letters were issued in the last 3 years of the George W. Bush Administration. Shortfalls in compliance and product quality led to medicine shortages that affected patients' treatment and health. This quantitative study sought to learn to what extent, if any, the independent variables, management behaviors and financial indicators at pharmaceutical firms in the United States, correlated with, or predicted, the dependent variable, compliance with the FDA regulations. …

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Retail Big-Box Development And Small Business Strategy At The Local Level, Katherine F. Kem Jan 2017

Retail Big-Box Development And Small Business Strategy At The Local Level, Katherine F. Kem

Walden Dissertations and Doctoral Studies

The big-box superstore has created a dramatic effect on the retail landscape since its appearance in 1962. As big-box stores proliferate, small business owners continue to struggle with how to compete. The purpose of this multiple case study was to identify and explore strategies small business owners use to maintain or grow profit margins post big-box store market entry. The sample consisted of 5 small business owners in Kansas City, Missouri who survived the entry of the big-box store for at least 1 year. The conceptual framework was the general systems theory and systems thinking. Data were collected using semistructured …

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Development Of An Evidence-Based Practice Guideline For Prevention Of Diaper Dermatitis, Nanita Flavier Lim-Sulit Jan 2017

Development Of An Evidence-Based Practice Guideline For Prevention Of Diaper Dermatitis, Nanita Flavier Lim-Sulit

Walden Dissertations and Doctoral Studies

Diaper dermatitis, an acute inflammatory reaction of the skin, is one of the most common forms of dermatitis among neonatal and pediatric patients. The problem addressed in this quality improvement project was the absence of an evidence-based practice (EBP) guideline for perineal care which resulted in 4 unexpected cases of diaper dermatitis per 100 hospital days at a non free standing children's hospital. Framed within Rosswurm and Larrabee's model for EBP, the purpose of this project was to develop an educational initiative encompassing an EBP guideline for perineal care, an educational curriculum plan for staff members, and a Power Point …

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Perceptions Among Senior Consumers Regarding Stereotyping In Magazine Advertisements, Greg Milsom Jan 2017

Perceptions Among Senior Consumers Regarding Stereotyping In Magazine Advertisements, Greg Milsom

Walden Dissertations and Doctoral Studies

Marketing decision makers often employ stereotypes in their advertising messages, but constant exposure to negative messages is offensive to older consumers and contributes toward ageism. The general problem is that many senior adults feel dissatisfied with advertising directed toward them and may not purchase products that they could otherwise enjoy. Based on the tenets of social identity theory, the purpose of this study was to explore the perceptions of a group of senior consumers toward the stereotypes used to portray older adult models featured in magazine advertisements by uncovering the factors that influence purchasing decisions and the stereotypes that are …

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Quality Improvement Through Evidence-Based Education: Advancing Obesity Awareness And Clinical Management Strategies For People Living With Mental Disorders, Ellis Ehizele Opusunju Jan 2017

Quality Improvement Through Evidence-Based Education: Advancing Obesity Awareness And Clinical Management Strategies For People Living With Mental Disorders, Ellis Ehizele Opusunju

Walden Dissertations and Doctoral Studies

People living with mental disorders (PLWMDs) are at an increased risk for developing obesity due to poor diet, physical inactivity, and antipsychotic medications. In the United States, the general-population obesity rate is 36% compared to more than 50% for PLWMDs. Mental health professionals (MHPs), focused on addressing psychiatric conditions, seldom recognize and clinically manage obesity. Furthermore, this population is socioeconomically disadvantaged with poor dietary habits while consuming psychiatric medications that stimulate hunger, further exacerbating the risk for obesity. The Promoting Action on Research Implementation in Healthcare Services (PARISHS) framework guided this quality improvement project to improve obesity awareness and management …

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Attribution Style And Depressive Symptoms Among African American Women, Pamela Mischell Robinson Jan 2017

Attribution Style And Depressive Symptoms Among African American Women, Pamela Mischell Robinson

Walden Dissertations and Doctoral Studies

Homelessness is a major social problem in the United States and this nation has the largest number of homeless women. Minority women appear to be more affected than other individuals. Specifically, they are more vulnerable, impoverished, and disenfranchised than all other groups in the nation. These factors affect their emotional well-being and ability to move toward and achieve sustainability. Particularly, African-American women are disproportionately represented in the homeless population, yet they have not been adequately examined in research studies and there are minimal empirical studies that focus on homeless African-American women. Beck's cognitive behavioral therapy (CBT) and Weiner's attribution theory …

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Identifying Communication Barriers And Trust Issues Of Black Women Seeking Preventive Health Services In Houston, Texas, Melissa E. Shelton Jan 2017

Identifying Communication Barriers And Trust Issues Of Black Women Seeking Preventive Health Services In Houston, Texas, Melissa E. Shelton

Walden Dissertations and Doctoral Studies

Black women mortality rates are perceived to be impacted by communication barriers, trust issues, and the lack of quality preventive health services. The purpose of this phenomenological study was to explore communication barriers and trust issues perceived by Black women when seeking preventive health services. HMB was used to identify public attitudes around receiving preventive health services and to construct each question based on perceived susceptibility and perceived severity of communication barriers and trust issues. An ecological model of the communication process was used as a framework to identify fundamental relationships between the Black female patients and health care providers. …

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Assessing Plant-Based Food Lifestyle To Reduce Obesity Risk, Erna Siregar Jan 2017

Assessing Plant-Based Food Lifestyle To Reduce Obesity Risk, Erna Siregar

Walden Dissertations and Doctoral Studies

Despite an increasing number of healthy lifestyles throughout the country, Americans, including Native Hawaiians, keep gaining weight. Unlike several American lifestyles that have resulted in weight gain within the American population, the vegetarian lifestyle is a scientifically proven method for decreasing body weight and maintaining the weight loss for more than 1 year. This study aimed to compare the lifestyle patterns of 4 vegetarian lifestyles and 1 nonvegetarian lifestyle among Native Hawaiians aged 21 and older using their body mass index (BMI). This quantitative study utilized a correlational design, which is particularly suitable for examining the relationship of BMI to …

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Introducing The Health Coach Method Of Motivational Interviewing To Medical Assistants To Improve The Patient Care Approach, Allison Marlene Souza Jan 2017

Introducing The Health Coach Method Of Motivational Interviewing To Medical Assistants To Improve The Patient Care Approach, Allison Marlene Souza

Walden Dissertations and Doctoral Studies

The emerging health care culture of accountability for patient outcomes compounds problems for already overwhelmed clinicians struggling to fit everything entailed in complicated office visits into 15-minute appointments. Unprocessed frustrations tempt clinicians to use ineffective and outdated methods for trying to get their patients to comply or adhere to their care plans, undermining effective health care management. The intention of this project was to evaluate whether educating medical assistants in the health coaching method of motivational interviewing can improve the patient care approach while simultaneously assisting clinicians struggling with insufficient time. Several individual scheduling conflicts limited the target population into …

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Women And Coronary Artery Disease, Gwendolyn Yvonne Stancell-Smith Jan 2017

Women And Coronary Artery Disease, Gwendolyn Yvonne Stancell-Smith

Walden Dissertations and Doctoral Studies

Heart disease, including coronary artery disease, affects approximately 42 million women in the United States. Many of those affected are not aware they have the condition. Contributing to the problem is the fact that women are more likely than men to be misdiagnosed and undertreated for heart disease. Morbidity and mortality are high in women affected by heart disease, making the problem important to address. The purpose of this project was to understand the coronary artery or heart disease risk and the treatment for the condition provided for 31 participants at a cardiology service in the Northeast U.S. The project …

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Factors Influencing Doctors Ordering Of Clinical Lab Tests: A Qualitative Study, Lakshmanan Suresh Jan 2017

Factors Influencing Doctors Ordering Of Clinical Lab Tests: A Qualitative Study, Lakshmanan Suresh

Walden Dissertations and Doctoral Studies

Qualitative studies exploring the factors behind a doctor's decisions to order clinical laboratory blood testing are lacking. A better understanding of these factors can help in formulating interventions that could improve the quality of health care and limit costs. The purpose of this qualitative case series study was to identify factors that influence a doctor's decision to order routine clinical laboratory blood tests. Fifteen doctors from Western New York, working in different hospital settings, were interviewed. There were 5 doctors in each case type: major, community, and private hospitals. When analyzed by case, there was a difference between the three …

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Nurses' Response To A Heart Failure Video To Teach Patients Self-Management, Lynn Nichols Toth Jan 2017

Nurses' Response To A Heart Failure Video To Teach Patients Self-Management, Lynn Nichols Toth

Walden Dissertations and Doctoral Studies

Numerous scholars have examined multiprocessors and techniques to decrease the heart failure readmission rate and to improve heart failure patient self-management. This project examined a new teaching method to create the experts' awareness of possible solutions to improve heart failure education in a small community hospital. The purpose of this project was the assessment of a new iPad heart failure patient pre-discharge education program video HFPDEV). Pender's health care model (PHM) served as a framework for this project. Five local nursing educator experts (master prepared) were asked to view a new iPad HFPDEV. After reviewing the 15-minute iPad HFPDEV, the …

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Psychological Resilience In Correctional Officers: The Role Of Demographics, Manuel Chapa Villarreal Jan 2017

Psychological Resilience In Correctional Officers: The Role Of Demographics, Manuel Chapa Villarreal

Walden Dissertations and Doctoral Studies

Correctional officers occupy an important societal role in maintaining safety and assisting in the rehabilitation of inmates; however, both their performance and mental health are highly susceptible to fatigue because of working in a high stress environment. This study investigated the relationship between correctional officers' demographic factors (level of education, marital status, gender, and race/ethnicity) and their psychological resilience. The Connor-Davidson Resilience Scale 10 (CD-RISC-10) was used to measure correctional officers' resilience when responding and or coping with stress. This study utilized the stress-vulnerability model as a framework to investigate protective factors against and risk factors for psychopathological symptoms. Participants …

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Exploring Student Loan Personal Financial Management Decisions Using A Behavioral Economics Lens, Michael J. Wermuth Jan 2017

Exploring Student Loan Personal Financial Management Decisions Using A Behavioral Economics Lens, Michael J. Wermuth

Walden Dissertations and Doctoral Studies

There is a student loan debt problem in the United States. Seven million student borrowers are in default and another 14 million are delinquent on their loans. A high level of college loan debt leaves students with insurmountable payments and holds them back from starting a family, buying a home, or saving for retirement. The problem is that financial managers may not understand the student loan decision process well enough to help students make a loan decision that prevents an unmanageable level of debt. The purpose of this study was to explore and understand the student's loan decision process using …

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Priority Schoolteachers' Experiences Of Professional Development To Improve Student Achievement, Joyce Wiggins Wiggins Jan 2017

Priority Schoolteachers' Experiences Of Professional Development To Improve Student Achievement, Joyce Wiggins Wiggins

Walden Dissertations and Doctoral Studies

The New Jersey 2011 Adequate Yearly Progress report revealed that 53% (n = 75) of state schools that failed to meet standards were put on a 'priority school' list. The 2015 priority school list consisted of 66 schools. In response, New Jersey created Regional Achievement Centers to provide collaborative professional development (PD) for effective instruction in the lowest performing schools. The purpose of this transcendental phenomenological study was to explore the lived experiences of priority schoolteachers regarding experiences with past PD initiatives and PD under the current Elementary and Secondary Education Act flexibility waiver focusing on collaborative approaches that include …

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Strategies For Business Capacity Expansion In Jordanian Pharmaceutical Companies, Tariq Ahmad Al-Jallad Jan 2017

Strategies For Business Capacity Expansion In Jordanian Pharmaceutical Companies, Tariq Ahmad Al-Jallad

Walden Dissertations and Doctoral Studies

Shareholder investments declined in Jordanian pharmaceutical business expansion between 2007 and 2014, which included a reduction in the supply of essential medicines in the Middle East and North Africa (MENA). The purpose of this qualitative multiple case study was to explore effective applications of expansion strategies to satisfy demand in the MENA markets among Jordanian generic pharmaceutical companies' managers. The conceptual framework for this study was based on the transformational leadership theory and stakeholders' theory. The purposive sample consisted of 4 chief executive officers and 8 managers from Jordanian pharmaceutical companies who practiced the expansion strategy in the MENA for …

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Keeping The Children: Nonviolent Women Offenders In Two Michigan Residential Programs, Denise Smith Allen Jan 2017

Keeping The Children: Nonviolent Women Offenders In Two Michigan Residential Programs, Denise Smith Allen

Walden Dissertations and Doctoral Studies

Seventy-five percent of women offenders confined to prison, jails, or residential treatment programs are custodial parents of minor children at the time of their separation. Little is known, though, about how prosocial networks are used to address the effects of separation from children. Using Bui and Morash's conceptualization of the theory of gendered pathways, the purpose of this phenomenological study was to better understand, from the perspective of incarcerated women, the experience of using prosocial networks to cope with the effects of separation. Data were collected through interviews with 10 mothers from 2 residential treatment programs in Michigan. Interview data …

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Motivation Of African American Students To Persevere Academically, Stephen C. Anyaka Jan 2017

Motivation Of African American Students To Persevere Academically, Stephen C. Anyaka

Walden Dissertations and Doctoral Studies

African American high school students face considerable personal and circumstantial challenges such as poverty, living in high crime neighborhoods, a lack of positive role models, low socioeconomic status, and social inequity in their efforts to achieve academic success. Finding solutions for persistent academic underperformance and closing the achievement disparity gap for minority children are challenging. This generic qualitative study examined the motivations of high-achieving African American high school students to persevere and achieve academic success despite their personal and circumstantial challenges. Social cognitive theory framed the study. Semistructured interview data were collected from 10 high achieving African American high school …

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Foster Parents' Attachment Style As A Moderator Of Children's Negative Behaviors And Placement Disruption, Alicia Araiza Jan 2017

Foster Parents' Attachment Style As A Moderator Of Children's Negative Behaviors And Placement Disruption, Alicia Araiza

Walden Dissertations and Doctoral Studies

There is a demonstrated association between children's negative behaviors, placement disruption, and foster parents' attachment style in early childhood; however, there is an absence of research examining this relation among foster children in middle childhood. Researchers have found that in early childhood, children respond more favorably to foster parents with a secure attachment style, while greater placement disruption is associated with foster parents having an insecure attachment style. The purpose of this study was to examine the association between foster children's negative behaviors, placement disruption in foster children during middle childhood, and foster parents' attachment style. Bowlby's and Ainsworth's attachment …

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Exploring Social Support Networks Of African American Emancipated Foster Care Women, Donna Marie Barrett Jan 2017

Exploring Social Support Networks Of African American Emancipated Foster Care Women, Donna Marie Barrett

Walden Dissertations and Doctoral Studies

Many youth exit the United States foster care system each year and face challenges related to housing, employment, health care, and education. After emancipation, foster youth can experience family instability, educational disruption, incarceration, unemployment, unstable housing, and emotional problems at a much higher rate than youth in the general population. The purpose of this qualitative case study was to examine the experiences of African American foster women and the social support they received in finding housing upon exiting foster care system. Bronfenbrenner's ecological theory provided a conceptual framework of social interrelation for the study. Data were collected from a purposeful …

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Marketing Strategies: How Small Restaurant Businesses Use Social Media, Tasheenia Bennett Jan 2017

Marketing Strategies: How Small Restaurant Businesses Use Social Media, Tasheenia Bennett

Walden Dissertations and Doctoral Studies

Social media has changed the way businesses relate to their customers. Since the beginning of social media, traditional methods of communicating with customers have begun to decline. The purpose of this multicase study was to determine the strategies of 5 owners of small restaurant businesses in Western North Carolina who successfully used social media marketing for 1 year or more. Rogers's diffusion of innovation theory was the conceptual framework for this study. Data collection included semistructured interviews, documents pertaining to social media marketing strategies, and social media pages and websites from the participating restaurants. These data were analyzed following Yin's …

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Spiritual Leadership: Achieving Positive Health Outcomes In African-American Christian Churches, Cynthia Bracey Jan 2017

Spiritual Leadership: Achieving Positive Health Outcomes In African-American Christian Churches, Cynthia Bracey

Walden Dissertations and Doctoral Studies

In the United States, African-American residents are an underserved population with evidence of higher health disparities than those associated with any other race, contributing to escalating health care costs. Despite the absence of health promotion and wellness training, pastors in predominately Black churches accept the responsibility for addressing more than the spiritual needs of their church members. The purpose of this qualitative grounded theory research study was to explore the perspectives of African-American Christian pastors on giving health guidance and their lived experiences as health promotion advocates. A total of 10 African-American Christian pastors were voluntarily recruited from 3 southern …

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Leadership Practices That Improve The Workplace Safety Environment, Nathan Nomore Chikono Jan 2017

Leadership Practices That Improve The Workplace Safety Environment, Nathan Nomore Chikono

Walden Dissertations and Doctoral Studies

Inadequate leadership is the reason workplace accidents in the mining industry remain high, making the industry one of the most hazardous operational activities in the world. Unsafe leadership practices may result in death or injury to workers. A group of 30 mining company leaders from 3 gold mines in Zimbabwe revealed an exception to these hazardous practices, however, notable through their outstanding safety improvement records. To better understand what these practitioners were doing, this multicase study research design explored their strategies to improve the workplace safety environment in the mines. Data were collected using audio-recorded semistructured interviews and document analyses. …

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