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2020

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Group Education Program To Increase Obesity Knowledge In Cardiac Care Nurses, Ethel Emenogu Jan 2020

Group Education Program To Increase Obesity Knowledge In Cardiac Care Nurses, Ethel Emenogu

Walden Dissertations and Doctoral Studies

Obesity increases the severity of cardiac disease, leading to increased mortality and morbidity. The need to address obesity is critical in reducing obesity-associated complications such as heart failure, strokes, heart attacks, and even death. Obesity is also a risk factor for many chronic diseases such as heart disease, cancer, diabetes, hypertension, and depression. Evidence has shown that obese individuals with cardiac disease are at increased risk of developing complications. The practice-focused question for this doctoral project asked whether a group educational program could increase obesity knowledge among cardiac care clinic nurses. The purpose of this DNP project was to provide …

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Lived Experience Of Parenting Nurses Pursuing A Doctorate: A Phenomenological Inquiry, Jaimee Feldstein Jan 2020

Lived Experience Of Parenting Nurses Pursuing A Doctorate: A Phenomenological Inquiry, Jaimee Feldstein

Walden Dissertations and Doctoral Studies

The need for more doctoral prepared nurses is evident; data indicate that less than 1% of nurses hold doctoral degrees, yet, little is known about student persistence in doctoral nursing programs. Even less is known about doctoral nursing students navigating an online learning environment while balancing parenthood. The purpose of this phenomenological study, guided by Rovai’s composite persistence model, was to explore the embedded meanings in the experiences of parenting nurses pursuing their doctoral degrees at an online university. Ten female parenting nurses who completed a doctorate within the last 2 years were interviewed and shared the key factors that …

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Hispanic Women's Experiences And Perceptions Of Challenges In Higher Education Leadership, Blanca Figueroa Estrada Jan 2020

Hispanic Women's Experiences And Perceptions Of Challenges In Higher Education Leadership, Blanca Figueroa Estrada

Walden Dissertations and Doctoral Studies

A lack of diversity exists in higher education leadership, particularly with Hispanic/Latina women. Differences in cultural backgrounds play a role when leaders who are mostly White consider individuals of other ethnicities for promotion. In 2016, only 3% of all higher education leadership positions were held by Hispanics/Latinos and even a smaller percentage were women. Identifying the challenges Hispanic/Latino women face in competing for leadership roles in higher education is needed to understand the factors needed to be overcome to succeed. A phenomenological qualitative study was conducted with 13 participants to explore how Hispanic/Latina women perceive the higher education work environment …

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The Socialization And Academic Engagement Of Black Males In A Christian High School, David Flowers Jan 2020

The Socialization And Academic Engagement Of Black Males In A Christian High School, David Flowers

Walden Dissertations and Doctoral Studies

Black males in a metropolitan private Christian high school (PCHS) in the Midwest encounter unique sociocultural experiences that may be associated with racial microaggressions and the struggles of fitting in that can negatively impact academic success. The problem that was addressed in this study was the need for more specific information on how Black males fit socially into the local PCHS, and their attitudes towards academic achievement. Bandura’s self-efficacy theory and Tajfel’s social identity theory were used in this case study to explore the sociocultural experiences of 6 former Black male students and 5 members of the school staff. The …

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Transformational Leadership And Employee Satisfaction In A U.S. Fast-Food Restaurant, Joshua A. Folmar Jan 2020

Transformational Leadership And Employee Satisfaction In A U.S. Fast-Food Restaurant, Joshua A. Folmar

Walden Dissertations and Doctoral Studies

Fast-food managers struggle with understanding what makes employees satisfied within the organization. An understanding of employee satisfaction may help fast-food managers support employees’ needs and improve their job satisfaction. Grounded in transformational leadership theory, the purpose of this quantitative correlational study was to examine the relationship between employee perceptions of their leader’s idealized attributes, idealized behaviors, intellectual stimulation, inspirational motivation, individualized consideration, and employee satisfaction. The participants included 31 fast-food employees and entry-level supervisors from 1 organization in the Midwestern region of the United States. Data were collected through electronic and paper surveys comprising Bass and Avolio’s multifactor leadership questionnaire …

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Best Approaches For English Acquisition With Primary English Language Learners, Roxanna Gario Jan 2020

Best Approaches For English Acquisition With Primary English Language Learners, Roxanna Gario

Walden Dissertations and Doctoral Studies

The education reform that took place in the emirate of Abu Dhabi set the standard that all students attending state-governed schools would be literate in their native language of Arabic as well as English, which was being taught in schools as a second language. However, school data documented achievement gaps in English reading among English language learners (ELLs) at a primary school in Abu Dhabi. The purpose of this study was to investigate the best approaches used by English medium teachers to teach reading to ELLs in order to provide recommendations for student improvement. Guided by Krashen’s monitor model, this …

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Outcomes Of A School-Wide Mathematics Intervention, Lisa M. Garrett Jan 2020

Outcomes Of A School-Wide Mathematics Intervention, Lisa M. Garrett

Walden Dissertations and Doctoral Studies

In response to students’ poor algebra achievement, Midtown High School, a pseudonym, implemented a school-wide math intervention and enrichment program during the 2014-2015 school year. The purpose of this mixed-methods study was to assess the influence of the intervention on Algebra I and Algebra II end-of-course (EOC) exam achievement scores as well as explore math teachers’ perspectives of the intervention program. The theoretical foundation was constructivism. A consensus sample using archival data from all 419 high school students taking Algebra before the intervention 2013-2014 and after the intervention 2014-2015 and 2015-2016 were used with teacher interviews for triangulation. ANOVA results …

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Succession Of Power And Transferring Knowledge In A Small Family Business, Todd Alan Hanzes Jan 2020

Succession Of Power And Transferring Knowledge In A Small Family Business, Todd Alan Hanzes

Walden Dissertations and Doctoral Studies

Thirty percent of small family businesses continue to the second generation, and 13% continue to the third generation. Small family business owners’ ability to find a replacement, for the succession of power, continues to challenge small family business owners. Small family business owners who do not incorporate successful succession strategies run a high risk of failure and closure. Grounded in the dynamic theory of organizational knowledge creation, the purpose of this qualitative single case study was to explore strategies 3 small family business owners in Hawaii used for the succession of power. Data were collected through semistructured interviews and supplemented …

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Key Ethical Leadership Characteristics Of State Police Promotional Candidates In The South, David Patrick Hay Jan 2020

Key Ethical Leadership Characteristics Of State Police Promotional Candidates In The South, David Patrick Hay

Walden Dissertations and Doctoral Studies

Public officials, researchers, and practitioners agree police organizations need the proper tools to foster a stronger sense of ethical leadership to more effectively conduct police operations and work with communities. However, few researchers have investigated ethical leadership characteristics for police supervisors, and no research has been conducted to identify desired ethical leadership characteristics for state police supervisors in the southern United States. The purpose of this qualitative Delphi study was to determine the degrees of consensus and support of identified key ethical leadership characteristics for state police promotional candidates in the southern United States, using the theoretical framework of transformational …

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Online Textbook Use And Online Student Success Rates In Community College, Diane M. Hilbert Jan 2020

Online Textbook Use And Online Student Success Rates In Community College, Diane M. Hilbert

Walden Dissertations and Doctoral Studies

Online student success rates in community colleges have continued to fall below student success rates for their on-campus counterparts. The purpose of this causal-comparative quantitative study was to determine the difference in student success between students who used a hardcopy textbook for an online U.S. history course and students who used an online textbook at an urban community college in Texas while also investigating the influence of gender and ethnicity. Secondary data collected included final course grades from the course over a 10-year period with 9,115 students. The theoretical foundation focused on the deliberate construction of online course design and …

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Lived Experience Of Concept-Based Educated Novice Nurses Transition To Practice, Kim Hostetter Jan 2020

Lived Experience Of Concept-Based Educated Novice Nurses Transition To Practice, Kim Hostetter

Walden Dissertations and Doctoral Studies

Novice nurses often feel unprepared to transition to practice, which results in increased turnover, which is costly to healthcare organizations and can compromise patient care. Many schools have transitioned to a concept-based curriculum, to move away from traditional content-saturated nursing education. The purpose of this study was to explore the lived experiences of novice nurses educated in a concept-based curriculum as they transitioned to practice. Benner’s novice-to-expert framework and Tanner’s clinical judgment model guided understanding of the behavior of the nurses during the transition period. This interpretative phenomenological study was used to understand new graduates’ perception of their experiences as …

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Integration Of Social Work Practices With Refugees: An Action Research Study, Avril Williams Knox Jan 2020

Integration Of Social Work Practices With Refugees: An Action Research Study, Avril Williams Knox

Walden Dissertations and Doctoral Studies

The United States is facing an increasing number of refugees and asylees who resettled and were forced to migrate from their countries of origin. In the United States, social service professionals and social workers of resettlement agencies are responsible for the program enrollment and follow-up with newly arrived refugees. Hence, there is a huge learning curve for these individuals. Although a substantial number of refugees are linked to appropriate resources, many are neglected and are unable to sustain themselves. This action research was based upon family systems theory. Integrative techniques used by social workers were explored. The information was subjective, …

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Relationship Between Pm2.5 Levels And Cancer Incidences In Interior Alaska, Sandra G. Lewis Jan 2020

Relationship Between Pm2.5 Levels And Cancer Incidences In Interior Alaska, Sandra G. Lewis

Walden Dissertations and Doctoral Studies

Exposure to high levels of ambient air particulates < 2.5 microns in diameter (PM2.5) in the Fairbanks North Star Borough (FNSB) and the resulting impact on cancer incidence is the focus of this study. Climate, geography, and culture influence PM2.5 levels, particularly during the long cold season. While this study considers lung cancer incidences from PM2.5 exposure, the primary focus of the study is the incidences of all other types of cancers from exposure to PM2.5, because of the limited research done on this topic. This quantitative, retrospective, cohort study considered the incidences of new cancer diagnoses in the population during a 10-year period (January 1, 2008-December 31, 2017). The 2 FNSB Zip Codes, designated “hot spots,” frequently see spikes in PM2.5 during the long cold season. These areas are densely populated and contain the EPA-regulated air quality monitors. Cancer diagnoses in the hot spot Zip Codes were compared to cancer diagnoses in outlying Zip Codes (non-hot spots) that experience less PM2.5 and are more consistently within the EPA air quality guidelines. EPA monitors are not yet located in the non-hot spots. Cancer patient data were obtained from the Fairbanks Memorial Hospital Cancer Center. The results demonstrated that a strong association was found between PM2.5 exposure and non-lung cancers (OR = 1.37; RR = 1.36; p < 0.001); and between PM2.5 exposure and lung cancer (OR = 1.87; RR = 1.88; p < 0.001). These findings may be used to promote an increased awareness among FNSB residents of the potential impact on cancer diagnoses from inhaling high levels of PM2.5, so residents may change their behavior in favor of alternatives to biomass burning to improve air quality.

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Demographic, Environmental, And Clinical Variables Associated With Dengue In Saint Lucia, Brendan Lee Jan 2020

Demographic, Environmental, And Clinical Variables Associated With Dengue In Saint Lucia, Brendan Lee

Walden Dissertations and Doctoral Studies

Dengue is the most important arboviral disease of public health concern on the world stage. In Saint Lucia, the disease has been endemic for years. Little research has been published on the specific epidemiology of dengue in Saint Lucia, and this study sought to identify the risk factors associated with the disease specific to the island. This study was underpinned by ecological theory, which is used to explain the possible relationships between risk factors and the occurrence of dengue. This three-manuscript study was used to evaluate the relationship between demographic, environmental, and clinical variables and the occurrence of dengue as …

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Perceived Obstacles For State-Facilitated Legal Recreational Cannabis, Robert A. Lino Jan 2020

Perceived Obstacles For State-Facilitated Legal Recreational Cannabis, Robert A. Lino

Walden Dissertations and Doctoral Studies

U.S. states that facilitate the use of legal recreational cannabis face the threat of federal prosecution because cannabis remains illegal at the federal level. The purpose of this qualitative case study was to assess the perceived obstacles to the state-facilitated regulation and implementation of legal recreational cannabis. Collective action federalism theory provided the framework for the study. The data collection instrument was developed based on themes in the literature and was pilot tested to ensure accuracy. The final study included 22 participants who represented the cannabis industry in the United States. Descriptive coding and thematic analysis indicated that the federal …

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Perceptions Of The Reentry Process Among African American Male Ex-Offenders With Multiple Incarcerations, Chanae Latrice Lumpkin Jan 2020

Perceptions Of The Reentry Process Among African American Male Ex-Offenders With Multiple Incarcerations, Chanae Latrice Lumpkin

Walden Dissertations and Doctoral Studies

Within 3 years of their release from the criminal justice system, almost 7 out of 10 released African American males go back to. There is limited social science research into how these ex-offenders perceive their lived experiences after release. The research questions that guided this inquiry related to understanding the post-prison experiences of African American males with a history of multiple incarcerations. The conceptual framework was guided by Tajfel’s social identity theory and Becker’s social reaction theory. Interviews were conducted with a purposeful sample of 6 African American males with a history of multiple incarcerations who had been released from …

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Mentoring Among Homosexual Male Managers: A Phenomenological Inquiry, Joseph Mannino Jan 2020

Mentoring Among Homosexual Male Managers: A Phenomenological Inquiry, Joseph Mannino

Walden Dissertations and Doctoral Studies

Homosexuality has become more accepted and recognized in the past 50 years by the public. Mentoring has been a key factor in employee engagement and job satisfaction of proteges. While past studies have investigated discrimination towards homosexual employees, there has been an absence of research about homosexual mentorship relationships between homosexual managers and employees in the workplace. The research question for this study inquired about the mentoring experiences of homosexual male managers in corporations. The purpose of this descriptive phenomenological investigation was to develop an understanding of the mentoring experiences of homosexual male mentors and proteges in corporate management. Leader-member …

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Medication Reconciliation In An Outpatient Clinical Setting, Tilena Martin Jan 2020

Medication Reconciliation In An Outpatient Clinical Setting, Tilena Martin

Walden Dissertations and Doctoral Studies

Medication reconciliation is a fundamental step in the delivery of safe care, because if it is not done correctly, it can set the stage for medication errors. Medication reconciliation has been shown to alleviate safety issues that lead to mortality, falls, and adverse drug reactions. The project question examined how in-service training can improve the knowledge of nurse practitioners and medical assistants about medication reconciliation. The project was guided by Knowles’ theory of adult learning and Rosswurm and Larrabee’s health belief model. A 1-hour educational module was prepared, and all participants completed the training prior to a discussion period. Sources …

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Systematic Review: Barriers To Primary Care For The Transgender Individual, Charles David Mccormick Jan 2020

Systematic Review: Barriers To Primary Care For The Transgender Individual, Charles David Mccormick

Walden Dissertations and Doctoral Studies

Representing a diverse group, the transgender community defies conventional norms expected by society resulting in discrimination and denial of essential goods and services necessary to maintain personal health, safety, and well being. The identification of the barriers to primary care faced by the transgender individual has the potential to reduce healthcare disparities and improve the compliance with national screening and treatment guidelines. The purpose of this project was to examine available literature incorporating the systematic review method to determine the barriers to primary care faced by the transgender individual. Using Leininger’s transcultural nursing theory to guide the process to determine …

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Healthcare Providers Perception Of Their Ability To Recognize Boys As Victims Of Human Sex Trafficking In A Pediatric Emergency Room, Deborah Susan Mican Jan 2020

Healthcare Providers Perception Of Their Ability To Recognize Boys As Victims Of Human Sex Trafficking In A Pediatric Emergency Room, Deborah Susan Mican

Walden Dissertations and Doctoral Studies

The purpose of this dissertation was to explore the perceived barriers to pediatric emergency room (ER) providers’ identifying boys as victims of child sex trafficking (CST), to understand how providers working in a pediatric ER compared to a general ER believe they are better able to identify boys as CST victims, and to understand how the New Jersey-mandated human trafficking training affected the confidence of the healthcare providers’ to identify boys as CST victims using a grounded theory approach. In-depth interviews were conducted using a sample of 10 healthcare providers, including physicians, nurse practitioners, and physician assistants at a suburban …

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Why Do Mentors Stay? Exploring Mentor Experiences, Perceptions And Motivations Within Mentorship Programs, Ann Murphy Jan 2020

Why Do Mentors Stay? Exploring Mentor Experiences, Perceptions And Motivations Within Mentorship Programs, Ann Murphy

Walden Dissertations and Doctoral Studies

Youth mentorship has captured the attention of policymakers as a method of addressing societal issues. A review of the literature highlighted challenges that mentorship programs face regarding mentor sustainability. The purpose of this study was to explore and differentiate the experiences, perceptions, and motivations among paid and volunteer mentors within formal youth mentorship programs. This phenomenological study informs public policymakers how funding should be allocated within the nonprofit sector in order to optimize mentor retention. Structural functionalism and Kingdon’s multiple streams approach composed the conceptual framework for this study. Data were collected utilizing 14 semistructured interview questions. An analysis of …

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Understanding School Climate, Chronic Absenteeism, And Effective Practices For Improving Absenteeism At A Private High School, Tiffany Nerveza-Clark Jan 2020

Understanding School Climate, Chronic Absenteeism, And Effective Practices For Improving Absenteeism At A Private High School, Tiffany Nerveza-Clark

Walden Dissertations and Doctoral Studies

Student absenteeism in high school continues to be a nationwide educational challenge. In manifestation of this problem, a private high school in Utah was identified as having a significant number of students with excessive absenteeism. Guided by Bronfenbrenner’s socio-ecological theory and Baumrind’s authoritative model, the purpose of this descriptive case study was to explore teacher and administrator perceptions about school climate and how to improve chronic absenteeism (CA). The research questions focused on how faculty perceived school climate, its effect on student absenteeism, and best practices being used to encourage attendance. The data collection included a) descriptive information from 13 …

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Pedagogical, Attitudinal, And Environmental Influences On Student-Centered Technology Practices Of Elementary Teachers, Shanna Renae Opfer Jan 2020

Pedagogical, Attitudinal, And Environmental Influences On Student-Centered Technology Practices Of Elementary Teachers, Shanna Renae Opfer

Walden Dissertations and Doctoral Studies

While much is known about individual influences on teacher technology use, there is a lack of research explaining the overlapping factors of pedagogy, attitude, and environment that intersect to influence teachers’ decisions to use student-centered technology. The purpose of this qualitative interpretive descriptive study was to examine how the intersection of these factors influenced the student-centered technology practices of 14 third through fifth grade teachers in faith-based schools across the United States. The study’s conceptual framework was built on both social cognitive theory and first- and second-order barriers to technology use. Data were collected through virtual interviews with participants who …

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Readmissions Of Heart Failure Patients: The Caregiver’S Perception, Jill Pansini Jan 2020

Readmissions Of Heart Failure Patients: The Caregiver’S Perception, Jill Pansini

Walden Dissertations and Doctoral Studies

Heart failure patients account for 27% of readmissions within 30 days of discharge, which is an indicator of poor quality of care. Additionally, heart failure patients report that they do not receive adequate discharge planning, pointing to a need for improved discharge planning and practitioner follow-up. As the severity of heart failure increases, caregivers may be the key to decreasing readmissions. The purpose of this qualitative, hermeneutic phenomenological study was to explore the lived experiences and challenges faced by caregivers of heart failure patients ages 65 and over readmitted within 30 days of discharge. The transitional care model guided the …

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Elementary School Principals’ Instructional Leadership Practices Supporting Academically Marginalized Students, Stacy Lynette Parker Jan 2020

Elementary School Principals’ Instructional Leadership Practices Supporting Academically Marginalized Students, Stacy Lynette Parker

Walden Dissertations and Doctoral Studies

The research problem addressed in this qualitative case study is the need to understand elementary school principals' instructional leadership practices supporting academically marginalized students. Instructional leadership practices to "close the achievement gap" are imperative to document, so that best practices can be highlighted and disseminated among educational institutions that face similar challenges. The conceptual framework of the principal instructional management theory is used to explore instructional leadership through 3 dimensions: managing the instructional program, defining the school mission, and fostering academic achievement. Semistructured interviews and thematic analysis were conducted to collect and analyze data from 11 elementary principals in response …

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Motivational Factors Of At-Risk Students In Blended High School Credit Recovery, Tyese L. Parnell Jan 2020

Motivational Factors Of At-Risk Students In Blended High School Credit Recovery, Tyese L. Parnell

Walden Dissertations and Doctoral Studies

Although the number of high school students taking online courses for an initial course or credit recovery (CR) is growing, it is not clear why at-risk students are not successful in blended CR courses. The purpose of this qualitative multiple case study was to explore teachers’ perceptions and students’ experiences related to at-risk students’ motivation in blended CR courses. Keller’s ARCS model of motivation for instructional design provided the framework for the study. Data were collected from interviews with 2 teachers, 5 students and from 2 school sites, face-to-face classroom observations, and online CR curricula. Data were analyzed through a …

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Antecedents To Customer Satisfaction For U. S. Health Insurance Customers, Vivian Phillips Husband Jan 2020

Antecedents To Customer Satisfaction For U. S. Health Insurance Customers, Vivian Phillips Husband

Walden Dissertations and Doctoral Studies

Customer satisfaction in the health insurance industry remains low compared to other industries, resulting in financial losses for health insurers. Increasing customer satisfaction has a positive effect on financial performance in other industries, indicating that the health insurance industry may also benefit from increasing customer satisfaction. The theoretical foundation for this study was relationship-marketing, a principle of the social exchange theory. The purpose of this quantitative correlational study was to test the effects of health insurance literacy, customer engagement, and relationship-marketing as independent variables on customer satisfaction as the dependent variable. The research question examined the influence of the factors …

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Leadership Experiences Of Secondary School Principals In Trinidad And Tobago, Asha Ramraj-Sookdeo Jan 2020

Leadership Experiences Of Secondary School Principals In Trinidad And Tobago, Asha Ramraj-Sookdeo

Walden Dissertations and Doctoral Studies

Meeting the leadership needs of principals poses a challenge globally. This problem is exaggerated in Trinidad and Tobago, as certification in leadership is not a requirement to become a principal. Additionally, the lack of empirical data about principal leadership in this country poses a major challenge in developing principals. The purpose of this transcendental phenomenological qualitative study was to explore principal leadership in secondary schools in this context. The conceptual lens incorporated Neumerski’s angle on instructional leadership theory developed from Hallinger’s model and Theoharis’s social justice leadership theory. The research questions addressed the nature of the principals’ leadership experiences in …

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Nonprofit Church Leaders’ Perceptions And Lived Experiences Involving Innovation Competency And Change Management: A Phenomenological Study, Charity R. Addai-Duah Jan 2020

Nonprofit Church Leaders’ Perceptions And Lived Experiences Involving Innovation Competency And Change Management: A Phenomenological Study, Charity R. Addai-Duah

Walden Dissertations and Doctoral Studies

Innovation competency among religious leaders has been an area of study as nonprofit researchers continue to discover that conventional ways of managing change are no longer effective when tackling present issues. Discussions regarding using innovation competency to manage change among religious leaders are vague, despite benefits to the nonprofit sector. The purpose of this qualitative phenomenological study was to explore the lived experiences of nonprofit church leaders to better understand how innovation competency has shaped organizational change results. Boyatzis’ effective job performance model was the conceptual framework that guided this study. Interview data were gathered from 14 participants who met …

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The Experiences Of Team Managers With Knowledge Sharing Within Diverse Virtual Teams, Amy Jarrell Jan 2020

The Experiences Of Team Managers With Knowledge Sharing Within Diverse Virtual Teams, Amy Jarrell

Walden Dissertations and Doctoral Studies

As remote work rises across the United States, barriers continue to challenge virtual collaboration by obstructing knowledge sharing which affects an organization’s ability to leverage knowledge. Despite increased research on virtual teams, how virtual team managers facilitate knowledge sharing between individuals within diverse virtual teams across different time zones is not well understood. This qualitative, narrative inquiry study addressed the gap in the literature and the research question by exploring how virtual team managers in the United States describe their daily online experiences with knowledge sharing between individual team members with varied cultural perspectives working in different time zones. This …

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