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2021

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Strategies To Improve Survival Rate Among Small Businesses In The Construction Industry, Douglas Bonuke Jan 2021

Strategies To Improve Survival Rate Among Small Businesses In The Construction Industry, Douglas Bonuke

Walden Dissertations and Doctoral Studies

Small businesses are the backbone of the U.S. economy, yet only 50% of all small business establishments survive beyond the first 5 years of operation. Survivability is a concern for small businesses owners, as the construction industry experiences the lowest survival rates compared to other sectors. Grounded in entrepreneurship theory, the purpose of this multiple case study was to explore strategies small business owners in the construction industry used to sustain their businesses beyond the first 5 years of operation. Data were collected using semistructured interviews with six small business owners in the construction industry in central New Jersey. Thematic …

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Clinical Practice Guidelines For Assessing And Reporting Workplace Violence Against Nurses, Janice Lynn Canfield Jan 2021

Clinical Practice Guidelines For Assessing And Reporting Workplace Violence Against Nurses, Janice Lynn Canfield

Walden Dissertations and Doctoral Studies

AbstractWorkplace violence consists of physically and psychologically damaging actions while on duty. In healthcare, under a cloak of secrecy concerning workplace violence, an underreported epidemic exists. This problem is important to address because workplace violence can affect the quality of care delivered and patient care outcomes.. The purpose of this project was to develop a nursing clinical practice guideline (CPG) to assist hospital-based nurses to identify risk factors for workplace violence, identify strategies to mitigate violence, and report workplace violence. This CPG can be an effective tool for nurses to better understand the scope and nature of violence in the …

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Coping With Death, Quality Of Life, And Compassion Fatigue Among Hospice Social Workers, Virgen L. Dominguez Jan 2021

Coping With Death, Quality Of Life, And Compassion Fatigue Among Hospice Social Workers, Virgen L. Dominguez

Walden Dissertations and Doctoral Studies

Research indicates that working with dying patients and their families could causeemotional reactions that not only affect their well-being but their quality of life and desire to continue in their profession. Although researchers have examined compassion fatigue among other professionals, there is a gap in research on the phenomenon among hospice social workers. The purpose of this generic qualitative study was to obtain a richer understanding about how hospice social workers cope with death, what their experiences are with compassion fatigue, and how their quality of life is impacted by their work. The conceptual framework was the transactional theory of …

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The Role Of The Public During The Decision-Making Process In Preparation For And In Response To A Pandemic, Ludmila M. Flores Jan 2021

The Role Of The Public During The Decision-Making Process In Preparation For And In Response To A Pandemic, Ludmila M. Flores

Walden Dissertations and Doctoral Studies

AbstractMany advances have been made in technology and medicine; however, humanity remains vulnerable to existing, emerging, and re-emerging infectious diseases that have a profound negative impact on our society. This study investigated how individuals balance socioeconomics, demographics, and religious views with their actual behavior in response to public health guidelines during an epidemic/pandemic. The participants' perceptions and experiences of a practical problem, how the public was asked to respond, and how the public ultimately responded to public health guidelines were explored. The theoretical model for the study, the polarity of democracy model, has been explored as a possible decision-making tool …

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Strategies Healthcare Leaders Use To Improve Patient Satisfaction, Kajon Franklin Jan 2021

Strategies Healthcare Leaders Use To Improve Patient Satisfaction, Kajon Franklin

Walden Dissertations and Doctoral Studies

For all healthcare leaders, patient satisfaction plays a key role in healthcare; poor patient satisfaction within healthcare organizations can lead to poor patient health outcomes, decreased revenue, and poor employee engagement. Grounded in Mayeroff’s theory of caring, the purpose of this qualitative single case study was to explore strategies healthcare leaders use to improve patient satisfaction. The participants consisted of five healthcare leaders in metropolitan Detroit, Michigan, who implemented strategies that improved patient satisfaction. Data was collected using semistructured interviews, archival document review, and data from the Centers for Medicare and Medicaid Services (CMS) Hospital Compare database. Yin’s five-step process …

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Post-9/11 Women Veterans' Experiences Transitioning Into The Civilian Workforce, Qwynn Anna Galloway-Salazar Jan 2021

Post-9/11 Women Veterans' Experiences Transitioning Into The Civilian Workforce, Qwynn Anna Galloway-Salazar

Walden Dissertations and Doctoral Studies

Post-9/11 veterans’ transitional challenges have become an important topic in veteran studies. However, there was a gap in the literature regarding post-9/11 women veterans’ transitions into the civilian workforce. This interpretative phenomenological analysis explored the lived experiences, challenges, and perceptions of eight post-9/11 women veterans (four enlisted and four commissioned officers) who had transitioned from the military into the civilian workforce within the last 5 years. The study was guided by Schlossberg’s transition theory. Data from transcribed participant interviews were coded and analyzed for emergent themes. The superordinate themes included navigating the career transition, exploring identity shifts, accessibility and use …

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Attention Deficit Hyperactivity Disorder In The Forensic Population, Amanda Joanne George Jan 2021

Attention Deficit Hyperactivity Disorder In The Forensic Population, Amanda Joanne George

Walden Dissertations and Doctoral Studies

Individuals with attention deficit hyperactivity disorder (ADHD) are overrepresented in the forensic population, but there is a lack of research explaining this phenomenon. The purpose of this quantitative nonexperimental study was to investigate if higher levels of ADHD symptoms result in higher levels of criminal thinking or reasoning and whether gender influences levels of criminal thinking when controlling for levels of ADHD symptoms. Lastly, this study was designed to determine if higher levels of ADHD symptoms correlate with higher numbers of incarcerations across the general adult population. Gestalt versus feature intensive processing theory was used in this study to better …

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Leadership Empowerment Behavior And Psychiatric Nurses Intent To Leave, Temitope Kikelomo Gold Jan 2021

Leadership Empowerment Behavior And Psychiatric Nurses Intent To Leave, Temitope Kikelomo Gold

Walden Dissertations and Doctoral Studies

There is a shortage of registered nurses (RNs) who work in the specialty of psychiatric nursing. Attrition among psychiatric RNs is partly due to lack of leadership empowerment which includes autonomy and access to professional development opportunities. The purposes of this study, guided by Kanter’s theory of structural empowerment, were to determine (a) if there was a relationship between leadership empowerment behavior and psychiatric RNs’ intent to leave within the first 2 years of practice in inpatient psychiatric settings and (b) if there was a relationship between leadership empowerment behavior and intent to leave among psychiatric registered nurses who are …

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The Role Of Psychological Distress In Maintaining Exercise After Cancer Diagnosis, Patrick Tertulien Jan 2021

The Role Of Psychological Distress In Maintaining Exercise After Cancer Diagnosis, Patrick Tertulien

Walden Dissertations and Doctoral Studies

AbstractCancer affects the lives of thousands of people every day and is a leading cause of death. Exercise has been shown to yield mental and physical benefits for patients and survivors, but the experiences of cancer patients who face a multiplicity of psychological stressors have not been clearly described. The purpose of this qualitative study was to understand the psychological factors that are associated with continuing to exercise after cancer diagnosis, during and/or following their treatment. The focus was on how cancer survivors maintained a regular routine of exercise while experiencing psychological distress associated with cancer diagnosis, treatment, and concerns …

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Parent And Teacher Perceptions Of Adolescent Use Of Mobile Technology For Diabetes Care In Kenya, Francis Kanyugi Jan 2021

Parent And Teacher Perceptions Of Adolescent Use Of Mobile Technology For Diabetes Care In Kenya, Francis Kanyugi

Walden Dissertations and Doctoral Studies

Mobile technology use provides an opportunity for the self-management of health among adolescents, serving as a lifestyle intervention tool to promote well-being and attenuate chronic conditions. However, little is known about how parents and teachers perceive how adolescents with chronic illness use mobile technology. This basic qualitative study aimed to explore teachers’ and parents’ perceptions regarding the use of mobile technology by adolescents who have diabetes in Kenya. This study’s conceptual framework was the unified theory of acceptance and use of technology. Data were collected from semistructured interviews with six teachers and eight parents from two counties in Kenya. The …

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Stress, Burnout, And Depression Among African Immigrant Direct Support Professionals Working With Adults With Intellectual Disabilities, Mary A. Onyejose Jan 2021

Stress, Burnout, And Depression Among African Immigrant Direct Support Professionals Working With Adults With Intellectual Disabilities, Mary A. Onyejose

Walden Dissertations and Doctoral Studies

AbstractStress and burnout are recognized problems among staff working with individuals with intellectual and developmental disabilities (IDDs). However, information on stress and burnout in African immigrant direct support professionals (DSPs) is lacking. The purpose of this correlational mediation study was to investigate whether burnout mediates the relationship between stress and depression among African immigrants working with adults with IDDs. Job stress theory and burnout theory served as the theoretical framework for the study. Overall, 111 DSPs completed self-report questionnaires: the Maslach Burnout Inventory, Parker and DeCotiis’ Job Stress Scale, and the Beck Depression Inventory. Results revealed that stress significantly predicted …

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Improving Staff Retention In Adolescent Psychiatric Residential Treatment Facilities, Tasha C. Moses Jan 2021

Improving Staff Retention In Adolescent Psychiatric Residential Treatment Facilities, Tasha C. Moses

Walden Dissertations and Doctoral Studies

AbstractHigh direct care staff (DCS) turnover in psychiatric residential treatment facilities presents significant organizational challenges. Insufficient DCS levels and high turnover rates can undermine an organization’s ability to provide quality care to residents who have acute psychiatric symptoms, maintain a safe environment, and achieve strategic goals. This case study was grounded in the Baldrige Excellence Framework and focused on the DCS retention challenges experienced by a psychiatric residential treatment facility in the southeastern United States. Sources of data included semi structured interviews with seven organizational leaders, a review of organizational archival records, and an academic literature review. Thematic content analysis …

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Self-Efficacy And Gifted Teachers’ Perceptions Of Teaching Gifted Students With High-Functioning Autism, Yvette Morrell Jan 2021

Self-Efficacy And Gifted Teachers’ Perceptions Of Teaching Gifted Students With High-Functioning Autism, Yvette Morrell

Walden Dissertations and Doctoral Studies

Gifted students with high functioning autism (gifted-HFA) are being excluded from gifted programs in one public school setting in the Southeastern United States designed for gifted and high-achieving students. Although the literature indicates teacher self-efficacy in working with this group can contribute to this problem, it was unclear whether teachers in this specific setting experienced self-efficacy challenges. The study’s purpose was to understand teachers’ sense of self-efficacy when teaching gifted-HFA students. The conceptual framework that drove this study was Bandura’s self-efficacy theory. Using a basic qualitative method, interviews were conducted with eight gifted endorsed teachers who had experience teaching gifted-HFA …

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Demographic Characteristics, Level Of Drug Use, And Self-Esteem Among Female Students In Kaduna, Nigeria, Gladys Geyyourk John Jan 2021

Demographic Characteristics, Level Of Drug Use, And Self-Esteem Among Female Students In Kaduna, Nigeria, Gladys Geyyourk John

Walden Dissertations and Doctoral Studies

Starting the early 1990s, the prevalence of nonmedical prescription drug use in Nigeria has been increased, especially among college students. Potential adverse effects such as poor academic performance and low self-esteem are known, but it is not understood whether demographic factors, level of drug use, and self-esteem are related to drug use for female college students. The purpose of this quantitative correlational study of a cross-sectional nature was to determine if there were predictive relationships between demographics (age, socioeconomic level, educational level, and history of mental illness), level of drug use (as measured by the Drug Abuse Screening Test [DAST], …

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Parents’ Perceptions On The Impact That Sros Have On School Safety, John Mayfield Jan 2021

Parents’ Perceptions On The Impact That Sros Have On School Safety, John Mayfield

Walden Dissertations and Doctoral Studies

School Resource Officers (SROs) are an essential element in school safety and an even more critical component in the field of community-orientated policing. While numerous research studies have examined SROs from many different lenses, none have examined the impact that SROs have on school safety through a parents' lens. The purpose of this quantitative nonexperimental study was to examine parents’ perceptions on the impact that SROs have on school safety through an online survey accessible to parents through SurveyMonkey. The research question's goal was to answer two fundamental questions, to examine the degree that parents support the presence of SROs …

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Nursing Staff Education Fall Prevention Program At A Skilled Nursing Facility, Solomon Lomo Jan 2021

Nursing Staff Education Fall Prevention Program At A Skilled Nursing Facility, Solomon Lomo

Walden Dissertations and Doctoral Studies

Falls have negative effects on the confidence, function, and quality of life in older adults and are major cause of injury and death among this population. The quality assurance report in a long-term care facility identified an average of 10 falls per week in the last quarter of 2017. The facility has a person-centered policy, which creates fall prevention challenges when usual fall protective practices are prohibited. The purpose of this education program was to educate staff nurses working with patients in a long-term care facility on additional evidenced based practices to prevent falls and injuries without compromising the person-centered …

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African American Females And Herpes Simplex Virus 2: A Basic Interpretive Qualitative Study, Cherlisa Jackson Jan 2021

African American Females And Herpes Simplex Virus 2: A Basic Interpretive Qualitative Study, Cherlisa Jackson

Walden Dissertations and Doctoral Studies

According to recent studies, African American females are most susceptible to HSV-2 and are often asymptomatically diagnosed. Yet, the perceived benefit of discussing sexual health as well as recognizing a need to discuss HSV-2 with a healthcare provider was an identified gap in the existing research and current study findings. The purpose of this qualitative interpretive study was to understand the experiences of African American females who received an asymptomatic HSV-2 diagnosis. The health belief model constructs guided this study. Outlined through semi-structured interviews were the experiences of seven African American females diagnosed with HSV-2 in Fulton County, GA, as …

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Demographics And 30-Day Readmissions For End-Stage Renal Disease Patients, Shelia Concepcion Perez Jan 2021

Demographics And 30-Day Readmissions For End-Stage Renal Disease Patients, Shelia Concepcion Perez

Walden Dissertations and Doctoral Studies

End-stage renal disease (ESRD) is increasingly a problem in the United States, and factors such as race/ethnicity and gender may not only worsen the risk of the disease but also correspond to worse treatment access. This is significant because ESRD is a heavy economic burden not only on patients, but on caregivers and the health care system, especially as disparities remain between different demographic groups. The purpose of this quantitative nonexperimental, historical, correlational design was to determine the extent to which gender and race/ethnicity predict 30-day readmission rates after hospitalization for ESRD patients. The theoretical framework for the current study …

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Transition Of Care To Decrease Hospital Readmission After Acute Mi, Patricia Yoon Jan 2021

Transition Of Care To Decrease Hospital Readmission After Acute Mi, Patricia Yoon

Walden Dissertations and Doctoral Studies

The time period after an acute myocardial infarction (AMI) can be overwhelming for patients; while glad to be discharged from the hospital, they may not have the knowledge nor resources to properly manage secondary prevention measures and treatment of residual coronary artery disease (CAD). The gap in nursing practice this project addressed is the lack of follow up of care leading to increased rates of readmission. The goal of this quality improvement (QI) initiative was to evaluate pre/post data and synthesize results to make recommendations for possible practice change whether a 30-day transition of care program could decrease readmission rates …

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Workplace Experiences Of Migrant Workers In Colorado, Lynann Holly Butler Jan 2021

Workplace Experiences Of Migrant Workers In Colorado, Lynann Holly Butler

Walden Dissertations and Doctoral Studies

AbstractMigrant workers often endure a variety of abuses in the workplace, including financial exploitation, exposure to toxins, isolation, and lack of access to health care. Although researchers have demonstrated that these circumstances exist for migrant workers in other parts of the world, there was a dearth of research on the lived experiences of migrant workers in Colorado. The purpose of this hermeneutic phenomenological study was to better understand the lived experiences of migrant workers in Colorado, who are a growing and impactful population in Colorado. The theoretical framework was Rawl’s social justice theory, which purports that no one group of …

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Vicarious Traumatization And Vicarious Resilience In Mental Health Professionals: An Investigation Of Group Differences, Marie Demchak-Buotte Jan 2021

Vicarious Traumatization And Vicarious Resilience In Mental Health Professionals: An Investigation Of Group Differences, Marie Demchak-Buotte

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this study was to investigate individual differences between mental health professionals with varied levels of clinical experience and their personal levels of vicarious trauma (VT) and vicarious resilience (VR) as measured by the Secondary Traumatic Stress Scale (STSS) and the Connor-Davidson Resilience Scale (CD-RISC), respectively. A sample of 161 mental health professionals in New York State completed the scales and separate one-way between-subjects ANOVA tests examined the relationship between variables. A test for the moderating effect of the percentage of trauma clients on the clinician’s caseloads was also conducted between experience level of the clinician and their …

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Development Of A Clinical Guideline For An Emergency Department Fast Track Protocol, Cyrus C-Max Doe Jan 2021

Development Of A Clinical Guideline For An Emergency Department Fast Track Protocol, Cyrus C-Max Doe

Walden Dissertations and Doctoral Studies

AbstractDue to the large influx of patients, emergency departments (ED) across the United States strive to efficiently manage and improve workflow to increase the quality of care and reduce wait times for patients who present at the ED for care. Well-organized workflow is critical to providing efficient and time-sensitive care, beginning with the Fast Track (FT) area. The FT is a designated area of the ED where lower acuity or noncritical patients are seen and treated. Improving workflow in the FT area of the ED can help lessen wait times and overall length of patient visit and improve the delivery …

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Factors Predicting Counselor Education And Supervision Doctoral Student Career Choices, Lisa Corbin Jan 2021

Factors Predicting Counselor Education And Supervision Doctoral Student Career Choices, Lisa Corbin

Walden Dissertations and Doctoral Studies

Despite the increased need for counselor educators, less than half of graduates of counselor education and supervision (CES) programs enter into faculty positions after graduation. There is also a significant lack of diversity among counselor educators. Some researchers found that the quality of a mentoring relationship influences the mentee’s self-efficacy and career choice. The purpose of this quantitative survey research study was to explore the perceived quality of the participant’s mentoring relationship as measured by the Mentorship in Clinical Training Scale (MiCTS) and whether that score predicted the participant’s career choice or a change in career choice, investigate whether students’ …

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Employee Retention Strategy In The Hospitality Industry, Hauwa Dogonyaro Jan 2021

Employee Retention Strategy In The Hospitality Industry, Hauwa Dogonyaro

Walden Dissertations and Doctoral Studies

AbstractIneffective retention strategies can negatively impact employee productivity, which may hinder business profitability and sustainability. Hotel managers who struggle to improve employee retention are at high risk of not sustaining their business. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies hotel managers use to improve employee retention. The participants were three hotel managers from a hotel in Abuja, Nigeria, who used strategies to improve employee retention. Sources for data collection were semistructured interviews, company documents, observations, and field notes. Data analysis involved the use of thematic analysis. Four themes emerged: work …

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Relationship Between Nurses’ Perception Of Empowerment, Job Satisfaction, And Intent To Stay, Ma Leilani Hall Jan 2021

Relationship Between Nurses’ Perception Of Empowerment, Job Satisfaction, And Intent To Stay, Ma Leilani Hall

Walden Dissertations and Doctoral Studies

Retention of perioperative nurses who work in the operating room is critical to an organization's effectiveness and financial wellness. Factors that retain perioperative nurses are empowerment and job satisfaction. The purposes of this quantitative study, guided by Kanter's theory of structural empowerment, were to determine (a) the level of empowerment and job satisfaction among perioperative nurses and their intent to stay in the organization and (b) if age, gender, education, perioperative experience, and national nursing certification predict empowerment among perioperative nurses. Fifty-five perioperative nurses responded to the Conditions for Work Effectiveness Questionnaire-II, Nursing Workplace Satisfaction Questionnaire, and Intent to Stay …

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Approaches School Leaders Employ Regarding Students Who Experience Socioemotional Crises, Ronald Stephen Gorney Jan 2021

Approaches School Leaders Employ Regarding Students Who Experience Socioemotional Crises, Ronald Stephen Gorney

Walden Dissertations and Doctoral Studies

Many students in the local school district in a northeastern state suffer from socioemotional challenges that negatively influence their academic success. In the Adverse Childhood Experiences (ACEs) study, researchers found negative socioemotional outcomes resulting from ACEs. Risk factors associated with ACEs, and the influence of ACEs on poor school outcomes form the framework of this project study. To determine measures school leaders take to meet the needs of students in socioemotional crisis, a sample of semi-structured interview participants was selected based upon their roles in addressing students in socioemotional crisis, also forming the basis of this basic qualitative study. The …

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Strategies Managers Use To Increase Collaboration And Productivity Among Multigenerational Workers, Clarissa Miram Goins Jan 2021

Strategies Managers Use To Increase Collaboration And Productivity Among Multigenerational Workers, Clarissa Miram Goins

Walden Dissertations and Doctoral Studies

Age differences within the workforce continue to challenge employers because they must create environments that enhance collaboration among multigenerational workers. Grounded in emotional intelligence theory, the purpose of this single case study was to explore strategies business leaders in the financial services industry use to manage a multigenerational workforce. The participants comprised six business leaders from one financial institution headquartered in Dutchess County, New York, who successfully created strategies to promote collaboration. Data collection involved the use of semistructured face-to-face interviews and phone interviews. Data analysis included a coding process to identify themes and member checking to ensure the findings’ …

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Strategies Uber Drivers Use To Enhance Competitive Advantage For Increased Profits And Incomes, Richard Atemie Samuel Hart Jan 2021

Strategies Uber Drivers Use To Enhance Competitive Advantage For Increased Profits And Incomes, Richard Atemie Samuel Hart

Walden Dissertations and Doctoral Studies

AbstractUber drivers are usually from economically disadvantaged groups, with most drivers reporting lower incomes than typical workers. Uber drivers who fail to improve their profits and incomes lower their families’ standard of living. Grounded in transaction cost theory, the purpose of this qualitative multiple case study was to explore the strategies that Uber drivers use to enhance competitive advantage for increasing their profits and incomes. The participants were six Uber drivers in Lagos, Nigeria who successfully used strategies to enhance competitive advantage and increase their profits and incomes. Data were collected from semistructured interviews, financial transactions with Uber, transactions from …

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Health Care Leaders Strategies And Patient Satisfaction, Aaronn Haerr Jan 2021

Health Care Leaders Strategies And Patient Satisfaction, Aaronn Haerr

Walden Dissertations and Doctoral Studies

Ineffective patient satisfaction strategies can negatively impact patient satisfaction scores and overall organizational performance. Health care leaders who struggle to increase patient satisfaction are at high risk of diminished organizational performance and long-term sustainability. Grounded in the transformative learning theory, the purpose of this qualitative single case study was to explore strategies health care leaders implemented to improve patient satisfaction. The participants were five health care leaders in Ohio who effectively implemented strategies to increase overall patient satisfaction. Data were collected from semistructured interviews, organizational documents provided by the participants, and the company website. Yin’s five-step method was used to …

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Pk–12 District Administrator Perceptions About Career Readiness And Workforce Preparation Programs And Activities In Schools, Shawn Lee Dilly Jan 2021

Pk–12 District Administrator Perceptions About Career Readiness And Workforce Preparation Programs And Activities In Schools, Shawn Lee Dilly

Walden Dissertations and Doctoral Studies

The lack of student career preparedness has increased the number of youths facing negative personal, economic, and social implications and have led to increased calls for public education to find solutions. The purpose of this generic qualitative study was to explore West Virginia district administrators’ perceptions about career readiness and workforce programs. Underpinning the study’s conceptual framework was educational leadership. The two research questions focused on district administrator perceptions about the value and importance and the barriers, limitations, and successes of career readiness and workforce programs. A qualitative survey and semistructured interview were employed to provide data for an iterative, …

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