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2022

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The Outcome Of Stroke Education And Management On Cerebrovascular Accident Patients In Bermuda, Antoinette Simone Dyer Jan 2022

The Outcome Of Stroke Education And Management On Cerebrovascular Accident Patients In Bermuda, Antoinette Simone Dyer

Walden Dissertations and Doctoral Studies

AbstractIncidence of cardiovascular accident (CVA), also referred to as a stroke, has increased in Bermuda. Understanding key contributing factors is necessary to reduce incidences that are associated with this disease process. This dissertation examined the outcome of stroke education and management on CVA patients in Bermuda. The health belief model, incorporating a reflection of the public health framework, guided the analysis of a quantitative dataset obtained through Bermuda Hospitals Board’s Neurology Department. A cross-sectional study design was used to sample 253 stroke patients over a 2-year period (2019 -2021). The Wilcox test was employed to compare two groups – stroke …

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Staff Education On Effective Communication In Long-Term Care, Alexandra Cl Dzikowski Jan 2022

Staff Education On Effective Communication In Long-Term Care, Alexandra Cl Dzikowski

Walden Dissertations and Doctoral Studies

The dynamic and ever changing world of health care depends on bedside nurses to exercise effective leadership skills, including communication, to provide safe quality care. At the long-term health care facility where this project took place, there was a lack of effective communication between team members, especially at change of shift. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the purpose was to plan, implement, and evaluate a staff education program on handoff report communication using the TeamSTEPPS 2.0 for Long Term Care program. Sources of evidence included validation of the pre- and posttest items …

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Texas Metro Versus Nonmetro Variations In Cervical Cancer Preventative Measures, Amanda S. English Jan 2022

Texas Metro Versus Nonmetro Variations In Cervical Cancer Preventative Measures, Amanda S. English

Walden Dissertations and Doctoral Studies

Cervical cancer is a public health threat that can be eliminated with the use of preventative measures. Individuals who live in Texas’s nonmetro areas are more likely than individuals who live in metro areas of Texas to be diagnosed with cervical cancer. In this study, the individual- and county-level factors in metro and nonmetro areas that facilitate or inhibit the receipt of cervical cancer preventative measures at multiple levels of influence were examined. The ecological model was used as the theoretical framework. Using secondary data from a national population health survey (n=1,303), the goal of this cross-sectional, quantitative study was …

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Potential Adverse Impacts Of The Lack Of Diversity Of African American Women On Business Operations: Diversity And The Competitive Advantage, Leilani Jasmine Evans Jan 2022

Potential Adverse Impacts Of The Lack Of Diversity Of African American Women On Business Operations: Diversity And The Competitive Advantage, Leilani Jasmine Evans

Walden Dissertations and Doctoral Studies

Senior organizational leadership lacks diversity, with African American women elevating to senior executive positions to contribute to the competitive advantage. A lack of diversity in leadership could impact profitability and an organization’s competitive advantage. Grounded in cognitive diversity theory, the purpose of this single qualitative case was to explore strategies African American women executives used to increase diversity with other African American Women in their ranks to ensure profitability and maintain a competitive advantage. The participants were five African American women senior executives in the District of Columbia who implemented strategies to increase diversity with other African American women and …

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Coherence-Based Resilience Effects On Antenatal Autonomic Nervous System Stress Markers Controlled, Patrice Fortune Jan 2022

Coherence-Based Resilience Effects On Antenatal Autonomic Nervous System Stress Markers Controlled, Patrice Fortune

Walden Dissertations and Doctoral Studies

AbstractAntenatal stress disrupts autonomic nervous system (ANS) equilibrium within the neuro-cardio-utero-placental (NCUP) structure perpetuating treatable conditions of depressive-based gestational hypertension disorders. The present ANS-based study of the NCUP system investigated the effect of coherence-based stress resilience (CBSR) post-4-week intervention. This quasi-experimental research design involved experimental (n = 8) and waitlist control (n = 3) conditions. Controlling for pretest values, quantitative pre-post methodology was used to assess the effect of CBSR to evaluate change in variables. Resultant of small sample size, significant findings are considered tentatively. Heart rate variability (p = 0.044), dehydroepiandrosterone/ dehydroepiandrosterone sulfate (p = 0.142), Pregnancy Experience Scale …

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Development Of Staff Education On Improved Compliance Adherence In Sleep Apnea, Mayla F. Garcia Jan 2022

Development Of Staff Education On Improved Compliance Adherence In Sleep Apnea, Mayla F. Garcia

Walden Dissertations and Doctoral Studies

The increasing prevalence of sleep disorders such as obstructive sleep apnea (OSA) affects approximately 25% of adults in the United States and an estimated 34% of men and 17% of women in the primary care population. In the clinical project site, the practice problem involved the increasing clinicians’ knowledge about OSA and being able to implement screening tools for further treatment and evaluation. The purpose of this project was to develop an educational training and intervention for staff to increase their knowledge of OSA conditions and have it validated by a panel of experts before dispersing it to the intended …

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Teachers’ Perceptions Of Their Roles And Challenges With Inclusion, Nini Asheki Greenidge Jan 2022

Teachers’ Perceptions Of Their Roles And Challenges With Inclusion, Nini Asheki Greenidge

Walden Dissertations and Doctoral Studies

AbstractMany schools have employed inclusion practices as an instructional framework, meaning general and special educators are expected to coteach students with disabilities in the general education classroom. The research problem at the local study district was that inclusion as an instructional framework challenged the roles of general and special education coteachers as well as the students they were intended to benefit. The conceptual framework for this project study was the social constructivist theory. The purpose of this basic qualitative study was to gain an understanding about inclusion as an instructional framework. The research questions addressed how the experiences of the …

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American Urologists’ Concerns With Nonclinical Activities Moderating Burnout, Nichele Lynn Greer Jan 2022

American Urologists’ Concerns With Nonclinical Activities Moderating Burnout, Nichele Lynn Greer

Walden Dissertations and Doctoral Studies

As burnout continues to increase in the healthcare field and specifically in the specialty of urology, gaining knowledge of certain risk factors associated with burnout can potentially help prevent further increases. Intervention programs may also be developed as a result of understanding these relationships. The purpose of this quantitative correlational analysis was to determine whether hours worked on nonclinical activities moderated the relationship between age and burnout as well as gender and burnout in American urologists. The theoretical foundations utilized in this research were the jobs demands resources model, which suggested that burnout occurs as a result of job demands …

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A Self-Analysis Point Sheet For Classroom Mediation With Disruptive Graduating Seniors, Teresia R. Gridiron Jan 2022

A Self-Analysis Point Sheet For Classroom Mediation With Disruptive Graduating Seniors, Teresia R. Gridiron

Walden Dissertations and Doctoral Studies

Researchers and educators recognize the need for an effective in-class mediator to avoid the removal of students from class, to accomplish and achieve positive academic and social change by eliminating classroom disruption. The purpose of this research study was to address this need by examining a classroom mediation using a self-analysis point sheet for disruptive, graduating seniors. The specific focus of this qualitative, phenomenological study was to examine the real-life classroom experience from the perspective of senior high school students as it relates to immediate classroom discipline via a self-analysis point sheet. The main question examined how students experience the …

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Health-Related Quality Of Life For Veterans Transitioned Into Civilian Life, Vicki Ann Guerra Jan 2022

Health-Related Quality Of Life For Veterans Transitioned Into Civilian Life, Vicki Ann Guerra

Walden Dissertations and Doctoral Studies

Texas veterans transitioning to civilian life have experienced health issues after discharge. There are processes to follow before seeking treatment or diagnosis for any health issue prior to military discharge. Given the gaps in the literature on veteran health, quality of life and transition to civilian life, scholars lack understanding of the transitional events that take place. Veteran health issues are impacted by medical appointment wait-times, day to day life events, and this can lead to decreased quality of life. The purpose of this mixed-methods study (N=36) was to evaluate veterans’ health related quality of life who had transitioned from …

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Age And Experience As Factors For Predicting Emotional Intelligence In Nurse Managers, Patricia Gursky Jan 2022

Age And Experience As Factors For Predicting Emotional Intelligence In Nurse Managers, Patricia Gursky

Walden Dissertations and Doctoral Studies

Emotional intelligence (EI) is defined as the capacity to recognize and manage emotions and feelings to guide behaviors which is an ability that is crucial for nurse mangers to possess. Understanding the key factors for predicting emotional intelligence in nurse managers may influence hiring practices and the appointment of managers who will influence job satisfaction, employee engagement, retention, and turnover. The purpose of this quantitative predictive correlational study, guided by King’s theory of goal attainment and Mayer and Salovey’s four-branch ability model of EI, was to determine whether age, years of experience as a nurse, and years of experience as …

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Challenges Of Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, And Asexual (Lgbtqia) Students In Higher Education, Caitlin Kay Jan 2022

Challenges Of Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, And Asexual (Lgbtqia) Students In Higher Education, Caitlin Kay

Walden Dissertations and Doctoral Studies

The challenges of lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA) students in higher education are present in all aspects of the student experience including academic, residential, and social structures. For LGBTQIA students to have a successful and fulfilled educational journey, they often must endure restrictive policies, unsupportive staff, gender and orientation bias, and bullying. These factors can be detrimental to LGBTQIA students, both personally and academically, to include long-term effects on their mental health, and failure to succeed academically. The purpose of this basic qualitative study was to determine the academic, residential, and social challenges LGBTQIA students face …

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Weight Change And Hyponatremia As Predictors Of Polydipsia Among Persons With Schizophrenia, Kingsley Okechukwu Nwachukwu Jan 2022

Weight Change And Hyponatremia As Predictors Of Polydipsia Among Persons With Schizophrenia, Kingsley Okechukwu Nwachukwu

Walden Dissertations and Doctoral Studies

AbstractPolydipsia is found in 20% of inpatients with chronic severe mental disorders. Of this, 80% are diagnosed with chronic schizophrenia, hence polydipsia is strongly associated with chronic schizophrenia. Despite the prevalence and serious health complications of coexisting polydipsia in this population, its current method of detection is flawed. The purpose of this quantitative study was to accurately identify comorbid polydipsia in schizophrenia using periodic weight change and hyponatremia. The Wilson’s complexity theory and primary data were used to attempt to explain the relationship between weight change and hyponatremia and polydipsia, in a cross-sectional study design. The dependent variable was polydipsia, …

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Exploring Strategies Hospital Leaders Use To Reduce Costs Of Medication Administration Errors, Anthony Odili Jan 2022

Exploring Strategies Hospital Leaders Use To Reduce Costs Of Medication Administration Errors, Anthony Odili

Walden Dissertations and Doctoral Studies

Medication administration errors occur in hospitals resulting in adverse negative effects, including deaths. Hospital leaders are responsible for promoting patient safety and reducing harm and costs from medication administration errors. Grounded in complex adaptive systems theory with Six Sigma, the purpose of this qualitative multiple case study was to explore strategies hospital leaders adopted to reduce the costs of medication administration errors. The participants were five hospital leaders who successfully reduced the costs of medication administration errors. Data were collected through semistructured interviews and a review of the hospital’s financial records. Through thematic analysis, four themes emerged: education, communication, use …

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Exploring Perceptions Of Staff Preparedness For Emergency Response In Transitional Houses In Texas, Patrick Onuoha Jan 2022

Exploring Perceptions Of Staff Preparedness For Emergency Response In Transitional Houses In Texas, Patrick Onuoha

Walden Dissertations and Doctoral Studies

AbstractDisaster preparedness for emergency response within transitional houses is a problem that often fails to receive attention, a situation that can lead to injuries or death during disaster events. One of the factors responsible for this lapse is the contractual nature of most of the transitional houses, with inherent inadequacies in types and quality of services. Although research in this area is relatively scarce, a synthesis of literature reviewed suggested greater focus on disaster management in other areas and almost nothing with regards to transitional houses. The purpose of this qualitative study was to better understand staff emergency preparedness in …

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Influence Of Online Professional Learning Networks On Teacher Self-Efficacy For Using Information Communication Technology, Jeremy A. O'Toole Jan 2022

Influence Of Online Professional Learning Networks On Teacher Self-Efficacy For Using Information Communication Technology, Jeremy A. O'Toole

Walden Dissertations and Doctoral Studies

Information communication technology (ICT) is increasingly used to enhance teaching and learning, but many teachers lack mastery-level experiences using these computing technologies in the classroom. To further their knowledge, some teachers have turned to online professional learning networks (PLNs) for development, but further research is needed to explore how and why these networks change teachers’ practice. Framed by Albert Bandura's theory of self-efficacy, the purpose of this study was to explore the influence of online PLNs on teachers’ perceptions of their technological self-efficacy for implementing ICT in the classroom. The research question of this basic qualitative study with interviews addressed …

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Depression, Drug Use, And Hsv-2 Among Women Who Have Sex With Women, Viani Picchetti Jan 2022

Depression, Drug Use, And Hsv-2 Among Women Who Have Sex With Women, Viani Picchetti

Walden Dissertations and Doctoral Studies

Herpes simplex virus type 2 (HSV-2), the main cause of genital herpes, is an incurable sexually transmitted infection responsible in 2018 for 18.6 million infections in the United States. HSV-2 is twice as frequent in women than in men. Women who have sex with women (WSW) have a higher prevalence of depression and drug use than women who have sex exclusively with men (WSM), which are each related to HSV-2 as they increase the likelihood of engaging in risky sexual behaviors. The purpose of this study was to assess the predictive relationship between depression status, nonprescription drug use status, and …

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Relationship Between Patients Of Low Socioeconomic Status With Multiple Sclerosis And Health Care Providers, Jennifer N. Rhoads Jan 2022

Relationship Between Patients Of Low Socioeconomic Status With Multiple Sclerosis And Health Care Providers, Jennifer N. Rhoads

Walden Dissertations and Doctoral Studies

Many health care initiatives seek to improve patient–provider experiences and relationships to support patient satisfaction rates and health outcomes. However, a small amount of published research has examined the perceptions of low socioeconomic status (SES) patients diagnosed with multiple sclerosis (MS) regarding their relationship with their health care provider and how these perceptions affect patient outcomes. Prioritizing communication and approachability between the health care provider and a patient can be instrumental in creating and fostering an authentic relationship. The research question for this study was designed to understand the relationship between participants of low SES who had been diagnosed with …

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The Relationship Between Allied Health Therapy Leaders In Hospitals And Patient Satisfaction, Dickson Rodriguez Jan 2022

The Relationship Between Allied Health Therapy Leaders In Hospitals And Patient Satisfaction, Dickson Rodriguez

Walden Dissertations and Doctoral Studies

AbstractAlthough allied health professions account for 60% of the health care workforce, funding to support training and leadership in the allied health fields remains nominal. The purpose of this quantitative study was to investigate whether there is a relationship between allied health therapy leaders in hospitals and patient satisfaction. The Donabedian model was used as the theoretical framework, as it made it possible to conceptualize the underlying parts and processes that may contribute to poor quality of care for patients receiving healthcare. A quantitative methodology with a cross-sectional design was used to provide quantifiable information to ascertain whether the results …

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The Lived Experiences And Perceptions Of Young Adults Who Have Transitioned Out Of State Or Other Care, Linda Rose Ross Jan 2022

The Lived Experiences And Perceptions Of Young Adults Who Have Transitioned Out Of State Or Other Care, Linda Rose Ross

Walden Dissertations and Doctoral Studies

AbstractOver 20,000 young adults are released from state care annually and 100,000 young adults are released from justice centers. Past studies have revealed that young adults 18-24 years of age transitioning out of care are not prepared for independent living and may face many adversities. The problem is that young adults have difficulties finding permanent housing once emancipated from state care, their biological homes, or juvenile justice centers. The purpose of this study was to explore the perceptions and experiences of young adults 18-24 years of age and how their experiences and life skills helped on their journey to acquire …

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A Case Study Of Senate Bill 123 Nonviolent Felony Offenders Suboxone Use, Jessica Scott Jan 2022

A Case Study Of Senate Bill 123 Nonviolent Felony Offenders Suboxone Use, Jessica Scott

Walden Dissertations and Doctoral Studies

In 2003, a midwestern state passed legislation implementing a program with the goal of treating nonviolent felony offenders leaving prison sentences for more severe crimes. The current study examined legislation focusing on substance abuse treatment rather than incarceration. The purpose of this was to bridge this gap in knowledge by investigating the legislative session’s actions to aid members in the provision of services related to the Senate Bill 123 program. The central research question of this study examined the experiences of healthcare practitioners and addiction counselors associated with SB 123 nonviolent adult offenders requiring drug and alcohol treatment concerning Suboxone …

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Factors That Influence Seeking Prostate Cancer Preventive Care In African Immigrants, Millicent N. Seilenga Jan 2022

Factors That Influence Seeking Prostate Cancer Preventive Care In African Immigrants, Millicent N. Seilenga

Walden Dissertations and Doctoral Studies

AbstractProstate cancer is a major public health problem, being the second leading cause of cancer deaths in U.S. men, but mortality can be prevented with the use of early detection strategies. African American men are more than twice as likely to die of prostate cancer as compared to Hispanic and White men. African immigrant men as compared to African American men born in the United States have higher mortality rates of prostate cancer due to not seeking preventive care. However, little is known about the factors that prevent African immigrant men living in the United States from seeking prostate cancer …

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Employee Experiences Of Rewards Systems And Work Performance In Undesirable Locations, Valentine Okechukwu Ukandu Jan 2022

Employee Experiences Of Rewards Systems And Work Performance In Undesirable Locations, Valentine Okechukwu Ukandu

Walden Dissertations and Doctoral Studies

AbstractRewards systems have become an inherent aspect of how managers motivate employees in the workplace. This is influenced by factors that involve employees as well as employers. The researcher intended to investigate the impact of different rewards systems used in diverse organizations near a military installation in the southern United States, which impact employee work performance. This study examined the lived experiences of veterans and non-veterans who have worked in rural areas and their experience involving the rewards systems and work performance in organizations near a military installation in the southern United States. This research involved employing an interpretive research …

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Factors Associated With The Uptake Of Hiv Testing Among African American Male College Students, Brittney Sade Washington-Ball,Drph Jan 2022

Factors Associated With The Uptake Of Hiv Testing Among African American Male College Students, Brittney Sade Washington-Ball,Drph

Walden Dissertations and Doctoral Studies

HIV testing rates are much lower among African American male college students than male college students of other racial groups. Routine HIV testing on college campuses can decrease HIV rates among African Americans and increase students' awareness of their HIV status. This study was an investigation of factors associated with HIV testing among a sample of 140 African American male college students. The health belief model guided the research study and served as the theoretical framework to examine the influence of factors such as the location of testing, STD status, number of sexual partners, insurance coverage, health information, and alcohol …

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A Case Study Of Elementary Teachers’ Perceptions Of Response To Intervention In Special Education Referrals, Heather Abney Thomas Jan 2022

A Case Study Of Elementary Teachers’ Perceptions Of Response To Intervention In Special Education Referrals, Heather Abney Thomas

Walden Dissertations and Doctoral Studies

Students identified as at-risk are overrepresented in special education due to specific learning disability referrals and placement. The problem is that elementary teachers’ perceptions of Response to Intervention (RTI) in special education referrals need to be examined due to excessive special education referrals due to lack of individualized instruction and formative data to assess how well the RTI model is implemented. The purpose of this qualitative study was to examine elementary teachers’ perceptions regarding the implementation of RTI and the influence of the model on appropriate student referrals for special education services. The conceptual framework for this qualitative project study …

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Relationship Between The Employee Incentive System, Employee Development System, And Employee Work-Related Stress, Ali Sattea Ali Al Ajaj Jan 2022

Relationship Between The Employee Incentive System, Employee Development System, And Employee Work-Related Stress, Ali Sattea Ali Al Ajaj

Walden Dissertations and Doctoral Studies

Business owners are concerned with employee work-related stress, as it is the most important predictor of employee incentives and employee development practices. Grounded in Siegrist’s theory of effort/reward imbalance, the purpose of this quantitative correlation study was to examine the relationship between employee incentive, employee development, and employee work-related stress. The participants were 88 employees of a private power sector organization who completed the SurveyMonkey link questionnaires and complied with the survey inclusion criteria. The results of the multiple linear regression were significant, F (2, 85) = 7.167, p < 0.05, R2 = 0.144. In the final model, employee development was significant (t = 3.306, p = .001, β = 0.340) and incentive was nonsignificant. A key recommendation is for business leaders and managers to develop their employees by creating development working practices, acknowledging employees’ achievements, and providing the best employee career programs. The implications for positive social change include the potential to mitigate any employee’s work-related stress and thus support the local community workforce.

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Leadership Strategies That Reduce Voluntary Turnover Among Millennials, Yesenia Andrade Jan 2022

Leadership Strategies That Reduce Voluntary Turnover Among Millennials, Yesenia Andrade

Walden Dissertations and Doctoral Studies

Decreased performance from high employee turnover can result in lower organizational profitability. Business leaders of sales organizations who lack leadership strategies to reduce voluntary turnover experience high turnover rates among millennials and observe significantly lower organizational productivity and profitability. Grounded in transformational leadership theory, the purpose of this qualitative multiple case study was to explore what strategies some business leaders in sales organizations used to reduce voluntary turnover among millennial employees. The participants comprised five leaders in sales organizations from Southern California who experienced a reduction in voluntary turnover among their millennial employees. Data were collected from semistructured interviews and …

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Adverse Childhood Experiences And Hiv Risk Behaviors Among Transgender Populations, Linda Baggio Jan 2022

Adverse Childhood Experiences And Hiv Risk Behaviors Among Transgender Populations, Linda Baggio

Walden Dissertations and Doctoral Studies

Adverse childhood experiences (ACEs) have a negative impact on health and have created a social challenge in managing HIV risk behavior in the transgender population. The aim of this study was to determine the association between ACEs and HIV risk behavior among the transgender population and identify the association between ACE score (1, 2, 3, 4, or more) and HIV risk behavior among the transgender population. This involved a quantitative methodology using a Behavioral Risk Factor Surveillance System (BRFSS) questionnaire to obtain data from 323 transgender participants. Multivariable regression analyses were conducted to determine the association between ACEs and HIV …

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Strategies To Implement A Change Management Process For Public Sector Management In Nigeria, Mariam Yakubu Bala Jan 2022

Strategies To Implement A Change Management Process For Public Sector Management In Nigeria, Mariam Yakubu Bala

Walden Dissertations and Doctoral Studies

Ineffective change management implementation causes a negative impact on business revenue in Nigeria’s public sector. Public sector leaders are concerned ineffective change management causes a negative impact on business revenue in Nigeria’s public sector. Using Lewin’s change management model, the purpose of this qualitative multiple case study was to explore change management strategies Nigerian public sector managers use to implement a change management process to increase revenues. Data were collected from six top management executives in North Central Nigeria through semistructured interviews, note taking, and document review, who implemented change management processes to increase revenues from business operation. Data were …

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Disparities In The Sentencing Of African American Men In Wayne County, Michigan, Brian Banks Jan 2022

Disparities In The Sentencing Of African American Men In Wayne County, Michigan, Brian Banks

Walden Dissertations and Doctoral Studies

AbstractThe ability of judges in the U.S. criminal justice system to administer penalties based on a defendant’s socioeconomic status has resulted in a disproportionate number of African Americans receiving harsher penalties than those of other racial groups and socioeconomic statuses. Currently, there is little evidence demonstrating the effectiveness of harsher sentencing of defendants with lower socioeconomic statuses in preventing crime or lowering recidivism, but more work is needed to clarify what sentencing factors judges use. The purpose of this qualitative study was to explore the factors that Wayne County, Michigan, judges used during the sentencing process of criminal defendants, along …

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