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2022

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Florida’S Courts System Funding After Article V Revision 7, Joseph Ernest Smith, Sr. Jan 2022

Florida’S Courts System Funding After Article V Revision 7, Joseph Ernest Smith, Sr.

Walden Dissertations and Doctoral Studies

The state of Florida approached the topic of funding for the courts system from a policy equilibrium position. The process used to fund Florida’s courts system was changed in 2004 to promote an equitable system of funding. However, a gap in knowledge remains regarding whether this new funding scheme improved the financial health of the courts system. This quantitative study, which involved using the punctuated equilibrium theory (PET) as its theoretical framework, examined funding associated with counties before (1998–2003) and after (2005–2018) the 2004 implementation of Revision 7 to Article V of the Florida Constitution. Revision 7 was examined as …

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Impact Of Exercise On Depression And Anxiety In Adolescents With Complex Trauma Living In Residential Treatment Centers, Candace Snodgrass Jan 2022

Impact Of Exercise On Depression And Anxiety In Adolescents With Complex Trauma Living In Residential Treatment Centers, Candace Snodgrass

Walden Dissertations and Doctoral Studies

Depression and anxiety disorders are two of the most frequently reported mental healthproblems for adolescents entering Residential Treatment Centers (RTCs). Many adolescents in RTCs also have a higher rate of traumatic experiences than their peers. Traumatized children frequently develop mental illness disorders of depression and anxiety. Based on the theoretical foundations provided by attachment theory and social cognitive theory, this pilot study, using secondary data, observed the relationship between exercise participation, depression, trauma, and anxiety for 11 youth in an upper Midwest RTC. Adolescents with higher initial depression and anxiety scores tended to exercise less during RTC than those with …

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Education For Ltach Nurses On Clinical Monitoring Systems, Deneen Stokes Jan 2022

Education For Ltach Nurses On Clinical Monitoring Systems, Deneen Stokes

Walden Dissertations and Doctoral Studies

Alarm fatigue is a patient safety issue. The gap identified in practice is that nurses did not know how to navigate the monitoring system properly such that improper use of the alarm system was the result, which compromised patient safety. The goal of this project aimed to fill the gap in knowledge and skill among the staff and improve the confidence level among nurses by providing an educational program. The practice-focused question focused on whether knowledge, skills, and confidence would increase among nurses after receiving education on the clinical monitoring system. The model to facilitate organizing and analyzing this project …

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Combating Firefighter Line Of Duty Injuries, Anthony Stowers Jan 2022

Combating Firefighter Line Of Duty Injuries, Anthony Stowers

Walden Dissertations and Doctoral Studies

AbstractFirefighter injuries add significant costs to fire department budgets and negatively impact operational readiness. Fire service leaders who lack strategies to minimize firefighter injury risk increased department costs and reduced operational readiness. Grounded in transformational leadership theory, the purpose of this multiple case study was to explore strategies fire service leaders use to minimize firefighter injuries. The participants included fire chiefs in New Hampshire and Massachusetts who successfully implemented strategies to minimize firefighter injuries. Data were collected from semistructured interviews and a review of fire department policies and records concerning firefighter injuries and injury prevention. Thematic analysis of the data …

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Clinical Practice Guidelines For Type 2 Diabetes Patients, Rajeena Varghese Jan 2022

Clinical Practice Guidelines For Type 2 Diabetes Patients, Rajeena Varghese

Walden Dissertations and Doctoral Studies

In the United States, Type 2 diabetes mellitus (T2DM) is a public health concern and a primary cause of readmissions to hospitals. Many patient readmissions may be avoided if quality, evidence-based clinical practice guidelines (CPGs) are developed and followed using a comprehensive approach. The project site’s retrospective analysis of electronic health records indicated a lack of consistency in following best practice recommendations, as shown by higher readmission rates. The purpose of this project study was to create a current evidence-based CPG that nurses can use to educate T2DM patients before being discharged from the hospital. The practice-focused question addressed whether …

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Predictors Of Social And Psychological Functioning Among Participants In The Copdgene Cohort, Shandi Watts Jan 2022

Predictors Of Social And Psychological Functioning Among Participants In The Copdgene Cohort, Shandi Watts

Walden Dissertations and Doctoral Studies

This study addressed the relationship among longitudinal smoking status, depression, anxiety, health-related quality of life, and psychological and social functioning due to airflow limitations among adult patients with COPD who are enrolled in the COPDGene Cohort Study. The purpose of this research was to address the gap in the literature concerning the relationship among these variables at two time points, 5 years apart. A cognitive approach was used suggesting that as disease progresses and physical ability becomes more limited, then depression and anxiety will increase, and quality of life will decrease. This was a quantitative, longitudinal, nonexperimental study using archived …

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The Impact Of Funding On Organizational Sustainability Of Mental Health Nonprofits In The County Of Orange, California, Sophia E. Valdez Jan 2022

The Impact Of Funding On Organizational Sustainability Of Mental Health Nonprofits In The County Of Orange, California, Sophia E. Valdez

Walden Dissertations and Doctoral Studies

There is a gap in literature regarding sustainment of mental health programs following budget reductions. Customarily, decreases in budgets have been presumed to be connected to decreases in sustainability. The purpose of this quantitative correlational study was to describe the impact that a decrease in Proposition 63 funding had on nonprofit sustainability in the County of Orange, California. In 2004, California lawmakers enacted Prop 63 to revitalize the public mental health system. The Consolidated Framework for Implementation Research was used as the conceptual framework for this study. This tool can be used to measure data in five categories; intervention, inner …

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Boost Tool Implementation And Sepsis Readmissions, Length Of Stay, And Patient Satisfaction, Jane Venus-Nocentelli Jan 2022

Boost Tool Implementation And Sepsis Readmissions, Length Of Stay, And Patient Satisfaction, Jane Venus-Nocentelli

Walden Dissertations and Doctoral Studies

Sepsis is a global concern because it contributes to high mortality rates, increased healthcare costs, and poor patient outcomes. Health care organizations have used risk stratification tools such as the Better Outcomes by Optimizing Safe Transitions (BOOST) tool to reduce unnecessary readmissions, decrease length of hospital stays, and improve patient health outcomes. But there is limited data on the use of the BOOST tool in the sepsis population and the impact on readmissions and length of stay. The purpose of this quantitative study was to investigate the relationship between BOOST tool implementation, readmissions, and length of stay in patients with …

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The Relationship Between Nephrologist Characteristics And Home Dialysis Usage, Meagan Marie Wilson Jan 2022

The Relationship Between Nephrologist Characteristics And Home Dialysis Usage, Meagan Marie Wilson

Walden Dissertations and Doctoral Studies

Home dialysis is a cost-effective and efficient means of treating end-stage renal disease. Under-utilization of home dialysis results in higher than necessary Medicare spending and loss of quality of life for patients. The purpose of this study was to understand the relationship between a nephrologist's length of time in practice, a nephrologist's belonging to a Joint Venture (JV) financial arrangement with a home modality program, and the use of home dialysis and home modality education using a quantitative, correlational design. Roger's diffusion of innovation theory explains the varying willingness of individuals to accept innovation. Secondary data were collected from Medicare …

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Health Belief Effects On Preventive Health Among Hispanic Migrant And Seasonal Farmworkers, Angela M. Trawick Jan 2022

Health Belief Effects On Preventive Health Among Hispanic Migrant And Seasonal Farmworkers, Angela M. Trawick

Walden Dissertations and Doctoral Studies

Migrant and seasonal farmworkers (MSFWs) are the unhealthiest workers in the United States and experience barriers to preventive healthcare. While faced with numerous health risks, many Hispanic MSFWs may not seek preventive health services or have access to them when they need them. The purpose of this study, guided by the rural nursing theory, was to understand the beliefs/health seeking behaviors of MSFWs and how they described usage of preventive health services. Fourteen Hispanic farmworkers volunteered to do telephone or in person interviews. The codes and categories were reviewed to identify patterns and make connections between the data using Saldana’s …

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Sustainability Strategies Of Small Nigerian Restaurants, Omotayo A. Adeniyi Jan 2022

Sustainability Strategies Of Small Nigerian Restaurants, Omotayo A. Adeniyi

Walden Dissertations and Doctoral Studies

Fewer than half of small restaurants remain in the market after the first 5 years of operation. Small business leaders and policymakers are concerned with business failure due to the negative economic impacts on their employees and the local community. Grounded in the entrepreneurship theory, the purpose of this qualitative multiple case study was to explore strategies small restaurant owners use to sustain their operations beyond at least 5 years. Participants included four owners of small Nigerian restaurants who successfully operated their restaurants for more than 5 years. Data were collected using semistructured interviews and a review of internal documents. …

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Narratives Of Adjustment And Adaptation Of Older Males With Life Sentences, John Taglianetti Jan 2022

Narratives Of Adjustment And Adaptation Of Older Males With Life Sentences, John Taglianetti

Walden Dissertations and Doctoral Studies

AbstractThe United States holds over 40% of the world’s population of men serving life in prison. There are far more men serving life today than the total prison population just decades ago. Scholarly debate research on the adaptation and adjustment of LWOPs is sparse, and very little literature was available from the inmates’ perspective. Most scholarly literature addressed stakeholders’ views on how the prison environment influenced adaptation. This research was designed to answer the LWOPs' perspective on adaptation and adjustment while imprisoned and how they described their present and ongoing adaptation and adjustment experiences. A narrative approach was used to …

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Suicidal Ideation Among American Indian And Alaska Natives In The United States, Lacie Lashawn Tillman Jan 2022

Suicidal Ideation Among American Indian And Alaska Natives In The United States, Lacie Lashawn Tillman

Walden Dissertations and Doctoral Studies

Suicidal ideation is a silent public health issue across the United States. Evidence suggests that suicidal ideation is a predictor of suicide attempt and completion. Suicide is a leading cause of death among American Indians and Alaska Natives (AIs/ANs) in the United States, especially among younger people. Alcohol and illicit drug use, coupled with poor social conditions, can lead to suicidal ideations—and sometimes suicide completion. Using social cognitive theory, this quantitative cross-sectional study compared variables within the 2017, 2018, and 2019 National Survey on Drug Use and Health to determine the effect that alcohol and/or illicit drug use has on …

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Examining Trust And Its Influence On Emotional Self-Disclosure, Demetria Thomas-Masso Jan 2022

Examining Trust And Its Influence On Emotional Self-Disclosure, Demetria Thomas-Masso

Walden Dissertations and Doctoral Studies

Communication is an important aspect of a relationship of any kind as thoughts, feelings, and ideas are conveyed from one party to the other. However, communication styles vary, which can contribute to lack of comprehension of content among individuals resulting in misinterpretation. This study focused on examining whether trust, an identified variable indicative of a secure relationship, could influence individuals’ willingness to emotionally self-disclose within a romantic relationship. One hundred fifty-eight individuals were randomly placed into one of three groups (two were priming groups) for the purpose of assessing whether trust influenced their willingness to disclose their emotions to their …

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Impact Of Internal Control, Cybersecurity Risk, And Competitive Advantage On Retail Cybersecurity Budget, Samuel William Pfanstiel Jan 2022

Impact Of Internal Control, Cybersecurity Risk, And Competitive Advantage On Retail Cybersecurity Budget, Samuel William Pfanstiel

Walden Dissertations and Doctoral Studies

Retail organizations are driven to improve security posture for many reasons, including meeting financial regulation requirements, mitigating threats of data breach, and differentiating themselves within markets affected by customer perception. The problem was that little was known about how these drivers of internal control, cybersecurity risk, and competitive advantage impact retail cybersecurity budgets within the retail sector. The purpose of this quantitative nonexperimental correlational study was to describe the relationship between cybersecurity budget and drivers of internal control, cybersecurity risk, and competitive advantage among U.S.-based retail merchant organizations. Real options theory provided a foundation for explaining this decision-making process. Data …

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Social Workers’ Perceptions On Partnering With Police To Address Violent Police Encounters Towards African Americans, Adrian Springfield Jan 2022

Social Workers’ Perceptions On Partnering With Police To Address Violent Police Encounters Towards African Americans, Adrian Springfield

Walden Dissertations and Doctoral Studies

Research documents the pervasiveness of violent police encounters towards African Americans in the United States and importance of a multidisciplinary approach between social workers and police to prevent police violence. However, little is known about social workers perceptions and experiences on partnering with police to address violent police encounters towards African Americans. Informed by Tuckman’s group formation theory and Bell’s critical race theory, the purpose of this generic qualitative inquiry study was to explore social workers in the United States perceptions and experiences on partnering with police to address violent police encounters toward African Americans. Using semistructured interviews, data was …

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Challenges Faced By Executive Leaders At Schools For The Deaf, Michelle Therese Tanner Jan 2022

Challenges Faced By Executive Leaders At Schools For The Deaf, Michelle Therese Tanner

Walden Dissertations and Doctoral Studies

Hiring and sustaining qualified executive leaders at schools and programs for the Deaf continue to be challenging for board members and communities. More information is needed to understand issues contributing to the retention and recruitment of these executive leaders. The purpose of this qualitative case study was to understand factors that contribute to retention and recruitment in these positions and to learn possible solutions for overcoming challenges. An economic labor market theory for superintendents informed the study. Data were collected via interviews with 11 executive leaders from public and private schools for the Deaf from different regions of the United …

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Relationship Between Incentive Program Costs, Incentive Payments, And Profitability, Claire Claire Turner Jan 2022

Relationship Between Incentive Program Costs, Incentive Payments, And Profitability, Claire Claire Turner

Walden Dissertations and Doctoral Studies

The lack of profitability among primary care businesses can have harmful impacts on business operations. Primary care businesses owners must remain profitable to remain in business and provide quality health care to patients. Grounded in Freeman’s stakeholder theory, the purpose of this quantitative correlational study was to examine the relationship between incentive program costs, incentive payments, and profitability. Data were collected from 73 primary care physician business owners in the Inland Empire region of southern California. The multiple linear regression analysis results indicated the model was able to significantly predict profitability, F(2,70) = 1343.6, p <.001, R2 = .975. Incentive payments (t = 51.837, p < .001,  = .928) was the only statistically significant predictor. Key recommendations include educating primary care physicians on the potential financial benefits of full participation in the commercial line of business pay-for-performance incentive programs and creating a campaign to bring in patients for wellness visits. The implications for positive social change include the potential for an additional revenue stream for primary care physician business owners, which could support more clinics, increasing patient access. Patients having better access to healthcare could positively affect the health and wellness of individuals in local communities.

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Millennial Motivation For Nonprofit Arts And Culture Organizations, Rebekah Wagenbach Jan 2022

Millennial Motivation For Nonprofit Arts And Culture Organizations, Rebekah Wagenbach

Walden Dissertations and Doctoral Studies

Many arts-related nonprofit organizations rely on a volunteer labor force and often face difficulties fulfilling their missions without successful recruitment and retention efforts. Millennials make up almost a third of the volunteer force. This research focused specifically on members of the Millennial generation and their relationship with arts and culture-related nonprofit organizations in their communities for the purpose of helping these types of organizations recruit, retain, and manage volunteers from this age group. The theoretical foundation for this research consisted of public service motivation theory and generational cohort theory. The research question examined the primary motivations for Millennial adults born …

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Faculty Perspectives On Quality Of Online Courses In Health Education And Promotion Programs, Dana Wawrzyniec Jan 2022

Faculty Perspectives On Quality Of Online Courses In Health Education And Promotion Programs, Dana Wawrzyniec

Walden Dissertations and Doctoral Studies

The need to make quick transitions online due to COVID-19 challenged many Health Education and Promotion (HEP) faculty to identify how to create quality online HEP courses. A review of the literature identified the need for qualitative research on the quality of online courses from the faculty’s perspective. The purpose of this general qualitative study was to explore the perceptions and experiences of HEP faculty at multiple universities, in terms of the organization and facilitation of their online courses, communication between instructor and student, and assessment of students. The community of inquiry (COI) framework, which evaluates the teaching, social, and …

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Parents' And Caregivers' Attitudes About Child Passenger Safety, Latoya Wider Jan 2022

Parents' And Caregivers' Attitudes About Child Passenger Safety, Latoya Wider

Walden Dissertations and Doctoral Studies

Motor vehicle crashes are a leading cause of childhood injury and death in the United States. Many car seats are installed incorrectly, and many children under the age of 6 are seriously injured or killed in a motor vehicle crash. The purpose of this study was to examine the relationship between age of child, age of parent/caregiver, attitudes, and behaviors of child passenger safety among parents and caregivers in South Carolina. The influence of age and attitude on consistent car seat use was also examined. The study was based on the theory of planned behavior. A survey design featuring questions …

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Attachment Styles, Deployments, And Perceived Stress Of African American Military Spouses, Jasmine Willis Jan 2022

Attachment Styles, Deployments, And Perceived Stress Of African American Military Spouses, Jasmine Willis

Walden Dissertations and Doctoral Studies

Previous research studies have not focused on African American military spouses and the association of attachment styles, perceived stress, and psychological well-being. Due to this, the inclusion of male and female African American military spouses in previous research was very limited. The purpose of this quantitative study was to determine if a relationship exists between the predictor variables of attachment scores (close, anxious, dependent) as measured by the Adult Attachment Scale, the number of deployments, types of deployments, and gender, on the criterion variables of perceived stress as measured by the Perceived Stress Scale and psychological well-being as measured by …

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The Job Search Experiences Of Postgraduate Ghanaian Women Aged 25-45 Years In Accra, Ghana, Gertrude Addo Jan 2022

The Job Search Experiences Of Postgraduate Ghanaian Women Aged 25-45 Years In Accra, Ghana, Gertrude Addo

Walden Dissertations and Doctoral Studies

A number of educated women has increased over the years, leading to more women participating in the labor market and contributing to social and economic development. Despite the increase in number of women with Master’s level (MA, MSc, MPhil, MBA) education, there remains challenges in the employment of women into professional positions compared to men. This study sought to examine the job search experiences of postgraduate women at the professional level to understand the challenges and difficulties they encounter, thereby contributing to policy formulation and implementation to address this phenomenon. The theoretical foundation for this study was the feminist theory, …

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Successful Marketing Strategies For Sustaining Nigerian Small And Medium Enterprises, Eberechukwu Christina Agbogun Jan 2022

Successful Marketing Strategies For Sustaining Nigerian Small And Medium Enterprises, Eberechukwu Christina Agbogun

Walden Dissertations and Doctoral Studies

Owners of small and medium enterprises (SMEs) constantly face challenges to sustain their businesses. More than 80% of SMEs in Nigeria fail within the first 5 years of operation. SME owners are concerned with the high failure rate of businesses within the first years of operation, which could negatively impact business sustainability, employment, and economic growth. Grounded in the resource-advantage theory of competition and the social marketing strategic model, the purpose of this qualitative multiple case study was to explore the marketing strategies five chief executive officers from five Nigerian SMEs used to sustain their businesses beyond 5 years. Data …

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Decreasing Ambiguity For Public Administrators Implementing The Foreign Sovereign Immunities Act Of 1976, Barbara Ahmed Jan 2022

Decreasing Ambiguity For Public Administrators Implementing The Foreign Sovereign Immunities Act Of 1976, Barbara Ahmed

Walden Dissertations and Doctoral Studies

Abstract The U.S. Congress created and adopted the Foreign Sovereign Immunities Act (FSIA) to address foreign diplomatic immunity matters. The purpose of this generic qualitative study was to analyze the policy implications of implementing FISA by public administrators. Mettler and SoRelle’s policy feedback theory provided the theoretical foundation for this study. The area of interest for this study was the 50 U.S. states with a focus on two metropolitan areas that include a large diplomatic contingent. Data collected were 180 legal cases brought against foreign diplomats from 2016-2021. In addition, legal cases were retrieved from a legal database and analyzed …

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Teacher And Administrator Perceptions Of Responsibilities During District-Mandated Changes To Curriculum, Hope Albritton-Terry Jan 2022

Teacher And Administrator Perceptions Of Responsibilities During District-Mandated Changes To Curriculum, Hope Albritton-Terry

Walden Dissertations and Doctoral Studies

Systemic changes to curriculum are an inevitable part of education; however, understanding how teachers and administrators perceive their responsibilities in implementing district-mandated changes to curriculum is unclear. The purpose of this qualitative case study was to determine teachers’ and administrators’ perceptions related to their responsibilities in effective implementation of district-mandated changes to curriculum. The conceptual framework for this study was change theory to explore how teachers and administrators process district-mandated changes to curriculum. Data were collected through semistructured interviews with eight teachers and seven administrators who have implemented district-mandated changes in a public school in the mid-Atlantic region of the …

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Understanding The Involvement Of Parents Of Children With Disabilities In Island Rural Communities, Catherine Ava Ali Jan 2022

Understanding The Involvement Of Parents Of Children With Disabilities In Island Rural Communities, Catherine Ava Ali

Walden Dissertations and Doctoral Studies

Research shows that parental involvement in children's school life has a positive impact on children's academic and social success, especially for children with disabilities (CWD), and even more so for CWD in island rural communities. The involvement of parents of CWD in primary schools in rural communities in Trinidad and Tobago has not been studied previously. This qualitative case study was conducted to gain a deeper understanding of why parents of CWD in three primary schools in adjacent rural southern communities in an education district in Trinidad do or do not become involved in their children’s education. At the same …

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Telemedicine Services And Patient Satisfaction, Sunday Omotayo Alle Jan 2022

Telemedicine Services And Patient Satisfaction, Sunday Omotayo Alle

Walden Dissertations and Doctoral Studies

AbstractPatient satisfaction associated with the use of telemedicine for patient care may be subjective as it may not reflect the patients' comfort and willingness to use telemedicine. Even though current perceptions of telemedicine may be positive, the challenge is knowing what constitutes the ingredients of patient satisfaction, particularly regarding age. This study examined two research questions concerning whether a patient’s age (independent variable) affected their comfort and willingness (dependent variable) to use telemedicine for their care. The health belief model was the theoretical framework and related to an individual's perception of their health behaviors and their willingness to change their …

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Issues Facing Veterans In Higher Education, Charles Amankwaa Jan 2022

Issues Facing Veterans In Higher Education, Charles Amankwaa

Walden Dissertations and Doctoral Studies

The American GI Forum (AGIF) contains several programs and initiatives, with thesignificant focus being on supporting students. There is a need to better understand their needs as students so that the organization can better serve them. This study focused on the issues facing veteran students in higher education and the strategies that AGIF can adopt to better improve veteran students’ experiences while in university. The primary theory that guided this study was the appreciative education framework because it offered the theoretical infrastructure for educational practice by advocating for an adaptable, transformational, and interactive framework and was applicable to guiding organizational …

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Strategies Small Business Owners Use To Improve Profitability In The Plastic Recycling, Chukwudi Alexander Amene Jan 2022

Strategies Small Business Owners Use To Improve Profitability In The Plastic Recycling, Chukwudi Alexander Amene

Walden Dissertations and Doctoral Studies

Low plastic recycling levels impact the profitability of plastic recycling businesses. Business owners of small plastic recycling businesses have limited resources, and the plastic recycling industry is still in its developmental stages. Grounded in transformational leadership theory, the purpose of this qualitative multiple case study was to explore strategies used by owners of small plastic recycling businesses to improve their profitability. The participants were nine small business owners of the plastic recycling sector of southwest Nigeria who successfully improved their business profitability. Data were collected using semistructured interviews. Through thematic analysis, three themes were identified: (a) develop strategies for sourcing …

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