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2022

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Association Between Staff Patient Safety Grade Mean Rating Score, The Person And Community Engagement Domain Score, And The Hospital Value Based Purchasing Total Performance Score, Tamara Lynn Awald Jan 2022

Association Between Staff Patient Safety Grade Mean Rating Score, The Person And Community Engagement Domain Score, And The Hospital Value Based Purchasing Total Performance Score, Tamara Lynn Awald

Walden Dissertations and Doctoral Studies

AbstractIt is essential for hospitals to focus on improving indicators that positively influence patient experience and clinical outcomes and thereby improve clinical and financial organizational outcomes. The purpose of the study was to examine the association between the staff Patient Safety Grade Mean Rating Score, Person and Community Engagement Domain Score, and the Value Based Purchasing Total Performance Score. The theoretical framework used in this study is the Donabedian model specifically regarding providing structure, process, and outcomes framework relative to the evaluation of care. The research questions examined the association between staff Patient Safety Grade Mean Rating Score, the Person …

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Prophylactic Antimalarial Intermittent Preventive Therapy In Pregnancy And Birth Weight In Togo, Epiphane Awokou Jan 2022

Prophylactic Antimalarial Intermittent Preventive Therapy In Pregnancy And Birth Weight In Togo, Epiphane Awokou

Walden Dissertations and Doctoral Studies

In Togo, prophylactic antimalarial intermittent preventive therapy in pregnancy (IPTp) is provided to disrupt suboptimal pathways leading to the issue of low birth weight. However, there is a lack of nationally representative data on the determinants of this adverse birth outcome. The purpose of this quantitative cross-sectional study was to determine pregnancy-related determinants of low birth weight through a nationally representative dataset. Bronfenbrenner’s ecological systems model guided this study to explore potential associations between the covariates IPTp, utilization of long-lasting insecticidal bed nets, age of pregnant women, socioeconomic status of pregnant women, and gravidity type of pregnant women and the …

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Stakeholders’ Perspectives On Social Intervention Policy To Curb Street Children Influx In Ghana, Ismaila Hansmittson Awudu Jan 2022

Stakeholders’ Perspectives On Social Intervention Policy To Curb Street Children Influx In Ghana, Ismaila Hansmittson Awudu

Walden Dissertations and Doctoral Studies

Increasing street children influx in Accra, Ghana, is a challenge to the government, policymakers, and citizens despite the Child and Family Welfare Policy (CFWP) of the Ghana Ministry of Gender, Children, and Social Protection to address this social problem. In 2018, an estimated 90,000 children lived on the streets in the Greater Accra Region. The purpose of this generic qualitative study was to explore stakeholders’ perspectives on social intervention policies and programs and the effectiveness of the CWFP in curbing street children influx. Policy feedback theory was the theoretical foundation for the research. Semi-structured face-to-face interviews were conducted with nine …

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Critical Care Nurses’ Experiences Of Compassion Satisfaction During A Pandemic, Michael W. Bailey Jan 2022

Critical Care Nurses’ Experiences Of Compassion Satisfaction During A Pandemic, Michael W. Bailey

Walden Dissertations and Doctoral Studies

Nursing shortages caused by burnout (BO) and compassion fatigue (CF) are a concern for nursing leaders in the United States. Researchers have discussed the mediating effect compassion satisfaction (CS) has on BO and CF in current studies; however, no qualitative studies have analyzed the experiences of nurses with CS. A combination of the compassion fatigue resilience model and Roy’s adaptation model were used to guide this study that examined critical care nurses’ lived experiences with CS during the COVID-19 pandemic. Convenience sampling was used to recruit the critical care nurses who participated in semistructured interviews. Data saturation was met after …

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High School Teachers' Perceptions And Experiences With Interventions To Address Disruptive Student Behavior, Denise Bailey Jan 2022

High School Teachers' Perceptions And Experiences With Interventions To Address Disruptive Student Behavior, Denise Bailey

Walden Dissertations and Doctoral Studies

AbstractU.S. high school teachers are challenged with disruptive student behavior and struggle to implement available interventions to reduce these behaviors in the classroom. This basic qualitative design was conducted to examine high school teachers’ challenges with using current interventions and their perceptions on how to improve them to better reduce disruptive student behaviors in the classroom. The conceptual framework was based on Canter’s assertive discipline theory, which addresses teachers’ management of student behavior and provides concepts and strategies for improving disruptive behavior. Data were collected through semistructured interviews with nine teachers of Grades 9 to 11 from two different high …

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Officers' Perceived Safety After A Law Enforcement Line Of Duty Death, Crystal Baird Jan 2022

Officers' Perceived Safety After A Law Enforcement Line Of Duty Death, Crystal Baird

Walden Dissertations and Doctoral Studies

Every year, several line of duty deaths occur among law enforcement personnel in the United States. Risk factors, community influences, types of violence, and diverse calls for service could affect an officer’s perception of safety. Given the number of line of duty deaths, officers’ perceived safety is an important avenue for further research. The purpose of this qualitative phenomenological study was to explore whether a line of duty death affected the perceived safety of officers in small, rural police departments in the state of Texas. A social constructivism perspective was used to understand the world in which the participating officers …

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Strategies To Create And Sustain Work-Life Balance In The Hospitality Industry, Elizabeth Balbickram Jan 2022

Strategies To Create And Sustain Work-Life Balance In The Hospitality Industry, Elizabeth Balbickram

Walden Dissertations and Doctoral Studies

Employee turnover results in adverse business outcomes. Hospitality industry leaders who do not encourage an organizational culture supportive of work-life balance risk reduced profitability resulting from employee turnover. Grounded in path-goal theory, the purpose of this qualitative single case study was to explore strategies hospitality industry leaders use to create and sustain organizational cultures supportive of employee work-life balance. The participants were eight upper-level leaders of one lodging chain in Orlando, Florida, who successfully implemented strategies to create and sustain work-life balance for their employees. Data were collected from semistructured interviews and a review of organization personnel handbooks and training …

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Individual Contributor Experiences Of Task Uncertainty And Task Interdependence Under Different Structures, Andrew R. Barbeau Jan 2022

Individual Contributor Experiences Of Task Uncertainty And Task Interdependence Under Different Structures, Andrew R. Barbeau

Walden Dissertations and Doctoral Studies

Approximately 84% of North American individual contributors work in organizations with functionally specialized structures where task uncertainty (TU) and task interdependence (TI) undermine cross-functional task execution. However, there is a lack of research into the TU and TI experiences of individual contributors under different organizational structures. It is important that senior leaders have this missing knowledge to inform structural decisions. The purpose of this generic qualitative, exploratory, snowball sampling study is to explore how individual contributors experience TU and TI following a reorganization from a functional to a horizontal organizational structure. In the current study, the research questions explored were …

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Impact Of The Covid-19 Outbreak On Adolescent Schoolgirls’ Education In Rural Sierra Leone, Mohamed Hassimiu Barrie Jan 2022

Impact Of The Covid-19 Outbreak On Adolescent Schoolgirls’ Education In Rural Sierra Leone, Mohamed Hassimiu Barrie

Walden Dissertations and Doctoral Studies

Since 1990, Sierra Leone has experienced several major emergencies that required global attention: a decade-long rebel war, Ebola and COVID-19 outbreaks. Each disproportionately affected schoolgirls’ educations. In 2021, the government of Sierra Leone introduced the Radical Inclusion Policy to support the education of girls and lift a policy that banned pregnant girls from attending mainstream schools to allow thousands of schoolgirls who were impregnated during the Ebola and COVID-19 outbreaks to return to schools. The purpose of this qualitative phenomenological study was to explore the impact of the COVID-19 outbreak on the education of adolescent schoolgirls in rural Sierra Leone, …

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Economic Challenges Faced By African American Teenage Parents While Parenting During The Coronavirus Pandemic, Peace A. Barrigah Jan 2022

Economic Challenges Faced By African American Teenage Parents While Parenting During The Coronavirus Pandemic, Peace A. Barrigah

Walden Dissertations and Doctoral Studies

U.S. African American teenage parents are at a disproportionately high risk of experiencing stressors associated with the financial demands of parenting during the COVID-19 pandemic. The purpose of this qualitative descriptive study was to explore the socioeconomic challenges that African American teenage parents living in U.S. northeastern state face during events such the COVID-19 pandemic that limit the provision of human services, which the research question was designed to answer. The framework used in this study was social learning theory. A sample of 10 Black teenage parents residing in the northeastern United States were recruited. Data were collected through interviews …

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Relationship Between Recruitment Practice, Employer Knowledge, And Applicant Attraction, Annette Williams Barrineau Jan 2022

Relationship Between Recruitment Practice, Employer Knowledge, And Applicant Attraction, Annette Williams Barrineau

Walden Dissertations and Doctoral Studies

Attracting quality job applicants is a chief recruiting concern. Resources managers recognize that attracting and retaining the most talented workforce contributes to a company’s success and financial survival. Grounded in media richness theory, the purposes of this quantitative quasi-experimental study were to (1) examine the effects of recruitment practice (print, web, or print and web) on employer knowledge (employer familiarity, employer reputation, and job information) and applicant attraction, and (2) to assess the relationships between employer knowledge (employer familiarity, employer reputation, job information), media richness, and applicant attraction. The participants were 186 students attending a Florida higher education institution who …

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Teacher Perceptions Of Disproportionate Suspensions Between Minority And White Students, Tanika Rachelle Barr Jan 2022

Teacher Perceptions Of Disproportionate Suspensions Between Minority And White Students, Tanika Rachelle Barr

Walden Dissertations and Doctoral Studies

Throughout public schools in the United States, minority students continue to receive more disciplinary consequences compared to other groups of students. The problem addressed in this study was the persistence of discipline disproportionality between minority students and White students at a public U.S. middle school, even with recent efforts such as the implementation of the positive behavior interventions and supports (PBIS) framework. Guided by the theory of behaviorism, the purpose of this basic qualitative study was to investigate teachers’ perceptions about the persistence of this discipline disproportionality between minority and White students and ways to improve the use of PBIS …

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Patient Harm And Malpractice Payments In Inpatient Settings According To Type Of Medication Administration Error, Kalyn Jo Barton Jan 2022

Patient Harm And Malpractice Payments In Inpatient Settings According To Type Of Medication Administration Error, Kalyn Jo Barton

Walden Dissertations and Doctoral Studies

While preventable, medication administration error rates surpass most estimates and result in poor quality care. Researchers have demonstrated that interventions have been identified, new technology has been deployed, and training and education have increased, yet the errors persist. Researchers have yet been able to establish the most prevalent, harmful, and costly types of medication administration errors. The purpose of this quantitative study was to identify trends in medication administration errors committed in inpatient settings, specific to the type of error, patient outcomes, and malpractice payment amounts. Donabedian’s model for healthcare quality, derived from the three categories of structure, process, and …

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College Students’ Perceptions Of The Importance Of Student Engagement In Online Courses, Alicia Beasley Jan 2022

College Students’ Perceptions Of The Importance Of Student Engagement In Online Courses, Alicia Beasley

Walden Dissertations and Doctoral Studies

Researchers have identified high dropout rates in online courses for the past several years with few strategies for improvement. The problem addressed in this basic qualitative study was that peer socialization and engagement are challenges in online courses. The purpose of this study was to understand how far utilizing social media improved student socialization and engagement in online courses thus resulting in increased student success. This study used the conceptual framework of engagement theory, which states that students must be meaningfully engaged in learning activities through interaction with others and worthwhile tasks. The research questions addressed student perceptions about the …

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Law Enforcement And Racial Profiling Among African Americans And Hispanics In The United States America, Jeremy Christopher Bell Jan 2022

Law Enforcement And Racial Profiling Among African Americans And Hispanics In The United States America, Jeremy Christopher Bell

Walden Dissertations and Doctoral Studies

AbstractRacial profiling among African Americans and Hispanics brings significant challenges to police conduct in providing police service to minority groups. Recent events of racial profiling committed by law enforcement officers bring negative perceptions toward police officers. African Americans and Hispanics are among the highest population groups arrested and mistreated by law enforcement officers. The purpose of this qualitative phenomenological study was to examine the lived experience of racial profiling among African Americans and Hispanics against police officers. The research question for this study examined the lived experience of African Americans/ Hispanics over 18 who were racially profiled by police officers. …

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Effect Of Simulation Learning On Graduate Student Attitudes Toward Interprofessional Teams And The Team Approach To Care, Norman Cadiz Belleza Jan 2022

Effect Of Simulation Learning On Graduate Student Attitudes Toward Interprofessional Teams And The Team Approach To Care, Norman Cadiz Belleza

Walden Dissertations and Doctoral Studies

According to health care reports, more than 250,000 deaths annually are attributed to medical error, prompting interprofessional education (IPE) initiatives as one way to improve healthcare delivery. The problem is that little is known about the effect of simulation learning with standardized patients on occupational therapy (OT) and physical therapy (PT) students’ attitudes toward IPE. The purpose of this causal-comparative study using a pretest–posttest nonequivalent control group design was to investigate the difference in posttest scores on the Students’ Perceptions of Interprofessional Clinical Education—Version 2 (SPICE-R2) between first-term graduate OT and PT students who participated in a simulation and those …

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Strategies For Eliminating Workplace Bullying In Long-Term Nursing Care Institutions, Marc A. Bell Jan 2022

Strategies For Eliminating Workplace Bullying In Long-Term Nursing Care Institutions, Marc A. Bell

Walden Dissertations and Doctoral Studies

Employee-to-employee workplace bullying continues to emerge in long-term nursing care institutions. Workplace bullying can lead to financial loss, high employee turnover, toxicity, and health problems which pose a disruptive challenge for some long-term nursing care leaders. Grounded in Weiss and Cropanzano’s affective events theory, the purpose of this qualitative multiple case study was to explore strategies long-term nursing care leaders use to eliminate employee-to-employee workplace bullying. The participants comprised six leaders from three long-term nursing care institutions in the United States Midwest region who successfully used strategies to eliminate employee-to-employee workplace bullying. The data were collected from semistructured interviews, company …

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Readiness Of Adolescent And Young Sickle Cell Patients To Transition From Pediatric To Adult Care, Tanisha D. Belton Jan 2022

Readiness Of Adolescent And Young Sickle Cell Patients To Transition From Pediatric To Adult Care, Tanisha D. Belton

Walden Dissertations and Doctoral Studies

Patients with sickle cell disease (SCD) face many challenges as they enter adulthood; therefore, preparing for the transition to adult care is crucial. Assessing the knowledge and skills adolescents and young adults (AYAs) possess before transitioning to adult care can aid in the success of their transition. However, a gap exists regarding factors attributed to guiding patients’ sense of readiness. The purpose of this quantitative study, driven by the theory of self-care management of SCD, was to examine the self-perceived readiness of SCD patients as they prepare to transition to adult care. Cross-sectional survey data were collected from 68 sickle …

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Staff Burnout And The Neglect Of Elderly Residents In Care, Stephanie Belveg Jan 2022

Staff Burnout And The Neglect Of Elderly Residents In Care, Stephanie Belveg

Walden Dissertations and Doctoral Studies

There is increasing concern about patient neglect in nursing homes as nursing home staff become burnt out. Although there has been research on burnout in nursing home staff and neglect, little research has been done to understand the specific connection of burnout and neglect through the lived experiences of staff members. Underpinned by Maslach’s theory of burnout, the purpose of this qualitative study was to explore the lived experiences of nursing home staff who experienced burnout before and after they witnessed neglect of elderly patients. Nine semistructured interviews were conducted with elderly care staff who had experienced burnout and witnessed …

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Midwestern K-8 School Principal Perceptions On Retention Strategies For African American Teachers, Sherrie Berry Jan 2022

Midwestern K-8 School Principal Perceptions On Retention Strategies For African American Teachers, Sherrie Berry

Walden Dissertations and Doctoral Studies

Attrition of African American teachers which outpaces the effectiveness of existing retention strategies used by principals is a documented issue in U.S. public schools. The problem addressed through this study was that K-8 principals in one midwestern school district were challenged to implement strategies to retain African American teachers. Guided by transformational and distributive leadership theories, the purpose of this basic qualitative study was to explore the perceptions of K-8 school principals in the local setting about the challenges they faced retaining African American teachers and strategies required to increase retention. Five K-8 school principals who had at least one …

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Small Business Owners’ Approach To Business Continuity Management, Tarik Billingsley Jan 2022

Small Business Owners’ Approach To Business Continuity Management, Tarik Billingsley

Walden Dissertations and Doctoral Studies

United States (U.S.) small business owners represent an estimated 25% of businesses that do not reopen following a major disaster. Small business owners must prepare because small businesses represent 99.9% of U.S. businesses and experience detrimental effects resulting from disaster-related events. Grounded in Paunescu and Argatu’s adapted business continuity framework, the purpose of this qualitative multiple case study was to explore strategies U.S. small business owners use to create disaster plans for business continuity. The participants were seven U.S. small business owners in the service sector. Data were collected by conducting semistructured interviews through in-person meetings, phone conversations, and documentation …

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Strategies For Preventing And Mitigating Counterfeit Medication From Entering The U.S. Supply Chain, Denise Blais Jan 2022

Strategies For Preventing And Mitigating Counterfeit Medication From Entering The U.S. Supply Chain, Denise Blais

Walden Dissertations and Doctoral Studies

Some pharmaceutical brand protection managers lack strategies to mitigate financial losses from counterfeit prescription drugs. A multilayered approach involving guiding principles, supply chain security, investigations, enforcement, advocacy, and awareness can help mitigate potential financial losses and keep patients safe. Guided by the Six Sigma define, measure, analyze, improve, and control (DMAIC) model and the fraud triangle conceptual framework, the purpose of this multiple case study was to explore strategies brand protection managers use to mitigate financial losses from counterfeit prescription drugs. Data collection included three semi-structured interviews using Zoom. Analyzing data entailed transcribing and coding themes within data and relating …

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Creative Strategies; Maintaining Loyalty In Corporate Downsizing, Sara Caroline Blum-Stapleton Jan 2022

Creative Strategies; Maintaining Loyalty In Corporate Downsizing, Sara Caroline Blum-Stapleton

Walden Dissertations and Doctoral Studies

To remain competitive, organization leaders look for methods of reducing organizational costs. Downsizing is one method leaders have implemented to lower costs; however, downsizing may affect employee loyalty and trust within the organization. The purpose of this study was to highlight managers’ experiences affecting practices and strategies, influencing loyalty and trust in corporate downsizing through the qualitative hermeneutic phenomenology approach. The conceptual framework provided structuralism revealing low morale and decreased loyalty and trust. The research question focused on lived experiences of managers and employees during downsizing, maintaining loyalty and trust by invoking creative strategies to retain jobs. Eight participants shared …

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Identifying Interorganizational Leadership Barriers To Service Delivery Collaboration, Crystal L. Bonner Jan 2022

Identifying Interorganizational Leadership Barriers To Service Delivery Collaboration, Crystal L. Bonner

Walden Dissertations and Doctoral Studies

Mental healthcare is a primary focus for rural behavioral health nonprofit agencies. Often, multiple agencies have a similar purpose, client base, and sources of funding. In these situations, and especially in rural areas, interagency collaboration is critical for the organization's and stakeholders' success. This study examined the behavioral health leaders’ barriers to interagency collaboration and the perceived benefits of such cooperation. The Baldrige excellence framework grounded this case study and focused on the organizations' structures and leadership dynamics. Nine leaders within three nonprofit agencies served as the participants in this study. Secondary data included organizational records, website information, and an …

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Exploring Student Loan Borrower’S Financial Decisions After Florida Enacted Statute 1009.45, Vijantie Michelle Boodoo Jan 2022

Exploring Student Loan Borrower’S Financial Decisions After Florida Enacted Statute 1009.45, Vijantie Michelle Boodoo

Walden Dissertations and Doctoral Studies

Florida implemented Statute 1009.45 as of July 1, 2017, to require colleges and universities to provide annual student loan debt notifications to students to inform them about their student loan obligations. The purpose of this basic qualitative study was to examine how college students in the State of Florida make financial decisions about their education, focusing on the influence of the notifications and what additional supports would help them improve their decision-making. There was a gap in the literature in identifying what information students were using from the notification. Rational choice and human capital theories were used for the conceptual …

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Dystonia Patients' Use Of Mindfulness To Address Pain, Diana Boyd Jan 2022

Dystonia Patients' Use Of Mindfulness To Address Pain, Diana Boyd

Walden Dissertations and Doctoral Studies

This qualitative, phenomenological study was conducted to explore the lived experiences of 10 women who used mindfulness to alleviate their chronic pain associated with cervical dystonia (CD). Individuals who suffer from CD face challenges related to symptom management and the psychological effects from experiencing chronic pain. Since treatments for CD are limited and pharmacological options to treat chronic pain, like opioids, can lead to addictions, individuals with CD may seek non-pharmacological treatment options. Women, 18-60 years of age were interviewed using a semi-structured interview process. Bandura’s self-regulation theory provided a framework for this study. Results from this study found that …

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Georgia Public Fire Investigators’ Behavioral Approach To Fire Scene Investigation, Kyle R. Bradshaw Jan 2022

Georgia Public Fire Investigators’ Behavioral Approach To Fire Scene Investigation, Kyle R. Bradshaw

Walden Dissertations and Doctoral Studies

Wrongful prosecutions for the crime of arson are occurring. An identified cause of this problem is the investigation processes used by public fire investigators. The purpose of this general qualitative study was to identify the targeted behaviors that influence public fire investigators when conducting fire scene investigation. Street-level bureaucracy theory indicates public fire investigators are street-level bureaucrats (SLBs). The intent of this study was to identify behavioral interventions that can be implemented to aid public fire investigators in their approach to fire scene investigation. Semistructured interviews were conducted with a purposeful sample of 10 public fire investigators in a metropolitan …

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Offshore Wind Industry Interorganizational Collaboration Strategies In Emergency Management, Rodney L. Brady Jan 2022

Offshore Wind Industry Interorganizational Collaboration Strategies In Emergency Management, Rodney L. Brady

Walden Dissertations and Doctoral Studies

Some health and safety (HSE) managers within the offshore wind industry lack effective interorganizational collaboration strategies in emergency management (EM) for successful disaster mitigation, preparedness, response, and recovery. The failure and the reluctance of neighboring offshore wind industry organizations to share knowledge or resources during a disaster could hinder successful disaster response operations resulting in preventable loss of life, extensive property damage, or damaged company reputations. Grounded in the interorganizational collaboration theory, the purpose of this qualitative multiple case study was to explore strategies HSE managers in the offshore wind industry use for successful disaster mitigation, preparedness, response, and recovery. …

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A Qualitative Analysis Of Lived Experiences Of Community Garden Participants In Local Food Deserts, Abigail Gwendolyn Brock Jan 2022

A Qualitative Analysis Of Lived Experiences Of Community Garden Participants In Local Food Deserts, Abigail Gwendolyn Brock

Walden Dissertations and Doctoral Studies

Community gardens were designed to bring communities together while providing an area of comfort and solace, social interactions, and a physical place for those living in apartments or areas in which they are not able to garden. Often, community gardens are started by nonprofit organizations looking to solve problems that plague urban areas. An abundance of literature described and analyzed the role of community gardens in addressing food insecurities, but little has been done in understanding the experiences of participants in the garden. The purpose of this phenomenological study was to gather and identify the perceptions and thoughts of community …

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The Nutrition Environment Among Young San Children In Oshandi: A Case Study, Evelyn Ndinelao Breuer Jan 2022

The Nutrition Environment Among Young San Children In Oshandi: A Case Study, Evelyn Ndinelao Breuer

Walden Dissertations and Doctoral Studies

AbstractUndernutrition among young San children under the age of five remains prominent in Namibia, despite nutritional intervention programs. Guided by the model of community nutritional environment conceptual framework and social-ecological model, this case study involved exploring perceptions of San parents and local nutritional service providers regarding the nutritional environment of San children in Oshandi Village. Semi-structured interviews and observations were used to conduct this research with 12 participants, five local nutritional service providers and seven San parents who had children under five. Irregular and unreliable nutritional support was a factor leading to not explicitly addressing needs of the San people, …

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