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2022

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Self-Identifying Latino/A/X Former Mental Health Therapy Clients’ Experiences Receiving Mental Health Therapy, Teresa Sypolt Jan 2022

Self-Identifying Latino/A/X Former Mental Health Therapy Clients’ Experiences Receiving Mental Health Therapy, Teresa Sypolt

Walden Dissertations and Doctoral Studies

The Latino/a/x population in the United States continues to increase as does the need for mental health professionals who are bilingual and knowledgeable on multicultural issues. Spanish is the native language spoken in approximately 13% of the households in the United States, with 36% of Spanish-speakers seeking mental health treatment. Research on therapists serving Latino/a/x clients indicated that therapists struggled to provide culturally sensitive and linguistic appropriate interventions. While therapists’ challenges and experiences have been explored, little is known on the therapeutic experiences of Latino/a/x former clients. The purpose of this interpretative phenomenological analysis was to explore the therapeutic experiences …

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Impact Of Poverty On Antibiotic Prescribing Rates In The United States Through Mediation Effects Of Underlying Health Conditions, Nato Tarkhashvili Jan 2022

Impact Of Poverty On Antibiotic Prescribing Rates In The United States Through Mediation Effects Of Underlying Health Conditions, Nato Tarkhashvili

Walden Dissertations and Doctoral Studies

Resistance to antibiotics among bacteria develops largely due to frequent use of antibiotics in human and animal medicine. Little is known about how patients’ socioeconomic factors, in conjunction with chronic health conditions, impact antibiotic prescribing rates in the United States. The research questions aimed to explore the relationship between poverty and antibiotic prescribing rates while also adjusting for confounders such as population aged ≥ 65, physician density, prevalence of obesity, diabetes, and chronic obstructive pulmonary disease (COPD). The relationships were evaluated using a quantitative, ecological study design using the ecosocial theory and mediation analysis of 2020 survey results provided by …

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Exploring Discretionary Practices Of Civilian Police Officers During Traffic Stop While Working In A Military Community, Lisa Michelle Tartt Jan 2022

Exploring Discretionary Practices Of Civilian Police Officers During Traffic Stop While Working In A Military Community, Lisa Michelle Tartt

Walden Dissertations and Doctoral Studies

The individuals who reside in military communities must abide by the rules of both the military and the civilian communities. When an individual is stopped for a traffic violation in a military community, their driver’s license is requested but the military- affiliated personnel often present their military identification card also. Some may expect leniency due to their military affiliation while others do not. However, there are no studies covering police discretion in a military community during traffic stops. Using social stratification theory, the purpose of this study was to understand officers’ perspectives on discretion during traffic stops and how their …

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Strategies For Sustaining Automotive Dealerships Beyond 5 Years, Lyndon Fitzgerald Taylor Jan 2022

Strategies For Sustaining Automotive Dealerships Beyond 5 Years, Lyndon Fitzgerald Taylor

Walden Dissertations and Doctoral Studies

Small businesses in the United States employ 48% of the workforce, and only 50% percent of small businesses survive beyond 5 years. Business leaders are concerned with strategies to retain and expand their customer base to mitigate business failure and enhance survivability. Grounded in the leader-member exchange theory, the purpose of my qualitative multiple case study was to explore strategies automotive dealership business leaders used to sustain their businesses beyond 5 years. The participants comprised five business leaders in the automotive industry in the Central and Southwest U.S. State of Michigan. Data were collected using semistructured face-to-face interviews and a …

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Military Health Services Impact On Patient Understanding Of The Zika Virus Within A Military Community, Gabrielle Tellis Jan 2022

Military Health Services Impact On Patient Understanding Of The Zika Virus Within A Military Community, Gabrielle Tellis

Walden Dissertations and Doctoral Studies

AbstractThe Zika virus does not have a known treatment, despite ongoing efforts since 2016 to develop a vaccine. The Zika virus has been labeled by World Health Organization and the Department of Defense as a threat to the readiness, resiliency, and preparedness of military service members and dependents that currently travel or serve in areas where high concentrations of the virus are present. As such, it is important to understand how the military community understanding of the Zika virus is impacted by military health services and education. A phenomenological qualitative approach was utilized to conduct this study. Twenty active-duty military …

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Factors Influencing The Effectiveness Of Managing Human–Robot Teams, Theodore B. Terry Jan 2022

Factors Influencing The Effectiveness Of Managing Human–Robot Teams, Theodore B. Terry

Walden Dissertations and Doctoral Studies

Certain factors can influence the capabilities of a robot–human team by affecting their social and behavioral dynamics in a work environment. But these factors were not known due to the progressive nature of human–robot partnerships and a lack of peer-reviewed literature on the topic. This e-Delphi study aimed to identify and understand these unknown influential factors based on the participants’ insights. The overarching research question asked about the need to determine factors that might influence the effectiveness of managing human-robot teams. The basis for the conceptual framework for this study was the theory of communication used in organizational management. Twelve …

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Differences On Employee Satisfaction And Intent To Leave Between Older And Younger Federal Leaders, Alex P. Thames Jan 2022

Differences On Employee Satisfaction And Intent To Leave Between Older And Younger Federal Leaders, Alex P. Thames

Walden Dissertations and Doctoral Studies

The retiring of an aging workforce leaves significant deficits in leadership positions across the federal government. As employee turnover increased, onboarding was not occurring at rates necessary to replace retirees, ultimately contributing to the leader deficit. The evidence was insufficient on how the employee satisfaction of both older and younger leaders affects their intent to leave and ultimately the leader deficit. The purpose of this quantitative study was to examine the differences in employee satisfaction and the intent to leave between older (i.e., age >= 40) and younger (i.e., age < 40) federal leaders to discern how their age influences their satisfaction and desire to leave federal service. Grounded in Herzberg’s two-factor theory and Strauss and Howe’s generation theory, the research questions addressed if the independent variable, categorized age of supervisory employees, had an effect on the dependent variables, employee satisfaction and intent to leave. Archival data from the 2016 Federal Employee Viewpoint Survey were analyzed. The results of the Welch t-test and Fisher’s exact test (r x 2) found no significant statistical differences (p > .05) between the categorized age group of supervisory employees and …

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Literacy Score Gains In Grades K-2 In A Response To Intervention Program, Diana Dawn Thill Jan 2022

Literacy Score Gains In Grades K-2 In A Response To Intervention Program, Diana Dawn Thill

Walden Dissertations and Doctoral Studies

Fewer than half of students demonstrated proficiency on Michigan state-administered summative assessments at the end of third grade at a rural, Title I school in Michigan. The purpose of this quantitative study was to compare reading fluency gains between grade levels (i.e., kindergarten, first, and second grades) in an effort to better understand which grade level demonstrates the most growth. The framework for this research study was the constructs of the variability of learning disabilities. Using a sample of 260 cases, this ex post facto pre-post quantitative study investigated the measurable fluency gains between grade levels in the Dynamic Indicators …

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Strategies For Achieving Sustainability Of Small Business Restaurants, Tanisha Thomas-Beard Jan 2022

Strategies For Achieving Sustainability Of Small Business Restaurants, Tanisha Thomas-Beard

Walden Dissertations and Doctoral Studies

Many small business restaurant owners perform unprofitably and fail within 5 years of opening. Small business restaurant owners are concerned about sustainability as approximately 50% of small businesses that start up do not last beyond the fifth year. Grounded in the general systems theory, the purpose of this qualitative multiple case study was to explore strategies small business restaurant owners use to grow and maintain profitability to sustain business beyond 5 years. The participants were five small business restaurant owners in the Southeastern region of the United States who sustained their business beyond 5 years. The data were analyzed using …

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Counselor Experience With Outcomes Of Telehealth And Substance Use Disorder, Shamarah Thomas-Hutchins Jan 2022

Counselor Experience With Outcomes Of Telehealth And Substance Use Disorder, Shamarah Thomas-Hutchins

Walden Dissertations and Doctoral Studies

Prior to 2020, telehealth, the remote delivery of health care via digital information and communication technologies, was rarely used in substance use disorder (SUD) treatment facilities. The onset of COVID-19 quickly created a shift to telehealth services for the safety and health of providers and patients. Researchers have explored many aspects of telehealth, including the client and counselor/client experience, but have not studied the counselor experience separately. The purpose of this qualitative study was to better understand counselors’ lived experiences pertaining to telehealth use; perceptions of how it impacts clinical performance, self-efficacy, and training; and beliefs about its effectiveness when …

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An Educational Program For Nurses To Incorporate Spiritual Care Into Clinical Practice, Alicia J. Thomas Jan 2022

An Educational Program For Nurses To Incorporate Spiritual Care Into Clinical Practice, Alicia J. Thomas

Walden Dissertations and Doctoral Studies

Spiritual well-being is associated with several positive outcomes, including a greater tolerance of the emotional and physical demands of illness. Spiritual care is a basic element of holistic nursing, yet nurses generally lack spiritual care knowledge and abilities and are often unable to satisfy patients’ spiritual care needs. Therefore, nurses are in urgent need of relevant training to enhance their abilities to provide patients with spiritual care. Evidence-based education was lacking at the project site, a privately owned long-term care facility. Primary care attention was focused on the patients’ physical care; however, insufficient attention was being paid to spiritual care, …

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Bmi Screening Tool To Identify Elementary School Children At Risk For Obesity, Talia S. Thompson-Jones Jan 2022

Bmi Screening Tool To Identify Elementary School Children At Risk For Obesity, Talia S. Thompson-Jones

Walden Dissertations and Doctoral Studies

Obesity is a public health epidemic and is as relevant in the pediatric population as it is in adults. The purpose of this DNP project was to develop a clinical practice guideline (CPG) that would use existing evidence to support the development of body mass index (BMI) screening in primary schools for the early detection of childhood obesity. Globally, more than 41 million children were obese or overweight by 2018. Due to incidence rates, developing an effective strategy to address childhood obesity is critical. The practice-focused question asked whether the evidence supported the development of a CPG for implementing BMI …

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Leadership Strategies For Obtaining Employee Involvement In A Behavioral Health Organization, David Henry Thompson Jan 2022

Leadership Strategies For Obtaining Employee Involvement In A Behavioral Health Organization, David Henry Thompson

Walden Dissertations and Doctoral Studies

Maintaining a stable and engaged workforce is essential in providing quality treatment to individuals with behavioral health disorders. Soliciting and accepting input and feedback from workforce members is vital in ensuring that competent staff is available to this vulnerable population. Behavioral health leaders can facilitate this goal by cultivating environments that support employee involvement in organizational decision-making. This case study focused on identifying strategies for obtaining employee involvement by examining organizational culture and perceptions, with specific attention to existing opportunities for engaging the workforce in corporate decisions. Using the Baldridge Excellence Framework conceptually, data collection comprised five leadership interviews, organizational …

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Systematic Literature Review Of Residency Program For Transition To Intensive Care, Sonja Marguerite Thornton Jan 2022

Systematic Literature Review Of Residency Program For Transition To Intensive Care, Sonja Marguerite Thornton

Walden Dissertations and Doctoral Studies

The purpose of the systematic literature review project is to present the benefits of a nurse residency program (NRP) to assist new graduate nurses (NGNs) in transition to intensive care nursing. A theory-to-practice gap in knowledge and experience results in the need to support these nurses during their transition to professional practice. This project focused on compiling a systematic review of existing literature to provide evidence and insights into the optimal structure and process of transitioning new graduate nurses to intensive care nursing practice. The American Associations of Critical Care Nurses synergy conceptual model and Patricia Benner's novice to expert …

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Depression Among Older Immigrant African Women In Metro West Massachusetts, Bi Toh Jan 2022

Depression Among Older Immigrant African Women In Metro West Massachusetts, Bi Toh

Walden Dissertations and Doctoral Studies

AbstractThis study addressed depression among older immigrant African Women in Metro West Massachusetts to better understand the causes and prevalence of depression among older women coming from Africa to live in the United States. The study situated older women to be above the age of 55 and focused on exploring the views of social workers in relation to issues of depression among these women. It addressed the factors that influence older immigrant African women’s adaptive capacity in Metro West Massachusetts, the mental health service social workers offer to older women from Africa living in the United States, how social workers …

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Evangelical Families’ Experiences Of Mental Health Challenges, Elom Togbi-Wonyo Jan 2022

Evangelical Families’ Experiences Of Mental Health Challenges, Elom Togbi-Wonyo

Walden Dissertations and Doctoral Studies

Evangelical Christians with mental distress in the family face stigma, adverse psychological and physical health effects, and financial hardships. They often mistrust professional counselors, preventing them from accessing much-needed support. The purpose of this descriptive phenomenological study was to gain knowledge about Evangelical Christians’ everyday life with a family member experiencing mental distress and their perceptions of the faith community’s responses. After collecting accounts from eight participants through one-on-one interviews, Giorgi’s psychological phenomenological method was used for data analysis, resulting in the identification of seven themes and 19 subthemes. The results showed that living with a family member experiencing mental …

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Understanding The Lived Experiences Of Bystanders And Upstanders During A Bullying Episode, Dr James Torino Jan 2022

Understanding The Lived Experiences Of Bystanders And Upstanders During A Bullying Episode, Dr James Torino

Walden Dissertations and Doctoral Studies

School-age bullying is a social problem negatively affecting more than 11% of the student body in the United States alone. The purpose of this study was to develop a better understanding of the lived experiences of bystanders, who witness a bullying event but do not intervene, and upstanders, who witness the event and intervene on behalf of the victim. To answer to the research question addressing the purpose of this qualitative study, 10 individuals between the ages of 18–20 years old who self-identified as both a bystander and an upstander during a bullying episode were interviewed using the lens of …

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African American Male College Graduates’ Paternal Incarceration Experiences, Natassia Toxey Askew Jan 2022

African American Male College Graduates’ Paternal Incarceration Experiences, Natassia Toxey Askew

Walden Dissertations and Doctoral Studies

Various public polices contributed to the significant increase of parent incarceration in the United States among African Americans. The purpose of this transcendental phenomenological study was to gain an understanding of the perspective of African American male college graduates who experienced paternal incarceration during childhood and/or adolescence about the role of family and persevering to obtain a college degree by the age of 30. Utilizing a transcendental phenomenological approach to describe the essence of paternal incarceration as experienced by 12 participants, emergent themes were uncovered to build the characteristics of success relative to the role of family. The modified van …

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The Perception And The Perceived Readiness Of Individuals While Working Remotely During The Covid-19 Pandemic, Argyro Tsampis-Tripodis Jan 2022

The Perception And The Perceived Readiness Of Individuals While Working Remotely During The Covid-19 Pandemic, Argyro Tsampis-Tripodis

Walden Dissertations and Doctoral Studies

AbstractAt the beginning of the Covid-19 pandemic, some individuals were sent home to work remotely to honor social distancing measures. Individuals were challenged to create a workspace, obtain the technology needed, and create a balance between work and private life. Emotional distress may have been caused by overlapping work into personal life or psychological problems due to social distancing for some individuals. The current research aimed to understand the lived experiences of the individuals sent home to work remotely during the Covid-19 pandemic. A transcendental phenomenon methodology captured the insights, adaptations, and perspectives of individuals working remotely during the Covid-19 …

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Strategies Small-And Medium-Sized Enterprise Leaders Use For Sustainability Beyond 5 Years In Rivers State, Olawe Alaba Tula Jan 2022

Strategies Small-And Medium-Sized Enterprise Leaders Use For Sustainability Beyond 5 Years In Rivers State, Olawe Alaba Tula

Walden Dissertations and Doctoral Studies

Small and medium-sized enterprise (SME) leaders lacking sustainability strategies experience high rates of business failure through loss of profit. A high rate of SME failure is linked to a lack of competitive advantage, resulting in decreased productivity and profitability. Grounded in resource-based view theory, the purpose of this qualitative multiple case study was to explore strategies that three SME leaders in Rivers State used to sustain their businesses beyond 5 years. Data were collected from semistructured interviews and company documents, including employee handbooks and annual reports. The three themes that emerged through thematic analysis were strategic management, stakeholder management strategies, …

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Emotional Intelligence And Soft Skills: A Case Study On Information Technology Employee Performance, James Tyler Jan 2022

Emotional Intelligence And Soft Skills: A Case Study On Information Technology Employee Performance, James Tyler

Walden Dissertations and Doctoral Studies

Soft skills such as communication, teamwork, problem-solving, and stress management in recent years have been seen as a new trend in organizations. Even though there is research demonstrating the importance of soft skills, there is little research on how information technology (IT) organizations are training and evaluating their employees in soft skills. The purpose of this qualitative case study was to understand how human resources departments in IT organizations are training employees on soft skills and how they are evaluating employees’ level of performance. The conceptual framework that was used in this study was Goleman’s emotional intelligence model of self-awareness, …

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Exploring The Role Of Attachment Trauma In The Complex Ptsd Victim’S Self-Concept, Sadia Upright Jan 2022

Exploring The Role Of Attachment Trauma In The Complex Ptsd Victim’S Self-Concept, Sadia Upright

Walden Dissertations and Doctoral Studies

Complex posttraumatic stress disorder is a very serious mental health condition with long-term side effects that impact a victim’s quality of life. Many studies have been conducted that explore various aspects of complex posttraumatic stress disorder. However, there is a gap in research exploring the role of attachment trauma in the development of self-concept for complex posttraumatic stress disorder victims. This gap is relevant because treatment of this population has been decisively limited and attachment trauma has been found to be a correlate among many psychiatric groups. By identifying how attachment trauma develops self-concept, researchers and clinicians can be better …

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The Influence Of Parents' Pathological Social Media Engagement And Parenting Style On Delinquent Behavior Among Mexican American Adolescents, Martha Lilia Varela-Rios Jan 2022

The Influence Of Parents' Pathological Social Media Engagement And Parenting Style On Delinquent Behavior Among Mexican American Adolescents, Martha Lilia Varela-Rios

Walden Dissertations and Doctoral Studies

The pathological use of social media is a growing problem for diverse groups today. For parents, the resulting detachment from their adolescent children, compromised communication, and limited monitoring of children's activities appear highly correlated with increased adolescent delinquency. The purpose of this quantitative correlational study was to examine the predictive relationships between Mexican American parents’ pathological use of social media and their adolescent's delinquent behavior and between these parents’ parenting styles and their adolescent's delinquent behavior. Unhealthy parenting styles have also been associated with delinquency in adolescents. The theoretical foundation of the study was based on Bowlby’s attachment theory and …

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A Phenomenological Study Of Mental Health Providers' Cultural Sensitivity Towards Latinx Clients, Nohemi Vasquez Jan 2022

A Phenomenological Study Of Mental Health Providers' Cultural Sensitivity Towards Latinx Clients, Nohemi Vasquez

Walden Dissertations and Doctoral Studies

AbstractThis hermeneutic phenomenological study explored the lived professional experiences involving mental health providers’ cultural sensitivity towards Latinx clients in the context of mental health service delivery. Pedersen and Essadoh’s multiculturalism framework, known as the “fourth force” of psychology, was used as a guiding framework. Fifteen mental health providers were recruited. Data were collected using semi-structured interviews via Skype, in-person, or phone interviews with participants who had from two to over thirteen years of working experience with Latinx populations. Interviews were examined using an interpretive phenomenological analysis. Four themes emerged from participant responses. Findings revealed that cultural competence and cultural awareness …

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Impacts Of Immigration Detention On Sub-Saharan Africa Asylum Seekers In The United States, Felix Vescovi Ogunsuyi Jan 2022

Impacts Of Immigration Detention On Sub-Saharan Africa Asylum Seekers In The United States, Felix Vescovi Ogunsuyi

Walden Dissertations and Doctoral Studies

Detaining asylum seekers has become an established practice in many countries. There is a large body of research suggesting that immigration detention causes asylum seekers harm. However, the focus of these studies has been on diagnosable disorders and mental health, with no descriptive understanding of how detention and resettlement are experienced and conceptualized by asylum seekers. The purpose of this phenomenological study was to examine how formerly detained asylum seekers from sub-Saharan African countries perceive the impact of detention on their resettlement experience in the United States. Ager and Strang’s conceptual framework of refugee integration was used as the study’s …

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Staff Education On Reducing Burnout In Mental Health Professionals Through Restorative Yoga Practice, Rina Buenaventura Vickery Jan 2022

Staff Education On Reducing Burnout In Mental Health Professionals Through Restorative Yoga Practice, Rina Buenaventura Vickery

Walden Dissertations and Doctoral Studies

Mental health professionals (MHPs) are at considerable risk for stress and burnout because of the nature of their work. Management and prevention of stress and burnout (e.g., through restorative yoga) may enable MHPs to avoid feelings of anxiety, depression, and apathy; lack of energy; and the development of unhealthy coping skills, such as substance and drug use. The purpose of this project was to create a staff education to assist MHPs in managing stress and burnout through yoga practice and mindfulness. The theoretical framework for the staff education was Kapp’s adult learning theory. An evidence-based PowerPoint presentation containing the staff …

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The Association Between Self-Efficacy, Patient Health Education, And Self-Management In Patients With Rheumatoid Arthritis, Julie Vultaggio Jan 2022

The Association Between Self-Efficacy, Patient Health Education, And Self-Management In Patients With Rheumatoid Arthritis, Julie Vultaggio

Walden Dissertations and Doctoral Studies

Although previous researchers have studied education for patients with chronic conditions, they have not adequately considered the relationship between self-efficacy (SE), patient health education, and perception of self-management (SM) in patients with rheumatoid arthritis (RA). Educating a patient can empower them to better SM. The purpose this study was to examine these associations in this patient population. This quantitative research study featured a descriptive, nonexperimental cross-sectional survey design using nonprobability convenience sampling. The theoretical framework was the social cognitive theory. The independent variables were SE and patient health education. SM was the dependent variable. Patients with RA from a rheumatology …

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Relationship Between Ceo Gender, Hospital Size, And Urban, Rural Location, Levinda Walpole Jan 2022

Relationship Between Ceo Gender, Hospital Size, And Urban, Rural Location, Levinda Walpole

Walden Dissertations and Doctoral Studies

Leadership diversity concerning gender is important in the health care sector because diversity encourages problem solving from different perspectives. The purpose of this quantitative correlational study was to examine whether there was a relationship between CEO gender and the size of nonprofit hospitals and rural/urban location of hospitals in Texas. The independent variables were hospital bed size, which was categorized according to various groupings, and rural/urban areas in Texas. The dependent variable was gender (male and female). The theoretical framework that grounded this study was the perspective of organizational culture and the leader’s role based on the competing values framework. …

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Leadership Strategies To Mitigate Alternative Dispute Resolution Grievances, Retaliation, And Revenge, Andrew Washington Jan 2022

Leadership Strategies To Mitigate Alternative Dispute Resolution Grievances, Retaliation, And Revenge, Andrew Washington

Walden Dissertations and Doctoral Studies

Alternative dispute resolution (ADR) has been an area of study among scholars since the 1970s. Critics have questioned protections, gaps in the literature, and inconsistencies in the law. The current study was essential for organizational leaders and EEOC facilitators to understand why the ADR process does not protect U.S. Federal government organizational leaders from unjustified or unreasonable claims and retaliation. The overarching research question addressed how the ADR process protected U.S. Federal government organizational leaders in Washington, D.C., Maryland, and Virginia from unjustified or unreasonable claims and retaliation. The purpose of this qualitative multiple case study and purposeful sampling was …

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Telecommuting Adaptation Of A Nonprofit Organization Due To The Covid-19 Pandemic, Walter Lynn Washington Jan 2022

Telecommuting Adaptation Of A Nonprofit Organization Due To The Covid-19 Pandemic, Walter Lynn Washington

Walden Dissertations and Doctoral Studies

AbstractIn response to the COVID-19 pandemic, which has disrupted lives around the globe, organizations have transitioned to telecommuting. Further research is required to address gaps in the literature regarding the perspectives of employees and organization leaders of these telecommuting policies. This study examined how leaders and employees of a nonprofit organization in southeast Florida perceived implementation of and adaptation to telecommuting policies in response to COVID-19. The study specifically assessed behavioral and utilitarian variables associated with social exchange theory, such as individual engagement and social settings and effects in the workplace, which related to social distancing and telecommuting policies. The …

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