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2022

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Weight Management Among Postpartum African-Born Immigrant Women In Texas, Ethel Emehel Jan 2022

Weight Management Among Postpartum African-Born Immigrant Women In Texas, Ethel Emehel

Walden Dissertations and Doctoral Studies

The growing population of postpartum African-born immigrant women has contributed significantly to the high burden of obesity and poor maternal health outcomes in the state of Texas; however, there is little research on this population. The purpose of this transcendental phenomenological study was to explore the lived experiences of weight management among postpartum African-born immigrant women in Texas based on the concepts of the health belief model. Semistructured interviews sparked the life experience of postpartum weight management of African-born immigrant women ages 18–45 who had a baby within the last year and suffered postpartum overweight or obesity. Interviews were audio-recorded …

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

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

Walden Dissertations and Doctoral Studies

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

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Conceptions Of Service Provider Preparedness, Aaron Engstrom Jan 2022

Conceptions Of Service Provider Preparedness, Aaron Engstrom

Walden Dissertations and Doctoral Studies

Victims of human trafficking often need a variety of services to recover from their experiences. Service providers are organizations that aim to meet the personal and environmental needs of survivors by providing resources and guidance. However, the efficacy of services offered to survivors has not been robustly studied, which could leave unsuccessful survivor outcomes unnoticed. The purpose of this case study was to learn how service provider employees prepared to meet survivors’ needs. The combination of social cognitive theory and social constructionist theory served as the lens through which service provider employee conceptions of preparedness were explored. Four service provider …

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Workload, Work–Family Conflict, And Job Satisfaction For Women In Science, Elizabeth Ervin Jan 2022

Workload, Work–Family Conflict, And Job Satisfaction For Women In Science, Elizabeth Ervin

Walden Dissertations and Doctoral Studies

Job dissatisfaction among women working in science, technology, engineering, and mathematics (STEM) fields costs the United States up to $1.5 billion per year. Understanding work-life balance is important for pharmaceutical leaders to assist in enhancing job satisfaction for women in science. Grounded in the work-life balance theory, the purpose of this quantitative correlational study was to examine workload and work-family conflict in predicting job satisfaction for women in science. Survey data were collected from 76 women employed in the pharmaceutical industry who completed a combined Minnesota Satisfaction Questionnaire and Warr-Cook-Wall job satisfaction questionnaire. The multiple linear regression results were significant, …

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Length Of Stay In A Homeless Shelter And Mitigating Homelessness, Uwemedimo S. Etteyit Jan 2022

Length Of Stay In A Homeless Shelter And Mitigating Homelessness, Uwemedimo S. Etteyit

Walden Dissertations and Doctoral Studies

AbstractHomelessness is a major public health issue in the United States. Every night, thousands of people have no residence to call their own. Most homeless persons turn to homeless shelters for help. Despite the homeless shelters, the problem of homelessness persists. This study examined the concept that the length of time spent at a homeless shelter is related to the homeless persons mitigating their homelessness through home placement, jobs, and healthcare access. Homelessness was examined using the socioecological model with its attendant levels of influence. On the intrapersonal level, socioeconomic status, education, old age, veteran status, and disability were factors. …

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Focused Surrogate Decision-Maker Identification In The Traumatically Injured Adult, Kelly Ann Evans Jan 2022

Focused Surrogate Decision-Maker Identification In The Traumatically Injured Adult, Kelly Ann Evans

Walden Dissertations and Doctoral Studies

AbstractPatients in the trauma care setting are often dependent on their families and physicians to decide medical treatments when they cannot participate in the process.But in up to one-third of cases, the surrogate decision-maker (SDM)selected by the patient is not the emergency contact listed in the electronic medical record (EMR).SDM identification and documentation will ensure that the patient is best represented by someone who knows their values and goals if they become incapacitated.Nurses can facilitate identifying a patient’s SDM and document this choice in the EMR.The purpose of this study was a staff education program to improve intensive care unit …

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Closing The Black And Hispanic High School Graduation Gap In A Central Florida School District, Terra Ewing Jan 2022

Closing The Black And Hispanic High School Graduation Gap In A Central Florida School District, Terra Ewing

Walden Dissertations and Doctoral Studies

To resolve the graduation gap among Black and Hispanic students in Central Florida, the development of equity-centered practices to improve high school graduation rates is essential. The purpose of this study was to determine the impact of incorporating methods such as the self achievement theory, self-determination methodology, and equity educational policies in all eight of the Central Florida School District schools to improve the graduation rates of the Black and Hispanic students in the Central Florida School District as well as to develop recommendations for implementation and training across the district. All data gathered was secondary and gathered from the …

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

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

Walden Dissertations and Doctoral Studies

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

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Use Of Evidence-Based Clinical Practice Guidelines In Obesity Management In Women, Chizimako Margaret Eze Jan 2022

Use Of Evidence-Based Clinical Practice Guidelines In Obesity Management In Women, Chizimako Margaret Eze

Walden Dissertations and Doctoral Studies

AbstractObesity is one of the Healthy People 2020 high-priority public health issue. Obesity is of importance due to the troubling higher prevalence in women because of the close link that exists between body weight and reproductive health in females from menarche to menopause and beyond. The identification of guidelines to improve or manage the care of female patients can alleviate the burden and complications from being overweight or obese. This project guided by the ADDIE (analyze, design, develop, implement, and evaluate) model was conducted in a family primary care clinic to address a gap in practice, the lack of knowledge …

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

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

Walden Dissertations and Doctoral Studies

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

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Anxiety, Depression, Immunity, Quality Of Life, And Cannabis In Appalachia, Matthew Ian Frazier Ostrander Jan 2022

Anxiety, Depression, Immunity, Quality Of Life, And Cannabis In Appalachia, Matthew Ian Frazier Ostrander

Walden Dissertations and Doctoral Studies

As decriminalization of cannabis in the United States increases, understanding how cannabis use may alter physical and mental health is important. The Appalachian Mountain region is an area with poor support systems, stigma against mental health, and historic drug use problems, resulting in residents being more vulnerable to societal change. The theoretical framework for this research is psychoneuroimmunology (PNI), which is the study of the interconnections between psychology, neurology, and immunology as a holistic approach to health. Via SurveyMonkey, 160 participants completed the study, and data were based on self-reporting of cannabis use patterns in relation to anxiety, depression, immunity, …

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Clinical Practice Guideline For Post Discharge Primary Care Follow-Up Program For Copd, Stephanie Frimpong-Badu Jan 2022

Clinical Practice Guideline For Post Discharge Primary Care Follow-Up Program For Copd, Stephanie Frimpong-Badu

Walden Dissertations and Doctoral Studies

AbstractApproximately 15.7 million individuals throughout the United States have been diagnosed with chronic obstructive lung disease (COPD), with 700,000 individuals hospitalized annually in the United States. An estimated one in five patients are readmitted within 30 days, raising the costs above $15 billion annually. The gap in practice was a lack of adequate clinical practice guidelines associated with discharge to primary care in this acute care facility. The purpose of this project was to use the expertise of the multidisciplinary team of pulmonologists, acute care nurse practitioners, respiratory therapists, and pharmacists to develop a clinical practice guideline using evidence-based literature …

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Examination Of Strategies To Implementing Chip-And-Personal Identification Number Credit Card Authentication Infrastructures, Neville Arthur Gallimore Jan 2022

Examination Of Strategies To Implementing Chip-And-Personal Identification Number Credit Card Authentication Infrastructures, Neville Arthur Gallimore

Walden Dissertations and Doctoral Studies

Chip-and-Personal Identification Number (PIN) technology is seen as a game changer in many e-commerce industries and a transformational technology in the 21st century. However, security concerns have made chip-and-PIN adoption relatively slow. Massive unauthorized card payment transactions in the United States (U.S.) cost victims an estimate totaling billions of dollars. Information Technology (IT) managers are concerned with credit card fraud's financial loss and liability cost. Grounded in Rogers’s diffusion of innovation theory, the purpose of this qualitative pragmatic study was to explore strategies used by IT managers to transition their e-commerce organizations to chip-and-PIN credit card authentication infrastructures. The participants …

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

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

Walden Dissertations and Doctoral Studies

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

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Staff Education To Improve Safe Use Of Antipsychotic Medication In An Outpatient Clinic, Marinette Nyangono Garrison Jan 2022

Staff Education To Improve Safe Use Of Antipsychotic Medication In An Outpatient Clinic, Marinette Nyangono Garrison

Walden Dissertations and Doctoral Studies

AbstractThe use of antipsychotic medications is growing in an outpatient clinic despite the increased risk of mortality and morbidity such as falls, fractures, stroke in adults, neurological adverse effects, weight gain, and cardio-metabolic abnormalities in pediatric populations. The purpose of this project was to develop an educational program to enhance clinic staff knowledge about pharmacologic and nonpharmacologic means to manage patients’ care and improve outcomes. The conceptual framework for the project was Knowles’s adult learning theory supported by the Kirkpatrick model of training evaluation. The practice-focused question asked whether an educational program would increase staff knowledge related to the safe …

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Perceived College Retention Factors Affecting Postsecondary Students With Emotional Behavioral Disorders With Internalizing Behaviors, Kathleen Geddes Jay Jan 2022

Perceived College Retention Factors Affecting Postsecondary Students With Emotional Behavioral Disorders With Internalizing Behaviors, Kathleen Geddes Jay

Walden Dissertations and Doctoral Studies

College persistence rates for students with emotional behavioral disorders (EBD) are lower than same age peers. College students with EBD manifesting internalizing behaviors who graduated from one independent northeastern therapeutic high school (INTHS) had low first-year college retention rates despite high college admission rates. The purpose of this basic qualitative study was to explore the perceived factors that may affect first-year college retention rates for the students from one INTHS who have EBD with internalizing behaviors. The theories that grounded this study were Tinto’s model of institutional departure, with Braxton et al.’s later modifications, and Forber-Pratt and Zape’s disability identity …

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First Year Teachers’ Perspectives Of Their Self-Efficacy To Teach Writing In Elementary, Angelica Felicia Givler Jan 2022

First Year Teachers’ Perspectives Of Their Self-Efficacy To Teach Writing In Elementary, Angelica Felicia Givler

Walden Dissertations and Doctoral Studies

AbstractWith the introduction of Common Core State Standards in 2009, there has been an increase in the expectations for writing instruction in the United States. Writing instruction standards are now part of language arts and other content areas, but many teachers feel unprepared to teach writing. There is limited research on teachers’ perspectives of their abilities to teach writing upon completion of a teacher preparation program. The purpose of this basic qualitative study was to examine teachers’ perspectives of their ability to teach writing in elementary school and identify coursework they deem useful for enhancing their abilities to teach writing. …

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Assessing Violence And Mental Health With The 2019 Nevada Youth Risk Behavioral Survey, Samantha Graham Jan 2022

Assessing Violence And Mental Health With The 2019 Nevada Youth Risk Behavioral Survey, Samantha Graham

Walden Dissertations and Doctoral Studies

The effects from childhood trauma can interfere in all aspects of a child’s life, including their education. School delivery systems need to be trained to identify these risks and how to reduce further risks of re-traumatization by applying trauma-informed practices. This study addressed the impact of adverse childhood experiences (ACEs) on mental health and behavioral issues. The study was guided by Bandura’s social cognitive theory and the socioecological model. The correlation between ACEs and mental health as well as ACEs and physical violence were examined based on data from the 2019 Nevada Youth Risk Behavioral Survey, which was a high …

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Mental Health In The Military, Amy Jean Grasse Jan 2022

Mental Health In The Military, Amy Jean Grasse

Walden Dissertations and Doctoral Studies

The current qualitative research project explored the lived experiences of senior leaders who have worked with service members known to seek mental health treatment. Despite a large amount of research on the effects mental health has on military members, the scholarly community does not know the experiences individuals face when employing active-duty personnel with known psychological limitations. This phenomenological study aimed to identify senior leadership’s lived experiences to identify the barriers and facilitators they faced when employing service members known to have sought mental health treatment. The attribution theory and modified labeling theory were the theoretical frameworks chosen for this …

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Nursing Health Care Leadership Strategies To Reduce Homeless Patient 30-Day Readmission Rates, Shavonda L. Greene Jan 2022

Nursing Health Care Leadership Strategies To Reduce Homeless Patient 30-Day Readmission Rates, Shavonda L. Greene

Walden Dissertations and Doctoral Studies

AbstractAdult homeless patient 30-day readmission is a concern for nursing healthcare leaders who still have problems in providing effective strategies for revisit reduction in various acute care settings across the United States. The purpose of this quantitative comparative study was to examine the association between nursing healthcare leadership strategies, 30-day homeless patient readmission rates, and hospital discharge rates at hospitals in California. The theoretical foundation for the research study was Pender’s health promotion model theory, which identifies preventative health measures and describes the critical function of nurses in helping patients to prevent illness by self-care and bold alternatives. Research questions …

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

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

Walden Dissertations and Doctoral Studies

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

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Hysterectomy And Self-Esteem Among African American Women, Gibson T. Green Jan 2022

Hysterectomy And Self-Esteem Among African American Women, Gibson T. Green

Walden Dissertations and Doctoral Studies

AbstractOver 600,000 hysterectomies are performed each year in the United States. Studies have shown that African American women are disproportionately impacted by hysterectomy and that most African American women treated with hysterectomy are young and of childbearing age. As a result, some African American women’s spouses have negative perceptions about the surgery. The purpose of this study was to examine the impact of hysterectomy on self-esteem or satisfaction among African American women and feelings of partner rejection after a hysterectomy. Sociometer theory (the study of self-esteem) was used to examine an association between hysterectomy and self-esteem or satisfaction. The study …

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Effects Of Foster Care Trauma On Foster Care Alumni’S Mental Health In Adulthood, Adrian W. Green Jan 2022

Effects Of Foster Care Trauma On Foster Care Alumni’S Mental Health In Adulthood, Adrian W. Green

Walden Dissertations and Doctoral Studies

Child welfare system involvement leads to foster care more for racial minority children than White children, and after exiting foster care racial minority alumni face disparate outcomes. The purpose of this generic qualitative study was to explore the effects of trauma experienced in foster care on racial minority foster care alumni’s mental health in adulthood. Trauma theory and information processing theory provided the frameworks for the study. Data were collected from semistructured interviews with eight racial minority foster care alumni age 18 and older. Findings from coding analysis indicated three themes and two subthemes. The adult mental health effects of …

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

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

Walden Dissertations and Doctoral Studies

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

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

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

Walden Dissertations and Doctoral Studies

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

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

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

Walden Dissertations and Doctoral Studies

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

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Emotional Intelligence And Self-Perceptions Of Counseling Competency In Counselors In Training, Ariel Katherine Hernandez Jan 2022

Emotional Intelligence And Self-Perceptions Of Counseling Competency In Counselors In Training, Ariel Katherine Hernandez

Walden Dissertations and Doctoral Studies

Counselor educators and regulatory boards continue to develop criteria to prepare counselors in training (CITs) for clinical practice. Despite the significant support they receive within the counseling course curriculum, some students lack the necessary counseling competency to succeed in the field experience component of their training. Emotional intelligence (EI) may be relevant in the ability of CITs to manage their emotions and relationships in personal, professional, and academic settings, but there is a lack of empirical evidence regarding the relationship between EI and counseling competence. The purpose of this quantitative study was to assess the relationship between EI and self-perception …

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Experiences Of Women Of Color In Leadership Paths At Predominately White Institutions, Philomena Marie Johnson Jan 2022

Experiences Of Women Of Color In Leadership Paths At Predominately White Institutions, Philomena Marie Johnson

Walden Dissertations and Doctoral Studies

AbstractResearch shows that the experiences of women of color in leadership paths at predominately White institutions (PWIs) have impacted their advancements and route to the presidency. However, there is limited research on the positive aspects of their leadership contributions or on the intersection of race and gender and mentoring in their leadership roles. The purpose of this qualitative study was to understand the experiences of women of color in leadership paths at PWIs. Black feminist thought and intersectionality were the conceptual framework used to understand those experiences. Thirteen women of color in leadership roles at PWIs in the United States …

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

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

Walden Dissertations and Doctoral Studies

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

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Exploring Leadership Strategies To Enhance Worker Performance, Charles J. Oloo Kodi Jan 2022

Exploring Leadership Strategies To Enhance Worker Performance, Charles J. Oloo Kodi

Walden Dissertations and Doctoral Studies

AbstractMultiple leadership strategies have been used by some organizations in the US to improve worker performance. A literature gap still exists regarding how transformational leadership style may enhance worker performance in Connecticut state manufacturing industries. The purpose of this qualitative study was to explore the perceptions of organizational leaders about how best to improve the knowledge and the effectiveness of transformational leadership styles. Transformational theory and contingency theories were chosen to serve as the theoretical foundation for the conceptual framework of this study. The research question examined the perceptions of employees of a manufacturing organization located in Connecticut about how …

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