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2022

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Reducing Hospital Noise Levels Through Nursing Staff Education, Althea Sanders Jan 2022

Reducing Hospital Noise Levels Through Nursing Staff Education, Althea Sanders

Walden Dissertations and Doctoral Studies

AbstractNoise levels can negatively affect a patient’s hospital experience. Increased noise levels in the hospital can trigger sleep disturbance and affect the length of recovery for patients; the increased noise levels can also cause increased anxiety and exhaustion for nursing staff members. Due to a gap in nursing practice related to nurses’ knowledge to safely reduce noise levels, this project addressed if nursing staff education on noise reduction could increase the knowledge among nursing staff members to use specific strategies to reduce noise levels in an intensive care unit (ICU) setting. The purpose of this project was to educate eight …

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Principals’ And Coaches’ Perspectives On Leadership Practices And Instructional Coaching, Shona Sandlin Jan 2022

Principals’ And Coaches’ Perspectives On Leadership Practices And Instructional Coaching, Shona Sandlin

Walden Dissertations and Doctoral Studies

Education reform is the driver for changes in principal leadership practices. Instructional coaching is a common lever used to meet reform mandates but has had inconsistent results. The problem in practice is little is known about how principals use leadership practices to establish effective instructional coaching in their school building. The conceptual framework used in this study was the distributive leadership framework, which was used to analyze how leadership skills are distributed throughout an organization to meet overall goals. In this study, the principals and the instructional coaches were asked to perceive and describe the principal’s leadership practices that influence …

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Speech-Language Pathologists’ Thoughts About Emotion Regulation Therapy To Improve Students’ Employability, Phyllis R. Scott Jan 2022

Speech-Language Pathologists’ Thoughts About Emotion Regulation Therapy To Improve Students’ Employability, Phyllis R. Scott

Walden Dissertations and Doctoral Studies

AbstractHigh school graduates with language deficits often have poor emotion regulation (ER), enter the workforce unprepared to meet the emotional demands, and experience workforce outcomes that lead to a poor quality of life. Speech-language pathologists (SLPs) teach ER, but little is known about ER-targeted speech-language therapy (ERSLT) for high schoolers with mild-to-moderate language impairments and ER deficits (MMLI/ER). This study was designed to explore SLPs’ views and decisions about providing ER-SLT to improve career readiness and employability for students with MMLI/ER. Several studies, the evidence-based practice (EBP) model, and a thematic analysis approach informed this integrative interpretive description design and …

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A Behavioral Health Organizational Perspective On Eliminating Restrictive Interventions, Malisa Santana Shuler Jan 2022

A Behavioral Health Organizational Perspective On Eliminating Restrictive Interventions, Malisa Santana Shuler

Walden Dissertations and Doctoral Studies

To manage difficult behaviors and ensure the safety of clients and staff, behavioral health organizations have often relied on restrictive interventions such as seclusion and restraint. Although organizational leaders are increasingly seeking alternatives, there is very little literature or organizational practice knowledge addressing this issue. The purpose of this qualitative study was to explore, from an organizational leader’s perspective, sustainable best practices after the leaders of a behavioral health organization in the Southeastern region of the United States adopted a statewide initiative to reduce and eliminate restrictive intervention by transitioning to a no seclusion policy. The Baldrige Excellence Framework was …

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Effective Management Of Diabetes Mellitus Type Ii In A Military Treatment Facility, Jozy Merizier Smarth Jan 2022

Effective Management Of Diabetes Mellitus Type Ii In A Military Treatment Facility, Jozy Merizier Smarth

Walden Dissertations and Doctoral Studies

In the United States, 34 million people have diabetes and 79 million have prediabetes. Currently, one in nine Americans are diagnosed with diabetes and it is projected that one in five will have diabetes by 2025 and one in three by 2050. The practice-focused question answered by this project addressed the question if implementing a staff education program improved staff’s knowledge about self-management education and intent for providers and staff to promote a formal diabetes self-management education (DSME) program in an overseas military treatment facility. The site has 47% of empaneled beneficiaries with diabetes mellitus Type II with an elevated …

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Juvenile Sex Offender Motivation To Stop Offending While Engaged In Residential Treatment, Lemeita Smith Jan 2022

Juvenile Sex Offender Motivation To Stop Offending While Engaged In Residential Treatment, Lemeita Smith

Walden Dissertations and Doctoral Studies

AbstractThe treatment of sex offenders is a controversial issue, yet research on the effectiveness of treatment interventions is limited. There is a great amount of research analyzing the connection between motivation and recidivism; however, what is known about the juvenile sex offender pales in comparison to what is known about adult sex offenders. Utilizing Deci and Ryan’s self-determination theory as the theoretical foundation, the purpose of this qualitative study was to describe the lived experiences of male juvenile sex offenders, to better understand how residential treatment impacted their motivation to lead an offense-free lifestyle. Obtaining this information from the first-person …

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Understanding Middle School Teachers’ Use Of Instructional Practices For Online Reading Comprehension, Carla Smith Jan 2022

Understanding Middle School Teachers’ Use Of Instructional Practices For Online Reading Comprehension, Carla Smith

Walden Dissertations and Doctoral Studies

Standardized test and district benchmark assessment results indicate that middle school students in a rural middle school in central Mississippi are struggling with reading comprehension. Although teachers in a specific school district are equipped with a pacing guide to teach state mandated college and career readiness standards, it is unclear how middle school English Language Arts (ELA) teachers are teaching reading comprehension in online environments. The purpose of this qualitative intrinsic case study is to explore how middle school teachers at one school use instructional strategies to teach students who struggle with reading comprehension in online environments. The conceptual framework …

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Motivations Of Youth Engaged In International Drug Smuggling Through The Perceptions Of Law Enforcement In San Diego County, Gabrielle Suzanne Smyth Jan 2022

Motivations Of Youth Engaged In International Drug Smuggling Through The Perceptions Of Law Enforcement In San Diego County, Gabrielle Suzanne Smyth

Walden Dissertations and Doctoral Studies

The use of illegal narcotics in the United States is an epidemic that requires significant and measurable results. Not only are illegal drugs crossing from Mexico into the United States a threat to public safety, but the involvement of juveniles is also becoming increasingly dangerous. Since early 2018, the Drug Enforcement Administration’s (DEA’s) San Diego Field Division has seen a disturbing trend of Mexican cartels increasingly recruiting juveniles from high schools in southern San Diego County to smuggle drugs through the ports of entry. The theoretical framework utilized in this study was social learning theory. The logical connection between social …

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Impact Of Tourism Development Policies On The Underdevelopment Of Ikom, Nigeria, Blessing Ayuk Tangban Jan 2022

Impact Of Tourism Development Policies On The Underdevelopment Of Ikom, Nigeria, Blessing Ayuk Tangban

Walden Dissertations and Doctoral Studies

Despite Nigeria’s abundant tourism resources, tourism host communities in the country are fraught with underdevelopment. Although vital policies aimed at harnessing the country’s tourism resources abound in the country’s national policy system, their impact on underdevelopment in tourism host communities has not been assessed. The purpose of this qualitative case study was to assess the impact of tourism development policies on underdevelopment in Ikom as a host community for tourism in Nigeria. The elite theory and Christaller’s central place theory were used in this study. Twenty-two participants in the Ikom region of Cross River State, Nigeria were interviewed regarding their …

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Exploring Promotoras As Influencers Of Physical Activity And Diet Acceptability Among Latinas, Gladys Orock Tataw-Ayuketah Jan 2022

Exploring Promotoras As Influencers Of Physical Activity And Diet Acceptability Among Latinas, Gladys Orock Tataw-Ayuketah

Walden Dissertations and Doctoral Studies

Promotoras are frontline community health workers who help link Latino community members to health and social services. Latino women have high rates of attrition and lack of participation in weight loss programs due to various barriers, and the promotora model is vital to address these concerns. The approach incorporates strong family support and influence to address health and social issues through interdependent ties of promotoras and families who live and work within the community they serve. The purpose of this qualitative study was to explore how promotoras influenced the acceptability of and participation in physical activity and dietary modification programs …

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Mediating Effects Of Self-Esteem And Sense Of Flourishing On The Relationship Between Social Network Addiction And Motivated Strategies For Learning, Debbie Denise Taylor Jan 2022

Mediating Effects Of Self-Esteem And Sense Of Flourishing On The Relationship Between Social Network Addiction And Motivated Strategies For Learning, Debbie Denise Taylor

Walden Dissertations and Doctoral Studies

This study with college and university emerging adult undergraduates (N = 189) aged 18–24 tested the social learning and flourishing theory hypotheses, examining to what extent the relationship between social networking addiction (SNA) and student-motivated strategies for learning are mediated by self-esteem (M1) and a sense of flourishing (M2). Four instruments were used: the Bergen Social Media Addiction Scale, the Rosenberg Self-Esteem Scale, Diener’s Flourishing Scale, and the Motivated Strategies for Learning Questionnaire. A nonexperimental cross-sectional quantitative parallel mediation research design to assess the literature implications indicated that emerging adults endure biopsychosocial damages when excessive, problematic, or addictive patterns in …

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Exploration Of Religious Parents’ Involvement In Their Children’S Sexual Education, Helenita Thomas Jan 2022

Exploration Of Religious Parents’ Involvement In Their Children’S Sexual Education, Helenita Thomas

Walden Dissertations and Doctoral Studies

Research has indicated that religious families influence the sexual education of their children. This qualitative phenomenological research addressed the research gap of how religious parents engage and communicate with their children concerning sexual education and sexuality. Bronfenbrenner’s multilevel ecological theory supported the notion of parents as first teachers developing the basis for socialization with family, relatives, neighbors, friends, church, schools, peer, and other groups in the community. The study included 10 qualitative data sets collected through guided interviews with parents in four separate conservative faith communities. Data analyses via explication process identified the major themes of self-preparation by parents, communicating …

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Preventing Volunteers From Leaving Nonprofit Organizations, Maurice Arthur Thorpe Jan 2022

Preventing Volunteers From Leaving Nonprofit Organizations, Maurice Arthur Thorpe

Walden Dissertations and Doctoral Studies

Increasing volunteer turnover hinders nonprofit organizational leaders’ ability to promote transformative changes within local communities. Grounded in the Herzberg two-factor theory, the purpose of this qualitative multiple case study was to explore strategies leaders in African American-centric nonprofit organizations employ to volunteer turnover. The participants comprised five leaders from African American-centric nonprofit organizations throughout Washington, DC, District of Columbia, Maryland, and Virginia, successfully reducing volunteer turnover. Data were collected through semistructured interviews and organizational documents. Yin’s five-step process was used to analyze data. Three themes emerged: open line of communication with the leadership, establishing and meeting expectations of volunteers, and …

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Review Of Administration Regarding The Military’S Sexual Assault Prevention Programs, Kendal Makinzie Vahovius Jan 2022

Review Of Administration Regarding The Military’S Sexual Assault Prevention Programs, Kendal Makinzie Vahovius

Walden Dissertations and Doctoral Studies

The occurrence of military sexual assault cases within the United States persists to be a concern. These cases transpire within the armed forces regardless of a zero-tolerance stance towards sexual assault within the Department of Defense (DoD). The purpose of this research study was to evaluate current gaps throughout the DoD. The research question addressed the gaps in current operations within the sexual assault and harassment programs the DoD experience when implementing sexual assault prevention measures within the continental United States locations. This Professional Administrative Study (PAS) was structured through the lens of organizational efficiency by assessing the current programs …

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Retention Of Female Single Parents After The First Year Of Higher Education, Victoria Vannest Jan 2022

Retention Of Female Single Parents After The First Year Of Higher Education, Victoria Vannest

Walden Dissertations and Doctoral Studies

The problem this study addressed is that undergraduate, female, single parent students are less likely than other groups of women to complete college. The purpose of this basic qualitative study was to explore perceived challenges of persistence to degree completion of undergraduate, female, single parent students in a Southern state, at a suburban community college. The research question used in this basic qualitative study determined what perceived challenges undergraduate female single parents in higher education face during their first year as a student in a community college regarding persistence to degree completion. Using Tinto’s theory of student integration as a …

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California’S Urban And Rural Asthma Healthcare Access And Asthma Management During Covid-19 Pandemic, Stacey R. Varga Jan 2022

California’S Urban And Rural Asthma Healthcare Access And Asthma Management During Covid-19 Pandemic, Stacey R. Varga

Walden Dissertations and Doctoral Studies

A lack of adequate healthcare access can negatively affect asthma management. The purpose of this study was to understand whether there was an association between source of care and asthma management. This study provides important insights concerning the changing landscape of how individuals receive asthma treatment and manage their asthma during a pandemic. Asthma management and asthma care have been studied; however, results have been inconclusive in relation to the barriers to health that are experienced among various adult age groups. Identifying additional subgroup characteristics could provide insight into where health practitioners, practice management, and policymakers direct healthcare resources. The …

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Predictors Of Mental Health Help-Seeking In Alaska Native Communities, Jorene Volkheimer Jan 2022

Predictors Of Mental Health Help-Seeking In Alaska Native Communities, Jorene Volkheimer

Walden Dissertations and Doctoral Studies

American Indian/Alaska Native (AI/AN) persons have been identified as a group with greater risk for transgenerational trauma; furthermore, they experience environmental, systemic, and pragmatic barriers to treatment for mental and social issues. Researchers have called for more studies of groups like AI/AN to better understand the complex social, interpersonal, and intrapersonal problems involved in accessing and using mental health services. The purpose of this study was to examine the predictive relationships of demographics, transgenerational trauma, locus of control, and stigma on help-seeking and use of mental health services in the AI/AN population in a quantitative study. The developmentally based trauma …

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Environmental-Induced Anxiety And Ethnicity As Predictors Of Hypertension Among Black Men, Twan Delast Weaver Jan 2022

Environmental-Induced Anxiety And Ethnicity As Predictors Of Hypertension Among Black Men, Twan Delast Weaver

Walden Dissertations and Doctoral Studies

Black men in the United States have the highest prevalence rate of hypertension compared to men and women of other ethnicities. Despite numerous health promotion and education programs tailored toward reducing hypertension among Black men, a gap exists in research regarding how environmental-induced anxiety and ethnicity may be associated with the occurrence or presence of hypertension among Black men. Using the reasoned action theory as a theoretical guide, this quantitative cross-sectional study incorporated four research questions to investigate if there was an association between environmental-induced anxiety (community violence, low income), ethnicity, and the risk of hypertension in men when age, …

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Experiences With Online Video Conferencing Therapy Among Former Military Service Members With Ptsd, Lanier Wells Jan 2022

Experiences With Online Video Conferencing Therapy Among Former Military Service Members With Ptsd, Lanier Wells

Walden Dissertations and Doctoral Studies

Posttraumatic stress disorder (PTSD) has become a major mental health concern for veterans transitioning to civilian life. This qualitative phenomenological research study focused on interviewing 20 former military service members diagnosed with PTSD to understand their experiences related to online video conferencing therapy. The theoretical foundation of this study was guided by Beck’s cognitive behavioral therapy (CBT) model. The open-ended research questions examined veterans diagnosed with PTSD perceptions, attitudes, and opinions related to online video conferencing therapy, prior to and during the Covid-19 pandemic. Semi structured interview questions and a demographic questionnaire was used to collect data from participants who …

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Human Service Professionals’ Perceptions Of Parentification, Monica Christa Whitson Jan 2022

Human Service Professionals’ Perceptions Of Parentification, Monica Christa Whitson

Walden Dissertations and Doctoral Studies

Social researchers coined the term parentification to describe parent–child role reversal and inappropriate familial roles such as adult-like tasks children are held accountable to complete. Previous researchers have not addressed two issues: (a) whether human service professionals [HSPs] adopt the destructive/maladaptive viewpoint or adaptive/resilient viewpoint surrounding parentification and (b) whether HSPs’ preconceived views and attitudes impact service delivery to parentified persons. Obtaining the perceptions of HSPs may allow more insight into what interventional methods need exploring when working with those individuals. The purpose of this generic, qualitative inquiry was to explore the perceptions of male HSPs regarding parentification and how …

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Professional Dispositions And Perceptions Of Principals About Inclusion In Senior Secondary Schools, Desmond Prince, George Williams Jan 2022

Professional Dispositions And Perceptions Of Principals About Inclusion In Senior Secondary Schools, Desmond Prince, George Williams

Walden Dissertations and Doctoral Studies

AbstractProviding inclusive education for children with special educational needs and disabilities entails educating these students in general education classrooms. There are no consistent practices or regulations for administering programs for such students in general education classrooms in Sierra Leone. This problem is supported by the lack of literature about administrative inclusive education practices. This basic qualitative study was conducted to explore the professional dispositions, perceptions, and rules or regulations that school principals hold for administering programs for students with special educational needs and disabilities in general education classrooms. The conceptual framework of the study was based on moral leadership and …

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Educating Nursing Staff On Clostridioides Difficle Infection Bundle Use, Amber Lee Winkis Jan 2022

Educating Nursing Staff On Clostridioides Difficle Infection Bundle Use, Amber Lee Winkis

Walden Dissertations and Doctoral Studies

Clostridioides difficile infection (CDI) is a local, national, and global issue impacting patient outcomes and healthcare organizations. CDI is costly to treat, painful, and at times deadly. Given an increase in CDI over the past year at the project site, the current gap in practice is the nonadherence of nursing staff to using a CDI bundle. This project addresses that gap. The practice-focused question targeted at nursing staff (N = 18) on an adult medical-surgical unit in an acute care hospital and asks whether education on use of a CDI bundle would result in a knowledge gain about the importance …

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Let My People Go:Improving Nurses’ Knowledge To Decrease Physical Restraint Use, Trisha Marie Zehrung Jan 2022

Let My People Go:Improving Nurses’ Knowledge To Decrease Physical Restraint Use, Trisha Marie Zehrung

Walden Dissertations and Doctoral Studies

Despite extensive research revealing the dangers of physical restraint use, it remains a common practice in critical care settings across the globe. Nurses stand at the forefront of clinical decision-making regarding the use of physical restraints but are doing so with a lack of education and evidence-based practices. The project addresses whether an evidence-based educational program regarding the use of physical restraints and alternative measures is an acceptable method for intensive care unit (ICU) nurse education according to six local subject matter experts (SMEs). The project’s purpose was to create an educational program outlining physical restraint evidence and alternative measures …

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Strategies That Improve Ux (User Experience) Design Through Product Innovation, Jibing Zhao Jan 2022

Strategies That Improve Ux (User Experience) Design Through Product Innovation, Jibing Zhao

Walden Dissertations and Doctoral Studies

User Experience (UX) design improvement can alter business results. Information technology (IT) company leaders are concerned with UX design improvement, as it is the number one indication of product innovation success and user satisfaction. Grounded in Christensen’s disruptive innovation theory, the purpose of the qualitative single case study was to explore strategies IT company leaders and UX designers used to identify critical UX design elements that lead to improved product innovations. The participants were five IT company leaders and a focus group of four UX designers employed by a sizeable telecom organization in Beijing, China. The data were collected from …

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Evaluating The 2012 Vaccination Reporting Mandate: Applications To Adventist Health Network, May Abdalla Jan 2022

Evaluating The 2012 Vaccination Reporting Mandate: Applications To Adventist Health Network, May Abdalla

Walden Dissertations and Doctoral Studies

Influenza is a public health concern that claims up to 56,000 lives annually in the United States, though it is a vaccine-preventable disease. Influenza vaccination among health care personnel (HCP) is highly encouraged to prevent influenza transmission in health care settings. The objective of this study was to examine the relationship between mandatory reporting of HCP influenza vaccination rates (implemented in 2012) and HCP influenza vaccination intake in a health care network with 20 hospitals. The protection and motivation theory was used as the theoretical framework. Data collected from surveys of hospital administrators and archives of the Center for Medicare …

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Artificial Affectionate Communications And Loneliness, Richard D. Adams Jan 2022

Artificial Affectionate Communications And Loneliness, Richard D. Adams

Walden Dissertations and Doctoral Studies

This qualitative narrative study examined experiences of older adults’ use of teleconferencing information and communication technologies (ICTs) and how their use related to feelings of loneliness. This research targeted older adults residing in North Alabama assisted living facilities who were separated from their previous social network. This research was grounded in the social needs model, which indicates that all humans have a basic need for social contact. This research was also grounded in the buffering hypothesis, where social support acts as a buffer against possible stressful events. Five older adult assisted living facility residents from two facilities participated in a …

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Equine-Assisted Psychotherapy: An Exploration Of The Therapist’S Clinical Process, Marybeth Agayev Jan 2022

Equine-Assisted Psychotherapy: An Exploration Of The Therapist’S Clinical Process, Marybeth Agayev

Walden Dissertations and Doctoral Studies

AbstractIn the existing research authors report that within the current field of equine-assisted therapy practitioners are using a number of approaches, some independently and others in affiliation with formal organizations, to treat a wide variety of issues in a very broad population. The purpose of this study was to determine what underlying thought processes guide the equine-assisted therapist’s role in the clinical process. This generic qualitative study included five participants who met the criteria of having 3-5 years of experience performing equine-assisted psychotherapy with mental health populations. Participants also met the standard of being licensed or certified in accordance with …

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Mentors’ Perspectives On The Mentor–Mentee Relationship In High School Mentoring Programs, Yasmin Mahmoud Ahmed Jan 2022

Mentors’ Perspectives On The Mentor–Mentee Relationship In High School Mentoring Programs, Yasmin Mahmoud Ahmed

Walden Dissertations and Doctoral Studies

Mentoring improves high school students’ academic outcomes by enhancing their engagement and educational attainment and reducing school dropout rates. The mentoring relationship is one of the identified factors in successful mentoring programs’ outcome. Previous research mainly focused on investigating the relationship from the mentee’s perspective. There is limited research regarding the relationship of professional mentors who work in programs that have been designed to engage mentees at the high school level. The purpose of this interpretative phenomenological analysis (IPA) was to explore the mentor–mentee relationship with high-school-aged mentees from the mentors’ perspective. Vygotsky’s social constructivist theory was used to provide …

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Millennial Leadership In The Retail Industry, Phyllis Atwood Jan 2022

Millennial Leadership In The Retail Industry, Phyllis Atwood

Walden Dissertations and Doctoral Studies

The retail industry contributes to the United States economy, and high turnover rates reduce the profitability of businesses, which affects their sustainability. The general problem is millennials employed in retail are not finding adequate leadership support and alignment with their career expectations or social beliefs. This qualitative single case study involved an embedded group of millennials employed as retail managers with at least three years of supervisory experience. The purpose of this study was to explore experiences and expectations involving effective leadership. The study involved using the generational theory, cognitive model of behavior, and servant leadership theory to address how …

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Whole Health Peer Pathway And Conventional Medicine To Promote Health In Diabetic Veterans, Delcina D Augustin Doreus Jan 2022

Whole Health Peer Pathway And Conventional Medicine To Promote Health In Diabetic Veterans, Delcina D Augustin Doreus

Walden Dissertations and Doctoral Studies

AbstractThe Veterans Health Administration has been one of the first to adopt the Whole Health approach in combination with therapeutic treatment, which is recommended to promote disease management and prevention of comorbidities associated with diabetes. However, this modality has not been adopted by the health care system. The purpose of this study was to examine the association between the veterans who have been in the Whole Health Program in combination with therapeutic treatment and those who have only been focusing on the therapeutic treatment regimen. The variables were A1C levels and adhering to medication renewal to determine whether veterans in …

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