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2022

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

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

Walden Dissertations and Doctoral Studies

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

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

Clinical Practice Guidelines For Type 2 Diabetes Patients, Rajeena Varghese

Walden Dissertations and Doctoral Studies

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

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Factors Associated With The Uptake Of Hiv Testing Among African American Male College Students, Brittney Sade Washington-Ball,Drph Jan 2022

Factors Associated With The Uptake Of Hiv Testing Among African American Male College Students, Brittney Sade Washington-Ball,Drph

Walden Dissertations and Doctoral Studies

HIV testing rates are much lower among African American male college students than male college students of other racial groups. Routine HIV testing on college campuses can decrease HIV rates among African Americans and increase students' awareness of their HIV status. This study was an investigation of factors associated with HIV testing among a sample of 140 African American male college students. The health belief model guided the research study and served as the theoretical framework to examine the influence of factors such as the location of testing, STD status, number of sexual partners, insurance coverage, health information, and alcohol …

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Case Study: Strengths Weaknesses Opportunities And Threats Analysis For My Brother’S Keeper Organization, Tyriek Bobby Washington Jan 2022

Case Study: Strengths Weaknesses Opportunities And Threats Analysis For My Brother’S Keeper Organization, Tyriek Bobby Washington

Walden Dissertations and Doctoral Studies

In this case study, strategies to increase the impact of mentorship programs and academic success of African American high school students were examined through the use of a strengths, weaknesses, opportunities, and threats (SWOT) analysis. The purpose of this case study was to gather empirical data to identify opportunities for First Generation College Bound, Inc., an affiliate of the My Brother’s Keeper (MBK) initiative to strategically improve and expand their program. The research question focused on identifying the programs’ current administrative practices as well as areas to better engage and support mentees. Using the conceptual framework of Hersey and Blanchard’s …

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The Postintervention Return To Traffickers By Minor Victims Of Domestic Sex Trafficking, Angela Denise Washington Jan 2022

The Postintervention Return To Traffickers By Minor Victims Of Domestic Sex Trafficking, Angela Denise Washington

Walden Dissertations and Doctoral Studies

Domestic minor sex trafficking (DMST) is a human rights problem that plagues all sizes of U.S. communities. The phenomenon of young sex trafficking victims returning to their trafficker after intervention by law enforcement and social services professionals exacerbates the DMST problem. The purpose of this qualitative study was to learn the perceptions of professionals who work with DMST youths to help understand (a) The reasons DMST victims return to their traffickers after intervention and (b) strategies that might reduce the likelihood of such returns. The study had three conceptual frameworks: social learning theory, routine activities theory, and anomie theory. Data …

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Nurse Staffing And Leadership Support On In-Patient Hospital Safety, Kearia Deresa Watson-Orr Jan 2022

Nurse Staffing And Leadership Support On In-Patient Hospital Safety, Kearia Deresa Watson-Orr

Walden Dissertations and Doctoral Studies

In-patient hospital safety relates to healthcare facilities protecting patients from medical errors. The “problem of many hands” exists, where there is a gap in understanding who is responsible for in-patient hospital safety, nurse staffing, or leadership support. The purpose of this quantitative study was to determine the association between nurse staffing (nurse-to-patient ratios and hours worked) and in-patient safety (perception of in-patient safety by nurses) as well as the association between leadership support (work climate promotes patient safety and actions of hospital management to show that patient safety is a top priority) and in-patient safety (perception of in-patient safety) based …

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Social Media Analytics Use Among Small Business Owners, Melody White Jan 2022

Social Media Analytics Use Among Small Business Owners, Melody White

Walden Dissertations and Doctoral Studies

As of January 2018, small businesses created 47.5% of private jobs in the United States, but little is known about whether and why small business owners use social media analytics. This topic is important because social media analytics assist businesses in identifying social media effectiveness, gaining new customers, and staying connected with current customers. The purpose of this generic qualitative research study was to explore the use of social media analytics by small business owners, which can increase customer interaction and help monitor company perception and effectiveness. The conceptual foundation used in this study was the technology acceptance model. The …

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Substance Abuse Disorders And Veteran Homelessness, Donald Rufus Williams Jan 2022

Substance Abuse Disorders And Veteran Homelessness, Donald Rufus Williams

Walden Dissertations and Doctoral Studies

AbstractVeterans constitute a significant proportion of the homeless population in the United States. Studies indicate that substance abuse is a major issue these veterans face that can result in homelessness. Despite improvement since 2009, substance abuse among this population remains a significant problem. The objective of this study was to gain a better understanding of the experiences of homeless and substance-abusing veterans to provide information to government agencies that may help them develop a practical approach for addressing the issue. The social cognitive theory and Lowry's dimension on federalism provided the theoretical framework for this study. A general qualitative research …

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Cultural Responsiveness In Policing, Stacy Berry Workman Jan 2022

Cultural Responsiveness In Policing, Stacy Berry Workman

Walden Dissertations and Doctoral Studies

Over the last decade, headlines have highlighted police-citizen conflicts. With the continuing change in communities to an increasingly diverse population, communication and interactions between officers and citizens must progress towards fairness and transparency. The delivery of culturally competent public safety services facilitates more favorable client outcomes, more effective interpersonal communication, and increased service satisfaction from clients. Although this is heavily stressed in public safety agencies and can decrease the possibility of tort liability for failing to provide adequate services or appropriate treatment, the emphasis varies. The purpose of this phenomenological study was to explore the policies and influences of law …

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Applying Situational Crime Prevention To Terrorism Against Stadiums, Emanuel Maurice Yeoman Jan 2022

Applying Situational Crime Prevention To Terrorism Against Stadiums, Emanuel Maurice Yeoman

Walden Dissertations and Doctoral Studies

According to recent studies, there has been increasing concern of terrorist threats to U.S. stadiums. The research problem is that existing U.S. stadium policies, procedures, and plans do not adequately address evacuation of special populations in the event of a terrorist threat. There is a particular concern regarding the adequacy of existing stadium evacuation plans for patrons with special needs. In the current study there were three research questions examining the organizational deficiencies and best practices of stadium evacuation plans currently in place to respond to terrorist threats How situational crime prevention (SCP) can help in the identification of deficiencies …

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

Sustainability Strategies Of Small Nigerian Restaurants, Omotayo A. Adeniyi

Walden Dissertations and Doctoral Studies

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

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Strategies Small Business Human Resources Leaders Use To Reduce Voluntary Employee Turnover, Kristina Afonso Jan 2022

Strategies Small Business Human Resources Leaders Use To Reduce Voluntary Employee Turnover, Kristina Afonso

Walden Dissertations and Doctoral Studies

Small businesses are negatively affected when employees voluntarily leave their jobs. Small business human resources (HR) leaders who implement strategies can enhance employee job satisfaction to reduce voluntary employee turnover. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple case study was to explore strategies small business HR leaders use to reduce voluntary employee turnover. The participants were five small business HR leaders from five different organizations in southern California who successfully implemented strategies to reduce voluntary employee turnover. Data were collected from semistructured interviews and company document reviews. Data were analyzed using Yin’s five phases. Three themes …

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Examining Nigerian Immigrant Perceptions Regarding U.S. Government Settlement Support Programs, Ifeoma C. Ana Jan 2022

Examining Nigerian Immigrant Perceptions Regarding U.S. Government Settlement Support Programs, Ifeoma C. Ana

Walden Dissertations and Doctoral Studies

Globalization increases international mobility, causing people to migrate for various reasons. The critical problem of migration is integrating migrants into their host communities. Nigerian immigrants are the most educated African immigrants to the United States, yet they struggle with integration barriers. Notwithstanding the extensive literature on why Nigerians emigrated and the challenges they face after immigration, no research existed on the impact of U.S. government policies and programs on integrating Nigerian immigrants into society. This narrative study explored Nigerian immigrants' perceptions regarding the impact of the U.S. government settlement and support programs on their integration into American society. The conceptual …

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The Contribution Of Socioeconomic Status, Stress, And Happiness To Substance Abuse Among Adults In America, Volaura Anderson Jan 2022

The Contribution Of Socioeconomic Status, Stress, And Happiness To Substance Abuse Among Adults In America, Volaura Anderson

Walden Dissertations and Doctoral Studies

AbstractThe problem studied was that by 2025, over 5 million adults in the United States will likely be suffering from different disorders caused by substance use. Therefore, the purpose of this quantitative, nonexperimental study was to investigate the relationship between socioeconomic status (SES), stress, happiness, and the frequency of drug use amongst adults over the age of 45 years who resided in the State of Florida and were currently enrolled in a substance use recovery program. The stress process model guided this study and the research questions focused on determining any relationships between frequency of drug use, SES, stress, and …

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Leadership Strategies That Reduce Voluntary Turnover Among Millennials, Yesenia Andrade Jan 2022

Leadership Strategies That Reduce Voluntary Turnover Among Millennials, Yesenia Andrade

Walden Dissertations and Doctoral Studies

Decreased performance from high employee turnover can result in lower organizational profitability. Business leaders of sales organizations who lack leadership strategies to reduce voluntary turnover experience high turnover rates among millennials and observe significantly lower organizational productivity and profitability. Grounded in transformational leadership theory, the purpose of this qualitative multiple case study was to explore what strategies some business leaders in sales organizations used to reduce voluntary turnover among millennial employees. The participants comprised five leaders in sales organizations from Southern California who experienced a reduction in voluntary turnover among their millennial employees. Data were collected from semistructured interviews and …

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Understanding How Healthcare Social Workers Respond To Adult Medical Trauma, Sonya Anthony Jan 2022

Understanding How Healthcare Social Workers Respond To Adult Medical Trauma, Sonya Anthony

Walden Dissertations and Doctoral Studies

Medical trauma in the hospital is a growing health disparity often accompanied by social determinants. Assisting in alleviating disparities and social determinants is a standard of care embedded in social work practice. This research was conducted to examine healthcare social workers’ experiences responding to and managing the psychosocial impacts of adult medical trauma in an acute inpatient environment. The goal of the research was to identify if a need exists for trauma-informed training among healthcare social workers. The research question examined how healthcare social workers respond to medical trauma. The model of case management, trauma-informed care, and systems theory were …

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Adverse Childhood Experiences And Hiv Risk Behaviors Among Transgender Populations, Linda Baggio Jan 2022

Adverse Childhood Experiences And Hiv Risk Behaviors Among Transgender Populations, Linda Baggio

Walden Dissertations and Doctoral Studies

Adverse childhood experiences (ACEs) have a negative impact on health and have created a social challenge in managing HIV risk behavior in the transgender population. The aim of this study was to determine the association between ACEs and HIV risk behavior among the transgender population and identify the association between ACE score (1, 2, 3, 4, or more) and HIV risk behavior among the transgender population. This involved a quantitative methodology using a Behavioral Risk Factor Surveillance System (BRFSS) questionnaire to obtain data from 323 transgender participants. Multivariable regression analyses were conducted to determine the association between ACEs and HIV …

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Factors Impacting Vicarious Traumatization In Metropolitan Law Enforcement Officers, Falisa Asberry Jan 2022

Factors Impacting Vicarious Traumatization In Metropolitan Law Enforcement Officers, Falisa Asberry

Walden Dissertations and Doctoral Studies

AbstractThe exposure to work-related trauma and the relationship to gender, age, years of service, and education level and their impact on the development of vicarious traumatization (VT) on metropolitan law enforcement officers has been underexamined. This quantitative correlational study aimed to examine whether the mediating variable resilience, along with the independent variables gender, age, years of service, and level of education, impacted the dependent variable VT. The constructivist self-development theory and the resilience theory were used as the framework for the study. The professional quality of life scale was used to measure the independent variables and VT. The resilience scale …

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Predictors Of Time Spent Counseling: Counselors’ Professional Identity, Counseling Competencies, And Principal Relationship, Lori P. Barthel Jan 2022

Predictors Of Time Spent Counseling: Counselors’ Professional Identity, Counseling Competencies, And Principal Relationship, Lori P. Barthel

Walden Dissertations and Doctoral Studies

This quantitative study was an inquiry into whether Louisiana school counselors’ perceptions of their professional identity, quality of principal-school counselor relationships, and confidence level (self-efficacy) of providing school-based mental health services (SBMHS) including counseling skills, addressing student issues, and working with students who have a Diagnostic and Statistical Manual diagnosis influence the frequency of counseling services provided to K-12 students. The theoretical lenses were the leader-member exchange theory and social cognitive theory. The hypotheses were that Louisiana school counselors (N=147) who identify as mental health providers working in a K-12 school setting with higher ratings of relationship quality with their …

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Faculty Perception: Developing Critical Thinking In New Graduate Associate Degree Nurses, Joyet Belcher Jan 2022

Faculty Perception: Developing Critical Thinking In New Graduate Associate Degree Nurses, Joyet Belcher

Walden Dissertations and Doctoral Studies

Despite national nursing exams that assess critical thinking, new nurses do not fully develop the skills to think critically. The literature review revealed that the lack of critical thinking endangers patients' lives. This study's purpose was to investigate how students are supported by college faculty in their knowledge of critical thinking to ensure they are prepared to care for patients. Participants were a purposeful sample of full-time nursing educators with doctoral or master's degrees in nursing, familiar with critical thinking, who have taken nursing students to clinical settings. The study had a basic qualitative design with 8 semistructured interviews. The …

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Low Income African American Parents Experiences Managing Obese Young Children Weight Loss, Angela Berry Jan 2022

Low Income African American Parents Experiences Managing Obese Young Children Weight Loss, Angela Berry

Walden Dissertations and Doctoral Studies

February 2022 Abstract In the United States, 17% of children between the ages of two to 19 years are diagnosed with obesity more than any other chronic health condition. African American children living in the United States have an obesity rate of 22% compared to White children who have an obesity rate of 14.1%. These high obesity rates created situations in which these children are likely to experience significant lifelong health problems. The purpose of this descriptive qualitative phenomenological study was to describe the experiences of African American parents of low-income managing weight-loss in their young children with obesity between …

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Culinary Employees’ Lived Experiences Of Abusive Leadership And Perspectives Of Its Impact On Individual And Organizational Performance, Louise Elizabeth Black Jan 2022

Culinary Employees’ Lived Experiences Of Abusive Leadership And Perspectives Of Its Impact On Individual And Organizational Performance, Louise Elizabeth Black

Walden Dissertations and Doctoral Studies

More than half of U.S. employees will have an abusive manager at some point in their careers. Although the adverse impacts of an abusive leader on organizations have been well established, much less is known about the phenomenon in the culinary industry specifically and how experiences of abusive leadership affect employees in the sector. The purpose of this qualitative interpretative phenomenological study was to understand the lived experiences of culinary employees who are affected by abusive leadership relationships and the impact of such leadership on individual and organizational performance. The conceptual framework used in this study included those pertaining to …

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Perceptions Of Human Interactions In Adult Patients After Using Digital Therapeutic Mobile Applications, Traci Brakefield Jan 2022

Perceptions Of Human Interactions In Adult Patients After Using Digital Therapeutic Mobile Applications, Traci Brakefield

Walden Dissertations and Doctoral Studies

AbstractWhile the use of technology in healthcare has been present for many years, the recent rise of digital therapeutics in healthcare has been understudied, specifically regarding the perceptions and experiences of patients using mobile applications. Traditional healthcare involves face-to-face human interactions, requiring scheduled check-ins and provides structured interventions. Conversely, Digital therapeutics is primarily comprised of human to machine interactions. Digital therapeutics allows the user to access intervention in their time of individual need. The decrease of human-to-human interaction and the rise of human-to-machine interaction was explored in this qualitative descriptive phenomenological study from the patient perspective. Watson’s theory of human …

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Factors Causing Commercial Leaders In U.S. Multinational Pharmaceutical Businesses To Change Companies, Robert J. Britting Jr Jan 2022

Factors Causing Commercial Leaders In U.S. Multinational Pharmaceutical Businesses To Change Companies, Robert J. Britting Jr

Walden Dissertations and Doctoral Studies

Employee turnover in U.S. multinational pharmaceutical companies remains high, even though U.S. multinational pharmaceutical companies offer competitive salaries and benefits compared to other large industries. A recent survey found that 67% of 2,400 pharmaceutical leaders would be looking for a new job within 12 months and that general employee turnover costs organizations 70% to 300% of each employee's salary. The purpose of this case study was to explore the factors that cause commercial leaders from mid- to large-size U.S. pharmaceutical companies to seek employment outside of their organization. Lewin’s three-stage model of unfreezing, moving, and refreezing, along with the psychology …

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The Role Of Child And Adult Sexual Fantasies And Criminal Paraphilia Involving Serial Sexual Murderers, Heather Brown Jan 2022

The Role Of Child And Adult Sexual Fantasies And Criminal Paraphilia Involving Serial Sexual Murderers, Heather Brown

Walden Dissertations and Doctoral Studies

Childhood trauma may be a reason a child develops maladaptive coping mechanisms such as sexual fantasies and paraphilia. These coping mechanisms increase in intensity, leading to sexual violence to gain a sense of power and control. Even though researchers have identified that serial sexual killers suffer from child and adult sexual fantasies and criminal paraphilia, details of the sexual fantasies and paraphilia have not been examined. The purpose of this qualitative exploratory case study was to explore the role of child and adult sexual fantasies and criminal paraphilia involving serial sexual murderers. Hickey’s trauma-control model and relational paraphilic attachment theory …

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Perceived Barriers To Health Care Access And Delivery Among Arkansas Medicaid Beneficiaries, Kimbra D. Butler Jan 2022

Perceived Barriers To Health Care Access And Delivery Among Arkansas Medicaid Beneficiaries, Kimbra D. Butler

Walden Dissertations and Doctoral Studies

Arkansas has historically been one of the lowest ranking states in the United States in education, economy, opportunity, crime and corrections, and health care. Though more than 3 million Arkansans live in the state, nearly 1 million receive Medicaid-funded health insurance. This phenomenological study employed a constructivist paradigm and focused on the perceptions of underserved Arkansans regarding their health and their access to health care; additionally, within this study, the Health Belief Model shifted the study’s focus to individuals’ perspectives, perceptions, experiences, and opinions through interview responses. The research was intended to identify factors that may relate to the higher …

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Communication Strategies To Enhance Productivity For Virtual Advertising Account Executives, Gregory Scott Christman Jan 2022

Communication Strategies To Enhance Productivity For Virtual Advertising Account Executives, Gregory Scott Christman

Walden Dissertations and Doctoral Studies

AbstractSignificant communication challenges experienced by leaders in managing virtual dispersed teams can hinder production schedules, completion timelines, and service to stakeholders. Grounded in situational leadership theory, the purpose of this qualitative single case study was to explore communication strategies three online automotive managers used to motivate virtual sales team members to maintain productivity in California, Washington, Oregon, and Idaho. Data were collected from semistructured interviews and a review of organizational documents, including performance reports, and were interpreted using thematic analysis. The three primary themes that emerged were (a) accountability, (b) leadership communication and engagement practices, and (c) leadership role in …

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Child Sexual Abuse And Its Effects On A Young Adult Relationship With A Sexual Partner, Friends, And Community, Miriam Cires Jan 2022

Child Sexual Abuse And Its Effects On A Young Adult Relationship With A Sexual Partner, Friends, And Community, Miriam Cires

Walden Dissertations and Doctoral Studies

AbstractIn the United States, child sexual abuse is a significant public health issue, but society lacks awareness and its consequences. Therefore, little is known about the influence of sociodemographic factors on a sexually abused child and the quality of relationships as a young adult. A quantitative cross-sectional study based on the social-ecological model was carried out to assess whether the presence of sexual abuse, age of abuse, frequency of abuse, abusive kindship, race, and sex predict in a sexually abused child inappropriate relationships as a young adult. Logistic regression analyses were conducted using secondary data collected from 1300 children and …

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Strategies For Family-Owned Small Business Succession Planning, Paul Andrew Clennon Jan 2022

Strategies For Family-Owned Small Business Succession Planning, Paul Andrew Clennon

Walden Dissertations and Doctoral Studies

Family-owned businesses (FOBs) have been an important economic force in the United States for many centuries, yet only 30% of FOBs survive the second generation. Family business owners want their businesses to survive and remain in the family. Through the prism of the socioemotional wealth theory, the aim of this qualitative multiple case study was to explore strategies family-owned small business owners use to transfer the entity to members of their family. Seven family business owners from the U.S. state of Alabama provided the primary data for this study via their participation in semistructured interviews. Thematic analysis was used to …

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Strategies To Reduce Technostress On Corporations’ Employees, Kenneth Michael Coble Jan 2022

Strategies To Reduce Technostress On Corporations’ Employees, Kenneth Michael Coble

Walden Dissertations and Doctoral Studies

Technostress is a phenomenon that hurts the performance of corporations and employees. Technology managers must identify strategies to reduce technostress, as technostress causes employee burnout and absenteeism, reducing employee performance and the corporation’s productivity and ability to remain financially stable. Grounded in transformational leadership theory, the purpose of this qualitative multiple case study was to explore leadership strategies technology managers use to minimize technostress. The participants were nine business leaders in the United States who implemented strategies to minimize technostress. Data were analyzed using Yin’s five components of case study data analysis. Five main themes were identified: (a) tech-break; focus …

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