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2022

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Case Managers’ Perspectives Of Hospital Postdischarge Services For Patients Diagnosed With Coronary Artery Disease, Brian Alexander Grant Jan 2022

Case Managers’ Perspectives Of Hospital Postdischarge Services For Patients Diagnosed With Coronary Artery Disease, Brian Alexander Grant

Walden Dissertations and Doctoral Studies

The United States lacks postdischarge services, which can negatively impact hospital readmissions within 30 days. It is important for case managers to effectively leverage outpatient services to enhance patient care and reduce readmission rates. Grounded in the practice change model framework, this qualitative single case study explores the perspectives of case managers involved with postdischarge services for patients diagnosed with coronary artery disease (CAD). Participants included 13 case managers from two metropolitan hospitals in Atlanta, Georgia. To address the research problem and study purpose, data collection techniques included semi-structured interviews, case management discharge summaries, and reflective journal notes. The thematic …

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Developing A Tai Chi Education Module For Nurses, Edna Green Jan 2022

Developing A Tai Chi Education Module For Nurses, Edna Green

Walden Dissertations and Doctoral Studies

The U.S. population is living longer, which leads to challenges with chronic conditions that attack their health and well-being. Chronic diseases also cost $ 3.8 trillion dollars every year in the United States. According to the Centers for Disease Control, there are four behaviors that cause many of the chronic preventable diseases: lack of physical activity, excessive alcohol, smoking, and diet. Alternative strategies including physical activity like Tai Chi can improve health outcomes for older adults with chronic disease. The purpose of this Doctor of Nursing Practice project was to develop a Tai Chi education module for nurses who provide …

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Diabetes, Obesity, Geographic Location Of The Patient And Clostridium Difficile Infection In The United States, Mary (Maribeth) Greenway Jan 2022

Diabetes, Obesity, Geographic Location Of The Patient And Clostridium Difficile Infection In The United States, Mary (Maribeth) Greenway

Walden Dissertations and Doctoral Studies

AbstractClostridium difficile infection (CDI) is a major nosocomial threat to be reckoned with in the current health care setting in the United States. Advancing age, underlying chronic disease associated with inflammation (including Diabetes Mellitus Type I ([DMI]), Diabetes Type II ([DMII]), and obesity), trauma, immunodeficiency and other factors that diminish the overall health of an individual, and increase an individual’s susceptibility to CDI. The ecological framework was used to determine the relationship between geographic, chronic diseases and the occurrence of infectious diseases. To continue enhancing knowledge related to CDI susceptibility this quantitative study used the 2010 National Hospital Discharge Survey …

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Teaching Environment, Instructional Coaching, And Perceived Organizational Support On Educators’ Quality Of Work-Life, Patrick Terrell Hall Jan 2022

Teaching Environment, Instructional Coaching, And Perceived Organizational Support On Educators’ Quality Of Work-Life, Patrick Terrell Hall

Walden Dissertations and Doctoral Studies

In the field of education, work-life challenges are becoming a source of concern, especially during the recent global pandemic. This study sought to identify relationships between teaching environment, instructional coaching, perceived organizational support, and work-life quality. The variables in the study were measured using the following validated instruments: classroom environment scale; coaching evaluation scale; perceived organizational support scale; and the work-related quality of life scale. This research was informed by the ecological system theory, which served as the theoretical basis for the investigation. Elements of the ecological systems theory express a complex system of relationships that affects multiple levels of …

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Staff Education For Identifying, Assessing And Managing Pain In Patients With Dementia, Nadia S. Handspike Jan 2022

Staff Education For Identifying, Assessing And Managing Pain In Patients With Dementia, Nadia S. Handspike

Walden Dissertations and Doctoral Studies

Pain is a common symptom in healthcare settings, especially among patients with Alzheimer's Disease (AD). AD patients have cognitive and communication impairment making it difficult or impossible for them to communicate their pain to their caregivers or healthcare practitioners. The purpose of this project was to implement a staff education program for healthcare professionals on evidence-based practices for assessing, recognizing, and managing pain in patients with AD. The practice-focused question explored if a staff education program on identification, assessment, and management of pain in patients with AD improves the staff's knowledge, skills, and attitude towards timely and effective pain assessment …

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Integrated Care Impact On Postpartum Visit Compliance And Readmissions, Matthew Herrick Jan 2022

Integrated Care Impact On Postpartum Visit Compliance And Readmissions, Matthew Herrick

Walden Dissertations and Doctoral Studies

The specific research problem that was addressed through this study is the low rate of postpartum visits among Medicaid-enrolled women, leading to increased postpartum complications and readmissions. The purpose of this quantitative study was to evaluate if hospital readmissions can be reduced by integrated care home visiting services relating to postpartum visit compliance. The research questions evaluated the relationships between postpartum visit compliance, hospital readmissions among Medicaid-enrolled women in Indiana, and an integrated care home visiting program. The Donabedian model for quality-of-care grounds this study and is based on structure, process, and outcome. Through this model, healthcare leaders can evaluate …

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Elementary Teachers’ Perceptions Of Professional Development Effectiveness, Justin C. Hose Jan 2022

Elementary Teachers’ Perceptions Of Professional Development Effectiveness, Justin C. Hose

Walden Dissertations and Doctoral Studies

Through continuing education, educators improve their skills and become more proficient at their jobs. However, some educational leaders are unaware of the perception of teachers regarding professional development. Grounded in Desimone and Garet’s framework of best practices in teachers’ professional development, the purpose of this interpretive qualitative study was to compare that framework to what a sample of teachers believe is effective professional development based on their experiences. Data were interviews with 10 teachers with at least a year of experience in Virginia. The framework was used to compare the theory of what makes effective professional development to the actual …

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Urban Administrators Perspectives Of Exclusionary Discipline Techniques And The School-To-Prison Pipeline, Sabrina Enid Johnson Jan 2022

Urban Administrators Perspectives Of Exclusionary Discipline Techniques And The School-To-Prison Pipeline, Sabrina Enid Johnson

Walden Dissertations and Doctoral Studies

There is an overrepresentation of elementary-age, Black boys being suspended across the United States. Researchers have found that if these boys are disconnected from school at an early age, they are at risk of becoming part of the school-to-prison pipeline (STPP). Educators, particularly those in urban settings, need to understand more about the use of exclusionary discipline policies and practices. The purpose of this generic qualitative study was to understand how urban educators consider the consequences of exclusionary discipline practices and the overrepresentation of elementary-age, Black boys who receive them compared to others. Critical race theory informed this study. Ten …

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Strategies To Reverse Profit Declines At Exchanges, David L. Johnson Jan 2022

Strategies To Reverse Profit Declines At Exchanges, David L. Johnson

Walden Dissertations and Doctoral Studies

Military exchange business leaders recognize declines in profit have the potential for a loss of revenue and possible closings of the military exchange business in some locations. Grounded in Porter’s five forces model, the purpose of this qualitative single case study was to explore strategies military exchange business leaders use to reverse profit declines to remain sustainable. The participants were four military exchange managers who reversed the decline in profits and remained sustainable. Data were collected using semistructured interviews and a review of organizational documents. Through thematic analysis, three themes were identified: rivalry among existing competitors, potential development of substitutes, …

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Bullying, Participation In Violence, Suicidal Ideation, And Behavior Among African American Youth, Kierystan Lorquoyea Johnson Jan 2022

Bullying, Participation In Violence, Suicidal Ideation, And Behavior Among African American Youth, Kierystan Lorquoyea Johnson

Walden Dissertations and Doctoral Studies

Suicide is the second leading cause of death among adolescent, teens, and young adults. Suicidal ideation is a predictor of suicide attempts. Guided by the integrated motivational-volitional model and social cognitive theory, Youth Risk Behavior Surveillance Survey data were used to investigate whether traditional bullying, cyberbullying, and participation in physically violent behavior (independent variables) were associated with suicidal ideation and behavior (dependent variables) among African American high school aged youth controlling for age, gender, physical, and sexual abuse. It was found that experiencing traditional bullying increased suicidal ideation significantly, as there is an 82% increase in likelihood. There was also …

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Microaggression Experiences Among African American Women And Their Effects On Health In Academia, Anta'sha Moni Jones Jan 2022

Microaggression Experiences Among African American Women And Their Effects On Health In Academia, Anta'sha Moni Jones

Walden Dissertations and Doctoral Studies

Racial microaggressions are brief daily negative verbal behaviors and environmental slights directed as intentional or unintentional towards minorities. These negative interactions lead minorities to feel powerless and oppressed in their environments. These adverse experiences result from stressors in their environment that negatively affect the human body by causing acute and chronic stress. This qualitative study aimed to investigate the relationship between personal, racial microaggression experiences, and their impact on health through a phenomenological approach. The critical race theory provided a framework to explore and understand how systematic discrimination experiences impacted the 17 African American faculty member participants’ health. A phenomenological …

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The Difference In Compliance When Visual Education Is Present, Jamie Lenee Joseph Jan 2022

The Difference In Compliance When Visual Education Is Present, Jamie Lenee Joseph

Walden Dissertations and Doctoral Studies

Lack of patient compliance is a dangerous, widespread problem, often linked to a patient’s misunderstanding of their diagnosis or treatment plan. This project’s practice questions pertained to exploring the impact of a staff education update on visual presentation and patient evaluation with patients taking factor Xa inhibitors in oral anticoagulants and how the staff education increased patient compliance while taking these medications. A combination of the ADDIE model and Kirkpatrick model were used in the planning, development, and evaluation of this project. A pre and post evaluation survey was used to determine the efficacy of the changes made within the …

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A Qualitative Study On The Fidelity Implementation Of Response To Intervention For K–2 Students In Reading, Sandra Lee Joyner Jan 2022

A Qualitative Study On The Fidelity Implementation Of Response To Intervention For K–2 Students In Reading, Sandra Lee Joyner

Walden Dissertations and Doctoral Studies

AbstractThe problem that prompted this qualitative case study was a continuous below proficiency level performance of the kindergarten through second-grade students in a U.S. Southern state in reading, despite response to intervention (RTI) being implemented since 2011. The purpose of the study was to explore K–2 teachers’ perceptions regarding the fidelity implementation of RTI procedures in K–2 grades. The theoretical framework for this study was based on constructivist learning theory. The research questions were intended to examine K–2 teachers’ perceptions on how interventions were implemented through RTI to benefit, challenge, and address the needs of Grades K–2 struggling readers. Data …

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The Short Business Life Span Among Entrepreneurs In Aba, Southeastern Nigeria, Uche Kalu Jan 2022

The Short Business Life Span Among Entrepreneurs In Aba, Southeastern Nigeria, Uche Kalu

Walden Dissertations and Doctoral Studies

Southeastern Nigeria is known for high entrepreneurial activity. However, there is an observable high small business mortality in one of the major commercial cities, which many scholars argue could be connected to insufficient entrepreneurial development. The purpose of this qualitative transcendental phenomenological study was to explore the phenomenon of insufficient entrepreneurial development and short business life span among small and medium scale businesses in a major city of Southeastern Nigeria. Scholars have stated five years or less as the average lifespan of a small or medium scale business enterprise in Southeastern Nigeria. This study was based on the theories of …

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What Might Encourage The Male Intimate Partner Violence (Ipv) Victim To Speak Out To End The Abuse?, Dr. Madeline Kelley Jan 2022

What Might Encourage The Male Intimate Partner Violence (Ipv) Victim To Speak Out To End The Abuse?, Dr. Madeline Kelley

Walden Dissertations and Doctoral Studies

AbstractWhat Might Encourage the Male Intimate Partner Violence (IPV) Victim to Speak Out to End the Abuse? by Madeline W. Kelley MA, Walden University, 2017 BS, Liberty University, 2016 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Criminal Justice (CRJS) – Leadership; Teaching Walden University May 2021 Abstract In over 55%-80% of intimate partner violence (IPV) cases, the victim is male. Nonetheless, the police arrest the male as the perpetrator in over 80% of IPV cases. Embarrassed at being regularly beaten by his female domestic partner, the male IPV victim commonly says nothing …

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External Validation And Modification Of A 30-Day Readmission Risk Prediction Model For Heart Failure Patients, Debra Kelly Jan 2022

External Validation And Modification Of A 30-Day Readmission Risk Prediction Model For Heart Failure Patients, Debra Kelly

Walden Dissertations and Doctoral Studies

The development and validation of 30-day readmission risk prediction models, such as the LACE index, have been of interest to researchers and healthcare organizations, especially since the Centers for Medicare and Medicaid Services began to impose monetary penalties on hospitals with higher than expected 30-day readmission rates. However, there is a lack of consensus concerning the efficacy of the LACE index in the heart failure population. The purpose of the study was to examine the discriminative accuracy of the LACE index to predict all-cause 30-day readmission for heart failure patients and to build a modified 30-day readmission risk prediction model …

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Perceived Discrimination As A Moderator Of The Relationship Between Allostatic Load And Asthma Control, Vera Kern Jan 2022

Perceived Discrimination As A Moderator Of The Relationship Between Allostatic Load And Asthma Control, Vera Kern

Walden Dissertations and Doctoral Studies

While asthma prevalence in the United States is generally declining, African Americans tend to experience poorer outcomes regarding asthma severity and control. The purpose of the present study was to test whether discrimination (everyday and lifetime) moderated the relationship between allostatic load and asthma severity/asthma control (dyspnea and peak flow). In previous literature, researchers established the relationship between allostatic load and asthma severity/asthma control among African Americans. The biopsychosocial model and allostatic load theory served as the theoretical frameworks for this study. In this cross-sectional, nonexperimental, quantitative design, 201 African Americans between the ages of 34 and 82 years were …

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The Experiences Of Teenage Mothers About The Socioeconomic Aspects Of Teen Pregnancy In A Low-Income Community, Sunday Kerobo Jan 2022

The Experiences Of Teenage Mothers About The Socioeconomic Aspects Of Teen Pregnancy In A Low-Income Community, Sunday Kerobo

Walden Dissertations and Doctoral Studies

Teenage pregnancy has adverse social, economic, and health consequences for adolescents. Pregnancy in adolescence is linked to high school dropout, high unemployment, stigma, low income, financial hardships, anxiety, and depression.. The purpose of this phenomenological research study was to understand the socioeconomic factors that impact young mothers aged 17 years and younger in low-income communities. Schlossberg's transition theory guided this study. Fifteen young women ages 18 and 24 who were either pregnant or had given birth before age 17 years and under were recruited through purposive sampling and interviewed using in-depth key informant interviews. Audio recordings of interviews were transcribed, …

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Parents’ Attitudes And Beliefs About The Ipad As A Tool For Augmentative And Alternative Communication, Sarah Michele King Jan 2022

Parents’ Attitudes And Beliefs About The Ipad As A Tool For Augmentative And Alternative Communication, Sarah Michele King

Walden Dissertations and Doctoral Studies

AbstractEducators have increasingly incorporated technology tools such as the iPad into classroom learning. Available evidence suggests the potential efficacy of the iPad, but the attitudes and beliefs of parental stakeholders have often been omitted from empirical studies. There was a need to better understand parents’ attitudes about adoption of the iPad and its apps as a tool for augmentative and alternative communication (AAC) for high school students and parents’ beliefs regarding the iPad’s ease of use for meeting students’ communication needs. The purpose of this generic qualitative study was to examine those parental attitudes and beliefs. The conceptual framework was …

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Workforce Management Strategies In The International Airline Alliance Ground Staff Operations, Francis K. Kumaka Jan 2022

Workforce Management Strategies In The International Airline Alliance Ground Staff Operations, Francis K. Kumaka

Walden Dissertations and Doctoral Studies

In the 21st-century international airlines' alliance ground staff operations environment, a lack of effective strategies to ensure a diverse and inclusive workforce has the potential to affect an organization adversely. Some U.S.-based international airline alliance leaders are concerned with the lack of effective strategies to ensure an inclusive and diverse workforce, as it may negatively affect corporate sustainability and profitability. Grounded in the transformational leadership theory, the purpose of this single case study was to explore strategies U.S.-based international airline alliance leaders in ground staff operations use to successfully manage a diverse workforce to ensure organizational sustainability and profitability. Data …

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Collaboration Experiences And Perceptions In Digital Activities Among Secondary Education Teachers, Christopher Adam Lenhart Sr. Jan 2022

Collaboration Experiences And Perceptions In Digital Activities Among Secondary Education Teachers, Christopher Adam Lenhart Sr.

Walden Dissertations and Doctoral Studies

Teachers use digital activities for student collaboration; however, it is not known what digital collaboration strategies teachers implement, nor how they perceive students’ ability to apply collaboration skills in a digital environment. It is necessary to understand strategies needed by students to be able to collaborate in a digital environment. The purpose of this basic qualitative study was to explore secondary teachers’ experiences involving implementing digital collaboration strategies and their perceptions of students’ development of digital collaboration skills. Vygotsky’s social learning theory and Siemens’ connectivism theory were used to guide research questions for this study. Taken together, these theories hold …

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Early Childhood Education Teachers’ Perspectives Of Their Self-Efficacy And Knowledge In Biliteracy Instruction, Magda Levin Jan 2022

Early Childhood Education Teachers’ Perspectives Of Their Self-Efficacy And Knowledge In Biliteracy Instruction, Magda Levin

Walden Dissertations and Doctoral Studies

The number of English language learners (ELLs) in early childhood education (ECE) continues to increase, particularly with students whose first language (L1) is Spanish. Recent studies have shown the connection between teachers’ self-efficacy and student achievement, but very few specifically address early childhood education teachers’ self-efficacy and knowledge of biliteracy instruction. Grounded in Bandura’s self-efficacy theory and Krashen’s second language acquisition theory, the purpose of this basic qualitative study was to explore kindergarten (K) through third-grade teachers’ perspectives of their self-efficacy and knowledge of biliteracy instruction. Nine K through third-grade teachers responded to an online flyer, completed a demographics questionnaire, …

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Head Start Teachers' Descriptions Of Inclusion, Lawanda Katrina Lovett-Cunningham Jan 2022

Head Start Teachers' Descriptions Of Inclusion, Lawanda Katrina Lovett-Cunningham

Walden Dissertations and Doctoral Studies

AbstractA Head Start program in Southeast Georgia, teachers were struggling to provide appropriate services to students with special needs (SWSN) in inclusive settings. The purpose of this study was to explore Head Start teacher descriptions of their roles and the barriers that inhibit implementation of inclusive education for SWSN. McKenzie and Zascavage’s model of inclusion formed the conceptual framework that guided this study. The research questions for this study addressed teacher descriptions of their roles and the barriers that inhibit the implementation of inclusive teaching strategies. A basic qualitative design was used to capture the insights of 12 purposefully selected …

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An Exploration Of Medical Residency Program Managers Resolving International Medical Graduate Acculturation Challenges, Candice Melissa Love Jan 2022

An Exploration Of Medical Residency Program Managers Resolving International Medical Graduate Acculturation Challenges, Candice Melissa Love

Walden Dissertations and Doctoral Studies

AbstractInternational medical graduates (IMGs) undergo rigorous training and certification requirements for entry into medical residency programs in the United States. Despite having professional expertise and academic training, some IMGs experience acculturation challenges that negatively impact engagement and professional relationships during medical residency. Grounded in Berry’s Acculturation model and Portes and Zhou’s segmented assimilation model, the purpose of this qualitative narrative inquiry was to explore the best practices medical residency program managers developed while leading IMGs. The participants consisted of 22 U.S. medical residency program managers, directors, and coordinators who had at least 3 years of experience managing IMGs. Participants responded …

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Predictors Of Direct Support Professional Turnover At Residential Facilities For Intellectually–Developmentally Disabled Individuals, Claudio A. Lugo Jan 2022

Predictors Of Direct Support Professional Turnover At Residential Facilities For Intellectually–Developmentally Disabled Individuals, Claudio A. Lugo

Walden Dissertations and Doctoral Studies

Turnover continues to be a problem for residential settings that provide services to intellectually–developmentally disabled (IDD) individuals in the United States. The annual turnover rate in residential facilities serving IDD individuals is 45%. Close to 35% of direct support professionals (DSPs) leave their positions in fewer than 6 months and 22% within 6–12 months. Previous studies of healthcare nurses working in hospitals, nursing homes, and other healthcare settings have found that different factors, such as stress, autonomy, or lack of recognition, contribute to turnover. These factors have not been studied in DSPs working in residential facilities. This quantitative, multiple logistic …

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Assessing The Relationship Between Automated Technology Expenditure And Revenue Cycle Performance, Kelsey Macapagal Jan 2022

Assessing The Relationship Between Automated Technology Expenditure And Revenue Cycle Performance, Kelsey Macapagal

Walden Dissertations and Doctoral Studies

Despite evidence that the automation of administrative processes may lead to both cost reductions and performance benefits, there was little to no empirical evidence that holistically examined the impact of technology within the healthcare revenue cycle. The purpose of the current quantitative study was to examine the relationship between automated technology expenditure and revenue cycle performance. Correlational analyses were used to determine the relationship between automated technology expenditure and labor, revenue, and denials, respectively, within the revenue cycle of a single, multi entity health system in California. Regression analysis was used to determine the relationship between variables over a 4-year …

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Perceived Health/Safety Risks And Critical Thinking Skills In College Students Using Social Media Networking, Denise Mary Makri-Werzen Jan 2022

Perceived Health/Safety Risks And Critical Thinking Skills In College Students Using Social Media Networking, Denise Mary Makri-Werzen

Walden Dissertations and Doctoral Studies

AbstractThe 21st century has brought about an increase in the popularity of social media networking usage on a global level, especially among college students. Social connectivity has become a vital part of the daily lives of college students, providing connections with their educational, personal, and social lives. The purpose of this qualitative study was to explore the actual experiences and self-reported perceptions of health/safety risks in college students using social media networking sites and to assess whether critical thinking skills were employed. The sample size of the targeted population was 23 volunteer college students, recruited from the Walden University Participant …

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Principal Supervisors Coaching Practices For Developing School Principals' Instructional Leadership Capacity, Jamila M. Mannie Jan 2022

Principal Supervisors Coaching Practices For Developing School Principals' Instructional Leadership Capacity, Jamila M. Mannie

Walden Dissertations and Doctoral Studies

Across the United States performance expectations of principal supervisors are shifting from a focus on compliance to a focus on instructional leadership development. The problem addressed in this study was that principal supervisors were applying feedback and coaching approaches inconsistently as they addressed school principals’ growth as instructional leaders. The conceptual framework was transformational leadership, through which leaders encourage, inspire, and motivate employees to innovate and create change that can help grow and shape future academic success for the students they serve. The research questions were designed to explore how principal supervisors provide feedback and coaching to develop school principals’ …

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U.S. Military Treatment Facility Reform: Decision-Based Plan Of Action And Milestones, Sean E. Marshall Jan 2022

U.S. Military Treatment Facility Reform: Decision-Based Plan Of Action And Milestones, Sean E. Marshall

Walden Dissertations and Doctoral Studies

In 2017, the U.S. Congress mandated a specific reorganization and centralized approach in military medicine. The Air Force developed a medical reform construct to organize military treatment facilities (MTFs). The leaders of each unit are required to comply with the reorganization using internal resources with no additional funding or personnel. The purpose of this study was to deliver a plan of action and milestones (POAM) suitable for workgroup implementation to achieve the mandated health unit integration at a medium-sized MTF. The practice-focused question asked how a POAM road map guides effective decision-making. A consultancy approach was used to assist leadership …

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Strategies For Improving Companies’ Productivity And Profitability, Mioshi Marshall Jan 2022

Strategies For Improving Companies’ Productivity And Profitability, Mioshi Marshall

Walden Dissertations and Doctoral Studies

Failure of leaders to be proactive and create a plan that motivates employees to be productive often leads to disengaged employees and a decrease in productivity that negatively impacts profitability. Grounded in Vroom’s expectancy theory, the purpose of this qualitative multiple case study was to explore strategies HR managers use to increase employee commitment and retention to increase the company’s productivity and profitability. The participants were four HR managers at four organizations in Texas who manage 50 or more employees and have implemented strategies to retain committed employees to improve productivity. Data were collected from semistructured interviews and company document …

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