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2023

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A Comparison By Ethnicity Of Usage Of Medication, Intubation Use, And Mortality Rates Of Covid-19 Patients In An Urban Hospital, Howard Rubin Baruch Jan 2023

A Comparison By Ethnicity Of Usage Of Medication, Intubation Use, And Mortality Rates Of Covid-19 Patients In An Urban Hospital, Howard Rubin Baruch

Walden Dissertations and Doctoral Studies

Evidence from an urban hospital initially revealed that ethnicity had no bearing on treatment modalities or mortality among patients admitted and diagnosed with COVID-19 symptoms from January 1, 2020 to January 1, 2021. The purpose of this study was focused on answering three principal research questions concerning evidence at one hospital of differences in medication used, whether intubation was used, and mortality by ethnicity for those treated for COVID-19 while controlling for age, gender, and co-morbidities. The health belief model served as the theoretical framework. Data was collected from 1188 patient charts, and binary logistic regression was used to test …

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Clinical Social Workers’ Perceptions And Experiences Of Parental Alienation, Martinek Evans Jan 2023

Clinical Social Workers’ Perceptions And Experiences Of Parental Alienation, Martinek Evans

Walden Dissertations and Doctoral Studies

This qualitative research study aimed to explore clinical social workers’ perceptions and experiences of parental alienation (PA). Using Bowen’s family system theory as the framework, the research questions examined the problem from multiple levels of practice, including individual, family, institutional, and systematic. The individual interview approach aligned with the study goal by allowing participants opportunities to share their perspectives and experiences working with PA. The study used a purposive and snowball sampling of eight participants who were licensed social workers in the United States. Individual interview responses were transcribed and coded. Thematic content analysis was also used to analyze the …

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Educating Oncology Nurses On Identifying And Managing Cancer-Related Distress, Rosemary Vivella Irish Jan 2023

Educating Oncology Nurses On Identifying And Managing Cancer-Related Distress, Rosemary Vivella Irish

Walden Dissertations and Doctoral Studies

AbstractUp to 50% of patients diagnosed with cancer will experience significant levels of distress. Cancer is related to psychological distress and can negatively impact recovery from surgery, increase treatment side effects, and decrease overall quality of life. The National Comprehensive Cancer Network recommended screening for distress as part of comprehensive cancer care. In the practice setting, there was a need for better assessment of distress in cancer patients. The purpose of this staff education project was to address a gap in practice regarding the lack of knowledge of screening for distress by providing education to oncology nurses on how to …

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Heart Attack Related Firefighter Fatalities And Compliance With Nfpa 1582, Ernest Lindqvist Jan 2023

Heart Attack Related Firefighter Fatalities And Compliance With Nfpa 1582, Ernest Lindqvist

Walden Dissertations and Doctoral Studies

Heart attacks have been the leading cause of on-duty firefighter fatalities for many years. Firefighters are subjected to health risks due to occupational practices and exposure to hazards. Firefighter fatality investigative reports suggest that comprehensive medical screenings consistent with the National Fire Protection Association (NFPA) 1582 standard would reduce deaths from heart attacks. The purpose of this study was to explore the extent to which fire departments comply with the NFPA 1582 standard. Using contextual interaction theory and a generic qualitative inquiry design, data were collected from fire departments that had a heart attack-related firefighter fatality incident. Semistructured interviews were …

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Maternal-Early-Warning-System Education To Improve Registered Nurse Knowledge Of And Appropriate Responses To Triggers, Dawn Marie Moore Jan 2023

Maternal-Early-Warning-System Education To Improve Registered Nurse Knowledge Of And Appropriate Responses To Triggers, Dawn Marie Moore

Walden Dissertations and Doctoral Studies

The maternal early warning system (MEWS) is the single most reliable response tool to improve maternal outcomes in obstetrics. Recognition and response by nurses to the MEWS triggers was worrisome at the project site as the MEWS trigger to detect changes in the clinical conditions in obstetric patients was not applied consistently at the bedside. This project was developed to evaluate whether providing an education program on the application of MEWS to nurses in obstetrics at the practicum site would improve registered nurses’ knowledge of and appropriate responses to the MEWS trigger alarms. A literature search targeting the key words …

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Teachers’ Perceptions Of Social Emotional Learning Instruction And High Residential Mobility Students’ Reading Literacy, Janel Dorene Morris Jan 2023

Teachers’ Perceptions Of Social Emotional Learning Instruction And High Residential Mobility Students’ Reading Literacy, Janel Dorene Morris

Walden Dissertations and Doctoral Studies

Based on recommendations from research, leaders in a north Texas public school district implemented social emotional learning (SEL) to address academic gaps among high residential mobility (HRM) students. Incorporating SEL instruction improves academic achievement 11 percentile points on average; however, in Adoniram School District (ASD), 2021 passing rates fell 8% from 2019 despite adopting SEL curriculum. The purpose of this qualitative case study was to explore how ASD elementary teachers instructed SEL, and their perceptions of how SEL techniques influenced HRM elementary students’ reading literacy development. The study on social and emotional skills (SSES) conceptual framework guided this study because …

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Academic Performance And E-Cigarette Use Among Teenagers, Jeremy Tan Rondael Jan 2023

Academic Performance And E-Cigarette Use Among Teenagers, Jeremy Tan Rondael

Walden Dissertations and Doctoral Studies

Early e-cigarette use by youth has the capacity to create an early addiction to nicotine, increasing the risk of life-long dependency and the possible development of multiple cardiovascular and pulmonary diseases. Reinforced by the socioecological model, the purpose of this study was to determine if academic performance is associated with e-cigarette use among teenagers and young people and if the presence of adverse childhood events (e.g., cyberbullying in school and/or the presence of homelessness) mediated this association. This study included all respondents (N = 1,401) from the state of Nevada who answered the 2019 National Youth Risk Behavior Survey. Binary …

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Preventing Nosocomial Infections In West Central Africa Through Nurse Education, Frida Ashu Jan 2023

Preventing Nosocomial Infections In West Central Africa Through Nurse Education, Frida Ashu

Walden Dissertations and Doctoral Studies

AbstractNosocomial infections are acquired after being hospitalized. Lack of nurses’ education pertaining to nosocomial infections increase the risk of infections. Nurses working in the target facility in West Central Africa were not knowledgeable about current evidence-based infection control practices. The purpose of this project was to educate nurses on how to reduce the rate of nosocomial infections. The analysis, design, develop, implement, and evaluate model was used to guide the development of this project. Three experts evaluated the education program for content validity and usability. The program was presented as a PowerPoint to 40 health care workers via Zoom. The …

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Development Of Two Disease Specific Scales To Assess The Impact Of Severe Asthma On Patients' Lives, Joseph Lanario Jan 2023

Development Of Two Disease Specific Scales To Assess The Impact Of Severe Asthma On Patients' Lives, Joseph Lanario

School of Psychology Theses

Joseph W Lanario Title: Development of two disease specific scales to assess the impact of severe asthma on patients’ lives Asthma is a disease of the airways, characterised by airway obstruction, inflammation, and hyper-responsiveness resulting in symptoms of breathlessness, wheeze, shortness of breath and chest tightness. Severe asthma is distinct from mild/moderate asthma in terms of symptom severity, frequency of exacerbations, medication side effects and disruption to life. The increasing availability of biologic treatments have revolutionised the treatment of severe asthma. Randomised Controlled Trials (RCTs) provide evidence of their efficacy at improving objective outcomes, e.g., lung function. However, scores of …

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What Relationships Exist Between Words In The Lexical-Semantic Systems Of Toddlers?, Nadine Fitzpatrick Jan 2023

What Relationships Exist Between Words In The Lexical-Semantic Systems Of Toddlers?, Nadine Fitzpatrick

School of Psychology Theses

Investigating how infants first establish relationships between words is a necessary step towards understanding the qualitative shift children make to an organised and complex interconnected network of semantic relationships which characterises a mature, adult lexical-semantic system. Since little is known about the word-word associations in infants that establish this network of meanings (Arias-Trejo & Plunkett, 2009), this thesis sought to, first, document the word associations (WA)s that young monolingual and bilingual children produce and then compare these to adult WAs. A concurrent aim was to establish a database of child-specific WAs as a resource for future studies. Second, to understand …

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The Phonetic Specificity Of British English-Learning Infants’ Word Form Recognition In Their First Year Of Life, Paul Ratnage Jan 2023

The Phonetic Specificity Of British English-Learning Infants’ Word Form Recognition In Their First Year Of Life, Paul Ratnage

School of Psychology Theses

Consonants and vowels have been proposed to have distinct functions in speech perception: a consonant bias for lexical processing and a vowel bias for syntactic/prosodic processing (Nespor et al., 2003). Research in adults has consistently demonstrated that consonants have a privileged role in various lexical-level experiments across most languages. However, cross-linguistic differences have been found in the developmental trajectory of the consonant bias. For example, whilst French-learning infants display a consonant advantage in lexical processing tasks by their first birthday (e.g., Poltrock & Nazzi, 2015), British English-learning infants show an equal sensitivity to consonants and vowels until the age of …

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Examining The Sociolinguistic Expression Of Moral Disgust, And Investigating The Role Of The Emotion In Inter- And Intra-Group Processes., Ryan Statton Jan 2023

Examining The Sociolinguistic Expression Of Moral Disgust, And Investigating The Role Of The Emotion In Inter- And Intra-Group Processes., Ryan Statton

School of Psychology Theses

Informed by Tybur et al’s (2009) Three Domains of Disgust Model, I used a combination of qualitative and quantitative methodologies to develop and test a prototypical model of Moral Disgust and investigate how the emotion functions in both intra- and inter-group processes. I conducted thematic analysis to construct a two-factor model of Moral Disgust informed by the sociolinguistic perspective (Sankoff, 1982). The new model identified the sub-factors Hierarchical Disgust and Third-Party Disgust and extend Giner-Sorolla et al.’s (2018) two-factor model by including considerations of group and third-party protection. The new model of Moral Disgust also supports an extension of the …

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Management Of Non-Indigenous Species In The Mediterranean Sea With An Emphasis On Lionfish (Pterois Miles), Periklis Kleitou Jan 2023

Management Of Non-Indigenous Species In The Mediterranean Sea With An Emphasis On Lionfish (Pterois Miles), Periklis Kleitou

School of Biological and Marine Sciences Theses

The 21st century faces a global challenge; understanding the ecosystem changes and regulating fish resources is essential to provide food for humankind and to preserve the oceans. Marine ecosystems are being increasingly altered because of global, regional, and anthropogenic stressors such as climate change, Non-Indigenous Species (NIS), pollution, fisheries, eutrophication, and habitat loss. In an era of escalating transformations of marine ecosystems, the Mediterranean Sea is recognized as a hotspot of global biotic and abiotic changes. In recent decades, human-mediated introductions of NIS have notably reshaped the marine ecological structures and processes of the region. The Suez Canal (constructed in …

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The Appellate Body Crisis: Consent Within The Dispute Settlement Body Of The World Trade Organisation, Diana María Beltrán-Vargas, Mariana Puentes-Jaramillo, Pablo Andrés Aponte-González, Maria Alexandra Ortíz-Cabrera Jan 2023

The Appellate Body Crisis: Consent Within The Dispute Settlement Body Of The World Trade Organisation, Diana María Beltrán-Vargas, Mariana Puentes-Jaramillo, Pablo Andrés Aponte-González, Maria Alexandra Ortíz-Cabrera

Indian Journal of International Economic Law

No abstract provided.

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International Investment Agreements And Regulation Of Utilisation Of Water Resources In Africa, Dominic Npoanlari Dagbanja Jan 2023

International Investment Agreements And Regulation Of Utilisation Of Water Resources In Africa, Dominic Npoanlari Dagbanja

Indian Journal of International Economic Law

African constitutions and domestic water legislation provide for the human right to clean and safe drinking water. This right is also sourced from international human rights treaties and declarations to which African states are parties or signatories. Both municipal law and public international law impose the duties of protection and fulfilment of the right to safe drinking water on states. Domestic water laws and regulations require African states to regulate and manage the utilisation of water resources including by approving the grant of rights, concessions, or contracts in respect of the exploitation of water resources. These laws also require the …

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Unilaterally Altering The Bargain: Trips, Section 107a, And The Regulatory Review Exception Under Indian Patent Law, Eashan Ghosh, Afzal B. Khan Jan 2023

Unilaterally Altering The Bargain: Trips, Section 107a, And The Regulatory Review Exception Under Indian Patent Law, Eashan Ghosh, Afzal B. Khan

Indian Journal of International Economic Law

In 2003, Section 107A of the Patents Act wrote a regulatory review exception into Indian law. Its beholden purpose is to enable patent-protected pharmaceutical products to be brought to Indian markets quicker and in large numbers. Emboldened by a WTO decision brake-testing a similar Canadian statute, Indian pharmaceutical manufacturers have consistently claimed Section 107A benefits from domestic courts. Lately, the economic trail of these benefits has grown to implicate entities abroad. Pushback to this trend from patentees has duly arrived. It has culminated in a stack of Delhi High Court decisions in Bayer v. Union of India. Bayer writes three …

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Resistant Drug-Eluting Stent Restenosis And Resurrection Of Intracoronary Brachytherapy: The Lazarus Of Contemporary Coronary Intervention, Michael P. Savage, David L. Fischman Jan 2023

Resistant Drug-Eluting Stent Restenosis And Resurrection Of Intracoronary Brachytherapy: The Lazarus Of Contemporary Coronary Intervention, Michael P. Savage, David L. Fischman

Division of Cardiology Faculty Papers

No abstract provided.

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Masthead & Table Of Contents Jan 2023

Masthead & Table Of Contents

Dalhousie Law Journal

No abstract provided.

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Cyberscience Undergraduate Faculty And School Official Perspectives Of The Innovation And Implementation Of Curriculum For Inclusion, Robert Gerald Nordan Jan 2023

Cyberscience Undergraduate Faculty And School Official Perspectives Of The Innovation And Implementation Of Curriculum For Inclusion, Robert Gerald Nordan

Walden Dissertations and Doctoral Studies

AbstractA disproportionate number of European American male students are enrolled in cyberscience undergraduate degree programs, despite attempts to attract diverse student populations in the field. The purpose of the basic qualitative study was to gain a better understanding on how cyberscience academic experts perceive the challenges related to the disproportionate number of European American male students enrolled in cyberscience degree programs nationwide and how to attract college students from diverse backgrounds for cyberscience programs. Using Rogers’s diffusion of innovation, the research questions explored cyberscience academic expert perceptions of the challenges of enrollment in cyberscience programs and attracting students from diverse …

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Challenges With Multicultural Leadership For Project Managers: A Qualitative Multiple Case Study, Harrison Nnaemeka Nnaji Jan 2023

Challenges With Multicultural Leadership For Project Managers: A Qualitative Multiple Case Study, Harrison Nnaemeka Nnaji

Walden Dissertations and Doctoral Studies

Culturally diverse teams are becoming the norm with the rising trend of globalization. The phenomenon has been associated with a rise in the number of multicultural teams with diversified team members. The central problem addressed in this study relates to inadequate understanding of challenges posed to project managers of multicultural software development teams operating in Nigeria. The purpose of this qualitative multiple case study was to explore challenges faced by this population. Avruch’s theory of culture, the Human needs theory by Burton, and the cross-cultural adaptation theory by Kim were the conceptual frameworks for this study. Participants included 15 project …

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Employer Perceptions Of The Skills Gap In College Graduates’ Written Communication, Julie Minnaugh Jan 2023

Employer Perceptions Of The Skills Gap In College Graduates’ Written Communication, Julie Minnaugh

Walden Dissertations and Doctoral Studies

U.S. employers have reported that many college graduates are underprepared in written communication when hired and that lack of preparedness hinders these graduates’ employment success. Higher education institution (HEI) administrators need information regarding which writing skills should be taught across the curriculum to improve student outcomes. The purpose of this study was to investigate employers’ perspectives on the written communication skills gap that hinders college graduates from being successful in their professional practice. Swales’s six characteristics of a discourse community provided a conceptual lens for the study, as graduates commencing employment represent newcomers to a discourse community. A basic qualitative …

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Mindfulness Skills And Retention Risk In First-Generation Undergraduate Students, Tim Morenz Jan 2023

Mindfulness Skills And Retention Risk In First-Generation Undergraduate Students, Tim Morenz

Walden Dissertations and Doctoral Studies

First-generation college students experience more negative emotional states and higher stress levels than their continuing generation peers, take approximately two years longer to complete undergraduate degree programs, and are less than one percent likely to re-enroll in college. Mindfulness skills have been reported to alleviate anxiety and stress, improve adjustment to college, and improve academic performance, but a gap in the literature existed specific to first-generation college students. Guided by the theory of planned behavior and the monitor and acceptance theory, the purpose of this quantitative study was to examine the relationship between trait mindfulness skills and retention risk in …

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Fathers’ Perceptions Of Stress And Resiliency In Raising Children With Down Syndrome: A Qualitative Study, Latanya M. Randolph Jan 2023

Fathers’ Perceptions Of Stress And Resiliency In Raising Children With Down Syndrome: A Qualitative Study, Latanya M. Randolph

Walden Dissertations and Doctoral Studies

Little was known about how fathers perceived stress and resiliency when parenting children diagnosed with Down syndrome. Therefore, the purpose of this generic qualitative study was to explore perceptions involving stress and resiliency among fathers whose children had been diagnosed with Down syndrome and understand how stress and resiliency affected the parenting skills of those fathers who resided in Prince George's County, Charles County, or St. Mary's County in Maryland. This involved recruiting eight participants who completed semi-structured interviews where they were asked the same 10 open-ended questions. This study involved using a qualitative thematic analysis, was guided by the …

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Personal Resilience As An Interventional Strategy To Reduce Physician Burnout, Towahna D. Rhim Jan 2023

Personal Resilience As An Interventional Strategy To Reduce Physician Burnout, Towahna D. Rhim

Walden Dissertations and Doctoral Studies

AbstractPhysician burnout is prevalent in healthcare today. Contributing factors include emotional exhaustion, depersonalization, and a sense of loss of autonomy. Physician burnout negatively affects a physician’s ability to provide high quality patient care. Physician burnout indicators include poor behavior, mental decline, depression, narcotics and alcohol abuse, suicidal ideation, and suicide completion. Given the negative impact of physician burnout, it is necessary to understand what can counter this phenomenon. Through lived experiences of physicians who self-identified as burned out, the purpose of this study was to explore personal resilience as an interventional strategy to reduce physician burnout. Personal resilience is adapting …

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Clinical Research Principal Investigators’ Perspectives Of Improving The Diversity Of Clinical Research Participants, Nadine Hyacinth Spring Jan 2023

Clinical Research Principal Investigators’ Perspectives Of Improving The Diversity Of Clinical Research Participants, Nadine Hyacinth Spring

Walden Dissertations and Doctoral Studies

Clinical trials are needed to make new medications, devices, and diagnostic tools available. Participants in these clinical trials have historically come from a homogeneous group, and there is a recognized need for increased diversity and representation in these clinical research studies. The absence of diversity in clinical trials makes it difficult for clinicians and researchers to know which medications and devices are safe and effective for specific populations. This basic qualitative phenomenological study was conducted to explore the experiences of clinical research principal investigators regarding diversity in clinical research studies and how to improve it. The theoretical framework for this …

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How Elementary Teachers Implement The Eureka Mathematics Curriculum To Improve Mathematics Outcomes, Shannell A. Swan-Clarke Jan 2023

How Elementary Teachers Implement The Eureka Mathematics Curriculum To Improve Mathematics Outcomes, Shannell A. Swan-Clarke

Walden Dissertations and Doctoral Studies

Many states use research-based mathematics curricula as an instructional tool to improve mathematics performance outcomes on state assessment scores. The problem was that despite the implementation of a research-based curriculum, students at XYZ Elementary School (pseudonym) had underperformed on the Partnership for Assessment of Readiness for College and Careers standardized mathematics tests since 2018. The purpose of this basic qualitative study was to discover the implementation practices of teachers using the Eureka Mathematics Curriculum to improve student outcomes at XYZ Elementary School. Dewey’s experiential learning theory was used to support and explore ideas involving the influences of curriculum implementation on …

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Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton Jan 2023

Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic increased the need for research and discussions about trauma, trauma-informed care (TIC), and care delivery processes. Little is known about how nurses recognize, assess, treat, and support patients who experience trauma although knowledge of TIC is important for delivering care to trauma survivors. The purpose of this qualitative descriptive study was to explore nurses’ perceptions of TIC principles and their experiences delivering care to patients with psychological trauma. Harris and Fallot’s TIC theory was used to guide the study. Purposeful sampling was used to recruit ten nurses for individual semi structured interviews using open-ended questions conducted via …

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Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams Jan 2023

Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams

Walden Dissertations and Doctoral Studies

When children enter kindergarten, they are expected to demonstrate an interrelated set of skills and competencies including pre-academic skills, cognitive abilities, socioemotional well-being, and physical health. The problem that was the focus of this study was that many students who complete prekindergarten are not ready for kindergarten. Guided by Garcia’s kindergarten readiness framework, the purpose of this basic qualitative study was to increase understanding of the perspectives of parents and prekindergarten teachers regarding their role in developing kindergarten readiness, and the factors they believe support or hinder their efforts. Eight prekindergarten teachers and 8 parents of prekindergarten students from one …

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Effective Succession Planning And Organizational Development For Behavioral Health Leadership, Amanda Brown Jan 2023

Effective Succession Planning And Organizational Development For Behavioral Health Leadership, Amanda Brown

Walden Dissertations and Doctoral Studies

High turnover rates can challenge an organization's ability to provide quality care to clients, maintain a safe environment, and achieve strategic goals. Effective retention strategies can allow the organization to grow and develop to continue to provide services for those in need. The focus of this study was identifying how an organization can improve its retention strategies, create succession plans, and decrease turnover to encourage organizational growth. The Baldrige Excellence Framework was used to guide the study, focusing on leadership, workforce, operations, and management. Data were collected through multiple sources. Semi structured interviews were used to gather data through open-ended …

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U.S. Navy Senior Enlisted Women Career Barriers To Success, Angela Campbell Jan 2023

U.S. Navy Senior Enlisted Women Career Barriers To Success, Angela Campbell

Walden Dissertations and Doctoral Studies

Active-duty military, senior female enlisted leaders in grades E7-E9 are underrepresented in the Navy due to navigating organizational, social, and cultural barriers. The purpose of this qualitative transcendental phenomenology study was to explore the lived experiences of U.S. Navy retired senior enlisted women who served in pay grades E7-E9 in the United States, overcame career barriers, and achieved success in a male-dominated organization. This transcendental phenomenological study’s research questions focused on the experiences of U.S. Navy senior enlisted women who overcame career barriers and achieved career success in a male-dominated organization. The career resilience framework was used to assess the …

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