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2023

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Auto-Theft Coverage In New Jersey-Based Online News Articles From 2017–2022, Tyler Michael Johnson Jan 2023

Auto-Theft Coverage In New Jersey-Based Online News Articles From 2017–2022, Tyler Michael Johnson

Walden Dissertations and Doctoral Studies

News organizations at both the local and national level report current events through many platforms, including print media, online news media, television programming, and social media posting. All these mediums have virtually unlimited reach as the internet, social media, and smartphones have proliferated globally. A popular topic reported by the media is crime. This study was focused on how crime, specifically auto theft, has been reported on by New Jersey web-based news organizations and public officials in the past 5 years. To obtain a local perspective, three news organizations were randomly selected from the News Bank archive, and all articles …

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Strategies To Increase Emergency Department Patient Flow, Judith Faith Jones Jan 2023

Strategies To Increase Emergency Department Patient Flow, Judith Faith Jones

Walden Dissertations and Doctoral Studies

AbstractOvercrowding in emergency departments (EDs) is a systemic issue, resulting in inefficiencies affecting patient care quality. Hospital leaders struggle with reducing bottlenecks in EDs and providing a better patient care experience. Grounded in the general systems theory, the purpose of this qualitative single case study was to explore strategies used to reduce inefficiencies in EDs. The participants included five directors, administrators, and clinical managers from a hospital ED in Idaho Falls, Idaho, who successfully used strategies to reduce inefficiencies in EDs. Data were analyzed from semistructured interviews and a review of organization documents and artifacts following Yin’s five-step data analysis …

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Continuous Vascular Access Education For Health Care Staff, Denise R. Jones Jan 2023

Continuous Vascular Access Education For Health Care Staff, Denise R. Jones

Walden Dissertations and Doctoral Studies

AbstractEnd-stage renal disease is a growing public health problem associated with high healthcare costs and high morbidity and mortality rates. Dialysis patients’ vascular access is a critical component to their survival, and knowledge in managing patients’ vascular access can reduce access complications and improve vascular access outcomes including in community settings. This DNP project is an education program developed for healthcare staff who attend church services to provide ongoing vascular access education to address vascular access outcomes in dialysis patients. The education project was developed using the ADDIE model. The site of the project was a rural city in the …

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Identifying Supervision And Training Needs Within A Native American Reservation Co-Occurring Treatment Program, Jennifer Jones Jan 2023

Identifying Supervision And Training Needs Within A Native American Reservation Co-Occurring Treatment Program, Jennifer Jones

Walden Dissertations and Doctoral Studies

Native American rural communities are not without substance abuse treatment needs; however, highly skilled mental health providers are often limited on a reservation, which leaves this population with clinicians with less experience and education. This project is a case study of a substance abuse treatment program within a Native American tribe in the western portion of the United States. The practice-focused research questions directly related to the training, certification, and education of staff in the addiction field, and to the ways in which the program evaluated the efficiency and effectiveness of the staff members. The purpose of this study was …

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Relationship Between Screentime And Depressive Symptoms And Associated Mediators For African American Adolescents In The United States, Brittney Jones Jan 2023

Relationship Between Screentime And Depressive Symptoms And Associated Mediators For African American Adolescents In The United States, Brittney Jones

Walden Dissertations and Doctoral Studies

The prevalence of adolescent depression in the United States is increasing as adolescents’ use of electronic screen devices increases. Some studies have found associations between screentime and adolescent depression, and other researchers have posited that screentime is not intrinsically harmful. High screentime in African American adolescents may place them at risk for worse depressive symptom outcomes, but the relationship between screentime and depressive symptoms for this population is unknown. The three research questions of this study addressed whether there is a relationship between screentime and depressive symptoms in African American adolescents, and whether sleep duration and the frequency of physical …

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Impact Of An Outpatient Chronic Care Model On Uninsured Inpatient And Emergency Department Utilization, Jamie L. Judd Jan 2023

Impact Of An Outpatient Chronic Care Model On Uninsured Inpatient And Emergency Department Utilization, Jamie L. Judd

Walden Dissertations and Doctoral Studies

AbstractHealthcare systems incur significant uncompensated costs due to uninsured chronic disease patients’ overutilization of urgent and emergent emergency care. This study was important because there was very little literature addressing the impact of the chronic care model (CCM) on reducing uncompensated healthcare system costs regarding patients with chronic disease. The purpose of the study was to investigate whether the Healthy Education Lifestyles Program (HELP) was of any significance to healthcare system’s cost of uninsured chronic disease patients. The theoretical foundation for the study was the CCM espoused by Wagner and colleagues. The research questions were to determine significant differences in …

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Recruitment And Retention Of Health Care Workers In Rural Areas, Robbie Marie Julian Jan 2023

Recruitment And Retention Of Health Care Workers In Rural Areas, Robbie Marie Julian

Walden Dissertations and Doctoral Studies

Health care worker shortage is a global problem and is challenging for human resources managers. Human resource managers need more strategies to recruit and retain healthcare workers in rural areas to decrease healthcare worker shortages, unemployment rates, patient morbidity, and mortality rates. Grounded by Maslow’s hierarchy of needs theory, the purpose of this qualitative multiple case study was to explore strategies human resource managers use to recruit and retain healthcare workers in rural areas. The participants were three managers from Southern Louisiana rural area medical facilities with at least 5 years of experience developing and implementing successful recruitment and retention …

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The Effect Of Federal And State-Level Policy On Undocumented Childhood Arrivals, Kim Kaczmarowski Jan 2023

The Effect Of Federal And State-Level Policy On Undocumented Childhood Arrivals, Kim Kaczmarowski

Walden Dissertations and Doctoral Studies

Deferred Action for Childhood Arrivals (DACA) provides a 2-year reprieve from deportation and a work permit for eligible undocumented childhood arrivals. It does not provide a pathway to citizenship or confer rights or protections enjoyed by those with permanent legal status leaving recipients in a constant state of legal limbo. State-level policy can mitigate or exacerbate obstacles faced by this population. The purpose of this generic qualitative study was to explore how federal and state-level policy in a conservative location shaped experiences of membership or exclusion. Responses were examined using segmented assimilation theory to identify layered contexts of reception. The …

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Traditional Healing And Biomedicine Use In Urban American Indians Living With Diabetes, Elin Elise Kambuga Jan 2023

Traditional Healing And Biomedicine Use In Urban American Indians Living With Diabetes, Elin Elise Kambuga

Walden Dissertations and Doctoral Studies

The purpose of this interpretative qualitative study was to describe influences that affect the use of traditional healing and biomedical health services for type 2 diabetes to help health educators develop more culturally competent diabetes education programs for urban American Indian/Alaska Native (AI/AN) communities in the United States. The theoretical framework used for this study was the social ecological model (SEM). Using the SEM, the research questions were crafted to explore experiences of participants connected to personal, interpersonal, community, institutional, policy, and educational factors that influenced the use of traditional healing and biomedical health services. Urban AI/AN adults living in …

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Marketing Efforts To Reengage Consumers In Cancer Screenings During The Covid-19 Pandemic, Angela M. Kasel Jan 2023

Marketing Efforts To Reengage Consumers In Cancer Screenings During The Covid-19 Pandemic, Angela M. Kasel

Walden Dissertations and Doctoral Studies

In 2020, U.S. hospitals became overwhelmed by patients with the viral illness COVID-19. Health systems were advised by the U.S. Surgeon General and Centers for Disease Control and Prevention to suspend elective procedures, including mammograms, colonoscopies, and lung computed tomography scans. The purpose of this quantitative study was to investigate whether there was a significant difference in completed appointments, cancer screenings, and cancer diagnoses in consumers receiving targeted direct mail and email communications during the COVID-19 pandemic, based on age, gender, and geographic location. The elaboration likelihood model of persuasion, which emphasized the use of marketing to change consumer behaviors …

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Exploration Of Nurses' Knowledge About Healthcare For Transgender Patients, Elizabeth Kempt Jan 2023

Exploration Of Nurses' Knowledge About Healthcare For Transgender Patients, Elizabeth Kempt

Walden Dissertations and Doctoral Studies

AbstractThe transgender population is growing, and along with the population growth, the healthcare needs for gender transitioning of both medical and surgical procedures. Registered nurses (RNs) who care for hospitalized transgender patients are required to be knowledgeable about their care, yet little is known about what nurses know about the healthcare of the transgender patient. The purpose of this basic qualitative study, guided by Benner’s novice to expert theory, was to explore the knowledge and perceptions of RNs regarding healthcare of transgender persons undergoing transition to the opposite gender. Social media and snowball sampling were used to recruit 10 RNs …

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Association Of Socioeconomic Status And Marital Status With Genuine Halitosis Among Dental Patients In Sudan, Eiman Abd Almonim Khidir Jan 2023

Association Of Socioeconomic Status And Marital Status With Genuine Halitosis Among Dental Patients In Sudan, Eiman Abd Almonim Khidir

Walden Dissertations and Doctoral Studies

AbstractThe prevalence of halitosis has been rising in recent years and has become a social and public health problem worldwide. People’s concerns about halitosis can influence their psychological, social, and professional lives and lead to social isolation and anxiety. The purpose of this quantitative cross-sectional study was to examine the association of socioeconomic status and marital status with genuine halitosis after adjusting for age, gender, and smoking among patients attending dental clinics in Khartoum, Sudan. The social-ecological model grounded the study. Secondary data from dental clinics in Khartoum, Sudan, were used with a sample size of 340. Data analysis included …

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Factors Influencing Newly Licensed Nurse Position Selection And Retention, Melinda S. Kidder Jan 2023

Factors Influencing Newly Licensed Nurse Position Selection And Retention, Melinda S. Kidder

Walden Dissertations and Doctoral Studies

Newly licensed nurse turnover can be costly, causing a mismatch between supply and demand for nurse staffing needs, lowering quality outcomes, and decreasing patient satisfaction. This quantitative study was conducted to identify the relationship between why newly licensed nurses selected their first position and their retention in that initial position. Other factors examined in relation to retention were unit most worked, age, race, sex, and education level. Irvine and Evans’s theory of job satisfaction and Maslow’s hierarchy of needs guided the analysis of the data. Secondary data used were the Newly Licensed Registered Nurse New Cohort 3 Survey from 2016 …

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The Reconciliation Of Cognitive Dissonance Among Social Workers In Substance Use Treatment Settings, Miranda Ashley Kieler Jan 2023

The Reconciliation Of Cognitive Dissonance Among Social Workers In Substance Use Treatment Settings, Miranda Ashley Kieler

Walden Dissertations and Doctoral Studies

Although harm reduction (HR) and abstinence-based treatment approaches are both useful in addiction treatment, the former is less accepted and integrated into practice. Social workers who embrace an HR approach but who work at substance abuse treatment facilities that are abstinence based may experience cognitive dissonance because they perceive their work role to be incompatible with social work practice values and education. Little was known regarding how practitioners with a Master of Social Work (MSW) degree experience and reconcile cognitive dissonance related to their HR education and abstinence-only practice in substance use treatment centers. To address this gap in the …

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The Association Between Working Habits And Hypertension Among First Generation African Immigrants, Olalekan Kilo Jan 2023

The Association Between Working Habits And Hypertension Among First Generation African Immigrants, Olalekan Kilo

Walden Dissertations and Doctoral Studies

Even though hypertension affects people of all races, it is more prevalent among African Americans. However, recent research has revealed that the prevalence of hypertension is progressively increasing across Africa. African immigrants in the United States are the least-studied immigrant group prone to health inequalities when compared to their African American counterparts. To help bridge this gap, a secondary data analysis of a cross-sectional study was conducted to investigate the association between working habits (hours worked, diet at work), length of stay in the United States, and hypertension rates for first-generation African immigrants residing in the United States. The study …

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Lived Experience Of Caregiver Burden Among Black Family Caregivers Caring For Ill Family Members During Covid-19, Lisa King Jan 2023

Lived Experience Of Caregiver Burden Among Black Family Caregivers Caring For Ill Family Members During Covid-19, Lisa King

Walden Dissertations and Doctoral Studies

AbstractBlack family caregivers have had to deal with many challenges while caring for ill family members during COVID-19. Black family caregivers have been burdened with caring for family members for generations, often without proper supervision, training, or support. In December 2019 Coronavirus, also known as COVID-19, changed the world. The impact of COVID-19 on the American population has created many difficulties for Black family caregivers and their family members, including limited support, isolation, and financial disparities. The purpose of this qualitative phenomenological study was exploring the caregiver burden among Black family caregivers during COVID-19. The research question for this study …

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Cross-Sectional Collaboration In Florida's Emergency Management System, Christopher Stephen Kirkland Jan 2023

Cross-Sectional Collaboration In Florida's Emergency Management System, Christopher Stephen Kirkland

Walden Dissertations and Doctoral Studies

Florida faces a unique set of emergency management hazards prompted by the state’s geography, high volume of tourism, and position as a hub of international trade. The state has developed a highly adaptive emergency management system to deliver humanitarian assistance to Floridians affected by natural and other disasters. Despite the importance of collaboration in delivering humanitarian goods and services to Floridians in times of crisis, little is known as to how collaboration occurs, what impediments exist, and how organizations adapt to the dynamics of natural and other disasters. In this qualitative case study, the integrative framework for collaborative governance was …

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Title Ix Coordinators’ Perspectives On Title Ix Investigations And Due Process, Arcetta S. Knautz Jan 2023

Title Ix Coordinators’ Perspectives On Title Ix Investigations And Due Process, Arcetta S. Knautz

Walden Dissertations and Doctoral Studies

Title IX Coordinators are responsible for implementing standardized procedures related to each component of Title IX procedures on college and university campuses. The problem this study addressed was the gap in practice regarding the ways colleges and universities implement standardized procedures to ensure equitable due process for involved parties in sexual misconduct cases. The purpose of this basic qualitative study was to explore perspectives of Title IX Coordinators regarding their challenges with implementing standardized procedures set forth by the Office of Civil Rights of the Department of Education, particularly related to sexual misconduct cases and ways to improve equitable due …

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Executive Transition In Nonprofit Organizations, Gail Quincene Knight Jan 2023

Executive Transition In Nonprofit Organizations, Gail Quincene Knight

Walden Dissertations and Doctoral Studies

Many nonprofit organizations lack strategies for succession planning and executive transitions. Without effective talent management and succession planning strategies, nonprofit organizations are in jeopardy of survival. The purpose of this multiple qualitative case study was to explore how nonprofit organizations in a southwestern state without a succession plan in place prepare for executive transition when an impending change is imminent. These multiple case studies were based on the conceptual framework of transition management. Identified through purposive sampling, 12 participants (two senior-level executives and two board members) from three nonprofit organizations in a southwestern state were interviewed using semi-structured questions. Also, …

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Succession Planning Strategies In Polish Family-Owned Businesses, Jan Marcin Klaczak Jan 2023

Succession Planning Strategies In Polish Family-Owned Businesses, Jan Marcin Klaczak

Walden Dissertations and Doctoral Studies

Family-owned businesses contribute to social and economic advancement, yet many business owners struggle with employing succession planning during intergenerational leadership transitions. Family business leaders are concerned with identifying effective succession planning strategies for the leadership transition to the next generation for business continuity. Grounded in Rothwell’s seven-step model for succession planning, the purpose of this qualitative multiple-case study was to explore succession planning strategies Polish family business leaders used for the leadership transition to the next generation. Three Polish family business leaders who successfully implemented succession planning in their organizations participated in the study. Data were collected through semistructured interviews, …

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The Alignment Between The Algebra Curriculum At A Texas High School And The Mathematics Section Of The Texas Success Initiative Assessment, Kathryn Kober Jan 2023

The Alignment Between The Algebra Curriculum At A Texas High School And The Mathematics Section Of The Texas Success Initiative Assessment, Kathryn Kober

Walden Dissertations and Doctoral Studies

The primary purpose of this qualitative study was to examine the Algebra I and Algebra II mathematics course curriculum documents at a local high school to determine alignment to the mathematics section of the Texas Success Initiative Assessment (TSIA) and to identify content necessary for students to demonstrate college readiness in mathematics on the TSIA. Revised Bloom’s Taxonomy (RBT) was used to analyze the curriculum documents for alignment to the TSIA content and answer the research question that look for alignment between the Algebra I and Algebra II curriculum documents and the TSIA for mathematics. This study used a qualitative …

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The Underreporting Of Educator Sexual Misconduct In K-12 Schools, Nina Cordella Kornegay Jan 2023

The Underreporting Of Educator Sexual Misconduct In K-12 Schools, Nina Cordella Kornegay

Walden Dissertations and Doctoral Studies

Educator sexual misconduct continues to present a problem in U.S. K–12 schools. Asmandatory reporters, K–12 educators must report any suspicion of educator sexual misconduct, but despite state and federal laws regarding reporting, educator sexual misconduct often goes unreported. The purpose of this exploratory phenomenological study was to learn more about how U.S. K–12 educators perceive underreporting of educator sexual misconduct. The integrated change model served as this study’s conceptual framework. Semistructured interviews were conducted to collect data from eight educators in K–12 schools in two school districts in North Carolina. Coding analysis was used to identify themes. Five themes related …

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Staff Education On Workplace Violence And Prevention Measures, Fatu Koroma Jan 2023

Staff Education On Workplace Violence And Prevention Measures, Fatu Koroma

Walden Dissertations and Doctoral Studies

Forensic nurses are essential in helping forensic mental health patients at an inpatient/outpatient forensic psychiatric health care facility. The practice gap that the forensic psychiatric health care facility experienced was a deficit in knowledge among forensic nurses on the importance of workplace violence and prevention. The practice-focused question guiding the project was to determine if education on the American Nurses Association’s workplace violence and prevention measures would increase forensic nurses’ and staff’s education scores. The purpose of the project was to close the gap by educating nurses and staff on measures to increase a safer environment. The instructional design was …

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Survival Rates And Clinical Trial Participation Among Rural Cancer Patients, Tatiana Kurilo Jan 2023

Survival Rates And Clinical Trial Participation Among Rural Cancer Patients, Tatiana Kurilo

Walden Dissertations and Doctoral Studies

The literature indicates that cancer patients in rural areas lack adequate access to clinical trials and may experience more harmful consequences than patients residing in urban areas. The purpose of the study was to compare cancer survival rates among patients living in rural and urban counties in a southeastern U.S. state with breast cancer and lung cancer. Analysis was conducted using secondary data from the National Cancer Institute’s Surveillance, Epidemiology and End Results (SEER) Program tumor registry, Comprehensive Cancer Center (CCC) tumor registry, and CCC OnCore Subject Accrual Data. A series of independent samples t-tests and factorial ANOVA were conducted …

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Relationship Experiences Of Long-Term Partners Of Individuals With Narcissistic Traits, Tamara Betty-Jean Knott Jan 2023

Relationship Experiences Of Long-Term Partners Of Individuals With Narcissistic Traits, Tamara Betty-Jean Knott

Walden Dissertations and Doctoral Studies

The phenomenon of narcissism is well-documented and has garnered much attention from the scientific community. However, a facet of this subject that has been largely unstudied involves the consequences that narcissistic relationships have on intimates. Typically, an individual with narcissistic traits (INT) most negatively affects the romantic partner. Still, there has been very little in the way of academic knowledge, understanding of partner experiences, or how to help from a mental health standpoint. Research has implied that partnering with an INT entails distinct forms of emotional abuse (EA), resulting in the development of unique psychological distress. This qualitative narrative study …

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Gang Diversion Programs In The Success Of Reducing Youth Gang Membership, Francis Songtiib Laari Jan 2023

Gang Diversion Programs In The Success Of Reducing Youth Gang Membership, Francis Songtiib Laari

Walden Dissertations and Doctoral Studies

AbstractThe rate of youth involvement in gang membership and crime has become a problem in Fairfax County, Virginia. It has increased violent crimes, drug trade, and incarceration rates for youths and decreased child school graduation rates. Youth gang membership is a significant public issue with broad mental and psychological implications for the child, family, and community because of the potential to commit a crime. Early exposure to gangs and violent neighborhoods can profoundly and negatively impact the residents. Researchers have explored why many children join gangs, but none have examined gang diversion programs' success in reducing youth gang membership. In …

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Exploring The Perspectives Of Infant/Toddler-Pk4 Teachers On Attaining An Associate Degree In Early Childhood Education, Isabel Lainez Furutan Jan 2023

Exploring The Perspectives Of Infant/Toddler-Pk4 Teachers On Attaining An Associate Degree In Early Childhood Education, Isabel Lainez Furutan

Walden Dissertations and Doctoral Studies

AbstractResearchers have found young children’s academic skills and life outcomes are correlated to teachers’ postsecondary education. Despite this, 60% of infant/toddler-PK4 teachers who work in center-based settings in the District of Columbia do not have postsecondary education beyond the high school level. The purpose of this basic qualitative study was to explore the perspectives of infant/toddler-PK4 teachers from the District of Columbia working in center-based settings on the challenges of attaining an associate degree in early childhood education and the support needed throughout the process. Guided by Lewin’s three-step model of change theory, the perspectives of 12 participants with a …

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Strategies For Emotional Intelligence Training For Improving Employee Performance, Dale Elizabeth Laing-Hall Jan 2023

Strategies For Emotional Intelligence Training For Improving Employee Performance, Dale Elizabeth Laing-Hall

Walden Dissertations and Doctoral Studies

The nursing home industry's lack of emotional intelligence (EI) can negatively impact patient satisfaction and performance. Nursing home leaders who lack strategies to apply EI training to increase job satisfaction, reduce employee turnover, and improve interpersonal skills risk financial loss and business failure. Grounded in the EI framework, the purpose of this multiple qualitative case study was to explore strategies nursing home leaders use to apply EI training to reduce employee turnover, increase job satisfaction, and improve interpersonal skills for performance improvement. The participants comprised four nursing home leaders from multiple nursing homes in Florida who implemented strategies to reduce …

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The Relationship Between Leadership Styles And Call Center Workers’ Organizational Commitment, Andrea L. Lamar Jan 2023

The Relationship Between Leadership Styles And Call Center Workers’ Organizational Commitment, Andrea L. Lamar

Walden Dissertations and Doctoral Studies

The call center industry is instrumental in servicing the consumer in many facets of service-oriented presales and aftersales support. Little is known about the relationship between leadership styles, call center workers, and organizational commitment. The purpose of this study was to examine the relationship between leadership styles transformational, transactional, laissez-faire, and outcomes of leadership with organizational commitment in a call center environment. Using Survey Monkey, a data collection agency, a nonprobability convenience sampling procedure was used to select the 350 call center workers' samples. The analysis used was Pearson's correlation and multiple regression. The study used multifactor leadership and organizational …

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Association Between Knowledge Of Human Papillomavirus, Related Cancers, And Barriers To Information, Joycelyn Larbie Jan 2023

Association Between Knowledge Of Human Papillomavirus, Related Cancers, And Barriers To Information, Joycelyn Larbie

Walden Dissertations and Doctoral Studies

Globally, over 250,000 women die every year from cervical cancer and human papillomavirus (HPV). The purpose of this quantitative study was to discover the relation between sociodemographic factors of age, educational attainment, socioeconomic status, personal belief, and knowledge about HPV and related cancers. A cross-sectional design was used to determine statistical relationships. Secondary de-identified data from the Health Information National Trends Survey 2018 was accessed from the National Center Institute and was employed in the study. The study used a simple random technique to select a sample of 3,504 women. Logistic regression was used to estimate the odds of knowing …

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