Purpose: The purpose of this thesis is to explain how individual and strategic firm-level factors, through well-being as a mediating factor, make audit employees more prone to stay within the profession as well as to provide a more holistic picture of why they stay.   Methodology: The study is built upon a positivistic standpoint with a deductive approach using a quantitative method where a survey was sent out to Swedish audit employees with at least three years of experience within the profession. The data collected were analyzed by a Harman single factor test, Spearman correlation matrix, and multiple regression analysis.   Findings: The findings show that stress resilience, mentorship quality, career opportunities, and commercialization are positively related to the employee’s willingness to stay and are fully mediated through their subjective well-being. Further, the findings show that the individual expectation gap affects the willingness to stay directly and is only partly mediated through the individuals’ subjective well-being.  Theoretical perspectives: The profession theory, person-organization fit theory, and motivational theory were applied to explain the variables and the willingness to stay.

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Youth who are placed in the Multidimensional Treatment Foster Care (MTFC) program come from families with multiple risk factors. The MTFC program is based on social learning theory, which posits that youth learn from modeling those in their environment. It is unclear whether motivation for social learning decreases over time. Past research has indicated that there is an efficacious time period for treatment in the MTFC program (6 to 9 months). The purpose of this quantitative study was to examine the behavior effects of remaining in treatment foster care for an extended length of time. This was measured through pre- and posttreatment scores on the Children's Functional Assessment Rating Scale (CFARS) and specific negative behaviors tracked through the Foster Parent Daily Report. Archival data were used for a sample of 34 youth placed in an MTFC program in a northwestern state. The repeated measures ANOVA results demonstrated increased scores on the CFARS from intake to exit date. Regression analysis indicated that the behaviors of arguing and defiance were observed at higher instances for youth in the MTFC program longer than 6 to 9 months. There were no significant findings related to the behavior of destructiveness/vandalism and the length of stay. The implications for social change include social workers being able to move youth out of MTFC sooner. Also, if behaviors are targeted and treated successfully as youth, then there is a decreased likelihood of the youth having negative and criminal behavior as adults.

Background: The full-time nurse faculty shortage has resulted in nursing programs employing adjunct nursing faculty heavily into the clinical teaching component to fill the gap. Many adjunct faculty members continue to teach semester after semester; however, there is a lack of evidence to support the predictive factors that facilitate intent to stay teaching. Purpose: The purpose of this study was to better understand predictors of intent to stay teaching for associate degree (AD) adjunct clinical nurse faculty. Theoretical Framework: Frederick Herzberg’s two-factor motivator-hygiene theory (1959) was utilized as a foundation to explore the factors that impact intent to stay teaching. Methods: Adjunct clinical nurse faculty employed in associate degree nursing programs during the 2015 calendar year were invited to participate in this study. Participants were surveyed utilizing the Job Satisfaction Survey, the Nurse Educators’ Intent to Stay in Academe Scale, and demographic questionnaire via SurveyMonkey Web site. Results: Regression analysis indicated statistically significant relationships between job satisfaction, motivator, and hygiene factors with intent to stay score. In addition, faculty who had full-time employment outside of the adjunct position were found to have lower intent to stay scores compared to those working part time or not at all. Conclusions: Enhancement of adjunct clinical faculty members’ job satisfaction, motivator, and hygiene factors is necessary to retain this qualified group of educators. Improvement of intent to stay in the role can improve teaching and reduce costs at similar institutions of higher learning.

The aim of this study is to investigate employees in knowledge-intensive organizations' intentions to stay in their workplace and to see if organizational culture and internal marketing activities have an effect to reduce voluntary staff turnover.There are several factors which affect employees' intentions to leave or stay in their current work position. The result of this study shows initially that there needs to be some form of agreement between the employee's and the employer's values, needs or vision of the future. Factors that may make an employee in a knowledge-intensive organization want to leave might be that the individual does not feel safe, does not have trust or confidence in their leader or colleagues. It can also be due to the individual not feeling that he or she is growing in his or her job role, has career opportunities or that he or she feels locked in and controlled in their tasks. Internal marketing activities and organizational culture are two factors that knowledge-intensive organizations can work with to become a more attractive employer and reduce voluntary staff turnover. Internal marketing activities are an initiative that in this study proved to have a positive effect on employee well-being, motivation, commitment and loyalty to the organization. Knowledge-intensive organizations that work with initiatives to promote internal marketing activities and organizational culture create good conditions for their staff to thrive better, get an attractive employer brand and lower involuntary staff turnover. In conclusion, it was found in this study that transformative leaders have the leadership qualities that are described as most desirable and sought after in knowledge-intensive organizations.

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Abstract:Aims: Due to large inconsistencies in previous studies, it remains unclear how alcohol use is related to health care utilization. The aim of this study was to examine associations between alcohol drinking status with utilization of outpatient and inpatient health care services in Germany. Methodology: Survey data of the GEDA 2014/2015-EHIS study with n = 23,561 German adults were analyzed (response rate: 27 %). Respondents were categorized as lifetime abstainers, former drinkers, and non-weekly drinkers, as well as weekly low-risk drinkers and risky drinkers. Outpatient services included GP, specialist, and hospital visits; inpatient services included hospital overnight stays in the last 12 months. For both settings, binary logistic regression models were applied, adjusted for possible confounders. Results: For specialist visits, elevated odds were found among former drinkers (odds ratio (OR) = 1.93, 95 % confidence interval (95 % CI) = 1.50-2.49), non-weekly drinkers (OR = 1.24, 95 % CI = 1.05-1.47), weekly low-risk drinkers (OR = 1.39, 95 % CI = 1.17-1.67), and risky drinkers (OR = 1.28, 95 % CI = 1.04-1.57) compared to lifetime abstainers. In contrast, lower odds for inpatient service use were found among non-weekly drinkers (OR = 0.76, 95 % CI = 0.62-0.93), low-risk drinkers (OR = 0.66, 95 % CI = 0.53-0.81), and risky drinkers (OR = 0.65, 95 % CI = 0.51-0.84). No differences were observed for GP and outpatient hospital visits. Conclusions: While the increased odds of consulting a specialist are consistent with higher health care needs among former and current drinkers, the lower use of inpatient care among current drinkers is contrary to known health risks associated with alcohol consumption and evidence from hospitalized populations. The findings also highlight the need to differentiate between lifetime abstainers and former drinkers in their use of health services.

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The objectives of this research were to investigate the effect of stay-in-place metal forms (SIPMFs) on the performance of concrete bridge decks in Utah. The research program included six bridge decks with SIPMFs and six decks without SIPMFs, which were all located within the Interstate 215 corridor in the vicinity of Salt Lake City, Utah, and therefore subject to similar traffic loading, climatic conditions, and maintenance treatments, including applications of deicing salts during winter months. All of the tested decks were constructed between 1984 and 1989 using epoxy-coated rebar. Several tests were performed at each of six locations on each deck, including visual inspection, chain dragging, hammer sounding, Schmidt hammer testing, half-cell potential testing, and chloride concentration testing. Because differences in deck age and average cover for the two deck types were found to be statistically significant, the collected data were subjected to analysis of covariance (ANOCOVA) testing, with age and cover as covariates. All calculated p-values were compared to the standard value of 0.05. The distress survey results indicate that the average crack width and crack density for decks without SIPMFs were greater by 41 and 25 percent, respectively, than the corresponding values for decks with SIPMFs and that decks without SIPMFs had more potholes than decks with SIPMFs. However, the delamination density for bridge decks with SIPMFs was 71 percent higher than that of decks without SIPMFs. The average Schmidt rebound number for decks with SIPMFs was higher than that for decks without SIPMFs by an equivalent of 1,400 psi. The half-cell potential for decks with SIPMFs was 0.123 lower than that of decks without SIPMFs, indicating that a more active state of corrosion exists on decks with SIPMFs. On average, the chloride concentration in the bridge decks with SIPMFs was 205 percent greater than the concentration in the decks without SIPMFs. Among all of the distress measurements evaluated in the ANOCOVA, crack width was the only parameter that was determined to be significantly different between the two types of decks at the time of testing. In addition, Schmidt rebound number, half-cell potential, and chloride concentration at 2-in. depth all yielded p-values less than 0.05, indicating that significant differences in these properties exist between decks with and without SIPMFs. Specifically, the decks with SIPMFs have a higher compressive strength, a more active state of corrosion, and a higher chloride concentration, which may all be attributable to elevated moisture contents in decks with SIPMFs arising from the reduction in deck surface area from which moisture may evaporate. These data indicate that decks with SIPMFs are clearly more susceptible to reinforcement corrosion compared to decks without SIPMFs and may therefore exhibit greater magnitudes of damage with time. Given these research findings, engineers should carefully compare the short-term advantages against the potential long-term disadvantages associated with the use of SIPMFs for concrete bridge deck construction. If SIPMFs are approved for use, engineers may consider applying surface treatments to the affected decks early in the deck life to minimize the ingress of chlorides into the concrete over time and therefore retard the onset of reinforcement corrosion.