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Personal Resilience As An Interventional Strategy To Reduce Physician Burnout, Towahna D. Rhim
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 …
Personal Resilience As An Interventional Strategy To Reduce Physician Burnout, Towahna D. Rhim
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 …
Covid-19 Ethical Decisions Encountered By Healthcare Professionals In Southwest Ohio, Joshua Lader
Covid-19 Ethical Decisions Encountered By Healthcare Professionals In Southwest Ohio, Joshua Lader
Walden Dissertations and Doctoral Studies
The COVID-19 coronavirus has wreaked havoc on the world and medical community. Treating individuals during a worldwide pandemic is nothing short of heroic. With limited supplies and treatment options, healthcare professionals were forced to make ethical considerations when treating patients with COVID-19. The pandemic exposed stress in the healthcare system, leading to difficult ethical decisions such as providing access or denying access to treatment. Knowing these ethical considerations can assist healthcare professionals with practical policies for future pandemics. The key research question in this study explored how healthcare professionals in Southwest Ohio made ethical decisions related to who and how …
A Lebanese Health Care Organization’S Strategies To Secure Sustainable Funding, Dania Mahmoud Al Assadi
A Lebanese Health Care Organization’S Strategies To Secure Sustainable Funding, Dania Mahmoud Al Assadi
Walden Dissertations and Doctoral Studies
Fundraising and donations are the main sources of revenue for behavioral health care nonprofit organizations (NPOs) worldwide. Economic, political, social, or health crises impact fundraising and donation sources for behavioral health care NPOs. This qualitative case study addressed strategies that senior leaders of a Lebanese behavioral health care NPO could use in times of crisis. The study also addressed the behavioral health leaders’ experience managing a funding crisis. The Baldrige conceptual framework was used to assess the organization’s effectiveness in seven key areas. Interviews with the senior leaders and analysis of the organization’s archival data were used to inform the …
Service Providers' Perceptions Of Stigma And Its Impact On Mental Health Services, Arthur Gabriel Montes
Service Providers' Perceptions Of Stigma And Its Impact On Mental Health Services, Arthur Gabriel Montes
Walden Dissertations and Doctoral Studies
Stigma is one of the most significant barriers to access and utilization of mental health services in the United States. Delays in receiving mental health services significantly contribute to health disparities and poor health outcomes. Social workers play an integral part in implementing best practices within health care settings and reducing health inequities impacting vulnerable populations. The purpose of this qualitative action research study was to explore social work service providers perceptions' toward stigma and how it affects mental health services among patients in California's Medicaid program. Stigma theory was applied to gain an understanding of how stigma interacts and …
Evaluating The Role Of Health Care In Mexico In Undocumented Immigration To The United States, Abdul Ganiyu Mohammed
Evaluating The Role Of Health Care In Mexico In Undocumented Immigration To The United States, Abdul Ganiyu Mohammed
Walden Dissertations and Doctoral Studies
Undocumented immigration has been a major social and political problem for the United States with an estimated 11 million immigrants living presently in an undocumented status. In Mexico, 73% of the population live below the poverty line and face challenges in meeting basic needs let alone purchasing private health insurance. In May 2003, the government of Mexico established the Segura Popular (popular healthcare) to extend health insurance to underinsured and uninsured communities to address healthcare access inequities. In depth phenomenological interviews were used to explore the lived experiences of formerly undocumented Mexican immigrants living in Hidalgo County, Texas, regarding the …
Hospice Interdisciplinary Use Of The Social Work Assessment Tool For Military Families, Miranda Lishell Rankin
Hospice Interdisciplinary Use Of The Social Work Assessment Tool For Military Families, Miranda Lishell Rankin
Walden Dissertations and Doctoral Studies
The development of the social work assessment tool (SWAT) was an initiative designed by members of the National Hospice and Palliative Care Organization to move hospice and palliative care social workers into the arena of viewing the family as an extension of the patient. Of those dying in the United States, 1 out of 4 is a military veteran (vet) in need of assessments, culturally relevant interventions, and/or supports at the end of life. For military families, caring for vets at the end of life can prompt stressors that may require culturally unique assessments and/or interventions. Tsai’s (2003) theory of …
Understanding Behavioral Health Stigma Within The Healthcare Workforce, Jason Robert Martin
Understanding Behavioral Health Stigma Within The Healthcare Workforce, Jason Robert Martin
Walden Dissertations and Doctoral Studies
Individuals who seek mental health treatment in the United States face significant barriers. One such barrier is the belief that those seeking mental health treatment are subpar people with some moral failure. One area where this phenomenon exists is the behavioral healthcare workforce. This study was conducted to understand the phenomenon of stigma that behavioral healthcare leaders exhibit toward behavioral healthcare patients using the Baldrige framework as its conceptual framework. Using a qualitative approach and case study design, interviews were conducted with 6 leaders within a large healthcare system in the suburbs of a major metropolitan area to evaluate their …
The Impact Of Technological Advances On Older Workers, Toni Mcintosh
The Impact Of Technological Advances On Older Workers, Toni Mcintosh
Walden Dissertations and Doctoral Studies
The general problem addressed in this study was the treatment of older workers in the information technology industry that contributes to age discrimination in the workplace. Age discrimination is against the law irrespective of whether it is aimed at older workers in the workforce or becoming job candidates at an advanced age. Although previous research has shown that age discrimination is prevalent in work environments, little has been suggested to eradicate the issue in the workplace. The purpose of this qualitative case study was to investigate the issue of age discrimination as it relates to workers over the age of …
Comparison Of Social Interest Perceptions Of Homeless Youth, And Non-Homeless At-Risk Youth, Michele Cindy Johnson
Comparison Of Social Interest Perceptions Of Homeless Youth, And Non-Homeless At-Risk Youth, Michele Cindy Johnson
Walden Dissertations and Doctoral Studies
Homeless youth face serious obstacles related to obtaining education, healthcare and stable accommodations. Adler’s social interest theory states that an individual’s perceptions impact their motivations and willingness to contribute to society. No research was found that compared the perceptions of homeless youth with nonhomeless at-risk youth using Adler’s theory. The purpose of this mixed method study was to compare perceptions of homeless youth with nonhomeless at-risk youth regarding the impact of public policies in creating obstacles to education, healthcare, and stable accommodations. A quantitative social interest instrument followed by face-to-face interviews was administered to 55 homeless youth and 64 nonhomeless …
Urgent Care Centers And Workersâ Compensation Medical Cost Containment, Drema M. Thompson
Urgent Care Centers And Workersâ Compensation Medical Cost Containment, Drema M. Thompson
Walden Dissertations and Doctoral Studies
In response to healthcare payment policy reforms, billions of dollars in healthcare provider charges are challenged annually. Following the implementation of the Virginia workersâ compensation medical fee legislation, healthcare organizations experienced declining worker compensation medical fee schedule reimbursements and lack of profitability. Grounded in the adaptive cycle model, the purpose of this qualitative single case study was to explore strategies 2 urgent care center (UCC) leaders in Virginia used to increase profits after implementing the Virginia workersâ compensation medical fee legislation. Data were collected via in-depth interviews and a review of company documents. Thematic analysis was used to analyze data. …
Interprofessional Intentional Empathy Centered Care (Ip-Iecc) In Healthcare Practice, Deepy Sur
Interprofessional Intentional Empathy Centered Care (Ip-Iecc) In Healthcare Practice, Deepy Sur
Walden Dissertations and Doctoral Studies
Training interprofessional healthcare teams continues to advance practice for patient-centered care. Empathy research is also advancing and has been explored in social work, psychology, and other healthcare areas. In the absence of understanding empathy in an interprofessional setting, educators are limited in preparing teams to develop empathy as part of core competencies This grounded theory study explored for a theory of how interprofessional healthcare teams conceptualize and operationalize empathy in their practice. Azjen's theory of planned behavior and Barrett-Lennard's cyclical model of empathy framed the study. Data were collected using 6 focus groups and 24 semistructured interviews of varied healthcare …
Exploring The Challenges Non-Clinical Departments Encounter During Eden Alternative Implementation, Keith George
Exploring The Challenges Non-Clinical Departments Encounter During Eden Alternative Implementation, Keith George
Walden Dissertations and Doctoral Studies
The Centers for Medicare and Medicaid Services recommends new guidelines that shift healthcare delivery in nursing homes and long-term care facilities from an institutional model to a person-centered care model. Although clinical outcomes are measured and tracked, there was limited literature about the challenges non-clinical departments face in a nursing facility during implementation of a person-centered model. The purpose of this qualitative study was to explore the challenges non-clinical staff experience while transitioning to an Eden Alternative philosophy, a person-centered care model. The theoretical foundation of this study relied upon Bressers' Contextual Interaction Theory. The research questions for this study …
The Role Of Strategic Leadership In Healthcare Profitability, Joyce Collette Conner-Boyd
The Role Of Strategic Leadership In Healthcare Profitability, Joyce Collette Conner-Boyd
Walden Dissertations and Doctoral Studies
The failure rate of leadership achieving profitability targets is estimated to be as high as 60%. Many organizations fail to meet profitability targets due to a lack of expertise and insight into strategic leadership skills. The objective of this single case study was to explore the role of strategic leadership in healthcare organization profitability in the United States. Five senior healthcare executives from Georgia with at least 15 years of expertise in the healthcare sector and 10 years in senior leadership were chosen to participate in the study. Purposeful sampling was used to identify the participants. The resource-based view framed …
Accounts Receivable Management Strategies To Ensure Timely Payments In Rural Clinics, Anthony N. Medel
Accounts Receivable Management Strategies To Ensure Timely Payments In Rural Clinics, Anthony N. Medel
Walden Dissertations and Doctoral Studies
Healthcare business leaders in a rural clinic setting can enhance profitability by implementing strategies to ensure timely payments. The purpose of this multiple case study was to examine strategies applied by healthcare leaders in rural clinics to improve profitability. The population included 10 rural clinic managers and billing staff from 5 rural clinics in the southwestern region of the United States. The conceptual framework for this study was Wernerfelt's resource-based value theory. Implementing Yin's multiple-step data analysis process, data from semistructured interviews were transcribed, coded, and analyzed to identify strategies used by rural clinic managers and billing staff to enhance …
Differential Treatment Outcome Factors For Custodial And Noncustodial Mental Health Care Programs, Sheila Fay Waters
Differential Treatment Outcome Factors For Custodial And Noncustodial Mental Health Care Programs, Sheila Fay Waters
Walden Dissertations and Doctoral Studies
Researchers have suggested that jails and prisons in the United States are becoming the new mental health clinics, contributing to the phenomenon of mass incarceration and costing upwards of $15 billion per year in public revenue. The problem is no conclusive evidence exists that treatment in these custodial environments is more effective than that provided by noncustodial programs; especially for substance users. Additionally, the continuing incarceration of people with mental health problems by the hundreds of thousands poses a difficult ethical dilemma regarding why this population does not receive noncustodial or hospital treatment instead. The study addressed the research question …
Accessibility To Health Care Services For Children With Autism Spectrum Disorders, Leanne Elizabeth Scalli
Accessibility To Health Care Services For Children With Autism Spectrum Disorders, Leanne Elizabeth Scalli
Walden Dissertations and Doctoral Studies
The study was an investigation into health care accessibility for children with autism spectrum disorder (ASD) following the transition to a private Medicaid system in the state of Florida. Pilot studies of managed Medicaid programs focused on costs and did not address how changes to the system impacted access to health care services. There were limited studies designed to understand how a change in the system, such as a privatization, would affect vulnerable populations such as young children with ASD. Additional concerns existed for children that were historically underserved by the health care system such as African American and Latino …
An Educational Program About Living With Depression, Ngozi Gloria Okoro
An Educational Program About Living With Depression, Ngozi Gloria Okoro
Walden Dissertations and Doctoral Studies
Depression is a common and disabling mental illness, but the loneliness, isolation, and poor quality of life associated with depression may improve with treatment. Depressive patients adhere to their treatment and experience better outcomes when their family members are involved with their treatment. At the project mental health facility, patients with depression had the highest non-compliance rate to treatment and no educational program existed for their families. This observation led to the current practice-focused question which examined how an evidenced-based educational program can be developed for family members or caregivers of patients diagnosed with depression. The purpose of this project …
Exploring Women's Lived Experiences And Expectations With In-Patient Maternity Care Within The U.S. Military Healthcare System, Michelle Ashley Recame
Exploring Women's Lived Experiences And Expectations With In-Patient Maternity Care Within The U.S. Military Healthcare System, Michelle Ashley Recame
Walden Dissertations and Doctoral Studies
Satisfaction with in-patient maternity care within the Military Healthcare System (MHS) continues to score significantly below national benchmarks when compared to civilian hospitals and doctors. Lack of independent, qualitative research in this area has left the MHS with few answers as to why patients are satisfied, but still unhappy, with specific aspects of care. Discrepancy theory was used in conjunction with grounded theory as the foundation and framework for understanding the expectations and experiences of women who have given birth in the MHS within the past year. Using grounded theory and a hermeneutical approach to interview participants, qualitative data were …
A Comparison Of Regional Health Care Structures For Emergency Preparedness, Leslie Porth
A Comparison Of Regional Health Care Structures For Emergency Preparedness, Leslie Porth
Walden Dissertations and Doctoral Studies
Since 2001, increased policy attention and federal funding mechanisms have required more effective disaster response by government actors and private sector organizations, including the health care system. However, there is limited scholarly evidence documenting which structural elements have been associated with efficacious regional coalitions. This study addressed the gap by examining whether the number of different participating disciplines (a proxy for coalition roles), community setting, and prior weather-related disaster declaration influenced the number of activities (a proxy for coalition responsibilities) conducted by the health care coalition. Social network theory was the theoretical lens with which the study results were used …
Independent Retail Business Owners' Perceptions Of The Patient Protection And Affordable Care Act., Bradley A. Hall
Independent Retail Business Owners' Perceptions Of The Patient Protection And Affordable Care Act., Bradley A. Hall
Walden Dissertations and Doctoral Studies
Passage of the Patient Protection and Affordable Care Act (PPACA) in 2010 prompted the question of how independent businesses may react to the employer mandate in the PPACA. The law is based on the theory of managed competition and it is more likely to affect businesses with fewer employees than to affect larger businesses that already offer health insurance. The purpose of this quantitative, pre-experimental study was to examine the strategic responses of independent retail business owners in Hillsborough County, Florida, regarding their perceptions of the employer mandate in the PPACA. Before 2014, there was a great deal of non-peer-reviewed …
The Impact Of Crisis Alleviation Lessons And Methods Program On Injuries In Healthcare, Andra Lynn Ferguson
The Impact Of Crisis Alleviation Lessons And Methods Program On Injuries In Healthcare, Andra Lynn Ferguson
Walden Dissertations and Doctoral Studies
The purpose of this study was to examine whether Crisis Alleviation Lessons and Methods -© (CALM), as a behavioral crisis management program, was effective in reducing patient and healthcare professional injuries in a long-term residential care setting. This research was needed due to the lack of peer-reviewed scholarly literature on the effectiveness of behavioral crisis management programs, especially on programs using both nonphysical and physical de-escalation techniques, such as CALM. An auto-regressive integrated moving average (ARIMA) time series analysis was performed to examine the effect the implementation of the CALM program (independent variable) had on the rate of injuries to …