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Articles 1 - 30 of 98
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Cybersecurity Strategies Information Technology Leaders Use To Protect Healthcare Information Systems From Ransomware, Alejandro Ruiz-Caino
Cybersecurity Strategies Information Technology Leaders Use To Protect Healthcare Information Systems From Ransomware, Alejandro Ruiz-Caino
Walden Dissertations and Doctoral Studies
Healthcare organizations’ (HCOs’) information systems (IS) are prone to increasing ransomware cyberattacks. For HCO information technology (IT) leaders, protecting IS from ransomware attacks is vital because these systems manage large amounts of confidential and sensitive data. Grounded in general systems theory, the purpose of this qualitative pragmatic inquiry study was to explore strategies used by IT leaders in HCOs to protect IS from ransomware attacks. Participants included eight IT leaders from HCOs in the United States responsible for IS protection against ransomware cyberattacks. Data sources included semistructured interviews conducted with the participants via videoconferencing, the researcher’s field notes, and 10 …
U.S. Health Care Leaders' Perceptions Of A $15 Living Wage And Its Influence On Organizational Outcomes, Mary Trenice Richardson
U.S. Health Care Leaders' Perceptions Of A $15 Living Wage And Its Influence On Organizational Outcomes, Mary Trenice Richardson
Walden Dissertations and Doctoral Studies
In the United States, paying employees a living wage has been a salient topic for organizations, social advocacy groups, and politicians in recent years. Advocates have introduced a $15 per hour wage as an appropriate living wage. There is existing research on living wages; however, research is limited on perceptions of living wages among leadership in the health care industry. The purpose of this qualitative case study was to explore leaders' perceptions of a $15 living wage and its influence on organizational outcomes in the health care industry. The efficiency wage theory provided the theoretical framework for the investigation. A …
Challenges Of Cameroonian Immigrants When Accessing Mental Health Services In Los Angeles, Christiana Bibish Onjeme Elad
Challenges Of Cameroonian Immigrants When Accessing Mental Health Services In Los Angeles, Christiana Bibish Onjeme Elad
Walden Dissertations and Doctoral Studies
The California Pan- Ethnic Health Network has been undertaking community-driven research projects aimed at evaluating the immigrant communities’ barriers to accessing mental health care. The Department of Healthcare Services in Los Angeles County provides healthcare services to anyone and everyone in Los Angeles irrespective of their immigration status. My Health LA provides free healthcare services to immigrants 26 years and older who do not qualify for public health insurance like medical. The purpose of this generic qualitative study was to explore the challenges of Cameroonian immigrants when accessing mental health services in Los Angeles. The theoretical foundation of this study …
The Relationship Between Nurse Staffing Ratio Of Hospitals And Patient Satisfaction In Emergency Units, Ebele Okonkwo Onuigbo
The Relationship Between Nurse Staffing Ratio Of Hospitals And Patient Satisfaction In Emergency Units, Ebele Okonkwo Onuigbo
Walden Dissertations and Doctoral Studies
This completed quantitative research study explores the intricate relationship between nurse staffing ratios in emergency units and patient satisfaction, grounded in Donabedian's conceptual model. The primary objective was to examine the correlation between nursing staff?to-patient ratios and patient satisfaction, utilizing the Davis Consumer Emergency Care Satisfaction Scale. Employing a correlational analysis research design, the study utilized descriptive and inferential statistics, including analysis of covariance (ANCOVA), to control for factors such as nursing hours per patient day, nursing staff mix, and education/experience levels. The study's significance lies in informing healthcare managers about the pivotal role of nurse staffing in enhancing healthcare …
Entrepreneurial Leadership Strategies For Catalyzing Innovation Performance, Jason D'Souza
Entrepreneurial Leadership Strategies For Catalyzing Innovation Performance, Jason D'Souza
Walden Dissertations and Doctoral Studies
Inadequate innovation performance has the potential for adverse business outcomes. Business leaders are concerned with inadequate innovation performance, as innovation is a significant driver of business growth. Grounded in entrepreneurial leadership, the purpose of this qualitative multi-case study was to explore entrepreneurial leadership strategies that some healthcare business leaders used to catalyze innovation performance. The participants were six business leaders within three healthcare sectors who contributed to strategic healthcare innovation decisions using entrepreneurial leadership strategies within the last 5 years. Data were collected using semistructured interviews and a review of organizational strategy documents and websites. Through thematic analysis, six themes …
Lived Experience Of Women Veterans Navigating The Veteran Healthcare System, Candance Willett
Lived Experience Of Women Veterans Navigating The Veteran Healthcare System, Candance Willett
Walden Dissertations and Doctoral Studies
Many women veterans who navigate the Veterans Affairs (VA) healthcare system across the United States have felt that their voices have not been heard regarding their input and lived experiences concerning inclusion to the quality-of-care delivery for their health needs. The purpose of this study was to explore the lived experiences of women veterans who were currently facing or had previously faced difficulty navigating the VA healthcare system. The framework used for this qualitative study was interpretive phenomenological analysis. The qualitative method used was hermeneutics which was designed by Edmund Husserl and Martin Heidegger. Semi structured interviews were of 12 …
Healthcare Organizational Strategies For Designing And Implementing Economic Think Tanks, Robert Worthington
Healthcare Organizational Strategies For Designing And Implementing Economic Think Tanks, Robert Worthington
Walden Dissertations and Doctoral Studies
A lack of focus on organizational strategy impedes the development of successful healthcare think tanks. Healthcare leaders are concerned about the lack of strategies and their importance in combating fraud, reducing errors, enforcing practice guidelines, and improving patient healthcare services. Grounded in the four trajectories of industry change theory, the purpose of this qualitative single case study was to explore strategies healthcare management leaders use to develop successful healthcare think tank organizations. The participants were three healthcare professionals in senior leadership positions for a healthcare think tank organization. Data were collected using semistructured interviews, a review of organizational documents, and …
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 …
Entrepreneurial Leadership Strategies For Catalyzing Innovation Performance, Jason D'Souza
Entrepreneurial Leadership Strategies For Catalyzing Innovation Performance, Jason D'Souza
Walden Dissertations and Doctoral Studies
Inadequate innovation performance has the potential for adverse business outcomes. Business leaders are concerned with inadequate innovation performance, as innovation is a significant driver of business growth. Grounded in entrepreneurial leadership, the purpose of this qualitative multi-case study was to explore entrepreneurial leadership strategies that some healthcare business leaders used to catalyze innovation performance. The participants were six business leaders within three healthcare sectors who contributed to strategic healthcare innovation decisions using entrepreneurial leadership strategies within the last 5 years. Data were collected using semistructured interviews and a review of organizational strategy documents and websites. Through thematic analysis, six themes …
Strategies Used To Mitigate Voluntary Employee Turnover In Holistic Wellness Centers, Traci N/A Eisenberg-Rayburn
Strategies Used To Mitigate Voluntary Employee Turnover In Holistic Wellness Centers, Traci N/A Eisenberg-Rayburn
Walden Dissertations and Doctoral Studies
High voluntary employee turnover rates can be expensive for businesses since more than half of the U.S. workforce changed jobs or left their employers in 2020. Owners of holistic wellness centers who experience high voluntary turnover can experience issues involving maintaining workloads, keeping patients satisfied, and maintaining a competitive edge. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple-case study was to explore strategies for holistic wellness center owners in the northeastern region of the U.S. to decrease voluntary employee turnover. Data were collected from semistructured interviews with three holistic wellness center owners and analyzed using thematic analysis. …
Lived Experience Of Women Veterans Navigating The Veteran Healthcare System, Candance Willett
Lived Experience Of Women Veterans Navigating The Veteran Healthcare System, Candance Willett
Walden Dissertations and Doctoral Studies
Many women veterans who navigate the Veterans Affairs (VA) healthcare system across the United States have felt that their voices have not been heard regarding their input and lived experiences concerning inclusion to the quality-of-care delivery for their health needs. The purpose of this study was to explore the lived experiences of women veterans who were currently facing or had previously faced difficulty navigating the VA healthcare system. The framework used for this qualitative study was interpretive phenomenological analysis. The qualitative method used was hermeneutics which was designed by Edmund Husserl and Martin Heidegger. Semi structured interviews were of 12 …
Cost-Containment Strategies Used By Hospital Business Leaders For Pharmaceutical Inventory, Julie Carlene Mccaughan
Cost-Containment Strategies Used By Hospital Business Leaders For Pharmaceutical Inventory, Julie Carlene Mccaughan
Walden Dissertations and Doctoral Studies
Ineffective strategies to contain the costs of medical supply inventory can result in financial loss and are a significant challenge for hospital leaders. Grounded in complex adaptive systems theory, the purpose of this qualitative single case study was to explore the cost-containment strategies that private hospital business leaders use to reduce the expense of pharmaceutical inventory. The participants comprised six private hospital business leaders in one healthcare organization in Myanmar. Data were collected from semistructured interviews, internal company documents, and publicly available annual reports. Four themes emerged from Yin’s five-step data analysis method: (a) management controls, (b) specialist engagement and …
Successful Strategies To Sustain Practice Changes In Healthcare, Erin Gable
Successful Strategies To Sustain Practice Changes In Healthcare, Erin Gable
Walden Dissertations and Doctoral Studies
Healthcare managers implement evidence-based practice to meet the growing needs of aging populations. However, many healthcare leaders fail to sustain newly implemented practices. Grounded in the promoting action on research implementation in health services conceptual framework, the purpose of this qualitative interpretative descriptive study was to explore strategies healthcare leaders use to sustain practice changes to meet increasing demands for quality care of the aging population. The participants included eight healthcare managers from Canada and the United States who led strategies to sustain practice change. The four themes that emerged using semistructured interviews and thematic analysis were staff buy-in, staff …
Strategies For Achieving Sustainability Of Home Healthcare Agencies, Robert J. Gagnon
Strategies For Achieving Sustainability Of Home Healthcare Agencies, Robert J. Gagnon
Walden Dissertations and Doctoral Studies
AbstractSome organizational leaders of home healthcare agencies (HHA) experience financial pressures to sustain within the changing regulatory landscape. Organization healthcare leaders who develop sustainability strategies remain competitive and employ the community. Grounded in the balanced scorecard framework, the purpose of this descriptive, qualitative multiple case study was to identify strategies home healthcare agency (HHA) leaders used to maintain sustainability. The participants were five organizational leaders of three HHA and two home health industry consultants in the Northeast United States who implemented sustainability. Data collected came from semistructured interviews, archival records, and organizational documentation. Three themes emerged from the thematic analysis: …
American Urologists’ Concerns With Nonclinical Activities Moderating Burnout, Nichele Lynn Greer
American Urologists’ Concerns With Nonclinical Activities Moderating Burnout, Nichele Lynn Greer
Walden Dissertations and Doctoral Studies
As burnout continues to increase in the healthcare field and specifically in the specialty of urology, gaining knowledge of certain risk factors associated with burnout can potentially help prevent further increases. Intervention programs may also be developed as a result of understanding these relationships. The purpose of this quantitative correlational analysis was to determine whether hours worked on nonclinical activities moderated the relationship between age and burnout as well as gender and burnout in American urologists. The theoretical foundations utilized in this research were the jobs demands resources model, which suggested that burnout occurs as a result of job demands …
Beyond The Basics: Educating Nurses At The Bedside About Evidence-Based Practice, Katherine D. Simpson
Beyond The Basics: Educating Nurses At The Bedside About Evidence-Based Practice, Katherine D. Simpson
Walden Dissertations and Doctoral Studies
The nursing profession is a large and dynamic part of the healthcare industry with the greatest percentage of nurses practicing at the bedside. An increase in nursing professionalism with evidence-based practice has emerged over the past several decades. However, evidence continues to support a lack of knowledge among registered nurses in implementing evidence-based patient care at the bedside and the need for education related to evidence-based practice. The analysis, design, development, implementation, and evaluation model of instructional design framed this Doctor of Nursing Practice project. The purpose of the project was to fill the practice gap through the planning, implementation, …
Generational Differences In Nursing Turnover, Adam Bennett
Generational Differences In Nursing Turnover, Adam Bennett
Walden Dissertations and Doctoral Studies
Nursing is currently the largest job category in U.S. health care requiring proper recruitment and retention of nurses. As the current generation of nurses ages out of the workforce due to retirement, new nurses will need to cover the gaps in the workforce. The purpose of this quantitative correlational study was to examine the relationship between voluntary turnover, involuntary turnover, and career change among nurses who were born between 1980 and 1995 (Millennials) and those born between 1965 and 1979 (Generation X). The theoretical framework was Mannheim’s theory of generations. Secondary data were collected from exit interviews with 811 respondents …
Successful Strategies For Adopting Electronic Medical Records Systems At Hospitals, Vazi Okhandiar
Successful Strategies For Adopting Electronic Medical Records Systems At Hospitals, Vazi Okhandiar
Walden Dissertations and Doctoral Studies
Some healthcare leaders lack strategies to successfully implement electronic medical record (EMR) systems to improve patient care efficiency and effectiveness. Grounded in the technology acceptance model, the purpose of this qualitative multiple case study was to explore strategies healthcare leaders use to implement EMR systems. The participants comprised five healthcare leaders who implemented EMRs in U.S. hospitals. Data were collected using semistructured interviews, government websites, and relevant documents and analyzed using Yin’s five-step data analysis method. Three themes emerged: (a) adequate training, (b) workflow analysis, and (c) technical support. A key recommendation is for management to provide customized training to …
Relationship Between Incentive Program Costs, Incentive Payments, And Profitability, Claire Claire Turner
Relationship Between Incentive Program Costs, Incentive Payments, And Profitability, Claire Claire Turner
Walden Dissertations and Doctoral Studies
The lack of profitability among primary care businesses can have harmful impacts on business operations. Primary care businesses owners must remain profitable to remain in business and provide quality health care to patients. Grounded in Freeman’s stakeholder theory, the purpose of this quantitative correlational study was to examine the relationship between incentive program costs, incentive payments, and profitability. Data were collected from 73 primary care physician business owners in the Inland Empire region of southern California. The multiple linear regression analysis results indicated the model was able to significantly predict profitability, F(2,70) = 1343.6, p <.001, R2 = .975. Incentive payments (t = 51.837, p < .001, = .928) was the only statistically significant predictor. Key recommendations include educating primary care physicians on the potential financial benefits of full participation in the commercial line of business pay-for-performance incentive programs and creating a campaign to bring in patients for wellness visits. The implications for positive social change include the potential for an additional revenue stream for primary care physician business owners, which could support more clinics, increasing patient access. Patients having better access to healthcare could positively affect the health and wellness of individuals in local communities.
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 …
The Veteran Administration’S Appointment Scheduling Processes’ Effect On The Homeless Women Veteran’S Phenomenon, Vicki Ann Thompson
The Veteran Administration’S Appointment Scheduling Processes’ Effect On The Homeless Women Veteran’S Phenomenon, Vicki Ann Thompson
Walden Dissertations and Doctoral Studies
Concealed numbers of homeless women veterans could be exposed in the Veterans Administration (VA) appointment scheduling data. The challenges of scheduling healthcare or mental health appointments with the VA could prevent homeless women veterans from gaining access. Studies have shown the problems that male veterans have with scheduling appointments. However, not much research exists on the issues homeless female veterans face in scheduling appointments with the VA. This quantitative study examined the correlation between the number of women and men veterans on the VA’s electronic wait list and the percentages of unsheltered women and men veterans at the Continuum of …
Strategies For Increasing Information Technology Employee Work-Life Balance, Kimberly D. Seymour
Strategies For Increasing Information Technology Employee Work-Life Balance, Kimberly D. Seymour
Walden Dissertations and Doctoral Studies
Small to medium enterprise (SME) information technology (IT) managers’ lack of strategic planning initiatives in creating a work life balance environment has created personal and financial concerns for some employees in the United States. Managers must develop and implement strategies that increase profits and productivity as well as create work life balance. Grounded in Herzberg’s motivation-hygiene theory, the purpose of this qualitative multiple case study was to explore strategies SME IT business managers used to develop and implement an employee work-life balance environment. The participants were three IT managers and two human resources business managers. Data were collected from semistructured …
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 …
Relationship Between Employee Satisfaction And Patient Satisfaction Within The Veterans Affairs Health Care System, Krista Penn
Relationship Between Employee Satisfaction And Patient Satisfaction Within The Veterans Affairs Health Care System, Krista Penn
Walden Dissertations and Doctoral Studies
Within health care organizations, the experience of care is a critical measure of the quality of a health care system and is an important measure of success. Over the past several years, the quality and experience of care have been criticized within the Veterans Health Administration. Veterans Health Administration hospitals suffer from low patient satisfaction scores and high nurse turnover rates. Research shows a correlation between patient satisfaction and employee satisfaction within other health care organizations, yet there has been limited research on whether this type of relationship exists within facilities across the Veterans Health Administration. Using Donabedian’s quality health …
Demographics And 30-Day Readmissions For End-Stage Renal Disease Patients, Shelia Concepcion Perez
Demographics And 30-Day Readmissions For End-Stage Renal Disease Patients, Shelia Concepcion Perez
Walden Dissertations and Doctoral Studies
End-stage renal disease (ESRD) is increasingly a problem in the United States, and factors such as race/ethnicity and gender may not only worsen the risk of the disease but also correspond to worse treatment access. This is significant because ESRD is a heavy economic burden not only on patients, but on caregivers and the health care system, especially as disparities remain between different demographic groups. The purpose of this quantitative nonexperimental, historical, correlational design was to determine the extent to which gender and race/ethnicity predict 30-day readmission rates after hospitalization for ESRD patients. The theoretical framework for the current study …
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 …
Strategies Healthcare Leaders Use To Reduce Employee Burnout, Ashley Ann Smith
Strategies Healthcare Leaders Use To Reduce Employee Burnout, Ashley Ann Smith
Walden Dissertations and Doctoral Studies
Healthcare workers are at an increased risk of being affected by burnout, which leads to decreased productivity, decreased job engagement, and increased organizational turnover. Employee burnout is a problem for healthcare leaders as burnout leads to decreased productivity and increased organizational turnover. The purpose of this qualitative multiple case study, guided by the job-demand resource theory, was to explore strategies healthcare leaders use to reduce employee burnout. Interviews were conducted with four healthcare leaders in the United States with at least 3 years of management experience who implemented strategies to reduce employee burnout at their organizations; a review of organizational …
Role Of Case Management In Access To Mental Health Care Among African Americans With Medicaid, Kira-Jai Jayne Taylor
Role Of Case Management In Access To Mental Health Care Among African Americans With Medicaid, Kira-Jai Jayne Taylor
Walden Dissertations and Doctoral Studies
Disparity in access to appropriate mental health care among African Americans compared to non-Hispanic Whites is growing. The purpose of this quantitative retrospective study was to examine the relationship between access to an outpatient mental health facility with case management and access to outpatient mental health services among African Americans with Medicaid compared to non-Hispanic Whites with Medicaid. The theoretical framework was based on the conceptual framework for integration created by PATH. The study addressed whether there is a difference in the number of African Americans compared to non-Hispanic White patients with Medicaid in access to an outpatient mental health …