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Articles 1 - 30 of 65
Full-Text Articles in Medicine and Health Sciences
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 …
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 …
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 …
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, …
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 …
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 …
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.
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 …
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 …
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 …
Access To Health Insurance And Health-Seeking Behavior In A Nigerian Suburban Community, Charles Olalekan Mensah
Access To Health Insurance And Health-Seeking Behavior In A Nigerian Suburban Community, Charles Olalekan Mensah
Walden Dissertations and Doctoral Studies
The purpose of this study was to understand the effects of access to health insurance on the healthcare-seeking behavior of the population in four suburban communities in Rivers State, Nigeria. The conceptual framework of the study is based on Anderson's behavioral model of health services use. The study looked at how access to health insurance affects the healthcare seeking behavior and the preventive care seeking behavior of the study population. Two-hundred and seventy participants were surveyed using the Health Care Access and Utilization Survey (HCAUS) questionnaire. Data were analyzed using descriptive statistics (frequencies and percentages) and bivariate logistic regression. Respondents …
Systematic Review: Barriers To Primary Care For The Transgender Individual, Charles David Mccormick
Systematic Review: Barriers To Primary Care For The Transgender Individual, Charles David Mccormick
Walden Dissertations and Doctoral Studies
Representing a diverse group, the transgender community defies conventional norms expected by society resulting in discrimination and denial of essential goods and services necessary to maintain personal health, safety, and well being. The identification of the barriers to primary care faced by the transgender individual has the potential to reduce healthcare disparities and improve the compliance with national screening and treatment guidelines. The purpose of this project was to examine available literature incorporating the systematic review method to determine the barriers to primary care faced by the transgender individual. Using Leiningerâs transcultural nursing theory to guide the process to determine …
Competition And Services Offered Among General Hospitals In The Deep South, Vanessa Stone
Competition And Services Offered Among General Hospitals In The Deep South, Vanessa Stone
Walden Dissertations and Doctoral Studies
Hospitals, along with other health care providers, are a central part of every health care system and responsible for a great share of healthcare expenditure. In the United States, the cost of health care is much higher than it is anywhere else. High expenditures for hospital services could reduce the resources available for primary care and other services that could do more for population health. The purpose of this study was to explore the competition among general medical and surgical hospitals in the Deep Southern states of Mississippi, Alabama, Georgia, South Carolina, and Louisiana to determine if increasing the level …
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. …
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 …
Parents’ Perceptions Of Healthcare Influences On Their Decisions To Vaccinate Their Children, Patricia Frances Badiola Harris
Parents’ Perceptions Of Healthcare Influences On Their Decisions To Vaccinate Their Children, Patricia Frances Badiola Harris
Walden Dissertations and Doctoral Studies
Declining immunization rates are associated with higher incidents of vaccine-preventable diseases. The purpose of this qualitative phenomenological inquiry was to explore the perceptions of vaccine-hesitant parents regarding their healthcare experiences. Ajzen and Fishbein‘s theory of reasoned actions and its key concepts (the intention to perform behaviors, attitudes, subjective norms, and external variables) was used as a framework to understand influences on parents' decisions to vaccinate their children. The research questions for the study examined the healthcare experiences of vaccine-hesitant parents, how these experiences influenced their decisions to vaccinate their children, and how this group perceived the current strategies promoting vaccinations …
Successful Retention Strategies By Perfusion Managers To Reduce Perfusionist Attrition, Krysta Lynne Gleeson
Successful Retention Strategies By Perfusion Managers To Reduce Perfusionist Attrition, Krysta Lynne Gleeson
Walden Dissertations and Doctoral Studies
Perfusion managers who lack strategies to mitigate perfusionist attrition place a strain on their remaining employees and incur replacement costs for their organization. Grounded in Vroom’s expectancy model, the purpose of this multiple case study was to explore strategies perfusion managers use to mitigate perfusionists attrition within open-heart centers in a northeast U.S. city. Data were collected through digital semistructured interviews with 5 licensed perfusionists who demonstrated successful staff retention. Perfusionist job listings were used as a secondary data source. Data were analyzed using Yin’s 5 step process. Four significant themes emerged: job satisfaction, work-life balance, surveys, and compensation. Perfusion …
Use Of Managerial Epidemiology By Healthcare Leaders In Ambulatory Settings, Chantelle Schenning
Use Of Managerial Epidemiology By Healthcare Leaders In Ambulatory Settings, Chantelle Schenning
Walden Dissertations and Doctoral Studies
Despite many health reforms, the United States continues to struggle with limited healthcare access, exponential healthcare costs, and poor quality of care. Overcoming these challenges requires healthcare leadersâ effective navigation of industry transformation towards population health and a shift in patient volume to ambulatory healthcare settings. Research has demonstrated that the use of managerial epidemiology, an application of epidemiology tools and principles to management decision-making within healthcare organizations, can better serve the health of the population and could improve the triple aim of inadequate access, high costs, and poor quality. However, the adoption of this practice is weak and its …
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 …
Strategies Healthcare Managers Use To Reduce Employee Turnover, Christopher Sean Atkins
Strategies Healthcare Managers Use To Reduce Employee Turnover, Christopher Sean Atkins
Walden Dissertations and Doctoral Studies
Healthcare managers who are unaware of the various strategies that exist for reducing turnover could adversely affect patient care, organizational morale and performance, and the achievement of organizational goals. The purpose of this qualitative multiple case study was to explore strategies healthcare supervisors used to reduce employee turnover. The participants comprised 3 senior healthcare managers located in central Texas responsible for hiring, firing, training, supervising, and successfully using strategies to reduce employee turnover. Herzberg's motivation-hygiene theory provided the conceptual framework. Data were collected from semistructured interviews and a review of company documents. Thematic analysis of the data resulted in 5 …
Strategies Healthcare Managers Use To Reduce Employee Turnover, Christopher Sean Atkins
Strategies Healthcare Managers Use To Reduce Employee Turnover, Christopher Sean Atkins
Walden Dissertations and Doctoral Studies
Healthcare managers who are unaware of the various strategies that exist for reducing turnover could adversely affect patient care, organizational morale and performance, and the achievement of organizational goals. The purpose of this qualitative multiple case study was to explore strategies healthcare supervisors used to reduce employee turnover. The participants comprised 3 senior healthcare managers located in central Texas responsible for hiring, firing, training, supervising, and successfully using strategies to reduce employee turnover. Herzberg's motivation-hygiene theory provided the conceptual framework. Data were collected from semistructured interviews and a review of company documents. Thematic analysis of the data resulted in 5 …