Digital Commons Network^™

Meeting Meaningful-Use Requirements With Electronic Medical Records In A Community Health Clinic, Tony Andrew Richardson

Walden Dissertations and Doctoral Studies

Small nonprofit medical practices lack the technical expertise to implement electronic medical records (EMRs) that are consistent with federal meaningful-use requirements. Failure to comply with meaningful-use EMR requirements affects nonprofit community health care leaders' ability to receive reimbursement for care. Complexity theory was the conceptual framework used in this exploratory single case study. The purpose of the study was to explore the strategies nonprofit community health care leaders in Washington, DC used to implement EMRs in order to comply with the meaningful-use requirements. Data were collected via in-depth interviews with 7 purposively-selected health care leaders in a nonprofit clinic and …

An Exploration Of Bullied Nurses, Witnesses, And A Hospital's Bottom Lline, Brenda Kay Williams

Walden Dissertations and Doctoral Studies

Nurses experiencing bullying or witnessing other nurses bullied may choose to vacate their hospital positions. Nurse attrition negatively impacts a hospital's bottom line, which can lead to insolvency and a lack of access to healthcare by patients. The purpose of this phenomenological study was to understand the choices nurses made regarding their careers after experiencing or witnessing bullying and to calculate a hospital's cost of loss. Freire's oppressed group theory provided the conceptual framework for the study. The basis of the research questions was to understand how the nurse felt when bullied or observing a coworker bullied, the actions taken, …

Servant Leadership And Non Servant Leadership Organization Triple Bottom Line Reporting Outcomes, Lydia M. Daniels

Walden Dissertations and Doctoral Studies

The competitive environment of the 21st century, failure of U.S. companies, and the financial crisis of 2008 have moved leadership expectations to the forefront of research. However, there is a lack of empirical research about organizational reporting outcomes of self-identified servant leadership (SL) organizations compared to self-identified nonservant (non-SL) organizations. Guided by Greenleaf's SL theory, the purpose of this study was to compare information on organizational data for triple bottom line (TBL) reporting outcomes in SL organizations and non-SL organizations. Using causal comparative research design and global reporting initiative data with a sample of 12 organization reports, reporting outcomes were …

Nigerian Banking Governance, Leadership Style, And Performance During The 2008-2009 Financial Crisis, Adeola Oluwayemi Agbato

Walden Dissertations and Doctoral Studies

The 2008-2009 global financial crisis of financial systems negatively affected about 30% of Nigerian banks, leading to profitability issues. The profitability issues led to operational challenges, downsizing, and liquidation of some banks. The purpose of this correlational study was to examine the relationship between corporate governance structure, perception of leadership style, and bank performance. This study was grounded in agency theory and used survey and archival data. Survey data were collected from 11 participants employed by commercial banks located in Nigeria, using the Multifaceted Leadership Questionnaire. Corporate governance and bank performance data were collected from annual bank reports. The model …

Job Satisfaction In The National Geospatial Intelligence Agency, Calvin Colbert

Walden Dissertations and Doctoral Studies

Approximately every 20 years, a new generation is born and eventually dominates the workforce; although changes occur with each new generation, the importance of job satisfaction remains constant. Research within the U.S. Intelligence Community is lacking with regard to changing trends of job satisfaction levels. The purpose of this study was to explore job satisfaction levels between Generation X and Generation Y workforce employees at the National Geospatial-Intelligence Agency (NGA). The central research question addressed how job satisfaction differed by generational differences in the workforce. A quantitative method was used to assess survey data. A structural equation modeling technique was …

Exploring Factors Influencing Information Technology Portfolio Selection Process In Government-Funded Bioinformatics Projects, Braulio J. Cabral

Walden Dissertations and Doctoral Studies

In 2012, the National Cancer Institute's (NCI) Board of Scientific Advisors (BSA) conducted a review of the Center for Biomedical Informatics and Information Technology's (CBIIT) bioinformatics program. The BSA suggested that the lack of a formal project selection process made it difficult to determine the alignment of projects with the mission of the organization. The problem addressed by this study was that CBIIT did not have an in-depth understanding of the project selection process and the factors influencing the process. The purpose of this study was to understand the project selection process at CBIIT. The research methodology was an exploratory …

Relationship Between Emotional Intelligence And Servant Leadership In Banking, Curtis J. Gregory

Walden Dissertations and Doctoral Studies

U.S.-based financial institutions have experienced significant failure rates since the mid-1980s. The problem within the U.S.-based banking industry is that the focus of leadership development has been primarily on cognitive abilities, whereas interpersonal skills, such as emotional intelligence, have been neglected. Research has focused on U.S. bank failures from a risk mitigation, economic, or legislative perspective, creating a gap in research on leadership behavior. The purpose of this correlation study was to determine whether a significant relationship exists between emotional intelligence and servant leadership among leaders in the U.S. small business banking industry. The theoretical framework compared intelligence types to …

Strategies To Improve Project Management Maturity Processes, Walter H. Sargent

Walden Dissertations and Doctoral Studies

Information technology organizations lose significant competitive value when business leaders fail to use project management maturity (PMM) processes that enhance market delivery, reduce costs, and increase profitability. Using a multiple-case study, the researcher explored strategies that project leaders have used to improve PMM processes and expanded upon Kerzner's PMM model, which comprises 5 PMM levels essential for achieving repeatable project success. The researcher selected 20 project leader participants in the Southeastern region of the United States using a purposeful snowball sampling technique. In depth interviews were combined with archival and document exploration using a multiple-case study design where different types …

Successful Employee Retention Strategies In Childcare Centers, Ahmad Shaheen

Walden Dissertations and Doctoral Studies

Fifty percent of childcare employees leave their jobs by the close of their 5th year of experience. The purpose of this exploratory single case study was to explore what retention strategies some childcare center directors use to retain their employees in the Columbus, Ohio metropolitan area. The research population consisted of 5 childcare center directors who successfully implemented retention strategies in 5 different childcare centers. The conceptual framework for this study was the Herzberg, Mausner, and Snyderman motivation-hygiene theory. Data were collected via semistructured interviews with the directors and from centers-handbooks and strategic plans. Coding, word frequency, and thematic analysis …

Successful Enterprise Resource Planning System Implementation: A Higher Education Managerial Perspective, Elizabeth A. Arthur

Walden Dissertations and Doctoral Studies

The overall success rate of implementing enterprise resource planning systems is about 30%. Guided by systems theory, the purpose of this qualitative single case study was to explore the strategies used to ensure a successful implementation by information technology managers working in higher education settings. The data were derived from semistructured interviews of 6 managers and documentation from a higher education institution in the northeastern United States that successfully implemented an ERP system. Data analysis consisted of reviewing interview transcripts, from which themes and patterns were identified and coded. Three recurring factors arose throughout the analysis involved commitment, communication, and …

Strategies For Improving First-Line Supervisor Problem-Solving Abilities In The Retail Supermarket Industry, John E. Jarvis

Walden Dissertations and Doctoral Studies

First-line supervisors in U.S. retail organizations are unable to resolve nearly 34% of typical daily customer problems for their organizations. The purpose of this single case study was to explore the strategies retail supermarket managers have used to improve 1st line supervisor problem solving abilities within a retail supermarket company in Winston-Salem, North Carolina. The conceptual framework for this study was the skills-based leadership model. Data were collected from semistructured interviews with 4 retail store manager participants with a successful record of improving first-line supervisor problem solving abilities. Additionally, the review of company documents including training guides, training checklists, job …

Strategies For Managing An Age-Diverse Workforce In Curaçao, Yamil Walid Lasten

Walden Dissertations and Doctoral Studies

Some business leaders find it challenging to manage individuals from different age groups; this is an issue, as organizations in many developed countries become more age-diverse. The purpose of this single case study was to provide business leaders with information about strategies top-level business executives and team leaders at a large company in Curaçao (a developed island nation in the Caribbean) use for enhancing productivity of an age-diverse workforce. The conceptual framework of this study consisted of generational theory of Mannheim. A key tenet of the generational theory includes that belonging to the same generational unit, generational location, and generational …

Exploring Leader-Initiated Change Management For Adopting Cloud Services, Nancy Marie Landreville

Walden Dissertations and Doctoral Studies

Cloud technology requires a virtualized ubiquitous and scalable environment with shared resources. The general problem in cloud adoption is the absence of standardization across organizations. A standardized approach remained elusive since the inception of the Cloud First mandate. The purpose of this study was to explore leader-initiated change management (LICM) practices in cloud adoption within organizations. The theoretical framework included the classical theories of Kurt Lewin's organization change management, leader-member exchange, intentional change, and appreciative inquiry. A multiple case study design approach facilitated the exploration of LICM-value added practices to identify standardization in cloud adoption practices. Data collection included semistructured …

Electricity Sector Reform: Sourcing And Cost Management Of Electricity For Steel Manufacturing In Nigeria, Christopher Ndubuisi Okonkwo

Walden Dissertations and Doctoral Studies

In 2014, Lazard levelized cost of energy analysis model priced diesel powered systems at $0.225 – $0.404/KWh and a range of $0.165 – $0.242/KWh for gas-powered systems. The model gave a range of $0.28 – $0.33/kWh for diesel and a range of $0.14/kWh – $0.16/kW for gas fired. Nigeria has an abundance of gas reserves, but heavy gas flaring by oil companies perpetuates power failure across Nigeria. What has resulted is an unreliable electricity infrastructure and a high cost of alternative energy. The Electricity Power Sector Reform Act of 2005 started the reform process. Guided by decision theory, the purpose …

Strategies To Reduce Employee Turnover In Small Retail Businesses, Amelia Claudina Pryce

Walden Dissertations and Doctoral Studies

Employee turnover is high in small retail business, compelling business leaders to implement strategies that successfully reduce employee turnover. The conceptual framework guiding this study was the Herzberg 2-factor theory because the theory identifies factors that influence job satisfaction and employee turnover. The study population was retail owners and managers from small businesses in the retail industry in San Antonio, Texas who had demonstrated successful strategies to reduce employee turnover. A focus group was conducted with 4 retail managers, and semistructured interviews were conducted with 2 small retail owners, all of whom were recruited via purposeful criterion-based sampling. Yin's 5-step …

Exploring The Process Of Lean Training In The Healthcare Industry, Rose Bailey

Walden Dissertations and Doctoral Studies

Organizational leaders use lean training as a process improvement strategy to eliminate waste and inefficiencies in processes. Of the 91% of company leaders who believed lean training was important, 64% of those leaders expressed the perception that workers do not comprehend lean training and methodology. The purpose of this qualitative single case study was to explore how healthcare managers successfully implemented lean training strategies to combat escalating costs. The target population consisted of healthcare managers in a single rural care hospital located in Tennessee who had implemented lean training strategies to train staff in lean principles and lean tools. The …

Airline Safety Improvement Through Experience With Near-Misses: A Cautionary Tale, Peter Madsen, Robin L. Dillon, Catherine H. Tinsley

Faculty Publications

In recent years, the U.S. commercial airline industry has achieved unprecedented levels of safety, with the statistical risk associated with U.S. commercial aviation falling to 0.003 fatalities per 100 million passengers. But decades of research on organizational learning show that success often breeds complacency and failure inspires improvement. With accidents as rare events, can the airline industry continue safety advancements? This question is complicated by the complex system in which the industry operates where chance combinations of multiple factors contribute to what are largely probabilistic (rather than deterministic) outcomes. Thus, some apparent successes are realized because of good fortune rather …

Improving The Patient Experience By Implementing Patient-Centered Care In A Community Hospital, Richard A. Billingsley Dnp, Mha, Rn

Doctor of Nursing Practice (DNP) Projects

Health care is a complex business currently undergoing extensive reform. These changes require new methods of care deliver and ways in which health care organizations are operating. At the forefront of this change effort is the 2010 Patient Protection and Affordable Care Act, which is transforming health care from a volume-based, fee-for-service process to the delivery of services that have value, improve quality outcomes, increase satisfaction, elicit greater efficiency, demonstrate improved safety outcomes, show cost-effectiveness, promote better access to services, and result in high reliability between providers and organizations. The goal of providing a more positive health care experience is …

The Challenges Of Leading Change In Health-Care Delivery From The Frontline, Vivienne Byers

Articles

Aim: The public sector is facing turbulent times and this challenges nurses, who are expected to serve both patient interests and the efficiency drives of their organisations. In the context of implementing person-centred health policy, this paper explores the evolving role of front-line nurses as leaders and champions of change.

Background: Nurses can be seen to have some autonomy in health-care delivery. However, they are subject to systems of social control. In implementing person- centred policy, nurses can be seen to be doing the best they can within a constrained environment.

Method: A survey of nursing practice in person-centred health-policy …

Electronic Health Record (Ehr) Reform, Ali Al Ukaby

Walden Faculty and Staff Publications

Organizational Diagnosis

Electronic Health Record (EHR) Reform

Five Seemingly Insurmountable Challenges Related To Attaining Long-Term Value From Theorizing About Information Systems, Steven Alter

Business Analytics and Information Systems

Recent articles such as Avison and Malaurent (2014) and Grover and Lyytinen (2015) question taken-for-granted assumptions about the centrality of theory in research published in leading journals and the near necessity of following repetitive scripts that sometimes are an obstacle to creativity. This paper goes a step further by providing examples and observations that illustrate five seemingly insurmountable challenges related to attaining long-term value from theorizing about information systems.

1) Divergent definitions of basic terms makes it extremely difficult to accumulate IS knowledge.

2) The IS discipline seems to take for granted that knowledge must take the form of theory. …

Selling Expert Knowledge: The Role Of Consultants In Singapore's New Economy, Hans-Dieter Evers, Thomas Menkhoff

Research Collection Lee Kong Chian School Of Business

We are currently witnessing a major transition from the old type of industrialsociety with its traditional dominance of manufacturing work and old industrialclasses to an information and knowledge-based society (Albrow and King 1981;Drucker 1994; Stehr 1994; Hannerz 1996; Baber 1998; Evers 2000, 2000a,b,c)which is believed to have the following characteristics:· Its members have attained a higher average standard of education incomparison to other societies and a growing proportion of its labour force areemployed as knowledge workers. In other words, there is a significantreduction in the number of people working in operational roles, whileemployment in professional, knowledge-based roles has risen.· Its …

Information Technology Impacts On Firm Performance: An Extension Of Kohli And Devaraj (2003), Anand Jeyaraj, Rajiv Sabherwal

Management Information Systems Faculty Publications

Despite the importance of investing in information technology, research on business value of information technology (BVIT) shows contradictory results, raising questions about the reasons for divergence. Kohli and Devaraj (2003) provided valuable insights into this issue based on a meta-analysis of 66 BVIT studies. This paper extends Kohli and Devaraj by examining the influences on BVIT through a meta-analysis of 303 studies published between 1990 and 2013. We found that BVIT increases when the study does not consider IT investment, does not use profitability measure of value, and employs primary data sources, fewer IT-related antecedents, and larger sample size. Considerations …

An Internship Report On The Ogden Museum Of Southern Art, Grace Rennie

Arts Administration Master's Reports (1984-2016)

The following internship report is a reflection of my time spent working at the Ogden Museum of Southern Art from February 2 to June 2, 2015. Since gaining a new Executive Director in 2012, the Museum has gone through a period of rapid change, which resulted in a complete overhaul of staff structure during my tenure. This report will outline the structure of the Museum, discuss the factors that led to it changing, and evaluate its sustainability for the Museum moving forward. It will also discuss the marketing and communications mechanisms in place, with a specific focus on social media, …

The Shared Services Organizational Model In Higher Education Enrollment Management: The Application Of The Transactional Components Of The Burke-Litwin Model Of Organizational Performance And Change And The Moderating Effect Of Employee Engagement On Individual Motivation, Rosemary Cooper

Human Resource Development Theses and Dissertations

As a result of increased economic, social, and educational constraints, institutions of higher education are evaluating new approaches to operating in more restrictive environments. To mitigate these external constraints, institutional administrators are implementing organizational change structures that create efficiency, drive down costs and make the best use of human capital and technological resources. Within the last decade there has been strong encouragement from higher education pundits and consultants to implement the shared services organizational structure in higher education enrollment management divisions. Higher education institutions are borrowing the shared services organizational model from other industries and utilizing organizational change protocol from …

Gamelead: A Gamified Application To Engage Learners, Jayarani Tan, Nachamma Mrs Nachamma Sockalingam

Research Collection Lee Kong Chian School Of Business

This submissiondescribes the use of gamified learning to engage learners using a mobile/desktopapplication called “GameLead” in higher education. GameLead is easy to accessand use, and it encourages cognitive and social learning, to engage learners.

Reflections And Commentary On A Theory Of Philanthropy, Michelle Gagnon, Nathaniel Foote, Michael Quinn Patton, James Radner, Patricia Patrizi, John Bare, Kay Sherwood, Teresa Behrens

The Foundation Review

No abstract provided.

Patient-Driven Vs. Evidence-Centric Decision Models In The Treatment Of Hemophilia, Christopher C. Lamb

Student Scholarship

Physicians treating hemophilia face difficult decisions related to complex bleeding disorders. To understand how physicians in the United States (US) and the United Kingdom (UK) make critical, life-saving decisions, a qualitative study was performed involving a series of interviews with treatment experts from each country. A total of twenty-four (24) physicians from the US and the UK were asked about their experiences treating hemophilia and how they made certain decisions. American physicians tend to be patient-centric; they are more influenced by a patient's specific preferences and unique, individual conditions. British physicians are more evidence-centric where they approach the patient based …

Understanding Employee Work Attitudes: An Integration Of Psychological Contract Theory And Organizational Support Theory, Wen Chang

UNLV Theses, Dissertations, Professional Papers, and Capstones

Employee motivation and retention are critical concerns for the hospitality industry. The purpose of this study was to understand employees’ work attitudes and emotional affect through a social exchange perspective by integrating employee psychological contract theory and organizational support theory. Affective event theory provided the theoretical foundation for this study. Data was analyzed using exploratory factor analysis and path analysis. The results showed that employees’ psychological contract fulfillment was a strong predictor of their perceived organizational support. In addition, psychological contract fulfillment and perceived organizational support together explained employee affect at work as well as other work attitudes. Affect at …

2015-11-19 General Education Council Meeting Minutes, Morehead State University. Faculty Senate., General Education Council.

Faculty Senate Records

General Education Council meeting minutes from November 19, 2015.