Digital Commons Network^™

Contextual Leadership: The Social Construction Of Leadership In A Comprehensive Healthcare System, Mark J. Moir

Antioch University Dissertations & Theses

Healthcare is a complex and dynamic environment containing a plurality of social forces and perspectives that shape the organizational culture and the nature of the leadership. As leadership is a social phenomenon, it is important to understand the complex social processes that mediate our perceptions and that in turn influence processes of leader attribution. The central purpose of this study has been to illuminate the nature of culturally specific processes that emerge within a specific organizational setting and that fuel leader attribution and the social construction of leadership. Accordingly, this qualitative study has developed a Grounded Theory utilizing Situational Analysis …

Organizational Culture And Job Satisfaction In Korean Professional Baseball Organizations, Yun Seok Choi, Jeffrey J. Martin, Meungguk Park

Kinesiology, Health and Sport Studies

The purpose of this study was to identify the pattern of organizational culture and investigate a link between organizational culture and job satisfaction in the Korean Professional Baseball League (KPBL). The findings of the present study revealed that the baseball clubs in the KPBL tended to emphasize a market culture. The results of this study also suggest that the clan culture has a significant influence on overall employee job satisfaction and satisfaction with co-workers, supervision and personal growth. Given the importance of a conceptual relation between organizational culture and job satisfaction in effectively managing sport organizations, implications and suggestions for …

Emergency Department Nurses' Experience Relating To Hospital Acquisition: A Phenomenological Study, Bernadette Deprez

Graduate Research Projects

No abstract provided.

Prescriptions For Excellence In Health Care Summer 2008 Download Full Issue #4

Prescriptions for Excellence in Health Care Newsletter Supplement

No abstract provided.

The Lived Experience Of A Patient While Receiving Treatment On An Orthopedic Unit After A Hip Fracture: Integrating Research And Theory To Improve Patient Care, Margaret A. Kaser

Theses and Graduate Projects

A hip fracture is a devastating injury for an older person, often resulting in long-term or permanent loss of mobility and independence. Although research has been conducted on various aspects of hip fractures, little research has described the experience of a patient with a hip fracture. This phenomenological study explored the lived experience of a patient receiving treatment on an orthopedic unit after a hip fracture. A purposeful sample of two participants who were hospitalized at Saint Mary's Hospital following a hip fracture were interviewed after surgical repair of the fracture. The interviews were analyzed using Giorgi's descriptive phenomenology. The …

Implementing A Practice Doctorate Program At A Distance Through An Urban-Rural Partnership, Beth Ann Swan, Anthony J. Frisby, Lori S. Lauver, Margaret M. West, Mary Powell, Ksenia Zukowsky, Alexis Marsella

The Selected Works of Anthony J. Frisby, PhD

The purposes of this poster presentation are to 1) describe the implementation of a doctor of nursing practice (DNP) program by providing access to rigorous distance education to students living in rural Pennsylvania; 2) discuss building a critical mass of doctorally prepared advanced practice nurse experts in both urban and rural communities; and 3) share formative and summative evaluation information.

Through funding from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Division of Nursing, the Jefferson School of Nursing (JSN) expanded its DNP program currently offered at the urban Philadelphia campus …

Leadership, Bonnie M. Jennings, Joanne Disch, Laura Senn

Faculty Research, Scholarly, and Creative Activity

No abstract provided.

Improving The Provision Of Reproductive Health Services To Incarcerated Women

Florida Public Health Review

Many researchers in social science and criminal justice fields have shown that reproductive health services for women in prisons, jails, and other correctional facilities, including preventive screening, prenatal services, and treatment, is severely lacking. As the rates of incarcerated women continue to soar, for a multitude of political, economic, and structural reasons, it has become increasingly more critical that women’s health issues, including reproductive health, are adequately addressed in the prison health setting. Correctional and health care programs differ strongly in their purpose (punishment or care), primary client served (society or individual), means employed to achieve their purpose (deprivation or …

Promoting Physical Activity In Middle School Girls: Trial Of Activity For Adolescent Girls, Larry S. Webber, Diane J. Catellier, Leslie A. Lytle, David M. Murray, Charlotte A. Pratt, Deborah Rohm Young, John P. Elder, Timothy G. Lohman, June Stevens, Jared B. Jobe, Russell R. Pate

Faculty Publications

Background - Physical activity is important for weight control and good health; however, activity levels decline in the adolescent years, particularly in girls.

Design - Group randomized controlled trial.

Setting/participants - Middle school girls with English-speaking skills and no conditions to prevent participation in physical activity in 36 schools in six geographically diverse areas of the United States. Random, cross-sectional samples were drawn within schools: 6th graders in 2003 (n=1721) and 8th graders in 2005 (n=3504) and 2006 (n=3502).

Intervention - A 2-year study-directed intervention (fall 2003 to spring 2005) targeted schools, community agencies, …

Simulation-Based Training For Patient Safety: 10 Principles That Matter, Eduardo Salas, Katherine A. Wilson, Elizabeth Lazzara, Heidi B. King, Jeffery S. Augenstein

Publications

Simulation-based training can improve patient care when factors influencing its design, delivery, evaluation, and transfer are taken into consideration. In this paper, we provide a number of principles and practical tips that organizations in health care can use to begin implementing effective simulation-based training as a way to enhance patient safety. We commend the health care community for their efforts thus far. We hope that the information provided in this paper will encourage thinking beyond the "bells and whistles" of the simulation and bring to light full potential of simulation-based training in health care and patient safety.

Advanced Education Nursing In Rural Communities, Beth Ann Swan, Ksenia Zukowsky, Margaret M. West, Anthony J. Frisby, Mary Powell, Lori Lauver, Alexis Marsella

The Selected Works of Anthony J. Frisby, PhD

Through support from the Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Division of Nursing, the Jefferson School of Nursing (JSN) has expanded its Adult, Family and Neonatal Nurse Practitioner programs, currently offered at the urban Center City Campus, to the rural Danville Campus. In addition, the Doctor of Nursing Practice (DNP) program is offered at both sites. Expansion of the program has increased the clinical learning experience sites for enrollees and the number and distribution (race/ethnicity, age, gender) of master's and doctoral prepared nurses employed and practicing in rural and underserved areas. …

Nursing Annual Report 2007, Children's Mercy Hospital

Nursing Annual Reports

Annual report for nursing services at Children's Mercy Kansas City.

Perceptions Of Mental Health Services For Operation Iraqi Freedom And Operation Enduring Freedom Military Personnel: A Needs Assessment, Chrystal Anne Long, Jeffrey Lee. Soriano

Theses Digitization Project

The purpose of this study was to assess the perceptions of mental health services for OIF/OEF military personnel among military spouses and mental health practitioners. The professional and personal knowledge of the mental health practitioners and the military spouses provided valuable information about the effectiveness, availability, strengths, and weaknesses of the military's mental health services.

Organizational Culture In A Terminally Ill Hospital, Alberto Coustasse, Douglas A. Mains, Kristine Lykens, Sue G. Lurie, Fernando Trevino

Management Faculty Research

This study analyzed an organizational culture in a community hospital in Texas to measure organizational culture change and its impact on Patient Satisfaction (PS). The study employed primary and secondary data, combining quantitative and qualitative methods for a case study. Participant observation was used and archival data were collected to provide a better understanding of the organizational culture and the context in which change was taking place. This study also applied a “Shared Vision” of the organization as the central process in bringing forth the knowledge shared by members of the community hospital who were both subjects and research participants. …

Repositioning Postnatal Care In A High Hiv Environment: Swaziland, Charlotte E. Warren, Rachel Shongwe, Allen Waligo, Mohammed Mahdi, Goldy Mazia, Indira Narayanan

HIV and AIDS

This Horizons report from the Swaziland Ministry of Health and Social Welfare discusses findings from an intervention which aimed to reposition postnatal care within the context of a high HIV prevalence environment. The objectives were to determine if changes to the sexual and reproductive health guidelines on postnatal care would result in the timely and quality provision of key components of essential maternal and newborn care in the postnatal period, increase utilization of postnatal care services among all postpartum women, and improve the care and follow up of HIV-positive postpartum women and their infants. The study confirms that the introduction …

Hospital Administrators' Perceptions Regarding Their Role In Quality Improvement, Benjamin F. Brown

MUSC Theses and Dissertations

As the formal leaders of their organizations, hospital administrators play a major role in ensuring that their hospitals meet the challenge of continually improving the care that is provided within their organizations. While the literature identifies some of the things that these leaders should be doing to lead their organizations toward providing exemplary care, the literature is lacking with regard to the specifics of how those who are successful are actually able to do so. This study sought to fill this gap in the literature through a qualitative examination of hospital administrators' perceptions of their roles in Q I. The …

Palliative Care In Nursing Homes: A Comparison Of High And Low-Level Providers, Nancy A. Hodgson

Selected Works of Nancy Hodgson, PhD

No abstract provided.

Center For Rural Health, Brad Gibbens

UND Departmental Histories

This departmental history was written on the occasion of the UND Quasquicentennial in 2008.

Extending Prevention Of Mother-To-Child Transmission Through Postpartum Family Planning In Lesotho, Charlotte E. Warren, Semakaleng Phafoli, Bosielo Majara, Thato Tsukuluet

Reproductive Health

Recognizing the need to improve the care and follow up of mothers and infants in the postpartum period, the Lesotho Ministry of Health and Social Welfare (MOHSW), with technical support from the Frontiers in Reproductive Health (FRONTIERS) of Population Council and funding from PEPFAR/RHAP/USAID, carried out an operations research project to strengthen the existing postpartum care services. This study had a specific focus on strengthening linkages with existing PMTCT follow-up and family planning services during the postpartum period by changing the number, timing, and content of postpartum consultations that a woman and her newborn should receive. The key findings indicated …

Maturation Of West Nile Virus Modulates Sensitivity To Antibody-Mediated Neutralization, Steevenson Nelson, Christiane A. Jost, Qinq Xu, Jessica Ess, Julie E. Martin, Theodore Oliphant, Stephen S. Whitehead, Anna P. Durbin, Barney S. Graham, Michael S. Diamond, Theodore C. Pierson

Open Access Publications

No abstract provided.

Effects Of Subcutaneous Postnatal Choline Supplementation On Hippocampus-Mediated Learning And Memory In Rat Pups, Jeremy Alan Moore

Browse all Theses and Dissertations

The effects of postnatal injections of choline on the acquisition of two variants of eyeblink conditioning were examined in developing Long-Evans rat pups. Choline administration on postnatal days (PND) 15-27 was followed by evaluation of trace eyeblink conditioning (Experiment 1) and delay eyeblink conditioning (Experiment 2) on PND 28-29. The results of these experiments show that choline produced greater improvements in learning and memory during the trace condition than in the delay condition, presumably due to its effect on the hippocampus. Trace eyeblink conditioning relies heavily on an intact hippocampus but delay eyeblink conditioning does not, and it is understood …

Lipomatous Tissue: Variation In Treatment Procedures, Comorbidities, And Outcomes, Theresa L. Keel

All ETDs from UAB

Benign lipomas are the most common soft tissue tumors. They exhibit great variation in severity and are associated with significant comorbidity. Advanced understanding of genetic and morphological aspects of benign lesions has revealed unexpected similarities to malignant lesions, but little work has addressed variation among benign lesions. There is a need for better understanding of the effects of variation in lipomas on comorbidity, treatment, and outcomes. Improved knowledge of the effects will clarify the extent of the health and economic burden that severe forms of benign lipomas present to patients and society and may add to understanding of malignant lesions. …

Evaluation Of A Nutrition Program Targeting Child Care Centers, Kendra Witt

Open Access Theses & Dissertations

Color Me Healthy (CMH) is an interactive nutrition program designed for preschool aged children in child care settings. The current study examined if CMH increases the consumption of fruit and vegetables. Child care centers were randomly assigned to one of two conditions; children (n=165) in ten centers received CMH and children (n=98) in seven centers acted as controls. Consumption of fruit and vegetable snacks was assessed at baseline, one week post-intervention and 3 months post-intervention. Hierarchical linear modeling determined that group assignment was the only significant predictor of fruit and vegetable consumption. Children who were exposed to the CMH program …

The Influence Of Environmental Factors And Organizational Characteristics On Innovations In Family Medicine Practices In Virginia, Debora Goetz Goldberg

Theses and Dissertations

Family medicine practices are currently threatened by factors such as poor reimbursement, physician stress, shortage of providers, and difficulties in providing prompt access and reliable continuity of care. The external environment faced by family medicine practices is extremely complex and characterized by high pressure from regulatory sources, decreasing reimbursement levels, an increasing rate of change in technologies and care delivery processes, and increasing patient and community expectations. Over the last several years there have been many efforts in family medicine to respond to the challenges presented by the external environment. The majority of these efforts focus on redesigning the delivery …

How Scientist/Founders Lead Successful Biopharmaceutical Organizations: A Study Of Three Companies, Lynn Johnson Langer

Antioch University Dissertations & Theses

The purpose of this study was to determine how the leadership of scientist/founders of biopharmaceutical companies affects the success of their organization. Over half of all biotechnology firms are founded by scientists, yet for every start-up biotech firm that succeeds, 15-20 fail and eight out of 10 drugs fail in clinical trials (Federal Reserve Bank of Dallas, 2007; Stanford Graduate School of Business, n.d.; Zhang & Patel, 2005). To bring a biopharmaceutical product from the research bench to the consumer costs more than $800 million (Tufts, 2007). This dissertation research explored the leadership practices of three successful scientist/founders and how …

Implementing Elements Of Evidence-Based Practice Into Scientist–Practitioner Training At The University Of Nebraska–Lincoln, David K. Dilillo, Dennis E. Mcchargue

Department of Psychology: Faculty Publications

Evidence-based practice (EBP) has become the predominant model of training and is emerging as a common model of practice for many nonpsychology health care professions. Recognizing the relevance of EBP to psychology, the American Psychological Association (APA) developed and endorsed an official policy statement on EBP for the practice of professional psychology. There is now a pressing need to consider ways that EBP can inform scientist–practitioner training. The present article proposes clinical competencies associated with the practice of EBP, and describes initial efforts to implement elements of EBP into training at the University of Nebraska-Lincoln. These efforts have occurred in …

Reframing School Dropout As A Public Health Issue, Nicholas Freudenberg, Jessica Ruglis

Publications and Research

Good education predicts good health, and disparities in health and in educational achievement are closely linked. Despite these connections, public health professionals rarely make reducing the number of students who drop out of school a priority, although nearly one-third of all students in the United States and half of black, Latino, and American Indian students do not graduate from high school on time. In this article, we summarize knowledge on the health benefits of high school graduation and discuss the pathways by which graduating from high school contributes to good health. We examine strategies for reducing school dropout rates with …

Knowledge Integration: The Iaims Experience At Lvh., Donald L. Levick Md, Linda M. Schwartz Mde, Ahip, Cm, Bryan G. Kane Md

Administration & Leadership

No abstract provided.

Use Of The §1915 (C) Federal Waiver Application: The Experience Of Eight States, Maureen Booth Mrp, Ma, Julie T. Fralich Mba, Hilary Skillings

Disability & Aging

Research staff at the Muskie School of Public Service, USM were requested to evaluate the effectiveness of the revised HCBS waiver application process from the perspective of states. This report summarizes the purpose, scope, approach and findings of the evaluation. The evaluation was designed to provide qualitative information on states' experience using the new HCBS waiver application for initial and renewal waiver applications. The evaluation examined four major issues:

Clarity/Consistency

: Are the waiver application components (Application, Technical Guide, Review Criteria) clearly understood and do they promote consistent interpretation?

Relevancy/Adequacy

:Do the application components address the range of waivers and …

Long-Term Effects Of A Physical Activity Intervention In High School Girls, Russell R. Pate, Ruth P. Saunders, Rod K. Dishman, Cheryl L. Addy, Marsha Dowda, Dianne S. Ward

Faculty Publications

Background - Physical activity decreases during childhood and adolescence, and physical activity levels are significantly lower in females than males, particularly during adolescence. Schools are attractive settings in which to implement interventions designed to promote physical activity in girls and young women, but few studies have tested the sustained effects of such interventions.

Design - Cross-sectional. Data were collected in 2002-2003 and analyzed in 2006-2007.

Setting/Participants - 1594 adolescent girls in 22 high schools.

Intervention - The intervention, Lifestyle Education for Activity Program (LEAP), was designed to increase physical activity in 9^th grade girls through two channels: changes in …