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Has Regional Hospital Autonomy Achieved Its Goals? Lessons Learned From Indonesia: A Systematic Review, Masyitoh Basabih, Indriaswari Widhakuswara

Kesmas

This study examined the impact of hospital autonomy implementation on the performance of regional public hospitals in Indonesia, particularly in terms of efficiency, effectiveness, and governance. A systematic review of 32 peer-reviewed studies published between June 12 and September 6, 2023, was conducted using Garba Rujukan Digital and Google Scholar, following PRISMA guidelines. Studies addressing financial performance, service outcomes, and challenges related to implementing autonomy were included. The findings indicated that while autonomy led to improvements in infrastructure, service types, visit volumes, and hospital revenues, it had only a marginal impact on improving key health performance outcomes, such as service …

Enhancing Client Intake Efficiency In The Removal Defense Program: A Nursing-Led Quality Improvement Initiative, Johnny Linares, Julia Tran Ngo, Daniel Orea, Atheana Yadira Lopez

Master's Projects and Capstones

This quality improvement project focuses on optimizing the intake process for the Removal Defense Program at a nonprofit immigration legal office serving asylum-seeking clients. The existing intake relied on unstructured, phone-call-based intake interviews that gathered incomplete information, leading to inconsistent documentation, reduced efficiency, and significant client processing delays. A structured, multilingual, and multiplatform new-client admission protocol coupled with the implementation of a client-facing resource guide for waitlist clients were co-developed and implemented using the Lippitt Change Theory framework. Utilizing a mixed methods approach, the study involved staff interviews and observational assessments with staff members from the program. Baseline intake process …

Evaluating Efforts To Shift Power Through Listening: Defining Power And Listening To All Sides, Sarah Stachowiak, Juan Clavijo

The Foundation Review

There are a variety of ways funders and nonprofits are trying to shift the power dynamics between those who typically have held it (i.e., funders and organizations) to those who have unique and important expertise: those most affected by the problems the social sector is trying to solve.

In this article, we share lessons from two evaluations that sought to understand how those who were being listened to experienced the listening process, exploring the degree to which people felt heard and their experiences of how, and in what ways, power shifted for them. One evaluation focused on the experiences of …

Integrating Artificial Intelligence And Machine Learning Technologies Into Common Operating Picture And Course Of Action Development, C. Anthony Pfaff, Christopher John Hickey

Books, Monographs & Collaborative Studies

C. Anthony Pfaff and Christopher John Hickey, Principal Investigators

©2025 C. Anthony Pfaff. All rights reserved.

Integrating Artificial Intelligence and Machine Learning Technologies into Common Operating Picture and Course of Action Development explores the potential of artificial intelligence (AI) and machine learning to revolutionize military planning processes by enhancing situational awareness and expediting course of action development within the Joint planning process. The study delves into technical, organizational, and resource considerations that are critical for AI integration. In addition, the study highlights the importance of clean, structured data in training AI systems, addresses challenges in data collection across varying formats …

Illinois Longitudinal Data System: Data Governance, Processes, And Integration, Benjamin Boer, Kate Eischens

Practitioner Toolkits and Resources

The Illinois Longitudinal Data System (ILDS) supports data-driven policy and practice across Illinois’ education and workforce sectors by facilitating secure, interagency data sharing and governance. Established by state statute, ILDS’s mission is to provide high-quality, timely, and actionable information from birth through career to inform equitable outcomes and engaged communities. This document provides an overview of the ILDS and documents policies and processes for its governance; data management, staging, and request; technologies and data security; legal; and, communications.

Non-Profit Mental Health Organization: Overcoming Employee Turnover With Retention Strategies, Navpreet Brar

Walden Dissertations and Doctoral Studies

This professional administrative study explored the root causes of employee turnover at a nonprofit mental health organization, where turnover had reduced treatment consistency, increased emotional distress among clients, and decreased staff morale. The purpose of this study was designed to develop effective strategies to enhance retention, improve employee engagement, and support high-quality patient care through an application of the social exchange theory. The study addressed four practice-focused questions: (a) What are the underlying causes of turnover at this organization? (b) How can effective strategies be developed and implemented to reduce turnover? (c) How can the organization enhance employee engagement to …

Becoming A Bridge Of Collaboration: How Being Supports Doing Within The Help Model Of Leadership, Andrea Burgess

Critical and Creative Thinking Capstones Collection

This synthesis project introduces the HELP Model—Humility, Emotional Intelligence, Leadership Service, and Psychological Safety—as a developmental framework for sustainable leadership rooted in character formation and relational trust. It asserts that credible and effective leadership begins with inner orientation before it can be embodied as consistent, ethical action in the world. Through integration of leadership theory, developmental psychology, and theology, the project critiques conventional, strategy-driven paradigms of organizational well-being. HELP extends Robert Kegan’s framework to include relational and spiritual dimensions of the leader’s individual growth as necessary conditions for fostering organizational collaboration. Drawing on reflective inquiry and practice-based insight, the project …

Impoverished People: A Phenomenological Study Of The Effects Of Organizational Culture And Corruption On Class Poverty, Jean Rony Duclosel

Doctoral Dissertations and Projects

Researchers have established that corruption adversely affects economic growth and development and deters resources from the most vulnerable. When viewed through the lens of public administration, corruption can create financial burdens and hinder the delivery of essential services, such as criminal justice, healthcare, education, and social programs. However, the dynamic effects of organizational culture and corruption on class poverty are still unknown. This phenomenological study fills this gap. The researcher employed a case study methodology to achieve this goal, using a semi-structured interview format, a focus group, and a document analysis of an administrative court. The population for the interview …

Of Corruption And Anti-Corruption Strategies In Nigeria: The More You Look The Less You See, Sylvester Olubani Fajonyomi

Journal of African Policy Studies

This statement from the president of the Federal Republic of Nigeria reflects the outcome of the regime's efforts at fighting corruption in its first four years (1999-2003) in office: "Some members of the Nigerian public have expressed their opinion to the effect (that) our anti-corruption crusade in the last four years has been deficient in credibility because it appeared to lack the support of the Federal Executive Council who only rarely expressed their support in public. The situation has to change with the new cabinet. Each and every one of you must do more than give a nodding support for …

Efficiency Processes In Egyptian Enterprises: Current Status In A Transition Economy, Samir S. Youssef

Journal of African Policy Studies

Taking the view that business organizations are essentially resource transformation agents aimed at satisfying societal needs for goods and services and, in effect, improving quality of life, this paper examines the impact of the transition stage forces on the efficiency processes in business organizations within the Egyptian economy, an economy that is still developing free market institutions.

Front Line Innovation In Federal Agencies: U.S. Department Of State Passport Services Innovation Portal Engagement Program, Bill Langer

Creativity and Change Leadership Graduate Student Master's Projects

This project explores strategies for enhancing front-line innovation within federal agencies through employee engagement with the U.S. Department of State's Passport Services Innovation Portal. Rooted in the principles of creative leadership and intrinsic motivation, the project addresses persistent barriers to innovation in federal settings, such as bureaucratic inertia and a lack of feedback mechanisms for idea submissions. Utilizing the Creative Problem Solving (CPS) model and a modified 21st-century facilitation framework, the project team designed and implemented an engagement program that included informational briefings and targeted newsletters. Quantitative data from website analytics and idea submissions were analyzed using paired t-tests and …

The Effects Of Short-Term Rental Regulation On Neighborhoods In Traverse City, Mi, Joseph H. Slonecki

Master of Public Administration Capstone Papers

With the increase in popularity of Short-Term Rentals (STRs) and the increase in housing and rental prices throughout the United States, this study aims to explore the effects STRs have on housing and rental prices in Traverse City, MI. Traverse City is a popular tourist area and has experienced significant price increases over the last decade. STRs have been a topic of regulation by many local units of government and the area lacks unified regulation. The study area is confined to two census block groups of adjacent neighborhoods that occupy different townships. The townships have two different approaches to STR …

How Can Coalitions Positively Impact Michigan’S Rural Communities And Influence Local Policies: A Comparative Case Study, Amanda Bonesteel-Kratt

Master of Public Administration Capstone Papers

This research explores the impact of coalitions on communities and their influence on local and state policies in rural agricultural communities in Michigan. Nonprofit organizations often utilize coalitions to strengthen their outreach efforts and impact, and in this paper, the author focuses on Farm-to-Power (FTP), a new nonprofit organization in Michigan. FTP advocates for landowners’ rights regarding renewable energy, specifically wind and solar, on a utility scale. This paper explores the best practices concerning effective coalition-building that have the capability to impact policy changes that benefit farming communities through improved economic stability. Access to renewable energy leases for Michigan farmers …

Disrupting Foundation Culture: Lessons In Learning To Share Power And Decision-Making, Sonia Caus Gleason, Tina Eshaghpour

The Foundation Review

There is much discussion of shifting organizational culture in philanthropies to share power and decision-making. However, examples of foundation learning endeavors to disrupt culture in service of systems change, racial equity, and responsiveness are less common.

Our article provides a window into the demanding work at The California Wellness Foundation and how internal collaboration and learning have led to progress in racial equity and power-sharing with communities. We focus on the introduction of Learning Labs, an action research model that framed and scaffolded the investigation of philanthropic terms and practices. This catalyzed collaborative decision-making within cross-functional teams while senior leaders …

Rhetorical Nation-Building: A Close Textual Analysis Of Macarthur, Heuss, And Karzai As Agents Of Renewal, Josiah J. Mork

Masters Theses

Warfare has largely shifted from means of domination into a method of peacemaking. Nations increasingly utilize war to dismantle hostile nations and rebuild them with compatible political identities, which potentially creates more lasting peace than treaties or annexation. However, U.S. attempts at nation-building have varied success and, at times, prolong hostility. This study frames the nation-building process as an act of crisis communication and examines the role of rhetoric in this nation-building process. A close textual analysis was performed to examine discourse of renewal in two successful examples in Japan and West Germany, and in an example of failure in …

Book Review: Unit X: How The Pentagon And Silicon Valley Are Transforming The Future Of War, Robert D. Bradford Iii

Parameters Bookshelf – Online Book Reviews

Author: Raj M. Shah and Christopher Kirchoff

Reviewed by Robert D. Bradford III, associate professor of defense and Joint processes, US Army War College

Bureaucracy versus technology. The Pentagon versus Silicon Valley. Is cooperation possible? If you have ever wondered how the US military and civilian technological institutions can work together to America’s advantage, Robert D. Bradford III’s review of Unit X: How the Pentagon and Silicon Valley Are Transforming the Future of War explores the story of the Defense Innovation Unit Experimental and its connection to the Department of Defense and Silicon Valley.

Navigating Challenges: Public Community College Leadership In The Face Of Existential Crisis, Sarah Lynne Lupton-Houston

School of Public Service Theses & Dissertations

This study answers the question: "When faced with an existential crisis, indicated by declines in key performance indicators, how do public leaders make decisions?" The research uses the Garbage Can Model and Incrementalism combined theoretical framework to explore how public administrators navigate crises in complex, hierarchical, and bureaucratic structures where unpredictable challenges often demand adaptive responses. This study offers insights into decision-making processes that blend reactive, opportunistic choices with measured, gradual adjustments.

The findings from this research contribute to the field of public administration by examining the decision-making strategies used by leaders at public community colleges in Virginia during a …

Cost Modeling For State Longitudinal Data Systems, Benjamin Boer

Practitioner Toolkits and Resources

A tool to support the development and scaling of longitudinal data supports in state policymaking.

Empowering Educators, Transforming Futures: An Explanatory Multiple Case Study Of The Smou Schools In Saudi Arabia, Hana Ali Alzandi Alghamdi

Electronic Theses and Dissertations

Saudi Arabia’s Vision 2030 emphasizes educational reform as a critical pathway for national development, highlighting the role of educators in fostering student success. The Smou program, a professional development initiative, seeks to enhance the instructional and leadership capacities of school leaders and teachers in elementary public schools. This study explores how school leaders navigate their role in supporting teachers’ application of Smou program strategies and how teachers perceive their preparation for implementing these strategies in their instructional practices. Using an explanatory multiple case study approach, the research explores two elementary schools in the Mecca region—one high-performing and one low-performing—selected based …

State-Based Law Enforcement Accreditation Outcomes: A Multiple Case Study In Texas, Thomas L. Sanders

Doctoral Dissertations and Projects

The 21st century has brought new challenges to the nation’s law enforcement organizations, with agencies having to achieve a higher service standard to meet society’s demand for transparency, responsiveness, and justice. Prompted by presidential task force recommendations in 2015 and 2020, law enforcement agencies have sought methods to raise their organizational standards to build trust and legitimacy of policing in their communities. Based on federal guidelines, the accreditation of law enforcement agencies and implementation of the best practices in law enforcement throughout the nation have taken root in American policing. On a national level, the Commission on Accreditation for Law …

Bridging The Gap: Analyzing Volunteerism Barriers To The International Humanitarian Ngos In Egypt, Heba Fouad

Theses and Dissertations

In Egypt, volunteerism, within international humanitarian non-governmental organizations (NGOs), functions in distinctive characteristics influenced by, among other things, cultural, educational, and economic factors. NGOs face challenges and obstacles in attracting motivated volunteers, engaging and training volunteers, as well as managing the staff-volunteers relationship, and implementing adequate human resources (HR) policies and strategies. In this context, this thesis seeks to bridge the knowledge gap of volunteerism challenges in Egypt, delving deep into understanding the barriers existing within the international humanitarian NGOs that directly and indirectly influence its volunteer engagement levels. The thesis also aims to understand the successful implementation of policies …

The Determining Factor Of Inconsistencies In French Feminist Foreign Policy In The Field Of Protection Against Women’S Violence, Sheila Salma Az-Zahra, Raden Maisa Yudono, Musa Maliki, Nurmasari Situmeang

Journal of Strategic and Global Studies

Stratégie internationale de la France pour l'égalité femmes-hommes (2018-2022) is an international strategy on gender promoted by the French Government. It aims to promote the value of gender equality and women's empowerment, especially in protecting women's rights from any acts of violence in the European Union. Unfortunately, the French Government has shown inconsistencies in the implementation of the feminist foreign policy, which has increased the number of violence from the beginning of this policy until nowadays. This research was conceived by a liberal feminism approach and conceptualized under the feminist foreign policy and patriarchy concepts to prove the determining factor …

The Readiness For Integrated Primary Health Care (Ilp) At Puskesmas Pamulang In Tangerang Selatan City, Firda Safitri Rachmaningsih, Kurnia Sari

Journal of Indonesian Health Policy and Administration

. Integrated primary healthcare (ILP) is part of the transformation of primary healthcare aimed at improving access to quality healthcare. This study aims to analyze the readiness of Pusat Kesehatan Masyarakat (Puskesmas) and their networks to implement ILP. This research used a qualitative approach, focusing on a case study of a Puskesmas in an urban setting, specifically in the operational area of Puskesmas Pamulang in South Tangerang. Data collection methods include in-depth interviews, observations, and document reviews. This research adopts the conceptual framework of PHC monitoring based on WHO and Weiner's theory of organizational change readiness. The research findings indicate …

Updating The Tacs/Aags For Large-Scale Combat Operations, Matthew Neuenswander

Joint Force Quarterly

This article reviews the evolution of the Theater Air Control System/Army Air-Ground System (TACS/AAGS) and assesses whether its current structure is adequate for large-scale combat operations. Since the Vietnam War, TACS/AAGS has provided the command-and-control framework for integrating Army and Air Force operations involving joint fires, close air support, air interdiction, airspace control, intelligence, and other air-ground missions. The author argues that decades of counterinsurgency operations, changing Army force structures, emerging long-range fires organizations, dispersed command posts, and Air Force reductions in Tactical Air Control Party personnel have created new challenges for joint air-ground integration. Additional complications include unresolved questions …

How Military And Civilian Leaders At Forscom Develop Transformational And Sensegiving Skills To Motivate Brigade Combat Teams To Support The Army's Training Objectives, Lonnie Earnest Humphrey

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to determine whether military and civilian leaders at the United States Army Force Command (FORSCOM) have transformational and sensegiving skills to influence Brigade Combat Teams to support the Army's Mission Essential Training Task (MET-T) and Warfighting Function (WFF) training objectives. The theory that guided this study is Maslow hierarchy of needs. Maslow’s hierarchy of needs is widely used in public organizations as a framework to assess employees’ needs. Maslow's hierarchy of needs theory suggested that subordinates are only motivated to support an organization's strategic goals once their psychological and physical needs are satisfied. …

Assessing Best Practices Of Facilitation Of The Free Exercise Of Religion By Army Chaplains Utilizing The Success Case Method, Geoffrey N. Bailey Phd

Dissertations

This mixed-methods study examined how U.S. Army chaplains experience and facilitate the free exercise of religion. The research explored compelling narratives of best-case facilitation experiences, identified leadership qualities associated with successful religious support, and analyzed similarities and differences between best and worst-case scenarios. Using Brinkerhoff's Success Case Method, the study distributed a quantitative survey to 1,478 active-duty chaplains (achieving a 23% response rate) followed by twelve guided interviews with participants representing diverse ranks and faith traditions. The research revealed six major themes: significant gaps in education for pluralistic ministry, tension between personal religious convictions and professional duties, crucial impact of …

Adaptive Leadership In Hbcus: Navigating Hybrid Work Dynamics In A Post-Pandemic Era, Brittney A. Brooks

West Chester University Doctoral Projects

Leaders of Historically Black Colleges and Universities (HBCU) institutions influence retention rates of HBCU employees. An organization's culture determines the behavior of its employees. When assumptions regarding organizational structure were made, communication about the company's expectations was often ignored, leading to employees becoming accustomed to the culture and resistant to change. This mindset hindered HBCU growth and the willingness to address the urgency for policy revisions. As institutions continue to transition post-COVID, adjusting human resource policies at HBCUs to cater to the individual needs of these employees is needed to maintain retention.

This exploratory mixed-methods research study investigated leadership in …

Shared Tracks, Divided Rule: The Role Of Polycentrism In Shaping Public Transportation In U.S. Metropolises, Dev Purohit

Honors Theses

American public transportation is notably less comprehensive and efficient relative to peer nations. The reliance on private automobiles and commercial air travel for routes that can be served by high-speed rail is a uniquely American phenomenon. This inefficiency is deeply rooted in governance structures, where centralized decision-making has often failed to address the complexities of metropolitan transit systems spanning multiple jurisdictions. This project explores polycentric governance as a potential mechanism to address these shortcomings by fostering competition, enhancing collaboration, and promoting localized responsiveness within metropolitan transit systems. By developing an empirical inventory to measure governance polycentricity and comparing transit outcomes …

Building A Culture Of Preparedness: Using Community Emergency Response Teams To Promote Preparedness Behavior, Joseph Faulk

Theses and Dissertations

Communities throughout the nation use the Community Emergency Response Team (CERT) program to supplement the disaster response after hazard events as well as help build a culture of preparedness. Currently, practitioners and academics have limited knowledge about how CERTs promote enhanced preparedness postures. To address that knowledge gap, 20 CERT program managers were interviewed in this study to improve the general understanding of how CERTs contribute to developing a preparedness culture. The results identify program activities, objectives, and measures. In addition, this study introduces the Preparedness Behavior Change Model and collects feedback on its usefulness, which suggests it has a …

Performance Auditing Trends At A Supreme Audit Institution: Uk National Audit Office, 1999 To 2021, Amir Michael, Laurence Ferry, Bruce Mcdonald, Henry Midgley

School of Public Service Faculty Publications

Performance audits have become increasingly important across the world. Scholars know that a variety of practices are incorporated within performance audits and have mapped this diversity. However, few quantitative studies examine performance auditing as a practice. This study fills that gap. By analyzing the published performance audit documentation of the UK National Audit Office (NAO), the study explores the influences of governmental change and crises behind changes in a supreme audit institution's performance audit. It also examines whether performance audits are diverse by examining the language used by the auditors. The study provides evidence that neither crises nor changes of …