Digital Commons Network^™

The Development Of A New Instrument Comparing Teacher And Principal Perceptions Of School Technology Leadership, Garrick Grace

Theses and Dissertations--Education Sciences

Use of technology in education is rapidly growing in terms of dollars spent annually. With such enormous expenditures for schools, stewardship of human and capital resources via leadership feels vital. School technology leadership is a specialty area of educational leadership with a focus on how leaders address technology issues within their schools and guide others through successful implementation. As the body of research continues to grow, measurement instruments can assist researchers and practitioners in understanding the implementation and adoption of new technologies, and their relationship to leadership.

The purpose of this study was to analyze the current literature on school …

A Comparative Study Of Leadership Styles In International Special And General Education Schools In The United Arab Emirates, Kaitlin M. Jackson

Theses and Dissertations--Education Sciences

This study attempted to identify leadership styles of school leaders in international special and general education schools in the United Arab Emirates. Additionally, this study sought to explore the influence of various demographic factors on perceived leadership styles. The Multifactor Leadership Questionnaire (Avolio & Bass, 2004) was given to teachers across eight schools for the purpose of obtaining their perceived rating for leadership behaviors of school leaders at equivalent levels. Descriptive statistics were examined to identify prevalent leadership styles and trends in the demographics of survey respondents. Hierarchical linear models were conducted to determine the statistical significance of leadership style …

A Personalized Approach To Professional Development Through A Community Of Practice, Kelly I. Cua

Theses and Dissertations--Educational Leadership Studies

Personalized learning has gained traction in the United States as schools look to improve student learning through means that are less focused on standardized tests and are more focused on individualized student needs (Cavanagh, 2014). To successfully implement a new learning initiative such as personalized learning, high-caliber training must be provided. Research indicates a teacher's expertise and effectiveness account for the most significant difference in student achievement (Ferguson, 2001; Hattie, 2012), and therefore quality teacher professional development is paramount. One way to improve a teacher’s excellence and effectiveness is through sustained, collaborative, and meaningful professional development.

In this study, I …

Training Curricula For The Kentucky Transportation Cabinet Department Of Highways, Nancy Albright, Bryan Gibson, Chris Van Dyke, Jeff Jasper, Doug Kreis

Kentucky Transportation Center Research Report

Most state departments of transportation (DOTs) offer their employees professional development opportunities (e.g., training courses) so they can build their expertise and in doing so facilitate agency efforts to fulfill their business mandates. The Kentucky Transportation Cabinet (KYTC) is no different in this regard. While professional development opportunities are invaluable, and while the Cabinet offers a number of trainings to its staff, currently there exists no comprehensive training curricula to help professionals and paraprofessionals systematically grow their knowledge and skills and ensure KYTC maintains a robust portfolio of technical competencies across the organization. The inconsistent and ad hoc manner in …

Network Analysis Approaches To Collaborative Information Seeking In Inter-Professional Health Care Teams, J. David Johnson

Communication Faculty Publications

Introduction: It is widely believed that interprofessional health care teams can improve patient care and increase safety; however, intra-team communication has often proven to be problematic. One particularly important aspect of this problem is how teams collaborate to seek the information needed to address the issues they are confronting. Network analysis offers a rich set of concepts for tackling this problem.

Method: Review essay.

Analysis and results: Network analysis approaches offer the promise of more nuanced approaches and diagnostic tools that could address these issues by focusing on its elements: reciprocity, centrality, density, fault lines, multi-team systems, …

The Role Of Therapist Multicultural Competency On Treatment Outcomes, Minnah Farook

Theses and Dissertations--Educational, School, and Counseling Psychology

Racial and ethnic minority populations suffer disproportionally from mental health disparities in the United States (Dillon et al., 2015; Holden et al., 2014). Research has indicated that a lack of culturally competent care contributes to these disparities (Holden & Xanthos, 2009). As multicultural competencies (American Psychological Association [APA], 2002; Council of National Psychological Associations for the Advancement of Ethnic Minority Interests, 2003) have been widely endorsed and implemented in professional organizations and training programs, research on their need and usefulness has increased over the last three decades (Worthington et al., 2007). However, the majority of research on multicultural competencies has …

Complexity Leadership: The Role Of Teaching And Learning Center Leaders In Online Learning At Small, Private Colleges, Tyler D. Watts

Theses and Dissertations--Education Sciences

As online learning continues to grow and became an integral component of many higher education institutions (Allen & Seaman, 2017), the role of leadership in guiding those online learning initiatives differs from institution to institution. At small, private colleges and universities, where online learning is seeing greater enrollment and growth (Clinefelter & Magda, 2013), teaching and learning centers (TLC) often have involvement in guiding and shaping online learning initiatives. This study investigated the role of TLC leaders in leading online learning initiatives. The value of this study is an examination of leadership during a period of transformation and change that …

Superintendents And The Micropolitics Of Innovation In Rural School Districts, Catherine Nunn Lawless

Theses and Dissertations--Education Sciences

Research shows that public school districts that follow traditional means of instruction and assessment are insufficiently preparing students for success in the today’s global world. As a result, students are entering into higher education institutions and the workforce without the necessary skills to succeed in these 21^st century environments. Extant literature suggest that there is a broad consensus on this perspective in public and private sectors nationally and globally. Evidence shows that some school district superintendents and their respective school boards continue to focus on improving the current practices and student academic performance and assessment. Other instructional leaders recognize …

“It’S Hard To Get Your Head Around Something Like This”: Figurative And Intense Language For Sensegiving During Severe Weather Coverage, Robert W. Prestley

Theses and Dissertations--Communication

During high-impact weather events like Hurricane Harvey, broadcast meteorologists take on the role of sensegiver, as they develop frameworks to help their viewers make sense of the storm. These frameworks are communicated through rhetorical choices evident in the language the meteorologists use to describe the storm’s threat and impact. This study investigates the rhetorical choices of KHOU broadcast meteorologists during Hurricane Harvey in order to make sense of the disaster, using an inductive thematic analysis. The results indicate that the KHOU broadcasters framed Harvey figuratively as an all-encompassing monster and a heat-seeking machine. The meteorologists used emotionally intense language to …

Innovation Behavior Of Agri-Food Small And Medium-Sized Enterprises: Emerging Countries, Gaukhar B. Kussainova

Theses and Dissertations--Agricultural Economics

This paper examines the innovative behavior of agri-food firms located in Central and Eastern Europe. In the literature, empirical analyses on innovation activities of firms focus on various case studies from around the world. However, very few studies explored the innovation of small and medium sized enterprises (SMEs) from Central and Eastern Europe’s agri-food sector. The analysis uses the logit estimation method and firm-level data, which are obtained from ERBD-World Bank Business Environment and Enterprise Performance Survey (BEEPS). Results suggest that firms that spent some proportion of their financial budget on research and development (R&D), had workforce training programs and …

Trauma-Informed Care: Needs Assessment In A Pediatric Intensive Care Unit, Christine Young

DNP Projects

It is estimated that over 60 percent of children and adolescents in the United States have experienced one or more traumatic event (Saunders & Adams, 2014) resulting in increased psychosocial needs. Trauma-Informed Care (TIC) involves recognizing and validating the effects of trauma and promotes for effective treatment. The purpose of this Doctor of Nursing Practice (DNP) project was to describe the frequency of neglect and trauma, including abuse and accidental events, among patients admitted to a pediatric intensive care unit and identify types of interventions and referrals documented by providers in the medical record. This project was based on a …

Evaluation Of The Effectiveness Of A System Based Nurse Manager Collaborative Council On Work Engagement, Psychological Empowerment, And Value, Stacy Colligan

DNP Projects

BACKGROUND: Nurse Managers often do not receive direct acknowledgment for their accomplishments or have input into the facility wide decisions which directly impact them. Currently there are no known shared governance programs tailored to the nurse manager level.

PURPOSE: To determine the impact of a system shared governance model on nurse manager’s work engagement, psychological empowerment, and inclusion.

METHOD: A pretest and posttest design was utilized to determine the impact of shared governance participation for nurse managers. Spreitzer’s psychological empowerment scale and the Ultrech “Work and Well-being” instrument, in addition to some Likert scale and open-ended descriptive questions, were included …

Martin School Alumni Survey, Carl Sims

MPA/MPP/MPFM Capstone Projects

The Martin School of Public Policy and Administration is subject to reaccreditation from the Network of Schools of Public Policy, Affairs, and Administration (NASPAA) every seven years. To initiate the reaccreditation process, the Martin School must conduct a programmatic self-study that analyzes the program’s mission, governance, faculty, students, competencies, resources, and communication. The self-study is beneficial not only for the purpose of reaccreditation but also can better inform the school’s strategic planning process

To assist in providing the self-study relevant data, the Martin School can solicit information from its alumni. Alumni data can be used to establish how well the …

The Effect Of A Provider-Based Educational Program On Knowledge, Attitudes, Self-Efficacy, And Order Rates Of Cologuard® In A Primary Care Clinic, Cassilly B. Besten

DNP Projects

BACKGROUND: Colorectal cancer is one of the most common and deadly cancers, particularly in persons greater than 50 years of age. Most colorectal malignancies are slow-growing, making regular screening increasingly important to decrease morbidity, mortality, and cost of treatment. Cologuard® serves as an effective and non-invasive colorectal cancer screening modality for average-risk adults.

PURPOSE: The purpose of this study was to evaluate the impact of a provider-based educational intervention on the knowledge, attitudes, self-efficacy, and ordering rates of Cologuard® among primary care providers.

METHODS: This study was a single-center, pre/post implementation study of the effectiveness of a provider-based educational intervention …

Evaluation Of Adolescent Adherence Treatment Following An Emergency Department Visit, Marcus Seaton

DNP Projects

Mental Health disorders affect 1 of 5 youth in the United States and are chronic conditions that affect adolescents’ ability to function at home, school, work, and with interpersonal relationships. Follow up adherence is imperative to ensure treatment goals are met. The purpose of this Doctor of Nursing (DNP) project was to examine factors associated with adherence to outpatient mental health (MH) treatment following an emergency department (ED) visit among adolescents admitted to an ED of a large hospital in a multi-system healthcare organization located in a metropolitan area of the southeastern United States (U.S.). This DNP project aims were …

The Effect Of Implementation Of A Nurse Manager Orientation Program On Nurse Manager Competency And Empowerment, Erin Coogan

DNP Projects

Background statement: Based on the role the nurse manager plays in improving quality outcomes, promoting staff and patient satisfaction, and creating the culture of the unit, it is vital that proper training is provided to new nurse managers to increase their competency and sense of empowerment.

Theoretical/Conceptual Framework: The theoretical/conceptual framework that provided the base for this study was Bandura’s theory of Self-Efficacy. A sense of accomplishment and overall well-being of a person is affected by a strong sense of efficacy.

Purpose Statement: The purpose of this project was to evaluate the effectiveness of a mandatory systemized nurse manager orientation …

Patient-Centered Medical Homes In Community Oncology Practices: Changes In Spending And Care Quality Associated With The Come Home Experience, Teresa M. Waters, Cameron M. Kaplan, Ilana Graetz, Mary M. Price, Laura A. Stevens, Barbara L. Mcaneny

Health Management and Policy Faculty Publications

PURPOSE:

We examined whether the Community Oncology Medical Home (COME HOME) program, a medical home program implemented in seven community oncology practices, was associated with changes in spending and care quality.

PATIENTS AND METHODS:

We compared outcomes from elderly fee-for-service Medicare beneficiaries diagnosed between 2011 and 2015 with breast, lung, colorectal, thyroid, or pancreatic cancer, lymphoma, or melanoma and served by COME HOME practices before and after program implementation versus similar beneficiaries served by other geographically proximate oncologists. Difference-in-differences analysis compared changes in outcomes for COME HOME patients versus concurrent controls. Propensity score matching and regression methods were adjusted for …

An Oral History Exploration Of Change At The University Of Kentucky Following The Virginia Tech Shooting, Marianne R. L. Young

Theses and Dissertations--Educational Policy Studies and Evaluation

Following the mass shooting at Virginia Tech on April 16, 2007, institutions of higher education appeared to restructure themselves and change the way that they worked with students who may pose a risk to self or others. They formed committees, sometimes known as Communities of Concern, to help review these concerns and respond appropriately. The purpose of this study was to examine how the Community of Concern Committee at the University of Kentucky was developed following the incident at Virginia Tech. Particular attention was focused on the change and learning that took place. Using the frames of single-loop and double-loop …

Leadership Development In Physical Therapy: Moving Toward A Community Of Transformative Practitioners, Kerry Cronin Mallini

Theses and Dissertations--Educational Leadership Studies

Physical therapy as an emerging profession is committed to establishing its identity and solidifying its role as a leader in health care. With expertise in human movement, wellness, and disease prevention, physical therapists possess invaluable knowledge and skill to influence public health and enhance patient recovery without increasing cost. Physical therapists have the opportunity to transform the delivery of public health services to meet current and future needs. A major challenge, however, is a dearth of leadership development in preparation programs. Because most physical therapists have not received formal education or explicit training in leadership, a problem of practice exists. …

Perceived Importance Of Substance Use Prevention In Juvenile Justice: A Multi-Level Analysis, Jessica M. Sales, Gail Wasserman, Katherine S. Elkington, Wayne Lehman, Sheena Gardner, Larkin Mcreynolds, Tisha Wiley, Hannah K. Knudsen

Behavioral Science Faculty Publications

Background: Youth under juvenile justice (JJ) supervision are at high-risk of adverse outcomes from substance use, making prevention important. Few studies have examined prevention-related attitudes of JJ employees, yet such attitudes may be important for implementing prevention programs. Attitudes toward prevention may reflect individual characteristics and organizational contexts.

Methods: Mixed effects regression was used to analyze data from 492 employees in 36 sites participating in the Juvenile Justice-Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS) cooperative agreement. JJ employees' perceived importance of substance use prevention was measured. Staff-level variables included attitudes, job type, and demographic characteristics. Site-level …

A Model For Rigorously Applying The Exploration, Preparation, Implementation, Sustainment (Epis) Framework In The Design And Measurement Of A Large Scale Collaborative Multi-Site Study, Jennifer E. Becan, John P. Bartkowski, Danica K. Knight, Tisha R. A. Wiley, Ralph Diclemente, Lori Ducharme, Wayne N. Welsh, Diana Bowser, Kathryn Mccollister, Matthew Hiller, Anne C. Spaulding, Patrick M. Flynn, Andrea Swartzendruber, Megan F. Dickson, Jacqueline Horan Fisher, Gregory A. Aarons

Center on Drug and Alcohol Research Faculty Publications

Background

This paper describes the means by which a United States National Institute on Drug Abuse (NIDA)-funded cooperative, Juvenile Justice-Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS), utilized an established implementation science framework in conducting a multi-site, multi-research center implementation intervention initiative. The initiative aimed to bolster the ability of juvenile justice agencies to address unmet client needs related to substance use while enhancing inter-organizational relationships between juvenile justice and local behavioral health partners.

Methods

The EPIS (Exploration, Preparation, Implementation, Sustainment) framework was selected and utilized as the guiding model from inception through project completion; including the …

Developing Knowledge Management Strategies, Bryan Gibson, Candice Y. Wallace, Steven Douglas Kreis

Kentucky Transportation Center Research Report

Retirements and other staff changes have led to a loss of institutional knowledge across public agencies. These changing workforce dynamics have highlighted the study of knowledge management, and how organizations can best retain their core knowledge bases. Key to understanding knowledge management is how organizations have approached the issue and the most effective methods and processes they have used to retain, store, and disseminate knowledge. Part of the knowledge management discussion includes core competencies, or what basic knowledge and skills are essential to an organization’s mission. Also, considering the impacts of outsourcing on public employment, is another key to understanding …

Implementing A Mobile Health System To Integrate The Treatment Of Addiction Into Primary Care: A Hybrid Implementation-Effectiveness Study, Andrew Quanbeck, David H. Gustafson, Lisa A. Marsch, Ming-Yuan Chih, Rachel Kornfield, Fiona Mctavish, Roberta Johnson, Randall T. Brown, Marie-Louise Mares, Dhavan V. Shah

Health and Clinical Sciences Faculty Publications

Background: Despite the near ubiquity of mobile phones, little research has been conducted on the implementation of mobile health (mHealth) apps to treat patients in primary care. Although primary care clinicians routinely treat chronic conditions such as asthma and diabetes, they rarely treat addiction, a common chronic condition. Instead, addiction is most often treated in the US health care system, if it is treated at all, in a separate behavioral health system. mHealth could help integrate addiction treatment in primary care.

Objective: The objective of this paper was to report the effects of implementing an mHealth system for addiction in …

The Use Of External Change Agents To Promote Quality Improvement And Organizational Change In Healthcare Organizations: A Systematic Review, Esra Alagoz, Ming-Yuan Chih, Mary Hitchcock, Randall Brown, Andrew Quanbeck

Health and Clinical Sciences Faculty Publications

Background: External change agents can play an essential role in healthcare organizational change efforts. This systematic review examines the role that external change agents have played within the context of multifaceted interventions designed to promote organizational change in healthcare-specifically, in primary care settings.

Methods: We searched PubMed, CINAHL, Cochrane, Web of Science, and Academic Search Premier Databases in July 2016 for randomized trials published (in English) between January 1, 2005 and June 30, 2016 in which external agents were part of multifaceted organizational change strategies. The review was conducted according to PRISMA guidelines. A total of 477 abstracts were identified …

The Influence Of Transformational Middle Leaders On Work-Life Balance, Timothy D. Tanner

Theses and Dissertations--Education Sciences

Work-life balance is a key indicator of employee satisfaction, retention, and social health as well as organizational creativity and productivity. These dual benefits for employee and employer have generated interest in promoting work-life balance. Supervisors who operate from a transformational leadership framework have been linked to greater work-life balance among employees (Lamm, 2011; (Kutilek, Conklin, & Gunderson, 2002). The role of a supportive organizational culture is also central (Lewis, 2001).

In this study, Cooperative Extension Service agents (N = 1390) participated in a nationwide survey exploring the relationship between rated levels of transformational leadership among district directors, work-life balance, …

Increasing Influenza Vaccination Rates In A Primary Care Clinic: A Quality Improvement Study, Cassandra R. Roshel

DNP Projects

Background

According to the most recent CDC statistics, the influenza virus kills between 12,000 and 56,000 people per year in the United States. Although influenza vaccination is recommended each year, only about half of all Americans are actually receiving the vaccine annually. The goal of this quality improvement project was to increase influenza vaccination rates at a large academic medical center in Kentucky. At baseline, there was no standardized screening protocol in place prior to this study.

Methods

This study implemented a pre-test post-test design to evaluate the impact of a process change intervention on vaccination status from September 1, …

The Effects Of A Nurse Manager System Collaborative Council On Job Satisfaction, Intent To Leave, & Resilience, Heather Oliver

DNP Projects

Abstract

PURPOSE: The purpose of this project was to create a Nurse Manager System Collaborative Council (NMSCC) at Norton Healthcare and to determine the impact of participation in the NMSCC on job satisfaction, intent to leave, and resilience.

METHODS: This study employed a quasi-experimental, pre-test, post-test design to assess the effectiveness of the NMSCC at Norton Healthcare. Job Satisfaction was measured using the Warshawsky scale, Intent to Leave was evaluated using the Houser scale, and resilience was assessed using the Connor-Davidson CD-RISC scale.

RESULTS: Resilience increased after participation in the NMSCC for 6 months. Job satisfaction and intent to leave …

Pilot Of An Educational Module For An Adolescent Congenital Heart Transition Program In The Pediatric Setting, Katie J. Dust

DNP Projects

Abstract

PURPOSE:The purpose of this project was to pilot an educational module on a new congenital heart transition program to be instituted at a large Midwest medical system.The transition program is meant to assist pediatric cardiology patients in transferring from pediatric to adult care. An educational module was developed for inpatient health disciplines who will be involved in the transition program. Before offering the program throughout the medical system, a pilot was conducted to determine if the education was at the appropriate level. The educational module was modeled after the Got Transition Six Core Elements designed by the National Health …

Informal Teacher Leadership For Technology Integration: A Multi-Site Case Study Of Distributed Leadership, Taylor J. Clements

Theses and Dissertations--Education Sciences

The goal of this study was to understand how a secondary principal uses a distributed perspective of leadership to support informal teacher leaders (ITLs) to improve classroom technology integration. Using a phenomenological lens, I employed a multi-site case study to inform the research goals. A conceptual framework based on Bandura’s (1977) social learning theory and Wenger’s (1998) communities of practice theory was used to guide the study’s methods and data collection.

Data were collected in three phases. At each site, the first phase consisted of a digital survey with only closed-ended questions that was administered to all classroom teachers. The …

Comparing Two-Year Colleges Under A Common Sustainable Development Framework: Personal Egocentric Networks And Perspectives, Bobby Ann Lee

Theses and Dissertations--Education Sciences

The study purpose is to advance implementation of sustainable development at colleges, and to contribute to organizational change research using social network analysis. The researcher conducted document analysis using 2012-2016 sustainability reports of 16 purposefully selected two-year colleges under a common framework. Interpreting and coding resulted in ranking sustainable development activities as well as grouping colleges using cluster analysis. A survey and interviews were employed by the researcher to determine major themes as challenges to sustainability implementation, and personal network themes using social network analysis measures and sociograms. Challenges to sustainability implementation identified as study themes were: (1) college leadership …