Digital Commons Network^™

Successful Strategies For Implementing Emr Systems In Hospitals, Marcia M. Nicholas

Walden Dissertations and Doctoral Studies

Some hospital leaders are ineffective in implementing the electronic medical record (EMR) systems in the hospitals. The purpose of this multiple case study was to explore strategies hospital leaders use to successfully implement EMR systems. The target population consisted of hospital leaders and healthcare professionals from two hospitals who have successfully implemented EMR systems. The conceptual framework of this research study was Kotter's 8-stage process for leading change, building on the model of an effective change management method. Data were collected from 5 interviewed participants and company documents related to strategies regarding the EMR system implementation. The results of reviewing …

Shared Service Center Strategies In Public Sector, Andrieta G. Pritchett

Walden Dissertations and Doctoral Studies

With the increased demand for doing more with less, public sector managers embrace outsourcing back-office functions through a shared service model; however, maintaining service quality for public sector shared service centers (SSC) in financial management during peak cycles is a challenge. Framed with the transaction cost economy theory, the purpose of this single case study was to explore strategies used by SSC managers in a public sector company to maintain service quality. Seven participants with more than 4 years of SSC experience in public-sector companies participated in phone interviews including SSC department heads, managers, and a supervisor of a public-sector …

Strategies Rural Hospital Leaders Use To Implement Electronic Health Record, Susan Mejia

Walden Dissertations and Doctoral Studies

The Centers for Medicare and Medicaid Services issued over 144,000 payments totaling $7.1 billion to medical facilities that have adopted and successfully demonstrated meaningful use of certified electronic health record (EHR). Hospital organizations can increase cost savings by using the electronic components of EHRs to improve medical coding and reduce medical errors and transcription costs. Despite the incentives, some rural health care facilities are failing to progress. The purpose of this multiple case study was to explore the strategies rural hospital leaders used to implement an EHR. The target population consisted of rural hospital leaders who were involved in the …

Priests' Perceptions Of The Leadership Styles Of U.S. Catholic Bishops, Aloysius Okey Ndeanaefo

Walden Dissertations and Doctoral Studies

The United States Catholic bishops have used their authority to address the child sexual abuse scandal, but it has been problematic that no one has yet evaluated their exercised leadership styles. In this phenomenological study, I explored U.S Catholic priests' perceptions of the bishops' leadership styles related to how they handled the child sexual abuse scandal. Knowing the bishops' leadership styles was paramount to fill the research gap. The theoretical frameworks underpinning this study were transformational leadership, transactional leadership, charismatic leadership, and servant leadership. Data collected through interviews with 11 Catholic priests revealed their perceptions of how the behavioral characteristics …

Effect Of Administrative Practices On Law Enforcement Officers' Emotional Intelligence Performance, Iberkis Faltas

Walden Dissertations and Doctoral Studies

Between 2001 and 2017, the Civilian Complaint Review Board (CCRB) received 295,616 allegations of police misconduct involving New York Police Department (NYPD) officers' use of force, abuse of authority, discourtesy, and offensive language (FADO). The purpose of this study was to explore the influence of administrative disciplinary actions on officers' emotional intelligence and performance in relation to citizen complaints of police misconduct. The central research question addressed how administrative practices influence law enforcement officers' behavior in relation to emotional intelligence-based performance. The theoretical construct for this study is based on the emotional intelligence theories of Bar-On, Goleman, and Mayer, DiPaolo …

Strategies Small Business Salon Owners Use To Survive Longer Than 5 Years, Delita Netrice Johnson

Walden Dissertations and Doctoral Studies

Small business owners are the primary initiators of innovation and economic growth but fail at high rates. Fifty percent of small businesses fail within the first 5 years of operations. Through the lens of systems theory, the purpose of this multiple case study was to explore the strategies some small salon business owners use to remain in business for longer than 5 years. Using purposeful sampling, the 7 owners of small salon business owners in the southeastern United States were selected based upon evidence of their strategies to sustain their businesses for longer than 5 years. Data were collected through …

Strategies To Implement Innovations In Hospitals, Schola Mutumene Kabeya

Walden Dissertations and Doctoral Studies

The Patient Protection and Affordable Care Act, which promoted quality of care, started the transformation of healthcare systems in the United States. The purpose of this qualitative multiple case study was to explore clinical practice innovation strategies used by hospital middle managers to improve quality of care and profitability. Pettigrew's theory was the conceptual framework for this study. Participants were 8 middle managers from 2 high-performing hospitals in the southwestern region of the United States. Data were collected from semistructured interviews, personal notes, and review of the hospital's publicly reported documents and literature. Member checking and methodological triangulation increased the …

Strategies For Reducing Employee Turnover In Retail Outlets, Dewayne Wilson

Walden Dissertations and Doctoral Studies

Employee turnover in the retail industry is costly, difficult, and problematic, affecting organizational wages, benefits, and schedules in relation to serving clients, customers, and stakeholders. The purpose of this multiple case study was to explore effective strategies used by retail store owners in the southeastern region of the United States to reduce employee turnover. The target population was 6 successful business owners of 6 small retail businesses in the southeastern United States who had effectively reduced employee turnover. The conceptual framework for this study was the Herzberg 2-factor theory related to workplace job satisfaction. Data were collected through face-to-face, semistructured …

Relationship Between Victims Of Urban Violence And Post-Traumatic Stress Disorder, Jashon Anthony Banks Sr.

Walden Dissertations and Doctoral Studies

Urban violence has become common in lower-income communities that have high rates of shootings and African-American victims. Urban violence causes victims and their family and friends to experience trauma and puts them at risk for post-traumatic stress disorder (PTSD) injuries. However, there is a gap in knowledge in the framework of urban communities and their range of needs to address PTSD. The purpose of this quantitative study was to examine whether a relationship exists between reinforcement of needs, membership, influence, shared emotional connection, and post-traumatic stress symptomology (PTSS) of urban violence victims in a large metropolitan city. Albert Bandura's self-efficacy …

Usefulness Of Medication Scanners In Clinical Practice: A Systematic Review, Laura Leonard Cure

Walden Dissertations and Doctoral Studies

Thousands of people die each year due to preventable medication errors. Barcode medication administration (BCMA) systems can reduce medication errors at the point of care, thus increasing patient safety. The purpose of the project was to gather evidence regarding BCMA usefulness in reducing medication errors. Kurt Lewin's 3-step change theory was used to guide this project. The nature of this project was a systematic review of the literature pertaining to the effectiveness of using BCMA systems to reduce medication errors in at the point of care in the hospital setting. The Johns Hopkins nursing evidence-based practice model and tool kit …

Strategies To Manage Cloud Computing Operational Costs, Frankie Nii A Sackey

Walden Dissertations and Doctoral Studies

Information technology (IT) managers worldwide have adopted cloud computing because of its potential to improve reliability, scalability, security, business agility, and cost savings; however, the rapid adoption of cloud computing has created challenges for IT managers, who have reported an estimated 30% wastage of cloud resources. The purpose of this single case study was to explore successful strategies and processes for managing infrastructure operations costs in cloud computing. The sociotechnical systems (STS) approach was the conceptual framework for the study. Semistructured interviews were conducted with 6 IT managers directly involved in cloud cost management. The data were analyzed using a …

Principal Leadership Style, Teacher Motivation, And Teacher Retention, Willie E. Williams

Walden Dissertations and Doctoral Studies

The problem of teacher turnover in the United States has received significant attention from policymakers and district leaders. Improving teacher motivation is a concern and challenge for principals because they are faced with retaining highly qualified and capable teachers in the classroom. Researchers have indicated that principals can play a crucial role in motivating teachers. This nonexperimental correlational study used Deci and Ryan's self-determination theory and the leadership theories of Burns, Avolio, and Bass as a framework to address 2 research questions. The first research question examined the relationship between principal leadership style and teacher motivation, and the second question …

Strategies For Improving Correspondent Banking Cross-Border Remittances, Titilola Olufunke Falaiye

Walden Dissertations and Doctoral Studies

Over $25 billion have been levied against banks annually in recent years for infractions and noncompliance with cross-border regulations. Huge costs affect banks' performance, and implementing working strategies that reduce significant costs is valuable. This single case study using systems theory was designed to explore strategies that bank leaders with correspondent banking relationships adapt to reduce costs from penalties and fines in cross-border remittances.Through the process of methodological triangulation, data collected from internal policy and procedural documents supplemented data collected from semistructured interviews. Yin's 5-step qualitative data analysis process of compiling, disassembling, reassembling, interpreting, and concluding was applied to collected …

Successful Strategies To Engage Employees In The Workplace, Jan R. Youmans

Walden Dissertations and Doctoral Studies

Research revealed that 20% of American employees are not actively engaged in the workplace. Disengaged employees cost the U.S. economy billions of dollars annually in lost productivity. The purpose of this single case study was to explore strategies that small business managers of a privately-owned company used to maintain an engaged work force. The target population consisted of 4 small business managers from the same organization within Fairfax County, Virginia. Leader member exchange was the conceptual framework chosen for this study. Data were collected through semistructured interviews and review of company documents. Member checking was used to address the dependability …

Moderation Of Emotional Intelligence On Leader-Member Exchange And Resistance To Change, Michelle Hinnant Smith

Walden Dissertations and Doctoral Studies

Approximately 70% of change initiatives fail to achieve the anticipated outcomes, and resistance to change is continuously cited in the literature as 1 of the most common reasons for change failure. Researchers know that emotions play a role in change but do not know how emotional intelligence affects the relationship between leader-member exchange and reactions to change. Grounded in Oreg's multidimensional resistance-to-change model, leader-member exchange theory, and emotional intelligence theory, the purpose of this study was to narrow the gap in knowledge of how emotional intelligence influences the relationship between leader-member exchange and resistance to change. A correlational, cross-sectional design …

Strategies For Training A Multigenerational Workforce, Lydia Butler

Walden Dissertations and Doctoral Studies

For the first time in history, 5 generations are working side by side, creating a challenge concerning training, developing, and managing a multigenerational workforce. More people are working into their later years, and the U.S. labor force participation rate of individuals age 55 and older is projected to increase from 22.4% to 24.8% by 2026. The purpose of this single case study was to explore training strategies managers used to improve multigenerational employee productivity. The sample population included 6 managers of an automotive company in the Great Lakes area of the United States who had knowledge and experience supervising multigenerational …

Strategies To Influence A Quality And Compliance Culture, Betsy Macht, Anne Davis

International Journal of Applied Management and Technology

Sales of defective or substandard products carry a potential risk of unintended effects on the consumer. The purpose of this single-case study was to explore the strategies to influence a culture of quality and compliance. Findings identified the value of weaving quality and compliance into a unified matrix to establish a holistic approach to endowing the organizational culture with the behaviors and habits that drive quality and compliance across business unit boundaries. To treat any aspect of quality and compliance as a separate element of the culture may undermine the overall effectiveness of quality and compliance programs, leaving room for …

Human Resource Strategies And Sustainability In Small Businesses, Christopher Rice

Walden Dissertations and Doctoral Studies

Research shows that due to a lack of strategy in managing human resources (HR), small businesses frequently close within the first 5 years of operation. The purpose of this multiple case study was to explore the strategies that HR managers used to maintain business operations for longer than the first 5 years. The targeted population comprised 2 owners of small business in North Carolina who used HR strategies successfully to sustain their businesses for longer than 5 years. Data collection methods included face-to-face, semistructured interviews and the review of the company documents associated with owners of the businesses and their …

Strategies For Integrating And Sustaining Disruptive Innovations In Small Businesses, Robert Allen

Walden Dissertations and Doctoral Studies

The evolution of technology has led to a need for business leaders to embrace disruptive technology for the purpose of capturing new markets and remaining competitive. Multiple challenges have been faced by business leaders in the processes of integrating and sustaining disruptive innovations, resulting in the failure to achieve expected efficiency and profitability. The purpose of this multiple case study was to explore strategies used by business leaders to integrate and sustain disruptive innovations. The conceptual frameworks were Roger's diffusion of innovation theory and Christensen's disruptive innovation theory. Semistructured interviews were administered to 10 business leaders and employees from institutions …

Educating Primary Care Nurses On Phosphorus Management In Chronic Kidney Disease Patients, Lilian Somuah

Walden Dissertations and Doctoral Studies

Fifteen percent of adults in the United States have been diagnosed with chronic kidney disease (CKD). CKD is the slow, progressive, and irreversible loss of kidney function. The most effective means of controlling CKD is by managing dietary phosphorus intake. It is important that staff nurses be educated about effective patient education tools to improve dietary phosphorus management. The purpose of this project was to educate primary care nurses about phosphorus management in CKD patients through the introduction of the phosphorus pyramid as a visual tool. The project sought to understand if an educational intervention regarding phosphorus management in CKD …

Transformational Leadership Behaviors Of Public Sector Leaders In Barbados, Shantal Maxine Munro-Knight

Walden Dissertations and Doctoral Studies

Senior officials in the public service in Barbados, who are charged with the responsibility of leading and managing government ministries and departments, play a critical role in fostering reform initiatives. Few empirical studies have examined specific leadership behaviors in the context of managing change in Barbados. The purpose of this qualitative case study was to identify the specific leadership behaviors of senior officials in public service and to explore the use of transformative leadership by public sector administrators to effect reform initiatives. With Bass and Avolio's full-range leadership theory (FRLT) as the theoretical framework, the research question for this study …

Strategies To Decrease Business Failure In Small And Medium-Sized Enterprises, Pantiva Navamarat

Walden Dissertations and Doctoral Studies

In Southeast Asia, many small and medium-sized enterprises (SMEs) fail each year; in 2010, SME failure rate exceeded 50%. The purpose of this multiple case study was to explore strategies that some SME business leaders use to decrease the failure rate of SMEs in Southeast Asia. The target population consisted of 5 SME business leaders in Southeast Asia who demonstrated success in using strategies to decrease the failure rate of SMEs. The conceptual framework for this study was the Ulrich model, which supports the notion that a human resource manager needs to be involved in overall organizational decision making as …

Strategies To Improve Business Performance With Information From Social Media, Taylor Chan

Walden Dissertations and Doctoral Studies

In the past 3 decades, China has experienced rapid economic growth. The China retail market reached renminbi (RMB) 29,651 billion in 2016, up by 10.4% from 2015. Using traditional ways that developed before the Internet era to acquire information regarding customers' changing preferences for products and services in a fast-moving business world is insufficient to support management in the retail industry to make informed strategic decisions. The purpose of this multiple case study was to explore successful customer-centric strategies that business leaders used to improve business performance with marketing information acquired from social media. The population comprised business leaders from …

Strategies To Implement Succession Planning In A Nonprofit, Talecia Y. Parks

Walden Dissertations and Doctoral Studies

Surveys of nonprofit organizations conducted between 2004 and 2014 showed that 74% of the 6,923 leaders surveyed did not have a succession plan. In this qualitative single case study, the human capital theory was used as a guide to explore strategies used to implement a succession plan by 3 nonprofit leaders in a single nonprofit organization in a large metropolitan city in Southeastern Georgia. The participants were selected based on their implementation of succession plan strategies and geographical location. Semistructured interviews and document review were used to collect the data, which were analyzed using Yin's 5-step approach. Three themes emerged: …

Cultural Integration In Organizational Partnership With Statutory And Quasi Implications, Adeline Ukachi Emihe

Walden Dissertations and Doctoral Studies

The current academic literature is inadequate on the possibility of applying a typological model of effective cultural integration within the context of public-private partnerships, particularly when governments collaborate with multinational corporations. Using Schein's organizational cultural framework as the foundation, the purpose of this case study of a partnership between a West African government and a multinational petroleum corporation is to understand clearly how synergistic cultural integration coupled with statutory requirements could catalyze public-private partnership success. Data for this study came from interviews with American or Nigerian individuals who were familiar with the partnership in the West African country, a review …

A Patient-Centered Approach To Diabetes Education In A Rural Clinic, Paul Okpuzor

Walden Dissertations and Doctoral Studies

Type 2 diabetes mellitus (T2DM) is a heterogeneous metabolic disease impacting more than 8.3% of adults in the United States. Diabetes-related care accounts for more than 11% of all patient care expenditures. The purpose of this project was to identify the primary concerns of members of the T2DM patient population in an underserved clinic in rural southcentral United States and to make recommendations for a staff diabetes education program to address these concerns. Orem's theory of self care outlined the importance of educating and supporting patients in their efforts to manage their own healthcare. Knowles's assumptions of how adult's learn …

Strategies Of Successful Government It Projects Based On Cost And Time, Ullice John Pelican

Walden Dissertations and Doctoral Studies

From 2001 through 2015, some information technology (IT) project managers failed to deliver U.S. Government IT projects on time and within budget. The failure of IT project managers to complete projects on time and within budget provoked the U.S. Government Accountability Office to classify IT projects as high risk. This multiple case study explored strategies government contracted IT project managers use to reduce cost overruns and improve on-time delivery. The participants in this study were government contracted IT project managers from organizations that provide IT project management in the Maryland area. Employing purposeful sampling of the explicit population, 5 selected …

The Impact Of Authentic Leadership Development On Safety Climate Change, Victoria Hoyt

Walden Dissertations and Doctoral Studies

Tragic, life-changing, and fatal incidents are a reality on large-scale, civil construction projects. Despite a decline following the enforcement of the 1971 Occupational Safety and Health Act, serious and fatal incidents on heavy construction projects remain higher than that of the active military and have not declined in any notable way in the past decade. Industrial-organizational literature suggested a lack of applied testing for the well-developed theory of authentic leadership (AL) to impact safety outcomes. This quasi-experiment combined the constructs of authentic leadership with safety climate perception as quantifiable measurement of potential safety outcomes in the workplace. The research question …

Procurement Total Cost Analysis: A Supply Chain Strategy For The Aviation Industry, Tulia S. Badillo

Walden Dissertations and Doctoral Studies

In the aviation industry, purchasing departments spend approximately 80% of revenues on procurement. Additionally, 62% of companies experience unforeseen expenses or hidden costs in the procurement process. Grounded in a conceptual framework of activity-based costing, the purpose of this case study was to explore strategies used by 5 upper-level supply chain management leaders at a maintenance repair and overhaul company in the aviation industry in the Southeastern United States to accurately forecast procurement costs. Data collection included 5 semistructured interviews, company documents, and annual reports. Through thematic analysis, the major themes that emerged from the data analysis were accuracy, competitive …

Improving Workers' Safety And Health In The Zimbabwean Mining And Quarrying Industry, Bernard Mabika

Walden Dissertations and Doctoral Studies

Lack of effective occupational safety and health (OSH) strategies is a reason that

workplace accidents in the mining and quarrying industry remain high, making the

industry one of the riskiest operations worldwide. The purpose of this multiple case study

was to explore successful strategies mining and quarrying leaders in Zimbabwe used to

improve OSH. The key research question addressed successful strategies leaders in the

mining and quarrying industry use to improve employee occupational safety and health in

Zimbabwe. Six successful business leaders from 3 mining and quarrying mines in

Zimbabwe demonstrated an exception to unsafe practices, particularly through their

exceptional …