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Articles 1561 - 1590 of 1976

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Leadership Strategies For Addressing U.S. Pharmaceutical Drug Shortages And Supply Chain Disruptions, Adrian Grant Scioli Jan 2017

Leadership Strategies For Addressing U.S. Pharmaceutical Drug Shortages And Supply Chain Disruptions, Adrian Grant Scioli

Walden Dissertations and Doctoral Studies

Health care providers in the United States expend more than $400 million in unnecessary direct costs annually managing the effects of widespread drug shortages. Based on the theory of complexity and complex adaptive systems, the purpose of this exploratory multiple case study was to identify the strategies that health care pharmaceutical procurement leaders from the Eastern region of the United States use to address widespread drug shortages. Data were collected from 5 semistructured interviews with pharmaceutical procurement leaders, recorded field notes, and a review of public documents from company websites. Data analysis included deductive and open coding techniques. Emergent themes …

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The Trilogy Of Science: Filling The Knowledge Management Gap With Knowledge Science And Theory, Anthony Shawn Bates Jan 2017

The Trilogy Of Science: Filling The Knowledge Management Gap With Knowledge Science And Theory, Anthony Shawn Bates

Walden Dissertations and Doctoral Studies

The international knowledge management field has different ways of investigating, developing, believing, and studying knowledge management. Knowledge management (KM) is distinguished deductively by know-how, and its intangible nature establishes different approaches to KM concepts, practices, and developments. Exploratory research and theoretical principles have formed functional intelligences from 1896 to 2013, leading to a knowledge management knowledge science (KMKS) concept that derived a grounded theory of knowledge activity (KAT). This study addressed the impact of knowledge production problems on KM practice. The purpose of this qualitative meta-analysis study was to fit KM practice within the framework of knowledge science (KS) study. …

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Stakeholder Influence In Promoting Environmental Sustainability In The Zambian Mining Industry, Helen Mbewe Jan 2017

Stakeholder Influence In Promoting Environmental Sustainability In The Zambian Mining Industry, Helen Mbewe

Walden Dissertations and Doctoral Studies

Mining operations often cause environmental and social problems for communities. Efforts by major stakeholders in most developing countries to create and enforce an ethical framework for mining industry operations have been inconsistent. The purpose of this qualitative multiple case study, which was based on stakeholder theory, was to explore stakeholders' perspectives on the implementation of environmental policies and mining operations in Zambia. Data collection involved semistructured interviews with a purposeful sample of 24 research participants from a copper mining company operating in the Copperbelt Province of Zambia, the government ministry for mining, energy, and water development, the environmental protection agency, …

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Program Evaluation Of Patient Safety And Risk Mitigation Educational Interventions For Medical Errors In Primary Care Settings By Patricia Rose Gould, Patricia Rose Gould Jan 2017

Program Evaluation Of Patient Safety And Risk Mitigation Educational Interventions For Medical Errors In Primary Care Settings By Patricia Rose Gould, Patricia Rose Gould

Walden Dissertations and Doctoral Studies

The Institute of Medicine reported in 2016 that medical errors are the 3rd leading cause of death in the United States. In the primary care setting, frequency and severity are unknown. Medical error research is limited related to evaluation of interventions conducted by medical professional liability (MPL) companies of risk mitigation strategies. The purpose of this program evaluation was to determine the impact of multifaceted patient safety and risk mitigation educational interventions conducted in primary care settings on patient safety, reporting, and liability. The program evaluation employed a retrospective secondary analysis of actuarial data from a MPL carrier's educational interventions …

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Alleviating Discharge Confusion For Older Patients Using The Teach-Back Method, Tracey Marie Haire Jan 2017

Alleviating Discharge Confusion For Older Patients Using The Teach-Back Method, Tracey Marie Haire

Walden Dissertations and Doctoral Studies

Discharge instructions and medication directions can be overwhelming for older adults, which can lead to potential medication errors, noncompliance, readmissions, and patient safety concerns. At a specialty lung clinic, the goal is to improve patient safety and to decrease the chance of errors by standardizing the discharge process via a Teach-Back education policy and protocol. Without consistency, there is a potential for mistakes and misunderstandings. The Agency for Healthcare Research and Quality (AHRQ) and the Institute for Healthcare Improvement (IHI) considers the Teach-Back discharge method as best practice and should be considered universal practice among health care workers. Using the …

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Leadership Attributes And Behaviors As Predictors Of Organizational Resilience In Academic Health Care Systems, Patti Lynn Besuner Jan 2017

Leadership Attributes And Behaviors As Predictors Of Organizational Resilience In Academic Health Care Systems, Patti Lynn Besuner

Walden Dissertations and Doctoral Studies

Research intentionally addressing how leadership attributes and behaviors collectively contributed to the socioecological perspective of organizational resilience were not found. This is a problem for organizations who must hire without benefit of how a collective leadership effect might influence their psychological capital. The purpose of this study was to explore whether or not self-efficacy, psychological empowerment, personal resilience, and leadership style were associated with or predicted organizational resilience among clinical managers in an academic medical center setting. Metatheory of resilience and resiliency was used to frame the study. A quantitative correlational design was used. Self-reported data was collected via the …

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A Comparison Between Administrative Leadership In Higher Education And Change-Oriented Leadership In Banks, Glenn King Jr Jan 2017

A Comparison Between Administrative Leadership In Higher Education And Change-Oriented Leadership In Banks, Glenn King Jr

Walden Dissertations and Doctoral Studies

Organizational environments continually change. Organizations that do not meet the demands for change do not survive. The required changes differ for banks versus universities, suggesting that leaders in each type of organization need to use unique styles to adapt to their unique environments. The purpose of this quantitative research study was to test a contingency theory of leadership that leaders of banks are change-oriented, whereas leaders of higher educational institutions are administrative in their style. The research questions dealt with differences in the uncertainty of internal operations and the external environment of banks versus universities, and the leadership style most …

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Effects Of Change Valence And Informational Assessments On Organizational Readiness For Change, James Edward Phillips Jan 2017

Effects Of Change Valence And Informational Assessments On Organizational Readiness For Change, James Edward Phillips

Walden Dissertations and Doctoral Studies

Nearly two-thirds of organizational change initiatives are unsuccessful due to a lack of high levels of change readiness prior to implementation of the change. A review of the literature supported the importance of establishing organizational readiness for change (ORC), but a gap remained in the empirical data and extant literature about whether presumed antecedents identified in ORC theory contribute to increased levels of ORC. The purpose of this study was to gather empirical data to address this question of whether change valence and informational assessment scores are associated with increased levels of organizational readiness for implementing change. The research design …

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Examining The Relationship Between Communication Apprehension And Individual Innovativeness In Managers, Michelle Campagnola Jan 2017

Examining The Relationship Between Communication Apprehension And Individual Innovativeness In Managers, Michelle Campagnola

Walden Dissertations and Doctoral Studies

Communicative challenges that hinder managerial engagement in social networks can impede innovation adoption and thereby damage the financial performance and competitiveness of a firm. The purpose of this correlational study was to examine the relationship between communication apprehension (CA) and individual innovativeness in managers. The focus of the research questions was determining if a relationship exists between these variables before and after controlling for demographic characteristics. With diffusion of innovation theory as the theoretical framework, this research involved an attempt to address how adoption categories relate to varying degrees of CA. One hundred and five American-based owner-executives, senior managers, and …

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Effects Of Transformational Leadership On Fire Lieutenant Development, Angelo Lamar Jan 2017

Effects Of Transformational Leadership On Fire Lieutenant Development, Angelo Lamar

Walden Dissertations and Doctoral Studies

Research does not sufficiently address how fire lieutenants in the central United States experience leadership development. Leadership development training, coaching, and mentoring are important processes that prepare followers to become effective leaders in public safety organizations. The intent of this qualitative research study was to explore the lived experiences and stories of fire lieutenants to obtain a clear understanding of how transformational leadership training was perceived to affect their careers. Face-to-face interviews from a purposeful sample of 7 fire suppression lieutenants queried 3 relevant areas derived from the literature, comprising of transformational leadership, critical success factors, and mentoring and coaching. …

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Differences In Perceived Constraints Of Telework Utilization Among Teleworkers And Office Workers, Yolanda West Jan 2017

Differences In Perceived Constraints Of Telework Utilization Among Teleworkers And Office Workers, Yolanda West

Walden Dissertations and Doctoral Studies

Approximately 37% of the U.S. labor force currently works from a remote location. Costs and competition are driving organizations to increase the use of telework among remote workplaces. Increasing organizational knowledge of the perceptions of current teleworkers could increase its adoption by employees and improve its implementation by managers. The purpose of this research was to test hypotheses regarding the perceived levels of telework efficiency, social interaction, and technical support to determine in those perceptions differed between teleworkers and office workers. Goldratt's Theory of Constraints framed the quantitative research design. A purposive sample of 54 teleworkers and office workers in …

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Leadership Practices Supporting Retention In Head Start Nonprofit Organizations, Nannette Brown Phillips Jan 2017

Leadership Practices Supporting Retention In Head Start Nonprofit Organizations, Nannette Brown Phillips

Walden Dissertations and Doctoral Studies

Head Start, the largest early childhood organization in the United States, was federally mandated to employ bachelor degreed operational employees, with no additional funds. The purpose of this multiple case study was to explore effective strategies that successful leaders of Head Start Nonprofit Organizations use to retain operational employees. The population of this study included 5 Head Start CEOs/Program Directors in 5 Head Start nonprofit organizations in Alabama who successfully retained operational employees in their organization. Kouzes and Posner's transformational leadership theory provided a conceptual framework for this study. Data were collected via telephone interviews and employee records from the …

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Strategies For Integrating Technological Innovations In Small Businesses, Petra Samuel Jan 2017

Strategies For Integrating Technological Innovations In Small Businesses, Petra Samuel

Walden Dissertations and Doctoral Studies

The effective integration of technological innovation is vital to the success of small businesses and can catapult growth and profitability. Some business managers and supervisors, however, may not have a firm understanding of strategies for integrating technological innovations in businesses; this lack of knowledge may result in employee frustration and costly roadblocks to achieving business objectives. This case study was conducted to identify the strategies used by business managers and supervisors to integrate technological innovations in small businesses. Christensen's theory of disruptive innovation and Rogers' theory of diffusion of innovation served as the conceptual framework. Ten business managers and supervisors …

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Influences Of Provider-Patient Communication On Health Literacy And Public Policy Relevant Outcomes, Rachel Carla Cartwright-Vanzant Jan 2017

Influences Of Provider-Patient Communication On Health Literacy And Public Policy Relevant Outcomes, Rachel Carla Cartwright-Vanzant

Walden Dissertations and Doctoral Studies

Several artifacts of federal policy address the connection between health literacy of patients and health outcomes. These laws include The Plain Writing Act, Health Information Technology for Economic and Clinical Health, and the Health Insurance Portability and Accountability Act. Even with this policy structure, little is known about how nurses' knowledge of health literacy may influence patient understanding of medical information and health outcomes. Using Knowles' principles of effective communication, the purpose of this mixed-methods study was to concurrently examine the relationship between nurse knowledge of health literacy and communication techniques used by nurses to identify any causal relationships in …

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Strategies Clinic Managers Use To Reduce Missed Medical Appointments, Sophea Ey Skym Jan 2017

Strategies Clinic Managers Use To Reduce Missed Medical Appointments, Sophea Ey Skym

Walden Dissertations and Doctoral Studies

Patients who miss their medical appointments increase health care costs for themselves and for clinics. The purpose of this qualitative, single exploratory case study was to explore strategies health care clinic managers use to reduce medical no-shows for patient-scheduled appointments. Change management theory guided the scope and analysis. The data collection included a single clinical operations manager who have strategies to mitigate no-shows for patient-scheduled appointments participated in a semistructured interview in southeastern Virginia, the direct observation of 2 office workers in their natural setting of scheduling appointments, and for methodological triangulation, a review of organizational archival documents about missed …

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Violence Against Nurses, Terri Lynne Declerck Jan 2017

Violence Against Nurses, Terri Lynne Declerck

Walden Dissertations and Doctoral Studies

Workplace violence against nurses causes stress, job dissatisfaction, injury, and financial burden. The purpose of this project was to examine training for nurses on violence, risk factors and on reporting workplace violence. The practice-focused question was designed to examine the effectiveness of educating nurses regarding violent patients and how to report episodes of violence. Benner's novice to expert theory guided the skill acquisition training of a convenience sample of 25 Midwestern medical nurses. The nurses participated by completing a survey prior to and following a violence simulation. A qualitative design was used with the 25 nurse participants who completed the …

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Strategies For Crisis Preparedness Of Tourist Destinations, Carrine V. M. Todman-Lewis Jan 2017

Strategies For Crisis Preparedness Of Tourist Destinations, Carrine V. M. Todman-Lewis

Walden Dissertations and Doctoral Studies

Billion-dollar disasters are projected to increase at a statistically significant rate of 5% annually. Crises affect the viability and lucrativeness of tourism business and implicate destinations in the process. Crisis preparedness is vital to improving outcomes and reducing consequential effects in the tourism industry-a key contributor to socioeconomic progress and infrastructural development worldwide. The study was an exploration of the strategies used for crisis preparedness to reduce business interruptions and improve the image of destinations affected by large-scale natural disasters and human-induced crises. A multiple case study was conducted based on the cycle of preparedness framework. Data were gathered from …

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Correlations Between Management Behaviors And Financial Indicators With Fda Compliance Leading To Medicine Shortages, Francisco Gutierrez-Perez Jan 2017

Correlations Between Management Behaviors And Financial Indicators With Fda Compliance Leading To Medicine Shortages, Francisco Gutierrez-Perez

Walden Dissertations and Doctoral Studies

In the first 3 years of the Obama Administration, 2009-2011, the number of warning letters issued to pharmaceutical firms for manufacturing and quality issues increased by 81% to 49 letters. Only 9 letters were issued in the last 3 years of the George W. Bush Administration. Shortfalls in compliance and product quality led to medicine shortages that affected patients' treatment and health. This quantitative study sought to learn to what extent, if any, the independent variables, management behaviors and financial indicators at pharmaceutical firms in the United States, correlated with, or predicted, the dependent variable, compliance with the FDA regulations. …

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How Does Organizational Culture Impact Rn Engagement, Veronica Anntionette Ruffin-Ellis Jan 2017

How Does Organizational Culture Impact Rn Engagement, Veronica Anntionette Ruffin-Ellis

Walden Dissertations and Doctoral Studies

Lack of RN engagement in the acute care setting can result in poor staffing, nursing shortages, increased stress levels for nurses and decreased morale. When nurses are not engaged in their work setting, quality of care suffers. A wide range of literature focuses on the importance of RN engagement; however, few health care organizations have taken the initiative to implement programs that foster RN engagement, demonstrating a gap in practice. This study examined the relationship between the levels of RN engagement and their perceptions of their organizational culture. Kolcaba's humanistic approach to meeting the needs of RN staff was used …

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Perceptions Of Organizational Change Among Minority Owners Of Small Businesses, Chad E. Walizer Jan 2017

Perceptions Of Organizational Change Among Minority Owners Of Small Businesses, Chad E. Walizer

Walden Dissertations and Doctoral Studies

Small businesses continue to be a dominant portion of the global economy, and their owners need to understand how they can effectively make organizational changes, including implementing sound decision-making processes and innovation, as well as competing with much larger businesses. Minority small business owners have a particular need for organizational change because of their limited financial opportunities in relation to their nonminority counterparts. The purpose of this phenomenological study was to examine how minority small business leaders in the food service industry in south central Pennsylvania experience and perceive organizational change. Organizational change theory, contingency theory, and situational theory provided …

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Exploring The Impact Of Collective Bargaining Agreements On Employee Performance Management, Nana Gyesie Jan 2017

Exploring The Impact Of Collective Bargaining Agreements On Employee Performance Management, Nana Gyesie

Walden Dissertations and Doctoral Studies

As of 2014, union density in the United States had dropped compared to union density during the 1950s. Collective bargaining agreements are the foundational agreement for all issues related to salary, benefits, and working conditions. The purpose of this multiple case study was to explore how collective bargaining agreements hindered or enabled managers from creating and sustaining high performance work practices. The conceptual framework included Walton and McKersie's work on behavioral theories for labor negotiations, human capital, and collective bargaining, and Huselid's work on high performance work practices. Fifteen respondents across 5 labor unions in Washington DC were selected through …

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Impact Of Change Management On Employee Behavior In A University Administrative Office, Kendra M. Turner Jan 2017

Impact Of Change Management On Employee Behavior In A University Administrative Office, Kendra M. Turner

Walden Dissertations and Doctoral Studies

This qualitative case study focused on the effect of a system implementation upgrade on employees' job performance within a central administration department of a major research university in the Southern United States. Review of literature revealed a lack of a specific model or process for system implementation upgrades and its impact on employees' performance in a university administrative office. Guided by Kotter's research on change management models, the research questions examined the attitudes and behaviors of employees involved with the business process project. Data collection was through purposeful sampling and face-to-face interviews with 11 employees. Data were analyzed through pattern-matching …

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The Sustainability Management Control System: Factors To Consider In Metric Conceptualization, Corne Mouton Jan 2017

The Sustainability Management Control System: Factors To Consider In Metric Conceptualization, Corne Mouton

Walden Dissertations and Doctoral Studies

The performance metrics embedded in sustainability management control systems (SMCS) provide organizational leaders the ability to affect the implementation and continual improvement of sustainability strategies. Leaders in oil sands companies lacking adequate information on the efficacy of the sustainability performance metrics and their use to enhance their SMCS could be at a competitive disadvantage. Guided by stakeholder theory, the purpose of this single case study was to explore strategies Alberta-based oil sands company leaders use for critical planning, developing, and implementing SMCS performance metrics. The target population comprised of 20 oil sands company leaders from an Alberta, Canada, organization who …

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Effective Strategies Employed By Retail Store Leaders To Reduce Employee Turnover, Alexandro Beato Jan 2017

Effective Strategies Employed By Retail Store Leaders To Reduce Employee Turnover, Alexandro Beato

Walden Dissertations and Doctoral Studies

Employee turnover affects retail organizations in the form of lower productivity, decreased profitability, and reduced sustainability. In 2014, organizations lost over $11 billion in tangible and intangible assets as the result of employee turnover. High employee turnover rates have an adverse effect on productivity, which lead to unsustainable business practices. The number of retail employees who quit their jobs each month increased from 432,000 in December 2016 to 464,000 in January 2017, which indicates that some managers lack strategies to reduce employee turnover. Using the transformational leadership theory, the purpose of this single case study was to explore effective strategies …

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The Relationship Between A Cfo's Financial Expertise And Firm Profitability, Scott Jeremy Rubin Jan 2017

The Relationship Between A Cfo's Financial Expertise And Firm Profitability, Scott Jeremy Rubin

Walden Dissertations and Doctoral Studies

More than 50% of small businesses fail by the 5th year of operation because of lack of economic sustainability. Organizations without a chief financial officer (CFO) with financial expertise may have suboptimal fiscal performance. The purpose of this correlational study was to examine whether there was a relationship between CFO licensure status, CFO age, and firm earnings per share. A sample of 403 small businesses in the United States, taken from the Russell 2000 Index, was used in the study. The theoretical framework for the study was Penrose's resource-based view of the firm. CFO names and firm earnings per share …

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Strategies For Reducing Employee Stress And Increasing Employee Engagement, Kumar G. Subramaniam Jan 2017

Strategies For Reducing Employee Stress And Increasing Employee Engagement, Kumar G. Subramaniam

Walden Dissertations and Doctoral Studies

Stress inside and outside of work affects employee productivity. In 2013, the estimated impact of employee absenteeism on U.S. businesses was $225 billion per year through reduced efficiency, overtime wages, fixed fringe benefits, and the cost of replacement employees. Based on the social exchange theory and the theory of planned behavior, the purpose of this qualitative single case study was to explore the strategies that HR leaders in a single organization used to reduce employee disengagement caused by stress. Using semistructured interviews, data were collected from 12 HR leaders and line managers within a single healthcare organization in eastern Tennessee. …

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Government Rule Compliance, Safety, And The Influence Of Regulation On Railroad Trainmen, Carlos Mendoza, Phd Jan 2017

Government Rule Compliance, Safety, And The Influence Of Regulation On Railroad Trainmen, Carlos Mendoza, Phd

Walden Dissertations and Doctoral Studies

Operational testing of railroad trainmen on federal government safety rules is a daily occurrence on every railroad in the United States. This constant testing and resulting discipline distracts trainmen from the task at hand, causing a loss of focus which could lead to injury or accidents. Using the social construction framework, this research sought to gain an understanding of trainmen's perception on how operational testing impacts their workplace safety, as well as how they perceive the U.S. federal government influences regulation and discipline. This phenomenological study investigated a segment of railroad employees, the trainmen, because they are operationally tested more …

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Strategies For Reducing Voluntary Employee Turnover, Xiomara Dejesus Jan 2017

Strategies For Reducing Voluntary Employee Turnover, Xiomara Dejesus

Walden Dissertations and Doctoral Studies

The high costs associated with turnover and the loss of skilled employees have a significant adverse effect on organizational performance. The loss of one skilled worker can cost 25-500% of an employee's salary with respect to replacement, training, and productivity. The purpose of this descriptive multiple case study was to explore strategies for frontline managers and human resource managers to reduce voluntary employee turnover. The sample consisted of 5 frontline supervisors and 6 human resource leaders with successful experience designing and implementing strategies to reduce voluntary employee turnover in 8 organizations in Orange County, Florida. The conceptual framework for this …

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Seniority And Transparency In The Perceived Fairness Of Seniority-Based Police Promotion, Michael Edward Carter Jan 2017

Seniority And Transparency In The Perceived Fairness Of Seniority-Based Police Promotion, Michael Edward Carter

Walden Dissertations and Doctoral Studies

Perception of fairness is a key construct affecting job performance, and perceptions of promotional processes are related to employees' sense of justice in private organizations. In police departments, negative perceptions of procedures can be detrimental to departmental effectiveness. The purpose of this quantitative quasiexperimental study was to compare Louisiana officers' perceptions of fairness of a seniority-based promotion system in relation to Louisiana deputies' perceptions of fairness of a merit-based promotion system. Organizational justice theory, including procedural justice, was the theoretical foundation. The research questions were designed to examine whether seniority, transparency, knowledge of the promotion systems, gender, and race predicted …

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Exploration Of Leadership Skills For Organizational Strategy Execution, Regina L. Banks-Hall Jan 2017

Exploration Of Leadership Skills For Organizational Strategy Execution, Regina L. Banks-Hall

Walden Dissertations and Doctoral Studies

Multinational corporate leaders acknowledge that a lack of business direction by senior leadership results in a 68% failure in the execution of organizational strategies. The purpose of this qualitative study was to explore what best practice solutions automotive manufacturing senior leaders created to help front-line managers execute organizational strategies. The population consisted of 20 automotive manufacturing senior leaders located in Michigan with significant years of automotive experience and at least a year of experience employed as an automotive manufacturing senior leader. Vroom's expectancy theory served as the conceptual framework for the study describing the enhancement of employee performance related to …

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