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Leadership Strategies To Prevent Unethical Employee Behavior, Gregory O'Donnell Jan 2023

Leadership Strategies To Prevent Unethical Employee Behavior, Gregory O'Donnell

Walden Dissertations and Doctoral Studies

Preventing unethical employee behavior in the workplace is a key concern of business leaders. Business leaders are concerned that their businesses cannot prevent employee unethical behavior in the workplace. Grounded in the transformational leadership theory, the purpose of this qualitative multiple-case study was to explore leadership strategies that business leaders use to prevent unethical employee behavior in the workplace. Participants in this study comprised three business leaders from private sector organizations in the surrounding areas of San Antonio, Texas, who used strategies to prevent unethical behavior in the workplace. Data were collected from semi-structured interviews and company documents. Thematic analysis …


Development Of A Standardized Novice Neonatal Nurse Orientation Program, Joanne Rau Pasinski Jan 2023

Development Of A Standardized Novice Neonatal Nurse Orientation Program, Joanne Rau Pasinski

Walden Dissertations and Doctoral Studies

Abstract Neonatal intensive care units (NICUs) are fast-paced units requiring skilled nurses to care for a unique patient population. Orientation of new nurses to the NICU can be challenging for both the orientee and the preceptor. Offering an evidence-based practice orientation program by an accredited organization that is specific to NICU can be a valuable tool for both the preceptor and the orientee as well as enhance nurse, patient, and organizational outcomes. The project question explored if use of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) 15-module nursing orientation program for RNs in a NICU increased their …


Reducing Opioid Prescribing By Using The Center For Disease Control Guidelines, Christina Marie Peters Jan 2023

Reducing Opioid Prescribing By Using The Center For Disease Control Guidelines, Christina Marie Peters

Walden Dissertations and Doctoral Studies

Opioid abuse is a serious national health crisis resulting in overdose and increased mortality in chronic pain patients. The purpose of this evidenced-based, quality improvement (QI) project was to improve primary care provider’s (PCP) awareness of The Center for Disease Control and Prevention’s (CDC) opioid prescribing guidelines to reduce opioid prescribing at this project site. The Donabedian model of structure, process, and outcome was used as the framework for this QI project. Lewin’s change management model of unfreezing and freezing was used as a guide to implement organization change by creating problem awareness, seeking alternative methods, and integrating the new …


Strategies For Promoting Inclusion And Employee Engagement To Improve Remote Teams’ Performance, Bruce Edward Richardson Jan 2023

Strategies For Promoting Inclusion And Employee Engagement To Improve Remote Teams’ Performance, Bruce Edward Richardson

Walden Dissertations and Doctoral Studies

External factors such as the pandemic have forced organizational leaders to embrace flexible work structures. Differences in remote versus collocated workplaces escalate the importance for company leaders to uncover strategies to maintain employee engagement and performance. Grounded in the organizational support theory, the purpose of this qualitative multiple-case study was to explore strategies leaders of remote, diverse teams with high engagement and inclusion use to achieve high team performance. Data were collected using semistructured interviews from a purposeful sampling of five nationally distributed managers. A thematic analysis uncovered three themes: flexible leadership behavior, fair execution of human resource policy and …


Influence Of Staffing Shortages On Safety And Communication In Behavioral Health, Raven Brittany Robinson Jan 2023

Influence Of Staffing Shortages On Safety And Communication In Behavioral Health, Raven Brittany Robinson

Walden Dissertations and Doctoral Studies

At the selected behavioral health organization (BHO), leaders desire to improve patient safety and staff communication to provide quality mental health services. They need strategies to achieve these goals. The Baldrige Excellence Framework was used to identify the workforce challenges and practices that facility leaders can potentially use to improve performance to help achieve success, sustainability, and the mission of the BHO. The data sources consisted of (a) semistructured interviews with the CEO, the leader of the intake department, an intake therapist, an intake coordinator, and an RN and (b) reviews of the BHO’s website, and pertinent academic literature. Data …


Strategies Leaders Of Small Businesses Use To Improve Organizational Performance, Julie Charette Jan 2023

Strategies Leaders Of Small Businesses Use To Improve Organizational Performance, Julie Charette

Walden Dissertations and Doctoral Studies

Small businesses significantly contribute to the global economy, yet some leaders need more strategies to improve organizational performance, growth, and competitive advantage. These barriers can create challenges that threaten the survival of the organization in a competitive business environment. Grounded in Argyris’s single- and double-loop learning theory, the purpose of this qualitative single case study was to explore strategies leaders of small businesses used to improve organizational performance, growth, and competitive advantage. The participants comprised three senior leaders of a small for-profit organization in the natural hair care industry in the Northeastern region of the United States. Data were collected …


Retention Strategies For Managers Of Generation Y Employees, Michael Askari Jan 2023

Retention Strategies For Managers Of Generation Y Employees, Michael Askari

Walden Dissertations and Doctoral Studies

Employee turnover may lead to increased business costs, degradation of employee mental health, and more taxes on social programs. Managers of Generation Y employees are concerned with turnover because Generation Y employees tend to leave within 12 months of being hired. Grounded in the job embeddedness theory, the purpose of this qualitative multiple-case study was to explore management retention strategies to reduce Generation Y turnover. The participants were six managers of Generation Y employees from six retail businesses who successfully retained employees for more than 12 months. Data were collected using semistructured interviews, journal notes, and a review of public …


An Examination Of Counselor Turnover And Its Impact On Quality Behavioral Health Services, Leslie M. Beale Jan 2023

An Examination Of Counselor Turnover And Its Impact On Quality Behavioral Health Services, Leslie M. Beale

Walden Dissertations and Doctoral Studies

Behavioral health organizations often face the challenge of high employee turnover rates, which can critically affect their ability to treat mental illnesses successfully. High counselor turnover at one such organization, BHOX, threatens the provision of timely access to quality mental care. This qualitative case study examined counselor turnover and its impact on the quality of behavioral health services. The Baldrige Excellence Framework was used to guide this descriptive case study of a nonprofit behavioral health organization on the East Coast of the United States, which serves men and women struggling with mental health disorders and substance abuse addictions. The data …


How Healthcare Big Data Analytics Information Asymmetry Influences Organizational Design Absorptive Choices, Neil Black Jan 2023

How Healthcare Big Data Analytics Information Asymmetry Influences Organizational Design Absorptive Choices, Neil Black

Walden Dissertations and Doctoral Studies

Although the relationship between big data analytics (BDA) organizational, firm, and financial performance is well supported, little attention has been paid in extant research to exploring the organizational design issues resulting from information asymmetry caused by BDA; in particular, organizational absorptive choices that include acquisitions, mergers, reorganization, executive changes, or board of director adjustments. The purpose of this qualitative single case study within a U.S. hospital was to explore the conditions and circumstances that influence absorptive organizational design choices of hospital administration. The theoretical base of this study is Pfeffer and Salancik’s resource dependence theory (RDT). Logic model data analysis …


How Healthcare Big Data Analytics Information Asymmetry Influences Organizational Design Absorptive Choices, Neil Black Jan 2023

How Healthcare Big Data Analytics Information Asymmetry Influences Organizational Design Absorptive Choices, Neil Black

Walden Dissertations and Doctoral Studies

Although the relationship between big data analytics (BDA) organizational, firm, and financial performance is well supported, little attention has been paid in extant research to exploring the organizational design issues resulting from information asymmetry caused by BDA; in particular, organizational absorptive choices that include acquisitions, mergers, reorganization, executive changes, or board of director adjustments. The purpose of this qualitative single case study within a U.S. hospital was to explore the conditions and circumstances that influence absorptive organizational design choices of hospital administration. The theoretical base of this study is Pfeffer and Salancik’s resource dependence theory (RDT). Logic model data analysis …


Future-Oriented Strategies That Small 501(C)(3) Nonprofit Organizations May Use To Support Financial Sustainability, Justine Lownsbury Jan 2023

Future-Oriented Strategies That Small 501(C)(3) Nonprofit Organizations May Use To Support Financial Sustainability, Justine Lownsbury

Walden Dissertations and Doctoral Studies

The age of mortality for a nonprofit organization is between 6-15 years. The problem is that leaders of nonprofit organizations face challenges in financially sustaining nonprofit operations, which directly affects the ability to achieve and maintain the organizational mission. The purpose of this qualitative classical Delphi study was to explore how an expert panel of nine purposively selected U.S.-based stakeholders from small U.S.-based 501(c)(3) nonprofit organizations viewed the desirability, feasibility, and importance of future-oriented strategies to support financial sustainability. The research questions addressed this purpose. The conceptual framework was rooted in effective leadership, innovation, sustainability, and positive social change, as …


Perceptions Of Women Of Color Improving Patient Outcomes Through Hospital Leadership Advancement, Benita A. Mclarin Jan 2023

Perceptions Of Women Of Color Improving Patient Outcomes Through Hospital Leadership Advancement, Benita A. Mclarin

Walden Dissertations and Doctoral Studies

Women of color have been underrepresented in hospital leadership positions and face challenges in advancing their careers. The benefit to hospitals providing women of color with training and support to move into leadership positions may be improved patient outcomes. Grounded in the interactional model of cultural diversity framework, the purpose of this basic qualitative study was to explore the perceptions of women of color advancing in leadership roles in hospitals and their impact on patient outcomes. The study participants included 16 women of color in leadership positions from hospitals in a western U.S. state. Data were collected through semi structured …


Comparison Of The Effects Of Telehealth Versus N95 On Nurse-Patient Communication, Tony Christopher Bloomfield Jan 2023

Comparison Of The Effects Of Telehealth Versus N95 On Nurse-Patient Communication, Tony Christopher Bloomfield

Walden Dissertations and Doctoral Studies

Telehealth and face masks are some of the infection control measures nurses use while attending to patients. Nurses provide the most patient care in hospital settings and thus spend the most time with patients in their recovery journey. Because communication is paramount to the role nurses play as health care professionals, there is a substantial need to investigate how infection control measures affect the quality of nurse-patient communication. The purpose of this quantitative cross-sectional study was to describe the relationship of methods aimed at maintaining social distancing between nurses and patients to nurse-patient communication and to compare differences in the …


Sharing Strategies Between Higher Education Administrators And Their Information Technology Leaders, Larita Brewster Jan 2023

Sharing Strategies Between Higher Education Administrators And Their Information Technology Leaders, Larita Brewster

Walden Dissertations and Doctoral Studies

Some senior administrators in higher education institutions lack strategies to share leadership decision-making with their information technology (IT) leaders in the quest to sustain and improve organizational performance, which is often of concern to leverage technology and improve organizational performance. Grounded in the Bolman and Deal four-frame model of leadership, the purpose of this qualitative, multiple-case study was to explore strategies used at four higher education institutions by four IT leaders and four senior administrators, to improve organizational performance in Alabama. The participants were four higher education senior administrators and four IT leaders in Alabaman higher educational institutions. Data were …


Succession Planning Strategies For Nonprofit Organizations, Chandler Campbell Jan 2023

Succession Planning Strategies For Nonprofit Organizations, Chandler Campbell

Walden Dissertations and Doctoral Studies

Nonprofit organizations are cornerstones in the community that contribute to improving environments, communities, persons, and life overall. However, some nonprofit organization senior leaders lack the succession planning strategies, resources, and funding to continue serving as positive social change agents in the community. Grounded in the general systems theory, the purpose of this qualitative single case study was to explore business strategies nonprofit leaders use for succession planning. The participants included three senior leaders in a nonprofit located in the northeastern region of the United States who have indirectly or directly implemented succession planning strategies. Data were collected through semistructured interviews, …


Relationship Between Employee Human Capital, Relational Capital, And Work Engagement, Royelle David Comer Sr. Jan 2023

Relationship Between Employee Human Capital, Relational Capital, And Work Engagement, Royelle David Comer Sr.

Walden Dissertations and Doctoral Studies

Work engagement is a challenge for information technology leaders in the digital industry because employees with engagement concerns may exhibit decreased commitment and increased workplace incivility towards the organization, thereby impacting business profits. Grounded in the job demands-resource theory, the purpose of this quantitative correlational study was to examine the relationship between human capital, relational capital, and work engagement initiatives in technology companies in the United States. The participants were 125 supervisors and full-time personnel from the metropolitan region of Atlanta, Georgia, who completed an online-based survey. The results of the multiple linear regression were significant, F (18, 106) = …


Strategies For Maximizing The Use Of Electronic Health Records Systems In Medical Clinics, Alexandra Nieves Rivera Jan 2023

Strategies For Maximizing The Use Of Electronic Health Records Systems In Medical Clinics, Alexandra Nieves Rivera

Walden Dissertations and Doctoral Studies

Ineffective leadership can negatively impact the use of electronic health records (EHR) systems in medical clinics. Healthcare managers who fail to maximize the use of EHR systems are missing out on the opportunity to optimize the quality of medical care that their clinic provides. Grounded in complexity leadership theory, the purpose of this qualitative multiple-case study was to explore strategies healthcare managers use to maximize the use of EHRs systems. Participants comprised six healthcare managers who successfully implemented strategies to maximize the use of EHRs systems. Data were collected from semistructured interviews and publicly available information. Thematic analysis was used …


Experience Of Burnout Among Psychiatric Hospital Staff, Cindy Cisneros Jan 2023

Experience Of Burnout Among Psychiatric Hospital Staff, Cindy Cisneros

Walden Dissertations and Doctoral Studies

Negative experiences at work are common at inpatient psychiatric hospitals and can result in burnout. This is especially the case for psychiatric hospital staff, as they are commonly the first and most frequent line of contact for patients in acute psychiatric care. This study provided relevant insight into the factors that influence the experience of burnout among psychiatric hospital staff that care for patients in inpatient psychiatric hospitals. Research on how burnout affects psychiatric hospital staff apart from other medical professionals is not robust and lacking in qualitative analysis. The transactional model of stress and coping framework constituted the theoretical …


Small Business Internal Control System Strategies To Protect Business Assets And Profitability, Edward Gabriel Earl Kuupualeialoha Keaunui Jan 2023

Small Business Internal Control System Strategies To Protect Business Assets And Profitability, Edward Gabriel Earl Kuupualeialoha Keaunui

Walden Dissertations and Doctoral Studies

The absence of financial expertise and internal control systems contributes to losing business assets and profitability. Small business leaders who lack internal control systems and strategies to protect against the financial loss of business assets and profitability may be vulnerable and suffer losses. Grounded in the Committee of the Sponsoring Organization of the Treadway Commission (COSO) internal control-integrated framework, this qualitative multiple-case study explores internal control system strategies that small business leaders use to protect business assets and profitability. The participants were five small business leaders from the Western region of the United States who have successfully operated for over …


Educational Material For Nurses In Managing Patients With Neurogenic Bladder, Simone Yamdaare Redboy Jan 2023

Educational Material For Nurses In Managing Patients With Neurogenic Bladder, Simone Yamdaare Redboy

Walden Dissertations and Doctoral Studies

AbstractNeurogenic bladder (NB) is common in patients with traumatic brain injury, spinal cord injury, spinal bifida, and stroke. Many patients who have these diseases struggle to control their bladder. NB can be defined as the inability to completely empty the bladder. For managing the bladder, clinicians usually opt for using an indwelling urinary catheter for those patients. Indwelling urinary catheters are a source of infection and do not help the patient regain continence. Research findings showed that frequent toileting and monitoring with bladder scanning benefited patients with NB and helped patients restore continence. To address a knowledge gap, this new …


Perinatal Nursing Education Related To Opioid Use Disorder, Britney Taniguchi Jan 2023

Perinatal Nursing Education Related To Opioid Use Disorder, Britney Taniguchi

Walden Dissertations and Doctoral Studies

Opioid use disorder (OUD) contributes to severe perinatal and neonatal morbidity and mortality in the United States, leading to alarming complications for pregnant women, mothers, and newborns. Complications the mother experiences with OUD include increased mortality, overdose, infections, endocarditis, narcotic bowel syndrome, and accident-related injury. Complications the newborn can suffer include neonatal abstinence syndrome, respiratory depression, microcephaly, and sudden infant death syndrome. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, this project aimed to plan, implement, and evaluate a staff education program on opioid use disorder. The staff education program was presented to 13 perinatal …


Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate Jan 2023

Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate

Walden Dissertations and Doctoral Studies

AbstractMany individuals prefer to remain in their homes as they age instead of entering a long-term care facility. As the proportion of older Americans rapidly grows, the demand for delivery of nonmedical services by home healthcare aides (HHAs) is expected to increase. However, the national and local supply of HHAs is insufficient and must be rectified to meet a projected increase of older Americans by 2050. This research study involved exploring this problem for one small home healthcare organization in the Maryland suburbs outside of Washington, DC with an HHA workforce that was comprised predominantly of Black/African American and African …


Knowledge Management Implementation In U.S. Army Headquarters: A Case Study, David Marvin Van Laar Jan 2023

Knowledge Management Implementation In U.S. Army Headquarters: A Case Study, David Marvin Van Laar

Walden Dissertations and Doctoral Studies

This case study examined the U.S. Army’s implementation of knowledge management (KM) as an integrating process within its command and control system. The research problem explored was the U.S. Army’s attempts to measure knowledge transfer using the KM Maturity Model (KM3) and KM Assessment Tool (KMAT). The purpose was to determine levels of KM maturity and knowledge barriers that affected decision-making. The conceptual approach used Nonaka and Takeuchi’s process theory for the knowledge-based firm, combined with Argote and Hora’s framework of knowledge transfer as it applied to Moore’s concept of public value. The central research questions explored the levels of …


Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton Jan 2023

Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic increased the need for research and discussions about trauma, trauma-informed care (TIC), and care delivery processes. Little is known about how nurses recognize, assess, treat, and support patients who experience trauma although knowledge of TIC is important for delivering care to trauma survivors. The purpose of this qualitative descriptive study was to explore nurses’ perceptions of TIC principles and their experiences delivering care to patients with psychological trauma. Harris and Fallot’s TIC theory was used to guide the study. Purposeful sampling was used to recruit ten nurses for individual semi structured interviews using open-ended questions conducted via …


Lived Experience Of Women Veterans Navigating The Veteran Healthcare System, Candance Willett Jan 2023

Lived Experience Of Women Veterans Navigating The Veteran Healthcare System, Candance Willett

Walden Dissertations and Doctoral Studies

Many women veterans who navigate the Veterans Affairs (VA) healthcare system across the United States have felt that their voices have not been heard regarding their input and lived experiences concerning inclusion to the quality-of-care delivery for their health needs. The purpose of this study was to explore the lived experiences of women veterans who were currently facing or had previously faced difficulty navigating the VA healthcare system. The framework used for this qualitative study was interpretive phenomenological analysis. The qualitative method used was hermeneutics which was designed by Edmund Husserl and Martin Heidegger. Semi structured interviews were of 12 …


Understanding Law Enforcement Counterterrorism Information Sharing In Homegrown Violent Extremism Cases, Danielle Corry Jan 2023

Understanding Law Enforcement Counterterrorism Information Sharing In Homegrown Violent Extremism Cases, Danielle Corry

Walden Dissertations and Doctoral Studies

Local law enforcement agencies are charged with the responsibility to prevent terrorist events in the United States, including the emerging threat of homegrown violent extremism. Without the use of the terrorism prevention tool of information sharing, with other applicable state and federal law enforcement agencies, there continues to be a breakdown in the ability to prevent terrorist events, especially those associated with homegrown violent extremists, in the United States. This qualitative case study explores the information sharing process in law enforcement agencies by examining the recent Boston Marathon Bombing in Boston, Massachusetts that occurred in 2013. Five themes emerged from …


Strategies For Improving Performance Through Diversity And Inclusion In The Workplace, Satari Kay Durrah Jan 2023

Strategies For Improving Performance Through Diversity And Inclusion In The Workplace, Satari Kay Durrah

Walden Dissertations and Doctoral Studies

A lack of diversity and inclusion policies can lead to the perception of exclusion in the workplace and cause some employee groups to underperform. Some hospital leaders lack strategies for developing and implementing effective diversity and inclusion policies to improve business performance. Grounded in transformation leadership theory, the purpose of this multiple case qualitative study was to explore strategies for improving performance through diversity and inclusion in the healthcare field. The participants included four leaders from hospitals located in the southeastern region of the United States. Data were collected using semistructured interviews and review of company documents. Data were analyzed …


Technology Manufacturing Leaders’ Innovation Strategies To Improve Users’ Choice Capabilities In A Fast-Changing Markets, Magnus Ekwunife Jan 2023

Technology Manufacturing Leaders’ Innovation Strategies To Improve Users’ Choice Capabilities In A Fast-Changing Markets, Magnus Ekwunife

Walden Dissertations and Doctoral Studies

Some leaders of technology manufacturing organizations lack strategies to educate their users on how to make the optimal cloud technology selection decisions for their organizations during rapidly evolving innovation, resulting in significant risk of wrong choices and loss of customer loyalty. Grounded in resource-based view theory, the purpose of this qualitative single case study was to explore strategies technology manufacturing leaders use to educate users on how to make optimal cloud technology selection decisions for their organizations. The participants were six executive-level leaders of the strategic sales division of a multinational technology organization based in the western United States who …


Improving The Care Of Neonates With Hyperbilirubinemia, Kellie Busse Kainer Jan 2023

Improving The Care Of Neonates With Hyperbilirubinemia, Kellie Busse Kainer

Walden Dissertations and Doctoral Studies

AbstractProviders at a community-based pediatric hospital in the southern region of the United States have traditionally transferred otherwise healthy neonates with hyperbilirubinemia requiring inpatient treatment to a tertiary care facility. The question addressed was whether the implementation of an evidence-based, organizational protocol increases the quality and decreases the cost of caring for neonates with hyperbilirubinemia in the community-based, pediatric acute care hospital. The main goal of the organization’s quality improvement (QI) project was to facilitate the provision of high-quality, cost-effective care to neonates with hyperbilirubinemia using an evidence-based approach as evidenced by a reduction in the number of neonates with …


Exploring Strategies For Measuring Team Innovation In Small Financial Business, Kimberly Nicole Whitt Jan 2023

Exploring Strategies For Measuring Team Innovation In Small Financial Business, Kimberly Nicole Whitt

Walden Dissertations and Doctoral Studies

Small financial business leaders cannot maintain a competitive advantage without effectively measuring work team innovation. The purpose of this qualitative exploratory multiple case study was to explore the strategies that small financial business leaders use to measure work team innovation to maintain a competitive advantage. The conceptual framework undergirding this study was Schumpeter’s innovation management theory. The research question asked what strategies small financial business leaders use to effectively measure work team innovation to maintain a competitive advantage. Interview data were collected from 15 small financial business leaders who employ less than 100 employees in Madison, Chester, Gibson, Henderson, and …