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Articles 1171 - 1200 of 1894
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Home Health Aides' Performance And Home Health Clients' Quality Of Life, Ronny Terrell Smith
Home Health Aides' Performance And Home Health Clients' Quality Of Life, Ronny Terrell Smith
Walden Dissertations and Doctoral Studies
Home health aides' performance can help home health clients achieve quality of life. This quantitative, cross-sectional study examined which work-related factors of home health aides influence home health clients' quality of life. A socioecological perspective was used to understand influences on behaviors. Participants in this study were 400 home health clients who received services from home health agencies. A binary logistic model was used to determine the predictor variables of home health aides that contributed to home health clients' quality of life. Findings indicated that psychosocial skills were among the most predicted work-related performance of home health aides that lead …
Geographically Distributed Employees' Perceptions Of Employee Assistance Program Access, Davina Smith
Geographically Distributed Employees' Perceptions Of Employee Assistance Program Access, Davina Smith
Walden Dissertations and Doctoral Studies
Many investigators have documented high levels of stress in the U.S. workplace and the underutilization of employee assistance programs (EAP). Researchers in other studies have concluded that an employee's perception of a service influences participation and service use. However, the perceptions of geographically distributed employees, who represent a growing population, have not been sufficiently examined. The purpose of this study was to investigate geographically distributed employees' perceptions regarding access to EAP stress management services to address the problem of EAP underutilization. Organizational justice theory served as the theoretical framework. The study design was generic qualitative. A purposeful sample of 15 …
Perceptions Of Homeland Security Policing In An Urban Midwestern Community, Sukeena Stephens
Perceptions Of Homeland Security Policing In An Urban Midwestern Community, Sukeena Stephens
Walden Dissertations and Doctoral Studies
Since the terrorist attacks on the United States of America on September 11, 2001, approach to policing has observably been shifted across the country. Utilizing a qualitative methodology, this study explored the perceptions of community members from a Chicago, Illinois community regarding the shift in policing style post 9/11. Cooley's theory of the looking glass self, coupled with a phenomenological approach to understand the deeper meaning associated with the perceptions of the residents and the shift in policing styles in Chicago communities. The data were obtained from participants who were at least 40 years old and held a residence for …
Building Workforce Capability In Nonprofit Organizations, Catherine Byrnes Smoyer
Building Workforce Capability In Nonprofit Organizations, Catherine Byrnes Smoyer
Walden Dissertations and Doctoral Studies
Leaders of nonprofit organizations in the United States must build workforce capabilities to meet increasing demands for services. This single-case study explored strategies nonprofit leaders used to build workforce capability to address increasing service demands. The conceptual lens for this study was the full-range leadership theory. Data were collected through semistructured interviews from a purposeful sample of 3 senior executives of a single nonprofit organization located in the midwestern region of the United States. Information from internal and external documents and publicly available documents also provided data. Information and data sources included internal organizational and workforce performance data, strategy plans …
Healthcare Organization Change Management Strategies To Guide Information Technology With For Information Technology Change Initiatives, Sharita Dianthe Speed-Crittle
Healthcare Organization Change Management Strategies To Guide Information Technology With For Information Technology Change Initiatives, Sharita Dianthe Speed-Crittle
Walden Dissertations and Doctoral Studies
As technology and organizations continue to increase in complexity, a willingness to implement change management strategies for Internet technology (IT) change initiatives is necessary in a healthcare setting. This multiple case study explored change management strategies that 3 hospital administrators at 3 different hospitals in the southeast region of the United States used to guide organizational IT change activities to avoid waste and increase profits. The conceptual framework for this study was Lewin's organizational change model and Kanter's theory of structural empowerment. Data were collected using semistructured interviews and a review of hospital documentation from the 3 hospitals. The data …
Decreasing Catheter-Associated Urinary Tract Infections In The Acute Care Setting, Marshanell Wright
Decreasing Catheter-Associated Urinary Tract Infections In The Acute Care Setting, Marshanell Wright
Walden Dissertations and Doctoral Studies
The most important risk factor for developing a catheter-associated urinary tract infection (CAUTI) is the prolonged use of the urinary catheter. To address the CAUTI rate at the project site, which was higher than the national benchmark, a team of healthcare practice leaders developed an evidence-based algorithm addressing the appropriate indications for inserting or discontinuing a patient's Foley catheter. Using the plan-do-study-act model, the purpose of this quality improvement evaluation project was to evaluate the effectiveness of the evidence-based Foley algorithm for decreasing the use of Foley catheters and reducing the CAUTI rate and to explore whether using the Foley …
Workplace Toxicity, Leadership Behaviors, And Leadership Strategies, Titin S. Atmadja
Workplace Toxicity, Leadership Behaviors, And Leadership Strategies, Titin S. Atmadja
Walden Dissertations and Doctoral Studies
Workplace toxicity may negatively influence the well-being and work performance of employees. Best practices of successful leadership approaches and behaviors have been unidentified when addressing low-toxicity work environments. The purpose of this qualitative narrative case study was to develop a deeper understanding of how leaders selected and applied specific leadership strategies and behaviors in nontoxic workplace environments. Data were collected from 10 participants in New Hampshire using a purposive sampling technique and semistructured interviews based on Alvarado's triangular model of workplace toxicity. This study was structured using a narrative approach to explore ways positive leaders practically implemented styles and behaviors …
The Impact Of Congressional Attention And Policy Mood On Public Health Funding, Evelyn Denise Dunn
The Impact Of Congressional Attention And Policy Mood On Public Health Funding, Evelyn Denise Dunn
Walden Dissertations and Doctoral Studies
Congressional appropriations for federal public health agencies are subjected to external factors throughout the congressional appropriations process, resulting in fluctuations in funding. Recent literature has focused on externals factors, such as political attention and public attitudes, that could influence government funding levels; however, the impact of these factors on federal public health funding was not addressed. The purpose of this study was to determine whether a relationship exists between these external factors and federal public health appropriations. A quantitative study was used to examine congressional attention, policy mood, and the influence on the change in the level of federal public …
Leadership Strategies To Reduce Occupational Fraud In Banking, Vincent Dewayne Edwards
Leadership Strategies To Reduce Occupational Fraud In Banking, Vincent Dewayne Edwards
Walden Dissertations and Doctoral Studies
Banks are in a precarious position due to increasing corporate losses from prolonged instances of employee-driven occupational fraud. The purpose of this single case study was to explore the leadership strategies some bank leaders used to reduce corporate losses from occupational fraud. The fraud triangle theory was the conceptual framework for this study. Data collection consisted of semistructured interviews with 11 bank managers at various levels within the bank, and a focus group session with 8 frontline managers. Data were analyzed using Yin's 5-step data analysis process, which entailed descriptive coding and sequential review of the interview transcripts. Member checks …
Veteran Administration Disease Model To An Interdisciplinary Healthcare Model, Bertha J. Harris
Veteran Administration Disease Model To An Interdisciplinary Healthcare Model, Bertha J. Harris
Walden Dissertations and Doctoral Studies
There is a growing need for healthcare teams within the Veterans Administration (VA) healthcare system to effectively collaborate and communicate to improve patient outcomes. The need to improve patient care in the Patient Aligned Care Team (PACT) has been well established. The scholarly literature does not provide evidence whether using the primary care PACT model on communication and teamwork by an interdisciplinary medical team ameliorates these communication breakdowns. Bronstein's design for interdisciplinary collaboration provided the overarching framework for this study. The purpose of this qualitative case study was to investigate the use of the PACT model on communication and teamwork …
Management Of Virtual Offices, Cheryl Donaldson Howard
Management Of Virtual Offices, Cheryl Donaldson Howard
Walden Dissertations and Doctoral Studies
Many organizational leaders manage virtual employees without the specific training and experience required for leading a virtual organization, which can lead to billions of dollars in lost productivity. The purpose of this multiple case study was to explore strategies managers used to manage a virtual office. The target population consisted of 4 managers located in the mid-Atlantic region of the United States who had a minimum of 2 years of experience managing virtual offices. The conceptual framework for this study was social exchange theory. Data were collected using semistructured interviews and a review of company documents. Data were analyzed using …
Successful Billing Strategies In The Hospital Industry, Samirah Merritt
Successful Billing Strategies In The Hospital Industry, Samirah Merritt
Walden Dissertations and Doctoral Studies
Failure to collect reimbursement because of changing regulations negatively impacts hospital profitability. A multiple case study approach was used to explore the successful strategies billing managers employed to collect reimbursement for all legitimate Medicare claims. The target population for this study included 5 hospital billing managers from 3 organizations in the Northern New Jersey region. The complexity theory was used as a framework for assessing changing Medicare regulations and how the managers adapted to them. The data collection process for this study involved gathering data from participant interviews, documentation from the organizations of the participants, and government documented regulations and …
Success Strategies Of Small And Medium-Sized Retail Enterprises In North Dakota, David Frantsvog
Success Strategies Of Small And Medium-Sized Retail Enterprises In North Dakota, David Frantsvog
Walden Dissertations and Doctoral Studies
Entrepreneurial organizations are an integral part of the United States economy. Despite the importance of sustainable businesses operations, nearly 50% of entrepreneurial ventures fail within the first 5 years of operation. The purpose of this multiple case study was to determine the effective strategies that some owners of small and medium-sized retail firms in North Dakota used to maintain profitable business operations for more than 5 years. General systems theory was the conceptual framework for this study. The population was 5 owners of profitable small and medium-sized retail firms in North Dakota who have been in operation for a minimum …
Strategies For Reducing Nonprofit Organizations' Employee Turnover, Tamara Michelle Searight
Strategies For Reducing Nonprofit Organizations' Employee Turnover, Tamara Michelle Searight
Walden Dissertations and Doctoral Studies
Employee turnover is an inherent challenge encountered by managers at nonprofit organizations. The purpose of this single case study was to explore the strategies some community-based organization managers used to reduce employee turnover in western New York. Five organizational managers were selected who had successfully implemented strategies to reduce employee turnover. Herzberg's 2-factor theory was the conceptual framework for this doctoral study. Data collection occurred through semistructured interviews and review of organizational documents. Data analysis involved collecting data, organizing the data into codes and themes, and interpreting and revealing information about the themes. Member checking and methodological triangulation increased the …
Knowledge Transfer Strategy Implementation In Contract Organizations, Delano Clyde Hudson
Knowledge Transfer Strategy Implementation In Contract Organizations, Delano Clyde Hudson
Walden Dissertations and Doctoral Studies
Despite economic perils of government shutdowns, foreclosures, bankruptcies, and employee layoffs, some contract leaders consistently fail to implement knowledge transfer strategies that could improve production and profitability and maintain operational readiness when employees transition in and out of the organization. The conceptual framework for this descriptive research study was Nonaka and Takeuchi's socialization, externalization, combination, and internalization model for knowledge creation. A purposive sample of 20 leaders from 2 contract organizations within the south central United States with at least 10 years of experience in contracting were interviewed. Member checking was used for reliability of the synthesized interviews, and triangulation …
Incorporating Data Governance Frameworks In The Financial Industry, Tarlochan Singh Randhawa
Incorporating Data Governance Frameworks In The Financial Industry, Tarlochan Singh Randhawa
Walden Dissertations and Doctoral Studies
Data governance frameworks are critical to reducing operational costs and risks in the financial industry. Corporate data managers face challenges when implementing data governance frameworks. The purpose of this multiple case study was to explore the strategies that successful corporate data managers in some banks in the United States used to implement data governance frameworks to reduce operational costs and risks. The participants were 7 corporate data managers from 3 banks in North Carolina and New York. Servant leadership theory provided the conceptual framework for the study. Methodological triangulation involved assessment of nonconfidential bank documentation on the data governance framework, …
Cultural Integration In Newly Formed Public-Private Partnership Organizations, Scotty O. Izevbigie
Cultural Integration In Newly Formed Public-Private Partnership Organizations, Scotty O. Izevbigie
Walden Dissertations and Doctoral Studies
The Florida Department of Transportation (FDOT) formed public-private partnerships (PPPs) with local and international private companies during the construction of the Port of Miami Tunnel (POMT) project. These PPPs had employees from different cultural backgrounds who brought new cultures, ideas, innovation, and experiences to their PPPs. The limited PPP literature did indicate that different cultures should be properly integrated to avoid challenges and conflicts in the new organization. If not properly managed and integrated, cultural conflict can create communication problems, increased employee dissatisfaction, higher turnover, and poor employee performance. Using Risberg's communication theoretical foundation, the purpose of this phenomenological study …
Implementation Strategies For Change Initiatives, Justin Legrand Jones
Implementation Strategies For Change Initiatives, Justin Legrand Jones
Walden Dissertations and Doctoral Studies
Many change initiatives fail because business leaders often lack the strategies for successful implementation. The inability of business leaders to successfully implement change initiatives can result in missing deadlines, increasing costs, and reduced employee productivity and morale. Grounded by Lewin's change management model and Kotter's 8-step change model, the purpose of this multiple case study was to explore strategies aerospace manufacturing managers in the Midwest Region of the United States used to implement successful change initiatives. Data were collected through face-to-face semistructured interviews with 3 aerospace manufacturing managers and a review of company documents. Data were analyzed using methodological triangulation, …
Strategies For Using Information And Communication Technologies To Improve Profitability, Rodney Mciver
Strategies For Using Information And Communication Technologies To Improve Profitability, Rodney Mciver
Walden Dissertations and Doctoral Studies
Small business owners in a range of industries continually adapt to take advantage of technological developments in accounting, marketing, and communication. The purpose of this multiple case study was to explore strategies that small business owners operating in the central region of North Carolina used to implement information and communication technology (ICT). Roger's diffusion of innovation theory grounded the study. Data collection included face-to-face semistructured interviews with 6 owners of small businesses who successfully implemented ICT, field notes from site observations, and reviews of participant websites. Interviews were transcribed and participants were engaged in member checking. Data were analyzed using …
Success Factors For Minority Small Business Sustainability, Tawny Barnes
Success Factors For Minority Small Business Sustainability, Tawny Barnes
Walden Dissertations and Doctoral Studies
Minority small business owners significantly contribute to national and local economies. Only 50% of small firm owners sustain their businesses longer than 5 years. The purpose of the multiple case study was to explore the management strategies that minority small business owners used to sustain their businesses for longer than 5 years. The study's population consisted of 4 minority small business owners in the midwestern region of the United States to explore management strategies necessary for maintaining minority small firm operations. The conceptual framework for the study was general system theory. Data sources included semistructured interviews, social media information, company …
Electronic Health Record Implementation Strategies For Decreasing Healthcare Costs, Christopher A. Foster
Electronic Health Record Implementation Strategies For Decreasing Healthcare Costs, Christopher A. Foster
Walden Dissertations and Doctoral Studies
Some managers of primary care provider (PCP) facilities lack the strategies to implement electronic health records (EHRs), which could decrease healthcare costs and enhance the efficiency and quality of healthcare that patients receive. The purpose of this single-case study was to explore the strategies PCP managers used to implement EHRs to decrease healthcare costs. The population consisted of 5 primary care managers with responsibility for the administration, oversight, and direct working knowledge of EHRs in Central Florida. The conceptual framework was the technology acceptance model. Data were collected from semistructured face-to-face interviews and the review of company documents, including training …
Evaluating An Educational Initiative For Postsurgical Vascular Patients, Cynthia Ann Gillespie
Evaluating An Educational Initiative For Postsurgical Vascular Patients, Cynthia Ann Gillespie
Walden Dissertations and Doctoral Studies
The educational medium GetWellNetWork (GWNW) in a large magnet teaching facility offered few educational videos specific to vascular patients with a focus on leg elevation after lower extremity bypass surgery. Supplying patient-specific education has the potential for providing cost-effective nursing care to vascular patients and improving hospital reimbursement. Guided by the interactive care model, a storyboard was developed using best-practice evidence for vascular postoperative patients that could lead to the development of a video to address the educational needs of vascular patients upon discharge. The practice focused question asked if a video addressing the importance of leg elevation would improve …
Leaders' Perceptions Of The Sexual Misconduct Reporting System In The Military, Catherine Elaine Mincey
Leaders' Perceptions Of The Sexual Misconduct Reporting System In The Military, Catherine Elaine Mincey
Walden Dissertations and Doctoral Studies
There is an unwarranted number of men and women that experience an unwanted sexual contact occurrence while on active duty, that is not reported through the military's sexual harassment or sexual assault system channels. A reporting system that is cumbersome and ineffective may hinder a leader's perception in implementing effective sexual harassment and sexual assault policies and procedures. The purpose of this descriptive multiple case study was to explore the ways a reporting system influenced the decision making processes of leaders and the importance of a fluent information flow through communication channels regarding the reporting system for sexual misconduct within …
Causes And Prevention Of Electric Power Industry Accidents: A Delphi Study, Ganesh Narine
Causes And Prevention Of Electric Power Industry Accidents: A Delphi Study, Ganesh Narine
Walden Dissertations and Doctoral Studies
The electric power industry is very complex, dangerous, and challenging. The number of workplace accidents declined over the last decade, but worker injuries and fatalities continue to occur. The purpose of this Delphi study was to gain consensus regarding the most feasible and desirable methods to prevent accidents and deaths. The research question focused on gaining consensus from a panel of experts regarding the most desirable and feasible solutions to fatal and serious workplace accidents in the United States. The Bolman and Deal 4-frame model proved useful for understanding challenges within the electric industry and how workers and leaders can …
Leadership Issues And Organizational Dynamics That Shaped The 2016 Republican Primaries, Favour Chidex Awuzu
Leadership Issues And Organizational Dynamics That Shaped The 2016 Republican Primaries, Favour Chidex Awuzu
Walden Dissertations and Doctoral Studies
Importance of leadership in fostering cohesion within organizations has received increased scholarly attention. Researchers have shown that leadership can lose its legitimacy by pursuing unpopular policies or negating the common interest of the group. However, researchers have not yet been able to establish the leadership issues that shaped the 2016 Republican primaries as President Trump's victory (despite not having the support of any living past United States president both Republican and Democrat), was indicative of masses' frustration with the political establishment, and desire for change. Using complex leadership theory as a focal lens, the purpose of this phenomenological study was …
Civility Promotion Actions And Decisions Of Prelicensure Baccalaureate Nurse Faculty, Brooke Stelle Russo
Civility Promotion Actions And Decisions Of Prelicensure Baccalaureate Nurse Faculty, Brooke Stelle Russo
Walden Dissertations and Doctoral Studies
Acts of incivility in nursing education and practice settings are a growing concern. Previous research has indicated that uncivil behaviors, especially among nurses in the healthcare workplace, create toxic work environments and pose risks to patient safety. Uncivil behaviors among nurse educators and students were found to erode the learning environment and lead to poor program outcomes. Researchers provided evidence to show varied levels of incivility in academic and workplace environments and recommended solutions to improve civility, yet little evidence exists to show how nurse faculty approach civility promotion in their practices. This qualitative, descriptive study was designed to explore …
Impact Of Work-Related Electronic Communications Behavior Outside Of Normal Working Hours, Beulah Lavell Williams
Impact Of Work-Related Electronic Communications Behavior Outside Of Normal Working Hours, Beulah Lavell Williams
Walden Dissertations and Doctoral Studies
Employers' reliance on asynchronous electronic communications, connective technology devices, and remote work arrangements has led employees to feel preoccupied with staying connected after-hours to be responsive to work-related demands. The purpose of this transcendental phenomenological study was to describe the lived experiences of professional workers who coped with constant pressure to monitor and immediately respond to work-related electronic communications during nonwork hours. The conceptual framework was supported by boundary and border theory and the constructs of work-life balance, flexible work arrangements, information and communication technology. Data were collected using semistructured interviews with 16 professional workers near Washington, DC. Moustakas's modified …
Leadership Styles And Their Impact On Church Growth In Alexandria And Springfield, Virginia, Yera Keita
Leadership Styles And Their Impact On Church Growth In Alexandria And Springfield, Virginia, Yera Keita
Walden Dissertations and Doctoral Studies
Even though millions of Americans attend church, church worship practices have declined in recent years. Also, church leaders lack understanding of transformational, transactional, laissez-faire, and servant leadership styles and their potential to promote the growth of church membership. Gaps exist in the literature regarding the connection between development and efficacy, organizations and outcomes, and church leaders' styles and church membership growth. The purpose of this qualitative case study was to explore the perception of church leaders (pastors, deacons, ministers) and members of congregations regarding leadership styles and how the implementation of those styles influences the growth of church membership. The …
Hospital-Acquired Pressure Ulcer Prevention, Druscilla Willis Jones
Hospital-Acquired Pressure Ulcer Prevention, Druscilla Willis Jones
Walden Dissertations and Doctoral Studies
Hospital-acquired pressure ulcers (HAPUs) represent a significant challenge in the care provided for hospitalized patients. HAPUs impact morbidity, mortality, and quality of life. At the local practice site, the incidence of HAPUs increased in the perioperative setting. The practice-focused question for this project asked if an education program for staff nurses working in a perioperative care setting with high HAPU incidence can advance nurse knowledge regarding prevention, early assessment, symptoms, and treatment of HAPUs. The purpose of this educational project was to develop a pretest and posttest designed education program on HAPU prevention and care for perioperative nurses. The Iowa …
Change Management Implementation Strategies For Small Businesses, Oneeka Rena' Rivers
Change Management Implementation Strategies For Small Businesses, Oneeka Rena' Rivers
Walden Dissertations and Doctoral Studies
Most organizational change initiatives fail because managers lack effective change management strategies. The purpose of this single case study was to explore change management strategies that outpatient care facility managers used to positively affect process improvements. The population consisted of 6 managers who completed change initiatives at a military, outpatient medical facility in Texas and 6 of their team members. Data were collected using semistructured interviews and organization documents, then analyzed based on the conceptual framework of Lewin’s change theory. Rowley’s 4-step process for analysis—organizing; getting acquainted with; classifying; coding and interpreting; and presenting and writing up the data—was used …