Digital Commons Network^™

Evidence-Based Discharge Planning For Assisted Living Facility Residents, Annick Sheron Kelly

Walden Dissertations and Doctoral Studies

AbstractLack of staff knowledge is one of the leading challenges contributing to ineffective discharge planning from assisted living facilities. Recognizing that appropriate discharge planning is essential to the well-being of residents, the purpose of this doctoral project was to develop a staff education program based on current evidence-based discharge planning procedures for residents of an assisted living facility. Knowles’s adult learning theory; Lewin’s change theory; and the analysis, design, development, implementation, and evaluation model guided development of the staff education program. According to a review of the literature, evidence-based strategies for resident discharge planning included early discharge planning; tailored support, …

Strategies To Implement An Electronic Medical Records System In Health Care Organizations, Ashley Knott

Walden Dissertations and Doctoral Studies

Despite the 2009 mandate from the U.S. Government that healthcare organizations adopt and implement electronic medical records (EMR) systems to avoid fines and take advantage of the benefits EMR systems provide, adoption of EMR systems in the United States has been low. Since 2011, medical facilities have received incentive payments if they demonstrated “meaningful use” of certified EMR systems; however, medical facilities unable to demonstrate meaningful use beginning in 2015 have faced up to 5% penalties. Grounded in the diffusion of innovation theory, the purpose of this qualitative single case study was to explore strategies that hospital project managers use …

Strategies To Encourage Innovative Employee Performance In The Automotive Industry, Derek Mcelrath

Walden Dissertations and Doctoral Studies

The lack of innovative employee performance in the automotive industry leads to failure when it comes to the execution of organizational strategies. Senior automotive managers are concerned with innovative employee performance, as it has the potential loss of knowledge and the skillset by the employee. Grounded in Vroom’s expectancy theory, the purpose of this qualitative multiple case study was to explore strategies automotive managers use that encourage innovative employee performance. The participants were three senior automotive managers in Southeastern Michigan with at least three years of knowledge in employee work performance. Data were collected through semistructured interviews. Through thematic analysis, …

Impact Of 9/11 Attacks And Federal Funding On The National Guard’S Organizational And Operational Focus, Michael Christopher Mcmahon

Walden Dissertations and Doctoral Studies

There is a problem in the United States national security enterprise related to the National Guard’s organizational responsibilities to state and federal governments, and it was unknown whether this hybrid structure caused capabilities to diverge between pre-9/11 and post-9/11 national security priorities. This quantitative study’s purpose was to investigate the use of Congressional funding to determine how and to what degree the National Guard’s capabilities diverged from the United States national security priorities from pre-9/11 to post-9/11 periods. Organizational change and stream analysis conceptual frameworks identified organizational challenges in overcoming inertia and resistance to change. The statistical analysis included public …

Strategies To Improve Quality Of Care And Increase Medicare Payments In Hospitals, Emmanuel Mendoza

Walden Dissertations and Doctoral Studies

The difficulty that nurse leaders experience in administrating quality of care while increasing Medicare payments threatens the hospital's patient well-being and financial stability. Health care administrators should be concerned about these issues to ensure their hospitals meet patient and community needs. Grounded in the performance improvement model, the purpose of this qualitative single case study was to explore strategies that hospital managers use to improve the quality of care and increase Medicare payments. The participants were six nurse leaders of a medium size hospital based in Houston, Texas. Data were collected using semistructured virtual interviews and a review of company …

Manufacturing Managers’ Strategies To Implement Successful Change, Simon Mendy

Walden Dissertations and Doctoral Studies

Approximately 70% of successful reengineering implementations and process design change initiatives within organizations fail to achieve expected results. Business leaders in manufacturing organizations are concerned that the low success rate hurts process improvement, business growth, and survival. Grounded in Lewin’s three-step model of change, the purpose of this qualitative multiple case study was to explore strategies manufacturing managers use to implement and maintain reengineering and design change initiatives. Participants were four managers who successfully implemented and maintained reengineering and process design change initiatives in the south region of the United States. Data were collected from face-to-face semistructured interviews and various …

The Relationship Between Team Engagement And Physician Engagement, Lynne Miles

Walden Dissertations and Doctoral Studies

AbstractWhile physician engagement has previously been shown to be related to both turnover and burnout, there are no studies that focus primarily on the relationship between the physician and team. The purpose of this quantitative study was to examine the relationship between team engagement and physician engagement. The theoretical framework used to guide this research study is the neoclassical organizational theory. The secondary data source was from an engagement survey taken by employed team members and physicians. The independent variable is team engagement. The dependent variable is physician engagement. The instrument for the study is valid and reliable and was …

Strategic Management Practices For Responsible Mining In Artisanal And Small-Scale Mining Projects, Cornelius Mireku-Antwi

Walden Dissertations and Doctoral Studies

Irresponsible management practices in the Artisanal and small-scale mining (ASM) industry result in wasteful mineral resource recovery and utilization. The lack of ASM managers' ability to implement responsible mining inhibits the ability to grow revenues and profits. Grounded in Mckinsey’s 7S framework, the purpose of this qualitative multiple case study was to explore strategies ASM managers use to establish responsible mining while also improving revenues and profits. The participants were five ASM managers from five ASM companies in Ghana. Data were collected using semistructured interviews and company public documents such as published annual reports. The four themes from the thematic …

Educating Nurse Practitioners On Factors Associated With Compassion Fatigue, Alicia Moonesar

Walden Dissertations and Doctoral Studies

Nurse Practitioners (NPs) across Canada continue to endure the escalating demands of increasing patient workloads, the deficiency of inadequate resources, and the paucity of leadership support. The ongoing exposure to these and other challenges often contributes to a complex work environment that may result in compassion fatigue (CF). CF can be operationally defined as a state of exhaustion and dysfunction because of prolonged exposure to compassion stress and all that it evokes. The need for education and prevention of CF is critical as the prevalence of CF is on the rise. Guided by Watson’s Theory of Human Caring and Benner’s …

Financial Recordkeeping Strategies For Small Businesses, Dominique Latrice Moore

Walden Dissertations and Doctoral Studies

Small retail business owners with inadequate record-keeping strategies struggle with the success of their businesses. Business owners who do not have the requisite financial knowledge may not have the skills required to manage the financial affairs of their business. Grounded in the theory of planned behavior, the purpose of this qualitative multiple case study was to investigate strategies small retail business owners use to adopt financial record-keeping strategies to sustain a small retail business beyond 5 years. Data were collected from a review of organizational artifacts and semistructured interviews with three retail small business owners who successfully adopted financial record-keeping …

Successful African American Women Leaders On Ascending The Corporate Ladder In Stem: A Single Case Study, Malika Nelson-Wicks

Walden Dissertations and Doctoral Studies

A literature gap exists on the experiences of African American women in the United States who successfully ascended the corporate ladder in science, technology, engineering, and mathematics (STEM) fields. The purpose of this qualitative, single case study with embedded units was to explore the opportunities and challenges African American women faced while having successfully ascended the corporate ladder in STEM fields. Qualitative data from six semi-structured interviews, reflective journaling, and archival data on career trajectories and labor statistics of African American women in the STEM industry were collected and triangulated to answer the central research question. This study was grounded …

The Effectiveness Of Strategy Execution In The Regulatory Management Of The Nigerian Downstream Petroleum Industry., Michael Chinedu Nwonu

Walden Dissertations and Doctoral Studies

AbstractNigeria is Africa’s largest oil and gas producer; however, its petroleum industry has experienced mismanagement and a lack of coherent regulations. The general problem addressed in this study was that leaders and managers of Nigeria’s public sector did not have a strong system in place to create and implement regulatory strategies that effectively controlled the management of the petroleum sector. The purpose of this qualitative phenomenological study was to explore the lived experiences of managers in developing petroleum regulatory strategies defined by the Federal Ministry of Petroleum Resources, FMPR, in Abuja, Nigeria. The realization concept was applied as a conceptual …

Nurses’ Knowledge Of Cognitive Behavioral Therapy As A Treatment For Schizophrenia, Iwalola Stella Omojola

Walden Dissertations and Doctoral Studies

Existing evidence indicates that medications alone are not able to fully manage the psychotic symptoms associated with schizophrenia. Inadequately treated schizophrenia not only affects a patient's physical and mental health but also can lead to the onset of more complex issues such as substance and alcohol abuse disorders, homelessness, family conflicts, and violent behavior. Cognitive behavioral therapy (CBT) can assist in bridging the gaps associated with the use of medications in the treatment of schizophrenia. The purpose of this project was to increase the knowledge of nurses working at a private healthcare facility regarding the effective utilization of CBT as …

Relationship Between Cost, Schedule Overruns, And Project Success In The Nuclear Construction Industry In The United Kingdom, Adesegun Francis Osadare

Walden Dissertations and Doctoral Studies

Failure to achieve project success due to cost and schedule overruns may negatively affect an organization's financial strength, profitability, and competitive advantage. Organizational leaders must constantly monitor and control projects throughout the life cycle to reduce the impact of cost and schedule overruns and ensure project success. Grounded in the triple constraint model, the purpose of this quantitative correlational study was to examine the relationship between cost, schedule overruns, and project success. Data were collected from 66 project managers, project directors, project control, delivery integration managers, and construction project planners. The multiple linear regression analysis results were significant, F (2,63) …

Successful Recruitment And Retention Strategies Used By Logistics Hiring Managers, Anna Ouattara

Walden Dissertations and Doctoral Studies

Employee turnover results in increased employers’ costs and a decrease in profitability. Transportation hiring managers who lack strategies to recruit and retain employees risk higher employee turnover, resulting in reduced profitability. Grounded in Herzberg’s two factory theory, the purpose of this qualitative multiple case study was to explore strategies transportation hiring managers use to recruit and retain employees to reduce employee turnover and improve profitability. The participants were three transportation hiring managers from three transportation companies in Eagan, Minnesota, who successfully implemented strategies resulting in employee retention. Data were collected using semi-structured interviews and a review of company documents. Data …

Staff Nurses Lack Of Knowledge And Opioid Use At The Veteran Administration, Cathy J. Ramey

Walden Dissertations and Doctoral Studies

AbstractStaff Nurses’ Lack of Knowledge and Opioid Use at the Veteran Administration By Cathy Ramey

MS, University of Phoenix, 2014BS, Chamberlain University, 2008

Dissertation Submitted in Partial Fulfillment Of the Requirements for the Degree of Doctor of Nursing Practice

Walden University November 2022

Abstract Opioids are often prescribed for pain management, which may have led to high rates of opioid addiction among veteran populations. The problem identified in this DNP project was the nurses’ lack of knowledge regarding pain management and the use of opioids in the veteran’s (VA) hospital where the project commenced. Using the Analyse, Design, Develop, Implement, …

Improving Employee Productivity Using Effective Leadership Strategies, Candice Nicole Rodgers

Walden Dissertations and Doctoral Studies

Low employee productivity has the potential to impact small business outcomes negatively. Small business leaders who can develop and use strategies to increase employee productivity, improve employee morale, and lower employee turnover rates can help a business succeed and grow. Grounded in the decision-making model of leadership theory, the purpose of this qualitative, multiple case study was to identify strategies some small business leaders use to increase employee productivity. The participants consisted of one leader from five different small businesses who had experience implementing leadership strategies to improve employee productivity. Data were collected using semistructured interviews, a review of documents, …

Employee Engagement Strategies Call Center Managers Use To Increase Productivity And Profitability, Deirdre N. Skinner

Walden Dissertations and Doctoral Studies

AbstractDecreased employee productivity can result in reduced organizational profitability. Call center leaders are concerned with decreased productivity as it cost call center leaders millions of dollars each year in profit loss. Grounded in leader-member exchange theory, the purpose of this basic qualitative study was to learn the employee engagement strategies nine call center managers in five different industries used to improve productivity in call centers. Data were collected using semi-structured interviews and review of company documents that included process improvement guides and publicly posted annual reports. The three themes that emerged from the thematic analysis were developing relationships, effective communication, …

Strategies For Success In Servitization Initiatives, Ralph F. Stauffer

Walden Dissertations and Doctoral Studies

Some software business leaders lack strategies for implementing servitization (Software-as-a-Service, or SaaS) initiatives, which has the potential for adverse business outcomes. Software business leaders are concerned with implementing service initiatives to remain competitive and foster sustainability. Grounded in the resource-based view theory, the purpose of this qualitative multiple case study was to explore strategies business leaders in the software industry use for implementing servitization SaaS initiatives. The data were collected using interviews with eight leaders from four software firms who successfully implemented servitization initiatives within at least the past 20 years. Interview data were confirmed with secondary data sources, including …

Business Strategies For Reducing Professional Labor Shortages Within The U.S. Construction Industry, Leabert Stewart

Walden Dissertations and Doctoral Studies

The U.S. construction industry is faced with skilled labor shortages that have made it more challenging, especially amid the COVID-19 pandemic, for project and business managers to meet industry quality standards and complete projects within budget and on time. Grounded in transformational leadership theory, the purpose of this qualitative multiple case study was to explore strategies staffing managers use to hire and retain skilled labor. The data were gathered through semi-structured interviews with six successful staffing managers within the southeastern United States and then analyzed using thematic analysis. The themes that emerged were (a) employee retention, (b) recruitment of skilled …

Factors Of Employee Retention Within Youth-Serving Nonprofits In The Mid-Atlantic Region Of The United States, Meleny Thomas

Walden Dissertations and Doctoral Studies

Factors of employee retention have been widely researched and examined. However, research on factors of retention in relation to youth-serving NPOs was limited. Turnover was an issue that many organizations face, but the impacts and implications of turnover for youth-serving nonprofits may be greater. Using Herzberg’s two-factor theory of motivation, this study identified the factors that local and national NPO employees in the Mid-Atlantic region of the eastern United States provided as to why they remained at or left NPOs. The aim of this study was to identify the motivator and/or hygiene factors that employees or former employees of NPOs …

Leadership Strategies For Obtaining Employee Involvement In A Behavioral Health Organization, David Henry Thompson

Walden Dissertations and Doctoral Studies

Maintaining a stable and engaged workforce is essential in providing quality treatment to individuals with behavioral health disorders. Soliciting and accepting input and feedback from workforce members is vital in ensuring that competent staff is available to this vulnerable population. Behavioral health leaders can facilitate this goal by cultivating environments that support employee involvement in organizational decision-making. This case study focused on identifying strategies for obtaining employee involvement by examining organizational culture and perceptions, with specific attention to existing opportunities for engaging the workforce in corporate decisions. Using the Baldridge Excellence Framework conceptually, data collection comprised five leadership interviews, organizational …

Exploring Business Strategies For Assuring Compliance To Changes In Employment Law, Kyla M. Vanchieri

Walden Dissertations and Doctoral Studies

Noncompliance with employment and labor laws can result in compensatory and punitive damages, adversely impacting business profitability. Human Resources (HR) personnel who lack strategies to anticipate and react to changes in employment laws risk penalties for noncompliance, resulting in reduced profitability. Grounded in the top-down model of adaptation and political risk management, the purpose of this qualitative multiple case study was to explore strategies some HR personnel use to anticipate and react to changes in employment laws to avoid compensatory and punitive damages. The participants included nine HR personnel from nine organizations in the District of Columbia, Maryland, and Virginia …

Multiple Generations In The Workplace: The Voice Of The Older Generations, Stephanie M. Weaver

Walden Dissertations and Doctoral Studies

Millennial-based changes in a multigenerational workplace create workplace issues among the four generations, diminishing collaboration and harmony in the workplace, and consequently decreasing effectiveness and efficiency. There was a lack of knowledge and understanding about how these changes affect the older generations (traditionalists, baby boomers, and Generation X) in the workplace. The purpose of this phenomenological study was to explore how millennial-focused changes in the workplace have affected the older generations. The conceptual framework was Mannheim’s problem of generations and Reed and Thomas’s management-by-generations. The research question concerned the lived experiences of older generation workers related to management decisions and …

Strategies For Implementing Critical Success Factors For Improving Information Technology Information Systems’ Performance In Financial Organizations, Sherri L. Williams

Walden Dissertations and Doctoral Studies

Information technology infrastructure library (ITIL) business leaders lack strategies for implementing critical success factors (CSFs) to promote organizational effectiveness and project success. As a result, ITIL leaders may experience less project success if CSF strategies are not effectively implemented. Grounded in the balanced scorecard (BSC) theory, this qualitative multiple case study aimed to explore strategies ITIL business leaders use to implement CSFs successfully to improve organizational efficiency for project success. The participants comprised five ITIL business leaders in the financial industry located in the southwestern region of the United States who successfully implemented strategies to implement CSFs to improve organizational …

Weight Management Clinical Practice Guidelines For The Obese, Pre-Diabetic, And Diabetic Population, Dawn Williams

Walden Dissertations and Doctoral Studies

AbstractDiabetes is among chronic or lifestyle-related illnesses posing health care challenges at epidemic proportions, pressuring health care systems infrastructure for positive outcome-driven practices and sustainable costs, as continued research suggests that obese people are up to 80 times more likely to develop type 2 diabetes. In June 2021, a weight-loss and wellness center serving this high-risk population established recommended guidelines for Hemoglobin A1C (HbA1C) screening and education. During the initial 3 months of implementation, data findings captured 37% in a total of 220 with elevated HbA1C levels. The gap in practice is that the Wellness Center did not have a …

Leadership Strategies For Improving Employee Engagement, Stacy Wright

Walden Dissertations and Doctoral Studies

Small business leaders who lack effective strategies to improve employee engagement may be unable to retain employees, keep employees motivated, or improve employee performance, adversely affecting company productivity and profitability. Grounded in the transformational leadership theory, the purpose of this qualitative multiple case study was to explore strategies small business leaders use to improve employee engagement. Data were collected from three small business leaders in North Texas with 5 years of leadership experience who have successfully created and implemented employee engagement strategies. Data collection included semistructured interviews and publicly available organizational documents. Three key themes emerged from Yin’s five-step data …

Effective Strategies To Reduce Voluntary Employee Turnover Intentions In The Retail Sector, Connie Latoyia Owens

Walden Dissertations and Doctoral Studies

Voluntary employee turnover is a complex business problem that hurts organizations’ productivity and profits. High employee turnover rates require retail business leaders to implement strategies to help prevent employees from leaving their jobs. Grounded in transformational leadership theory, the purpose of this qualitative multiple-case study was to explore leadership strategies retail store managers use to reduce voluntary employee turnover. The participants included six retail managers from two mid-to-large retail food organizations in Chicago who successfully reduced voluntary employee turnover. Semistructured interviews and public company information were used for data collection. Data were analyzed using Yin’s five-step method. Four themes were …

Terrorism Preparedness, Collaboration, And Organizational Culture In The National Capital Region, Anderson Percival Padmore

Walden Dissertations and Doctoral Studies

Abstract Terrorism preparedness is essential for federal, state, and local governments. However, literature indicated that local governments may not be ready to respond to a terrorist event. The purpose of this quantitative study was to determine terrorism preparedness levels related to collaboration in the National Capital Region (NCR) of the United States to determine first responders’ perspectives regarding challenges of organizational change. The research questions for this study concentrated on the evaluation of terrorism- preparedness and organizational changes among first response agencies since 2014, Schein’s ideas of organizational cultural change were the theoretical foundation. Four NCR public safety agencies were …

Strategies To Sustain Road Freight Small And Medium Enterprises In South Africa, Sitsabo Kuhlase

Walden Dissertations and Doctoral Studies

In 2019, 2.65 million small and medium enterprises (SMEs) were registered in South Africa, of which 70% are estimated to fail within the first 5 years due to inadequate sustainability strategies during slow economic growth. Anchored on the resource-based view (RBV) theory, the purpose of this qualitative multiple case study was to explore strategies that owners of road freight SMEs use to sustain their businesses during slow economic growth. Data collection included six semistructured face-to-face and virtual interviews and a review of their company documents. The data were analyzed using thematic analysis, and four themes emerged: marketing and customer relationship, …