Digital Commons Network^™

Toward Optimal Implementation Of Cancer Prevention And Control Programs In Public Health: A Study Protocol On Mis-Implementation, Margaret Padek, Peg Allen, Paul C. Erwin, Melissa Franco, Ross A. Hammond, Benjamin Heuberger, Matt Kasman, Doug A. Luke, Stephanie Mazzucca, Sarah Moreland-Russell, Ross C. Brownson

Open Access Publications

No abstract provided.

A Study To Examine The Relationship Between Hospital Mergers And Patient Experience, Timothy William Attebery

All ETDs from UAB

Since 2009, the United States has experienced another wave of hospital mergers. Consequently, health systems are getting larger and increasing their market concentration. How patients benefit from hospital consolidation remains an open issue for policy-makers, economists, health care executives, community leaders, politicians, government agencies, and others. One measure of healthcare consolidation’s impact, and its potential benefit/detriment, is how mergers affect patient experience, which, since 2007, has been measured by the standardized HCAHPS instrument. Hundreds of studies conducted over the past 50 years have found mergers trigger an internal, socially-disruptive effect in the first 12 to 24 months following the event …

Improving Human Papillomavirus Vaccination Rates Through Evidence-Based Interventions, Deidra Thompson

Walden Dissertations and Doctoral Studies

Cervical cancer is the most common human papilloma virus (HPV) -associated cancer and is the second leading cause of death in the world. Vaccination against HPV is essential to reduce the incidence of HPV and subsequent morbidity and mortality. According to the Centers for Disease Control and Prevention (CDC), approximately 79 million Americans are currently infected with HPV. The site for this DNP project was a 163-bed facility with inpatient and outpatient services in the southern United States. The vaccination rate at the site was 48%. The facility lacked educational interventions to prepare and remind providers to offer HPV vaccine. …

Case Study Of Inclusive Environments For Lesbian, Gay, Bisexual, Transgender Employees, Darin Dale Stephens

Walden Dissertations and Doctoral Studies

Despite the positive changes occurring regarding American attitudes toward members of the Lesbian, Gay, Bisexual and Transgender (LGBT) community, empirical evidence indicates that LGBT individuals do not believe inclusive environments exist, as 48% of the population remains closeted at work. A gap exists in the literature relating to the formulation of practical solutions that establish and sustain inclusive environments. The purpose of this qualitative case study was to identify the possible influence of cultural lag on the workplace engagement of LGBT employees. Ogburn's cultural lag theory served as the conceptual framework. The following research questions guided the study: (a) The …

Leadership Development Strategies To Build Leaders Through Mentorship Programs, Devin Bradley

Walden Dissertations and Doctoral Studies

Developing employees to assume leadership positions has never been more critical for organizational leaders given the competitive climate and the shortage of executive leaders. Organizations must develop future leaders at unprecedented rates to assume roles and responsibilities of the current executive leaders who will leave the organization due to retirement and other forms of attrition. Using mentorship theory, the purpose of this multicase study was to explore strategies that business leaders use to successfully improve their mentoring programs for employee leadership development. The target population consisted of 3 business leaders located in central Florida with successful experience in improving their …

Hotel Manager Strategies To Reduce Voluntary Employee Turnover, Christl Arwen Kroeten

Walden Dissertations and Doctoral Studies

The voluntary turnover rate in the United States hotel industry is among the highest of all industries, resulting in lost revenue. The purpose of this multiple case study was to explore strategies hotel managers use to reduce voluntary employee turnover. The targeted population consisted of 6 managers from hotel businesses operating in the MidAtlantic region of the United States who successfully used strategies to reduce voluntary employee turnover. Job embeddedness theory, this study's theoretical framework, was used to describe reasons employees remained in organizations. Data were gathered via semistructured interviews, observational notes, and public business records regarding turnover or retention …

Social Security Administration Employee Lived Experiences Of Job Satisfaction And Employee Turnover, Lafaun Cain

Walden Dissertations and Doctoral Studies

Employee turnover continues to be an issue in federal organizations, including the Social Security Administration (SSA). While issues such as retiring baby boomers and budget constraints are beyond the control of any agency, retaining employees is critical to maintain essential services. The purpose of this transcendental phenomenological study was to explore SSA employee's lived experiences of job satisfaction and employee turnover to uncover motivators and satisfaction strategies. The conceptual framework for the study was based on Maslow's human needs and Herzberg's two-factor theory. Data were collected from 20 SSA frontline employees using 6 open-ended interview questions. The data were analyzed …

Increasing Employee Retention Within The Georgia Division Of Family And Children Services, Santoria Lushell Williams

Walden Dissertations and Doctoral Studies

Walden University

College of Social and Behavioral Sciences

This is to certify that the doctoral dissertation by

Santoria Lushell Williams

has been found to be complete and satisfactory in all respects,

and that any and all revisions required by

the review committee have been made.

Review Committee

Dr. Hilda Shepeard, Committee Chairperson,

Public Policy and Administration Faculty

Dr. Clarence Williamson, Committee Member,

Public Policy and Administration Faculty

Dr. Anne Hacker, University Reviewer,

Public Policy and Administration Faculty

Chief Academic Officer

Eric Riedel, Ph.D.

Walden University

2018

In Fulton County, Georgia, the Division of Family and Children Services (DFCS) child-welfare workers …

Empowering Internal Stakeholders Through The Dissemination Of Useful Information: A Review Of Crisis Management Concepts, Patricia I. Fusch, Janie A. Hall, Gene E. Fusch

Journal of Sustainable Social Impact

In this article, we define crisis management as not only a problem, but also an opportunity for leaders to be flexible, creative, and innovative that contributes to social change. In the past, organizational leaders often looked at crisis management as a quick fix or stopgap to business as usual. Empowering internal stakeholders and disseminating useful information that is relevant, valid, timely, and reliable to people within the organization can lead to crisis resolution at the closest point of action and contribute to social change. We look at the primary and secondary stakeholders and stewardship of the employees during the …

Transforming A Culture Of Quality Through Nurse Engagement: A Leadership Framework, Rudy Jackson

Yale School of Nursing Digital Theses

Bedside nurses can be key in improving care. Engaging the workforce to develop processes and work through implementations can be challenging. This article focuses on a framework to help leaders engage bedside nursing staff in developing quality initiatives within their work environment. The framework, implemented in a large academic hospital in New York State, was used to reduce hospital falls. Falls reduced by 30% during the year-long implementation, despite an increase in patient volume.

Servant Leaders As Change Agents, Janice P. Tanno, David K. Banner

Journal of Sustainable Social Impact

Servant leadership (SL) produces high performance and employee engagement. Non-SL senior leaders lacking business ethics have caused negative outcomes. This study explored the lived experiences of senior leaders’ decision-making in SL organizations. Maslow’s theories, decision theory, spirituality, Cicero’s virtue theory of ethics; SL comprised the theoretical/conceptual foundation. Data collection used purposive sampling of 18 senior leader participants in SL organizations employing Giorgi’s descriptive psychological structures of experiences analysis method. Findings confirmed ethical decision-making in SL organizations. Recommendations included examining CEO ethical leadership and firm performance interrelations and promoting ethical decision-making at all levels. Conclusions supported teamwork as the one …

The Link Between Leadership Style And Job Satisfaction In The Don Civilian Workforce, Richard Grimm

Doctoral Dissertations and Projects

This study analyzed job satisfaction as it relates to employees within the Department of the Navy in an effort to better understand the role that supervisory leadership plays in improving or degrading employee job satisfaction. Multiple interviews were conducted with current and former employees in order to gainer deeper understanding of the experiences of these employees. The results indicate that styles such as servant leadership and transformational are seen as having a more positive impact on employee job satisfaction than other styles including trait and transaction. The researcher developed numerous themes based on data analysis including reference to these styles …

Literacies Of The Disaster Zone: New Media Genres And Participatory Rhetorics After The 2010 Gulf Of Mexico Oil Spill, R. J. Lambert

Open Access Theses & Dissertations

On April 20, 2010, explosions at the British Petroleum (BP) Macondo Project in the Gulf of Mexico initiated what would become the world's largest accidental release of oil into the ocean. This ecological disaster, a unique combination of natural and human causes, is one of many significant traumas over approximately the last two decades that various stakeholders have documented, participated in, and responded to largely through the expanding and increasingly ubiquitous media of the internet, computers, cell phones, and other networked communicative technologies, which both enable and constrain the variety of responses to traumatic events.

This Dissertation improves our understanding …

The Process Of Adoption Of Disruptive Innovations In Local Health Care Agencies Delivering Primary Care, Aurora Aguirre Polanco

Open Access Theses & Dissertations

The current state of the U.S. health care system is complex and limit access to care to many consumers, thus compromising their health outcomes. The problems of limited access and questionable quality can be addressed by focusing on enhancing the primary health care field. Improvements in both the access and performance of primary health care agencies, derive in better health outcomes and cost savings to the system in the long-term. Disruptive innovations, that make products and services simpler and more affordable, are adopted in agencies and potentially improve access and performance measures. However, the adoption of disruptive innovations in local …

Improving Instructional Leadership: A Multi-Case Study Of Principal Perspectives On Formal Evaluations, Brenda Chacon-Robles

Open Access Theses & Dissertations

In a time when public schools continue to be scrutinized, school leadership never mattered more in order to exercise school reform. This qualitative study examined how five principals working in an urban school district perceived their evaluation and how it contributed to their practice. I applied a descriptive case study approach. Evaluations can be intended to find "the best way" to do things overall, to discover a better way to do things in a particular situation, or to develop practitioners' abilities to respond and adapt in different ways (Shaw, 2006). The instructional leadership piece provides insight to what it takes …

Developing A Resilient Network Ambidexterity Scale, Edgar Perez

Antioch University Dissertations & Theses

The purpose of this study was to develop a resilient network ambidexterity scale. While numerous research efforts have considered the dimensions of social capital, resilience, and adaptive capacity to evaluate organizations and communities, few have explored social network indicators within organizations that can be used to mobilize ambidextrous strategies during times of disruption. The emphasis here was to understand the tendencies and behaviors that networks possess to sustain or achieve success along the parallel strategies of optimization and exploration. This study progressed in three specific phases toward filling this void in organizational development literature, using a mixed-methods approach. Phase 1 …

Change In The Organization Socialization Of The United States Border Patrol's Basic Law Enforcement Training Academy: A Supervisor's Perspective, Vic M. Manjarrez

Open Access Theses & Dissertations

This study examines the role of a changed organizational socialization process on supervisory adaptation. The research study is motivated by the central question: how do supervisors adapt in their role as supervisors when the initial organizational socialization process has changed. Literature on socialization in policing has focused almost exclusively on long-term job satisfaction, while literature on police supervisory adaptation centers on leadership approaches. Previous research on police socialization clearly indicates the process is a series of stages filled with "rite of passages". There is no distinction between the socialization of a non-supervisor officer versus a supervisory officer. The literature is …

A Case Study Using Systems Theory For Understanding The Institutionalization Process Of Engineering Certificate Programs In A Public Texas University, Michele Carolynn Williams

Open Access Theses & Dissertations

A case study involving practices supporting the institutionalization process of graduate engineering certificate programs in a Texas public university, and the factors that influence their institutionalization was viewed through a systems theory lens. Although certificate programs have increased in popularity, research on the topic has to date been limited. Engineering certificate programs have served as a convenient mid-career educational niche model for closing gaps between technological knowledge growth and professional practice know how. The data was collected in eighteen semi-structured interviews, along with document reviews and observations. Organized in three themes, the data analyses yielded a list of practices and …

Sexual Harassment And Corporate Law, Daniel Hemel, Dorothy S. Lund

Faculty Scholarship

The #MeToo movement has shaken corporate America in recent months, leading to the departures of several high-profile executives as well as sharp stock price declines at a number of firms. Investors have taken notice and taken action: Shareholders at more than a half dozen publicly traded companies have filed lawsuits since the start of 2017 alleging that corporate fiduciaries breached state law duties or violated federal securities laws in connection with sexual harassment scandals. Additional suits are likely in the coming months.

This Article examines the role of corporate and securities law in regulating and remedying workplace sexual misconduct. We …

Perspectives Of Primary Care Physicians On Adopting Electronic Medical Records In The Atlanta, Georgia Area, Chris U. Okoro

Walden Dissertations and Doctoral Studies

Slow adoption of electronic medical records (EMR) by primary care physicians in medical office practices has not facilitated the EMR adoption process. The problem is the slow pace of EMR adoption by primary care physicians in the Atlanta, Georgia area has become a public health concern. Research regarding the lived experiences of these physicians with EMR implementation and utilization may identify reasons for the slow adoption. The purpose of this phenomenological study was to explore the lived experiences of primary care physicians, who practice in the Atlanta area, regarding their perception, successes, barriers, and urgency of adoption of EMR in …

Successful Strategies For Implementing An Enterprise Resource Planning System, Arrogah Adade-Boafo

Walden Dissertations and Doctoral Studies

The enterprise resource planning (ERP) implementation success rate is as low as 30%. Researchers have shown that ERP system implementation could cause both system and organization failures, affecting operations and stakeholders, alike. The technology-organization-environment conceptual framework was used to ground this qualitative single-case study. The purpose of the study was to explore strategies that a manufacturing firm in Ghana used to implement ERP systems successfully. The population of this case study comprised 5 stakeholders from a manufacturing firm in Ghana who had success in implementing an ERP system. Data were collected using face-to-face semistructured interviews and review of various corporate …

Mentoring Elements That Influence Employee Engagement, Lee Thornton Fountain

Walden Dissertations and Doctoral Studies

Employee disengagement is a significant issue for leaders and managers in many organizations. The general problem is the workforce in many American organizations includes disengaged employees. In 2016, only 33% of the workforce in the United States was engaged. The purpose of this quantitative study was to examine the relationship between the independent variables of mentoring, which include role modeling, acceptance and confirmation, and mentoring friendship functions with a dependent variable of employee engagement. The moderating variable of perceived organizational support was measured to test the strength or weakness of the effects that mentoring has on employee engagement. The theoretical …

Southwest Border Patrol Agent Perceptions Of Job-Related Threats And Dangers, Heidi Hamburger

Walden Dissertations and Doctoral Studies

The U.S. Southwest Border is associated with highly politicized topics, yet the lived experience of Border Patrol agents is not one of them. Border Patrol agents face risks to their personal safety and security as they attempt to safeguard the national security of the United States while implementing the policies of their organization, which are sometimes at odds with the beliefs and expectations of agents in the field. The purpose of this phenomenological study was to explore perceptions and lived experiences related to the threats and dangers that Border Patrol agents face as they protect the U.S. Southwest Border. The …

Strategies For Shipping Temperature-Sensitive Medical Devices Using Cognitive Mapping, Eric C. Guynes

Walden Dissertations and Doctoral Studies

Supply chain management (SCM) practitioners who ship temperature-sensitive diagnostic medical devices (DMDs) to clinicians must use effective cold chain management (CCM) strategies to avoid temperature excursions that contribute to medical device errors. Such errors have caused patient harm and death, which costs the U.S. health care system billions of dollars per year. The purpose of this qualitative multiple case study was to explore strategies for selecting and managing cold chain shipping solutions (CCSSs) requiring SCM executives to trade cost for regulatory compliance and predictability when mitigating temperature variations that occur during shipping. The conceptual framework for the study was the …

Challenges For Providers Working In Assertive Community Treatment, Ngozi Nkechi Orabueze

Walden Dissertations and Doctoral Studies

This project explored the challenges confronting clinicians who work with the Assertive Community Treatment Program (ACT), a government-sponsored clinic-based program providing services for individuals with persistent and recurrent mental health challenges in a large metropolitan city in the southern United States. The project involved semi-structured interviews with 15 health care clinicians to explore what they perceived as challenges and their recommendations for addressing them. Themes were organized around the 6 dimensions of the the relationship-based care model: leadership, teamwork, professional nursing, care delivery, resources, and outcomes. Identified patient challenges included transportation, lack of health insurance, housing, acceptance of certified peer …

Forensic Patient Flow: An Imbalance Between Capacity And Demand, Versie J. Bellamy

Theses and Dissertations

Background: The United States (U.S.) has an ever-growing incarcerated population. The sheer volume of this population coupled with inefficient patient flow through the judicial and health care systems, create a large imbalance between the high demand for services and the capacity to deliver them. The delay in criminal defendants accessing mental health services is impacted by the lack of patient flow, which creates barriers to entering and exiting the forensic hospital system. The increasing demand for inpatient forensic services, coupled with a static supply of resources, warrants further intervention by treatment and service providers. Identifying and removing barriers to patient …

Examining Faith-Based Communities As Leverage Points For The Prevention Of Childhood And Adolescent Obesity, Caroline Glagola Dunn

Theses and Dissertations

Faith-based research and partnerships are becoming more popular as an approach to address the health of underserved populations including racial and ethnic minorities and rural populations. Despite growing interest in faith-health partnerships, little research is available assessing faith-based interventions as potential leverage points for the prevention of childhood and adolescent obesity and the promotion of healthy behaviors. This research aimed to examine the potential for such partnerships within the context of ongoing research partnerships in South Carolina. Specifically, the first study assessed current peer-reviewed literature to determine reporting of reach, effectiveness, adoption, implementation, and maintenance (RE-AIM elements) in faith-based nutrition …

The Readiness Monitoring Tool: Investigating The Psychometric Evidence For Group-Level Aggregation In Two Samples, Samantha N. Hartley

Theses and Dissertations

Organizational readiness is an essential factor for successful implementation of a particular innovation. Although there is general consensus within the research literature on the importance of organizational readiness, there has been significantly less agreement on the nature of readiness as a construct and how it should be operationalized. Previous research has focused on organizational readiness for change at both the individual and organizational levels, but measures based on these theories of readiness have typically lacked evidence of reliability and validity.

The R=MC2 heuristic and its associated measure, the Readiness Monitoring Tool (RMT), offer a compelling and comprehensive approach by which …

A Communication Plan For Organizational Effectiveness In A Youth Development Organization, Allison Foster

University of the Pacific Theses and Dissertations

This project addresses communication issues within a youth development organization, Northern California DeMolay, which endures an annual change in youth leadership. This paper relies on the foundation of research within the field of youth development organizations and incorporates public relations strategies to provide specialized help for the organization. The outcome of this project is a communication plan for Northern California DeMolay developed through research, strategies, and the strategic plan for the organization. The balance of power between youth and adult leadership highlighted in youth development organization research is manifested in the communication plan through the division of responsibility between youth …

Getting On The Same Page: A Grounded Theory Study Of Nurse And Physician Collaborative Practice Development, Julie Cerese

Dissertations

The movement toward an integrated approach to healthcare professionals' education, interprofessional education (IPE), has been advancing over the past 60 years in the United Kingdom, Canada, and more recently in the United States. Support for IPE as a mechanism to positively impact collaborative practice and patient outcomes comes from international and national healthcare and educational leadership agencies as well as professional medicine and nursing thought leaders. Theories have evolved to explain the linkages among IPE, collaborative practice, and positive patient outcomes. Researchers have found support for the short term positive impact of IPE on attitudes, perceptions, clarity about roles and …