Digital Commons Network^™

A Model For Prep Linkage To Care Expansion For Low-Resource Drug Treatment Centers, Nancy S. Goldstein, Katherine C. Mcnabb, Ellen C. Seymour, Jared B. Carter-Davis

International Nursing Research Congress (INRC)

Findings from a review of current literature indicated a lack of any existing models for linking eligible SUD patients to PrEP services. A model including a screening tool, algorithm, and protocol was developed to standardize provider assessment of high risk SUD population with the linkage to care process.

Reducing Falls Through An Education Intervention To Increase Nurse-Promoted Mobility In Hospitalized Patients., Tamara Slater

Doctor of Nursing Practice Papers

The aim of this project was to determine if educating registered nurses (RNs) on the importance of nurse-promoted patient mobilization could increase RN knowledge on patient mobility and reduce the rate of patient falls on a cardiology/neurology nursing unit in a southeastern area of the United States. This project was a quality improvement project with a pre-test/post-test design. The intervention included a teaching session for RNs and posted reminders. The teaching session included information on the use of a mobility algorithm, where to locate mobility equipment, and the physical therapy referral process. The reminders included flyers posted around the unit …

Influence Of Career Services On Time To Undergraduate Degree Completion, Courtney Taylor

Dissertations

A national concern exists surrounding the value and quality of American higher education, as well as the extended time required to complete an undergraduate degree. Extending the time-to-degree completion costs students in tuition, room, board, and most importantly, missed career opportunities. More than 60% of students fail to graduate within four years, delaying entry to the labor market and increasing costs associated with a college degree (Bound, Lovenheim, & Turner, 2012; National Center for Education Statistics, 2017).

Numerous studies highlight college student persistence and retention efforts (Goodman, Hurwitz, & Smith, 2017; Hull-Blanks et al., 2005; Tinto, 1987, 2017), a few …

Implementing An Updated Evidenced-Based Maintenance Central Line Bundle (Clb) Policy: Monitoring Adherence And Central Line Associated Blood Stream Infections (Clabsis) In A Medical Intensive Care Unit (Micu)., Kimi Hart

Doctor of Nursing Practice Papers

Purpose: The purpose of this project was to update the current policy of CLB maintenance of CVCs by incorporating the latest recommendations from the literature, providing education and disseminating the new policy. Outcomes were measured by evaluating the effect on policy adherence and incidence of CLABSIs in a medical intensive care unit (MICU). Policy adherence was defined by the completion of CLB maintenance components.

Methods: This study included a pre- and post-interventional design utilizing a retrospective chart review to evaluate adherence to CLB maintenance interventions and incidence of CLABSI rates pre and post-implementation of a new CLB maintenance policy that …

Sexual Minority Identity And Religious Styles: How Sexual Identity Development And Religious Schemata Explain Experiences Of Religious And Spiritual Struggles And Life Satisfaction, Jeffrey Allen Paul

Dissertations

A growing body of research indicates both potentially positive and negative experiences for sexual minorities with religious/spiritual (R/S) experiences. The current study sought to answer calls for larger samples and quantitative research methods at this intersection of identities by investigating the relationships between sexual minority identity development, religious schemata, R/S struggles, and life satisfaction among a sample of sexual minority adults with R/S experiences (N = 655). Hierarchical regression analyses were conducted to determine the variance explained by sexual identity development factors and religious schemata above and beyond the variance explained by demographic differences when explaining the outcome variables of …

Implementation Of A Smart Tool In The Electronic Health Record To Improve Interdisciplinary Discharge Communication And Hospital Readmission Rates, Katelin Umland

Nursing Capstones

In the department of Inpatient Psychiatry at a large mid-western academic medical center, interdisciplinary discharge communication between registered nurses, social workers, advanced practice providers, and physicians has presented as a problem. Patients are frequently discharged from the hospital without being seen by all necessary disciplines and concomitantly discharged without needed supplies, medications, resources, or follow-up appointments in place. This current discharge method negatively affects patient care, causes workflow disruption for all disciplines, and is known to be a contributing factor in increased hospital readmission rates. The purpose of this Doctor of Nursing Practice (DNP) project was to improve interdisciplinary communication …

Introduction Of Auricular Acupuncture, Monica Lyons

Doctoral Projects

The overall purpose of this quality improvement project was to assess if there was an interest to add auricular acupuncture to a substance abuse program. The two guiding questions of the Doctor of Nursing Project were (a) how can auricular acupuncture be helpful when treating patients with substance abuse in a selected organization? (b) what information is needed for both staff and patients to make an informed decision regarding auricular acupuncture? The Promoting Action on Research Implementation in Health Services (PARiHS) framework was used as the theory framework for implementation of evidence-based research into an organization. The facilitator in the …

Job Satisfaction And Turnover Intention In Higher Education: A Study Of Information Technology Professionals In The California State University System, Brooke Ferrier Banks

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this study was to survey perceived job satisfaction and turnover intention of information technology professionals in the California State University (CSU) system. Employee satisfaction facets (work, pay, opportunities for promotion, supervision, and co-workers), overall satisfaction, and turnover intention were measured. Further, the study identified whether there was a significant difference in perceived job satisfaction or turnover intention based on years of service in the CSU system, gender, or campus in the CSU system. The study also examined the uniqueness of information technology professionals at campuses in the CSU system. This study utilized a mixed-methods methodology with two …

Impartiality, Social Network Effects And Collective Memory: Three Essays On Trust In Police., Matthew Robert Fischer

Electronic Theses and Dissertations

This dissertation is an historical and empirical examination of police organizational efforts at influencing public perceptions of trust in police. It begins with an historical overview of police organizational reform, focusing on the various strategies employed by police reformers have attempted to influence public perceptions of police trustworthiness and legitimacy. It uses Rothstein’s impartiality as Quality of Government thesis and the theory of collective memory to argue for an understanding of the importance of the normative context in which police tactics and strategies are deployed for garnering trust in police and how the presence of social network effects for trust …

Administrator Perceptions On Service Strengths And Challenges Regarding The Implementation Of Section 504 Services For Public Education Students In South Texas, Dora Diana Rodriguez

Theses and Dissertations

As part of their contemporary role as the campus instructional leader, administrators are currently managing special education matters previously managed by the school system’s directors of special education [(Boscardin, 2005; Patterson, Marshall, & Bowling, 2000) cited by Lynch, 2012]. School administrators must not only understand the legal requirements of Section 504, but they must understand how Section 504 services will influence their programs, decisions, facilities, and budgets (Trevino, 2001, p. 87). At a time of economic constriction and change, complying with the unfunded mandate of Section 504 and the Americans with Disabilities Act Amendment Act presents a challenge to K-12 …

An Examination Of Principal Practices And Successful Outcomes For Black Male High School Students, Marck E. Abraham

Education Doctoral

No abstract provided.

Different For Girls? The Experiences And Perceptions Of Women Presidents Leading Transformational Change In Higher Education, Jacquelyn Vanbrunt

Education Doctoral

The purpose of this study was to investigate the experiences of and give voice to women presidents facilitating transformational change in higher education institutions. Feminist theory was the foundation and underpinning lens to view women presidents’ experiences. A phenomenological, qualitative study was conducted utilizing semi-structured interviews as the primary source of data collection to capture the experiences and perceptions of women presidents. A demographic survey, field notes, and document analysis were also used to triangulate the data. There were three themes that emerged from the data analysis: (a) leadership is not one dimensional, (b) cultivate a culture for transformational change, …

Community College Grow Your Own Leadership: A Phenomenological Study Of Employee Perceptions Of Individual And Organizational Leadership Development, John Delozier

Electronic Theses and Dissertations

Community colleges often face challenges with leadership as a result of retirements and turnover. In reaction to these challenges some community colleges have developed Grow Your Own (GYO) leadership development programs. Although the topic of leadership and leadership development has been researched extensively, more research is necessary concerning GYO programs and their perceived impact on participants and their colleges. This study was designed to determine the perceived development of GYO participants as well as the perception of a GYO’s impact on the organization. Guilford Technical Community College (GTCC) in Greensboro, North Carolina has had a GYO program for 30 years. …

Examining The Relationship Between Research Climate And Faculty Productivity At An Emerging Academic Health Center In The Southeastern U.S., Hagan E. Walker

All Dissertations

Logistic regression analysis was utilized to determine the relationship between research productivity and the research climate, as measured by 155 clinical faculty survey responses, in an Academic Health System in the Southeastern U.S. Subscales addressing the institutional characteristics of goals, culture, mentoring, network, resources, time, communication, rewards, opportunities, and governance were used as independent variables. The dichotomous dependent variable was whether clinical faculty were productive in research as measured by IRB protocols.

Results indicated that a positive view of the research climate for networking and resources significantly improves the odds for clinical faculty showing increased research productivity. The study demonstrated …

The Lived Experience Of Psychological Occupational Stress In Early Childhood Education, Brooke Fletcher

Capstone Experience: Master of Public Health

Early childhood education (ECE) programs have been recognized by the Institute of Medicine and the Administration for Children and Families as excellent interventions to alleviate the long-term negative effects of poverty in the United States, but the quality of intervention provided and outcomes for the target population are adversely hindered by high occupational stress burdens for ECE teachers. According to Sheridan, Edwards, Marvin, and Knoche, the models used to address this concern are not empirically supported for specific applicability to ECE nonprofit settings. There is a need for deeper understanding of the lived experiences of ECE teachers, including the psychological …

Leadership Transitions: A Study Of The Failure Rate Of Career Progression Due To Individual Contributor Versus People Leadership Mindsets In Post-Recessionary Southeast Tennessee And Northwest Georgia, Michael Lance Starks

Doctoral Dissertations and Projects

Despite the efforts of many leadership development programs, more than 80 percent of new leaders transitioning into the first role as a leader fail to make a successful transition (Korn Ferry Leadership Principles, 2018). This paper studied a leader’s failure to shift his or her thinking and behaviors from an individual contributor mindset to a people leader mindset. This research is suggesting that organizations adopt two tools to improve leadership transition effectiveness: Leadership Transition Readiness Assessment, and Start, Stop, Change, and Transition questionnaire.

The Impact Of Leadership Style On The Adoption Of Agile Software Development: A Correlational Study, Mike Kipreos

Doctoral Dissertations and Projects

Public and private organizations continue to rely prohibitively on classic software development methodologies such as the waterfall. Private industry more so than the public sector has shown evidence for a higher rate of success when using agile software development methods. Consequently, the purpose of this quantitative correlation study was to examine variables that best predict the adoption of agile methodologies in software development. The study made use of the UTAUT and MLQ–5X surveys. The primary variable under study was leadership style. Secondary variables included: performance expectancy, effort expectancy, social influence, and facilitating factors. A pilot study (N = 30) was …

Reducing Central Line-Associated Bloodstream Infections In The Intensive Care Unit By Improving Compliance With Dressing Changes And Curos Caps Use, Jennifer Khaziga Kilel

Doctoral Dissertations and Projects

Background: Reducing central line-associated bloodstream Infections (CLABSI) is a topic of global importance due to associated risk of sepsis, increased length of hospital stay, high healthcare cost, and increased morbidity and mortality among critically ill patients in the intensive care unit (ICU). The mortality rate of patients who acquire CLABSI 15-25% The cost of CLABSI treatment per event is greater than US $16,500. Central cine-associated Bloodstream Infections affect the organization’s national ranking in patient quality and safety as well as reimbursement from the Centers for Medicare and Medicaid (CMS). The aim of the quality improvement project was to improve the …

An Examination Of Principal Professional Learning Through Transformative And Sociocultural Learning, Anna Thompson Brink

All Dissertations

An era of higher academic accountability and standards-based achievement increased interest and concern in educational leadership (Hallinger, 2005; Public Law 114-95). Based on decades of continuous educational policy shifts, accountability demands have created a call for principals to be instructional leaders (Hallinger, 2005). Through revised principal professional learning, the district in this study actively worked to create an environment where principals worked in learning communities to increase their instructional leadership capacity and move along a continuum of professional learning to respond to the heightened policy shifts around them. Sociocultural learning and transformative learning theories both supported the propositions in this …

Preparing For Medical School Admissions Through Professional Competency Education In A Healthcare Pipeline Program, Cindy Nessim Youssef Riyad

All Dissertations

Using a conceptual framework concerning core competencies for entering medical students, the researcher examined how the core competencies were displayed in the medical school applications for students who completed a healthcare pipeline program. The researcher completed a descriptive qualitative study and examined medical school application materials that were submitted by applicants and external individuals. The researcher used framework analysis to understand how the competencies were displayed within the admissions materials. The researcher examined personal statements, letters of recommendation, secondary applications, individual interview comments, and multiple mini interview comments.

After completing framework analysis, the results indicated a strong presence of core …

Exploring Institutional Culture As A Macrosystem Antecedent To University Workplace Bullying: An Organizational Ethnography, Samuel Tristam Aldridge

All Dissertations

Workplace bullying situated specifically in higher education has been an under-researched topic. Researchers have focused investigations in the academy toward the prevalence and nature of bullying. Consequently, institutional responses have largely centered on policy implementation in an attempt to discourage and eliminate the occurrence of the unwanted behavior. While prior research has identified organizational antecedents associated with workplace bullying, fewer studies have focused upon how certain organizational antecedents, such as organizational culture, facilitate incidents of bullying.

The purpose of this study was to explore an institution's organizational culture to determine how culture functioned as a macrosystem antecedent to university workplace …

The Impact Of Knowledge Sharing In The Human Resource Capability, Ali H. Altaee, Elham Mohammed Alawi

Journal of Economics and Administrative Sciences

The role of the independent variable and human resources capabilities was the role of the adopted variable. The aim of the research is to identify the level of participation in the knowledge of the organization through human resources and the rigorous scientific investigation to develop new mechanisms of action that help To manage the organization in the implementation of its mission and achieve its main objectives that have been found for it is to encourage the work of scientific research and maintain the preservation of its continuity to increase the competencies of knowledge, technical and skill to form a future …

Executive-Level Chief Diversity Officers Developing Relationships To Influence Campus-Wide Diversity, Myra P. Henry

Education Doctoral

The purpose of this study was to examine how executive-level chief diversity officers (CDOs) developed relationships to influence campus-wide diversity. This qualitative transcendental phenomenological study used multiple sources of data collection to establish credibility. The primary source of data collection were semi-structured interviews to capture the textural descriptions from executive-level CDOs about their experiences in developing relationships to influence campus-wide diversity. A demographic survey and field notes were used to triangulate the data. Three themes and one unexpected outcome emerged from the results of this study: (a) positionality matters; (b) developing relationships is a process; (c) sowing, sowing, and reaping. …

Is There A Relationship Between Participation In A Professional Learning Community And Student Achievement?, Brian Timm

Education Doctoral

No abstract provided.

Leveraging Utilization-Focused Evaluations To Engage Elected Officials And County Personnel, Trevor C. Lane, Christina Sanders

Journal of Extension

Elected officials, an audience essential to the relevance and funding of Extension, may lack knowledge of Extension's capacity to engage with them in solving local problems, building consensus, and improving strategic planning or governance. They may not consider that by collaborating with locally knowledgeable Extension professionals, they also gain access to broader university resources that can assist them in understanding community needs and obtaining relevant evidence-based recommendations. We describe how Extension and county officials and personnel implemented utilization-focused evaluation to inform county strategic planning, budgeting, and governance, leading to continuous process improvement for the county and increased support for and …

Tennessee's Promise: Education For All?, Tristan M. Hightower

Pursuit - The Journal of Undergraduate Research at The University of Tennessee

Access to education has been at the forefront of public policy issues over the past several years. In order to combat relatively low rates of college attainment, Tennessee legislators implemented the Tennessee Promise program. It operates by providing financial aid for any direct costs not covered by students’ grants and scholarships. Notably, the program is not applicable to four-year degree programs; students wishing to utilize the funds must attend select schools that offer certificates and associate’s degrees. Community colleges are the most popular. While a boost in community college attendance has occurred, and more people will likely graduate with an …

The Impact Of Academic Leaders ‘Empowerment On Organizational Development In Northern Borders University, Yousif Mohamed Alnaser

International Journal for Research in Education

This study intends to measure the impact of academic leaders' empowerment according to the dimensions (Clarity of purpose, morale, fairness, recognition, teamwork, participation, communication, work environment) on organisational development according to the dimensions (Technology, Strategy and Structure, Services, Culture) in Northern Border University in 2016-2017. The study used descriptive statistics to analyze the data collected from 100 respondents within a population of 150 academic leaders. Regression analysis and tests of significance have been used. The results imply the existence of high degree effect of the academic leaders' empowerment on the organisational development. It shows also significantly statistics differences due to …

Celebrating A Quarter-Century Of Public Domain Research: 25th Annual Conference Of The Health Care Systems Research Network, Sarah M. Greene, Carolyn A. Taylor, Suma Vupputuri

Journal of Patient-Centered Research and Reviews

The 25th annual conference of the Health Care Systems Research Network (HCSRN) was held April 10–12 in Portland, Oregon, attracting 420 attendees. The HCSRN, a consortium of 18 community-based research organizations embedded in or affiliated with large health care delivery systems, has hosted annual research conferences since 1994. The primary objective of the conference is to convene researchers, project staff, funders, and other stakeholders to share latest scientific findings and cultivate new partnerships among research teams, patients, and clinicians. Collaboration is the cornerstone of the HCSRN’s success; the conference serves as a catalyst for a variety of collaborative ventures as …

Leadership For Implementing Evidence-Based Pain Management: A Pilot Study, Leilei Yu

International Nursing Research Congress (INRC)

Leadership is a critical factor in implementation of evidence-based practice among health professionals. By attending the session, participants will learn about the delivery and evaluation of leadership intervention to implement evidence-based pain management for infants and children hospitalized in four pediatric units within a large specialized surgical hospital.

Servant As Leader: The Effects Of Servant-Leaders On Trust, Job Satisfaction, And Turnover Intentions In Intercollegiate Athletics, Rebecca M. Achen, Regan Dodd, Angela Lumpkin, Kris Plunkett

Servant Leadership: Theory & Practice

This study examined the possible influence of servant leadership in NCAA Division III intercollegiate athletics. Using a survey research design, 326 athletic department employees were asked to provide their perceptions of their athletic directors’ servant leadership characteristics and respond to questions on trust in leader, turnover intentions, and job satisfaction. Results from structural equation modeling suggested servant-leaders significantly and positively impacted perceptions of trust in leader and job satisfaction. Additionally, there was a significant effect of perceptions of servant leadership on turnover intentions as mediated by job satisfaction. Sport leaders taking a servant leadership approach in their organizations could help …