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The Impact Of Positive Psychology On Change Readiness In Organization Development, Joann N. Demos

Graduate Research and Discovery Symposium (GRADS)

Changes are imperative to organizations in today’s competitive and fast moving society. Organization development focuses on successful change strategies. The readiness level may affect employee change perception and behavior to allow for positive outcomes. The purpose of this research is to examine how various concepts of positive psychology such as the resources of psychological capital (PsyCap) impact employee readiness for change and how practitioners of organization development can benefit from the use of positive psychology in organizational change. Findings indicate that resources of psychological capital (PsyCap) such as hope, efficacy, resilience, and optimism positively influence change readiness and demonstrate positive …

Principal Self-Efficacy And Learning Organizations: Influencing School Improvement, Kristina A. Hesbol

Educational Leadership and Policy Studies: Faculty Scholarship

One key characteristic of high-performing schools is how they function organizationally, enabling them to enact reforms effectively and to deal with regular organizational ambiguity and chaos. The principal plays a pivotal role in developing a school culture that supports high-performing schools. This research studies the relationship between principal self-efficacy and a principal's perception of her school as a learning organization. We examined specific subcategories of learning organization attitudes and behaviors to determine whether principals consider distinct organizational behaviors a proxy for indicators of a learning organization, and whether that was related to their self-efficacy. The findings indicate that principals must …

Generating Trust In A Multiethnic "Church Of Christ/ Iglesia De Cristo," In Santa Paula, California, Robert G. Perez

Harding School of Theology Dissertations and Theses

No abstract provided.

China's Other Army: The People's Armed Police In An Era Of Reform, Joel Wuthnow

China Strategic Perspectives

China’s premier paramilitary force—the People’s Armed Police (PAP)—is undergoing its most profound restructuring since its establishment in 1982.

• Previously under dual civilian and military command, the PAP has been placed firmly under China’s military. As chairman of the Central Military Commission, Xi Jinping now has direct control over all of China’s primary instruments of coercive power. This represents the highest degree of centralized control over China’s paramilitary forces since the Cultural Revolution.
• Local and provincial officials have lost the ability to unilaterally deploy PAP units in the event of civil unrest or natural disasters, but can still request support through …

An Empirical Study About The Impact Of Internet In Smes, Albert Aliu

Theses and Dissertations

The aim of this research was to find out the current trends of usage of new technologies, with a special focus on the impact of the Internet based on chosen variables. The target group of the current research were small to medium size enterprises – SMEs, which are considered as the most-influential entities within a country. This is due to their influence on economy and employment opportunities they offer in every country. The results of this research show a better image about the current technological trends in Kosovo and no other research with identic approach was found out by the …

An Empirical Study About The Impact Of Internet In Smes, Albert Aliu

Theses and Dissertations

The aim of this research was to find out the current trends of usage of new technologies, with a special focus on the impact of the Internet based on chosen variables. The target group of the current research were small to medium size enterprises – SMEs, which are considered as the most-influential entities within a country. This is due to their influence on economy and employment opportunities they offer in every country. The results of this research show a better image about the current technological trends in Kosovo and no other research with identic approach was found out by the …

Professional Learning Communities Supporting Teacher Collaboration And Student Achievement: A Program Evaluation, Chundra Evens

Dissertations

In 2013, an initiative was implemented throughout a school district to address years of declining student assessment scores. With a directive for engagement in collaboration, this study was conducted to determine what a school was doing well in their Professional Learning Communities, areas for growth during the process, and the extent that the initiative was implemented with fidelity. By analyzing the targeted school’s quantitative and qualitative data, this study identified themes regarding overall effectiveness of the initiative and areas for recommended enhancements to facilitate student learning. The evaluation of this process shaped the foundation for development of change recommendations to …

New Teacher Perceptions - Mentoring And Coaching At A California Catholic School, Shawna L. Pautsch

CUP Ed.D. Dissertations

An explanatory case study was employed to explore the perceptions of the influence of coaching and mentoring programs on new first year teachers. The research was conducted at a private Catholic high school in Southern California. Guided by the Situational Leadership model, which was founded in the ideal that no single approach to leadership exists, this study examined how new first-year teachers perceive the influence of coaching and mentoring programs on their growth and performance, and their students’ learning in a private Catholic high school in Southern California. This study revealed that new first-year teachers perceived that coaching and mentoring …

Reforming Institutions: The Judicial Function In Bankruptcy And Public Law Litigation, Kathleen G. Noonan, Jonathan C. Lipson, William Simon

Indiana Law Journal

Public law litigation (PLL) is among the most important and controversial types of dispute that courts face. These civil class actions seek to reform public agencies such as police departments, prison systems, and child welfare agencies that have failed to meet basic statutory or constitutional obligations. They are controversial because critics assume that judicial intervention is categorically undemocratic or beyond judicial expertise.

This Article reveals flaws in these criticisms by comparing the judicial function in PLL to that in corporate bankruptcy, where the value and legitimacy of judicial intervention are better understood and more accepted. Our comparison shows that judicial …

Wonder Women In A Superman World: Exploring The Memorable Messages And Communicative Approaches Women Utilize When Navigating The Leader-Member Relationship, Christine M. Packard

Masters Theses

Communication scholars continue to affirm the importance of organizational members to develop strong relational ties with those in their workgroup. This research focuses on women and considers relationship development via the memorable messages women receive prior to their entrance into the workplace. Further participants’ critical incidents or pivotal moments with managers are examined to consider how those experiences shape how women navigate workplace challenges and the leader-member relationship. Fifteen in-depth qualitative interviews resulted in the emergence of four themes: preparatory frameworks, the perception of trust, autonomy, and competence, adaptive communicative approaches, and socialized expectations. These findings call to attention the …

A Multi-Faceted Intervention To Improve Diagnosis And Treatment Rates Of Overweight And Obesity By Nurse Practitioners In Primary Care, Susan Disser

Evidence-Based Practice Project Reports

The United States is amid an obesity epidemic (Institute of Medicine, 2012). Indiana ranks as the tenth most overweight state. (America’s Health Rankings, 2018). Despite guidelines outlining the treatment of obesity, primary care providers seldom use these guidelines (Hayes et al., 2017). In a 2010 study, only 28.9% of obese patients received a diagnosis of obesity and less than 25% of these patients received counseling on diet, exercise, or weight loss (Bleich, Pickett-Blackely, & Cooper, 2011). The purpose of this evidence-based practice (EBP) project is to determine if a multi-faceted intervention consisting of academic detailing, reminders, audit with feedback, and …

The Need For Emotional Intelligence In The Workplace, Leah Davis

Senior Projects

This thesis explores why emotional intelligence is valuable in the workplace, arguing it helps to create positive employee morale. As our society becomes more diverse, so does the environment of the workplace. These developments place increased demands on employees, requiring skills of social and emotional intelligence to function in newly dynamic work environments. Findings and recommendations emerge from an analysis of peer-reviewed journal articles, literature reviews, books, and case studies from the fields of business and psychology. Results verify that emotional intelligence is beneficial in the workplace due to increased workplace demands, employee morale, and informational diversity. This analysis also …

Examining The Association Between Emotional Intelligence And Leadership Style In Nurse Leaders, Tammy Compagnone Msn, Rn, Cpen

Doctor of Nursing Practice Projects

Background: Emotional intelligence (EI) and transformational leadership (TL) style are linked to leadership effectiveness. At our organization, there is a gap in knowledge around EI and TL in our nurse leaders.

Objective: To assess the relationship of EI and TL among nurse leaders, appraise participants ability to accurately define EI, assess their belief that education can increase the level of EI, and discover the learning method preference to increase their level of EI.

Methods: We used a descriptive-comparative survey design with a sample of nurse leaders working at a Northeast academic medical center. Participants included clinical nurse managers, nurse administrators, …

Pathways To A Sustainable Community Health Worker Program In A Rural Native American Community, Hannah R. Duby

Doctoral Projects

Introduction: American Indian/Alaska Native (AI/AN) people have some of the greatest health disparities of any other citizen group in the U.S. (National Indian Health Board [NIHB], 2018). As liaisons between community members and health services, community health workers (CHWs) play an important role in reducing disparities in AI/AN communities (Indian Health Service [IHS], 2018). CHWs in the organization of interest are not being used to their full potential as the documentation of their care is not accessible to the primary care providers (PCPs) for care coordination and the program is threatened by issues related to sustainability.

Objectives: The purpose of …

Improving Heart Failure Care Plan Coordination Across The Health Care Continuum, Amy Veltkamp

Doctoral Projects

Heart failure costs the United States 31 billion dollars each year, with much of those costs attributed to hospital admissions. Coordinating care across the health care continuum is a critical factor in improving heart failure care and reducing readmissions. An organizational assessment was conducted using the Burke and Litwin Causal Model of Organizational Performance and Change. The quality improvement project implemented a longitudinal plan of care (LPOC) across 10 hospitals and numerous ambulatory care sites at a large Midwestern health organization. Nurse care managers (NCMs) were the focus of this project due to their high-level of involvement in care coordination. …

Interprofessional Collaboration To Improve Discharge Planning, Erica L. Spalding

Doctoral Projects

Historically, health care professionals collaborated solely with other professionals within the same discipline. However, evidence shows collaboration between all disciplines involved in patient care leads to improved patient outcomes. Interprofessional collaboration can reduce costs and improve patient care, yet is used inconsistently in health care systems. Interprofessional collaboration was not fully used on two medical-surgical units in a large health system in the Midwest, particularly during the discharge planning process. This project aimed to standardize rounds on two units as part of a larger initiative to standardize rounds across all units within the system. The clinical question to be answered …

Evidence-Based Toolkit For Reduction Of Overdose Risk In Primary Care Patients On Opioid Therapy, Katelin A. Aris

Doctoral Projects

Introduction: Opioids are powerful pain killing medications that can be highly addictive and can cause risk for overdose and even death (Michigan Prescription Drug and Opioid Task Force, 2015). Many primary care providers treat patients with acute and chronic pain, although it is recognized that many receive inadequate training in pain management and feel unprepared in the complexities of caring for these patients (Becker, Bair, Picchioni, Starrels, and Frank, 2018). To treat these patients safely, provider education and adherence to guidelines put forward by these initiatives is essential.

Methods: An evidence-based prescribing toolkit was devised using guidance from the literature …

Increasing Prevention And Recognition Of Delirium In A Non-Icu Acute Care Population, Anne Gembrowski

Doctoral Projects

Delirium is associated with increased mortality, nosocomial complications, increased length of hospital stay, and greater chance of readmission, increased hospital costs, and a need for skilled nursing aid after discharge from the hospital. In a hospital, delirium can affect up to 50 percent of older patient 65. The solution is to prevent delirium from occurring and to regularly screen for its presence. The purpose of this paper is to explore the best prevention strategies and screening tool for delirium and to successfully implement a delirium bundle on a medical surgical unit. The question this paper attempts to answer is if …

Development Of A Depression Screening Protocol For At Risk Patients Based On The Adverse Childhood Experience Questionnaire, Brittany J. Taylor

Doctoral Projects

Background: Adverse childhood experiences (ACEs) are associated with increased risk for adult depression. Utilization of the Patient Health Questionnaire Nine (PHQ-9), in combination with Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSMV) criteria, aids in the diagnosis of comorbid depression and assessment of severity.

Objectives: To standardize the process of screening new adult patients at a specialty care clinic for ACEs. Then, implement a depression screening protocol based on ACE criteria to identify adult patients with comorbid depression.

Methods: Demographic, ACE score, PHQ-9 score, and protocol implementation data collected and analyzed by the Doctor of Nursing Practice (DNP) …

Improving Depression Screening And Follow-Up In Primary Care Through Implementation Of An Evidence-Based Protocol, Cheryl Fowler

Doctoral Projects

Depression is a leading cause of disability in adults and is a major contributor to burden of disease (World Health Organization [WHO], 2018). The United States Preventative Services Task Force (USPSTF) provides evidence-based recommendations to promote disease prevention. Among these, is the recommendation that all adults, regardless of risk factors, should be screened for depression in the primary care setting with adequate systems in place to allow for appropriate diagnosis and management (USPSTF, 2016). The purpose of this Doctor of Nursing Practice (DNP) student project was to develop and implement an evidence-based protocol in the primary care setting with aims …

Evidence-Based Toolkit To Evaluate Telemedicine Delivery Of Palliative Care, Aubrey E. Dwyer

Doctoral Projects

Advances in healthcare have led to many individuals with cancer to live longer, however the quality of life of these individuals has decreased. Palliative care is a medical sub-specialty that can assist to care for individuals with a life-limiting illness such as cancer. However, the access to palliative care services in rural communities is limited. According to the Institute of Medicine (IOM) report Dying in America, increasing access to palliative care will not only enhance the quality of life for patients with a life-limiting illness, but also contribute to a more sustainable healthcare system. The key stakeholders within a Midwest …

Management Of Distress In Adult Oncology Patients, Lauren Jongsma

Doctoral Projects

Cancer related distress has the potential to negatively impact the health of the patient and their treatment outcome (Grassi, Spiegel, & Riba, 2017). As identification and treatment of distress has a positive impact on patient outcomes; the Commission on Cancer (2016) required distress screening for accreditation. Key stakeholders within a Midwest hospital system expressed a desire for the improvement in the current state of the distress screening. Thus, the scholarly paper describes the key attributes of the organizational assessment, a literature review on evidence-based distress screening tool and a quality improvement project. The Promoting Action on Research Implementation in Health …

Implementation Of An Evidence Based Screening Protocol To Improve The Diagnosis Of Dementia In A Home-Based Primary Care Setting, Lauren Liesbeth Sutton

Doctoral Projects

Dementia is a major public health concern that is both debilitating and deleterious to those afflicted with its various forms. The number of those living with dementia is increasing exponentially as the population continues to rise, with 46.8 million people worldwide currently afflicted with dementia (Chow et al., 2018). Dementia causes cognitive impairment that is severe enough to affect everyday function (Chow et al., 2018). The impairment and disability resulting from dementia indicates a significant health problem in primary care. Findings from research studies indicate that prophylactic and periodic screening for dementia can heighten provider suspicion and translate into earlier …

Preoperative Anemia Management In Adult Outpatient Coronary Artery Bypass Graft Surgical Patients To Improve Treatment Of Preoperative Anemia, Katherine Mills

Doctoral Projects

The transfusion of blood products can lead to life-threatening complications after surgery. In addition, blood products are a scarce and expensive resource. Even though anemia in coronary artery bypass surgery patients is currently undertreated, research has shown that the intravenous infusion of iron products, as well as a single dose of erythropoietin-alpha prior to surgery, decreases the amount of blood products used in the perioperative setting. The goal of this pilot project was to increase the number of patients screened for anemia, and if necessary, treated prior to coronary artery bypass graft surgery.

Methods: This was a practice improvement, pilot …

Nutrition And Neurosurgery: Designing A Perioperative Pathway For Elective Spine Fusion Patients, Abigail J. Mckay

Doctoral Projects

Each additional hospital day related to a surgical complication costs an estimated $1,000 (Grusky et al., 2015). Due to the rising costs of healthcare, European professors designed Enhanced Recovery After Surgery pathways to mitigate potential adverse surgical outcomes and associated costs. A primary focus of these pathways emphasizes the importance of pre-procedure nutritional optimization. Literature increasingly supports malnutrition as an independent predictor of postoperative complications and increased length of stay (LOS) (Adogwa et al., 2014). The neurosurgical population has a wide variety of comorbidities that place them at increased risk for nutritional compromise. Thus, a perioperative nutrition pathway was implemented …

Implementation Of The Vaccines For Children Program In A Midwest, Urban Clinic Dedicated To The Underserved Population, Akmal Saydazamov

Doctoral Projects

Background: Low immunization rates weaken herd immunity and endanger children. The Safety Net Health Clinic (SNHC) study site serves an underprivileged and refugee population with significantly lower than ideal coverage. Series completion disparities persisted after control for demographic, access-to-care, poverty and language effects (Varan et al, 2016).

Objectives: SNHC implemented the Vaccines for Children (VFC) program in order to increase the vaccination rates among the underserved population.

Methods: As an efficacy study, the project focused on three major areas in the VFC implementation – cost, staff preparedness and patient need. Cost was determined by utilizing electronic medical records (EMR) and …

Using Technology-Driven Patient Communication Appointment Reminders To Improve Uniform Data System Measures In A Federally Qualified Health Center, Ana Torres

Doctoral Projects

Background: Process of meeting Uniform Data System (UDS) measures in a west Michigan Federally Qualified Health Center (FQHC) has several components with different team members sharing responsibility in the process and workflow to document preventative screenings. An evidence-based technology-enhanced patient communication intervention was developed to meet benchmarks for the FQHCs UDS reporting metrics. The purpose of this quality improvement project was to answer the clinical question: Will technology-enhanced communication appointment reminders using automated telephone communication increase rates of screening follow-up visits to improve data reported to UDS at a west Michigan FQHC organization?

Objectives: Increase percentage of screening visits after …

An Integrated Model Of Palliative Care In The Emergency Department To Improve Referrals, Jennifer L. Schlatter

Doctoral Projects

Introduction: The emergency department plays a critical role in the trajectory of in-hospital patient care. The Center to Advance Palliative Care (CAPC) along with the American College of Emergency Physicians (AECP) recommend early referral to palliative care for patients with life limiting illnesses that present to the emergency department. Research demonstrates that early palliative care consultations result in patient directed goals of care, improved symptom management, decreased length of stay, and reduced direct costs for inpatient hospitalizations.

Objectives: The goal of this project was to implement evidence-based recommendations for early palliative care referrals in an adult emergency department to improve …

Feeling Colors: Reflections On The Creative Process Of A Child With Autism Spectrum Disorder, Kimberly Ann Knowles

Expressive Therapies Capstone Theses

This thesis explored the implications of choice in individual art therapy sessions with a child with Autism Spectrum Disorder, contrasting the creative process of unstructured expression and a more directed book-making activity focused on emotions. Research took place within the scope of six weekly 45-minute individual art therapy sessions with a 12-year-old boy in a therapeutic day school. The design of this study was based on the pre-established presenting needs of the student, focusing on growing skills for self-regulation, addressing social-emotional deficits, and providing an outlet for positive self-expression. The sessions were documented by the clinician, a clinical intern studying …

Self-Efficacy In Emerging Nurse Leaders: The Effects Of A Virtual Community Of Practice On Nurse Educators In A New Practice Role, Kevin Daugherty Hook Msn, Ma, Ms, Agpcnp-Bc, Crnp

Doctor of Nursing Practice Projects

Background: Clinical nurse educators in long-term and skilled nursing facilities have an opportunity to exercise new leadership skills in bridging the gap between education and practice.

Objective: To assess the effects of a virtual Community of Practice (CoP) on the self-efficacy of clinical nurse educators who work in newly developing leadership roles in a large long-term and skilled nursing organization operating in multiple sites across the United States.

Methodology: The exploratory pilot study used a one group pre-test/posttest method. A convenience sample was used to enroll participants with newly created roles in clinical education. The Leader Efficacy Questionnaire (LEQ) was …