Digital Commons Network^™

Physician Burnout: Slowing The Burn Through Positive Deviance Strategies, Swapna Reddy

Dissertations and Theses (Open Access)

Introduction: Affecting 42% of physicians in the United States, “physician burnout” is considered a public health crisis with adverse impacts for personal providers, patients and organizations. Though much research has been devoted to the existence and causes of burnout, to date few studies have been conducted to identify factors associated with physician fulfillment. Aims: This dissertation research was intended to increase and improve knowledge of factors effective in contributing to physician professional fulfillment utilizing a Positive Deviance based approach. To that end, two studies were conducted: the first, a narrative review of the literature to identify specific correlates of physician …

The Lost Lessons Of Shareholder Derivative Suits, Jessica Erickson

Washington and Lee Law Review

Merger litigation has changed dramatically. Today, nearly every announcement of a significant merger sparks litigation, and these cases look quite different from merger cases in the past. These cases are now filed primarily outside of Delaware, they typically settle without shareholders receiving any financial consideration, and corporate boards now have far more ex ante power to shape these cases. Although these changes are often heralded as unprecedented, they are not. Over the past several decades, derivative suits experienced many of the same changes. This Article explores the similarities between the recent changes in merger litigation and the longer history of …

What Makes A Culturally Responsive And Competent Teacher: Perspectives Of Millennials & Gen Z’S, Charlene Beckford

Graduate Student Dissertations, Theses, Capstones, and Portfolios

The purpose of this study was to outline the characteristics of culturally responsive and competent teachers as perceived by millennials and Gen z’s. The literature asserts that effective culturally competent practices will improve student- teacher relationships in a cross-cultural setting which should have a direct effect on the decrease in office discipline referrals, increase academic gains and subsequent post- secondary success. Culturally relevant teaching practices can also positively affect student engagement (Howard, 2001). Therefore, there is an increased demand for culturally competent teachers (Marks, 2011). Some characteristics of culturally competent teachers and culturally relevant teaching practices found in the literature …

Protecting The Integument: Changing Nursing Practice To Prevent Pressure Injuries, Latonya Lawery

Doctor of Nursing Practice Projects

The purpose of this project is to assess and improve nurses’ knowledge of pressure injuries and pressure injury preventions using evidence-based guidelines and a southeastern United States hospital’s skin integrity policy. My population of focus is direct care professional nurses caring for adults and geriatric patients in the acute care setting.

Design and Methods: The DNP student’s project is a quality improvement project using a Quasi-experimental design, which includes using a pre-test (Appendix A) and post-test (Appendex B). FADE (Appendix C) is the quality improvement method chosen for this project. FADE (Appendix C) is an acronym representing focus, analyze, develop, …

Does Marriage, Employment And Having Children Matter? A Secondary Analysis On Physical Activity Levels, Leisure Time Physical Activity, And Social Roles Among Women In The United States, Tramaine Paul Mcmullen

Theses and Dissertations

Background: Social roles, such as being married, employed, or having children, have been shown to have independent negative relationships with moderate to vigorous physical activity (MVPA) levels among women. Increasing the number of women with children that meets physical activity guidelines is critical to reduce chronic disease and early mortality in this population. However, few studies have examined the relationship between holding multiple social roles, MVPA, and leisure-time physical activity (LTPA) among women with children. The study had two aims: 1) to determine the relationship between objectively measured MVPA by social roles and 2) to examine the frequency of specific …

Experiences Of Graduate Level Students Of Color With Race In Psychology Diversity Courses, Lakesha Winley

Dissertations

The ethnoracial makeup of individuals entering fields of study such as psychology continues to change but the experiences of graduate level students of color in these programs is a phenomenon that has received little attention. When attempting to understand these experiences specific to racial content, the literature is almost nonexistent. This qualitative inquiry was designed in an attempt to understand, assess, and depict the experiences of students of color related to experiences of racial content in their American Psychological Association (APA) accredited graduate level diversity/multicultural psychology courses. The focus was on their reactions (e.g., emotional, physical, somatic) to class discourse, …

Beyond Borders: Pla Command And Control Of Overseas Operations, Dr. Phillip C. Saunders

Strategic Forums

China’s latest round of military reforms is driven primarily by Xi Jinping’s ambition to reshape the People’s Liberation Army (PLA) to improve its ability to win informationized [xinxihua, 信息化] wars and to ensure that it remains loyal to the Chinese Communist Party (CCP). The reforms are unprecedented in their ambition and in the scale and scope of the organizational changes. Virtually every part of the PLA now reports to different leaders, has had its mission and responsibilities changed, has lost or gained subordinate units, or has undergone a major internal reorganization. The relationships between and among the Central Military Commission …

2020 July 1 - From My Notepads Newsletter, Office Of The President, East Tennessee State University, Brian Noland

From My Notepads: A Newsletter from President Brian Noland

No abstract provided.

A Professional Learning Partnership: Educator Perceptions About Program Effectiveness And Impact On Rural Educators, Tara Lynn Villalobos

Dissertations (1934 -)

A partnership model between several school districts and a liberal arts university was explored as a means of delivering quality professional development in this interpretive study. Teachers self-reported their thoughts about the effects of the professional development delivered through a partnership model, the effects on their practice, and the similarities and differences between this professional learning and other professional development opportunities they have been a part of. The researcher conducted two rounds of interviews with six educators, three from each of two districts. Data from the interviews was compiled and coded to determine common themes. Several themes emerged in support …

Stop-And-Frisk: Its Effect On African American Communities—A Tale Of Three Cities, Russell L. Jones

University of Dayton Law Review

No abstract provided.

Metacritiques Of Upper Echelons Theory: Verdicts And Recommendations For Future Research, Brett H. Neely Jr., Jeffrey B. Lovelace, Amanda P. Cowen, Nathan J. Hiller

Department of Management: Faculty Publications

After more than 35 years, Hambrick and Mason’s upper echelons theory (UET) stands as one of the most influential perspectives in management research. However, as the literature and its attendant reviews have become more numerous and specialized, discussion of the fundamental conceptual and methodological critiques leveled against research utilizing the UET perspective has grown fragmented. As such, the first aim of the present review is to identify and synthesize a set of common critiques levied against UET research. In doing so, we unpack important nuance within each critique while establishing a common vocabulary to facilitate greater consistency in how these …

The Schools, Saint Mary's College Of California

Undergraduate Academic Catalog

No abstract provided.

2020-2021 Academic Catalog, Saint Mary's College Of California

Undergraduate Academic Catalog

No abstract provided.

An Engine Of Change? The Affordable Care Act And The Shifting Politics Of Demonstration Projects, Philip Rocco, Andrew S. Kelly

History Faculty Research and Publications

The Patient Protection and Affordable Care Act (ACA) made a number of institutional investments intended to expand the federal government’s ability to scale successful demonstration projects into national policy. This article considers how the ACA has reshaped the politics of programmatic innovation in Medicare and Medicaid. A qualitative synthesis of demonstration results suggests that, although the ACA has removed several important veto points to the expansion of successful demonstration projects, numerous barriers to the scaling of reforms remain. These barriers include procedures and techniques that make it difficult to certify the “success” of demonstrations yet make their limitations highly legible. …

Dialogue Sessions On Diversity, Equity, And Inclusion Topics: A Phenomenological Action Research Study In An Independent School Setting, Erica Forniss Wiltshire

Theses and Dissertations

Administrators and teachers play an integral role in creating educational spaces where all students can feel safe, welcome, and appreciated. Inspired by the unique responsibility of educators and guided by the work of noted proponents of cultural competence, this exploration is approached through a triplicate lens including phenomenological philosophy, critical race theory, and social reconstructionism. This critical social reconstructionist-hermeneutic phenomenological action research study seeks to gain a deeper understanding of early elementary, independent school teachers’ views on cultural competence before and after three targeted dialogue sessions.

Are Advanced Practice Registered Nurses In Mississippi Participating In Practices That Advocate The Nursing Profession, Sarah Adams, Melanie Bush, Lacy Estes, Lisa King, Paige Long

MSN Research Projects

Previous research studies have focused on patient outcomes related to healthcare interventions, but there is little research available regarding nurses’ involvement in activities that would advance the profession. Advanced Practice Registered Nurses’ (APRN) contributions to the healthcare system lead to direct improvement of patient outcomes through research, mentoring new professionals, and participating in professional organizations. The theoretical motivation behind the study is Ray’s Theory of Bureaucratic Caring that proposed healthcare personnel consider incorporation of the business aspects of healthcare to propel nursing into the future. Ray dared nurses to become leaders in the field, understand the corporate aspects of health …

Increased Access To Information Communication Technologies And Work-Life Balance With K-12 Leaders, Carolyn D. Washington

Electronic Theses and Dissertations

This qualitative study describes the lived experiences of kindergarten through 12th-grade leaders (K-12) relative to the increased accessibility of information communication technology (ICT) and work-life balance (WLB). Technology has evolved and become more accessible in the 21st century in individuals’ personal and professional lives. Research has shown the impact of ICT in other high demanding professions, with little research available relative to the impact with K-12 leaders. However, the role of the K-12 leader is likewise considered highly demanding with extended work hours. The K-12 leader is responsible for the day-to-day activities of the principalship, being available after hours for …

Technology Attributes, Organizational Learning Attributes, Service Attributes, And Electronic Health Record Implementation Success, Anuradha Rangarajan

All-Inclusive List of Electronic Theses and Dissertations

Electronic Health Record (EHR) is a technology innovation which has the potential to offer valuable benefits to the healthcare industry such as improved quality of patient care and safety, optimization of healthcare workflow processes and availability of electronic data for clinical research. The implementation success of EHR is therefore significant to the healthcare industry in the United States and around the world. Prior studies in research literature have considered the impact of technology attributes, organizational learning attributes, and service attributes on information technology implementations in various other domains based on theories such as Theory of Reasoned Action (TRA), Theory of …

Low Health Literacy Impact On Heart Failure Patients' Readmissions: An Integrative Review, Melissa S. Goodwin

Doctoral Dissertations and Projects

Heart failure is a common chronic disease that affects numerous people throughout the world. Low health literacy plays a critical role in heart failure mismanagement. The purpose of this systematic review was to summarize what is known about the impact of health literacy of heart failure patients’ readmissions. MEDLINE, CINAHL, PSYCHINFO, and PUBMED databases were searched for the years 2010-2020 and for English language articles. The findings indicated that low health literacy has a significant impact on heart failure patients’ unplanned readmissions. Interventions for low health literacy also affect outcomes for heart failure patients; for example, reduce unplanned hospital readmissions. …

Evaluation Of Coach-Based Technical Assistance: An Evolving Focus On Coachability And Goal Setting, Kimberly J. Mccarthy, Daniel F. Perkins, Matthew Roberts, Shane Potter, Autumn H. Guin, Jan B. Carroll, Nancy C. Deringer, James E. Ballard, Lynne M. Borden

Journal of Human Sciences and Extension

In 2013, the National Institute of Food and Agriculture supported the creation of a professional development and technical assistance center to promote strong implementation and evaluation of University-led, community-based projects serving low-resource populations. Within this center, a coaching cadre was established to provide proactive and responsive technical assistance. Formative evaluation involving coaches and their primary contacts was used for refinement of coaching practices. Initially, coaches were encouraged to build strong interpersonal rapport. This set the stage for trusting, reciprocal interactions, but coaches recognized a need for targeted support and more tools for quality programming, evaluation, and sustainability. Greater emphasis was …

Communication Is Key: State-Level Organizational Correlates Of Readiness For Evidence-Based Programming Within The Cooperative Extension System, Sarah M. Chilenski, Jonathan R. Olson, Jill A. Schulte, Daniel F. Perkins, Mark T. Greenberg, Richard Spoth

Journal of Human Sciences and Extension

The necessity to implement evidence-based programs to support the healthy development of youth and families is becoming part of national policy. Organizations that are not “ready” to do so will likely lose resources, disallowing them to serve as they have set out to do. Consequently, the current survey study draws from a national sample of Cooperative Extension personnel in 2009 to examine characteristics within their organizational context that facilitate successful change related to youth/family programming. Data were collected from 946 4-H/youth development or Family and Consumer Sciences employees at all levels. Self-reported indices of each state organization’s openness to change, …

Efektivitas Ecompass Sebagai Electronic Document Management System (Edms) Dalam Mendukung Performa Unit Kerja Di Lembaga Penjamin Simpanan, Wahyu Nofiantoro, Anisya Dewi Kusmardianto

Jurnal Administrasi Bisnis Terapan

LPS is an independent institution established under the Law of Republic of Indonesia number 24 year 2004 on the Deposit Guarantee Board, which aims to ensure the savings of the banking customer in Indonesia. In doing its job, LPS implements a system named eCompass as Electronic Document Management System (EDMS) that has features to manage organizational documents but only a small part of working units in the LPS that have utilized the system, the purpose of this research is to measure the effectiveness of eCompass information system to the archive unit that has used eCompass system in LPS. The Weaver …

The Role Of Strategic Management Accounting And Its Impact On The Competitive Advantage In Jordanian Industrial Companies, Raed Mohammed Kanakria

Journal of Economics and Administrative Sciences

This study aimed to recognize and understand the concept of strategic management accounting (SMA) and how it's the effect on the competitive advantage for industrial companies in Jordan. The study's importance arises due to the lack of Arab studies that dealt with this topic, in addition to the important and vital role of strategic management accounting on companies that represent the artery of the decision-making process, and to identify the benefits associated with SMA technology. The necessary data were collected through the literature review and theoretical study of the references that relevant to the study subject, in addition to a …

Applying Psychological Reactance Theory To Intercultural Communication In The Workplace: Dealing With Technological Change And Tolerance For Ambiguity, Oumaima Boulhna

Theses and Dissertations

Psychological reactance theory has yet to be applied to intercultural and cross-cultural communication, at least not to a sufficient extent. This study conducted a cross-cultural examination of psychological reactance in intercultural workplace communication situations. Using the theoretical framework of psychological reactance as well as the constructs of intercultural sensitivity and tolerance for ambiguity, this study expanded applications of PRT for technological change messages in the workplace. The present study extended the previous applications of psychological reactance theory and found a significant cross-cultural variation for trait reactance. The results also revealed that tolerance for ambiguity was negatively related to trait reactance, …

The Role Of Green Strategy Formulation In Green Behavior For Municipal Corporations – Analytical Study, Yarub Adnan Hussein Alsiede, Salwan Dafer Abdullah

Journal of Economics and Administrative Sciences

The research shows the importance of orientation towards the formulation of the green strategy and its effect in determining the behavior of the green municipal institution in Babel governorate. The research highlighted the formulation of the green strategy as an important variable, especially today, the trend towards protecting the environment and minimizing the damage resulting from the delivery of services, and through it also the type of green behavior or performance adopted by the municipal institution and the emergence of the need for a strategy that is not harmful to the environment. The research took the sample intentionally comprehensive size …

An Innovative Approach For Type 2 Diabetes Education, Rachel Domagala

Nursing DNP Projects

Objective: To improve self-efficacy in patients with type 2 diabetes and a Hemoglobin A1c (HbA1c) of 8% (64 mmol/mol) or greater using an innovative education multidisciplinary approach in a group setting.

Research Design and Methods: Out of 248 patients that were contacted with type 2 diabetes, who had a HbA1c of 8% or greater, five patients from a large clinic in the Midwest agreed to participate in group education. The primary outcome of interest was lowering HbA1c levels to increase the number of patients with type 2 diabetes who meet the community standard of care.

Results: Patients …

Influence Of Teachers’ Psychological Safety, Principals’ Transformational Leadership, And Organizational Uncertainty On Schools As Learning Organizations, Lloyd D. Jackson

Theses and Dissertations

The primary function of a school is learning. What this causal-comparative and correlational study sought to resolve is whether schools which are designed for learning can learn. The purpose of the study was four-fold. First, to validate the Dimensions of a Learning Organization Questionnaire (DLOQ) as an instrument to be used to within the school context. Secondly, to ascertain if there was a difference in how the factors of the DLOQ loaded in relation to the achievement level of a school. Thirdly, the study was to assess whether the dimensions of learning organization—continuous learning, dialogue and inquiry, collaboration, embedded systems, …

The Role Of Social Work In Health Care For Veterans In The United States Of America (Praca Socjalna W Lecznictwie Weteranów Służby Wojskowej W Usa), Jaroslaw Richard Romaniuk

Faculty Scholarship

Clinical social work in the American system of health care and its specific features in the Veterans Affairs (VA) of veterans are described in this paper. VA hospitals are the largest employers of social work worldwide. Because health care for veterans is paid for from government funds, VA hospitals are subject to regulations developed on the basis of research into the system’s effectiveness and efficiency. Clinical social workers cooperate with physicians and nurses to comprise an integral part of the health care team. Social workers fulfill the usual tasks related to social well‑being but also act as health educators and …

Resistance To Change: A Concept Analysis, Briony Marie Dubose Rn, Mhi, Ann M. Mayo Rn, Dnsc, Faan

School of Nursing and Health Science: Faculty Scholarship

The purpose of this concept analysis is to explore the concept of resistance and provide an operational definition for nurse leaders. While resistance has been deemed a major barrier to the implementation of successful practice change in popular literature, specific evidence as to how it is a barrier within health care organizations is lacking. The Walker and Avant model of concept analysis was used to analyze the concept of resistance. Literature searches utilized the Cumulative Index for Nursing and Allied Health Literature (CINAHL), PsychARTICLES, and Google scholar. Resistance is defined as an individual's behavior in response to perceived or actual …

A Systematic Review For The Determination And Classification Of The Crm Critical Success Factors Supporting With Their Metrics, Mahmoud Abd Ellatif, Marwa Salah Farhan, Amira Hassan Abed

Future Computing and Informatics Journal

The successful implementation of customer relationship management (CRM) is not easy and seems to be a complex task. Almost about 70% of all CRM implementation projects fail to achieve their expected objectives. Therefore, most researchers and information systems developers concentrate on the critical success factors approach which can enhance the success of CRM implementation and turn the failure and drawbacks faced CRM into successful CRM systems adoption and implementation. In this paper, the number of the previous studies is reviewed to demonstrate the barriers behind this high failure rate. In addition, an extensive review is conducted in order to identify …