Digital Commons Network^™

Effect Of An Intervention To Improve Smoking Cessation Treatment In A Federally Qualified Healthcare Clinic, Shirley A. Camp

The Corinthian

Abstract

Significant progress has been made in the reduction of tobacco use in the United States, but the smoking prevalence among the socially and economically disadvantaged populations (i.e. individuals who are homeless, uninsured, LGBT, and living with HIV) is significantly higher than the general population (CDC, 2018b). As a result, these vulnerable populations carry a disproportionate burden of tobacco-related mortality and morbidity (CDC, 2018b). There is a cost-effective and evidence-based treatment for tobacco use dependence (Fiore et al, 2008), but the delivery by primary care providers to this population is inconsistent (Tyman, Bonevski, Paul, & Bryant, 2014). This study focused …

Sustainability Of An Outpatient Antibiotic Stewardship Program, Kristin Smith

Dissertations

Abstract

Problem: Antibiotic stewardship is an effort to evaluate and improve the use of antibiotics by providers and patients. Antibiotic stewardship programs (ASPs) promote the appropriate use of antibiotics. There is increasing evidence that supports the use of antibiotic stewardship programs in reducing antibiotic prescribing rates while continuing to maintain safe patient care. Research supports approaches with multiple interventions and ongoing commitment to antibiotic stewardship. However, information regarding long-term sustainability of antibiotic stewardship programs is lacking. The purpose of this quality assurance project was to assess long-term sustainability of a previously implemented ASP promoting appropriate prescribing of antibiotics for the …

The Relationship Between Authentic Leadership And Resilience, Moderated By Coping Skills, Alice E. Stark

Industrial-Organizational Psychology Dissertations

Organizations with leaders high in authentic leadership behaviors tend to experience more positive outcomes both on an organizational level as well as on an individual level. One potential explanation for the positive outcomes is that authentic leadership enhances leader resilience in a positively linear fashion. However, other literature suggests that authenticity is not always beneficial for the leader and that, at high levels, it can even be detrimental as leaders become more transparent and convicted about their values and goals independent of the situation. One underlying reason for conflicting theories may be the coping skills that leaders use in combination …

Contribution Warfare: Sweden's Lessons From The War In Afghanistan, Jan Ångström

The US Army War College Quarterly: Parameters

No abstract provided.

Book Reviews, Usawc Parameters

The US Army War College Quarterly: Parameters

No abstract provided.

Nurse-Initiated Protocols For Chest Pain In The Emergency Department, Matthew Hodges

Student Scholarly Projects

Practice Problem: Emergency department crowding inhibits the ability to provide safe patient care to chest pain patients and negatively impact patient outcomes. A Veteran Affairs emergency department has identified a similar concern and implemented a nurse-initiated protocol to decrease the length of stay and improve patient outcomes.

PICOT: This evidence-based practice (EBP) project was guided by the following PICOT question: In the emergency department (ED), how does a nurse-initiated protocol (NIP) for chest pain (CP) patients compared to no protocol use influence length of stay (LOS) in the ED over 8 weeks?

Evidence: The reviewed literature supported the evidence of …

Developing An Instructional Unit From The National And Civic Education Textbook In Light Of Appreciative Inquiry And Measuring Its Impact On The Improvement Of Students' Achievement Of The Primary Stage In Jordan, Dana Ghazo, Samih Karasneh

An-Najah University Journal for Research - B (Humanities)

This study aims at investigating the impact of developing a model of anAppreciativeinquiry in light of social structure in developing educationalachievementfor grade 9 female students in National and Civic Education textbook in Jordan during the second semester of the academic year 2016 –2017. The study sample contains (59) female students from two classrooms, where the experimental group which consists of (29) students from one school is chosen due to measuring the impact of the developed unit. The control group that contains (30) female students from the same school is as well chosen. To achieve the purpose of the study, a …

Librarians’ Emotional Intelligence As Correlate Of Effective Library Management And Performance, Emmanuel Chidiadi Onwubiko

Library Philosophy and Practice (e-journal)

The study investigated the connection between emotional intelligence and effective management of the library and librarians’ performance. The study adopted a survey research design with a sampled population of 370 selected among librarians working in different libraries in Nigeria through purposive sampling technique. The study was guided by three research questions and three hypotheses that were tested at 0.05 level of significance. The instruments used for data collection for this study were Librarians Emotional Intelligence Scale (LEIS) adopted from Adimora, Akaneme and Umeano (2013), Librarians Library Management Scale (LLMS) adopted from Turanlis (1999) and Employees Performance Scale (EPS) adopted from …

Spirit-Empowered Leadership: Exploring Three Dimensions, Jay Gary

Spiritus: ORU Journal of Theology

How should colleges and universities within the Spirit-empowered Movement develop Spirit-empowered leadership among their students, staff, or faculty? To spur on thinking by those who frame university learning outcomes, this case study from Oral Roberts University defines Spirit-empowered leadership in terms of three dimensions: personal development, interpersonal influence, and generational emergence. It concludes with a call to create the frameworks of leadership needed for the future of the church and society, in light of A.D. 2033, the 2,000th anniversary of Pentecost.

Bedside Shift Report: A Way To Improve Patient And Family Satisfaction With Nursing Care, Audriana Pevec

Student Scholarly Projects

Poor communication during the handoff process contributes to approximately 30% of malpractice claims costing up to $1.3 billion annually (Fenner, 2017), which demonstrates the importance of evaluating the quality of information exchange between nurses, patients, and families when associating quality of care to patient satisfaction (Kullberg et al.,2017).

The following question guided this Evidence-Based Project (EBP) project. In adult, progressive care unit patients (P), does the implementation of a nursing bedside handoff (I) compared to current handoff practices (C) improve patient/family satisfaction with nursing care (O) over eight weeks (T)?

The literature revealed evidence from 10 studies answering …

Development Of A Comprehensive Measure Of Organizational Readiness (Motivation × Capacity) For Implementation: A Study Protocol, Timothy J. Walker, Heather M. Brandt, Abraham Wandersman, Jonathan Scaccia, Andrea Lamont, Lauren Workman, Emanuelle Dias, Pamela M. Diamond, Derek W. Craig, Maria E. Fernandez

Faculty Publications

BACKGROUND: Organizational readiness is important for the implementation of evidence-based interventions. Currently, there is a critical need for a comprehensive, valid, reliable, and pragmatic measure of organizational readiness that can be used throughout the implementation process. This study aims to develop a readiness measure that can be used to support implementation in two critical public health settings: federally qualified health centers (FQHCs) and schools. The measure is informed by the Interactive Systems Framework for Dissemination and Implementation and R = MC heuristic (readiness = motivation × innovation-specific capacity × general capacity). The study aims are to adapt and further develop …

Investigating Organizational Commitment Of Information Professionals Working At University Libraries In Pakistan, Muhammad Ahmed Shah, Haroon Idrees, Muhammad Asif Naveed

Library Philosophy and Practice (e-journal)

This study investigated the organizational commitment of information professionals working at university libraries in Pakistan. Survey method was adopted using a questionnaire to collect data from 329 information professionals of Punjab and Islamabad. The questionnaire contained 18-items measure of organizational commitment, developed by Meyer, Allen and Smith (1993), along with certain demographic variables. Each statement was measured on 5-point Likert scale (e.g. 1=Strongly Disagree, 2=Disagree, 3= Neutral, 4=Agree, 5= Strongly Agree). The collected data were analysed by applying descriptive as well as inferential statistics in SPSS. Results indicated that information professionals were slightly committed to their organizations and most of …

Automated Medication Dispensing Cabinet And Medication Errors, Marie Walsh

Dissertations

The number of deaths due to medical errors in hospitals ranges from 44,000 to 98,000 yearly. More than 7,000 of these deaths have taken place due to medication errors. This project evaluated the implementation of an automated medication dispensing cabinet or PYXIS machine in a 25-bed upper Midwestern critical access hospital. Lewin's stage theory of organizational change and Roger's diffusion of innovations theory supported the project. Nursing staff members were asked to complete an anonymous, qualitative survey approximately 1 month after the implementation of the PYXIS and again 1 year later. Questions were focused on the device and its use …

An Outcome Evaluation Of An Evidenced-Based Leadership Framework On Nursing Retention In A Tertiary Medical Center, Robbie G. Rabe

Dissertations

An evidence-based leadership (EBL) framework is an intervention designed to facilitate organizational changes such as the reduction of nursing turnover and the improvement of nursing job enjoyment. This project provides an overview of the effect of nursing turnover on an organization, presents the components of the EBL framework, and provides an evaluation of the influence of EBL on nursing turnover and job enjoyment. The EBL framework provided a method for reducing variance in leadership skill and behavior by outlining specific methods necessary to reduce inconsistency. The project objective was to determine if the implementation of an EBL framework for 820 …

Migration As Catalyst For Organizational Change In Technical Services, Geraldine Rinna, Marianne Swierenga

University Libraries Faculty & Staff Publications

This article describes the changes within the Western Michigan University Libraries Technical Services Department during a five-year period from 2012 to 2017, which involved a reorganization of staff and the migration to Alma/Primo, Ex Libris’ next-generation library management system and discovery solution. The aim of this case study is to understand the role these two significant events played in the transformation of the department.

Bidirectional Influences Of Decisions And Outcomes On Organizational Identity And Sustainable Viability In Small, Private, Nonprofit, Mission-Focused Higher Education Institutions, Brian J. Gilliam

USF Tampa Graduate Theses and Dissertations

As educational leaders in small, private, nonprofit, mission-focused higher education institutions confront challenges, their decisions influence organizational identity, culture, and viability. Decision-making is informed in a complex environment of internal and external influences. The purpose of this research is engaged scholarship to inform practitioners of decision-making in mission-focused institutions with better understanding of why and how adaptation is occurring, and provide a conceptual framework for decision-making and further study of organizational leadership in this important sector of higher education.

Four-year private, nonprofit, degree-granting institutions represent 34% of all accredited institutions in the United States and serve over 5 million students. …

People And Process: Successful Change Management Initiatives, Gene E. Fusch, Lawrence R. Ness, Janet M. Booker, Patricia Fusch

Journal of Sustainable Social Impact

The Greek philosopher Heraclitus once said πάντα ῥεῖ (Panta rhei, for everything flows, in contemporary English), and people have expanded upon this philosophy to mean the only constant in life is change. In this article, we will discuss organizational change through change management implementation (CMI) to improve organizational performance as well as a leadership response to social distancing and the global COVID-19 coronavirus pandemic. We will discuss research exploring leadership communication, the importance of communication in minimizing or addressing change, and CMI roadblocks including employee resistance.

Wmu Board Of Trustees Formal Session November 4, 2020, Wmu Board Of Trustees

WMU Board of Trustees Meetings

• Acceptance of the Agenda – Bolger
• Approval of the Minutes (September 17, 2020 Meeting) – Bolger
• Remarks by the Chair – Bolger
• Remarks by the President – Montgomery
• Comments by the Faculty Senate President – Kritzman
• Comments by the Western Student Association President – West
• Comments by the Graduate Student Association President – Morris
• Presentation – The COVID Coalition – Bott, Bensley, Filpi, Mitchell, and Yelsma
• Public Comments Regarding Action Items – Schuemann

Action Items – Bolger

• General Revenue Bond Authorization – Van Der Kley
• Western Michigan University External Audit – Rinvelt
• Termination of the Western Michigan University Cooley Law …

A History Of Nashville Children's Theatre: 1977-2019, Robert Roberts

Student Theses

The purpose of this thesis is to collect a formalized history of Nashville Children’s Theatre (or NCT), a nonprofit arts organization, between the years of 1977 and 2019. Previous theses by students at other universities have recorded NCT’s history prior to 1977, but much of the company’s evolution during the time since has only been kept via a loose oral tradition amongst employees, an oral tradition that becomes increasingly distorted and destroyed as staff members and volunteers come and go from the organization or pass-away. This thesis project collected memories from 18 individuals who worked for, volunteered with, performed at, …

The Experience Of Early Mobility After One Week Of Hospital-Acquired Deconditioning, Lila S. Moersch

Dissertations

Abstract

Older adults who are hospitalized spend most of their time in bed. Prolonged bed rest and immobility in older adults may result in deconditioning of the muscles, leading to a loss of muscle mass and strength. The loss of muscle mass results in weakness and reduced physiological functioning post-hospital discharge. Immobility is especially problematic in older adults who naturally lose muscle mass and strength due to the aging process. Older adults who experience weakness post-hospital discharge face challenges with mobility. The purpose of this study was to describe the early mobility experiences of adults who are 60 years old …

Strengths, Challenges, And Opportunities For Physical Activity Promotion In The Century-Old National Cooperative Extension System, Samantha M. Harden, Laura Balis, Thomas Strayer Iii, Nikki Prosch, Breanne Carlson, Anne Lindsay, Paul A. Estabrooks, David A. Dzewaltowski, Katherine B. Gunter

Journal of Human Sciences and Extension

The need for physical activity promotion is ubiquitous, and offering physical activity interventions in community settings may reach people where they live, work, and play. Reaching people and providing evidence-based programming is exactly what the Cooperative Extension System has accomplished over the last century. In 2014, federal policy brought physical activity promotion into the mission of Extension. Although this policy marks the beginning of concerted efforts for physical activity promotion, several states have had strong success in this area. Borrowing from these efforts, this paper reports strengths, challenges, and opportunities for physical activity promotion in Extension.

A Qualitative Analysis Of The Effects Of Corequisite Developmental Educational Reform Upon Community College Finances, Casey L. Martin

Doctoral Dissertations

The purpose of this research study was to investigate how a community college’s finances were affected by an organizational change. For this study, the organizational change was the implementation of corequisite developmental education reform. This study used a qualitative research method to collect and analyze data to answer the following research question: How were a community college’s finances impacted when a corequisite developmental, educational reform was implemented? The literature review presented an analysis of different states’ legislation requiring developmental education reform, which included an in-depth review of cases involving institutions from within those states that have implemented corequisite programs according …

Authors' Biographical Notes, Mssj Staff

Midwest Social Sciences Journal

No abstract provided.

Accepting Change, Eliane S. Markoff

Office of the Ombuds

Whether change in the workplace is welcomed or not, most would agree that it is inevitable. Admittedly, it could be disruptive and painful for both employees and managers. Leaving our comfort zones can be anxiety producing and disruptive, especially in the short term. But change can also lead to personal growth and greater job satisfaction for both employees and managers. If change is welcomed, employees become engaged and even excited to move forward as they implement a new strategy and meet the shared goals ahead.

Nontraditional University President: From Candidate To President, Mark J. Braun

All Theses And Dissertations

The purpose of this descriptive phenomenological study was to understand a nontraditional university president’s transitional experience of the presidential search process and the competencies he believed he possessed and how those competencies have been utilized as a university president. The study utilized Creswell’s approach to phenomenology to document the experience of going through the search process. The American Association of State Colleges and Universities (AASCU, 2016) report, the AASCU State College and University Presidential Competency Model, provided the framework for this study. This study used that framework to evaluate whether the nontraditional president has the same competencies called for in …

Examining The Role Of Supervisor Support On Generation Z'S Intention To Quit, Bharat Chillakuri

American Business Review

The purpose of this research is to examine Generation Z’s unmet expectations and work-related boredom and its impact on their intention to quit. The study investigates the moderating role of the supervisor support in the relationship between work-related boredom and intention to quit. This research advances the understanding of the adverse effects of employees' unmet expectations and work-related boredom. Generation Z joins the organizations with unrealistic expectations of work that, in turn, promote lower levels of commitment and higher turnover, and therefore warrants more research. Data were collected from 336 Generation Z respondents working in the information technology industry. The …

The Effect Of School Discipline Processes On Student Perceptions Of Personal Safety In Rural Middle Schools, Jaslene Atwal

All Theses And Dissertations

There is a need to clearly communicate expectations and consequences of misconduct to deter students from engaging in negative behaviors that create a physically or psychologically unsafe learning environment at school. A poor school climate has been found to have a detrimental effect on student achievement. A positive learning environment can transform negative situations into positive ones and have a beneficial effect on student behavior and achievement. This study explored the effect of a proactive discipline program on students’ perceptions of their physical and psychological safety in rural middle schools. The research questions for this study asked what factors most …

Decreasing Readmissions In Medically Complex Children, Colleen Bartlett

Student Scholarly Projects

Practice Problem: There was a report of an existing practice problem of increased 30-day readmission rates in medically complex children at an outpatient clinic within an extensive hospital system. Hospital readmissions can cause clinical, social, and financial burdens to the patients and their families and thus reflected a need for interventions to reduce readmissions.

PICOT: The PICOT question that guided this change project: In medically complex pediatric patients ages 0-17, what is the effect of a discharge intervention bundle in reducing all-cause 30-day hospital readmissions compared to current practice within an 8-week timeframe?

Evidence: The literature revealed 18 …

Patient Engagement: A Key Concept To Surgical Site Infection Reduction In Colorectal Patients, Vanessa Strieff

Master's Projects and Capstones

Abstract

Problem: Colorectal surgery is a procedure with one of the highest surgical site infection (SSI) rates; therefore, necessary efforts were implemented to reduce harm (Harris, 2018). Approximately 60% of these surgical infections are preventable (Ban et al., 2017). SSIs can have severe consequences, including extended length of stay, high morbidity and mortality rates, delayed recovery, and high healthcare costs (Harris, 2018). The financial burden of SSI is substantial.

Context: This project aimed to explore opportunities for enhancing patient engagement and awareness of SSI preventive measures. After an extensive microsystem analysis, a knowledge gap in patient education on …

Enterprise Architecture Transformation Process From A Federal Government Perspective, Tonia Canada, Leila Halawi

Publications

The need for information technology organizations to transform enterprise architecture is driven by federal government mandates and information technology budget constraints. This qualitative case study aimed to identify factors that hinder federal government agencies from driving enterprise architecture transformation processes from a compliancy to a flexible process. Common themes in interviewee responses were identified, coded, and summarized. Critical recommendations for future best practices, including further research, were also presented.