Digital Commons Network^™

Improved Data Communication With Frontline Staff, David Sprecher

Master's Projects and Capstones

Problem: Frequently, communication from the Quality Department (QD) needs to be filtered through several organizational layers without first-hand knowledge of what message was given to frontline staff. Current mechanisms of communication between the QD and front-line microsystem teams have barriers preventing them from being consistent and reliable.

Context: Research has found that collaborating with and supporting frontline staff was key to establishing a culture that supports change and a focus on safety. Establishing open communication and effective teamwork with individuals on the frontline leads to shared values within a team and better collaboration which drives performance improvement.

Interventions: For trended …

Instituting A Preceptor Program In Home Health, Abbi Arnold

Master's Projects and Capstones

Problem: Staff being unfamiliar with the role of being a preceptor impacts their ability to perform the job well. Insufficient understanding of a new role creates stress and uncertainty which can lead to poor employee retention or high job dissatisfaction.

Context: The setting for this project is a large hospital-based home health agency that has an average daily census of 375 patients. The project was a collaboration between home health management and the quality department.

Measures: A measurement strategy was developed to meet the outcome measure, process measure, and balancing measure. The outcome measure was increasing the nurses’ understanding of …

Improving The Delivery Of Discharge Instructions On The Postpartum Unit By Increasing The Nurses' Knowledge, Judy Anne Settles

Master's Projects and Capstones

Abstract

The field of nursing prides itself on two critical functions: safety and patient education. One of the mechanisms for both education and safety is the discharge process. Improvements in the discharge process have been shown to increase patient comprehension and safety. This study is grounded in the (Barach & Johnson, 2006) healthcare organizational framework called the 5 Ps microsystems assessment to explore the impacts and improvements in the discharge instruction process on a postpartum unit in a large organization. It was found that HCAHPS scores regarding discharge instructions were 55-60%, which is below what is considered satisfactory. Utilizing the …

Scholarworks@Gvsu Policies, University Libraries

Library Reports and Communication

This document describes operational policies for ScholarWorks@GVSU content and related services. ScholarWorks@GVSU is Grand Valley State University’s institutional repository and library publishing platform, using the Digital Commons software from bepress.

A Delphi Study Of The Skills Necessary For A Speech-Language Pathologist Or Occupational Therapist To Be Successful In A Leadership Position, Jessica Miller

Dissertations

Purpose: The purpose of this Delphi study was to identify the skills necessary for a speech-language pathologist or occupational therapist to be successful in a leadership position using an expert panel. In addition, the purpose was to rate the identified skills based on importance and lastly to determine the activities experts recommend to acquire the top-rated skills. Methodology: This study used a three-round Delphi method to collect data from expert leaders in speech-language pathology and occupational therapy. In Round 1, the expert panel was asked to identify the skills necessary to transition from a speech-language pathologist or occupational therapist to …

Improving Internal Communication In An Asia-Pacific International School, Erin Gillespie

The Dissertation in Practice at Western University

This organizational improvement plan presents a continuous organizational change approach that addresses communication issues between leadership and two culturally distinct departments, the Anglo Western and European, in an established Asia-Pacific international school. Communication is valued in the school’s strategic vision of raising the profile of its European culture. However, communication from leadership to Anglo Western teachers concerning how to support the European department remains an area of inaction throughout the organization. The organizational improvement plan explores internal communication between leadership and teachers by drawing on the theoretical concepts of organizational learning theory and transformational leadership to facilitate change and address …

Quantification Of Obstetric Hemorrhage, Alma Garcia

Student Scholarly Projects

Practice Problem: The practice problem identified involved the inconsistent measurement of blood loss during the postpartum period due to the standard practice of estimating blood loss. Estimates are subjective measures that can have variable results based on interpretation and thus provide minimal meaningful data.

PICOT: The question that guided this project was structured in the following PICOT format. In postpartum women (P), how does the implementation of quantitative blood loss measurements (I), compared to estimated blood loss measurement (C), affect the early identification of severe hemorrhage (O), during the recovery period (T)?

Evidence: Obstetric hemorrhage is a preventable event that …

Understanding Modern Drivers Of The Employee Experience In Healthcare, Antonio Pangallo, Tim Atwell, Kristi Roe, Adrienne Boissy

Patient Experience Journal

Employee engagement has been considered the guiding metric to convey the health, loyalty, and performance of the healthcare workforce. However, the pandemic created new challenges and stimulated deeper conversations around remote work, systemic racism, inclusivity, trust, well-being, and mental illness, which calls into question whether engagement alone is enough. Using an employee experience model deployed in other industries, we identified key drivers of six employee experience (EX) outcomes. We conducted a panel study with close to 5,000 nurses and physicians to identify and prioritize current key drivers specific to the healthcare employee experience. Relative weights analyses suggest that being treated …

Organizational Climate And Its Implication On Engagement Of Staff: A Library Perspective, Ngozi Ogechukwu Nwogwugwu, Ngozi Uzodike, Chike Nwosu

Library Philosophy and Practice (e-journal)

ABSTRACT

Purpose: this work examined the place of OC in determining employees’ engagement in the libraries of publicly owned universities in Anambra State. Specifically, the study ascertained the nexus between Support Climate and Vigour in the studied institutions.

Design/methodology/approach: survey research design was deployed for the study which was carried out in Anambra State, Nigeria. The population of the study consisted of 107 Library Staff in Nnamdi Azikiwe University and Chukwuemeka Odumegwu Ojukwu University, Anambra State. A complete enumeration method was deployed to capture all the opinions of the respondents. The data collection was done through a structured questionnaire, …

The Concrete Ceiling Of Nonprofit Leadership, Leodis William Aaron Turner

Masters Theses

Abstract

This paper draws on a series of four in-depth interviews with African American executives who lead large non-profit organizations in West Michigan to argue that Black men and women in particular, and people of color more generally, experience a concrete ceiling to nonprofit leadership. The analysis is guided by a social innovation framework. In this case, that includes identifying the intervention needed (symptom to cause), designing methods (imagining solutions), developing solutions (prototyping), creating a plan to systemically innovate (recalibrating the nonprofit leadership pipeline for people of color and in particular, Black people), and scaling the plan (organizational growth and …

Addressing Anxiety In Hospitalized Adults Using A Music Intervention, Raina M. Rochon

Student Scholarly Projects

Practice Problem: The practice problem is anxiety related to hospitalization among adults in an acute care setting. Increased anxiety can lead to other issues while hospitalized including disruptive behaviors.

PICOT: The PICOT question that guided this project was: In hospitalized medical-surgical adults (P), how does the implementation of a music intervention as an adjunct to standard distraction techniques (I) compared to standard care (C) affect symptoms of anxiety as observed by the rate of behavior de-escalation team calls (O) within eight weeks (T)?

Evidence: There were five systematic reviews, four systematic reviews with meta-analysis with high level of …

From Sheltered Workshops To Integrated Employment: A Long Transition, Jessica L. Nettles

LC Journal of Special Education

This literature review will examine the policy history of sheltered workshops and integrated employment and discuss the successes and limitations of the current legislation surrounding the employment of individuals with disabilities. The review will also explore the research that reveals the negative impacts of segregation and the benefits of integration both for the individual and community at large. It will review cost-efficiency of both sheltered and integrated employment and some of the barriers to organizational change that have slowed the transition. This literature review will conclude with summaries of current research as well as suggestions for policy and philosophy changes …

Implementing A Diabetes Risk Screening Protocol In The Primary Care Setting., Anna Marks

Doctor of Nursing Practice Papers

Abstract

Background: Over one-third of the United States population, approximately 86 million individuals, are estimated to have prediabetes (CDC, 2021a). If left untreated, prediabetes will progress to type II diabetes mellitus (T2DM) in approximately 25% of subjects within 3–5 years, and as many as 70% of individuals with prediabetes will develop T2DM within their lifetime (Hostalek, 2019).

Purpose:The purpose of this quality improvement project was to implement and evaluate the American Diabetes Association MyChart Diabetes Risk Assessment tool in a primary care clinic to optimize the early identification of prediabetes and T2DM in non-pregnant adults ages 18 to 70 …

Reducing The No-Show Rate At A Community Mental Health Organization., Philip E. Pippen

Doctor of Nursing Practice Papers

Relative to other outpatient healthcare specialties, appointment nonattendance (no-shows) is most prevalent in psychiatric settings. Upon meeting with a community-based mental health organization in Louisville, KY (LCMHO), referral no-shows for intake appointments were identified as a significant issue. LCMHO’s intake appointment no-show rate, estimated at 25 – 40%, exceeded nonattendance trends in the literature. The purpose of this evidence-based practice (EBP) project was to develop and implement a referral engagement reminder intervention for improving intake appointment attendance. A systematic approach guided by the Model for Improvement was applied to foster this evidence-supported practice change. The project’s findings included a 16% …

Evaluation Of The Time To Ask Program At St. Croix Regional Family Health Center, Mary Lindsey Smith Phd, Evelyn Ali Bs, Tyler Egeland Ba

Substance Use Research & Evaluation

The goals of the Time to Ask (TTA) education and quality improvement program are to increase the capacity of the interprofessional care team to effectively, efficiently and compassionately discuss alcohol use with their patients through screening, brief intervention, and referral (SBIRT) as well as to expand regular screening and monitoring of unhealthy alcohol use at the practices. This infographic is a summary of a participant feedback following the TTA program at St. Croix Regional Family Health Center. For more information, please contact Lindsey Smith at [email protected]

Meaning-Mating And Hyphenated Actualizing In Individual-Organization Units: Lived Experiences Of Organization Development Practitioners Learning And Carrying Out The Philosophy Of Organization Development, Brian Lee Chapman

Business Administration Dissertations - Archive

Individuals have been organizing for millennia. The purpose of this study was to investigate what it means for individuals and organizations to each experience how an exposure to the instrumentalized philosophies of one impacts the internalized philosophies of the other. This phenomenological investigation focused on the lived experiences of Organization Development (OD) practitioners with learning and carrying out the philosophy of OD. Individual conversations with six participants during fourteen separate interview sessions were phenomenologically carried out, analyzed, and interpreted. The experiences articulated during these conversations elucidate two concepts not found during the literature review – meaning-mating and hyphenated actualization. These …

Three Essays Examining Organizational Influences On Employee Identity Construction, Esther Lamarre Jean

Management Dissertations - Archive

Identity consists of the roles and expectations individuals use to define their self. My dissertation examines the effects of individual perceptions around how identities are constructed in organizations on employee outcomes, decisions, and experiences. In a three-essay format, I develop the construct of identity work supportive organizational support (IWSOP) and a scale to measure it, evaluate how IWSOP relates to affective commitment for employees, and examine whether IWSOP might affect job choice decisions. IWSOP is conceptualized as the degree to which employees perceive that their organization encourages, allows, or provides the opportunity to think about, talk about, or display aspects …

Bridging The Oppurtunity Gap Through Exploring The Perceptions Of Disadvantaged African American Students, Anesha Lashal Carter

Electronic Theses and Dissertations

The purpose of this study is to explore student agency’s impact on the lives of successful African American adult students who once identified as being disadvantaged. The opportunity gap, formerly recognized as the achievement gap, continues to negatively affect low socioeconomic status African American students with limited social and cultural capital resources. There are unlimited studies which identify factors that fuel the opportunity gap (Ladson-Billings, 2006). However, many of these studies neglect to incorporate the voices of the stakeholders in which social and economic disparities impact the greatest (Anderson, 2018). This qualitative phenomenological study aims to address this research gap …

Paths To Research-Driven Decision Making In The Realms Of Environment And Water, Savannah Cooley, Amber Jenkins, Blake Schaeffer, Kat J. Bormann, Adel Abdallah, Forrest Melton, Stephanie Granger, Indrani Graczyk

AES Faculty Publications and Presentations

Now more than ever it is critical for researchers and decision makers to work together to improve how we manage and preserve the planet's natural resources. Water managers in the western U.S., as in many regions of the world, are facing unprecedented challenges including increasing water demands and diminishing or unpredictable supplies. The transfer of knowledge (KT) and technology (TT) between researchers and entities that manage natural resources can help address these issues. However, numerous barriers impede the advancement of such transfer, particularly between organizations that do not operate in a profit-oriented context and for which best practices for university-industry …

Community College Faculty Members’ Experiences Using Instructional Technology: The Sudden Transition To Emergency Remote Teaching, Joy Bauer

Graduate Theses and Dissertations

The rapid spread of COVID-19 during the spring of 2020 warranted an unprecedented change as faculty were required to convert course content and quickly learn to use new instructional technology in order to prepare for emergency remote teaching. The purpose of this qualitative case study is to explore how faculty experienced this sudden disruption of learning and rapid transition to emergency remote teaching. How do we assist faculty in continuing to use innovative technology? What resources or support are needed to lessen faculty resistance to change? By applying Kübler-Ross’ Change Curve as an overarching model, the researcher seeks to show …

Media Ideologies And The Politics Of Digital Literacy: Discourses On Technology And Media In A Small School District In The U.S. Heartland, Chris Borntrager

Graduate Theses and Dissertations

This dissertation uses a discourse studies approach to investigate key communicative processes by which digital technology is given situated meanings within the institution of public education, including at the level of official discourse, administrative texts, and the spoken discourse of professional educators. The discursive processes under analysis, referred to here as “institutional media ideologies,” arguably function as discursive frameworks which, akin to tactics of management in organizations, constrain the further production of discourse in a particular professional domain, including through the codification of contextualization practices, participant roles, and the social meanings of practices implicating the use of digital technology. Furthermore, …

Financial Literacy: A Case Study On Current Practices, Briana Lee Hammontree

Masters Theses

In the last few years, the concern for financial illiteracy among teenagers has only grown as the economy has shifted. Many teenagers feel unprepared and unsecured moving forward with their finances as adults. This issue is intensified further among low-income and marginalized youths who deal with additional hardship in their lives. Accessibility is a huge issue among teenagers and the role of financial literacy of their lives in education is often predetermined by government officials and policies they can only really advocate for change for but cannot vote on. In this research I explore the concept of utilizing social innovation …

Overview Of Transition Care Clinics And Patient No-Shows, Manul Awasthi

Electronic Theses and Dissertations

Introduction

Transition care clinics (TCCs) have proven to be effective in meeting the time-sensitive needs of patients in the post-discharge period and ensuring smooth transitions of patients from hospital to home. These clinics have led to lower readmissions, lower emergency department visits, cost savings, and lower rates of other adverse events following discharge. However, TCCs, including the East Tennessee State University Family Medicine (ETSU-FM) TCC have been facing high rates of patient no-shows.

Aim

The aim of this dissertation is to identify the different components and outcomes of TCC based on the literature. We further aim to analyze the TCC …

Meaning-Mating And Hyphenated Actualizing In Individual-Organization Units: Lived Experiences Of Organization Development Practitioners Learning And Carrying Out The Philosophy Of Organization Development, Brian Lee Chapman

Public Affairs Dissertations - Archive

Individuals have been organizing for millennia. The purpose of this study was to investigate what it means for individuals and organizations to each experience how an exposure to the instrumentalized philosophies of one impacts the internalized philosophies of the other. This phenomenological investigation focused on the lived experiences of Organization Development (OD) practitioners with learning and carrying out the philosophy of OD. Individual conversations with six participants during fourteen separate interview sessions were phenomenologically carried out, analyzed, and interpreted. The experiences articulated during these conversations elucidate two concepts not found during the literature review – meaning-mating and hyphenated actualization. These …

Internal Communication Within An Institution Of Higher Education During The Covid-19 Crisis: A Case Study, Jonathan Boone Clemmons

LSU New Orleans Theses and Dissertations

The purpose of this study was to understand the role internal communication played in shaping perceptions among stakeholders during a major crisis event happening on a university campus. The main question that this study sought to answer was: how did formal and informal communication during the COVID-19 pandemic affect the perception and adoption of changes related to the pandemic? This case study utilized interviews and document analysis to understand both the change process and its accompanying communication. Workplace Social Network Exchange was the guiding theoretical framework utilized to fully understand the professional lives of participants. Four major themes were identified …

The Role Of Middle And High School Principals During The Covid-19 Pandemic: A Phenomenological Study, Dustin Ford

Electronic Theses and Dissertations

The purpose of this qualitative study was to examine middle and high school principal roles prior to and during the COVID-19 pandemic to gain a better understanding about how leadership responsibilities adapted or changed. Data collection strategies included one-on-one interviews with nine middle and high school principals in East Tennessee. To qualify for the study participants had to have experience in the principalship prior to the pandemic. The analysis of data was based on the theoretical frameworks of adaptive leadership (Heifetz et al., 2009) and change theory (Fullan, 2020). The results revealed five key themes that were consistent during the …

Key Factors In The Strategic Transformation Of Traditional Food Enterprises In China, Hui Ching Lau

Dissertations and Theses Collection (Open Access)

The food industry is an important industry for China’s social development and one of the pillar industries of China's industrial economy. With the development of China’s urbanization, the victory of building a moderately prosperous society in all respects, and the continuous improvement of people’s living standards, consumer demand has become diversified and rationalized from “seeking for fullness” to “seeking for good”. In this context, the supplier of food products, that is, food companies, has become more competitive in market segments. With the continuous improvement of China's market openness, many top international food companies have flooded into the food industry. Coupled …

An Exploratory Study Using Improvement Science To Better Understand How Modeling The Inverted Pyramid Fosters Servant Leadership Characteristics In A Rural Public School District, Jennifer Anderson

All Dissertations

A rural superintendent is a community figure who is responsible for meeting the needs of students, families, teachers, community stakeholders, and school boards. The superintendent's job is complicated. It has been stated that career superintendency in a single district is extremely rare, and turnover is among the highest in the education field (Chingos et al., 2014). The rural, mid-size public school district in this study was not immune to this problem, with many seasoned leaders on the cusp of retirement. Of the 30 district and school administrators currently employed in the district, including the superintendent, 20 of these leaders are …

Authentic Truth At Work: A Case Study Of The Lived Professional Experiences Of A Transgender Educational Leader Through The Lens Of The Synergistic Leadership Theory, Rachel Bruce

Department of Educational Administration: Dissertations, Theses, and Student Research

At the time of this study, very little research existed concerning transgender people and educational leadership. The Synergistic Leadership Theory (SLT) was developed by researchers at Sam Houston State University in 1999. While previous researchers found the SLT to be gender-inclusive, the only studies to date had been conducted with cisgender participants. Thus, this study incorporated a non-cisgender subject to examine the professional experiences of an educational leader who is transgender through the lens of the SLT. By utilizing a qualitative descriptive case study, the researcher sought to answer two questions: (a) What are the lived professional experiences of a …

Organizational Culture And Communication Competence Workshop: Masters Plan B, Travis Bergon

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

This project began as an attempt to understand how events, such as the “Great Resignation” (i.e., an unprecedented mass exit of employees from the U.S. workforce), have impacted the way in which organizations are attempting to mitigate employee turnover. In addition, this project examined what role managers might play in promoting a positive organizational culture. A review of literature identified Schein’s (1990) model of organizational culture and Spitzberg and Cupach’s (1984) conceptualization of communication competence as useful frameworks for helping managers understand and promote positive organizational culture and employee mental health and well-being. In addition, the review of literature pointed …