Developing Influential Nurse Leaders: Utilizing Strengths And Styles Assessments To Create Individualized, Intentional Coaching, Linda Shepherd

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Abstract

Background: A north-central Virginia university and a hospital in the British West Indies (BWI) entered a collaborative agreement in 2020. Growing competitive environments heightened awareness and urgency in creating expansively competent, influential nurse leaders in the BWI. Without formalized data to quantify or validate nurse manager strengths, leadership style, or competencies, an assessment of these items and an evidence-based coaching intervention were performed.

Methods: The population for this evidence-based (EB) practice project was 20 inpatient nurse leaders. The Multifactor Leadership Questionnaire (MLQ) and the Clifton Strength Finders Assessment (CSF) for Managers were deployed as pre-intervention assessment tools. …

Formal Caregiver Burden Among Nursing Assistants In Nursing Homes: A Mixed Methods Study, Rachel Kunkle

Theses & Dissertations

Formal caregivers are the direct care workforce in nursing homes that aid residents. Providing care to residents is hazardous and demanding, as highlighted during the pandemic. Caregiver burden affects formal caregivers; however, is interchanged with caregiver stress and caregiver burnout. The overall purpose of this dissertation was to describe formal caregiver burden among nursing assistants who provide direct care to residents in nursing homes. This was first accomplished by conducting a concept analysis of formal caregiver burden in nursing homes. Next, an integrative review of the literature was performed to assess formal caregiver burden in nursing homes and available psychometric …

Increasing Colorectal Cancer Screening Rates In The Psychiatric Inpatient Unit, Diane R. Ventura

Master's Projects and Capstones

Increasing Colorectal Cancer Screening Rates in the Psychiatric Inpatient Unit

Abstract

Problem: Colorectal cancer is one of the leading cancer deaths in the United States. The Psychiatric Inpatient Unit has a colorectal cancer screening compliance rate of 40% compared to the statewide average of 80%.

Context: The Psychiatric Inpatient Unit is a 58-bed inpatient intermediate care facility mental health program in Northern California. Upon review of the EMR, most PIU nurses give verbal instructions and patient education on colorectal cancer screenings when due. Still, no printed handout was provided to the patients upon review of the EMR.

Intervention: Review of …

Mentorship In A Nursing School Program, Samantha I. Gavirati Yamamoto

Master's Projects and Capstones

Problem: A Southern Californian community college associate degree nursing program has a peer-to-peer mentorship program that does not get regularly, objectively evaluated.

Context: The community college nursing program has been implementing the peer mentorship program for years, but it does not have an evaluation tool, outside of grades, to evaluate its peer mentors.

Interventions: Implement new educational training tools about mentorship, and its benefits and the many types of roles that a mentor can take on. Also, to develop and implement a pre and post-survey for the mentors to self-evaluate their mentorship skills at the beginning and end of the …

Delirium And Staff Injury, John Olague Jr

Master's Projects and Capstones

Abstract

Problem: From April 2021 to January 2022 there were 17 cases of reported patient aggression and staff injury due to patients in the hyperactive state of delirium. In a stroke/tele unit, diagnosis of delirium was delayed due to subjective assessment from the confusion assessment method (CAM) tool. This delay allowed patients to reach the hyperactive state of delirium which poses a threat to patient and staff safety. An objective form of assessment for delirium was needed on this stroke/tele unit.

Context: Through a microsystem assessment and strengths, weaknesses, opportunities, and threats (SWOT) analysis, stakeholders in this performance improvement plan …

Improving Nursing Staff Knowledge For Management Of Geriatric Patients With Confusion In The Emergency Department, Kareem G. Carter

Master's Projects and Capstones

Problem: Staff knowledge of effective management of confusion in geriatric patients (>65yo) may be limited and inconsistent with the current goal of establishing a geriatric-friendly Emergency Department (ED) Model of Care. Suboptimal management of this patient population can result in prolonged ED stays, which increases the cost to the hospital and the patient (Han & Wilber, 2013).

Context: An Emergency Department at a large Bay Area urban hospital hopes to obtain Geriatric Emergency Department Accreditation (GEDA) through the American College of Emergency Physicians (ACEP).

Interventions: Create a simplified checklist for nursing staff using mnemonic devices to …

Sepsis Inservice And Video At An Urban Hospital In California, Angela T. Ho

Master's Projects and Capstones

The emergency department at an urban hospital in California was performing below institutional goals related to sepsis protocols over the past few months. This intervention was targeted at nurses and was composed of a PowerPoint in-service on compliance to SEP-1 protocols and follow-along video on using the correct sepsis order set and documentation in the electronic health record (EHR). Goals included increased compliance to the SEP-1 protocol and documentation, (2) reduced time between the onset of symptoms, recognition, and intervention, (3) decline in sepsis rates and mortality rates, and (4) lower cost of care. Data was collected from the EHR …

African American Female Identified Therapists' Experiences Working Culturally Similar And Dissimilar Populations, Kimiko J. May

Doctoral Dissertations

African-American female-identified individuals continue to be one of the smallest subgroups of licensed therapists. However, this group continues to grow steadily and offer services to a broad array of clientele. While the aims of literature have grown to include populations that have been historically marginalized, the research surrounding African-American female-identified therapists is scarce. Deep understanding of their lived experiences while navigating the multifaceted nature of clinical work has been grossly overlooked. This study aimed to qualitatively analyze the lived experiences of African-American female-identified therapists who work with diverse populations using interpretative phenomenological analysis. Since the nature of clinical work is …

Developing Queer Faith: Exploring Experiences Of Cognitive Dissonance And Identity Integration For Lgbq Catholics Individuals, Kendal M. Vaarwerk

Doctoral Dissertations

While religion may be meeting existential needs, it may, at the same time, be asking the LGBQ youth to be someone different than who they are (Longo et al., 2018). LGBQ individuals experience severe cognitive and emotional consequences because of oppressive religious doctrine, including guilt, shame, self-loathing, and suicidal ideation (Schuck & Liddle, 2001). When LGBQ individuals are involved with religious belief systems that cast rejecting or disapproving messages about LGBQ individuals, these individuals often experience more internalized negative self-messages, as well as more significant challenges in developing and accepting one’s sexual identity (Page et al., 2013). Therefore, this very …

The Association Between Physical Pain, Depression, Anxiety, And Nervios Among Latinx Agricultural Workers, Iveth Cuellar Celallos

Doctoral Dissertations

The purpose of this study was to examine the association between physical pain, chronic pain, socio-cultural factors and mental health outcomes such as depression, anxiety, and nervios among Latinx agricultural workers. Survey data were collected in Northern California (N = 104). The sample of Latinx agricultural workers consisted of 47 (45.2%) female and 57 (54.8%) male respondents. The average age of participants was 43.13 years (SD = 14.37). Over half of participants were married (60.6%). The majority of participants (95.2%) reported Mexico as their country of origin. Most (85.6%) participants reported currently working in agriculture. Two hierarchical multiple linear regressions …

Delineating Differences In How Us High Schools Are Racialized, Dara Shifrer, C. J. Appleton

Sociology Faculty Publications and Presentations

Schools’ overt or explicit practices are a dominant lens through which education researchers and policymakers attempt to understand how schools are racially inequitable. Yet, Lewis and Diamond argue that contemporary racial inequalities are largely sustained through implicit factors, like institutional practices and structural inequalities. Ray’s framework on racialized organizations similarly outlines how our racialized sociopolitical structure becomes embedded in organizations, legitimating and perpetuating the racialized hierarchy. We apply illustrative cluster analysis techniques to rich data on schools, teachers, and students from the nationally representative High School Longitudinal Study of 2009 to find that structural inequities (e.g., student body, sector, average …

Using Wearable Sensors To Measure Goal Achievement In Older Veterans With Dementia, Jennifer Freytag, Ram Kinker Mishra, Richard L Street, Angela Catic, Lilian Dindo, Lea Kiefer, Bijan Najafi, Aanand D Naik

Faculty, Staff and Students Publications

Aligning treatment with patients’ self-determined goals and health priorities is challenging in dementia care. Wearable-based remote health monitoring may facilitate determining the active participation of individuals with dementia towards achieving the determined goals. The present study aimed to demonstrate the feasibility of using wearables to assess healthcare goals set by older adults with cognitive impairment. We present four specific cases that assess (1) the feasibility of using wearables to monitor healthcare goals, (2) differences in function after goal-setting visits, and (3) goal achievement. Older veterans (n = 17) with cognitive impairment completed self-report assessments of mobility, then had an …

Cultivating Authentic Leaders: Toward Conceptual Coherence And Sustainable Practice, Yoshie Tomozumi Nakamura, Elizabeth Nutt Williams, Lori Pyle, Steven E. Grande

The Journal of Values-Based Leadership

The purpose of this paper is twofold. One is to better understand the contested construct of authentic leadership and its cultivation and practice. The other is to offer a conceptual framework for practicing sustainable authentic leadership. Based on a review of authentic leadership literature with a focus on its sustainability, we introduce a conceptual framework through a lens of an ecological model to capture the dynamics of individual and systems perspectives. Practicing sustainable authentic leadership is not a simple act; rather authentic leaders need to embrace paradoxes to navigate today’s complex systems and to find new ways to create positive …

Timeless Lessons About Leadership From The Midrash, Hershey H. Friedman

The Journal of Values-Based Leadership

This paper examines two ancient Midrashim and shows that many important messages about leadership are embedded in them. The first Midrash describes the critical personality trait Moses possessed that made him uniquely suitable to be a leader of the Israelites — compassion. The second Midrash appears heretical since it has Moses correcting God. Indeed, God even openly admits, "You have taught me something." The primary lessons are that leaders must be compassionate, humble, willing to listen to advice, eager to make changes when necessary, and admit to mistakes.

Anishinaabe Values And Servant Leadership: A Two-Eyed Seeing Approach, Tori Mcmillan

The Journal of Values-Based Leadership

This meta-synthesis explores the connections between the Mishomis Teachings (also known as the Seven Grandfather Teachings within the Anishinaabe culture) and the principles of Servant Leadership. Through a systematic literature review of methodology and the theoretical frameworks of Two-Eyed Seeing and Ethical Space, The Mishomis Teachings and their connections to Servant Leadership are researched to answer: How is a Two-Eyed Seeing approach to Servant Leadership informed by Anishinaabe Values? The literature reveals significant connections between the Mishomis Teachings and Servant Leadership that provide an Indigenized perspective on values-based leadership practices. The implications of this study highlight a growing need …

Kailua Canoe Club: A Values-Based Holistic Approach To Leadership, Peggy Peattie, Cristina Padilla, Maile Villablanca

The Journal of Values-Based Leadership

This qualitative case study of Kailua Canoe Club (KCC) on the island of O’ahu investigated the nature of leadership in a Hawaiian outrigger paddling community. Conversations with paddlers, coaches, and board members revealed a values-based holistic approach to leadership (Best, 2011). Those values were scribed into the club’s mission statement 50 years ago with the intention of establishing KCC as a space to connect with kupuna (respected elder) wisdom, develop paddling skills, and to honor the canoe, the ocean, and each other. A component of leadership kuleana (responsibility) is constant reflection on those values, and the mentoring of the younger …

Positional Authority And Influence In Servant Leadership: A Conceptual Model, Kevin J. Hurt, Elliott Long

The Journal of Values-Based Leadership

This conceptual research paper reviews how positional authority affects the servant leadership-organizational performance relationship and provides insight on how servant leadership can be implemented and effective in the absence of positional authority, i.e. through the cultivation and leveraging of influence. A review of servant leadership literature is used to propose that servant leadership is positively associated with increased organizational performance. Through the lens of upper echelon theory as well as research on the performance of organizations whose executive team practices servant leadership, we develop a model and make a case that positional authority is an important moderator of the relationship …

Addressing The Well-Being Problem – A “Fundamental State Of Leadership” Approach, Raidah Bhuyan, Cam Caldwell

The Journal of Values-Based Leadership

The message of Jon Clifton’s (2022) new book, Blind Spot, is that the volatile, uncertain, complex, and ambiguous context of business has created enormous pressures on the modern employee with 28% of employees exhibiting chronic depression, extreme sadness, or other mental health problems. Those conditions negatively affect employee commitment and engagement and hamper the ability of organizations to succeed in a highly competitive global environment. The root cause of this “well-being problem” is the convergence of a multitude of economic and social problems that challenge the best efforts of even the most capable leaders.

Democracy: On The Edge Of Uncertainty, Joseph P. Hester

The Journal of Values-Based Leadership

I have considered once again the ancients and the moderns, and those who said that ethics was laid to rest in the graveyard of sociological and psychological babblings of feelings and emotions. I think too about utilitarians — whose philosophy has become the foundation of much of modern life — with its sterile pragmatism, captured and encapsulated by a framework eliminating the nonquantifiable while sneaking in the backdoor of our values offering empty moral platitudes and religious sentiments, e.g., thoughts and prayers.

Winter/Spring 2023

The Journal of Values-Based Leadership

No abstract provided.

Loving Yourself – That’S “Great Company!”, Raidah Bhuyan, Eddie R. Williams, Cam Caldwell

The Journal of Values-Based Leadership

No abstract provided.

Tabligh As A Form Of Information Sharing For Women: ‘Aisyiyah During The Covid-19 Pandemic In East Java, Tri Susantari, Yunus Abdul Halim, Adam Syarief Thamrin

Journal of International Women's Studies

The COVID-19 pandemic has made everyone adapt in order to survive. The pandemic has an impact on all sectors of society, including religion, economy, health, and education. 'Aisyiyah is an organized women's Muslim group that helps the community in dealing with COVID-19. 'Aisyiyah uses tabligh as a form of information sharing to educate their cadres and the public regarding community problems in dealing with COVID-19. Through qualitative research methods, this study describes in detail how the model and impact of tabligh activities have been carried out by 'Aisyiyah during the pandemic. The results of the study show that tabligh regarding …

Strengthening Adolescent Reproductive Health As A Strategy To Diminish Maternal Mortality: A Case Study In Malang, Keppi Sukesi

Journal of International Women's Studies

The aims of this study are: (1) describing adolescent knowledge and understanding of reproductive health, (2) describing gender issues related to adolescent reproductive health, (3) describing delayed medical assistance due to socio-cultural aspects resulting in the death of the mother, and (4) strengthening adolescent awareness of reproductive health as a strategy to decrease maternal mortality. Based on a qualitative approach with a case study design, the research was conducted at Malang Regency using the snowball method, and a survey on adolescent understanding of reproduction was conducted in Singosari and Pujon. Results demonstrated that adolescent knowledge of reproductive health is relatively …

Patali Gumbira Empowerment Strategy As An Effort To Build Women's Resilience In Responding To The Social Impact Of The Covid-19 Pandemic, Elly Malihah, Siti Komariah, Wilodati, Lingga Utami, Arindini Ayu Kisvi Rizkia, Yazid Taqiyuddin Ahmad, Rengga Akbar Munggaran

Journal of International Women's Studies

Responding to the increase in women’s burdens as a result of COVID-19 has become the focus for the Patali Gumbira empowerment program. The focus of this study is to identify strategies to build women's resilience in response to COVID-19 based on their social capital of knowledge, experience, and aspirations. This study uses a Feminist Participatory Action Research (FPAR) approach, which explores how women are often central in maintaining the lives of their families and communities. The findings in this study indicate that the empowerment of Patali Gumbira is a means for building women's social resilience through the framework of the …

Jogo Tonggo And Pager Mangkok: Synergy Of Government And Public Participation In The Face Of Covid-19, Setyasih Harini, Caroline Paskarina, Junita Budi Rachman, Ida Widianingsih

Journal of International Women's Studies

The purpose of this study is to describe the Regent's mitigation program of increasing Sragen community participation through the excavation of local wisdom and communal values. This is known as “social solidarity,” and this article locates social solidarity in pager mangkok, a mitigation program for facing the COVID-19 pandemic, and the jogo tonggo program, a product of the Central Java Provincial government. Approaches to women's political leadership, public policy, and implementation are all parts of the theory used to support the concept of social solidarity. Data was collected through observation methods, documentation, and library research. The results show that the …

Potential Exploitation Of Female Vocational High School Students In Internship Programs, Tuti Budirahayu, Siti Mas’Udah, Fahrul Muzaqqi

Journal of International Women's Studies

This study aims to determine the exploitation potential in internship practices experienced by female vocational students due to the weak bargaining position of students and the imbalance in the relationship between the school and the company. Theoretically, the phenomenon of exploitation experienced by female students who intern in the industrial sector can be associated with tactical capitalism that is intertwined with the education sector. This study was conducted during the COVID-19 pandemic, where internship opportunities in the industrial sector for vocational students were still limited. However, this study can still show the potential for exploitation of female students even though …

The Epic Pilgrimage: The Way Of The Ascetics Of El Capitan, John Shultz

International Journal of Religious Tourism and Pilgrimage

El Capitan and its related environs constitute the ‘holiest of holies,’ the ‘center of the universe,’ or the ‘mecca’ of the rock climbing world. Big walls are simply the tallest, steepest, and most challenging rockfaces on the planet. For the tribe of big wall climbers, El Capitan, which stands nearly 1000 meters above the Merced River in Yosemite National Park in California, has a mystique and allure unmatched by any other location. In previous work, I establish the concept of climbing on El Capitan as ‘vertical pilgrimage’ (Shultz, 2020), and in this paper, I focus specifically on climbing efforts as …

Roles Of Religious Guides In Tourism: A Qualitative Study From Japan, Ricardo Nicolas Progano

International Journal of Religious Tourism and Pilgrimage

Pilgrimage travel has become an important element in contemporary tourism, as visitors flock to sacred locations (UNWTO, 2015). However, some aspects of pilgrimage travel remain relatively understudied, with one of them being the roles of guides in these locations. Based on previous academic works, the present study aims to bridge this gap by analysing the role of religious figures who engage in guiding activities aimed at the general public. For this, Shippōryū-ji, a Shugendō temple located in Japan, is presented as the case study. As previous research on the subject is scarce, a qualitative approach was deemed suitable. Utilising interview …

A Changed Understanding Of Miracles In Religious Tourism, Stephen F. Haller

International Journal of Religious Tourism and Pilgrimage

In this modern age, an unsceptical acceptance of supernatural events–those which cannot be explained as part of the natural order of things–is less common than it once was. This trend is reflected in the declining frequency of miracle-cures certified by the Medical Bureau at Lourdes. Yet miracles past, and the promise of possible miracles in the present, still attract multitudes of religious pilgrims and tourists to sacred sites all over the world. While the frequency of miracles goes down, the appeal of miracles goes on, and the number of religious visitors has not declined. What role do miracles now play …

Emotions At The Border: Verbal Aspects Of The Attari-Wagah Patriotic Pilgrimage, Anna V. Bochkovskaya

International Journal of Religious Tourism and Pilgrimage

For over sixty years the Attari-Wagah checkpoint at the border between India and Pakistan has been a site for the Beating Retreat, a colorful ceremony of lowering the national flags performed jointly by the Indian Border Security Force and the Pakistan Rangers. This emotional ritual is generally perceived as a demonstration of aggressive designs, on the one hand, and as a symbol of goodwill and possible cooperation between neighbouring countries, on the other.

In recent decades visiting/viewing the border (sīmā darśan) has become an essential part of tourist packages for travellers in North-West India, while the notion of ‘patriotic pilgrimage’ …