Digital Commons Network^™

The Relationship Between “Speak Up” Culture Level, Team Effectiveness, And Organizational Performance Among Clinical Laboratory Professionals, Emmanuel Udasco

Walden Dissertations and Doctoral Studies

The clinical laboratory plays a crucial role in aiding physicians to diagnose disease. With numerous studies on “Speak Up” culture well-documented among providers and nurses surrounding patient safety, gaps in literature exist concerning “Speak Up” culture that address team effectiveness and organizational performance within the clinical lab setting. The purpose of this quantitative correlation study was to investigate the relationship between “Speak Up” culture level, team effectiveness, and organizational performance among health care workers employed in the clinical lab. The high-performance work practices model was utilized as the conceptual framework to ground this study. Research questions assessed the link between …

Understanding Experiences Of Racial Microaggressions Among African American Women In Cross-Racial Supervision, Nicole Daley

Walden Dissertations and Doctoral Studies

Racial microaggressions are statements that occur in everyday life that are regarded as instances of subtle or unintentional discrimination against members of a racial or ethnic minority. For African Americans, racial microaggressions are feelings of denigration and exclusion. Racial aggressions experienced by African American women in clinical counseling profession (counseling, psychology, social work, mental health) supervision have not been well-studied. Interpretative phenomenological analysis was used in this qualitative study to explore African American women supervisees' experience of racial microaggressions in cross-racial supervision. Intersectionality theory and identity negotiation theory were used to guide the development and analysis plan. Semistructured, audio-recorded interviews …

Employee Engagement And Leadership In The Federal Sector, Quanekqua Tequila Russell Pringle

Walden Dissertations and Doctoral Studies

While levels of engagement have slightly increased, employee engagement in the U.S. federal government sector still significantly lags when compared to the private sector. When asked if organizational leaders generate high levels of motivation and commitment in the workforce, only 48% of U.S. federal government employees indicated a positive response. The purpose of this quantitative correlation study and primary research question was to determine to what extent, if any, does a relationship exist between perceptions of leadership communication and effectiveness and employee engagement in the U.S. federal government sector. The theoretical framework of this quantitative correlational study was informed by …

Perceptions Of Female Naval Officers On Combat Role Policy And Career Advancement, Cheryl Dudley

Walden Dissertations and Doctoral Studies

Women were officially allowed to serve in combat positions when the 1993 Combat Exclusion Policy was lifted in 2013. There was little research to date on how these changes may have influenced the recruitment, retention, and promotion of female naval officers. The purpose of this study was to explore female naval officers' perceptions on how lifting the combat exclusion policy impacted the factors of recruitment, retention, and promotion within the military. A generic qualitative study supported exploring perceptions of female naval officers who experienced combat duty regarding these issues. Using feminist security studies as the conceptual framework, this study focused …

Nonprofit Ceos’ Learned Skills And Strategies For Leadership, Julie Gallanty

Walden Dissertations and Doctoral Studies

AbstractNonprofit organization Chief Executive Officers (CEOs) bring their unique experiences to their executive positions but are often unprepared for new responsibilities and challenges, which require a broad skill set. The problem identified was the gap in professional development in unexpected and acute areas. This study aimed to explore the on-the-job learning of nonprofit CEOs and the professional development training needed to support them in their position. Kolb’s experiential learning framework was used to develop the study that examined the strategies used to gain the knowledge needed to perform effectively in their CEO roles. The research questions focused on understanding how …

Professional Staffing Small Business Strategies For Reducing Voluntary Employee, Gwendolyn L. Johnson

Walden Dissertations and Doctoral Studies

Some small business owners need help reducing voluntary employee turnover, often putting the business at risk for performance failure. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies professional staffing small business owners used to decrease voluntary employee turnover. The participants were five professional staffing small business leaders in the Washington, D.C., area with successful strategies to retain talented employees. Data were collected through semistructured interviews and analyzed using Yin’s five-step process. Three themes emerged: (a) employee recognition, (b) communication, and (c) advancement and training. A key recommendation for small business owners …

Quality Improvement Initiatives And Interventions For Decreasing Falls In The Hospital Setting, Fredlyn Lolange

Walden Dissertations and Doctoral Studies

Patient falls in health care settings are a widespread and severe problem, and they often happen as a result of a complex set of causes. In the United States, between 3.3 and 11.5 falls occur per 1,000 patient days. Reducing the incidence of falls in a health care setting would bring significant positive change and decrease the incidence of harm to patients in the hospital setting. This staff education project’s purpose is based on addressing falls, a safety concern and a health issue that continues to put patients at an increased risk. Theories used to inform the project include the …

An Examination Of Counselor Turnover And Its Impact On Quality Behavioral Health Services, Leslie M. Beale

Walden Dissertations and Doctoral Studies

Behavioral health organizations often face the challenge of high employee turnover rates, which can critically affect their ability to treat mental illnesses successfully. High counselor turnover at one such organization, BHOX, threatens the provision of timely access to quality mental care. This qualitative case study examined counselor turnover and its impact on the quality of behavioral health services. The Baldrige Excellence Framework was used to guide this descriptive case study of a nonprofit behavioral health organization on the East Coast of the United States, which serves men and women struggling with mental health disorders and substance abuse addictions. The data …

Employee Development And Workforce Engagement In A Behavioral Health Organization, Lakisha R, Brimage

Walden Dissertations and Doctoral Studies

Ongoing training at the targeted behavioral health organization is necessary to improve employee knowledge, skills, and abilities to drive engagement and overall organizational performance. The purpose of this case study was to determine what leadership practices and strategies are currently in place and what training modules improve employee development for the purpose of improving workforce engagement. The Baldrige Excellence Framework was used to guide the qualitative case study of the nonprofit organization, which provides social services to low-income families in the United States. Data sources included semistructured interviews with two behavioral health leaders at the organization and reviews of organizational …

The Examination Of Servant Leadership Style On Employee Empowerment And Employee Resistance, Michael J. Ojeda

Walden Dissertations and Doctoral Studies

There is little known about the impact of servant leadership style on organizations and limited research examining social exchange theory related to employees’ perceptions. The purpose of this quantitative, correlational research study was to examine social exchange theory related to employees’ perceptions of servant leadership style, employee empowerment, and employee resistance within small businesses. The general management problem is employees' perceptions of servant leadership style, employee empowerment, and employee resistance that these perceptions could decrease employee engagement in small businesses. Because influencing employees’ perceptions could lead to positive work outcomes and attitudes, this study addressed the relationship between employees’ perceptions …

Differences Between Nurse-Led Intervention Topics, Longevity, Changed Practices, And Sustainability Planning, Robin Anselm

Walden Dissertations and Doctoral Studies

Though health care providers use evidence-based interventions (EBIs), a knowledge gap exists regarding lasting change associated with doctorate-prepared nurse interventions and sustainability planning. This quantitative cross-sectional descriptive design guided by the five pillars of the United Nations sustainable development goals (SDGs) was used to examine the differences between doctorate-prepared nurses’ sustainable EBI topics, intervention longevity, changed clinical practices, and sustainability planning. The dynamic sustainability framework, the adult learning theory, and the social learning theory framed this study. The design included a survey of 1,365 nurse anesthesiologists using a questionnaire composed of the Program Sustainability Assessment Tool (PSAT) version 2 and …

The Lived Experiences Of Civilian Review Board Members, Vereen Charmaine Barton

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this transcendental phenomenological research was to describe the lived experiences of investigative civilian review board (CRB) members. The central research question of the study examined the lived experiences of investigative civilian review board members as it related to recruitment and selection, training, and support. Eight participants from two CRBs in the Northeast and Midwest formed a random sample of six females and two males. Three data collection instruments were used in this research (in-depth interviews, writing prompts, and personal narratives) to elicit information. The instruments were designed to prompt information about CRB members' experiences based on the …

Strategies To Improve Hospital Patient Satisfaction To Increase Performance-Based Reimbursements, Celso G. Silla Iii

Walden Dissertations and Doctoral Studies

Officials from the Centers for Medicare and Medicaid Services (CMS) created the hospital valued-based purchasing (VBP) program focused on controlling cost, inefficiencies, and quality-of-care. Hospital leaders are incentivized or penalized based on meeting quality outcomes and risk millions of dollars in reimbursement if they do not meet the quality-of-care standards specified in the CMS hospital VBP program. Grounded in the transformational leadership theory, the purpose of this qualitative multiple case study was to explore strategies hospital leaders used to improve patient satisfaction to increase VBP performance-based reimbursements. Participants included eight hospital leaders from seven hospitals in California who successfully implemented …

Effective Succession Planning And Organizational Development For Behavioral Health Leadership, Amanda Brown

Walden Dissertations and Doctoral Studies

High turnover rates can challenge an organization's ability to provide quality care to clients, maintain a safe environment, and achieve strategic goals. Effective retention strategies can allow the organization to grow and develop to continue to provide services for those in need. The focus of this study was identifying how an organization can improve its retention strategies, create succession plans, and decrease turnover to encourage organizational growth. The Baldrige Excellence Framework was used to guide the study, focusing on leadership, workforce, operations, and management. Data were collected through multiple sources. Semi structured interviews were used to gather data through open-ended …

Strategies To Increase Emergency Department Patient Flow, Judith Faith Jones

Walden Dissertations and Doctoral Studies

AbstractOvercrowding in emergency departments (EDs) is a systemic issue, resulting in inefficiencies affecting patient care quality. Hospital leaders struggle with reducing bottlenecks in EDs and providing a better patient care experience. Grounded in the general systems theory, the purpose of this qualitative single case study was to explore strategies used to reduce inefficiencies in EDs. The participants included five directors, administrators, and clinical managers from a hospital ED in Idaho Falls, Idaho, who successfully used strategies to reduce inefficiencies in EDs. Data were analyzed from semistructured interviews and a review of organization documents and artifacts following Yin’s five-step data analysis …

Human Resource Managers’ Strategies To Reduce Coercive Management Practices, Lakerria Shantel Brown

Walden Dissertations and Doctoral Studies

Coercive management is a detrimental phenomenon in the health care industry that negatively impacts the organization and employees. Human resource managers in the health care industry who fail to identify and implement strategies to reduce coercive management practices experience poor employee engagement, increased voluntary turnover, and counterproductive work behavior by employees. Grounded in the leader-member exchange theory, the purpose of this qualitative multiple case study was to explore strategies human resource managers in the health care industry use to reduce coercive management practices. The participants were four human resource managers from the health care industry in Georgia who successfully developed …

Understanding Workforce Agility At Nasa Kennedy Space Center, Ledlyne H. Vazquez

Graduate Thesis and Dissertation 2023-2024

This study aims to define workforce agility via a literature review and a conducted research survey of the Kennedy Space Center (KSC) Engineering workforce. The survey results will help us determine the workforce agility of the KSC engineering team and understand what has allowed them to transition from the Space Shuttle Program to the new Exploration Ground System (EGS) program. Structural Equation Modeling was used to develop a model of relationships to test the hypotheses. The results show that organizational practices and psychological empowerment significantly support workforce agility. The implications of this study for understanding the characteristics of workforce agility …

Disparities In Mental Health Technology Among African Americans: Breaking Cultural Inclusion Barriers, Nyoki Cosey-Brown

DSW Capstone Projects

Mental health technology is a healthcare delivery model of the future. The engagement in virtual healthcare was intensified when traditional healthcare methods were inaccessible during the federal restrictions implemented due to the COVID-19 pandemic. Utilizing digital apparatuses for healthcare improved the convenience, efficiency, and accessibility of various mental health services that were inoperable in past healthcare models. However, the historical constructs of stigma, discrimination, inequity, exclusion, and structural racism in mental healthcare were prevalent problems that remained present in virtual mental health platforms concerning the experiences of African-American patients and professionals who utilized the spaces.

This research explored mental health …

Disconnected, Frustrated And Withdrawn: Institutional Policy Implications For Equity In Student And Faculty Community, Jessica Marie Welsh

Dissertations and Theses

DFW rates at intuitions of higher education for students from underrepresented populations trended higher than majority students. A single explanatory case study provides insight to the factors impacting DFW rates in first-year gateway courses at a four-year, public, comprehensive institution. The study employed the use of focus groups of students, non-tenure-track faculty, and tenure-track faculty. In addition, institutional data was collected and used to triangulate to the data collected from focus groups. The inductive results showed multiple institutional barriers causing DFW rates among first-generation, Pell Grant, and/or students of color. Using Turner and Angulo’s (2018) theoretical framework of high-risk decision-making …

An Analytic And Systemic View Of The Digital Transformation Of Healthcare, Xuejuan J. Zhang

Full-Text Theses & Dissertations

Industry 4.0 represents a digital revolution that is driven by technologies that blur the lines between the physical and digital worlds. Industry 4.0, the latest industrial revolution, is poised to have a profound impact on all aspects of society. In order to understand how the healthcare industry is being transformed by the convergence of the physical and digital realms, a systems perspective is taken in this study. Two research questions are addressed regarding the opportunities and interventions that can be provided by both analytical and systems conceptions of digital transformation. I use a systemic literature review approach to address the …

The Irony Of Accountability: How A Performance-Inducing Policy Reduces Motivation To Perform, Jose Eos R. Trinidad

Interdisciplinary Studies Faculty Publications

Although sociological and organizational studies have focused on the influence of quantification on behavior, the author focuses on quantification’s increasingly important consequences on well-being and motivation. Using the case of U.S. education, which has long relied on accountability policies, the author finds that attendance at schools with high-stakes accountability predicted lower student self-efficacy, that is, decreased task motivation and resilience as well as increased fear of failure—salient for low-income, urban, and public schools. These associations, however, did not spill over to social and life satisfaction dimensions of well-being. Taken together, these findings suggest the irony of accountability, where data used …

Beyond The Business Case: Moving From Transactional To Transformational Inclusion, Jamillah Bowman Williams

Seattle University Law Review

While workplace diversity is a hot topic, the extent to which the diversity management movement has effectively improved intergroup relations and reduced racial inequality remains unclear.1 Despite large investments in diversity and inclusion training and other company wide initiatives, historically excluded groups remain vastly underrepresented in leadership and the most lucrative careers, such as finance, law, and technology. This calls the efficacy of diversity, equity, and inclusion (DEI) efforts into question, particularly with respect to reducing racial inequality in the workplace.

This Article explains why it is time for organizational leaders to move beyond the transactional case for diversity and …

Jnchc: Journal Of The National Collegiate Honors Council; Forum Essays On "Regime Change In Honors," Vol. 24, No. 1, Spring/Summer 2023: Complete Issue, National Collegiate Honors Council

Journal of the National Collegiate Honors Council Online Archive

Contents

Call for Papers v

Editorial Policy, Deadlines, and Submission Guidelines vii

Dedication to James Joseph Buss ix

Editor’s Introduction, Ada Long xi

Forum Essays on “Regime Change in Honors”

A Defiant Honors Response to Regime Change. John Zubizarreta 3

Meet the New Boss: An Honors Faculty Member Weathers Administrative Change, Annmarie Guzy 13

Leveraging Regime Change as an Opportunity to Reimagine, Reset, and Demonstrate Results in Honors, Irina V. Ellison 19

Regime Change as Opportunity: A Case for a Radically Inclusive Response, Massimo Rondolino 25

Honors Flourishing in the Midst of Change, Hao Hong, Robert Glover, Mimi Killinger, and …

Value Propositions, Adoption Factors, And Implementation Considerations: Building A Path Towards Construction Innovation, Makram Bou Bou Hatoum

Theses and Dissertations--Civil Engineering

The construction industry has been influenced by a wave of technological advancements and trends that were introduced by the fourth industrial revolution or Industry 4.0. Mapped as Construction 4.0, these technologies are disrupting the way projects are designed, planned, constructed, delivered, and operated. While existing research has predominantly focused on technology adoption and use cases across the project lifecycle, limited attention has been given to the organizational perspective and explored Construction 4.0 as a transformative vision. As such, there is a significant need for decision science research to support decision-makers in understanding the value of Construction 4.0, gaining leadership buy-in, …

Persistence And Proliferation: Integrating Community-Engaged Scholarship Into 59 Departments, 7 Units, And 1 University Academic Promotion And Tenure Policies, Isabelle Jenkins, Emily Janke, John Saltmarsh, Melissa Quan

Scholarship and Professional Writing from the J.D. Power Center and Donelan Office

Choosing how to recognize community-engaged scholarship in promotion and tenure policies so that it is assessed accurately and fairly remains a relatively new and ongoing challenge for institutions of higher education. This case study examines how one U.S. research university integrated recognition of community-engaged scholarship across all levels of policy, including university, unit, and department. The terms used within and across policies reveal that while some terms were perpetuated across policies, many more terms proliferated across policies. Using organizational change and signaling theories, as well as the Democratic Civic Engagement Framework, analysis raises questions and insights regarding the use of …

We’Re Talking About Process: The Primacy Of Relationship And Epistemology In Defining Community-Engaged Scholarship In Promotion And Tenure Policy, Isabelle Jenkins, Emily Janke, John Saltmarsh, Melissa Quan

Scholarship and Professional Writing from the J.D. Power Center and Donelan Office

This study examines how community-engaged scholarship (CES) was defined and described in promotion and tenure policies at a university. Examining 67 policies across university, unit and department levels, findings show meaningful variability with regards to whether and how CES was defined or described. Analysis categorizes the types of descriptions used as outputs, outcomes, and/or processes related to or enacting CES. We address the importance of not just naming, but fully describing the core values of CES. We discuss the importance of process as a definitional characteristics, and relationships and epistemology in particular; and, the importance of continuing to explicate the …

Successful Admissions In A Time Of Great Uncertainty: A Case Study Of Employees' Perceptions Of Employee Well-Being And Emotional Intelligence, Sarah Freed

West Chester University Doctoral Projects

This qualitative embedded single-case study explores admissions employees’ perceptions of departmental success and individual employee well-being, including the role emotional intelligence has on these outcomes, through the lens of Bolman and Deal’s Four Frame Model (1984). This study is necessary because of the turbulent higher education landscape and because social factors contributing to this turbulence are expected to stay the same. More specifically, this study is situated in a thriving Office of First-Year Admissions at an institution within a public university system in a rural setting experiencing an unstable organizational landscape. I interviewed sixteen employees in a successful mid-size public …

Quality Check: How Good Is Your Emergency Management Program?, Kesley Richardson

West Chester University Doctoral Projects

As the evolution of Emergency Management continues, and the integration of public administration combines more of the shared services model to protect our communities and populations from disasters, we must first assess ourselves. Emergency Management agencies must do more than build capabilities but do so strategically with evidence-based practices and incorporate innovative structural adaptations such as models, strategies, skills, information, assessment, leadership approaches, and more into everyday operation and strategic planning. In coordination with the only Emergency Management accreditation program on the planet, a standardized quantitative assessment will increase a comprehensive understanding of capabilities while strategically supporting programmatic objectives.

This …

Onward To Omeka: A Migration Tale, Annie Benefiel

Scholarship and Professional Work

No abstract provided.

What Is Catholic Psychotherapy And How Should It Move Forward?, Thomas G. Plante

Psychology

Catholic psychotherapy is a critically important specialization that under-scores the need for culturally competent best practices. It integrates state-of-the-art psychotherapeutic professional services with the rich religious, spiritual, and cultural contributions and traditions of the Roman Catholic Church. Since the Church is the single largest religious denomination in the world and represents about a quarter of the United States population, there is ample need for Catholic-informed and engaged psychotherapists with expertise in working thoughtfully and sensitively with Catholic clients, including laypersons and clerics, and with Church institutions such as schools, hospitals, and charitable groups. While the Catholic Psychotherapy Association has been …