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Intentional Interim Ministry : Another Tool For Church Revitalization, Ellen M. Mccubbin

ATS Dissertations

No abstract provided.

Dnp Final Report: Vascular Access In Burn Patients: An Evidence-Based Practice Project, Amanda Venable

DNP Final Reports

Vascular access in burn patients is a challenging aspect of care that affects the healthcare team and patients daily. The goal in this evidence-based practice project at a southern United States burn center was to improve the quality of the vascular access process by reducing the use of Central Venous Lines (CVL) and unsuccessful venipuncture attempts. The following practice question was formed: In hospitalized burn patients (P), how does a vascular access team with ultrasound-guided peripheral IV capability (I) compared with no vascular access team and standard IV insertion (C) affect central line days (O1) or patient experience (O2) during …

Cultivating Sense: Cultural Change In The Prosecutor's Office, Shih-Chun Steven Chien

Minnesota Journal of International Law, Vols. 28:2 onward (2019-present)

Prosecutors exercise broad discretion. They are widely viewed as the gatekeepers of the criminal justice system. To date, studies on prosecutors in different jurisdictions have largely focused on how to conceptualize, manage, and eventually control the exercise of prosecutorial discretion. Scholars have recently turned their attention to the importance of internal organizational management and leadership’s role in changing office culture as a means to regulate prosecutorial discretion. But we have limited empirical evidence as to how changes occur within a prosecutor’s office and what precise role organizational leaders play during this process. This Article constructs a new paradigm for the …

2023 Scotus Report: Americans Reacted With Disgust And Sadness Toward The Scotus' Recent Rulings, Yi Luo, Bond Benton, Jin-A Choi, Keith Strudler, Keith Green

College of Communication and Media Scholarship and Creative Works

On June 29, SCOTUS struck down affirmative action, ruling the race-conscious admissions programs at colleges and universities unconstitutional. Then, on June 30, SCOTUS handed down another landmark ruling which outlawed student loan forgiveness and terminated President Biden’s plan to provide student loan reliefs for tens of millions of Americans. This high court’s decision on student loans will likely affect one in eight Americans, leaving student loan borrowers feeling frustrated, defeated, and angry. As online media have increasingly played a central role in facilitating civic engagement and shaping individuals’ decisions on contested issues, this study thus examines how social media users …

Therapeutic Inertia In The Pharmacologic Treatment Of Type 2 Diabetes Mellitus: Investigation Of Causes And Recommendations For Change, Kelly Walton

Doctor of Nursing Practice Projects

Diabetes mellitus (DM) is a pervasive chronic condition and a serious global health issue. Type 2 diabetes mellitus (T2DM) comprises approximately 90-95% of all DM cases (Centers for Disease Control and Prevention [CDC], 2022). The prevalence of T2DM has risen rapidly over time; in fact, the number of adults diagnosed with T2DM over the past 20 years has more than doubled (CDC, 2022). T2DM currently affects an estimated 462 million people globally (equal to 6.28% of the world’s population), including more than one out of every 10 Americans (American Diabetes Association [ADA], 2018; CDC, 2022; Khan et al., 2020). In …

In A Free, Rural Primary Care Practice : Implementation And Evaluation Of A Depression Screening Tool For Adult Individuals In Rural Primary Care, Amy Snow

Doctor of Nursing Practice (DNP)

There is a high prevalence of depression in the rural primary care population. This project aimed to identify patients suffering from depression in a rural primary care clinic. The project’s goal was to improve the diagnosis and treatment of major depression in adults through the implementation of the Patient Health Questionnaire-2 (PHQ-2) and the Patient Health Questionnaire-9 (PHQ-9). Follow-up visits were conducted over a 12-week period to assess patients’ response to pharmacotherapy and/or psychotherapy established by the current American Psychological Association guidelines. Identification of depression through the use of screening protocols assists in appropriate diagnosis and treatment plans. The project …

A Brighter Future For Sms: Cultivating School Coherence Through A Shared Vision, Nicole K. Herndon, Heather Holcomb, Audra Krupp

Doctor of Education Capstones

Staunton City Public Schools submitted an RFA (Request for Assistance) to Virginia Commonwealth University (VCU) to address concerns at Shelburne Middle School related to teacher satisfaction, student discipline, and student achievement. Document and data analysis, a site visit, and partner interviews surfaced issues of organizational fragmentation; the capstone team identified the need for a collaboratively constructed and implemented vision to better cohere the school. Through document analysis and stakeholder surveys, our mixed methods study aimed to understand stakeholder views on three aspects to support the work of the leadership team at SMS. First, the capstone team identified the needs in …

Online + International: Utilizing Theory To Maximize Intercultural Learning In Virtual Exchange Courses, Gudrun Nyunt, Elizabeth Niehaus, Ashley Light, Alex Boryca, Angela Bryan

Department of Educational Administration: Faculty Publications

Virtual exchanges (VEs) are course-based experiences designed to promote global learning, often by integrating cross-cultural interactions and collaborations with people from other areas of the world into coursework in a virtual format. Due to the widespread disruption of the COVID-19 pandemic, VEs have seen an increase in popularity. However, research findings on the effectiveness of VEs are mixed, and limited guidance is available to VE instructors on how to structure and facilitate these programs. The purpose of this paper is to highlight how theories and literature in two distinct areas of scholarship, Intergroup Contact theory and the Community of Inquiry …

Training Strategies To Improve Salesperson Confidence And Production, William B. Bronson

Walden Dissertations and Doctoral Studies

Many sales leaders need strategies to improve the productivity and confidence of their sales personnel. Ineffective sales training programs cost organizations billions of dollars in annual revenue and profits. Grounded in adaptive leadership theory, the purpose of this qualitative mini-ethnographic multiple-case study was to explore successful strategies used by sales leaders that combine and balance virtual and online resources with traditional face-to-face training methods to increase the productivity and confidence of sales personnel. Data were collected by interviewing eight salespeople and two sales managers spanning two Texas insurance companies and reviewing company documents. Data were analyzed using Yin’s five-step process …

Experiences And Attitudes Regarding The Availability And Usage Of Telemedicine Services Among Providers During A Pandemic, Keya Gaston Brooks

Walden Dissertations and Doctoral Studies

Telehealth became a prominent fixture in the way healthcare was delivered during COVID-19. Providers were forced to offer telehealth as an optional mode of care. Although little research was available, studies about the experiences and attitudes of providers regarding their intention and willingness to use telemedicine before the pandemic was exiguous. The purpose of this study was to understand providers perception and use behavior patterns regarding the acceptance and adoption of telemedicine during the pandemic. Data collected from the COVID-19 Healthcare Coalition Telehealth Impact Survey was used to help characterize the experiences and attitudes of providers regarding telehealth utilization during …

Health Leadership And Management Practices That Support Accountability For Results, Peter Kayiira Byansi

Walden Dissertations and Doctoral Studies

Although leaders are expected to nurture and sustain a culture of accountability for results, little is known about how health leaders in developing countries perceive, interpret, demonstrate, and promote accountability in their day-to-day practices. The purpose of this generic qualitative study was to explore the management and leadership practices that leaders of public and non-profit health support organizations in Uganda utilize to embody and support accountability for key stakeholders’ results. Data from in-depths interviews with 13 participants at the governance, senior management, and middle management levels were analysed using thematic data analysis. Riggio's conceptualization of using multiple perspectives and disciplines …

Succession Planning Strategies For Nonprofit Organizations, Chandler Campbell

Walden Dissertations and Doctoral Studies

Nonprofit organizations are cornerstones in the community that contribute to improving environments, communities, persons, and life overall. However, some nonprofit organization senior leaders lack the succession planning strategies, resources, and funding to continue serving as positive social change agents in the community. Grounded in the general systems theory, the purpose of this qualitative single case study was to explore business strategies nonprofit leaders use for succession planning. The participants included three senior leaders in a nonprofit located in the northeastern region of the United States who have indirectly or directly implemented succession planning strategies. Data were collected through semistructured interviews, …

The Relationship Between Customers’ Satisfaction And Trust In The Global Supply Chain And Profitability, Azeal Gilham

Walden Dissertations and Doctoral Studies

The inability to meet customer demands and expectations impacts an organization’s profitability. Understanding and meeting customer needs are critical for the financial success of business owners. Grounded in the theory of constraints, the purpose of this quantitative ex post facto study was to examine the relationships between customers’ satisfaction and trust in the supply chain and profitability. Secondary data (n = 121) were collected from the Elsevier Research Database using archival data collected from an automotive factory. Data were analyzed using multiple linear regression, and the results were statistically significant, F (2, 118) = 264.347, p < .001, R2 = .90. In the final model, both predictor variables were significant, customers’ satisfaction: mean wait time (t = 22.991, p < .001, β = 16.23); and customers’ trust: minimum stock level (t = 7.306, p < .001, β = .118). A key recommendation is for business leaders to satisfy customers and gain their trust by creating sufficient inventory stocking levels and improving replenishment timeframes that meet customers’ supply chain demands. The implications for positive social change include the opportunity for supply chain managers to develop an effective supply chain that may contribute to the quality of service that promotes success in regional markets, sustain growth, and allows for social development among the local community workforces.

The Effect Of Public Budgeting Decisions And Tuition Costs On Student Graduation Outcomes In Michigan, Travis Charles Hadden

Walden Dissertations and Doctoral Studies

AbstractTuition costs for U.S. public universities have steadily risen in response to decreased state funding in the aftermath of the 2008 Great Recession. Researchers have studied the relationship between public budgeting and higher education but have not established the direct effects of budgeting decisions on student graduation outcomes. The purpose of this quantitative study was to understand why state funding has not kept up with tuition prices and how that affects student graduation rates. The effect of (a) tuition costs and (b) Michigan state funding for public universities on student outcomes was examined. Punctuated equilibrium theory and policy feedback theory, …

Leadership’S Impact On Employee Work Motivation And Performance, Tonia Marilu Joseph-Armstrong

Walden Dissertations and Doctoral Studies

AbstractLeadership is a major factor in terms of motivating employees, leading to enhanced performance. A study was conducted to examine the influence of supervisory leadership style on employee work motivation and job performance in organizations, specifically in a K-12 school setting. The main goal was to determine if there is a relationship between type of leadership demonstrated by school administrators and its impact on the teaching staff’s motivation and performance. Data for this quantitative study were gathered and analyzed from various public and private schools and included a sample of 100 participants. The predictor variable leadership was assessed using the …

Professional Development Needs Of Early Childhood Educators Teaching Children With Challenging Behaviors, Latashia L. Kelly

Walden Dissertations and Doctoral Studies

AbstractEarly childhood educators have struggled to teach children with challenging behaviors, which can lead to suspension and expulsion. Although early childhood educators have limited professional development training in challenging behaviors, they are often not equipped to teach children with challenging behaviors. There is little research on how early childhood educators perceive their current training regarding teaching children with challenging behaviors. Exploring early childhood educators’ perceptions can determine what they need to teach children with challenging behaviors for a thriving classroom environment. The purpose of this basic qualitative study was to better understand educators’ perceptions regarding the type of professional development …

Succession Planning Strategies In Polish Family-Owned Businesses, Jan Marcin Klaczak

Walden Dissertations and Doctoral Studies

Family-owned businesses contribute to social and economic advancement, yet many business owners struggle with employing succession planning during intergenerational leadership transitions. Family business leaders are concerned with identifying effective succession planning strategies for the leadership transition to the next generation for business continuity. Grounded in Rothwell’s seven-step model for succession planning, the purpose of this qualitative multiple-case study was to explore succession planning strategies Polish family business leaders used for the leadership transition to the next generation. Three Polish family business leaders who successfully implemented succession planning in their organizations participated in the study. Data were collected through semistructured interviews, …

Executive Transition In Nonprofit Organizations, Gail Quincene Knight

Walden Dissertations and Doctoral Studies

Many nonprofit organizations lack strategies for succession planning and executive transitions. Without effective talent management and succession planning strategies, nonprofit organizations are in jeopardy of survival. The purpose of this multiple qualitative case study was to explore how nonprofit organizations in a southwestern state without a succession plan in place prepare for executive transition when an impending change is imminent. These multiple case studies were based on the conceptual framework of transition management. Identified through purposive sampling, 12 participants (two senior-level executives and two board members) from three nonprofit organizations in a southwestern state were interviewed using semi-structured questions. Also, …

Strategies For Emotional Intelligence Training For Improving Employee Performance, Dale Elizabeth Laing-Hall

Walden Dissertations and Doctoral Studies

The nursing home industry's lack of emotional intelligence (EI) can negatively impact patient satisfaction and performance. Nursing home leaders who lack strategies to apply EI training to increase job satisfaction, reduce employee turnover, and improve interpersonal skills risk financial loss and business failure. Grounded in the EI framework, the purpose of this multiple qualitative case study was to explore strategies nursing home leaders use to apply EI training to reduce employee turnover, increase job satisfaction, and improve interpersonal skills for performance improvement. The participants comprised four nursing home leaders from multiple nursing homes in Florida who implemented strategies to reduce …

Future-Oriented Strategies That Small 501(C)(3) Nonprofit Organizations May Use To Support Financial Sustainability, Justine Lownsbury

Walden Dissertations and Doctoral Studies

The age of mortality for a nonprofit organization is between 6-15 years. The problem is that leaders of nonprofit organizations face challenges in financially sustaining nonprofit operations, which directly affects the ability to achieve and maintain the organizational mission. The purpose of this qualitative classical Delphi study was to explore how an expert panel of nine purposively selected U.S.-based stakeholders from small U.S.-based 501(c)(3) nonprofit organizations viewed the desirability, feasibility, and importance of future-oriented strategies to support financial sustainability. The research questions addressed this purpose. The conceptual framework was rooted in effective leadership, innovation, sustainability, and positive social change, as …

Perceptions Of Women Of Color Improving Patient Outcomes Through Hospital Leadership Advancement, Benita A. Mclarin

Walden Dissertations and Doctoral Studies

Women of color have been underrepresented in hospital leadership positions and face challenges in advancing their careers. The benefit to hospitals providing women of color with training and support to move into leadership positions may be improved patient outcomes. Grounded in the interactional model of cultural diversity framework, the purpose of this basic qualitative study was to explore the perceptions of women of color advancing in leadership roles in hospitals and their impact on patient outcomes. The study participants included 16 women of color in leadership positions from hospitals in a western U.S. state. Data were collected through semi structured …

Leadership Strategies To Prevent Unethical Employee Behavior, Gregory O'Donnell

Walden Dissertations and Doctoral Studies

Preventing unethical employee behavior in the workplace is a key concern of business leaders. Business leaders are concerned that their businesses cannot prevent employee unethical behavior in the workplace. Grounded in the transformational leadership theory, the purpose of this qualitative multiple-case study was to explore leadership strategies that business leaders use to prevent unethical employee behavior in the workplace. Participants in this study comprised three business leaders from private sector organizations in the surrounding areas of San Antonio, Texas, who used strategies to prevent unethical behavior in the workplace. Data were collected from semi-structured interviews and company documents. Thematic analysis …

Development Of A Standardized Novice Neonatal Nurse Orientation Program, Joanne Rau Pasinski

Walden Dissertations and Doctoral Studies

Abstract Neonatal intensive care units (NICUs) are fast-paced units requiring skilled nurses to care for a unique patient population. Orientation of new nurses to the NICU can be challenging for both the orientee and the preceptor. Offering an evidence-based practice orientation program by an accredited organization that is specific to NICU can be a valuable tool for both the preceptor and the orientee as well as enhance nurse, patient, and organizational outcomes. The project question explored if use of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) 15-module nursing orientation program for RNs in a NICU increased their …

Reducing Opioid Prescribing By Using The Center For Disease Control Guidelines, Christina Marie Peters

Walden Dissertations and Doctoral Studies

Opioid abuse is a serious national health crisis resulting in overdose and increased mortality in chronic pain patients. The purpose of this evidenced-based, quality improvement (QI) project was to improve primary care provider’s (PCP) awareness of The Center for Disease Control and Prevention’s (CDC) opioid prescribing guidelines to reduce opioid prescribing at this project site. The Donabedian model of structure, process, and outcome was used as the framework for this QI project. Lewin’s change management model of unfreezing and freezing was used as a guide to implement organization change by creating problem awareness, seeking alternative methods, and integrating the new …

Strategies For Promoting Inclusion And Employee Engagement To Improve Remote Teams’ Performance, Bruce Edward Richardson

Walden Dissertations and Doctoral Studies

External factors such as the pandemic have forced organizational leaders to embrace flexible work structures. Differences in remote versus collocated workplaces escalate the importance for company leaders to uncover strategies to maintain employee engagement and performance. Grounded in the organizational support theory, the purpose of this qualitative multiple-case study was to explore strategies leaders of remote, diverse teams with high engagement and inclusion use to achieve high team performance. Data were collected using semistructured interviews from a purposeful sampling of five nationally distributed managers. A thematic analysis uncovered three themes: flexible leadership behavior, fair execution of human resource policy and …

Influence Of Staffing Shortages On Safety And Communication In Behavioral Health, Raven Brittany Robinson

Walden Dissertations and Doctoral Studies

At the selected behavioral health organization (BHO), leaders desire to improve patient safety and staff communication to provide quality mental health services. They need strategies to achieve these goals. The Baldrige Excellence Framework was used to identify the workforce challenges and practices that facility leaders can potentially use to improve performance to help achieve success, sustainability, and the mission of the BHO. The data sources consisted of (a) semistructured interviews with the CEO, the leader of the intake department, an intake therapist, an intake coordinator, and an RN and (b) reviews of the BHO’s website, and pertinent academic literature. Data …

Shifting The Paradigm Toward Intent To Stay: Creating A Nurse Career Crafting Program To Increase Nurse Engagement In An Urban Teaching Hospital, Jaclyn Davis

Yale School of Nursing Digital Theses

Nearly 50% of all RNs experience job disengagement, dissatisfaction, and signs of burnout during their career (National Academy of Medicine, 2019). RN burnout is largely the corollary of two predominant themes: perception of engagement in meaningful and motivating work and perception of personal ability to disconnect and decompress (Press Ganey, 2018). Job crafting skills guide people to make meaning of their work in difficult context, and their experience of work as a job, career, and calling. These skills help nurses align their strengths, motives, and passions within their roles. This DNP Project developed a Career Crafting Program using a modified …

Increasing Historically Underserved And Underrepresented Student Completion In Stem Pathways At A Hispanic-Serving Institution: An Action Research Study, Inez F. Olive, Kyle J. Winslow, Osurè L. Brown, Eric R. Marshall

Educational and Organizational Learning and Leadership Dissertations

There is a demand for accountability for higher education institutions to increase student completion, specifically for institutions that enroll many students from historically underserved and underrepresented populations (HUUP). Meanwhile, labor market analysis presents a demand for skilled and diverse workers in science, technology, engineering, and mathematics (STEM) fields. Hispanic-serving institutions (HSI) have an advantage when supporting student completion to meet this workforce demand. This inquiry employed participatory action research (PAR) through a partnership with an HSI in rural Washington State. Using transformative worldview as the theoretical framework, this study aimed to determine the influence of completion planning for STEM students …

Mindfulness And Identity Awareness: Tools To Support Teachers And Leaders Towards Diversity, Equity, And Inclusion (Dei) Practices In Schools, Joslyn Williams

Educational and Organizational Learning and Leadership Dissertations

Black women are too often at the assault of policies that inflict harm and often forced to seek legal redress after exhausting all nonlegal avenues available that are supposed to ensure that learning occurs in harm-free spaces (Ward, Hardaway, and Njoku, 2022). The examination of the place and work of spirituality, reflection, and the power of remembering (Dillard, 2019) is explored through narratives of Black women, highlighting two case studies of educators from perspectives within private and public institutions.

A need exists to explore and describe the experiences of Black women teacher-leaders as they engage with diversity, equity, and inclusion …

Barriers To Attending Vaginal Breech Birth In The American Healthcare System: A Qualitative Analysis, Hilary Schumer

Doctor of Nursing Practice Projects

A fetus is considered breech when the presenting part is the buttocks, foot/feet, or hips. Annually, approximately 5% of all pregnancies in the United States (U.S.) are breech at term (Centers for Disease Control and Prevention, 2021). Vaginal delivery of a breech baby is increasingly rare in the U.S., as 95% of those presenting as breech at term are delivered via cesarean section (Centers for Disease Control and Prevention, 2021). While the number of vaginal breech deliveries has been trending downwards since the 1970s, the rate dropped precipitously in 2000 after the Term Breech Trial (ACOG, 2020; Freeze, 2019; Hunter, …