Digital Commons Network^™

The Effect Of Human Resource Business Partners' Power On Business Managers' Work Outcomes: The Mediating Role Of Voice, Wei Liu

Dissertations and Theses Collection (Open Access)

As a fundamental construct in social sciences, power is defined as an ability to influence others’ behavior to pursue one’s own interests, which affects the work outcomes of individuals within the organizations. The main purpose of Human Resource Business Partners (HRBPs) is to cooperate with business managers to achieve work outcomes, but in practice, HRBPs are often positioned differently in different organizations due to the lack of a precise definition of HRBPs, so their support to business managers is different. In-depth research on the power and influence of HRBPs can provide theoretical guidance for enhancing the internal work outcomes within …

A Systems Organizational Model Of Professional Role Development For New Apps: Building A Train The Trainer Program, Abigail H.B. Baugh

Yale School of Nursing Digital Theses

Most Advanced Practice Provider (APP) turnover occurs within the first year of practice. It is often linked to feelings of inadequacy caused by limited professional instruction and immediate expectations of full practice integration. These challenges are compounded further in systems with inconsistent onboarding processes and underprepared trainers, further exacerbating turnover rates. At East Carolina University (ECU) Health System, turnover rates for Physician Assistants and Nurse Practitioners reached 20% and 12%, respectively, surpassing national averages (ECU Health, 2024), highlighting the urgent need for a structured onboarding approach.A system-based Train-the-Trainer (TTT) program was developed to address these issues, focusing on essential areas …

Improving The Reporting And Tracking Of Hospital-Acquired Pressure Injuries, Melinda Rosado

Yale School of Nursing Digital Theses

Hospital-acquired pressure injuries (HAPIs) affect millions of patients a year, impacting patient safety and creating a significant financial burden for healthcare systems. Inadequate reporting and tracking of HAPIs lead to delays in care, inaccurate data reporting and missed opportunities for quality improvement. This is in large part due to a lack of training and education around HAPIs, poor communication of injuries during hand-off and a lack of system integration. A process improvement program to improve the reporting and tracking accuracy of HAPIs was piloted on two post-surgical units in a large urban cancer center. This initiative combined comprehensive training via …

Cultural Intelligence For Advanced Practice Providers: Moving A Contextually Based Model Forward For Workforce Training, René Padilla

Yale School of Nursing Digital Theses

Cultural Intelligence for Advanced Practice Providers: Moving a Contextually Based Model Forward for Workforce TrainingCultural Intelligence (CQ) among clinicians in primary care for the Hispanic population is inadequate (Da Costa, 2023). Cultural diversity training for patient care has been identified as a need to improve outcomes since the 1960s (Lin et al., 2017). In 2000, the Office of Minority Health (OMH) at the US Department of Health released the National Standards for Culturally and Linguistically Appropriate Services in Healthcare and updated those standards in 2013. Mainous et al. (2020) found that only 35% of primary care providers (PCPs) knew of …

Panel: Program For Advancing Nursing Excellence For Leaders, Christopher D. Tarquinio

Yale School of Nursing Digital Theses

Healthcare organizations strive for nursing excellence, evident through prestigious awards like Magnet® Recognition and the Beacon Award of Excellence®. Nurse leaders play a crucial role in fostering a culture of excellence, but many face challenges due to confidence levels. PANEL educates nurse leaders on the connections between nurse satisfaction, patient satisfaction, and nurse quality measures (NQMs). By applying PANEL principles and transformational leadership, healthcare systems can positively impact nurse satisfaction, patient satisfaction, and NQMs. The aims of this project were: to develop a nursing excellence program for nurse leaders within a community-based healthcare system with the goal of connecting the …

Changing The Vantage Point Of Nurses Toward Evidence-Based Practice: Embedding Storytelling Into A Novel On-Demand Micro-Learning Program, Janet Ruscoe

Yale School of Nursing Digital Theses

CMS withholds billions in payments to fund VBP and incentivize hospitals to improve care. Achievements in TPS, which includes patient satisfaction and safety domains, is an opportunity to earn back incentive payments. Advancing nurses' adoption of EBP helps keep patients safe, improves satisfaction, and supports hospital financial viability (Kemp et al., 2023). However, gaps exist in the competency and application of EBP (Melnyk et al., 2018). A curriculum was developed to improve nurses' perceptions of EBP value. A storytelling, micro-learning approach was utilized to deliver the EBP-relevant knowledge. The digital platform provided on-demand, unlimited re-entry features that optimized flexibility, convenience, …

Implementing A Patient-Centered Pediatric Obesity Protocol In A Population With Social And Environmental Risk Factors, Carolyn Walsh

Yale School of Nursing Digital Theses

Children and adolescents exposed to adverse childhood experiences (ACEs) and negative social determinants of health (SDoH) have an increased risk of developing pediatric obesity. The American Academy of Pediatrics Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity (2023) recommends assessing these factors in children with obesity. At a School-Based Health Center (SBHC), the standard of care for pediatric obesity did not include ACEs and SDoH screening, highlighting a gap in practice. This Doctor of Nursing Practice project developed, implemented, and evaluated a patient-centered pediatric obesity protocol incorporating ACEs, SDoH screening, and referrals to patient-centered …

Addressing Intergenerational Retention And Workplace Satisfaction Factors With A Workshop For Nurse Leaders, Elizabeth Labish

Yale School of Nursing Digital Theses

Nursing is a multigenerationally diverse workforce, with up to five generations (Traditionalists, Baby Boomers, Generation X, Millennials, and Generation Z) contributing simultaneously (Gerhardt et. al, 2022). Each generation holds varied work preferences and retention drivers, which manifest as unique drivers of preventable turnover. Leaders can reduce turnover and its associated costs by cultivating a multi-generationally preferred work environment (Koehler & Olds, 2022). The purpose of this project was to deliver a workshop for nurse leaders to improve their knowledge about leading multigenerational workforces. Following literature review, A 2.5 hour in-person workshop was created and delivered at a community hospital. The …

Evaluating The Impact Of The Bedside Mobility Assessment Tool (Bmat) On Nursing Staff Confidence In Patient Mobilization: A Pre And Post Implementation Study, Katelyn Kern, Shonali Prasad

Doctor of Nursing Practice Projects

Background Hospitalized patients are at high risk for functional decline due to immobility. Despite the benefits of early mobility, consistent assessment and promotion of mobility remain challenging, partly due to low nursing confidence. The Bedside Mobility Assessment Tool (BMAT) has shown promise in addressing these issues. The purpose of this project was to evaluate the impact of BMAT education and unit-wide implementation on nursing staff confidence in assessing patient mobility among adult inpatients on an acute care unit at a level one trauma center in Seattle, Washington.

Methods This quality improvement project included BMAT education (a one-hour Zoom session on …

Fostering Collaboration And Synergy: Utilizing The Lorna Model Of Problem Solving To Assist New Leaders With Pre-Existing Teams, Kennetia A. Brooks

Doctor of Leadership Projects

New leaders can face several challenges that hinder their ability to succeed. Ranking high on these challenges is the absence of developed skills to manage others, make strategic decisions, and navigate new workplace cultures. Another hurdle can be an inability to build effective, synergetic teams. Specific leadership training is necessary to establish collaboration and success amongst team members. Through literature research and leadership experiences, one training has been developed and used to equip new leaders for these tasks. The LORNA Model is a prescriptive approach to problem-solving that intentionally navigates through workplace relationships and incorporates elements of team members’ recognition, …

A Triage Process To Decrease Door To Ekg Times For Adult Patients With Suspected Cardiac Abnormalities In The Emergency Department, Khay Douangdara

DNP Projects

Objective: The emergency department (ED) triage process for adult patients presenting with suspected cardiac abnormalities should be reliable; however, delays in identifying significant cardiac rhythms can negatively impact patient outcomes. The American Heart Association (AHA) and the American College of Cardiology (ACC) recommend that patients presenting to the ED with cardiac-related concerns undergo an electrocardiogram (EKG) within 10 minutes of arrival. This project aimed to educate ED nurses and implement changes in the triage process to reduce door-to-EKG times for adult patients with suspected cardiac abnormalities.

Methods: This quasi-experimental study utilized a pre- and post-intervention design to evaluate the effectiveness …

Improving The Diabetic Foot Screening Process And Foot Care Patient Education In A Primary Care Setting, Keelie Tillett

DNP Projects

Background: Foot ulcerations are a common diabetes-associated complication that can lead to significant morbidity, mortality, and financial burden for patients and health care systems. Health care providers (HCPs) play an important role in providing diabetic foot care. Despite national guidelines recommending HCPs perform an annual foot exam in all individuals with diabetes to recognize at-risk feet, research shows that many patients with type 2 diabetes (T2DM) do not receive routine diabetic foot exams (DFE) in the primary care setting.

Purpose: To evaluate the effect of provider education, a standardized DFE template, an electronic health record (EHR) alert, and online educational …

Evaluating The Effect Of A Mindfulness App On Pediatric Nurses Caring For Adolescent Patients Diagnosed With Disordered Eating, Kaitlyn Green

DNP Projects

Abstract

Background. The health and wellbeing of nurses are affected by the demands of their workplace and the people that they care for. In turn, nurses’ wellbeing affects their work and patient outcomes. There are opportunities to address certain workplace structures, systems, and policies that create stressors and lead to burnout, fatigue, and poor mental and physical health. For nurses to continue to provide quality care in environments that have increasing demands, they must first feel healthy, well, and supported themselves. Healthcare leaders have a role in ensuring the wellbeing of their nursing staff. Compassion fatigue is a large focus …

The Dynamic Integration Of National Culture In Organizational Structure For Entrepreneurial Success, Qianyu Lim

Senior Honors Theses

The impact of culture on management decisions has been heavily researched and discussed in the academic setting. However, the tools and frameworks currently applied in cultural studies present a static version of culture at a certain point in time. As entrepreneurship and its counterpart, intrapreneurship, arise to help create competitive advantage in a quickly shifting economic market, these points raise the question of the opportunity surrounding the consideration of culture as a living model in an equally dynamic business environment. To do so, a reiterative version of Bain’s Structure-Conduct-Performance paradigm will be used to illustrate the impact of culture in …

Don’T Do More With Less: Sustainable Work As A Management Value, Amanda Koziura

Library Faculty Research

Discusses a series of decisions a middle manager made to keep the work of her department sustainable and how she incorporated her values into her process.

From Theory To Practice: Addressing The Operational Challenges Of School Principals, Darin Murry Scherr

Theses and Dissertations

School principals play a crucial role in the effectiveness of educational institutions, yet many enter leadership positions lacking adequate preparation for operational responsibilities. This Dissertation in Practice examines the challenges principals face in managing financial, staffing, and facility operations and the impact of these challenges on principal retention. Using a qualitative multiple-case study approach, the research investigates the experiences of new and veteran principals within Bismarck Public Schools to identify gaps in their operational preparedness.Findings highlight five key themes: (1) gaps in financial and budgetary training, (2) the role of mentorship and support systems, (3) balancing instructional leadership with operational …

The Long-Term Psychological Effects Of Violent Crime On Victims: A Review Of Evidence And Supportive Interventions, Jayden E. Oleksyn-Lamb

Graduate Theses/Dissertations

This study utilizes anonymous survey data collected from 26 mental health professionals in various regions of Canada to understand which psychological disturbances are the most prevalent among victims of violent crime as well as which psychological interventions are most beneficial for treating violent crime victims. The data revealed that Post-Traumatic Stress Disorder (PTSD), Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), anger, guilt, self-blame, and shame are each highly prevalent. Findings also revealed that certain therapeutic methods including Eye Movement Desensitization Reprocessing (EMDR), Supportive Counselling (SC), Progressive Relaxation (PR), Cognitive Reprocessing Therapy (CPT) and Cognitive Restructuring (CR) are associated with …

Examining The Practice Of Teacher Leadership Across Nevada: How Is Context Associated With Practice?, Peter Wiens, Kaavonia Hinton, Ami Pritchard

Teaching & Learning Faculty Publications

Teacher leadership (TL) is recognized as vital to creating effective schools with demonstrated benefits to principals, teachers, and students. Teacher leadership is defined in this study as teachers leading from within and beyond the classroom in both formal and informal capacities. TL can take the form of a variety of behaviours such as professional learning, the leading of professional development, collaboration, shared leadership, and equity leadership. While there are commonalities, the practical applications of TL can vary greatly from context to context. Even within specific policy contexts, TL can vary from school to school. This article analyzed the responses of …

Transforming Online Courses: Practical Strategies For Educators, Jacqueline A. Gilbert, Kelly G. Manix, Kristie A. Abston

Journal of Excellence in College Teaching and Learning

In this article, we examine strategies for enhancing student engagement in online higher education courses through targeted course restructuring. Given the increased demand for high-quality online learning, it is essential for institutions to adopt a proactive, student-focused approach to course design and delivery. The paper highlights research underscoring the critical connection between active student participation in online courses and improved academic performance. It emphasizes the fundamental need for strategic organization and consistent course design to foster engagement and optimize student learning. Our research explores the value of soliciting and implementing student feedback through multiple mechanisms, including pre-term and midterm surveys, …

Mandatory Grade Retention: A Phenomenological Study Of The Lived Experiences Of Principals During The Implementation Of The Alabama Literacy Act, Kiana Billings Coleman

All ETDs from UAB

ABSTRACT For over 40 years, the standards-based reform movement has significantly influenced educational policy in the United States (Shanahan, 2014). Educators across the country are under increasing pressure to improve student achievement as states implement policies that link test scores to accountability measures. Recently, the adoption of mandatory grade retention policies has emerged as a popular intervention for addressing low academic performance. Effective leadership is vital to the success of policy initiatives. However, there is limited research on how school principals experience mandatory retention policies. Understanding how administrators navigate retention policies is essential for identifying effective leadership strategies that facilitate …

Refining Albert O. Hirschman’S Model: High-Performance Employee Covert Behavior Toward Organizational Identity Change, Lisa Christine Bahar

Theses and Dissertations

This explanatory single case study revisited economist and philosopher Albert O. Hirschman’s (1970) exit, voice, and loyalty (EVL) model to explore two covert scenarios, which included how and why a high-performance employee stays silent and turns to apathy and neglect amid organizational identity change. A case study focused on Elon Musk’s Twitter, Inc. takeover was selected with a cross-case analysis procedure for validation and reliability. The unit of analysis was one high-performance employee and one organization that both served as an archetype for each unit. The study focused on occurrences before and during the takeover from June 2019 through July …

Consumer Satisfaction & Complaint Resolution In The Los Angeles Home Improvement Industry, Aimee Joy

Theses and Dissertations

Home has many layers of meaning as does the term, home improvement. The first and most common way of thinking about home is the structure in which we reside. For decades the American dream has involved home ownership. It is important to understand both the emotional and financial value of having a shelter and structure to call home. Losing this can be one of the most stressful events in life. The fires in Los Angeles County during the beginning of 2025 impacted thousands of people. Individuals, families, and communities were disrupted and forced to rebuild as well as reconsider what …

Culturally Specific Interventions And Indigenous Practices In Correctional And Forensic Settings: A Systematic Review, Jordyne James

Theses and Dissertations

While professional guidelines, legislation and research emphasize the importance of adapting treatment approaches to patient characteristics and culture (American Psychological Association [APA], 2021, 2019; Correctional Service of Canada [CSC], 2013; Canadian Psychological Association [CPA], 2017; Canadian Counseling and Psychotherapy Association [CCPA], 2021), psychological and forensic research and practice related to culturally specific programming lags behind expectations to meet the needs of ethnically diverse clients. Given the continued overrepresentation of minorities within forensic institutions (Aguiar, 2020; Carter & Forsyth, 2007; Hanser & Gomila, 2015; Leguizamo et al., 2018), this systematic review aimed to raise awareness of culturally-specific interventions and Indigenous practices …

Assessing The “Plateaus” Vertical Development Model With A New Likert Scale Instrument, Mark Divine

Theses and Dissertations

This research project will focus on the assessment of the Five Plateaus (Plateaus) vertical leadership development model with a newly constructed Likert Scale instrument. Part one of the research project was a pilot study to create a simple, internet-based instrument. The scale, comprised of 100 questions and completed in 30 minutes, assesses participants' self- perceived stage of development as presented in the Plateaus vertical development model. The instrument was designed to capture the experience of participants and to overcome limitations of existing assessments by mitigating the subjectivity of sentence completion instruments, as well as to enhance efficiency and reliability. The …

Leading Organizational Learning Through Stories In U.S. “Big Technology” Companies, Stephanie R. Voss

Theses and Dissertations

Storytelling is becoming increasingly influential across various domains, particularly in executive education and leadership development, where it plays a crucial role in the concept of leadership as performance (Gonzalez & Chakraborty, 2012). Storytelling in the classroom setting provides an opportunity for learners to embed elements of narrative and identity in classroom pedagogy (Edwards et al., 2013). In the professional context, employees construct meaning in their workplace by hearing and/or participating in stories (Echeverria et al., 2017).

This qualitative exploratory study investigates the influence of storytelling in driving organizational learning. The research focuses on the U.S. Big Technology (Tech) sector, home …

Cultivating Ethical Leadership In Middle Management: A Qualitative Study Of Formative Experience And Organizational Support, Cha Vang

Theses and Dissertations

Why is ethical leadership foundational for middle managers, especially in complex organizational settings? This study investigates the foundational factors that shape how ethical leadership emerges among middle managers. Through a qualitative phenomenological approach, cross-sector interviews revealed that ethical leadership is not defined by position but is shaped by identity, relational support, and experiential growth. Middle managers act as ethical interpreters, translating organizational values into action where ambiguity and pressure are highest. It is imperative that middle-management leadership cultivation is grounded in identity awareness, relational accountability, and intentional development, minimizing dysfunction and strengthening ethical resilience in complex organizational systems.

The Impact Of Decision-Making Autonomy, Sense Of Shared Identity, And Communications Strategy On Resource Retention Post-Merger And Acquisition, Randeep Rajwant Kaur

Theses and Dissertations

This thesis investigates the impact of decision-making autonomy, a sense of shared identity, and communication strategy on resource retention following mergers and acquisitions. Grounded in organizational development literature, the study examines employee experiences during post-integration periods. Using a qualitative methodology, ten semi-structured interviews were conducted with employees who remained with their organizations for at least twelve months following a merger or acquisition. The research utilizes thematic analysis to explore how autonomy constraints, leadership engagement, transparent communication, and cultural alignment influence retention decisions. The participant sample spans diverse industries such as software, healthcare, financial services, and others, with roles ranging from …

Experiential Learning In A Hybrid Principal Certification Cohort Degree Program, Kevin F. Hub, Ann H. Burns

Pedagogicon Conference Proceedings

Eastern Kentucky University (EKU) offers principal certification through a specialized Hybrid Principal Certification Cohort Degree (HPCCD) Program. Invited candidates are offered the opportunity to dive deeper into the curriculum, complete a broader range of field and clinical experiences, and develop their leadership skills through a series of experiential learning assignments.

What Factors Improve Police Legitimacy?, Nyomi Powers

Honors Undergraduate Theses

Legitimacy in law enforcement can be defined as the perception of the police as an appropriate and respected source of power and authority. United States law enforcement is facing a legitimacy crisis stemming from a growing distrust in the police and decreased police community relationships. In order to address this problem, solutions are being sought in both police agencies and by researchers in the field. This systematic review aims to compile all relevant experiments and analyze the findings to create a comprehensive list of policy implications that most effectively improve police legitimacy. For experiments to be included in this review, …

Trauma-Informed Beliefs And Our Child Welfare System, Gabriela Ana Aisenberg

Theses and Dissertations

The integration of trauma-informed care (TIC) into behavioral health and child welfare systems has garnered increasing attention, reflecting a growing acknowledgment of the pervasive and multifaceted impacts of trauma on individuals, families, and service delivery structures (Barnett et al., 2019; Bartlett et al., 2018; Bassuk et al., 2017; Substance Abuse and Mental Health Services Administration [SAMHSA], 2014). Legislation such as the Family First Prevention Services Act (FFPSA) has led to increased adoption of trauma-informed practices through increased funding for training and services (Bowen & Murshid, 2016; Brown et al., 2023). Research shows that providers’ understanding and implementation of TIC is …