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Culture Education Program To Improve Work Culture In Healthcare, Ngufor Fube Divine

Electronic Theses and Dissertations

Abstract

This study investigated the efficacy of a culture educational intervention program in addressing toxic work culture within healthcare settings. The prevalence of toxic work environments in healthcare has been linked to adverse outcomes for both employees and patients. The purpose of this study was to assess the impact of a targeted culture educational intervention on shifting organizational culture towards more positive dimensions, specifically focusing on Clan, Adhocracy, Market, and Hierarchy cultures. Utilizing a quantitative quasi-experimental design, this study employed repeated measures to assess participants' perceptions of organizational culture before, immediately after, and preferred following the intervention. The sample consisted …

Phenomenological Study On Adaptive Leadership During Times Of Great Change And Opportunity As Perceived By California Public School Superintendents In Los Angeles County School Districts, Darrin Deknikker

Dissertations

Purpose: The purpose of this phenomenological study was to identify and describe strategies used by superintendents of California public school districts in Los Angeles County to build an adaptive capacity based on the five key characteristics of adaptive leadership by Heifetz et al. (2009).

Methodology: This phenomenological study explored the lived experiences of superintendents serving in public school districts in Los Angeles County. Purposeful, convenience sampling was used to identify 10 participants who met the study’s criteria. The semi-structured, open-ended interview protocol was developed by a thematic research team of nine peer researchers and three faculty advisors. Data collected from …

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …

From Program To Practice: Purpose, Empowerment, And Persistence In Doctoral Education, Laura Beasley, Heather Biedermann, Davidson L. Blanchard, Danilo Lj. Bojic, Erin Carter, Matthew J. Flugum, Sadie Gunnink, Megan L. Hansen, Martha G. Haugerud, Elizabeth Herzog, Matthew G. Howard, James E. Hu Gammon, Yanmei Jiang, Jenna K. Ladd, Patrick W. Leeport, Katey R. Leverson, Regina Mustafa, Lindsey M. Reishus, Kelli Snyder, Ixchell L. Tolentino, Kari Vollrath, Stephanie Walker, A. Brooke Boulton, Joel J. Traver, Steven M. Baule

Education Doctorate Books

The book From Program to Practice: Purpose, Empowerment, and Persistence in Doctoral Education is a collection of graduate student writings from the 2022 summer Education Doctorate Residency at Winona State University.

"As practitioners in education and adjacent fields embark upon their journeys toward earning a doctorate, they soon realize the importance of this collection’s theme: the intersection of purpose, empowerment, and persistence (PEP). These concepts prove critical to a student’s success at all stages of the doctoral process, from program admission, to topic exploration, to graduation. The essays in this collection explore how students define, identify, and leverage “PEP” as …

Bundle For Left Ventricular Assist Device (Lvad) In The Ed, Tina Morris

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Purpose

Left Ventricular Assist Device (LVAD) is a high-risk, low-volume patient population with admission rates of up to 72%. The purpose of this study was to provide a care bundle to increase the knowledge of the emergency department (ED) staff and decrease the door to consult times to the advanced heart failure (AHF) team for LVAD patients presenting to the ED at a level I trauma center in Texas.

Methods

In collaboration with emergency clinical staff, the project team implemented a bundle that included a pathway for the LVAD patients upon presentation to the ED, targeted education for clinical staff …

Computer Cravings In 20th Century Schools: From Creativity To Capitalism, Keely E. Amos

College of Graduate Studies: Theses & Dissertations

This dissertation examines the push for computers in education from the early 1980s to the early 2000s. During that time, computers were introduced into schools across America with big promises, in turn creating big dreams. Instead of the cognition, creativity, and collaboration that was envisioned with computers in the classroom, the shifting motivations regarding computers have exacerbated the datafication and standardization of our students (Cuban, 2001). The problems associated with the corporation of computers into the curriculum are widespread (Pinar et. al, 1995/2004). Following the methodology of Historiography, this paper provides a critical examination about what was promised, and by …

Are We Talking About The Same Thing? The Case For Stronger Connections Between Graduate And Worker Employability Research, Jos Akkermans, William E. Donald, Denise Jackson, Anneleen Forrier

Research outputs 2022 to 2026

Purpose and approach: This article presents the case for creating stronger connections between research on graduate and worker employability. We offer a narrative review of commonalities and differences between these research streams and offer thoughts and suggestions for further integration and mutual learning. Findings: We outline some of the main theories and concepts in the graduate and worker employability domains. Furthermore, we analyze how these show considerable overlap, though they have barely connected with each other yet. We also formulate an agenda for future research that would spur stronger connections between the fields. Finally, we turn to our fellow authors, …

Improving Nutrition Screening Practice In The Hospitalized Heart Failure Patient Population, Amanda J. Bourgeois

DNP Projects

Background: Heart Failure is a disease known to affect nearly 6.5 million adults in the United States. Characterized by recurrent hospitalizations, heart failure significantly contributes to morbidity, mortality, and healthcare costs in the United States and worldwide. Because malnutrition is prevalent in the heart failure population, healthcare providers must perform nutritional assessments on admission to intervene in the case of malnutrition, prevent deterioration, and improve patient prognosis. Without intervention and early identification of malnutrition, heart failure hospitalizations will remain a significant problem.

Purpose: The purpose of this study is to evaluate the effect of an evidence-based educational program for cardiac …

An Educational Intervention On Provider Knowledge Of Hypertension Guidelines And Home Blood Pressure Monitoring, Alison Claire Oesterritter

DNP Projects

Background: While hypertension is the leading preventable risk factor for cardiovascular disease, disease control remains suboptimal. In the U.S., 47% of adults have hypertension, but only 25% are controlled. Despite having quality evidence-based guidelines, many recommendations are not implemented due to clinical inertia, or the tendency to not change therapy when targets aren’t met. Research has shown that this can be overcome with educational programs. Purpose: To provide training on hypertension guidelines and home blood pressure monitoring (HBPM) to overcome clinical inertia and improve patient outcomes related to hypertension. Methods: The project was a quasi-experimental, pre- and post- …

The Integration Of Simulation-Enhanced Interprofessional Education Into Undergraduate Clinical Laboratory Science Curriculum, Dana Powell Baker

Theses and Dissertations

This action research study aimed to integrate simulation-enhanced interprofessional education (Sim-IPE) into the undergraduate clinical laboratory science (CLS) program curriculum. The undergraduate CLS curriculum was comprised of didactic coursework and hands-on learning experiences in the student laboratory. This traditional CLS curriculum model was uniprofessional in its design and educated students in silos rather than on interprofessional teams with other health professions students. Lack of collaboration on healthcare teams has led to increased medical errors and decreased patient safety in clinical settings. Recent studies have indicated that effective communication and teamwork among healthcare professionals has led to improved patient outcomes and …

Equity Among Equity Workers: Public Service Motivation In An Educational Nonprofit Organization, Russell C. West Jr

Theses and Dissertations

What opportunities and challenges arise when an equity-focused educational organization aims to support employee’s individual equity practices while simultaneously developing the organization’s equity practice? In this study, employees of a non-profit educational organization were asked what rationales and expectations played a role in their decision to volunteer in an equity working group. Their responses were used to understand whether Perry’s (2000) process theory of Public Service Motivation helped describe their decision. In a second round of interviews, employees were asked what outcomes they perceived came from their participation. These responses were used to understand whether the outcomes aligned with those …

Improving Nursing Communication By Implementing Communication Tools In A Bsn Undergraduate Program To Improve Patient Outcomes In Practice, Christopher Jackson

Doctor of Nursing Practice Projects

Communication deficiencies were identified among baccalaureate nursing students at South College in Nashville, TN, necessitating changes needing to be made in the nursing curricula. To address the flaws, the quality improvement project proposed implementing changes in clinical assignments during clinical rotations in medical-surgical nursing courses. The project manager discussed the purpose and usage of the SBAR tool, and the students then demonstrated the use of the tool. The clinical faculty rated the students using an eight-question Likert survey to assess the students’ confidence and competency three times; the first assessment at the end of the shift without guidance from their …

The Sunnyside Movement Towards Mental Health Prevention And Resiliency, Eva Williams

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: To increase Mental Health awareness and resources among adults with untreated mental disorders in the Sunnyside community (Understanding Houston, 2023).

Significant Findings: 18,6004 residents reside in Sunnyside. Nearly half (48%) were between 20 and 64 years of age, 18% were 65 or older, and many out of this group have untreated mental disorders or have been hospitalized for mental health symptoms (Sunnyside Survey Shows Neighborhood's Social Fabric Is Strong, 2019). These findings include the LGBTQ community, which accounts for about 40% of people who reported experiencing mental illness in the last year (Kolanek, 2020). The target problem in …

Chapter 6- The Mentoring Context: Securing Institutional Support And Organizational Alignment, James Y. Taylor, Greg Dart

Making Connections

A university’s mission and vision statements are the guiding documents that create a framework by which the institution can accomplish its goals. All university initiatives are tied back to that mission and vision, and alignment is essential for university support of bottom-up initiatives. No matter how mentoring is structured, one area that is essential is proper internal institutional support and alignment with the mission of the institution. Focusing on the context in which the formal mentoring program occurs, this chapter outlines the importance of executive support, mission and vision alignment, incentivizing participation for both mentors and mentees, and how mentoring …

Chapter 5- Needs Assessment And Data Analytics: Understanding Your Constituencies, Neal Legler

Making Connections

Needs assessment is an important early step in the development of a mentoring program because it helps ensure that program resources go toward improving prioritized institutional results. Needs assessment should involve key stakeholders, organized into a needs assessment committee, and then follow a systematic process to collect and analyze quantitative and qualitative data and identify existing organizational needs. Needs are defined as the gap between desired organizational results and current results. They should be considered holistically and at all levels of the organization. As needs are identified, the needs assessment committee works with stakeholders through a combination of group management …

Trauma-Informed Training For Educators, Kristin White

Dissertations, Theses, and Projects

The occurrence of childhood trauma in the school setting is an ongoing and pervasive issue. Students impacted by trauma frequently display challenging and problematic behavior, and educators lack the trauma-informed care needed to help them heal. These students often go untreated, and their trauma continues to impact them and those around them. This project aims to review the current literature on childhood trauma and how educators can better support students affected by trauma. The trauma-informed training associated with this project will offer tools, curricula, and resources that educators can implement on their campuses.

Evaluating Equity: Examining Inclusionary Practices From Educational Organizations To Improve The Education Experience Of Lgbtqia+ Students, Jillian G. Torrento

Seton Hall University Dissertations and Theses (ETDs)

This qualitative study explored the ways in which education policy and practices within public schools are addressing the needs of minoritized populations with a particular focus on LGBTQIA+ students. This study first employed a document analysis to investigate the federal, state, and district-level equity practices that are mandated or elective in addressing the needs of marginalized populations and LGBTQIA+ students. Secondly, a critical discourse analysis was conducted to examine the specific language, word choices, and symbols found within the public documents that signify equitable practices pertaining to minoritized student populations and the LGBTQIA+ community. Ultimately, the goal of this study …

Formalized Diabetes Self-Management Education In A Safety-Net Clinic, Emanpreet Kaur

Masters Projects

Diabetes is a complex and chronic illness requiring continuous medical care with multifactorial risk reduction strategies (American Diabetes Association [ADA], 2021). More than 37 million Americans are suffering from diabetes and 90% of them have Diabetes Mellitus Type 2 (DMT2) (Centers for Disease Control and Prevention, 2021). The purpose of this article is to review the background, an organizational assessment, a literature review, and the results of the quality improvement project that took place at a safety-net clinic in the Midwest. This project included 16 patients and data was analyzed through descriptive statistics. Results include improved hemoglobin (Hg) A1c, Body …

A Phenomenological Study Of Pastors Leaving Employment Due To Experienced Poor Person-Organization Fit, Stephen T. Buys

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to explore and describe pastors’ experiences who have served full-time in a lead/senior pastor role in evangelical churches after having lost or left their employment as a result of experiencing poor person-organization fit. For this study, pastoral staff turnover was defined as the employment of full-time pastoral staff employed for at least one year who have resulted in voluntary or involuntary resignation from their place of employment because of value incongruence. In this phenomenology, the church is viewed as an educational institution, including similarities between pastoral roles and educator and administrator roles. As …

Systems Thinking As A Method For Leveraging Smart Classrooms, Jazmyne V. Del Hierro

Open Access Theses & Dissertations

Digital technologies have revolutionized enterprises across our personal lives, and most major industries. The digital transformation can be considered a strategic response to digital trends (Vial, 2019), encompassing substantial changes in society and industry caused by technology development (Taj, et al., 2010). It is a complex journey that needs to be guided by clear strategy. Digital transformation is more about people, than it is about technology (Frankiewiczz, B., 2020). It requires organizational changes that are backed by leadership and driven by challenges to culture (Abbu, H., 2022). Digital transformation requires leaders to build trust (Mugge, Abbu, and Gudergan 2021; Gudergan …

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 …

“Building The Roots”: A Delphi Study Examining The Aims Of A Multicultural Competency Graduate Course In Sport And Exercise Psychology, Matthew Paul Gonzalez

Graduate Theses, Dissertations, and Problem Reports (ETD)

Historically, opportunities to develop cultural competency in sport and exercise psychology graduate programs have been limited (Lee, 2015). Recently, major sport psychology organizations across the world have started to require cultural competency in their credentialing requirements. While this represents progress, these requirements can be met with a single course, which falls below the ideal of integrated cultural competency education (Martens et al., 2000). The present study investigated how to maximize the quality of a single course by coming to agreement on a proposed set of impactful and feasible learning outcomes and assessments in that proposed single course related to cultural …

Comparison Of The Effects Of Telehealth Versus N95 On Nurse-Patient Communication, Tony Christopher Bloomfield

Walden Dissertations and Doctoral Studies

Telehealth and face masks are some of the infection control measures nurses use while attending to patients. Nurses provide the most patient care in hospital settings and thus spend the most time with patients in their recovery journey. Because communication is paramount to the role nurses play as health care professionals, there is a substantial need to investigate how infection control measures affect the quality of nurse-patient communication. The purpose of this quantitative cross-sectional study was to describe the relationship of methods aimed at maintaining social distancing between nurses and patients to nurse-patient communication and to compare differences in the …

Best Practices Of Virtual Learning For K-5 Students, Bailey Hooper

Theses and Dissertations

With the increase in technology, virtual learning programs continue to grow in popularity within the United States. Before the coronavirus (COVID-19) pandemic, the kindergarten through fifth grade (K-5) virtual learning population has increased each year slowly since the late 1900s. However, due to the COVID-19 pandemic millions of K-5 students were engaged in virtual learning. However, the academic outcomes and learning loss that resulted from the school shutdowns caused many misconceptions regarding the educational and social developments of K-5 students enrolled in virtual classes. Yet, studies consistently prove synchronous virtual instruction can be as effective as traditional face-to-face learning. The …

An Application Of Lewin In A Trans-Pandemic World: A Narrative Inquiry In A Case Study With A Suggested Model For The Future, Chandler Barksdale Ewell Caldwell

Theses and Dissertations

Change is constant in today’s post-pandemic world. This is truly evident in online business success with entrepreneurs that defy past limitations and rely on future vision. This study purposely attempts to identify and qualify the impact of stylized change focused leadership in response to workplace changes during the variant challenges of the corona virus pandemic. The relevancy of Lewin’s organizational change model in today’s new normal provides the foundation for this research. Data were gathered through interview with a purposive sample of 12 managers executives and team members from a public sector organization. Evolving through an iterative process of evaluation …

Transformational Leadership Strategies In U.S. Public Universities, Jason C. Hardman

Theses and Dissertations

This qualitative study explores the transformational leadership strategies used by university leaders to transform their respective institutions of higher education in the post-pandemic era. The study builds on Bass's (1985a) transformational leadership model, and the guiding research question is, "What transformational leadership strategies do university leaders use to transform university environments?" The study utilizes a narrative inquiry approach to collect and analyze data from publicly available and accessible sources. The data analysis highlights four themes of transformational leadership practices, including idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration. The findings reveal that transformational leaders exhibit high moral standards, personal …

Comparison Of The Effects Of Telehealth Versus N95 On Nurse-Patient Communication, Tony Christopher Bloomfield

Walden Dissertations and Doctoral Studies

Telehealth and face masks are some of the infection control measures nurses use while attending to patients. Nurses provide the most patient care in hospital settings and thus spend the most time with patients in their recovery journey. Because communication is paramount to the role nurses play as health care professionals, there is a substantial need to investigate how infection control measures affect the quality of nurse-patient communication. The purpose of this quantitative cross-sectional study was to describe the relationship of methods aimed at maintaining social distancing between nurses and patients to nurse-patient communication and to compare differences in the …

A Qualitative Case Study On Perceived Readiness For The Diffusion Of Blended Learning In Tvet Institutions In Jamaica, Roxanne M. Hinds

Theses and Dissertations

Blended learning is seen as a promising innovative instructional approach for Technical Vocational Education and Training (TVET) institutions to reduce costs, increase flexibility, and reach marginalized learners in developing countries. However, lack of understanding about how key stakeholders who are expected to adopt and implement the innovation perceive readiness for the innovation can make it difficult for institutions to maximize its benefits. This qualitative case study sought to understand the perceptions of students, instructors, and administrators about the readiness of the key stakeholder groups, institutions, and the organization for blended learning and the role of readiness in the diffusion process. …

The Influence On American Post-Secondary Education By United States Military And Veteran Programs Resulting From Changing Technology, Reform-Minded Leaders, And Large Military Operations, Scot Douglas Cates

Doctoral Dissertations and Projects

Scholars have explored the United States military from the lens of battles, campaigns, operations, and leaders with depth and zeal. When discussing the influence of the Army on education in America, the G.I. Bill is consistently the main topic of conversation. However, the contributions of the Army to American higher education are much more complicated than simply the passage of the Servicemen’s Readjustment Act of 1944. A wide variety of programs and efforts championed by the Army during the first half of the twentieth century lack in-depth research and analysis. This study examined the American military transformation from the American …

Decreasing Seclusion And Restraint Events Among Clients Within An Inpatient And Crisis Stabilization Behavioral Health Facility, Karen Lee Richards

Doctor of Nursing Practice (DNP) Projects

Background: Despite global shifts in behavioral health treatment, changes regarding use of seclusion and restraint (S/R) continues to be extremely slow. Local Problem: Increasing S/R events and subsequent staff injuries and financial burden. Methods: A quality improvement project providing education in trauma-informed care (TIC), sensory modulation (SM), and S/R debriefing (S/RD). Interventions: Education and training for S/RD, TIC, and SM using a variety of materials and methods over a 6 to 12-month period was provided to staff within a 16-bed inpatient adult psychiatric health facility (PHF) and a crisis stabilization unit (CSU). Because of positively affecting the use of S/R, …