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[Excerpt From] Harmony By Design: Navigating Work And Life In Healthcare, Sharon M. Weinstein, Marla J. Vannucci, Katie Boston-Leary

Sigma Publications: Book Excerpts

Harmony by Design: Navigating Work and Life in Healthcare reimagines how we approach well-being in a fast-paced, high-pressure world. Rather than striving for a rigid sense of balance, this book introduces a more flexible and fulfilling concept: harmony. It's about aligning your values, goals, and daily actions to create a life that feels whole and sustainable.

Authors Sharon M. Weinstein, Marla J. Vannucci, and Katie Boston-Leary blend practical tools with thoughtful reflection, drawing from the latest nursing competencies and real-world challenges to help readers manage stress, lead with empathy, and build meaningful careers without sacrificing personal well-being.

What sets this …

Effective Strategies To Reduce Silo Culture To Increase Financial Performance In Nonprofit Healthcare Organizations, Pedro E. Mendez

Walden Dissertations and Doctoral Studies

Silo culture in nonprofit healthcare organizations hinders knowledge sharing and communication, which can negatively affect financial performance. This issue is particularly important for healthcare leaders and policymakers seeking to enhance organizational efficiency and improve patient care quality. Grounded in the competing values framework, the purpose of this qualitative, pragmatic research project was to explore the effective strategies used by nonprofit healthcare human resources (HR) leaders to reduce silo culture and enhance financial performance. The participants included six HR executives at the vice president level or higher from nonprofit healthcare systems with more than 5,000 employees in the Southeastern United States. …

Union Employees’ Perceptions And Lived Experiences Of Organizational Culture And Job Satisfaction In Michigan Manufacturing Organizations, Angela Wantuck

Walden Dissertations and Doctoral Studies

Manufacturing organizational cultures steeped in tradition, corporate loyalty, and paternalistic values have experienced a decrease in union employee engagement and organizational satisfaction. Manufacturing leaders are concerned with this decrease as a primary indicator of employee walkouts or union strikes, impeding the manufacturing process, and affecting market share, profitability, and local economies. The purpose of this qualitative hermeneutic phenomenology study was to explore the union employees’ perceptions and lived experiences of organizational culture and job satisfaction in Michigan manufacturing organizations. Shaped by Schein’s organizational culture theory, the research question queried the perceptions of the union-represented employees as a subculture in the …

The Relationship Between The Dark Triad And Perceived Career Mobility: The Moderating Role Of Perceived Organizational Support, Julia W. R. Leong

Master's Theses

Prior research on career mobility has found that personality is not a strong predictor of career mobility. However, these studies have mainly focused on the Big Five personality traits and have not looked into other personality traits as predictors. The present study has looked into alternate personality traits and their relationship with perceived internal and external career mobility. These traits were the Dark Triad traits, consisting of Machiavellianism, narcissism, and psychopathy. The present study hypothesized that each of the Dark Triad traits would positively predict both perceived internal and external career mobility and that perceived organizational support (POS) would moderate …

Ingenious Impulsiveness Of Environmentally Motivated Female Entrepreneurship For Sustainable Development, Saranya Senthilnathan, Chandrasekar Kaliyaperumal

Management Dynamics

Women's roles are crucial to the economic prosperity of any nation, with their participation in entrepreneurship being a key driver of sustainable development. This study focuses on the contributions of women entrepreneurs in India, highlighting their potential to advance economic, social, and environmental sustainability. The purpose is to examine the role of female entrepreneurs in promoting sustainable practices within the economy, society, and ecology. The study employs a descriptive research design to assess how integrating environmental factors into female entrepreneurship impacts the growth and sustainability of the Indian economy. A self-administered questionnaire was used to collect primary data from 355 …

Public Support For Puma Reintroduction In The Eastern United States, L. Mark Elbroch, Jazmin J. Murphy, Shelby C. Carlson, John A. Vucetich, Richard E.W. Berl, Lexi Galiardi, Shelby Perry, Tom Butler, Neil Carter, Joseph W. Hinton, Axel Moehrenschlager, Emily Carrollo, Rana Bayrakcismith, Jeremy T. Bruskotter

Michigan Tech Publications

Pumas (Puma concolor) are among the species identified as having the potential to enhance ecosystem function. Previous research highlights sufficient ecological habitat to support pumas in the eastern United States; however, their reintroduction requires social and institutional support as well. To this end, we conducted research to assess attitudes about puma reintroduction among key constituencies like hunters, rural residents, and young people. We sampled 2756 respondents across seven states (Massachusetts, Maine, New Hampshire, New York, Pennsylvania, Vermont, and West Virginia). Ratios of strong support (for puma reintroduction) to strong opposition across states ranged from 4:1 to 13:1, and support outweighed …

Policy Review Of The Aha Clinical Practice Guideline For Congestive Heart Failure: Evaluating Best Practices, Brenda E. Garcia

Student Scholarly Projects

Practice Problem: Congestive heart failure (CHF) is a significant public health challenge that impacts various populations and contributes to rising hospital admission rates.

PICOT: The PICOT question that guided this scholarly project was: For healthcare policymakers and interprofessional teams (P), how does a policy review of the American Heart Association’s Clinical Practice Guidelines for Heart Failure (I), guided by the CDC’s Polaris Framework (C), conducted over a 12-week period (T), evaluate alignment with evidence-based practices and potential for adoption in the care of patients with congestive heart failure (O)?

Evidence: This scholarly project focused on reviewing the current clinical guidelines …

Emergency Nurses’ Perceptions Of A Trauma-Informed Organizational Climate: A Cross-Sectional Study, Audrey Kobina

Nursing Theses and Dissertations

Healthcare leaders face numerous challenges in today’s complex healthcare environment. The most pressing issues are staffing shortages and burnout among healthcare workers. By 2025, the U.S. healthcare system could experience a shortfall of up to 450,000 nurses, or 20% fewer nurses than needed to provide adequate patient care. High job dissatisfaction and burnout levels are significant factors driving many nurses away from the profession. This three-paper dissertation portfolio addressed how trauma-informed approaches and practices can enhance the work environment by establishing trauma-informed organizational climates to mitigate burnout. Understanding the impact of trauma-informed practices within healthcare systems supports the nursing workforce. …

Social Media Marketing Impacts On Sme Customer Engagement And Prodictivity, La'keisha J. Morton-Carter

Doctoral Dissertations and Projects

This qualitative multiple case study explored the underutilization of social media marketing among small and medium-sized enterprise (SME) entrepreneurs and its impact on customer engagement and business productivity. Grounded in the Technology Acceptance Model (TAM) and the Diffusion of Innovations (DOI) theory, the study examined how SME owners perceive, adopt, and apply social media platforms in their marketing efforts. Data were collected from 38 participants through semi-structured interviews and surveys and analyzed using NVivo 15 software. Thematic analysis revealed five emergent themes: Digital Hesitancy, Strategic Gaps, Customer Engagement Variability, Resource Constraints, and Peer Influence. Findings indicated that while entrepreneurs recognized …

Perceptions Of Air National Guard Students’ Transformative Technology Experiences During Their Professional Military Education Courses: A Transcendental Phenomenological Study, Tiffany Colburn

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to understand the perceptions of Air National Guard students stationed in the United States about technology integration during their professional military education (PME) courses and its role in encouraging leadership perspective transformative learning in the United States. The theory guiding this study was the transformative learning theory. This study explored how technology could help students expand their views while completing their PME courses and enabled them to use their own experiences to add value to the course. The central research question was: What are the perceptions of Air National Guard students on …

Exploring The Impact Of Professional Development On Teachers As They Implement New English Language Arts Curriculum In Secondary Schools In The Southeast: A Hermeneutical Phenomenological Study, Sara A. Ancrum

Doctoral Dissertations and Projects

The purpose of this hermeneutical phenomenological study is to explore the implementation of a new state-adopted ELA curriculum for English teachers at secondary schools in the Southeast United States. At this stage in the research, sustained professional development will be generally defined as multiple touchpoints at regular intervals that build capacity and efficacy with the new curriculum. The theory guiding this study is Bandura's theory of self-efficacy. Understanding the impact of professional development on teachers as they implement a new curriculum is essential to the success of teachers' classroom practices. High-quality professional development that keeps teachers at the heart of …

The Impact Of Trauma-Informed Care Education On Healthcare Providers And Staff In An Outpatient Clinic: A Holistic Approach To Diversity, Equity, And Inclusion, Ngozi Azu

Doctoral Dissertations and Projects

Trauma is an emotional response that an individual may experience due to exposure to an event beyond their ability to manage. Trauma-informed care (TIC) is essential in health care for creating a supportive and safe atmosphere for individuals with a trauma history, but many health providers and staff lack proper training in TIC. The purpose of this project was to design, implement, and evaluate a comprehensive education program focused on TIC for health care providers and staff in an outpatient clinic setting. A quasi-experimental methodology and the Iowa Model of Evidence-Based Practice were used. Quantitative and qualitative data were collected …

The Effect Of Cognitive Biases And Organizational Constructs On Enterprise Resource Planning Implementation Success In Small And Medium-Sized Enterprises: A Pls-Sem Approach, Michael Davidson

Dissertations

Enterprise Resource Planning (ERP) systems are crucial to enhancing organizational performance, efficiency, and strategic competitiveness in small to medium-sized enterprises (SMEs). ERP adoption in SMEs has been known to fail, with more than 75% of the implementations considered failures. These barriers are compounded by cognitive biases, such as temporal discounting (TD) and optimism bias (OB), which skew the strategic decision-making process. The framework suggested in this paper explains the relationships between top management support (TMS), information quality (IQ), system quality (SQ), user satisfaction (US), optimism bias (OB), and temporal discounting (TD) and their impact on ERP implementation success (EIS) and …

Enhancing Medication Communication In The Acute Care Setting To Strengthen Patient Comprehension And Retention, Ashleigh C. Christensen

Student Scholarly Projects

Practice Problem: Research has shown that breakdowns in communication, especially in the context of medication education, play a critical role in the delivery of safe and effective patient care. These findings underscore the need to prioritize effective communication in medication education. In the acute care setting, effective communication is essential for ensuring patient safety, adherence, and improved patient-centered outcomes.

PICOT: In clinical staff providing direct patient care in the acute care setting (P), does the implementation of the evidence-based teach-back method (I), as compared to current practice (C), improve patient knowledge, understanding, and self-management upon discharge (O), over ten weeks …

Controlling Hypertension In The African American Population Through Dash Diet Education, Tanya K. Mccaskill

Doctor of Nursing Practice Projects

Hypertension disproportionately affects African Americans, contributing to elevated risks of stroke, cardiovascular disease, and kidney failure. Despite the well-established benefits of the Dietary Approaches to Stop Hypertension (DASH) diet, its adoption remains limited due to cultural, socioeconomic, and health literacy barriers. This Quality Improvement (QI) project aimed to evaluate the effectiveness of a culturally tailored DASH diet education intervention in improving nutritional knowledge among African American adults with hypertension (HTN). Using a quasi-experimental pre-post intervention design, 50 participants received a structured educational session during a single clinic visit, which included counseling, printed materials, and sample menus. The intervention was guided …

Intentional Innovation: Strategies To Increase Engagement For A Hybrid Faculty Group, Sheri Pickover, Allison Arnekrans, Pamela Sickinger, Mary Katherine Wright

Journal of Technology in Counselor Education and Supervision

The proliferation of online education has increased the need to examine how to foster an ongoing culture of community, support, and engagement for faculty, specifically remote faculty. This article describes a single case study example of how one Midwestern counselor education program leveraged online platforms and intentional community building strategies to successfully integrate remote core faculty into all aspects of departmental processes. This article describes specific strategies and provides recommendations for other remote programs to consider.

The Response Of Mitochondrial Position To Glucose Stimulation In The Min6 Model System, Luis Perez

Arts & Sciences Graduate Student Theses and Dissertations

The compartmentalization of eukaryotic cells into membrane-bound organelles with specific subcellular positioning enables precise spatial and temporal control of cellular functions. While functionally significant mitochondrial localization has been demonstrated in cells such as neurons, it remains unclear how general these cell principles are. Here, we examine the spatial organization of mitochondria within MIN6 pancreatic beta cells under variable glucose conditions. We observe glucose-dependent redistributions of mitochondria, favoring peripheral localization at elevated glucose levels when insulin secretion is also elevated. Our results suggest that active mitochondrial transport along microtubules and calcium activity, but not ATP synthesis, are critical regulators of this …

Exploring Exemplary Leadership Practices Of Elementary Principals, Latoya R. Gray

Walden Dissertations and Doctoral Studies

There is insufficient understanding regarding the educational leadership practices that have enabled one elementary school, out of 23, to achieve continuous school improvement in ELA and mathematics in Grades 3–5 over 3 consecutive academic years. Although all schools in the district implemented a uniform curriculum, the study site consistently increased the percentage of students scoring proficient or above in both subjects during 2022, 2023, and 2024, as measured by the state end-of-grade assessment. This qualitative single-case study explored how an elementary principal in a suburban Georgia district achieved continuous improvement through distinctive leadership practices. Grounded in Kouzes and Posner’s framework …

Best Practice Toolkit For Burnout Prevention In Emergency Department Nurses, Moises A. De Oleo

Student Scholarly Projects

Practice Problem: Burnout Syndrome (BS) is a serious problem in emergency department (ED) nurses and is associated with higher nurse turnover rates. A burnout prevention toolkit is needed.

PICOT: The project was guided by the following PICO question: "For emergency department nurses (P), how does the development of the best practice burnout prevention toolkit (I), compared to the absence of a structured intervention (C), support the establishment of nurse burnout best practices when evaluated using the CDC Program Evaluation Framework? (O)".

Evidence: The analysis of the literature supported the implementation of active interventions in the form of workshops.

Intervention: A …

Integrating Artificial Intelligence And Machine Learning Technologies Into Common Operating Picture And Course Of Action Development, C. Anthony Pfaff, Christopher John Hickey

Books, Monographs & Collaborative Studies

C. Anthony Pfaff and Christopher John Hickey, Principal Investigators

©2025 C. Anthony Pfaff. All rights reserved.

Integrating Artificial Intelligence and Machine Learning Technologies into Common Operating Picture and Course of Action Development explores the potential of artificial intelligence (AI) and machine learning to revolutionize military planning processes by enhancing situational awareness and expediting course of action development within the Joint planning process. The study delves into technical, organizational, and resource considerations that are critical for AI integration. In addition, the study highlights the importance of clean, structured data in training AI systems, addresses challenges in data collection across varying formats …

Quality Improvement Project Educating Nursing Faculty On The Lasater Clinical Judgment Rubric In Simulation, Tiffany Shivers

Doctor of Nursing Practice Projects

This quality improvement project aimed to enhance nursing faculty preparedness in simulation-based education by increasing knowledge and self-efficacy using the Lasater Clinical Judgment Rubric (LCJR). A quasi-experimental, one-group pre-/post-intervention design was used to evaluate outcomes among ten faculty participants. The intervention consisted of an educational session introducing the LCJR and structured debriefing techniques. Data were collected using a knowledge assessment and the General Self-Efficacy Scale. Descriptive statistics and the Wilcoxon Signed-Rank Test were used to analyze changes in scores. Results demonstrated statistically significant improvements in both knowledge (Z = –2.805, p = .005) and self-efficacy (Z = –2.666, p = …

Digital Transformation In Japanese Companies_ Navigating Cultural Barriers, Leadership, And Innovation In The Era Of Society 5.0.Pdf, Hideto Tsuchiya, Hoong Tat Teh, Sook Han Wong

Jesselton Journal of Educators and Scholars

This article examines the impact of digital transformation in Japanese companies, analyzing how technological, cultural, and organizational factors interact to shape adoption outcomes. Drawing on qualitative thematic analysis of interviews and case studies, the study highlights that while advanced technologies such as AI, cloud computing, and IoT offer significant potential for innovation and operational gains, their integration is often hindered by entrenched hierarchical structures, cultural resistance, and a shortage of digital skills. Government policies, including Society 5.0, have provided impetus for change, particularly among large corporations, yet many small and medium-sized enterprises continue to face challenges related to legacy systems …

Appreciating Dissonance: Using Open Appreciative Inquiry As A Tool To Generate Cultural Change, Charles Dorr, Sheena Asthana, Julian Elston, Felix Gradinger, Daniel Preece, David Schwartz, Gemma Scott, Gary Wallace, Ruth Harrell

More Faculty of Health Research

Appreciative inquiry has become increasingly popular as a method for facilitating organisational or systemic change through focusing on the positive aspects and ‘life giving properties of a system’ as opposed to traditional ‘deficit-based’ approaches. However, there has been criticism that this process could invalidate negative experiences of organisations and/or systems. This is particularly problematic if an existing system is seen by its users as providing little value or if there is potential dissonance regarding system value among key stakeholders. Using two case studies of open appreciative inquiry by Plymouth City Council staff, this article outlines how the use of a …

If These Walls Could Talk: An Institutional Perspective On Values-Based Leadership, Arild Wæraas, Harald Askeland, Gry Espedal

The Journal of Values-Based Leadership

Scholars usually conceptualize values-based leadership (VBL) as a subset of transformational leadership. By contrast, we see VBL as a form of leadership in its own right, having theoretical roots in institutional theory. Building on recent Scandinavian contributions to VBL, we develop our argument by delineating VBL from transformational leadership and proposing a conceptualization of VBL that is consistent with Selznick’s theory of institutional leadership. Specifically, we see VBL as an approach that involves focused attention throughout the organization to desired practices and critical reflection on values, emphasizing the leader’s role as a facilitator of values work and protector of existing …

Factor Analysis Of The Cultivated Leadership Questionnaire (Clq) And Measurement Against The Short Dark Triad (Sd3), Christopher Ewing, Michael Epstein

The Journal of Values-Based Leadership

This study aimed to evaluate the Cultivated Leadership Questionnaire (CLQ), a self-report tool designed to assess leadership based on key constructs such as self-regulatory behaviors, emotional intelligence, prosocial actions, positive motivational strategies, and personal influence. An exploratory factor analysis identified two main components that together accounted for 65.44% of the variance, suggesting a general leadership factor and a secondary factor capturing more specific leadership attributes. The study also examined the relationship between Dark Triad traits—psychopathy, narcissism, and Machiavellianism—and the leadership behaviors measured by the CLQ. The results revealed negative correlations between both Machiavellianism and psychopathy with leadership behaviors, while narcissism …

A Dynamic Leadership Approach In Different Situations And Contexts, Francois Kammoe

The Journal of Values-Based Leadership

This paper is one of the first to provide empirical evidence supporting the conceptualization of a dynamic leadership approach in which employee maturity and organizational dynamism help leaders make the right choice of leadership styles to improve employee job satisfaction. As business environments change and employee maturity differs in this dynamic business era, and as there is a chaos characterized by numerous leadership styles in the leadership literature, adopting a dynamic leadership approach has become important to identify the most effective leadership styles suitable for employees. A quantitative study using conditional process analysis was conducted to examine a dynamic leadership …

Crafting Ethical Problem-Solving Cultures: A Leader’S Role In Complex Adaptive Systems, Elizabeth A. Luckman

The Journal of Values-Based Leadership

In today’s complex and interconnected world, leaders play a critical role in fostering ethical problem-solving cultures within organizations. To enable leaders to succeed in this evolving landscape, this paper advocates for a necessary paradigm shift: a transition in mental models about how organizations function. Historically, organizations have been viewed as mechanistic systems, but there is a substantial opportunity to improve our work by viewing organizations as complex adaptive systems. This shift alters fundamental assumptions about organizational operations and redefines leadership as the creation of conditions for effective and ethical problem-solving. In this paper, I examine the changing mental models that …

Empowering Hispanic Managers In The Us Through Authentic Leadership, Emotional Intelligence, Resilience, And Mindfulness, Louise Kelly, Ehsan Danesh, Patricia Denise Lopez, James Okrah, Eissa Hashemi

The Journal of Values-Based Leadership

This research investigates the relationship between authentic leadership, Emotional Intelligence (EI), resiliency, and mindfulness among Hispanic Managers in the US, contributing to the understanding of authentic leadership and its antecedents, particularly in the context of Latinx leaders in the United States. The study suggests that emotional intelligence, resiliency, and mindfulness play key roles in the formation of authentic leadership, especially in the Latinx community, where cultural values such as familismo, personalismo, and collectivism may influence leadership styles. It highlights the potential benefits of these factors, including improved self-awareness, empathy, and the ability to overcome adversity, while also acknowledging challenges and …

Institutional Agility And Its Role In The Excellence Of Security Institutions, Hassan Ali Al Ali

Journal of Police and Legal Sciences

Institutions today need to change to keep pace with the dynamics that have struck the world, namely the events of Corona (COVID-19), to become more powerful to face the changing environment. The need for institutional agility has emerged due to intense competition, and a desire to mobilize the needs of beneficiaries and response to rapid changes. Institutional agility is one of the methods, also effective and successful modern management is another significant method. Institutional agility achieves institutional excellence if applied correctly and effectively. The study reached the most important results, the most important of which are: that national agility can …

Enhancing Employment Readiness Of Information Technology (It) Professionals Of India - A Talent Refactoring Approach, Lakshminarayanan K.V

Theses and Dissertations

The Indian Information Technology (IT) sector is undergoing significant transformation due to the adoption of Industry 4.0 technologies such as Artificial Intelligence, Internet of Things, cloud computing, and cyber-physical systems. These changes have redefined workforce expectations, shifting employment readiness from mere technical competence to a holistic combination of adaptability, behavioral attributes, and continuous learning capabilities. In this context, the study proposes a Talent Refactoring Framework to address employability in a rapidly evolving VUCA–BANI environment by integrating organizational, career-oriented, and individual dimensions.

A review of existing literature reveals notable gaps in understanding employment readiness as an ecosystemic and psycho-social construct, particularly …