Digital Commons Network^™

Burnout Among Mental Health Professionals In Northern California: A Mixed-Methods Study, Sade Butler

Electronic Theses, Projects, and Dissertations

Burnout, characterized by prolonged emotional, physical, and mental exhaustion, is a widespread issue affecting millions of professionals in the United States and globally. Previous research has not adequately addressed the phenomenon of burnout, particularly in California. This study took a mixed-methods approach to determine the scope of, contributing factors to, and coping strategies for burnout among mental health professionals in Northern California. A sample of 93 mental health professionals completed a survey that contained both closed-ended and open-ended questions on burnout. Descriptive statistics indicated that 89.2% of participants experienced a moderate to severe level of burnout at work. Meanwhile, thematic …

Evaluating The Nebraska Medical Center's Repatriation Of Inter-Hospital Transfers, Natalie Crump

Capstone Experience: Master of Public Health

Background: Bed capacity challenges at large academic medical centers delay the transfer of rural patients, negatively impacting their safety and quality of care. Repatriating inter-hospital transfer (IHT) patients to referral facilities upon completing specialized care can improve tertiary hospital bed capacity and community hospital financial sustainability.

Objectives: This project aims to identify the barriers and facilitators to successful IHT repatriation and the process and outcome variables influenced by the Nebraska Medical Center’s reverse transfer program.

Study Design: A retrospective observational cohort study was conducted to identify barriers and facilitators of NM’s IHT repatriation program.

Methods: Descriptive and comparative analyses of …

Engaging Church Teams To Support Youths Aging Out Of Care, John Alan Honeycutt

Doctoral Dissertations and Projects

Emerging Adults (EAs) in out-of-home care (OHC) face significant challenges when aging out of the foster care system, including histories of traumatic experiences. Approximately 30,000 exit Child Protective Services (CPS) annually, with 4,000 becoming instantly homeless. This study used a facilitated grounded theory approach, engaging 14 participants representing two churches. The aim was to identify the topmost factors for gaining interest, commitment, and action from a Volunteer Church Team Volunteer Team to assist one EA in their transition to independent living (IL). Primarily, non-Hispanic White and Native American Indian participants aged 35–65 contributed insights during three hours of brainstorming and …

Lived Experiences Of Older Adults After Involuntary Work Separation, Mark Mallock Rose

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study was to describe the lived experiences of those subjected to involuntary work separation at age 50+ in the United States. The literature concerning involuntary job loss is lacking in research pertaining to the 50+ age demographic. This research is important in the aspect that older workers face specific challenges that their younger counterparts may not after involuntary work separation. Understanding the psychological responses, positive aspects, and negative aspects of involuntary job separation in older adults added to the literature for those aged 50+. The research design was qualitative inquiry using virtual recorded interviewing …

Exploring Full-Time Female Faculty Members’ Experiences With Institutional Climate In Rural Arkansas Community Colleges: A Preregistered Study, Gabrielle Patterson

Graduate Theses and Dissertations

The current literature implies that female faculty in community colleges often endure a chilly organizational climate of marginalization. This marginalization makes female faculty more likely to leave higher education than male colleagues because of a lack of appreciation and recognition. This qualitative exploratory multiple-case study (preregistered study) uses the Job Embeddedness Theory as its conceptual framework. It explores full-time female faculty members’ (F-TFFMs) experiences with institutional climate in rural Arkansas community colleges to understand their motivations to teach in the setting and the reasons they choose to stay in their position. Findings from this study will show F-TFFMs motivations to …

Bridging The Digital Skills Gap: Positive Leadership In The Aerospace Industry 4.0, James Richard Robinson Ii

Electronic Theses and Dissertations

This qualitative study explores how employees and leaders in a major aerospace manufacturing organization experience digital transformation in the context of Industry 4.0. As emerging technologies reshape manufacturing processes, organizations face a growing digital skills gap, particularly across a multigenerational workforce. This research focuses on how generational differences influence digital adaptation and how leadership approaches either support or hinder that process. Guided by the diffusion of innovations theory, the study involved semistructured interviews with 15 participants from four generational cohorts, representing IT, engineering, manufacturing, and operations roles. Findings reveal that trust, leadership style, and tailored training significantly shape how individuals …

The Lived Experience Of New Graduate Nurses Implementing Evidence-Based Practice In A Clinical Setting, Kimberly A. Mcfarland

Electronic Theses and Dissertations

The purpose of this qualitative interpretive phenomenological analysis study was to explore the perceptions and lived experiences of new graduate nurses (NGNs) as they implemented evidence-based practice (EBP) in clinical settings. This study addressed the problem that NGNs often lack the skills and confidence to effectively apply EBP, despite its critical role in improving patient outcomes. The research aimed to provide insight into the challenges, support systems, and strategies that influence EBP integration during the transition from student to practicing nurse. The study utilized the interpretive phenomenological analysis methodology to analyze data collected through semistructured interviews conducted via the Teams …

Leadership Matters: The Impact Of Transformational Leadership And Mattering On Job Attitudes And Perceived Performance, Chelsea E. Robbins

All Dissertations

Mattering refers to the sense that one is significant and valued by others, which has been linked by a small but growing body of research to key work-related outcomes, including job satisfaction, organizational commitment, and job performance. This study examines mattering among Basic Science Medical Educators (BSME), a group potentially vulnerable to low workplace mattering due to limited leadership support and isolation from communities of practice. Consideration for follower well-being is important across many leadership theories, and transformational leadership behaviors overlap highly with behaviors thought to increase mattering. Survey responses from BSME and a general workforce sample were analyzed to …

Disrupting Foundation Culture: Lessons In Learning To Share Power And Decision-Making, Sonia Caus Gleason, Tina Eshaghpour

The Foundation Review

There is much discussion of shifting organizational culture in philanthropies to share power and decision-making. However, examples of foundation learning endeavors to disrupt culture in service of systems change, racial equity, and responsiveness are less common.

Our article provides a window into the demanding work at The California Wellness Foundation and how internal collaboration and learning have led to progress in racial equity and power-sharing with communities. We focus on the introduction of Learning Labs, an action research model that framed and scaffolded the investigation of philanthropic terms and practices. This catalyzed collaborative decision-making within cross-functional teams while senior leaders …

A Holistic Case Study On Leaders In The Division Of Enrollment Services’ Experiences Implementing Interdepartmental Partnerships In Higher Education, Christopher A. Almond

Doctoral Dissertations and Projects

The purpose of this holistic case study was to understand the experiences of higher education leaders in the division of enrollment services at a public research university who experienced departmental realignments or mergers because of performance-based funding initiatives. The study addresses the gap in the literature on the effect of change on interpersonal relationships in higher education. The theory guiding the study is Tierney’s theory on organizational behavior among college employees. The research methodology consisted of three phases. I conducted focus groups, individual interviews, and document analyses. The setting was a large research university in an urban city. There were …

A Qualitative Case Study On Administrators’ Leadership Practices To Improve Academic Achievement For African Americans In An Urban Elementary School In The Southeastern United States, Maria Wright

Doctoral Dissertations and Projects

This qualitative intrinsic study aimed to understand what leadership practices administrators used to improve African American academic achievement in an urban school in the Southeastern United States. Bandura's theory of self-efficacy offered a structure to address the central research question: What key elements of leadership practices will best improve the academic achievement of African American children in an urban elementary school? The sample included teachers, parents, and administrators in an urban school in the Southern United States. Data was collected through semi-structured interviews, focus groups, and questionnaires. A thematic analysis approach was used for data analysis. Data collection yielded the …

Succession Planning: Lessons From A Qualitative Single Case Study Of Ceo Behaviors Within A Small To Medium Enterprise Hospitality Industry Organization, Denise Mazzei

Doctoral Dissertations and Projects

For hospitality organizations to innovate in every direction and attract, engage, and retain their most potential internal talent, the CEOs of their organizations must prioritize succession planning within their organization’s strategic plans. In small to medium enterprise hospitality organizations, some CEOs overlook succession planning as a strategic imperative. Within the context of SME hospitality organizations, this qualitative method single case study research project focused on answering three questions to illuminate why some CEOs do not prioritize succession planning among the multiplicity of their responsibilities. The first question explored whether there is a need for CEO succession planning. The second question …

Bridging America: Reclaiming Rail For People, Planet, And Progress, Emma Clark

Architecture Theses

Bridging America presents a long-term, phased strategy to reestablish passenger rail as the most viable mode of transportation in the United States within the next 50 years. Through an analysis of historical patterns, environmental urgency, and societal well-being, the thesis proposes a national rail network centered on modular train design and human-centered station architecture. Three phased sites beginning in Nashville and expanding regionally demonstrate how infrastructure can reconnect communities, reduce carbon emissions, and foster regional identity. While challenges remain in fully resolving modular train functionality and long-distance adaptability, the work opens pathways for future research in AI integration, operational logistics, …

Coming Back To Life: Inner Work, Intentional Containers And Feminine Leadership For Social Change — A Phenomenological Case Study Of A Social Change-Oriented Organization And The Self, Maria Trias Arraut

Dissertations

This qualitative study explores the phenomenon of inner work within social change organizations through an in-depth case study of a nonprofit organization dedicated to women’s empowerment and transformation. Using a phenomenological approach and ethnographic methods, the research combines intensive 7-month fieldwork in 2016 with reflective analysis years later, shaped by my own evolving relationship with inner work practices, providing a unique perspective on how inner work lived experience shapes individuals, organizational culture, and social change efforts.

The findings reveal that the social change organization (SCO) operated through three distinct yet interconnected levels of inner work practice: tending to the personal …

Implementation Of Houdini Guidelines Nurse-Driven Protocol To Lower Catheter-Associated Urinary Tract Infections And Foley Utilization Days, Tammie N. Collins

Electronic Theses and Dissertations

Catheter-associated urinary tract infections are a common issue in healthcare settings. These issues contribute to hospital-acquired infections and can lead to complications and increased healthcare costs. The quality project evaluated the impact of the HOUDINI guidelines nursedriven protocol to reduce infection rates and Foley utilization days. A structured guideline for Foley catheter safe removal was implemented using a quantitative method. Catheter-associated urinary tract infection rates and Foley utilization days pre- and postintervention were tracked. Data were collected using the electronic health records, infection control data sheets, and the HOUDINI checklists. A baseline assessment of catheter-associated urinary tract infections rates was …

Navigating Perspectives: A Phenomenological Inquiry Into Communication Experiences Between North American–Trained International School Leaders And Expatriate Staff, Maggie Marie Cashdollar

Electronic Theses and Dissertations

This descriptive phenomenological study explored the communication approaches and experiences between leaders and expatriate staff in English-medium international schools. The researcher aimed to understand how leadership communication, feedback, and cultural awareness impact professional relationships and organizational effectiveness in diverse educational settings. Semistructured online interviews were conducted with seven current or former international school leaders and teachers to capture their lived experiences. Thematic analysis revealed three major themes: (a) communication approaches, (b) the role of feedback in the workplace, and (c) cultural awareness in communication. Five subthemes emerged: (a) expectations, (b) inclusion, (c) being present, (d) growth mindset, and (e) positivity. …

An Examination Of How Professional Relationships And Professional Development Influence The Lived Experiences Of African American Women Serving As Superintendents In Texas, Tiffany L. Linwood

Electronic Theses and Dissertations

This qualitative research study investigated the effects of professional relationships and professional development on the experiences of 11 African American women superintendents in Texas, a historically underrepresented minority in educational leadership. It explored the challenges these women have had in advancing to and excelling in superintendent positions, emphasizing the need for mentoring, networking, and ongoing professional development. Despite the variety of students, educational leadership, especially at the superintendent level, is primarily White and male. This study used qualitative approaches, particularly semistructured interviews, to explore the perspectives of African American women superintendents about how professional relationships and growth impact their careers. …

The Effects Of Hyper-Communication: A Quantitative Study On Workplace Productivity, David J. Olson

Doctoral Dissertations and Projects

Today's workforce is overwhelmed with information delivered by tools designed to make them more productive. In a milieu of distraction and overload, employees are disadvantaged in processing the tremendous volumes of information they receive. This is called hyper-communication, which is associated with stress, overload, communication misalignment, and, ultimately, distractedness that impairs an employee’s work efficiency. This quantitative study presents research conducted through surveys examining hyper-communication's effects on workplace productivity. A sample of 631 respondents, solicited through social media, participated in this study. The participants came from diverse occupational backgrounds, providing cross-sectional insights into how factors like employees' titles, roles, gender, …

Public Employees' Resistance To Organizational Change, Malte Grohmann

Doctoral Dissertations and Projects

Resistance to organizational change among public employees is a significant challenge for public sector organizations, as it directly impacts their effectiveness. This researcher explored the inability of public leaders to manage such resistance effectively, aiming to deepen understanding of its root causes, the role of leadership during change, and how leaders can influence employees’ responses. Using a flexible, multiple case study design, the research examined two educational organizations undergoing similar changes in distinct contexts. The researcher employed a conceptual framework based on existing literature, incorporating key ideas, including specific factors that contribute to resistance, effects of resistance to the success …

Researching Research Leaders: A Qualitative, Phenomenological, Transcendental Study Of University Institutional Official Relations With Stakeholders Using The Competing Values Framework, Sara Grano

Doctoral Dissertations and Projects

The purpose of this qualitative, phenomenological, transcendental exploratory study was to understand institutional officials’ (IO) lived relational leadership experiences with internal and external stakeholders with competing values in U.S. research universities. The competing values framework guided the study to investigate IOs’ lived experiences when relating to diverse stakeholders in research universities. The central research question asked was what are the experiences of IOs in research universities when practicing relational leadership with diverse stakeholders with competing values? Ten participants were recruited for this qualitative study using the purposeful sampling and then snowball method of recruiting. The elite participants had experience serving …

A Phenomenological Study: African American Female Millennial Church Attendance And The Implications Of Spiritual Formation, Licia Williams-Hawthorne

Doctoral Dissertations and Projects

There is a quiet exodus from the church amongst African American female millennials. In church, Christians gather for corporate worship, a renewal of faith through sermons and songs, and to strengthen spiritual formation. This study aimed to highlight the lived experiences to connect church leadership with raw data from a subpopulation that the church cannot leave behind. The theory guiding this study is the Phenomenological Theory as defined by Husserl (1859-1938) and supported by Peoples (2021) as it allows the researcher to uncover the experiences that shaped this population's decision to no longer regularly attend church. Three research questions defined …

Transitions Of Faith: Navigating Pastoral Changes In Small African American Churches, Joshua O. Dixon

Doctoral Dissertations and Projects

This phenomenological study explored the lived experiences of African American pastors aged 65 and older as they navigate leadership transitions within small churches in Florida. These churches, characterized by the absence of formal succession planning support from a parent organization, serve as critical pillars in their communities. Guided by Bridges' Transition Theory, this research investigated the emotional, psychological, and spiritual dimensions of pastoral transitions, focusing on the stages of 'Ending, Losing, and Letting Go,' 'Neutral Zone,' and 'New Beginning' (Bridges, 1980). Data collection methods included a pre-qualifying survey, individual interviews, and focus group discussions, analyzed through thematic analysis supported by …

Women Leaders In Healthcare: Emotional Intelligence, Job Satisfaction, And Organizational Citizenship Behavior, Kuan-Yin T. Timothee

Doctoral Dissertations and Projects

The purpose of this nonexperimental quantitative correlational study was to explore the relationship between emotional intelligence (EI), organizational citizenship behavior (OCB), and job satisfaction among women in nonclinical leadership roles within the U.S. healthcare sector. As healthcare organizations adapt to technological, social, and economic transformations, they must increase their focus on cultivating EI and promoting OCB, especially in leadership roles (Bowling & Sessa, 2021; Herr et al., 2022; Marstand et al., 2021). Additionally, research has shown that EI facilitates business development and diminishes obstacles to organizational sustenance. Although prior research has established a link between EI and OCB, there is …

Expert Consensus For Key Components Of A High-Quality Ventral Hernia Repair Operative Note, Jonathan S Lall, Said Maldonado, Nicole B Lyons, Gina Adrales, Karla Bernardi, Anne P Ehlers, Hobart Harris, Julie Holihan, William Hope, Jeffrey E Janis, Michele Loor, Clayton Petro, Luke Putnam, Caroline E Reinke, John Scott Roth, Christopher Senkowski, Kendell Sowards, Shirin Towfigh, Daniel Dante Yeh, Zuhair Ali, Mike K Liang

Faculty, Staff and Students Publications

Background: Ventral hernia repair (VHR) is one of the most commonly performed procedures by surgeons; however, there remains a lack of consensus for key components of operative reporting. Prior literature has identified several key elements that are recommended for inclusion in ventral hernia repair operative notes, but it is unclear whether these details alone make for a high-quality operative note. This study sought to determine whether experts agree on what factors make a ventral hernia repair operative note high-quality.

Study design: A prospective exploratory sequential survey-based mixed-methods design was used for round 1. Conclusions via thematic analysis from survey responses …

A Qualitative Study: Patients' Expectation Of Private Hospitals, Sarah Jada, Jessy Jacob, Ahmad Nasrallah

Patient Experience Journal

Objectives: This study was conducted to explore patients' expectations and perceptions of private healthcare facilities, understand the key factors influencing their choice of such facilities, also identify elements that enhance patient satisfaction and loyalty, enabling the development of actionable recommendations to improve patient-centered care in private healthcare settings. Method: A qualitative study using thematic analysis was conducted with 29 patients from various nationalities and backgrounds who received services in private hospitals in Kuwait, including Dar Al Shifa Hospital. Insights were gathered through semi-structured interviews. Results: The study delved into the significant correlation between patients' experience of their healthcare encounters and …

Refining The Student Admissions Process And Retention Methods In Historically Black Colleges And Universities, Beatrice Ransom Johnson

Graduate Student Dissertations, Theses, Capstones, and Portfolios

The overarching goal of the study is to address the admission and retention problem in Historically Black Colleges and Universities (HBCUs). This is after identifying a research gap on how these colleges can retain their significance in the current educational environment that has altered their functionality concept and approach (Smith, 2018). Initially, HBCUs were instituted to specifically meet the needs of Black students who lacked higher educational opportunities due to racist practices and systemic injustices that barred them from joining Predominantly White Institutions and other non-HBCUs (Jones & Williams, 2020). Hence, they were designed to accommodate the Black students' learning …

Benchmarking In Educational Emergencies: Improving The Quality Of Learning In The Midst Of A Global Crisis, Niken Lufi Anggini, Siti Aimah, Muhammad Imam Khaudli

Jurnal Pendidikan dan Pembelajaran

The global crisis has brought about fundamental changes in teaching methods, forcing the education system to adapt quickly and effectively. Many institutions face challenges such as unequal access to technology, inadequate infrastructure, and varying teacher readiness, which leads to disparities in the quality of learning. This study examines the application of benchmarking practices as a strategy to improve the quality of learning in the midst of crisis conditions. Through an in-depth analysis of SMK Negeri Darul Ulum Muncar, the study found that by adopting innovative teaching methods that have proven successful in other institutions, educational institutions can improve student engagement …

The Impact Of A National Crisis On Academic Research Productivity: Experiences Of Program And Department Heads In Israel, Emanuel Tamir

Higher Learning Research Communications

Objectives: The research examined the impact of a national crisis on the research output of academic program and department heads in Israel, investigating how these leaders functioned in the face of prolonged uncertainty and exploring whether their administrative role resulted in personal costs.

Methods: Data were drawn from interviews with 27 heads; then 133 heads answered a questionnaire.

Results: The findings revealed factors restricting research during the crisis: overload relating to students, overload relating to administration, family difficulties, and inaccessible research infrastructure. Some heads developed successful strategies to sustain their research during the crisis.

Conclusions and Implications: Critical insights into …

Organizational Policy Initiatives For A Neurodiverse Workforce, Renae Taylor

ATU Scholars Symposium

Neurodivergent individuals make up a significant percentage of the population and yet lag in employment due to employment barriers of the traditional workplace. While the benefits of a diverse workplace are well documented, there is still a large deficit when it comes to neurodiversity equitable access. To attract and retain a neurodiverse workforce, organizations must make changes that align with research-backed methods for policy building and in turn change the organizational leadership focus to a transformational, growth-based framework.

This applied project focuses on organizational policy initiatives that support the neurodivergent employee, with an emphasis on accommodations and modifications, inclusion, and …

Quality Improvement Project Enhancing Patient Care In Nurse Practitioner Private Practices: A Train-The-Trainer Approach To Implementing Evidence-Based Chronic Mental Disease Management Interventions, Chioma Waters

Doctor of Nursing Practice Projects

Chronic mental health conditions such as anxiety, depression, and post-traumatic stress disorder (PTSD) are frequently treated by nurse practitioners (NPs) in outpatient private practices. Despite the evidence supporting Cognitive Behavioral Therapy (CBT) as a first-line intervention, its utilization remains limited in NP settings, often due to lack of training and confidence. The purpose of this Doctor of Nursing Practice (DNP) project was to evaluate whether a structured train-the-trainer program could improve NP confidence in applying CBT in practice. Guided by the Iowa Model and Kotter’s 8-Step Change Model, this quality improvement project utilized a quasi-experimental, pre-post survey design to assess …