Digital Commons Network^™

Quality Improvement Project Staff Development For Fall Prevention In Community Living Center, Morayo Olatunbosun

Doctor of Nursing Practice Projects

Falls among elderly residents in the community living center continue to be a serious public health concern, increasing mortality, morbidity, and healthcare costs. Despite existing prevention measures, fall-related incidence remains high. The purpose of this quality improvement project is to reduce fall rate in a community living center by implementing structured staff training. A facility needs assessment revealed gaps in fall prevention knowledge, inconsistent protocol use, and limited staff confidence in managing fall risks. In the methodology used to answer the PICOT question, the Donabedian Model guided structure, process, and outcome evaluation, while Kotter’s Change Model informed implementation strategies. The …

Quality Improvement Project Provider Burnout Related To Patient Satisfaction, Sherita Lee

Doctor of Nursing Practice Projects

Provider burnout is a critical issue in healthcare, often intensified by increasing demands to meet patient satisfaction benchmarks. This quality improvement project aimed to examine whether a structured stress reduction program could reduce provider burnout and positively influence patient satisfaction scores in a small outpatient clinic. Guided by the PICOT question—In the clinic setting (P), does the implementation of a stress reduction program for providers (I), compared to no intervention (C), lead to improved patient satisfaction scores (O) over a six-week period (T)? —the project used a pre- and post-intervention design. The intervention included mandatory provider breaks, communication training, and …

Improving Access To Mental Health Care Using Telehealth, Lavern Palmer

Doctor of Nursing Practice Projects

More than half of adults with mental illness in the United States live in mental health deserts—geographic areas with limited access to mental health services and persistent barriers to care. This study investigates the impact of telehealth implementation on patient no-show rates at a rural community clinic in Georgia. The aim was to determine whether the use of telehealth for psychiatric care would decrease the no-show rate of mental health appointments. A retrospective analysis was conducted using patient attendance logs collected 12 weeks before and after the implementation of telehealth services. Quantitative data were analyzed using a Pearson correlation to …

Perception Of Nurses Toward Working At High Reliability Healthcare Organizations: The Association To Nurses' Psychological Safety And Intention To Stay, Safia Samir Darwish, Wafaa Ahmed Ali, Faten Fathy Abo Baraka

Sultan Qaboos University Journal For Science

Background: High-reliability organizations (HROs) of healthcare are facing tough challenges to improve nurses’ psychological safety and intent to stay through maintaining organizational resources, work flexibility, environmental safety, and effectively managing stress and anxieties the nurses face in the workplace. Aim: This study aims to identify the relation between perception of working at HRO, psychological safety and intent to stay among Dar Al-Fouad Hospital nurses. Design: A correlational ex-post facto research. Setting: The study was conducted at Dar Al Fouad Hospital. Study subjects: A simple random sample of nurses who are working in Dar Al Fouad Hospital n=225. Tools: Three instruments …

Transformational Leadership And Its Impact On Team Success: A Detailed Chronicle Of Bellarmine University Men's Lacrosse, Ella Beames

Undergraduate Theses

This thesis uses a journalistic approach to explore the intersection between leadership, transformational leadership, in particular, and forms of success through the lens of Kentucky's only NCAA Division 1 Men's Lacrosse program. Interviews, written survey, and observation were utilized to gauge a community-wide perspective about the team and the holistic nature of the student-athlete experience within Bellarmine University Men's Lacrosse. Observation followed the team for three years and engaged players and coaching staff in telling the story of the team's shifting culture and the management process of the team's newfound success. Methods aimed to draw a connection between the change …

Organization Change Process Initiative Recurrent Emergency Room Visits By Mental Health And Substance Use Patients, Julie Marie Tucker

Walden Dissertations and Doctoral Studies

The rising rates of patients diagnosed with mental health and substance use disorders (MHSUD) signify a critical national crisis, worsened by the COVID-19 pandemic, as reported by the United States Department of Health and Human Services. This increase has reduced access to essential resources and treatment options, resulting in overcrowded emergency rooms (ER) and extended wait times. Addressing these issues is vital for nursing practice, as they significantly influence patient care and health outcomes, especially for vulnerable populations. This doctoral project explores whether an organizational change designed to raise awareness of updated community resources impacts MHSUD patient visits to the …

Reimagining Faculty Retention And Governance In Regional Public Universities, Cabdulcasiis Maxamed Ciise

Masters Projects

This project addresses the faculty retention crisis in regional public universities (RPUs) by examining how neoliberal governance, characterized by performance metrics, market-driven funding, and corporate leadership, has restructured academic work and eroded shared governance. The purpose was to explore faculty burnout, disengagement, and leadership gaps, and to develop resources that support more ethical and collaborative institutional cultures. Using Labor Process Theory, Critical Social Theory, and Organizational Citizenship Behavior as guiding frameworks, this literature-based project analyzed the structural and ideological conditions driving faculty attrition and institutional instability. Research included an extensive review of peer-reviewed literature on neoliberalism in higher education, faculty …

Tax Trends, Nicholas J. Fiore

Tax Adviser

No abstract provided.

The Enterprise Work Management Framework’S Impact On Organizational Effectiveness, Jessica J. Crowley

JWU Dissertations & Theses

Organizations need to be effective to stay relevant in a constantly changing environment (Mergel et al., 2019). No pre-existing theoretical frameworks provide leaders with a tested, holistic work management strategy that is proven to positively impact organizational effectiveness (Mergel et al., 2019). Without structured work management practices, organizations experience low levels of work visibility which translates into reactive decision-making and decreased organizational effectiveness (Burke, 2024).

The newly created Enterprise Work Management (EWM) framework provides leaders with a holistic work management strategy that is proven to positively impact organizational effectiveness. The findings from this study address a gap in organizational effectiveness …

Leadership Strategies For Employee Engagement And Retention In Behavioral Health Organizations, Nneka Grace Slater

Walden Dissertations and Doctoral Studies

Healthcare business leaders encounter significant challenges related to employee engagement and retention across the United States. These healthcare business leaders are increasingly concerned with developing effective leadership strategies that promote employee engagement and ensure retention for periods extending beyond 5 years for improved organizational performance. Grounded in participative theory, the purpose of this qualitative pragmatic inquiry was to explore strategies business owners use to minimize employees’ intent to leave. The participants included six behavioral healthcare leaders in Monroe, Louisiana, United States, who successfully implemented strategies to engage and retain their employees for at least 5 years. Data were collected using …

Effective Followership And Successful Leadership In Small And Medium Enterprises In The Middle East, Kayan Alameh

Walden Dissertations and Doctoral Studies

Effective leadership has long been recognized as a critical factor in organizational success, yet the role of followership remains underexplored. The purpose of this quantitative quasi-experimental study was to examine the relationship between effective followership and successful leadership within small and medium enterprises (SMEs) in the Middle East. Followership theory, transformational leadership theory, and organizational culture theory grounded this study. The participants comprised 192 employees working in SMEs across the Middle East who completed the implicit followership theories scale developed by Thomas Sy to measure followership effectiveness. Leadership success was determined based on whether leaders achieved at least 80% of …

Queer Rights Learning Through Transnational, Digital Communities Of Practice, Hayley D’Souza, Brindaalakshmi Kumbakonam, Bren Kutch, Aparna Arora, Vani Bhardwaj

International Journal of Human Rights Education

Traditional human rights education (HRE), and education writ-large, often depends on and reinforces binary hierarchies. The Society of Gender Professionals (SGP) reflects on how its trans-national, digital communities of practice (“Gender Circles”) are actively “queering” traditional HRE. This article shares reflections and learnings from 14 one-on-one interviews with Gender Circle participants, most notably from the Breaking Gender/Sex Binaries Circles. By facilitating spaces that co-create knowledge, build community, and center lived experiences of people with diverse sexual orientations, gender identities and expressions, and sex characteristics (SOGIESC,) SGP disrupts and queers binaries and hierarchies in education and other constructs, such as with …

Unleashing Excellence: Strengthening It Leaders Through Executive Coaching, Tonya S. Rivers

Dissertations

This paper explores the impact of executive coaching on Information Technology (IT) leaders. Many organizations across different industries lack strong leadership, as exposed by COVID-19. Companies aim to keep exceptional leaders and establish upbeat workplaces to achieve success. Although previous research has examined leadership effectiveness, it is still unclear how best to manage employees' perceptions of effective leadership. The goal of this research is to provide new insights into what can improve perceptions of leadership effectiveness. I explored the role executive leadership coaching has on managers working in the Information Technology (IT) field. Current literature often mentions the need for …

Leadership In The Age Of Ai: Review Of Quantitative Models And Visualization For Managerial Decision-Making, Satyadhar Joshi

Harrisburg University Other Works

This paper offers a comprehensive review of existing literature on the intersection of Artificial Intelligence (AI) and leadership, drawing on both theoretical insights and practical implementations. By analyzing scholarly publications from the past two years (2023-2025), the review traces emerging patterns in how AI technologies are being integrated into leadership practices. Key themes include the growing relevance of learning-based systems for adaptive decision-making and the application of attention-based models to improve responsiveness in dynamic environments. The review also addresses ethical dimensions of AI-enabled leadership, emphasizing the need to balance algorithmic efficiency with human judgment and oversight. Concerns around transparency, psychological …

Rhetorical Nation-Building: A Close Textual Analysis Of Macarthur, Heuss, And Karzai As Agents Of Renewal, Josiah J. Mork

Masters Theses

Warfare has largely shifted from means of domination into a method of peacemaking. Nations increasingly utilize war to dismantle hostile nations and rebuild them with compatible political identities, which potentially creates more lasting peace than treaties or annexation. However, U.S. attempts at nation-building have varied success and, at times, prolong hostility. This study frames the nation-building process as an act of crisis communication and examines the role of rhetoric in this nation-building process. A close textual analysis was performed to examine discourse of renewal in two successful examples in Japan and West Germany, and in an example of failure in …

Examining The Effects Of Work-Related Musculoskeletal Disorder Pain On Healthcare And Allied Health Professionals' Quality Of Life, Nicole Simone Richmond

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to understand the effects work-related musculoskeletal disorder pain has on the quality of life of high body mass indexed healthcare and allied health professional women. This qualitative research incorporated virtual semi-structured interviews, via zoom, of 10 clinically obese female healthcare and allied health workers employed at a hospital, clinic, or private health practice; and have been diagnosed by a medical doctor with a case of chronic work-related musculoskeletal disorder pain within the past six months. The study utilized a virtual setting of participants who reside and work within the United States. Data collection …

Designing A Human-Centered Public Relations System For Layoffs At Organizations Across Financial And Professional Services, Kateryna Kzhemanovska

Harrisburg University Dissertations and Theses

Public relations professionals support businesses across financial and professional services sectors with several initiatives, including reduction of workforce. Given the current macroeconomic situation, as of April 2025, many companies are laying off employees, and doing so in a non-user-centric way. This study will examine existing literature on the topics of corporate communications, reduction of the workforce, reputation management, human-centered interaction design, and project management, and explore the opportunity and relevance of applying human-centered methods to the reduction of workforce processes.

Agile And Lean Integration Effects In Financial Services Organizations, Ananya Sharma

Harrisburg University Dissertations and Theses

The financial services industry, predominantly in large investment banks, faces mounting pressure to improve operational efficiency, simplify communication channel, and meet rigorous regulatory requirements in a constantly changing market environment. This research assesses the incorporation of Agile and Lean practices within the financial services sector, particularly concentrating on their effect on front-office functions, such as sales and investment banking, and control operations like risk and compliance. The study investigates how Agile and Lean processes foster innovation, decrease inefficiencies, and promote partnership between front-office teams and control functions. By examining case studies from leading organizations such as Goldman Sachs, JP Morgan, …

Agile Effects On Risk Management In The Financial Industry, Harasees Kaur

Harrisburg University Dissertations and Theses

The study investigates the ways in which agile practices are combined with traditional risk management frameworks within financial services institutions to achieve digital transformation, regulatory compliance, and stakeholder management. Three research questions drive the study: the ways in which financial institutions are adopting agile practices without undermining compliance, the challenges they face in adopting agile practices, and the mechanisms that enable alignment between agile values and risk governance. Grounded in stakeholder theory and agile transformation models, this study used open questionnaires to gather qualitative data from financial services professionals. Thematic analysis revealed a trend towards hybrid governance solutions that insource …

Investigating Faculty, Students, And Diversity Officers' Attitudes Towards Cultural Diversity: A Causal-Comparative Study, Kerry Simmons

Doctoral Dissertations and Projects

The purpose of this quantitative causal-comparative study is to investigate the difference in cultural competence scores among students, faculty, and diversity officers who participated in cultural competence training and those who did not. Research on diversity has seldom examined the effectiveness of cultural competence training on attitudes toward cultural diversity. The study participants (n = 411) were undergraduate students, n = 148, faculty, n = 129, and diversity officers, n = 134) from 4-year private non-profit universities in the Northeastern United States. The present study employed critical race theory to explore the effectiveness of cultural competence training programs and assess …

Examination Of Supervisor Support Of Worker Mental Health: A Quantitative Survey Of Workplace Attitudes, Interventions, Values, And Support, Myra Hernandez

Doctoral Dissertations and Projects

The aim of this study was to help understand mental health in the workplace. The research aimed to examine how supervisor attitudes (stigma) toward mental health, staff care values, and organizational mental health intervention and prevention training predicted supervisor confidence in supporting workers experiencing mental health issues and supportive behavior of worker mental health. This quantitative, relational, cross-sectional research design used regression and moderation analyses to examine and measure the variables. Quantitative data from a closed-question survey was analyzed. The G*Power analysis determined that a minimum of 77 participants were needed for the study. Target participants were supervisors 18 years …

The Impact Of Implementing A House System At East Richland Christian Schools: A Dissertation-In-Praxis, Travis Johnson Mckinley

Doctoral Dissertations and Projects

This dissertation-in-praxis examines the implementation of a House System at East Richland Christian Schools (ERCS), a private Grades 7-12 institution in Saint Clairsville, Ohio, to address deficiencies in the traditional small group model, including limited student engagement, leadership development, spiritual growth, and school spirit. Grounded in Burns’ (1978) Transformational Leadership Theory and biblical principles, the study replaced gradeand gender-segregated groups with four randomized, co-ed houses (Amare, Fidem, Spero, Veritas) for 50 students and eight teachers. The project aimed to create a spirited Christian community through weekly competitions, leadership opportunities, and spiritual activities. Using a mixed-methods approach under the Stake Model, …

Exploring The Effect Of Blended Coaching On Principal Leadership: A Phenomenological Study, Elizabeth F. Fales

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to understand the leadership experiences of kindergarten-grade 12 (k-12) principals using the blended coaching model while serving in international schools. The theory guiding this study was Avolio and Bass’ full range of leadership. The leadership continuum presented in the theory related to the transactional and transformational coaching conversations featured in the blended coaching model. Using purposeful and snowball sampling, ten school leaders, principals or assistant principals, with training in the blended coaching model were selected to participate in the study. Data were collected through individual interviews, a self-reflection journal prompt, and role-specific …

Exploring Effective Leadership Styles In Adolescent Substance Abuse Treatment Programs: A Qualitative Study, Tony Terrel Curtis

Doctoral Dissertations and Projects

The purpose of this qualitative descriptive study was to examine the perceptions of adolescent addiction treatment counselors regarding effective leadership styles in addressing organizational, employee, and clientele needs. The study focused on leadership in substance abuse treatment programs, particularly the roles that various leadership styles, such as situational, servant, and transformational leadership, play in improving communication, organizational cohesion, and client care. Participants were 15 adolescent addiction treatment program counselors who had worked for at least 1 year and were currently residing in the southwest United States. Drawing from the contingency theory of leadership, the research revealed that different leadership styles …

A Qualitative Study Of How Instructional Leaders Describe The Actions And Reflections Of Organizational Management, Ashli Bachmeier

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to describe the influence of organizational management on the actions and decision-making of instructional leaders in Title I secondary schools in Nevada. The theory guiding this study was Argyris and Schön’s theory of practice, which states that human beings generally need to become competent by adopting a theory of action and then reflecting on this action to learn from it. This study's theory of practice aligns with the role of instructional leaders in shaping organizational management through actions and reflections. This study employed a phenomenological approach and qualitative research methods focusing on …

The Leadership Barrier: How Organizational Support, Culture, And Stigma Influence Mental Health Utilization In The Nypd, Ian Demodna

Doctoral Dissertations and Projects

This study examined systematic barriers that affect NYPD officers' utilization of mental health resources. Despite efforts to provide mental health resources, deep-rooted stigma, rigid organizational culture, and inconsistent leadership support continue to impede officers' utilization. A survey was distributed to two groups of police officers: officers with 5 years or less of active service (n = 548) and 15 years or more of active service (n = 880). The survey questions focused on leadership support, organizational culture, and stigma to assess the differences in mental health utilization. The results showed no significant differences between groups in utilization (p = .437), …

Nursing Education On The Health Benefits Of Animal Assisted Therapy, Sara C. Barker, Allie P. Dunlap, Daniel T. Do, Charde Willis

SPARK Symposium Presentations

Background: Does nurse education for pediatric oncology families teaching daily animal-assisted therapy (AAT) health benefits reduce anxiety from 35% to 18% compared to current practice?

Methods: A literature search was conducted using CINAHL (356 articles), PubMed (412 articles), and Google Scholar (289 articles) with keywords including animal-assisted interaction, pediatric cancer, pet therapy, psychological support, caregivers, and psychosocial outcomes. Filters applied included peer-reviewed articles, English language, full text, publication within the last five years, randomized controlled or quasi-experimental study design, and relevance to nursing practice. 4 articles were chosen due to being directly relevant to education related to AAT and psychosocial …

The Impact Of Belonging On Tennessee's Infant And Early Childhood Mental Health Workforce And Their Intent To Stay, Keena Denise Friday

Electronic Theses and Dissertations Archive

Many infant and early childhood mental health organizations are facing difficulties retaining professionals to provide high-quality services to infants, young children, and families in Tennessee. When professionals do not experience consistent and responsive connections and healthy interpersonal relationships, they are often prepared to seek alternative employment, which can disrupt the relationships and services they provide to families. The purpose of this study was to examine the impact that a sense of belonging has on an infant and early childhood mental health (IECMH) professional’s intent to stay in their role and its associations with the perception of organizational belonging, psychological safety, …

The Psychological Effects Of Ice Conditions In Long-Term Space Travel, Jamen W. Barker

Student Works

The psychological effects of long durations spent in space remain largely unexplored, as do potential treatments for these effects. This review compiled data from 19 articles found via searches on the APAPsychInfo and Google Scholar databases, as well as a few ancillary sources. These studies are relevant to the study of the psychological effects of space travel and isolated, confined, or extreme (ICE) environments, and research into means of addressing them, as well as limitations in current literature on the topic. Studies found sleep deprivation, largely due to microgravity, to be a contributing factor to increased stress in space. Social …

Nonprofit Leader Strategies To Retain First-Time Charitable Donors, Regina Goodrum Williams

Walden Dissertations and Doctoral Studies

First-time donor retention remains a significant concern for nonprofit organizations, especially from rural nonprofit business leaders striving to maintain financial sustainability. These leaders care about identifying effective marketing strategies to retain first-time donors, as low retention threatens both their funding stability and their capacity to serve their communities. Grounded in single- and double-loop learning theory, the purpose of this qualitative multiple case study was to explore marketing strategies rural nonprofit business leaders use to retain first-time donors to achieve financial sustainability. The participants included four different charitable nonprofit business leaders in South Georgia and South Carolina with successful experiences in …