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Acute Care Hospitalizations: Intentional Rounding And The Relationship To Patient Satisfaction, Ernestine Lucrecia Quick

Walden Dissertations and Doctoral Studies

Patients evaluate their experiences to determine if they will allow hospitals to provide their needed health services. Patient experience scores are used by hospitals to assess patients’ feelings about their interactions with the health care team and providers, the hospital facilities, and their likelihood to recommend the hospital to others. The purpose of this quantitative study was to determine whether a significant difference existed in patient satisfaction between those receiving care in a North Carolina inpatient health system before and after implementing intentional rounding (IR). The three research questions addressed the independent variable by comparing Press Ganey survey data for …

Tale Of Transitions: Experiences Of A First-Year Ph.D. Asian Student In America, Aakash Kumar

The Qualitative Report

This autoethnographic account narrates my transition as a first-year Ph.D. student at Texas A&M University, USA. Employing Kurt Lewin’s Change Model, I have structured my narrative around three phases: (a) unfreeze, (b) change, and (c) refreeze. The unfreeze phase details the process of unlearning, adjusting to American academic practices, and the initial cultural shock intensified by homesickness. The change phase describes embracing a new identity, integrating into campus and cultural life, and overcoming academic challenges. Lastly, the refreezing phase involves consolidating new beliefs, perspectives, and skills, solidifying the transition to becoming a more confident and competent scholar. This autoethnographic account …

Best Practice Toolkit For Increasing Colorectal Cancer Screenings In At-Risk Adults, Zoe Windfelder

Student Scholarly Projects

Adult individuals at risk for colorectal cancer (CRC) do not have a direct, accessible best-practice toolkit to follow for screening measures. Research showed that at least three guidelines (i.e., American Cancer Society [ACS], American College of Gastroenterology [ACG], and U.S. Preventive Services Task Forces [USPSTF]) are used interchangeably daily by interprofessional staff for individuals with average to high-risk variables. The project was guided by the following PICOT question: For interprofessional staff supporting the at-risk adult population for colorectal cancer (P), how does the development of a best practice for coordination of care toolkit (I) compared to no structured program strategy …

My Superpower: Research Collaborator Strategies Among Faculty Members Who Are First-Generation College Graduates, Faye Farmer

Electronic Theses and Dissertations

This inductive study examined the intersectional experience within research collaborations of tenure-track faculty who are both first-generation college graduate students and from racial and ethnic groups (as defined in the United States) that are underrepresented in STEM fields (as defined by the National Science Foundation). I interviewed twelve current and former faculty members from doctoral-granting universities in the United States. I used identity as the theoretical lens to explore research collaborations at the individual level. The interviews revealed three themes reflecting identity's role in selecting and being selected as a collaborator and working with a collaborator. The themes are: an …

Toward Dissolving The Institutionalization Of “Othering”: Organizational Conditions That Support Shared Responsibility, Jennifer R. Cowhy, Lok-Sze Wong, Megan Hopkins

Counseling, Leadership, and Research Methods Faculty Publications and Presentations

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Abstract

Reforming And Enhancing Partnerships To Strengthen Nato’S Strategic Posture, Nicolò Fasola

The US Army War College Quarterly: Parameters

This article contends that NATO’s current partnership policies, procedures, and mechanisms inadequately address the Alliance’s evolving mission. The world’s heightened state of competition should prompt NATO to reevaluate partner engagement to fulfill its strategic goals more effectively. Alongside a critical examination of NATO’s cooperative security policy evolution, this article identifies six major challenges and proposes three bold yet actionable solutions. Enriched by interviews and the author’s experience in the field of partnerships, this article also outlines ways NATO can reform existing partnership tools.

Evaluation Of The Effectiveness Of The Implementation Of A New Workflow Process On The Incidence Of High Blood Culture Contamination (Bcc) Rates In The Emergency Department, Angelita Rodgers

Walden Dissertations and Doctoral Studies

The purpose of this Doctor of Nursing Practice Project was to evaluate the effectiveness of a quality improvement (QI) initiative to reduce blood culture contamination (BCC) rates in the emergency department (ED) of a large healthcare organization in the southeastern United States. Evidence-base sources indicated that high blood culture contamination (BCC) rates compromised diagnostic accuracy, leading to unnecessary treatments, increased hospital stays, and elevated healthcare costs. The project was guided by the evidence-based practice question: “How does the implementation of a new workflow process influence the incidence of high blood culture contamination (BCC) rates in the emergency department?” To address …

Evaluation Of The Effectiveness Of The Implementation Of A New Workflow Process On The Incidence Of High Blood Culture Contamination (Bcc) Rates In The Emergency Department, Angelita Rodgers

Walden Dissertations and Doctoral Studies

The purpose of this Doctor of Nursing Practice Project was to evaluate the effectiveness of a quality improvement (QI) initiative to reduce blood culture contamination (BCC) rates in the emergency department (ED) of a large healthcare organization in the southeastern United States. Evidence-base sources indicated that high blood culture contamination (BCC) rates compromised diagnostic accuracy, leading to unnecessary treatments, increased hospital stays, and elevated healthcare costs. The project was guided by the evidence-based practice question: “How does the implementation of a new workflow process influence the incidence of high blood culture contamination (BCC) rates in the emergency department?” To address …

Developing An Educational Program To Educate Nurses About Sickle Cell Disease And Vaso-Occlusive Episodic Pain, Margaret Sih Buo-Frundi

Walden Dissertations and Doctoral Studies

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Evaluation Of The Effectiveness Of The Implementation Of A New Workflow Process On The Incidence Of High Blood Culture Contamination (Bcc) Rates In The Emergency Department, Angelita Rodgers

Walden Dissertations and Doctoral Studies

The purpose of this Doctor of Nursing Practice Project was to evaluate the effectiveness of a quality improvement (QI) initiative to reduce blood culture contamination (BCC) rates in the emergency department (ED) of a large healthcare organization in the southeastern United States. Evidence-base sources indicated that high blood culture contamination (BCC) rates compromised diagnostic accuracy, leading to unnecessary treatments, increased hospital stays, and elevated healthcare costs. The project was guided by the evidence-based practice question: “How does the implementation of a new workflow process influence the incidence of high blood culture contamination (BCC) rates in the emergency department?” To address …

Professional Development Strategies For Nonprofit Organizations To Retain Key Talent, Anderline Celestin

Walden Dissertations and Doctoral Studies

Some leaders of nonprofit organizations lack effective strategies for implementing professional development programs that could improve the retention of key talent. Retaining experienced, high-performing employees is a top concern for nonprofit leaders, as these individuals are vital to the organization's success and overall performance. Grounded in the human capital theory and Herzberg’s two-factor theory, this qualitative pragmatic inquiry was conducted to explore the strategies employed by nonprofit organization leaders to implement successful professional development programs aimed at increasing the retention of key talent. The participants were eight business leaders from nonprofit organizations in the United States who have professional development …

The Effect Of A Structural Wellness Intervention On Id Fellows And Faculty, Michael T. Czapka, Christopher Lehmann, John Flores, Erica Mackenzie, Elizabeth Bell, Aniruddha Hazra

Journal of Wellness

Introduction: Physician burnout is prevalent amongst Infectious Diseases (ID) physicians and trainees in the United States. There is limited data assessing the impact of structural interventions in reducing burnout among medical professionals.

Methods: The multifaceted intervention included increased faculty presence over the weekend and faculty support during the week. ID fellows were surveyed before and after the intervention and faculty were surveyed after the intervention using the Maslach Burnout Inventory for Medical Personnel and additional questions regarding wellness and time for education. Pre- and post-intervention responses were compared. Free response answers were analyzed to determine major themes. Metrics of clinical …

Effect Of Telehealth Interventions On Hypertension Management In A Veterans Affairs Community-Based Outpatient Clinic (Cboc), Cherilyn Schumacher

Student Scholarly Projects

Practice Problem: Per U.S. Department of Veterans Affairs (2020), hypertension (HTN) is prevalent in active and retired military personnel with 13% of those in active duty and in “more than one in three Veterans…making it the most common chronic condition for Veterans” (p. 1). Per the Electronic Quality Measure (eQM) portal, a PACT clinic in a CBOC is scoring well below the national and facility benchmarks, showing a need for an intervention that will improve HTN management.

PICOT: For current veteran patients ages 18-85 assigned to a PACT (P), what is the effect of nurse-led telehealth blood pressure …

Enhancing Emergency Department Efficiency: Utilization Of Streamlined Triage System To Reduce Waiting Times, Sunah Kim

Student Scholarly Projects

Emergency departments (EDs) often experience prolonged waiting times, leading to patient dissatisfaction and potential negative health outcomes. This project addresses the need for improved triage processes to enhance patient flow and reduce delays in care.

PICOT

In adult patients presenting to the emergency department (P), how does the implementation of a streamlined triage process (I) compared to standard emergency department protocols (C) lead to a reduction in waiting times (O) within a twelve-week period (T)?

Evidence

A review of current literature indicated that streamlined triage systems can significantly decrease patient wait times and improve overall ED efficiency by incorporating colors …

Attachment Styles As Moderators Of Loneliness In Remote Work, Brody Tj Loughlin

Doctoral Dissertations

This dissertation investigates the role of attachment styles in moderating the relationship between remote work and loneliness. Drawing on attachment theory, which posits that early life experiences shape attachment styles and influence social interactions, the study examines whether attachment styles (anxious, avoidant, and secure) moderate the association between remote work and feelings of loneliness. The research targets 394 remote workers, using a quantitative, cross-sectional survey design with proportional stratified sampling to reflect the distribution of hybrid and fully remote work arrangements in the U.S. workforce. The Extent of RemoteWork measure, the Three-Item Loneliness Scale, and the Adult Attachment Scale assess …

Effect Of Workload And Trust On Automation Levels In Human-Robot Collaboration, Abhiram Maddula

LSU Master's Theses

Automation is becoming increasingly common in manufacturing and assembly plants. The future lies in hybrid workspaces where the strengths of humans and robots complement each other, with robots excelling in precision, speed, and strength, and humans excelling in creativity, emotional intelligence, and complex decision-making. Collaborative robots can foster a more efficient and productive work environment by bridging the gap between human and machine capabilities. This study examines how semi-automated and automated modes impact human-robot collaboration, focusing on mental workload, trust, and task performance.

In this experiment, 58 participants performed a primary task alongside a collaborative robot assembling a miniature lamppost …

The Challenges Of Co-Developing Climate-Smart Strategies, Practices, And Technologies Among Research And Extension Teams, Michelle R. Worosz, Hannah Stewart, Mckayla Robinette, Brenda Ortiz, Rishi Prasad, Audrey Gambel, Leah Duzy

Journal of Extension

With climate-smart agriculture as the context, we explore one aspect of transdisciplinarity, the co-development of knowledge (CDK). Challenges were identified via matrix coding and word frequency queries of field day, meeting, and interview transcripts. Focusing on the Research-Extension team, we found they highly value collaboration and participatory-based projects, but developing trust-based relationships, enhancing long-term stakeholder investment, and understanding both team and stakeholder capacity was difficult. This paper informs transdisciplinary projects aimed at climate adaptation by illustrating the need for Research-Extension teams to take incremental steps towards CDK, to engage stakeholders before program planning, and to increase both interaction and reflexivity.

Adverse Childhood Experiences, Work-Related Stress, And Trauma-Informed Care Among Novice Counselors, Eunae Han, Paul Carrola

Journal of Counselor Preparation and Supervision

The current study examined the prevalence of Adverse Childhood Experiences (ACEs) among novice counselors and demonstrated the relationships among ACEs, work-related stress, and familiarity with Trauma-informed Care. Specifically, the results showed that counselors’ ACEs scores significantly predicted secondary traumatic stress while the ACEs score did not predict burnout and compassion satisfaction. Additionally, the level of familiarity with Trauma-informed Care among novice counselors had a negative association with secondary traumatic stress. The meaning of the results and the limitations of the study are discussed.

A Term Of Change, Gary Oyster Dds

Virginia Dental Journal

The document is an update from Dr. Gary Oyster, ADA Trustee for the 16th District, on recent actions taken by the ADA Board and Staff, including legislative issues, financial updates, and organizational changes.

Navigating The Landscape: Perceptions, Motivations, And The Journey Of Data Professionals In Implementing Data Processes And Procedures, Willie Rivers

Dissertations

This explanatory study investigates the motivations behind data professionals' willingness or resistance to implementing data policies and procedures, utilizing the Theory of Planned Behavior and Psychological Ownership as frameworks. Through interviews with 21 data professionals, the research explains how factors such as perceived control, ownership, and attitudes towards data processes influence their motivation. The study tests key propositions, including the impact of perceived time burdens, bureaucratic procedures, and organizational expectations on data governance engagement. The findings underscore the critical role of control and access to information in motivating the adoption of data policies, providing insights for organizations aiming to enhance …

Improving Employee Retention In The Virtual Workforce, Marissa Williams

Walden Dissertations and Doctoral Studies

The need for addressing employee retention in the virtual workforce is critical, particularly in the context of the U.S. General Services Administration (GSA) Region 4. High employee turnover rates can lead to significant disruptions and decreased organizational performance. This administrative case study involved identifying effective strategies to improve retention and engagement among virtual employees. The practice-focused question involved understanding key factors that influenced employee retention and developing actionable recommendations for the GSA. Insights can be applied across similar organizations facing virtual workforce challenges. Data were collected through in-depth surveys with employees that were hired between 2020 and 2023, focusing on …

Improving The Department Of Veterans Affairs Medical Centers Electronic Health Record Implementation, Rodney James Laster

Walden Dissertations and Doctoral Studies

Implementing electronic health records (EHR) is critical for modernizing healthcare systems; however, existing research has indicated these initiatives are fraught with challenges. The Department of Veterans Affairs (VA) is responsible for providing care to millions of veterans and has encountered significant obstacles in its EHR modernization efforts, leading to budget overruns, extended timelines, and operational disruptions. EHR implementations within the VA are particularly complex due to underestimated costs, lengthy schedules, and unforeseen organizational hurdles. As a result, the VA’s EHR project has faced numerous setbacks, including delays and pauses in future deployments, creating a pressing need for effective strategies to …

Improving Employee Retention In The Virtual Workforce, Marissa Williams

Walden Dissertations and Doctoral Studies

The need for addressing employee retention in the virtual workforce is critical, particularly in the context of the U.S. General Services Administration (GSA) Region 4. High employee turnover rates can lead to significant disruptions and decreased organizational performance. This administrative case study involved identifying effective strategies to improve retention and engagement among virtual employees. The practice-focused question involved understanding key factors that influenced employee retention and developing actionable recommendations for the GSA. Insights can be applied across similar organizations facing virtual workforce challenges. Data were collected through in-depth surveys with employees that were hired between 2020 and 2023, focusing on …

Improving Employee Retention In The Virtual Workforce, Marissa Williams

Walden Dissertations and Doctoral Studies

The need for addressing employee retention in the virtual workforce is critical, particularly in the context of the U.S. General Services Administration (GSA) Region 4. High employee turnover rates can lead to significant disruptions and decreased organizational performance. This administrative case study involved identifying effective strategies to improve retention and engagement among virtual employees. The practice-focused question involved understanding key factors that influenced employee retention and developing actionable recommendations for the GSA. Insights can be applied across similar organizations facing virtual workforce challenges. Data were collected through in-depth surveys with employees that were hired between 2020 and 2023, focusing on …

A Comparative Study On Transactional And Transformational Leadership Styles Among Department Heads At Tertiary Institutions In Malaysia, Louis Chin, Fung Lan Yong, Melinda Kong

Jesselton Journal of Educators and Scholars

The purpose of the study was to compare staff’s perceptions of the cruciality between transactional and transformational leadership styles among department heads in Malaysia. The sample consisted of 52 administrative and teaching staff from four private colleges in Sabah and Sarawak. An online questionnaire was used to collect data that were subsequently transferred onto an Excel spreadsheet. Findings revealed that transactional leadership style had a higher mean score of 4.46. About 91 percent of staff indicated that department heads must make changes when necessary and clarify staff’s expectations related to performance goals. Approximately 96 percent of staff indicated that department …

Organizational Strategies To Better Serve The Behavioral Health Needs Of Teachers, Caterina Antonietta Viscomi

Walden Dissertations and Doctoral Studies

Since the COVID-19 pandemic, many teachers have faced increased mental health challenges and insufficient administrative support. Effective behavioral health care is essential for organizations aiming to enhance teachers' mental well-being. However, there is a need to explore strategies that best meet the current mental health needs of educators. This qualitative case study used interviews and documentation to assess the needs of a small New Jersey behavioral health organization and to develop strategies addressing the growing mental health crisis among teachers. Data sources included four informal interviews with behavioral health leaders, secondary data from the host agency, and a review of …

Innovation Strategies To Develop A Sustainable Municipal Government Beyond A Financial Crisis, Vickie Michelle Riggins Medina

Walden Dissertations and Doctoral Studies

Some government leaders lack knowledge of innovation strategies to develop a sustainable municipal government through a financial crisis. The purpose of this qualitative multiple-case study was to explore innovation strategies municipal government leaders employed to help overcome a financial crisis. The research question explored what innovation strategies municipal government leaders employ to help overcome a financial crisis. Argyris and Schön’s organizational learning theory of action provided the conceptual framework for this study. A purposeful sample of 10 participants included municipal government leaders and elected officials. Data were collected through semistructured open-ended interview questions, which elicited responses of shared experiences in …

An Analysis Of Racial Tasking And Other Sport Management Theories Through The Lived Experiences Of Black College Football Coaches, Trevor Bopp, Robert Turick

Journal of Issues in Intercollegiate Athletics

The purpose of this study was to explore Black coaches’ (N = 17) perceptions of the academic research that purports to shed light on their experiences in college football. In sharing their lived experiences, coaches discussed the racial inequalities they have and continue to overcome to enter, remain, and advance in coaching; considered the existence and influence of racial tasking; and provided their thoughts on sport management research. In doing so, they remarked about many of the racialized barriers and disparate outcomes which we have hypothesized, analyzed, interpreted, and written about in our academic work. Implications from this study provide …

Reducing Patient Turnaround Time From The Emergency Department To Freestanding Behavioral Health Facility, Brooke Stephens Msn, Rn, Pmh-Bc

Nursing Research & Professional Development Conference

Background: Mental health encounters in the emergency department have proven to have a longer length of stay compared to medical encounters, which are associated with poor safety and health outcomes. Mental health patients can experience decompensation of their condition due to the more disruptive milieu and the lack of specialized treatment in the emergency department.

Local Problem: Transferring patients to an inpatient behavioral health facility in a timely manner is of utmost importance; however, the freestanding psychiatric facility has limited resources for complex medical needs requiring medical clearance to be obtained in the emergency department. From September – December 2022, …

The Effects Of Sleep And Culture On A Police Officer’S Mindset Involved In A Traffic Collison, Christopher Gary Cano

Walden Dissertations and Doctoral Studies

The host police department experienced 58 traffic collisions from 2019-2020, which resulted in adverse outcomes for police officers and community members. The police department seeks a solution to reduce and prevent future collisions. This problem is not an isolated incident, as traffic collisions have been the leading cause of death and injury to police officers in the United States for the last three decades. Previous research focused on the causative factors of traffic collisions (speeding, distracted driving); however, little research has been dedicated to why a police officer would engage in risky driving. Is the mindset of a police officer …