Digital Commons Network^™

Greatness Restored: The Development Of An Alternative To Suspension Program, Matthew Jose

Critical and Creative Thinking Capstones Collection

I have been fortunate enough to work with at-risk children within the youth services and education fields for over 20 years now and through this experience I have learned much about the successes and difficulties that these young people face as they navigate life and work their way toward adulthood. An at-risk youth is a child who, because of various life circumstances, is less likely to transition successfully into adulthood. This success could include in the academic realm, job readiness as well as the ability to become financially independent as an adult. In working directly with these students and their …

Improving Recognition Of Depression Among The Adult Patients In Psychiatric Settings, Jane A. Ferraris

Dissertations

Depression rating scales may improve depressive symptom identification. At the project site, there was no consistent process for determining patients' depressive symptoms, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if the translation of Dunlop et al.'s research utilizing the Hamilton Depression Rating Scale-6 (HAMD-6) would impact the rate of identification of depressive symptoms and referrals to psychology for Cognitive Behavioral Therapy (CBT) among adult patients.

A Tax Morale Approach To Compliance: Recommendations For The Irs, Marjorie E. Kornhauser

Florida Tax Review

Why do people follow the law? The answer, under the traditional theory of compliance, is fear of detection and punishment. The deterrence model, however, accounts for only a minor portion of actual compliance levels. It has such poor explanatory power because it assumes that the decision to comply is based solely on a rational cost-benefit analysis in which people weigh the benefits of non-compliance against the costs of detection and penalties. Recent literature reveals, however, that the decision to comply is not purely rational. Rather, personal values, social norms, and non-rational cognitive processes also strongly affect the decision.

What holds …

Positive Psychology And Employee Services, Bryan Cavins

Visions in Leisure and Business

Emotional and social intelligence is often forgotten element in the development of management styles that has the possibility of increasing effectiveness that relates to the achievement of organization and individual goals. This is the process that has the potential to achieve cooperation and understanding of the different employer and employee positions. It is a framework that can provide a basis for the development of a common understanding as well as respect for each his position. This is the starting point for the development of effective management programs.

The Influence Of Internal Marketing On Employee Performance In The Ghanaian Public Sector: The Mediating Role Of Organizational Commitment, Francis Osei, Alfred Owusu, Collins Kankam-Kwarteng, Gertrude Agyemang

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

This research assessed the influence of internal marketing on employee performance in the public sector of Ghana, as mediated by organizational commitment. This research was conducted on a total of 300 public sector workers in Ghana, of whom 200 responses were received, representing a response rate of 66.6%. Purposive and convenience sampling techniques were adopted. The PLS-SEM technique was implemented to determine the associations among the variables. The research results reveal significant associations among internal marketing, employee performance, and organizational commitment. Moreover, a partial role is played by organizational commitment. The research findings indicate that the public sector, particularly Metropolitan, …

Be Kind To Your Mind: The Use Of Mobile Based Applications To Reduce Stress And Improve Health Outcomes, Akira Hanson Finn

Doctor of Nursing Practice Final Manuscripts

Now more than ever mental health is in the spotlight on a global scale. Professionals from a variety of different disciplines are being encouraged to evaluate several different coping techniques in order combat the magnitude of societal crisis being discovered post-pandemic. At the top the list is Mindfulness-based interventions. The concept of mindfulness practices is nothing new. Evidence suggests it has existed for thousands of years; however, it is getting more notoriety in the past decade due to increasing expansion of mobile-based applications. These types of technology driven applications offer an easily accessible, convenient, and trackable way for individuals to …

A Comparison Of Suprathel Burn Dressing Vs Standard Care On Length Of Hospitalization, Pain Scores, Opioid Use, Treatments, And Outcomes., Rakiema T. Sellars-Pompey, Anthonia Okoh

Doctor of Nursing Practice Final Manuscripts

Purpose: The purpose of this evidenced-based practice Doctor of Nursing Practice (DNP) project was to determine the impact and efficacy of using Suprathel artificial wound and burn dressing on patients treated at a UC San Diego Health Regional Burn Center for second-degree burns. The primary goal of this project will be to evaluate the impact of using Suprathel on hospital length of stay; compare wound infection rates, pain score, and morphine equivalent use; and to identify the cost-effectiveness of the Suprathel artificial wound and burn dressing.

Background: Burns are a global health concern causing significant morbidity and mortality, …

Succession Planning In The Federal Government, Christine Noel Roberts

Doctoral Dissertations and Projects

Succession planning is a term that refers to the systematic and methodological efforts an organization uses to plan for organizational stability and proficiency. Organizations must provide employees the training, experiences, and knowledge required to assume positions of increased responsibility when those jobs are vacated. Agencies should strive to create a diversified pool of qualified candidates to avoid a talent gap, workforce shortages, or a loss of agency knowledge. Over the past fifteen years, the Federal Government has continued to highlight the need to take a proactive approach to succession planning by first identifying the skill sets needed for critical positions …

Jena And Auerstadt: Reorganization Of The German Military From 1807-1945, Blake Cole Lucy

Doctoral Dissertations and Projects

The twin battles of Jena and Auerstadt in 1806 and the defeat of the Prussian army by Napoleon I set in motion a series of reforms that transitioned Prussia into a modern state both economically and militarily. From these reforms and key reformers, the Prussian state established itself amongst other European powers of the time helping defeat Napoleon in 1815 ending the Napoleonic period. After the Napoleonic age, the Prussian state again faced a dire situation during the 1848 revolutions and whether it would continue the reforms through a conservative or liberal approach. The military reforms of the 1850s during …

Organizational Preparedness Required For System Implementation, Kaitlyn Marie Mccollum

Doctoral Dissertations and Projects

Enterprise resource planning (ERP) systems are currently in high demand as organizations seek to streamline, synchronize, and synthesis operational information, efforts, and resources to make decisions swifter and operate more efficiently and effectively. As the results and benefits of system output are realized within the market, organizations seek to implement ERP systems but are not successful because their organizations are not prepared prior to implementing the system. As a result, organizations search for a roadmap or collection of best practices as a guide for organizational preparation prior to system adoption and implementation. But these materials are lacking within the industry. …

Study Protocol: Type Iii Hybrid Effectiveness-Implementation Study Implementing Age-Friendly Evidence-Based Practices In The Va To Improve Outcomes In Older Adults, Kirstin Manges Piazza, Laura Ellen Ashcraft, Liam Rose, Daniel E. Hall, Rebecca T. Brown, Mary Elizabeth (Libby) Bowen, Shahrzad Mavandadi, Alison C. Brecher, Shimrit Keddem, Bruce Kiosian, Judith A. Long, Rachel M. Werner, Robert E. Burke

College of Population Health Faculty Papers

Background

Unmet care needs among older adults accelerate cognitive and functional decline and increase medical harms, leading to poorer quality of life, more frequent hospitalizations, and premature nursing home admission. The Department of Veterans Affairs (VA) is invested in becoming an “Age-Friendly Health System” to better address four tenets associated with reduced harm and improved outcomes among the 4 million Veterans aged 65 and over receiving VA care. These four tenets focus on “4Ms” that are fundamental to the care of older adults, including (1) what Matters (ensuring that care is consistent with each person’s goals and preferences); (2) …

Reframing And The Power Of Resistance: A Case Of Self-Reflection, Abdelnasser Hussein

i.e.: inquiry in education

This article is a reflection on my personal experience as a practitioner in the field of educational leadership when resistance resulted from restructuring the dismissal procedure in my school. This reflection is primarily drawing upon the four-frame approach of Bolman and Deal (2017) in their book, Reframing Organizations: Artistry, Choice, and Leadership. The article explores the full description of the case, an analysis focused on me and my understanding of the case, and a reframing process based on the premise Bolman and Deal offer in their book. Throughout my self-reflection on this case, I develop options that add choice …

How School Leadership Affects Teachers’ Professionalism Via Trust In Administrator In Bureaucratic School Structures, Ramazan Atasoy, Mehmet Tufan Yalçın

i.e.: inquiry in education

School leadership is a concept being discussed in recent studies regarding educational administration. This study examines the relationship between school leadership and teacher professionalism, focusing on the mediating effects of trust in the administrator on the relationship between school leadership and teacher professionalism. The study has adopted a cross-sectional survey design. The sample consists of 269 (Türkiye) and 134 (Turkish Republic of Northern Cyprus) teachers. The structural equation model was used to test the direct and indirect effects of the variables. Considering the findings of the study, school leadership is positively related to teacher professionalism as mediated by trust in …

How Exemplary Chief Nurse Executives Utilize The Six Domains Of Conflict Transformational Strategies To Establish Common Ground And Produce Breakthrough Results, Michael Thompson

Dissertations

Purpose: The purpose of this phenomenological method study was to identify and describe strategies that exemplary chief nurse executive leaders use to identify and establish common grounds to produce breakthrough results in healthcare by using the six domains of transformational conflict strategies: collaboration, communication, emotional intelligence, ethical behaviors, problem solving, and shared interest.

Methodology: As a part of the thematic phenomenological study, the research identified and described the lived experiences of eight exemplary chief nurse executive leaders in health care who used conflict transformational strategies to find common ground to produce breakthrough results. The target population for the study included …

How Exemplary Elementary School Principals Establish Common Ground And Produce Breakthrough Results By Using The Six Domains Of Conflict Transformational Strategies, Monica Berro

Dissertations

Purpose: The purpose of this phenomenological conceptual replication study was to discover and describe how exemplary elementary school principals establish common ground and produce breakthrough results by using the six domains of conflict transformational strategies: collaboration, communication, emotional intelligence, ethical behavior, problem solving, and shared interest.

Methodology: This qualitative phenomenological conceptual replication study discovered and described the lived experiences of eight exemplary elementary school principals on how they used the six domains of conflict transformational strategies with their stakeholders to produce breakthrough results. Participants led public elementary schools in Los Angeles and Orange counties in California. Data were collected using …

The Benefits Of Dance/Movement Therapy For Adult Survivors Of Adverse Childhood Experiences, Aubrey Workman

Expressive Therapies Capstone Theses

This literature review focuses on how dance/movement therapy can be beneficial for adult survivors of adverse childhood experiences. The long-term effects of adverse childhood experiences have recently gained attention after a study in 1998 had profound results. Adverse childhood experiences have long-lasting results that continue into adulthood and the more adverse childhood experiences an individual has the more risk they are at for developing psychological and medical diagnoses later in life. Trauma impairs the brain’s functioning and structure, and it takes multiple positive experiences to rewire the brain. Unhealed adverse childhood experiences can lead to impaired relationships with offspring and …

Leadership Styles In Ncaa Division I Athletic Administration And Their Relationships To Job Satisfaction, Valerie Gomez

Seton Hall University Dissertations and Theses (ETDs)

As an industry, college athletics has become a focal point of much attention and scrutiny as a result of increasing moral and ethical scandals, as well as lucrative media and personnel contracts. Scandals such as admissions fraud, academic cheating, and financial crimes are a cause for concern regarding the leadership within Division I athletic departments. Organizational and individual outcomes have been associated with leadership. While extant research has focused on the leadership of coaches and the athletic director, the leadership of the senior-level leadership team has been largely neglected. Given the structure of many Division I athletic departments, the senior-level …

Serving National Strategic Needs, Cultivating Top Innovative Talents—Institutional Logic And Developing Practice Of University Of Chinese Academy Of Sciences In Running Integration Of Scientific Research And Education, Yueliang Wu, Yanfen Wang, Zuomin Xiao, Jianming Miao, Guoqiang Yang, Haoran Li, Zhongping Xu, Xiaoli Niu, Jichang Dong, Depeng Jin, Hui Huang, Xiao Lin, Ji’An Liu

Bulletin of Chinese Academy of Sciences (Chinese Version)

The report of the 20th National Congress of the Communist Party of China regards “invigorating China through research and education and developing a strong workforce for the modernization drive” as a special chapter, and particularly emphasizes that “education, science and technology, and human resources are the foundational and strategic pillars for building a modern socialist country in all respects”. The integration of research and education is an important way to achieve the integrated development of education, technology, and talents. This study traced back to the origin and development of the integration of research and education, analyzed three specific manifestations of …

Innovation, Flexibility, And Adaptation: Keys To Patton’S Information Dominance, Spencer L. French

The US Army War College Quarterly: Parameters

In 1944, Third US Army created a cohesive and flexible system for managing information and denying it to the enemy that aligned operational concepts with technological capabilities. The organization’s success in the European Theater highlights its effective combined arms integration. An examination of the historical record shows the creative design of the Signal Intelligence and Army Information Services enabled Third Army to deliver information effects consistently and provides a useful model for considering the dynamics at play in fielding new and experimental multidomain effects formations.

Change And Innovation In The Institutional Army From 1860–2020, John A. Bonin, James D. Scudieri

The US Army War College Quarterly: Parameters

This article showcases the understudied institutional Army, the generating force, as a critical prerequisite for overall strategic success. Competition, crisis, and conflict require more than the manned, trained, and equipped units that deploy. This article analyzes six case studies of institutional Army reforms over 160 years to examine adaptation in peace and war. The conclusions provide historical insights to inform current practices and fulfill the Army’s articulated 2022 Institutional Strategy.

The Right People In The Wrong System: Examining The Tension Between Nonprofit Individuals And Organizational Structure, Erin Vong

Master's Theses

Nonprofit organizations pursue missions of social good while still operating within the confines of systems of oppression, creating a tension between organizational values and operational success. Previous research focuses on the micro-level role of individuals and the macro-level role of ideologies that create these tensions for nonprofit workers in these spaces. Through a qualitative case study, this thesis seeks to uncover the meso-level role of organizational structures in the experiences of nonprofit workers. The research questions that guided this case study were (a) How does one organization present equitable working conditions for its staff? (b) How do staff at this …

Interest Convergence And Neoliberalism: Effects On Entry-Level Staff Of Color Who Perform Diversity, Equity, And Inclusion In Higher Education, Jesse N. Avila

Master's Theses

Higher education was not originally built to benefit people of color. Diversity, equity, and inclusion (DEI) are many ways in which universities seek to change higher education. However, higher education has a staff retention problem and is at risk of losing more than half of its current workforce. Retention problems also impact entry-level staff of color who perform DEI in universities. Through a lens of interest convergence and neoliberalism, this qualitative study gathered the experiences of entry-level staff of color who perform DEI in student affairs, looked at how their experiences are shaped by the structures of the university, and …

Predicting The Risk Of Falling With Artificial Intelligence, Ann Aquino

Doctor of Nursing Practice (DNP) Projects

Predicting the Risk of Falling with Artificial Intelligence

Abstract

Background: Fall prevention is a huge patient safety concern among all healthcare organizations. The high prevalence of patient falls has grave consequences, including the cost of care, longer hospital stays, unintentional injuries, and decreased patient and staff satisfaction. Preventing a patient from falling is critical in maintaining a patient’s quality of life and averting the high cost of healthcare expenses.

Local Problem: Two hospitals' healthcare system saw a significant increase in inpatient falls. The fall rate is one of the nursing quality indicators, and fall reduction is a key performance indicator …

Improving Timely Sepsis Care Through Staff Education Within The Emergency Department, Shirley Chen

Master's Projects and Capstones

Problem: This project was implemented to decrease patient fallout rates through timely compliance with sepsis management according to the SEP-1 bundle. The SEP-1 bundle is already implemented in the emergency department. However, a microsystem assessment indicated barriers are preventing the achievement of the SEP-1 bundle milestones.

Context: This 16-bed emergency department (ED) at an urban Bay Area hospital provides 24-hour emergency services to individuals who suffer from medical injuries, accidents, and other serious health conditions. A random audit of the electronic health system (EHS) revealed that this emergency department consistently fails to meet the sepsis management time goals by 90%. …

Exploring And Identifying Healthcare Leaders Competencies Required For Effective Decision Making In A High Velocity Environment To Achieve Sustainability Under The Regulatory Compliance Tenets Of The Patient Protection Affordable Care Act, Sylvester Foote

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study: Healthcare organizations face challenges in efficiently accommodating increased participant demands with limited resources and capacity. The modern reimbursement environment prioritized the maximization of operational efficiency and the reduction of unnecessary cost (i.e., waste) while maintaining or improving quality. As healthcare organizations adapt, significant pressures are placed on leaders to make difficult operational and budgetary decisions (Hamrock, Eric, et al., 2013).

As healthcare goes through this transformation within its high velocity environment defined as environments in which there is rapid and discontinuous change in demand, competitors, technology and /or regulations, such that information is often …

Improving Timely Sepsis Care Through Staff Education Within The Emergency Department, Gregory James Trevino

Master's Projects and Capstones

Problem: Providing high-quality sepsis care in a San Francisco Bay Area emergency department (ED) is an organizational priority, however Centers for Medicare & Medicaid Service (CMS) SEP-1 sepsis bundle compliance has decreased to an average of 79% compliance since October of 2022. It was revealed that CMS SEP-1 sepsis bundle compliance issues have resulted in increased patient fallouts.

Context: A microsystem assessment was conducted by the quality improvement team to help identify gaps in practice. After an assessment survey of nursing staff, it was revealed that barriers such as physician order sets, lack of communication, lack of staffing during peak …

Educating Labor And Delivery Nurses On Evidence-Based Birthing Positions To Promote Fetal Descent During First And Second Stage Labor, Sophia Nguyen

Master's Projects and Capstones

The goal of this project was to increase confidence of labor and delivery nurses in utilizing evidence-supported birth positions during the first and second stages of labor in order to aid in fetal descent and labor progression. Current statistics demonstrate climbing trends in cesarean deliveries, which have been associated with increased maternal morbidity and mortality. One nurse intervention that can reduce failure to progress, a main contributor to cesarean sections, is the use of various evidence-supported maternal birth positions such as ambulation, assisted squat, sitting, backwards sitting, lunging, throne, side-lying with peanut ball, hands-and-knees, and throne position. This evidence-based practice …

Increasing Compliance Through Nurse Education On The Bundle, Zachary Harrison-Evans

Master's Projects and Capstones

In an effort to decrease complications and events connected to sepsis in the ED, there is room for improvement with relation to sepsis care and compliance rates. Timely sepsis management and gains in compliance/adherence rates are hindered by SEP-1 fallouts and requirements related to knowledge gaps concerning sepsis bundle procedures, nurses' attitudes about implementing the protocols, and disparities in nurse/physician order sets. It has been determined that the use of standardized protocols and order sets are not being utilized. This is a process gap and a critical area for improvement. Inadequate fluid and lactate documentation, a lack of education, and …

Experiences Of People With Serious Mental Illness Seeking Services At Community Mental Health Centers During The Covid-19 Pandemic, Emily Leickly

Dissertations and Theses

Community mental health centers (CMHCs) have been underfunded and overburdened since Reagan-era disinvestment and the United States' move toward neoliberalism. Rates of mental illness have been rising consistently, particularly in Oregon, as CMHCs face continuing financial pressures and staff retention issues. This was before the COVID-19 pandemic. Today, we are still trying to understand the ongoing pandemic's impact on people with serious mental illnesses (SMI). Most of the studies in this area thus far are quantitative, and first-hand accounts of the pandemic from people with SMI are largely absent. Additionally, research in this area fails to draw on critical alternative …

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

Making Connections

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