Digital Commons Network^™

Differences Between Nurse-Led Intervention Topics, Longevity, Changed Practices, And Sustainability Planning, Robin Anselm

Walden Dissertations and Doctoral Studies

Though health care providers use evidence-based interventions (EBIs), a knowledge gap exists regarding lasting change associated with doctorate-prepared nurse interventions and sustainability planning. This quantitative cross-sectional descriptive design guided by the five pillars of the United Nations sustainable development goals (SDGs) was used to examine the differences between doctorate-prepared nurses’ sustainable EBI topics, intervention longevity, changed clinical practices, and sustainability planning. The dynamic sustainability framework, the adult learning theory, and the social learning theory framed this study. The design included a survey of 1,365 nurse anesthesiologists using a questionnaire composed of the Program Sustainability Assessment Tool (PSAT) version 2 and …

The Lived Experiences Of Civilian Review Board Members, Vereen Charmaine Barton

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this transcendental phenomenological research was to describe the lived experiences of investigative civilian review board (CRB) members. The central research question of the study examined the lived experiences of investigative civilian review board members as it related to recruitment and selection, training, and support. Eight participants from two CRBs in the Northeast and Midwest formed a random sample of six females and two males. Three data collection instruments were used in this research (in-depth interviews, writing prompts, and personal narratives) to elicit information. The instruments were designed to prompt information about CRB members' experiences based on the …

Strategies To Improve Hospital Patient Satisfaction To Increase Performance-Based Reimbursements, Celso G. Silla Iii

Walden Dissertations and Doctoral Studies

Officials from the Centers for Medicare and Medicaid Services (CMS) created the hospital valued-based purchasing (VBP) program focused on controlling cost, inefficiencies, and quality-of-care. Hospital leaders are incentivized or penalized based on meeting quality outcomes and risk millions of dollars in reimbursement if they do not meet the quality-of-care standards specified in the CMS hospital VBP program. Grounded in the transformational leadership theory, the purpose of this qualitative multiple case study was to explore strategies hospital leaders used to improve patient satisfaction to increase VBP performance-based reimbursements. Participants included eight hospital leaders from seven hospitals in California who successfully implemented …

Effective Succession Planning And Organizational Development For Behavioral Health Leadership, Amanda Brown

Walden Dissertations and Doctoral Studies

High turnover rates can challenge an organization's ability to provide quality care to clients, maintain a safe environment, and achieve strategic goals. Effective retention strategies can allow the organization to grow and develop to continue to provide services for those in need. The focus of this study was identifying how an organization can improve its retention strategies, create succession plans, and decrease turnover to encourage organizational growth. The Baldrige Excellence Framework was used to guide the study, focusing on leadership, workforce, operations, and management. Data were collected through multiple sources. Semi structured interviews were used to gather data through open-ended …

Strategies To Increase Emergency Department Patient Flow, Judith Faith Jones

Walden Dissertations and Doctoral Studies

AbstractOvercrowding in emergency departments (EDs) is a systemic issue, resulting in inefficiencies affecting patient care quality. Hospital leaders struggle with reducing bottlenecks in EDs and providing a better patient care experience. Grounded in the general systems theory, the purpose of this qualitative single case study was to explore strategies used to reduce inefficiencies in EDs. The participants included five directors, administrators, and clinical managers from a hospital ED in Idaho Falls, Idaho, who successfully used strategies to reduce inefficiencies in EDs. Data were analyzed from semistructured interviews and a review of organization documents and artifacts following Yin’s five-step data analysis …

Human Resource Managers’ Strategies To Reduce Coercive Management Practices, Lakerria Shantel Brown

Walden Dissertations and Doctoral Studies

Coercive management is a detrimental phenomenon in the health care industry that negatively impacts the organization and employees. Human resource managers in the health care industry who fail to identify and implement strategies to reduce coercive management practices experience poor employee engagement, increased voluntary turnover, and counterproductive work behavior by employees. Grounded in the leader-member exchange theory, the purpose of this qualitative multiple case study was to explore strategies human resource managers in the health care industry use to reduce coercive management practices. The participants were four human resource managers from the health care industry in Georgia who successfully developed …

Understanding Workforce Agility At Nasa Kennedy Space Center, Ledlyne H. Vazquez

Graduate Thesis and Dissertation 2023-2024

This study aims to define workforce agility via a literature review and a conducted research survey of the Kennedy Space Center (KSC) Engineering workforce. The survey results will help us determine the workforce agility of the KSC engineering team and understand what has allowed them to transition from the Space Shuttle Program to the new Exploration Ground System (EGS) program. Structural Equation Modeling was used to develop a model of relationships to test the hypotheses. The results show that organizational practices and psychological empowerment significantly support workforce agility. The implications of this study for understanding the characteristics of workforce agility …

Disparities In Mental Health Technology Among African Americans: Breaking Cultural Inclusion Barriers, Nyoki Cosey-Brown

DSW Capstone Projects

Mental health technology is a healthcare delivery model of the future. The engagement in virtual healthcare was intensified when traditional healthcare methods were inaccessible during the federal restrictions implemented due to the COVID-19 pandemic. Utilizing digital apparatuses for healthcare improved the convenience, efficiency, and accessibility of various mental health services that were inoperable in past healthcare models. However, the historical constructs of stigma, discrimination, inequity, exclusion, and structural racism in mental healthcare were prevalent problems that remained present in virtual mental health platforms concerning the experiences of African-American patients and professionals who utilized the spaces.

This research explored mental health …

Disconnected, Frustrated And Withdrawn: Institutional Policy Implications For Equity In Student And Faculty Community, Jessica Marie Welsh

Dissertations and Theses

DFW rates at intuitions of higher education for students from underrepresented populations trended higher than majority students. A single explanatory case study provides insight to the factors impacting DFW rates in first-year gateway courses at a four-year, public, comprehensive institution. The study employed the use of focus groups of students, non-tenure-track faculty, and tenure-track faculty. In addition, institutional data was collected and used to triangulate to the data collected from focus groups. The inductive results showed multiple institutional barriers causing DFW rates among first-generation, Pell Grant, and/or students of color. Using Turner and Angulo’s (2018) theoretical framework of high-risk decision-making …

An Analytic And Systemic View Of The Digital Transformation Of Healthcare, Xuejuan J. Zhang

Full-Text Theses & Dissertations

Industry 4.0 represents a digital revolution that is driven by technologies that blur the lines between the physical and digital worlds. Industry 4.0, the latest industrial revolution, is poised to have a profound impact on all aspects of society. In order to understand how the healthcare industry is being transformed by the convergence of the physical and digital realms, a systems perspective is taken in this study. Two research questions are addressed regarding the opportunities and interventions that can be provided by both analytical and systems conceptions of digital transformation. I use a systemic literature review approach to address the …

The Irony Of Accountability: How A Performance-Inducing Policy Reduces Motivation To Perform, Jose Eos R. Trinidad

Interdisciplinary Studies Faculty Publications

Although sociological and organizational studies have focused on the influence of quantification on behavior, the author focuses on quantification’s increasingly important consequences on well-being and motivation. Using the case of U.S. education, which has long relied on accountability policies, the author finds that attendance at schools with high-stakes accountability predicted lower student self-efficacy, that is, decreased task motivation and resilience as well as increased fear of failure—salient for low-income, urban, and public schools. These associations, however, did not spill over to social and life satisfaction dimensions of well-being. Taken together, these findings suggest the irony of accountability, where data used …

Beyond The Business Case: Moving From Transactional To Transformational Inclusion, Jamillah Bowman Williams

Seattle University Law Review

While workplace diversity is a hot topic, the extent to which the diversity management movement has effectively improved intergroup relations and reduced racial inequality remains unclear.1 Despite large investments in diversity and inclusion training and other company wide initiatives, historically excluded groups remain vastly underrepresented in leadership and the most lucrative careers, such as finance, law, and technology. This calls the efficacy of diversity, equity, and inclusion (DEI) efforts into question, particularly with respect to reducing racial inequality in the workplace.

This Article explains why it is time for organizational leaders to move beyond the transactional case for diversity and …

Jnchc: Journal Of The National Collegiate Honors Council; Forum Essays On "Regime Change In Honors," Vol. 24, No. 1, Spring/Summer 2023: Complete Issue, National Collegiate Honors Council

Journal of the National Collegiate Honors Council Online Archive

Contents

Call for Papers v

Editorial Policy, Deadlines, and Submission Guidelines vii

Dedication to James Joseph Buss ix

Editor’s Introduction, Ada Long xi

Forum Essays on “Regime Change in Honors”

A Defiant Honors Response to Regime Change. John Zubizarreta 3

Meet the New Boss: An Honors Faculty Member Weathers Administrative Change, Annmarie Guzy 13

Leveraging Regime Change as an Opportunity to Reimagine, Reset, and Demonstrate Results in Honors, Irina V. Ellison 19

Regime Change as Opportunity: A Case for a Radically Inclusive Response, Massimo Rondolino 25

Honors Flourishing in the Midst of Change, Hao Hong, Robert Glover, Mimi Killinger, and …

Value Propositions, Adoption Factors, And Implementation Considerations: Building A Path Towards Construction Innovation, Makram Bou Bou Hatoum

Theses and Dissertations--Civil Engineering

The construction industry has been influenced by a wave of technological advancements and trends that were introduced by the fourth industrial revolution or Industry 4.0. Mapped as Construction 4.0, these technologies are disrupting the way projects are designed, planned, constructed, delivered, and operated. While existing research has predominantly focused on technology adoption and use cases across the project lifecycle, limited attention has been given to the organizational perspective and explored Construction 4.0 as a transformative vision. As such, there is a significant need for decision science research to support decision-makers in understanding the value of Construction 4.0, gaining leadership buy-in, …

Persistence And Proliferation: Integrating Community-Engaged Scholarship Into 59 Departments, 7 Units, And 1 University Academic Promotion And Tenure Policies, Isabelle Jenkins, Emily Janke, John Saltmarsh, Melissa Quan

Scholarship and Professional Writing from the J.D. Power Center and Donelan Office

Choosing how to recognize community-engaged scholarship in promotion and tenure policies so that it is assessed accurately and fairly remains a relatively new and ongoing challenge for institutions of higher education. This case study examines how one U.S. research university integrated recognition of community-engaged scholarship across all levels of policy, including university, unit, and department. The terms used within and across policies reveal that while some terms were perpetuated across policies, many more terms proliferated across policies. Using organizational change and signaling theories, as well as the Democratic Civic Engagement Framework, analysis raises questions and insights regarding the use of …

We’Re Talking About Process: The Primacy Of Relationship And Epistemology In Defining Community-Engaged Scholarship In Promotion And Tenure Policy, Isabelle Jenkins, Emily Janke, John Saltmarsh, Melissa Quan

Scholarship and Professional Writing from the J.D. Power Center and Donelan Office

This study examines how community-engaged scholarship (CES) was defined and described in promotion and tenure policies at a university. Examining 67 policies across university, unit and department levels, findings show meaningful variability with regards to whether and how CES was defined or described. Analysis categorizes the types of descriptions used as outputs, outcomes, and/or processes related to or enacting CES. We address the importance of not just naming, but fully describing the core values of CES. We discuss the importance of process as a definitional characteristics, and relationships and epistemology in particular; and, the importance of continuing to explicate the …

Successful Admissions In A Time Of Great Uncertainty: A Case Study Of Employees' Perceptions Of Employee Well-Being And Emotional Intelligence, Sarah Freed

West Chester University Doctoral Projects

This qualitative embedded single-case study explores admissions employees’ perceptions of departmental success and individual employee well-being, including the role emotional intelligence has on these outcomes, through the lens of Bolman and Deal’s Four Frame Model (1984). This study is necessary because of the turbulent higher education landscape and because social factors contributing to this turbulence are expected to stay the same. More specifically, this study is situated in a thriving Office of First-Year Admissions at an institution within a public university system in a rural setting experiencing an unstable organizational landscape. I interviewed sixteen employees in a successful mid-size public …

Quality Check: How Good Is Your Emergency Management Program?, Kesley Richardson

West Chester University Doctoral Projects

As the evolution of Emergency Management continues, and the integration of public administration combines more of the shared services model to protect our communities and populations from disasters, we must first assess ourselves. Emergency Management agencies must do more than build capabilities but do so strategically with evidence-based practices and incorporate innovative structural adaptations such as models, strategies, skills, information, assessment, leadership approaches, and more into everyday operation and strategic planning. In coordination with the only Emergency Management accreditation program on the planet, a standardized quantitative assessment will increase a comprehensive understanding of capabilities while strategically supporting programmatic objectives.

This …

Onward To Omeka: A Migration Tale, Annie Benefiel

Scholarship and Professional Work

No abstract provided.

What Is Catholic Psychotherapy And How Should It Move Forward?, Thomas G. Plante

Psychology

Catholic psychotherapy is a critically important specialization that under-scores the need for culturally competent best practices. It integrates state-of-the-art psychotherapeutic professional services with the rich religious, spiritual, and cultural contributions and traditions of the Roman Catholic Church. Since the Church is the single largest religious denomination in the world and represents about a quarter of the United States population, there is ample need for Catholic-informed and engaged psychotherapists with expertise in working thoughtfully and sensitively with Catholic clients, including laypersons and clerics, and with Church institutions such as schools, hospitals, and charitable groups. While the Catholic Psychotherapy Association has been …

Examining The Status Of Professional Learning Communities In Private And Public Secondary Schools In Makindye Division, Kampala, Uganda, Bugembe Steven

Master of Education

The power of collective synergy while participating in professional learning communities is a relatively recent phenomenon in educational professional development. It has received a great deal of attention on the educational scene due to its roots in the majority of developed countries. Fortunately, professional learning communities are equated to what is referred to as site-based learning for teachers in Uganda's continuous professional development framework for teachers. This is a teacher-led initiative aimed at improving teacher quality and encouraging collaborative professional development. Since its introduction by the Education Ministry (MoES, 2017), the practice and implementation, as well as the rate of …

Collaborative Assessment And Survey Administration: A Miso Survey Case Study, Katherine Furlong, David Consiglio, Kevin J. T. Creamer, Craig I. Milberg, Kevin Reynolds, Ellen Yu, Joshua Wilson

Faculty Contributions to Books

The Managing Information Services Outcomes (MISO) Survey was originally developed in 2005 at Bryn Mawr College in Pennsylvania, USA by staff from a consortium of higher education institutions to assess library and technology services using a single instrument. Since then, the survey has grown and changed under the collaborative management of an all-volunteer team of library and IT professionals from various participating institutions throughout the United States. The survey has been implemented at 171 institutions. This chapter reviews the guiding principles, ongoing partnerships, and the value of working across departments, across campuses, and across cohorts of participating institutions to leverage …

How To Measure Provider Behavior Change Impact, Breakthrough Research

Sexual and Reproductive Health, Rights, and Choices

Developed by Breakthrough RESEARCH, this guide is intended to help program planners and designers better understand provider behavior change (PBC) initiatives and their impact on service delivery and quality. The guide is also meant to advance measurement of PBC by providing frameworks and illustrative examples of how PBC measurement can inform program planning and design. Finally, the guide offers ways to continue building the evidence base for PBC approaches and impact.

Clinical Care Protocol For Enhanced Nurse Competency In Caring For The Patient With An External Ventricular Drainage (Evd) Device, Lauren Orson

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: The focus of this Doctor of Nursing Practice Project surrounds the need for an evidence-based clinical nursing protocol to augment nurse competency and therefore streamline care to patients with an external ventricular drain (EVD).
Methods: A clinical protocol alongside tailored education was used to promote nurse competency for EVD management. A pre-implementation survey was completed evaluating the nurses’ baseline competency when managing an EVD. The nursing protocol was then implemented for bedside use. After 2 months, the survey was completed once again and paired for statistical analysis.
Results: Statistical analysis using the Wilcoxon signed-rank nonparametric test with dependent matched …

Section Xvi: Usf Health Libraries (Evidence), Usf Libraries

SACSCOC 2025

No abstract provided.

Sacs 2025 Table Of Contents, Usf Libraries

SACSCOC 2025

No abstract provided.

It Is Time To Change The Way We Change, Thane Keller

Electronic Theses and Dissertations, 2020-2023

Seventy percent of organizational change initiatives fail. Among organizations where change and adaptation are necessary for survival, the U.S. military stands at the top. The disparity between desired health and fitness behaviors and actual behaviors is a glaring reminder that change is difficult to implement and that current change systems struggle. Merit-based systems offer a solution by rewarding and reinforcing good behavior to generate lasting change. This paper evaluates Kotter's Change Model and Nudge Theory and found them insufficient because they do not sufficiently address reinforcement learning or the temporal tie between behaviors and rewards for reinforcement. This paper then …

Predicting Implementation Citizenship Behavior Rating Discrepancies Between Supervisor-Subordinate Dyads, Alexandra Kandah

Electronic Theses and Dissertations, 2020-2023

Organizational citizenship behavior (OCB), defined as behavior that is discretionary and not directly or explicitly recognized by the formal reward system, has gained significant interest in the literature over the past few decades. Recent OCB research has begun to address more specialized facets of citizenship behavior that target behaviors that support specific strategic goals in the organization. One form of OCB encompasses those behaviors that assist with the implementation of new practices or innovations in the organization, above and beyond typical implementation. This study extends both the general OCB literature and the newer literature on implementation citizenship by examining factors …

Affordability Culture In Organizations, Taylor Yeazitzis

Theses

Affordability has been a growing interest in organizations over the years. Though affordability is an ever-present issue within organizations, there is a lack of research surrounding affordability culture as an organizational subculture. The current study aims to close this research gap by identifying organizational aspects associated with affordability in which current organizational practices can be evaluated by organization members. To accomplish this goal, 346 participants from NASA, industry, and The University of Alabama in Huntsville were surveyed to understand the organizational aspects associated with affordability. Results indicated that students tended to evaluate affordability in terms of budgets and funding, whereas …

Crossing The Cultural Chasm And The Power Of Listening: How We Wrote A New Tenure Code, David Larson, Linda Hanson

Faculty Scholarship

Revising the Tenure Code of an institution of higher learning may be among the most challenging of the processes it undertakes, especially when there is a commitment to shared governance by its Board of Trustees and Faculty. At Mitchell Hamline School of Law, we recently experienced this process - both difficult and ultimately satisfying - following the combination of two law schools. In 2016, Mitchell Hamline School of Law became an independent institution formed through the combination of independent William Mitchell College of Law and Hamline School of Law, a school of Hamline University, both based in St. Paul, Minnesota. …