Digital Commons Network^™

Experiences And Attitudes Regarding The Availability And Usage Of Telemedicine Services Among Providers During A Pandemic, Keya Gaston Brooks

Walden Dissertations and Doctoral Studies

Telehealth became a prominent fixture in the way healthcare was delivered during COVID-19. Providers were forced to offer telehealth as an optional mode of care. Although little research was available, studies about the experiences and attitudes of providers regarding their intention and willingness to use telemedicine before the pandemic was exiguous. The purpose of this study was to understand providers perception and use behavior patterns regarding the acceptance and adoption of telemedicine during the pandemic. Data collected from the COVID-19 Healthcare Coalition Telehealth Impact Survey was used to help characterize the experiences and attitudes of providers regarding telehealth utilization during …

Health Leadership And Management Practices That Support Accountability For Results, Peter Kayiira Byansi

Walden Dissertations and Doctoral Studies

Although leaders are expected to nurture and sustain a culture of accountability for results, little is known about how health leaders in developing countries perceive, interpret, demonstrate, and promote accountability in their day-to-day practices. The purpose of this generic qualitative study was to explore the management and leadership practices that leaders of public and non-profit health support organizations in Uganda utilize to embody and support accountability for key stakeholders’ results. Data from in-depths interviews with 13 participants at the governance, senior management, and middle management levels were analysed using thematic data analysis. Riggio's conceptualization of using multiple perspectives and disciplines …

Succession Planning Strategies For Nonprofit Organizations, Chandler Campbell

Walden Dissertations and Doctoral Studies

Nonprofit organizations are cornerstones in the community that contribute to improving environments, communities, persons, and life overall. However, some nonprofit organization senior leaders lack the succession planning strategies, resources, and funding to continue serving as positive social change agents in the community. Grounded in the general systems theory, the purpose of this qualitative single case study was to explore business strategies nonprofit leaders use for succession planning. The participants included three senior leaders in a nonprofit located in the northeastern region of the United States who have indirectly or directly implemented succession planning strategies. Data were collected through semistructured interviews, …

The Relationship Between Customers’ Satisfaction And Trust In The Global Supply Chain And Profitability, Azeal Gilham

Walden Dissertations and Doctoral Studies

The inability to meet customer demands and expectations impacts an organization’s profitability. Understanding and meeting customer needs are critical for the financial success of business owners. Grounded in the theory of constraints, the purpose of this quantitative ex post facto study was to examine the relationships between customers’ satisfaction and trust in the supply chain and profitability. Secondary data (n = 121) were collected from the Elsevier Research Database using archival data collected from an automotive factory. Data were analyzed using multiple linear regression, and the results were statistically significant, F (2, 118) = 264.347, p < .001, R2 = .90. In the final model, both predictor variables were significant, customers’ satisfaction: mean wait time (t = 22.991, p < .001, β = 16.23); and customers’ trust: minimum stock level (t = 7.306, p < .001, β = .118). A key recommendation is for business leaders to satisfy customers and gain their trust by creating sufficient inventory stocking levels and improving replenishment timeframes that meet customers’ supply chain demands. The implications for positive social change include the opportunity for supply chain managers to develop an effective supply chain that may contribute to the quality of service that promotes success in regional markets, sustain growth, and allows for social development among the local community workforces.

The Effect Of Public Budgeting Decisions And Tuition Costs On Student Graduation Outcomes In Michigan, Travis Charles Hadden

Walden Dissertations and Doctoral Studies

AbstractTuition costs for U.S. public universities have steadily risen in response to decreased state funding in the aftermath of the 2008 Great Recession. Researchers have studied the relationship between public budgeting and higher education but have not established the direct effects of budgeting decisions on student graduation outcomes. The purpose of this quantitative study was to understand why state funding has not kept up with tuition prices and how that affects student graduation rates. The effect of (a) tuition costs and (b) Michigan state funding for public universities on student outcomes was examined. Punctuated equilibrium theory and policy feedback theory, …

Leadership’S Impact On Employee Work Motivation And Performance, Tonia Marilu Joseph-Armstrong

Walden Dissertations and Doctoral Studies

AbstractLeadership is a major factor in terms of motivating employees, leading to enhanced performance. A study was conducted to examine the influence of supervisory leadership style on employee work motivation and job performance in organizations, specifically in a K-12 school setting. The main goal was to determine if there is a relationship between type of leadership demonstrated by school administrators and its impact on the teaching staff’s motivation and performance. Data for this quantitative study were gathered and analyzed from various public and private schools and included a sample of 100 participants. The predictor variable leadership was assessed using the …

Professional Development Needs Of Early Childhood Educators Teaching Children With Challenging Behaviors, Latashia L. Kelly

Walden Dissertations and Doctoral Studies

AbstractEarly childhood educators have struggled to teach children with challenging behaviors, which can lead to suspension and expulsion. Although early childhood educators have limited professional development training in challenging behaviors, they are often not equipped to teach children with challenging behaviors. There is little research on how early childhood educators perceive their current training regarding teaching children with challenging behaviors. Exploring early childhood educators’ perceptions can determine what they need to teach children with challenging behaviors for a thriving classroom environment. The purpose of this basic qualitative study was to better understand educators’ perceptions regarding the type of professional development …

Succession Planning Strategies In Polish Family-Owned Businesses, Jan Marcin Klaczak

Walden Dissertations and Doctoral Studies

Family-owned businesses contribute to social and economic advancement, yet many business owners struggle with employing succession planning during intergenerational leadership transitions. Family business leaders are concerned with identifying effective succession planning strategies for the leadership transition to the next generation for business continuity. Grounded in Rothwell’s seven-step model for succession planning, the purpose of this qualitative multiple-case study was to explore succession planning strategies Polish family business leaders used for the leadership transition to the next generation. Three Polish family business leaders who successfully implemented succession planning in their organizations participated in the study. Data were collected through semistructured interviews, …

Executive Transition In Nonprofit Organizations, Gail Quincene Knight

Walden Dissertations and Doctoral Studies

Many nonprofit organizations lack strategies for succession planning and executive transitions. Without effective talent management and succession planning strategies, nonprofit organizations are in jeopardy of survival. The purpose of this multiple qualitative case study was to explore how nonprofit organizations in a southwestern state without a succession plan in place prepare for executive transition when an impending change is imminent. These multiple case studies were based on the conceptual framework of transition management. Identified through purposive sampling, 12 participants (two senior-level executives and two board members) from three nonprofit organizations in a southwestern state were interviewed using semi-structured questions. Also, …

Strategies For Emotional Intelligence Training For Improving Employee Performance, Dale Elizabeth Laing-Hall

Walden Dissertations and Doctoral Studies

The nursing home industry's lack of emotional intelligence (EI) can negatively impact patient satisfaction and performance. Nursing home leaders who lack strategies to apply EI training to increase job satisfaction, reduce employee turnover, and improve interpersonal skills risk financial loss and business failure. Grounded in the EI framework, the purpose of this multiple qualitative case study was to explore strategies nursing home leaders use to apply EI training to reduce employee turnover, increase job satisfaction, and improve interpersonal skills for performance improvement. The participants comprised four nursing home leaders from multiple nursing homes in Florida who implemented strategies to reduce …

Future-Oriented Strategies That Small 501(C)(3) Nonprofit Organizations May Use To Support Financial Sustainability, Justine Lownsbury

Walden Dissertations and Doctoral Studies

The age of mortality for a nonprofit organization is between 6-15 years. The problem is that leaders of nonprofit organizations face challenges in financially sustaining nonprofit operations, which directly affects the ability to achieve and maintain the organizational mission. The purpose of this qualitative classical Delphi study was to explore how an expert panel of nine purposively selected U.S.-based stakeholders from small U.S.-based 501(c)(3) nonprofit organizations viewed the desirability, feasibility, and importance of future-oriented strategies to support financial sustainability. The research questions addressed this purpose. The conceptual framework was rooted in effective leadership, innovation, sustainability, and positive social change, as …

Perceptions Of Women Of Color Improving Patient Outcomes Through Hospital Leadership Advancement, Benita A. Mclarin

Walden Dissertations and Doctoral Studies

Women of color have been underrepresented in hospital leadership positions and face challenges in advancing their careers. The benefit to hospitals providing women of color with training and support to move into leadership positions may be improved patient outcomes. Grounded in the interactional model of cultural diversity framework, the purpose of this basic qualitative study was to explore the perceptions of women of color advancing in leadership roles in hospitals and their impact on patient outcomes. The study participants included 16 women of color in leadership positions from hospitals in a western U.S. state. Data were collected through semi structured …

Leadership Strategies To Prevent Unethical Employee Behavior, Gregory O'Donnell

Walden Dissertations and Doctoral Studies

Preventing unethical employee behavior in the workplace is a key concern of business leaders. Business leaders are concerned that their businesses cannot prevent employee unethical behavior in the workplace. Grounded in the transformational leadership theory, the purpose of this qualitative multiple-case study was to explore leadership strategies that business leaders use to prevent unethical employee behavior in the workplace. Participants in this study comprised three business leaders from private sector organizations in the surrounding areas of San Antonio, Texas, who used strategies to prevent unethical behavior in the workplace. Data were collected from semi-structured interviews and company documents. Thematic analysis …

Development Of A Standardized Novice Neonatal Nurse Orientation Program, Joanne Rau Pasinski

Walden Dissertations and Doctoral Studies

Abstract Neonatal intensive care units (NICUs) are fast-paced units requiring skilled nurses to care for a unique patient population. Orientation of new nurses to the NICU can be challenging for both the orientee and the preceptor. Offering an evidence-based practice orientation program by an accredited organization that is specific to NICU can be a valuable tool for both the preceptor and the orientee as well as enhance nurse, patient, and organizational outcomes. The project question explored if use of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) 15-module nursing orientation program for RNs in a NICU increased their …

Reducing Opioid Prescribing By Using The Center For Disease Control Guidelines, Christina Marie Peters

Walden Dissertations and Doctoral Studies

Opioid abuse is a serious national health crisis resulting in overdose and increased mortality in chronic pain patients. The purpose of this evidenced-based, quality improvement (QI) project was to improve primary care provider’s (PCP) awareness of The Center for Disease Control and Prevention’s (CDC) opioid prescribing guidelines to reduce opioid prescribing at this project site. The Donabedian model of structure, process, and outcome was used as the framework for this QI project. Lewin’s change management model of unfreezing and freezing was used as a guide to implement organization change by creating problem awareness, seeking alternative methods, and integrating the new …

Strategies For Promoting Inclusion And Employee Engagement To Improve Remote Teams’ Performance, Bruce Edward Richardson

Walden Dissertations and Doctoral Studies

External factors such as the pandemic have forced organizational leaders to embrace flexible work structures. Differences in remote versus collocated workplaces escalate the importance for company leaders to uncover strategies to maintain employee engagement and performance. Grounded in the organizational support theory, the purpose of this qualitative multiple-case study was to explore strategies leaders of remote, diverse teams with high engagement and inclusion use to achieve high team performance. Data were collected using semistructured interviews from a purposeful sampling of five nationally distributed managers. A thematic analysis uncovered three themes: flexible leadership behavior, fair execution of human resource policy and …

Influence Of Staffing Shortages On Safety And Communication In Behavioral Health, Raven Brittany Robinson

Walden Dissertations and Doctoral Studies

At the selected behavioral health organization (BHO), leaders desire to improve patient safety and staff communication to provide quality mental health services. They need strategies to achieve these goals. The Baldrige Excellence Framework was used to identify the workforce challenges and practices that facility leaders can potentially use to improve performance to help achieve success, sustainability, and the mission of the BHO. The data sources consisted of (a) semistructured interviews with the CEO, the leader of the intake department, an intake therapist, an intake coordinator, and an RN and (b) reviews of the BHO’s website, and pertinent academic literature. Data …

Shifting The Paradigm Toward Intent To Stay: Creating A Nurse Career Crafting Program To Increase Nurse Engagement In An Urban Teaching Hospital, Jaclyn Davis

Yale School of Nursing Digital Theses

Nearly 50% of all RNs experience job disengagement, dissatisfaction, and signs of burnout during their career (National Academy of Medicine, 2019). RN burnout is largely the corollary of two predominant themes: perception of engagement in meaningful and motivating work and perception of personal ability to disconnect and decompress (Press Ganey, 2018). Job crafting skills guide people to make meaning of their work in difficult context, and their experience of work as a job, career, and calling. These skills help nurses align their strengths, motives, and passions within their roles. This DNP Project developed a Career Crafting Program using a modified …

Increasing Historically Underserved And Underrepresented Student Completion In Stem Pathways At A Hispanic-Serving Institution: An Action Research Study, Inez F. Olive, Kyle J. Winslow, Osurè L. Brown, Eric R. Marshall

Educational and Organizational Learning and Leadership Dissertations

There is a demand for accountability for higher education institutions to increase student completion, specifically for institutions that enroll many students from historically underserved and underrepresented populations (HUUP). Meanwhile, labor market analysis presents a demand for skilled and diverse workers in science, technology, engineering, and mathematics (STEM) fields. Hispanic-serving institutions (HSI) have an advantage when supporting student completion to meet this workforce demand. This inquiry employed participatory action research (PAR) through a partnership with an HSI in rural Washington State. Using transformative worldview as the theoretical framework, this study aimed to determine the influence of completion planning for STEM students …

Mindfulness And Identity Awareness: Tools To Support Teachers And Leaders Towards Diversity, Equity, And Inclusion (Dei) Practices In Schools, Joslyn Williams

Educational and Organizational Learning and Leadership Dissertations

Black women are too often at the assault of policies that inflict harm and often forced to seek legal redress after exhausting all nonlegal avenues available that are supposed to ensure that learning occurs in harm-free spaces (Ward, Hardaway, and Njoku, 2022). The examination of the place and work of spirituality, reflection, and the power of remembering (Dillard, 2019) is explored through narratives of Black women, highlighting two case studies of educators from perspectives within private and public institutions.

A need exists to explore and describe the experiences of Black women teacher-leaders as they engage with diversity, equity, and inclusion …

Barriers To Attending Vaginal Breech Birth In The American Healthcare System: A Qualitative Analysis, Hilary Schumer

Doctor of Nursing Practice Projects

A fetus is considered breech when the presenting part is the buttocks, foot/feet, or hips. Annually, approximately 5% of all pregnancies in the United States (U.S.) are breech at term (Centers for Disease Control and Prevention, 2021). Vaginal delivery of a breech baby is increasingly rare in the U.S., as 95% of those presenting as breech at term are delivered via cesarean section (Centers for Disease Control and Prevention, 2021). While the number of vaginal breech deliveries has been trending downwards since the 1970s, the rate dropped precipitously in 2000 after the Term Breech Trial (ACOG, 2020; Freeze, 2019; Hunter, …

An Implementation And Evaulation Of Leadlab: A Change-Leadership Development Program Of Executive Leaders In The Inter-European Division, Barna Magyarosi

Doctor of Leadership Projects

This study is an evaluation of the implementation of an executive leadership development program called LeadLab. The program was offered in the territory of the Inter- European Division of the Seventh-day Adventist Church in collaboration with the Global Leadership Institute of the General Conference of the Seventh-day Adventists at Andrews University, a part of the Leadership Development Program.

The motivation for offering such a program was based on the need for executive leaders to be change leaders in their positions in order to effectively respond to the increasing phenomenon of secularism in Europe. Persons elected in executive leadership positions at …

Assessing Palliative Care Knowledge Among Medicine/Pulmonary Intensive Care Unit Staff To Identify Barriers And Increase Palliative Care Referrals, Ryan Mckendrick

DNP Projects

Background: To conduct a needs assessment to identify areas of opportunity for increased awareness of the interdisciplinary medicine/pulmonary intensive care unit (MICU) staffs’ knowledge of palliative care and identify potential barriers to initiating referrals for palliative care consultations. Then provide an educational intervention and assess effectiveness with a post interventions assessment of referrals. The goal of this project is to increase referrals for palliative care consults.

Methods: A pre-/post-survey design will be utilized to assess palliative care knowledge to identify barriers to palliative care consultation referrals. An educational intervention that addresses palliative care knowledge deficits and addresses barriers will be …

Impact Of Physical Activity Vital Sign Screening On Physical Activity Counseling And Referrals In Primary Care, Anna Selepina

DNP Projects

Background/Purpose: Physical Activity Guidelines for Americans recommend 150-300 minutes of moderate-intensity physical activity each week for adults; however, half of the adults do not meet this goal, which leads to increased chronic health conditions and poor health outcomes. The physical activity vital sign (PAVS) screening tool is an evidence-based assessment tool associated with increased physical activity counseling, which can lead to increased physical activity and improved patient outcomes.

Objective: The purpose of this study was to examine the impact of PAVS screening on physical activity counseling and referrals in primary care.

Methods: This prospective study took place in a small …

Effective Strategies For Long-Term Data Preservation And Website Management For The Gelman Site: A Case Study Of 1,4-Dioxane Cleanup Project In Michigan, Xiao Shi

Public Health Theses

The Gelman project is a cleanup initiative for 1,4-dioxane contamination caused by Gelman Sciences Inc, which might take years or decades to be finished. Document management becomes a challenge for the Gelman project since a substantial number of documents generated over the years can be lost during organizational changes. Scio Residents for Safe Water (SRSW) is a website that tries to integrate sources from different stakeholders for the Gelman project. Keeping them organized and engaged becomes another question. The thesis project aims to provide website management strategies to enhance user engagement and recommends data preservation strategies for this long-term cleanup …

“It’S Like A Partnership”: Exploring The Primary Care Experiences And Self-Defined Goals Of People Who Use Drugs, Katherine Dunham

Public Health Theses

Background: Primary care is an important yet underutilized resource in addressing the overdose crisis. Previous studies that have explored people who use drugs’ (PWUD) experiences in primary care have found patient involvement in care decisions and goal-setting to be especially important. However, there has been limited research describing PWUD’s goals specific to primary care. This study utilized qualitative methods to explore how PWUD navigate primary care with a focus on understanding participants’ primary care goals.

Methods: From June — August 2022, we conducted 17 semi-structured interviews with PWUD currently in care at The REACH Program, a harm reduction-based primary care …

Immigrant Therapists’ Perceptions Of Transference, Countertransference, And Racial Experiences In The United States, Lian Malki-Schubert

Dissertations and Theses

There has been a steady increase in the percentage of immigrant therapists in the US. In psychology doctoral programs, the number of foreign-born students has doubled between 1997 and 2016. The present study aimed to examine the perceived impact of therapists’ immigrant identity when working with US-born and foreign-born clients, as little research has been dedicated to this topic. Another central theme this study sought to explore was immigrant therapists’ perspective shifts on racial identity upon arriving in the US. Given that race is a social construct that is culturally bound, the study investigated immigrant therapists’ perceptions of racial identity …

The Perspectives Of Saudi Arabian Professionals Regarding The Most Important Soft Skills For Leaders To Possess In Telecommuting Environments During Crisis: A Q Methodology Study, Shatha Abdulghani Khalifah

UNF Graduate Theses and Dissertations

The purpose of this Q methodology study was to explore Saudi Arabian professionals’ perspectives regarding the soft skills they considered most important for leaders to possess in telecommuting environments during crises.

Q methodology was developed to study human subjectivity and uses both quantitative and qualitative procedures to do so. As is the convention for a Q methodology study, a single question guided the research: What are the perspectives collectively held among Saudi Arabian professionals regarding the soft skills they consider most important for leaders to possess in telecommuting environments during crises?

The researcher developed a 44-item Q sample of opinion …

Running The Gauntlet: Barriers For Black Women Academics In Higher Education Research Productivity, Crishana Dionne Benton

UNF Graduate Theses and Dissertations

Internationally, research productivity bears significance for an institution’s reputation and overall research ranking. Many previous efforts surrounding faculty issues have focused on individual faculty research productivity. This study reimagined the definition of productivity as an academic’s impact on scholarly research, evidenced by their h-index.

At the same time, the need for diversity of faculty populations is becoming more urgent, even in a time when the number of tenure-earning faculty positions is diminishing and those which remain are occupied mainly by white men. To add to the disparities, it is reported that only 4% of full-time faculty are Black women. Black …

Age Diversity In The Hospitality Workplace, Cass Shum, Ankita Ghosh, Yunxuan (Carrie) Zhang, Yuang-Sheng (Ken) Chiu

Hospitality Faculty Research

Because of the large number of available positions with low-skill requirements and delay of retirement age, the current hospitality workforce is at the peak of age and generational diversity. The current hospitality industry employs employees from four generations, including Baby Boomers, Generation X, Generation Y, and Generation Z. After briefly explaining the difference between age and generation, we first describe generational values and characteristics in this chapter. Next, we critically evaluate the benefits and disadvantages of having age-diverse teams. Finally, we focus on the talent management and leadership needed to manage employees from different generations.