Digital Commons Network^™

Application Of Implementation Mapping To Develop Strategies For Integrating The National Diabetes Prevention Program Into Primary Care Clinics, William B Perkison, Serena A Rodriguez, Fernanda Velasco-Huerta, Patenne D Mathews, Catherine Pulicken, Sidra S Beg, Natalia I Heredia, Pierre Fwelo, Grace E White, Belinda M Reininger, John W Mcwhorter, Roshanda Chenier, Maria E Fernandez

Faculty, Staff and Student Publications

BACKGROUND: Diabetes is considered one of the most prevalent and preventable chronic health conditions in the United States. Research has shown that evidence-based prevention measures and lifestyle changes can help lower the risk of developing diabetes. The National Diabetes Prevention Program (National DPP) is an evidence-based program recognized by the Centers for Disease Control and Prevention; it is designed to reduce diabetes risk through intensive group counseling in nutrition, physical activity, and behavioral management. Factors known to influence this program's implementation, especially in primary care settings, have included limited awareness of the program, lack of standard clinical processes to facilitate …

An Application Of Lewin In A Trans-Pandemic World: A Narrative Inquiry In A Case Study With A Suggested Model For The Future, Chandler Barksdale Ewell Caldwell

Theses and Dissertations

Change is constant in today’s post-pandemic world. This is truly evident in online business success with entrepreneurs that defy past limitations and rely on future vision. This study purposely attempts to identify and qualify the impact of stylized change focused leadership in response to workplace changes during the variant challenges of the corona virus pandemic. The relevancy of Lewin’s organizational change model in today’s new normal provides the foundation for this research. Data were gathered through interview with a purposive sample of 12 managers executives and team members from a public sector organization. Evolving through an iterative process of evaluation …

Transformational Leadership Strategies In U.S. Public Universities, Jason C. Hardman

Theses and Dissertations

This qualitative study explores the transformational leadership strategies used by university leaders to transform their respective institutions of higher education in the post-pandemic era. The study builds on Bass's (1985a) transformational leadership model, and the guiding research question is, "What transformational leadership strategies do university leaders use to transform university environments?" The study utilizes a narrative inquiry approach to collect and analyze data from publicly available and accessible sources. The data analysis highlights four themes of transformational leadership practices, including idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration. The findings reveal that transformational leaders exhibit high moral standards, personal …

Leadership Development Of Physician-Trainees, Julie Robinson

Theses and Dissertations

Physicians frequently occupy leadership roles, yet training in leadership development in the medical education continuum is scarce (Angood, 2015; Dhaliwali & Sehgal, 2014; Rotenstein et al., 2018; Varkey et al., 2009). Effective leadership training can guide physician-trainees on a journey toward self- and others- awareness and management utilizing emotional intelligence (Goleman, 2006), integrity, authenticity (Erhard et al., 2010; George, 2003; Snook et al., 2012), communication, teamwork (Hackman, 2012; Larson & LaFasto, 1989), change management (Kotter, 1995; 2012), and systems thinking (Senge, 2006). The call to enhance leadership development of physicians across their education continuum is unmistakable (Blumenthal et al., 2012, …

Autonomy And Coordination: A Field Study, Jessica Kaufman

Theses and Dissertations

With an emerging remote and dispersed workforce that is consequently more autonomous, OD professionals will need to understand how autonomy relates to coordination to help organizations adapt and be effective. The purpose of this study was to understand the relationship between team member autonomy and inter-team coordination in organizations. The manager-team participants in this study spanned eleven industries, including 22 teams from 15 companies. The researcher took a mixed-method approach using interviews and surveys to assess autonomy and coordination. The research resulted in five variables: three variables measured coordination and two variables measured autonomy. Autonomy and coordination were significantly and …

Did The Psychological Implications Of Covid-19 Influence Employees To Say, “I Quit”, Lori Fay

Theses and Dissertations

This qualitative study explored the forces that influenced employees to quit and how the employee-manager relationship mitigated this. The research centered on employees employed in the retail industry throughout the year 2020. This study aimed to investigate what factors motivated employees to remain committed to their organizations amidst the psychological impacts of COVID-19. The findings of this study suggest that the COVID-19 pandemic has had a significant impact on the mental well-being of individuals, as evidenced by their experiences of anxiety, depression, and emotional fatigue. Understanding the impact of COVID-19 on employee turnover and the influence of the employee-manager relationship …

Overcoming The Space Between Us: A Multi-Disciplinary Approach To Bridge Building, Kate Hanisian

Theses and Dissertations

Facilitators in organization and community contexts (and other practitioners whose job it is to move groups of people forward together) are faced with the undercurrent of human conflict every day in meetings and gatherings around the world; often with limited access to an overarching tool to help prevent and manage conflict in most settings. The purpose of this paper was to uncover patterns in bridge building practices so that anyone who finds themselves in the role of facilitating conversations between people who are very different or do not like each other might lean into a set of practices that can …

Investing In Teachers: Understanding The Relationship Between The Standards Assessment Inventory And School District Spending On Professional Learning, Ankhe Bradley

Graduate Research Theses & Dissertations

This dissertation in practice will focus on gaining insights into the relationship between money spent on professional development and the Standards Assessment Inventory Scores. The Standards Assessment Inventory is an assessment tool aligned with the Standards of Professional Learning and provides insight into the perceptions of professional learning, the degree of success or challenges of professional learning, and systematic ways to provide decision makers with information on how to align professional development, educator effectiveness, and student achievement. The standards for professional learning include the following key areas: learning communities, leadership, resources, data, learning designs, implementation, and outcomes. Learning Forward’s Standards …

Toward A More Comprehensive Understanding Of Organizational Influences On Implementation: The Organization Theory For Implementation Science Framework, Sarah A Birken, Cheyenne R Wagi, Alexandra G Peluso, Michelle C Kegler, Jure Baloh, Prajakta Adsul, Maria E Fernandez, Manal Masud, Terry T-K Huang, Matthew Lee, Mary Wangen, Per Nilsen, Miriam Bender, Mimi Choy-Brown, Grace Ryan, Aliza Randazzo, Linda K Ko

Faculty, Staff and Student Publications

Introduction: Implementation is influenced by factors beyond individual clinical settings. Nevertheless, implementation research often focuses on factors related to individual providers and practices, potentially due to limitations of available frameworks. Extant frameworks do not adequately capture the myriad organizational influences on implementation. Organization theories capture diverse organizational influences but remain underused in implementation science. To advance their use among implementation scientists, we distilled 70 constructs from nine organization theories identified in our previous work into theoretical domains in the Organization Theory for Implementation Science (OTIS) framework.

Methods: The process of distilling organization theory constructs into domains involved concept mapping and …

Strategies Leaders Of Small Businesses Use To Improve Organizational Performance, Julie Charette

Walden Dissertations and Doctoral Studies

Small businesses significantly contribute to the global economy, yet some leaders need more strategies to improve organizational performance, growth, and competitive advantage. These barriers can create challenges that threaten the survival of the organization in a competitive business environment. Grounded in Argyris’s single- and double-loop learning theory, the purpose of this qualitative single case study was to explore strategies leaders of small businesses used to improve organizational performance, growth, and competitive advantage. The participants comprised three senior leaders of a small for-profit organization in the natural hair care industry in the Northeastern region of the United States. Data were collected …

Retention Strategies For Managers Of Generation Y Employees, Michael Askari

Walden Dissertations and Doctoral Studies

Employee turnover may lead to increased business costs, degradation of employee mental health, and more taxes on social programs. Managers of Generation Y employees are concerned with turnover because Generation Y employees tend to leave within 12 months of being hired. Grounded in the job embeddedness theory, the purpose of this qualitative multiple-case study was to explore management retention strategies to reduce Generation Y turnover. The participants were six managers of Generation Y employees from six retail businesses who successfully retained employees for more than 12 months. Data were collected using semistructured interviews, journal notes, and a review of public …

An Examination Of Counselor Turnover And Its Impact On Quality Behavioral Health Services, Leslie M. Beale

Walden Dissertations and Doctoral Studies

Behavioral health organizations often face the challenge of high employee turnover rates, which can critically affect their ability to treat mental illnesses successfully. High counselor turnover at one such organization, BHOX, threatens the provision of timely access to quality mental care. This qualitative case study examined counselor turnover and its impact on the quality of behavioral health services. The Baldrige Excellence Framework was used to guide this descriptive case study of a nonprofit behavioral health organization on the East Coast of the United States, which serves men and women struggling with mental health disorders and substance abuse addictions. The data …

How Healthcare Big Data Analytics Information Asymmetry Influences Organizational Design Absorptive Choices, Neil Black

Walden Dissertations and Doctoral Studies

Although the relationship between big data analytics (BDA) organizational, firm, and financial performance is well supported, little attention has been paid in extant research to exploring the organizational design issues resulting from information asymmetry caused by BDA; in particular, organizational absorptive choices that include acquisitions, mergers, reorganization, executive changes, or board of director adjustments. The purpose of this qualitative single case study within a U.S. hospital was to explore the conditions and circumstances that influence absorptive organizational design choices of hospital administration. The theoretical base of this study is Pfeffer and Salancik’s resource dependence theory (RDT). Logic model data analysis …

How Healthcare Big Data Analytics Information Asymmetry Influences Organizational Design Absorptive Choices, Neil Black

Walden Dissertations and Doctoral Studies

Although the relationship between big data analytics (BDA) organizational, firm, and financial performance is well supported, little attention has been paid in extant research to exploring the organizational design issues resulting from information asymmetry caused by BDA; in particular, organizational absorptive choices that include acquisitions, mergers, reorganization, executive changes, or board of director adjustments. The purpose of this qualitative single case study within a U.S. hospital was to explore the conditions and circumstances that influence absorptive organizational design choices of hospital administration. The theoretical base of this study is Pfeffer and Salancik’s resource dependence theory (RDT). Logic model data analysis …

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 …

Comparison Of The Effects Of Telehealth Versus N95 On Nurse-Patient Communication, Tony Christopher Bloomfield

Walden Dissertations and Doctoral Studies

Telehealth and face masks are some of the infection control measures nurses use while attending to patients. Nurses provide the most patient care in hospital settings and thus spend the most time with patients in their recovery journey. Because communication is paramount to the role nurses play as health care professionals, there is a substantial need to investigate how infection control measures affect the quality of nurse-patient communication. The purpose of this quantitative cross-sectional study was to describe the relationship of methods aimed at maintaining social distancing between nurses and patients to nurse-patient communication and to compare differences in the …

Sharing Strategies Between Higher Education Administrators And Their Information Technology Leaders, Larita Brewster

Walden Dissertations and Doctoral Studies

Some senior administrators in higher education institutions lack strategies to share leadership decision-making with their information technology (IT) leaders in the quest to sustain and improve organizational performance, which is often of concern to leverage technology and improve organizational performance. Grounded in the Bolman and Deal four-frame model of leadership, the purpose of this qualitative, multiple-case study was to explore strategies used at four higher education institutions by four IT leaders and four senior administrators, to improve organizational performance in Alabama. The participants were four higher education senior administrators and four IT leaders in Alabaman higher educational institutions. Data were …

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, …

Relationship Between Employee Human Capital, Relational Capital, And Work Engagement, Royelle David Comer Sr.

Walden Dissertations and Doctoral Studies

Work engagement is a challenge for information technology leaders in the digital industry because employees with engagement concerns may exhibit decreased commitment and increased workplace incivility towards the organization, thereby impacting business profits. Grounded in the job demands-resource theory, the purpose of this quantitative correlational study was to examine the relationship between human capital, relational capital, and work engagement initiatives in technology companies in the United States. The participants were 125 supervisors and full-time personnel from the metropolitan region of Atlanta, Georgia, who completed an online-based survey. The results of the multiple linear regression were significant, F (18, 106) = …

Strategies For Maximizing The Use Of Electronic Health Records Systems In Medical Clinics, Alexandra Nieves Rivera

Walden Dissertations and Doctoral Studies

Ineffective leadership can negatively impact the use of electronic health records (EHR) systems in medical clinics. Healthcare managers who fail to maximize the use of EHR systems are missing out on the opportunity to optimize the quality of medical care that their clinic provides. Grounded in complexity leadership theory, the purpose of this qualitative multiple-case study was to explore strategies healthcare managers use to maximize the use of EHRs systems. Participants comprised six healthcare managers who successfully implemented strategies to maximize the use of EHRs systems. Data were collected from semistructured interviews and publicly available information. Thematic analysis was used …

Experience Of Burnout Among Psychiatric Hospital Staff, Cindy Cisneros

Walden Dissertations and Doctoral Studies

Negative experiences at work are common at inpatient psychiatric hospitals and can result in burnout. This is especially the case for psychiatric hospital staff, as they are commonly the first and most frequent line of contact for patients in acute psychiatric care. This study provided relevant insight into the factors that influence the experience of burnout among psychiatric hospital staff that care for patients in inpatient psychiatric hospitals. Research on how burnout affects psychiatric hospital staff apart from other medical professionals is not robust and lacking in qualitative analysis. The transactional model of stress and coping framework constituted the theoretical …

Small Business Internal Control System Strategies To Protect Business Assets And Profitability, Edward Gabriel Earl Kuupualeialoha Keaunui

Walden Dissertations and Doctoral Studies

The absence of financial expertise and internal control systems contributes to losing business assets and profitability. Small business leaders who lack internal control systems and strategies to protect against the financial loss of business assets and profitability may be vulnerable and suffer losses. Grounded in the Committee of the Sponsoring Organization of the Treadway Commission (COSO) internal control-integrated framework, this qualitative multiple-case study explores internal control system strategies that small business leaders use to protect business assets and profitability. The participants were five small business leaders from the Western region of the United States who have successfully operated for over …

Educational Material For Nurses In Managing Patients With Neurogenic Bladder, Simone Yamdaare Redboy

Walden Dissertations and Doctoral Studies

AbstractNeurogenic bladder (NB) is common in patients with traumatic brain injury, spinal cord injury, spinal bifida, and stroke. Many patients who have these diseases struggle to control their bladder. NB can be defined as the inability to completely empty the bladder. For managing the bladder, clinicians usually opt for using an indwelling urinary catheter for those patients. Indwelling urinary catheters are a source of infection and do not help the patient regain continence. Research findings showed that frequent toileting and monitoring with bladder scanning benefited patients with NB and helped patients restore continence. To address a knowledge gap, this new …

Perinatal Nursing Education Related To Opioid Use Disorder, Britney Taniguchi

Walden Dissertations and Doctoral Studies

Opioid use disorder (OUD) contributes to severe perinatal and neonatal morbidity and mortality in the United States, leading to alarming complications for pregnant women, mothers, and newborns. Complications the mother experiences with OUD include increased mortality, overdose, infections, endocarditis, narcotic bowel syndrome, and accident-related injury. Complications the newborn can suffer include neonatal abstinence syndrome, respiratory depression, microcephaly, and sudden infant death syndrome. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, this project aimed to plan, implement, and evaluate a staff education program on opioid use disorder. The staff education program was presented to 13 perinatal …

Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate

Walden Dissertations and Doctoral Studies

AbstractMany individuals prefer to remain in their homes as they age instead of entering a long-term care facility. As the proportion of older Americans rapidly grows, the demand for delivery of nonmedical services by home healthcare aides (HHAs) is expected to increase. However, the national and local supply of HHAs is insufficient and must be rectified to meet a projected increase of older Americans by 2050. This research study involved exploring this problem for one small home healthcare organization in the Maryland suburbs outside of Washington, DC with an HHA workforce that was comprised predominantly of Black/African American and African …

Knowledge Management Implementation In U.S. Army Headquarters: A Case Study, David Marvin Van Laar

Walden Dissertations and Doctoral Studies

This case study examined the U.S. Army’s implementation of knowledge management (KM) as an integrating process within its command and control system. The research problem explored was the U.S. Army’s attempts to measure knowledge transfer using the KM Maturity Model (KM3) and KM Assessment Tool (KMAT). The purpose was to determine levels of KM maturity and knowledge barriers that affected decision-making. The conceptual approach used Nonaka and Takeuchi’s process theory for the knowledge-based firm, combined with Argote and Hora’s framework of knowledge transfer as it applied to Moore’s concept of public value. The central research questions explored the levels of …

Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic increased the need for research and discussions about trauma, trauma-informed care (TIC), and care delivery processes. Little is known about how nurses recognize, assess, treat, and support patients who experience trauma although knowledge of TIC is important for delivering care to trauma survivors. The purpose of this qualitative descriptive study was to explore nurses’ perceptions of TIC principles and their experiences delivering care to patients with psychological trauma. Harris and Fallot’s TIC theory was used to guide the study. Purposeful sampling was used to recruit ten nurses for individual semi structured interviews using open-ended questions conducted via …

Lived Experience Of Women Veterans Navigating The Veteran Healthcare System, Candance Willett

Walden Dissertations and Doctoral Studies

Many women veterans who navigate the Veterans Affairs (VA) healthcare system across the United States have felt that their voices have not been heard regarding their input and lived experiences concerning inclusion to the quality-of-care delivery for their health needs. The purpose of this study was to explore the lived experiences of women veterans who were currently facing or had previously faced difficulty navigating the VA healthcare system. The framework used for this qualitative study was interpretive phenomenological analysis. The qualitative method used was hermeneutics which was designed by Edmund Husserl and Martin Heidegger. Semi structured interviews were of 12 …

Understanding Law Enforcement Counterterrorism Information Sharing In Homegrown Violent Extremism Cases, Danielle Corry

Walden Dissertations and Doctoral Studies

Local law enforcement agencies are charged with the responsibility to prevent terrorist events in the United States, including the emerging threat of homegrown violent extremism. Without the use of the terrorism prevention tool of information sharing, with other applicable state and federal law enforcement agencies, there continues to be a breakdown in the ability to prevent terrorist events, especially those associated with homegrown violent extremists, in the United States. This qualitative case study explores the information sharing process in law enforcement agencies by examining the recent Boston Marathon Bombing in Boston, Massachusetts that occurred in 2013. Five themes emerged from …