Digital Commons Network^™

Lung Cancer Screening: An Evidence-Based Practice Change Project, Robert Bland

Student Scholarly Projects

Practice Problem: Lung cancer is the leading cause of global cancer deaths and is a significant health issue in the US, claiming more than 155,000 lives each year. Lung cancer screening through low dose computed tomography (LDCT) can reduce lung cancer mortality by 20 percent but unfortunately, lung cancer screening is underutilized.

PICOT Question: The PICOT question that guided this project was: in a patient population eligible for LDCT lung screening (P), how does auditing of practice with feedback to the providers (I), compared to not doing the interventions as mentioned above (C), increase LDCT lung cancer screenings in the …

Improving Academic Success: Creating A College Planning Resource For Students, Hannah Grunden

Honors Projects

Academic performance of students is a major concern for colleges, especially with the recent COVID-19 pandemic. Research has shown that active involvement, the development of self-regulation skills, and improved mental health all have a considerable impact on college students’ academic success. Colleges like Bowling Green State University need to consider how they can use these factors and leverage resources to improve student performance. In this project, a solution is proposed in the form of a college/personal planner which is directly based off research on early academic success. While further, more specific research is needed to fully understand the issue and …

Ventilator-Associated Pneumonia Bundle Care, Jeemole Kattezham Binnichan

MSN Capstone Projects

Ventilator-associated pneumonia (VAP) is one of the most significant nosocomial infections in intensive care units (ICU) worldwide. Patients who have this infection due to lengthy hospital stays face excessive hospital expenditures and are forced to spend more time away from their families than is necessary. VAP is a prominent cause of morbidity and mortality in ICUs, prompting plenty of studies. The most crucial target is its prevention. Understanding how to reduce VAP would help patients live longer, have a better quality of life, and reduce hospital liability. Ventilator-associated pneumonia bundle (VAPB) has been shown in numerous studies to be an …

Implementing A Shared Governance Program, Mayra Elizondo

MSN Capstone Projects

Aim: To see the relationship between nursing satisfaction and patient safety outcomes through the implementation of a shared governance program.

Background: The adoption of shared governance in hospitals across the country would enable more nurses to have more resources, more autonomy in their practice, and thus higher satisfaction in their work environments which would improve patient outcomes.

Implications for future research, clinical practice and policy development: The following paper summarizes that shared governance programs increase the amount of satisfied nurses and improve patient outcomes. Further research is needed to develop effective guides for implementation of shared governance in healthcare facilities …

Bridging Mental Healthcare, Kristin L. White

MSN Capstone Projects

Nurses have an important role in the care given to mental health patients presenting to the emergency department (ED). Without expectations or encouragement toward growth or continued education, the quality of care and the therapeutic ability for care are crippled, as evidenced by nurses' knowledge/competency deficits and negative attitudes. Through ongoing/continued education, the cultivation of a therapeutic culture toward patients that present to the ED for mental health complaints could result. Additionally, these improvements in care, in turn, could promote not only the closure of gaps that exist for quality mental healthcare but may also lead to an increase in …

Impact Of Nurse Residencies On A Graduate Nurse’S First Year, Melinda R. Fox

MSN Capstone Projects

The purpose of this presentation is to highlight the importance of the graduate nurses first year in their clinical role and highlight the positive impact of nurse residency programs. The target audience for this presentation includes, but is not limited to, the University of Texas at Tyler students and professors enrolled in NURS 5382: Capstone. The observers of this presentation will be able to describe the rationale behind the importance of Nurse Residency Programs, discuss the current literature recommendations, and understand the overview of the change process proposed.

Building Capacity To Alleviate Poverty Through National Service: An Evaluation Plan Guided By Community Partner Perspectives, Laura E. Martin

eJournal of Public Affairs

This paper explores how a national service program, the Mid-South VISTA Project (MSVP), impacts community partner organizations through capacity building activities. MSVP is housed at Mid-South University and extends the community-engaged activities of campus units and while building capacity at partner organizations. The project considers dimensions of nonprofit capacity building, navigating the community-campus partnership process, and the legacy of the VISTA program. The data presented here are part of a larger case study of how programs housed at MSU’s community engagement center impact community partner organizations. Findings from interviews with fifteen VISTA supervisors guide the development of an evaluation plan …

Reducing Surgical Site Infections Through Combination Skin Preparation: A Benchmark Study, Jennifer Schacherer

MSN Capstone Projects

Reducing surgical site infections allows for a tremendous reduction in healthcare costs, reduces length of hospital stay, decreases hospital readmissions, and promotes patient safety. The Centers for Disease Control and Prevention estimates that surgical site infections have a 3% mortality rate and 75% of all surgical site infection-related deaths are directly attributable to the surgical site infection (Centers for Disease Control and Prevention [CDC], 2020). With millions of surgeries being performed every year, the reduction of surgical site infections enhances patient safety and ensures the protection of the public. Currently, no standard protocol exists for skin preparation beyond the parameters …

Transforming Problematic Into Positive: Practice-Based Recommendations For Resolving Paradigmatic And Methodological Conflicts In Appreciative Inquiry, Bryan D. Jennewein Phd

The Qualitative Report

Researchers have employed Appreciative Inquiry (AI) in a variety of methodological contexts, in a variety of settings, and toward a variety of outcomes. For practitioners seeking to both identity and amplify the best of what is, AI has been a sort of multi-functional toolset, improving outcomes both small and grand. Amidst this successful history of the application of Appreciative Inquiry (AI), little attention has been given to some of the limitations or even risks of applying its practices to whatever extent and toward whichever outcomes. The models supplied by AI may prove problematic in several ways, among them: ontological realism, …

Transforming Prescription Opioid Practices In Primary Care With Change Theory, Rob E. Carpenter, Dave Silberman, Jody Takemoto

Human Resource Development Faculty Publications and Presentations

The opioid epidemic continues to be an ongoing public health crisis. Many primary health care providers aptly serve as the gate keeper to opioid prescriptions. The opioid epidemic has challenged the primary care profession whilst many of these providers have opted out of opioid prescribing altogether. This unintended consequence affirms erosion to primary care that is vital to the ecosystem of opioid management. The purpose of this study was to understand strategies to deliver opioids safely and effectively. Results indicate primary care providers are uniquely positioned to make a positive opioid impact through focused change initiatives. Five common themes arose …

Women In Direct Combat Arms: A Constructivist Grounded Theory Study Of U.S. Army Active-Duty Military Intelligence And Cyber Command Women Perspectives And Current Career Opportunities And Policies In The Military Combat Fields, Brenda Young

Theses & Dissertations

Effective January 1, 2016, the Department of Defense implemented a new policy pertaining to a full work role gender integration for service women in all U.S. military fields and positions. Active-duty women struggled to participate, adapt, and be completely integrated into the full institutional direct combat arms positions and careers. Research on such gender participation to date has focused specifically on physical fitness standards, unit morale and cohesion, successful entry into training pipeline for direct combat arms fields, and outcomes measured by current attrition rates. A constructivist qualitative grounded theory research study was needed to understand how current active-duty women …

Researching Administrative Law, Keith Lacy

Law Librarian Scholarship

Administrative law is a broad subject area concerning the laws and procedures governing administrative agencies. It also encompasses the substantive law produced by those agencies — most commonly in the form of regulations (rules) or agency decisions. This article highlights a few major resources for researching administrative law in the United States.

The Stages Of Environmentalism And How The Movement Can Be Maintained Through Generation Z, Emma Jean Vanden Brink

Masters Theses

The state of a social movement is characterized by the stages through which it progresses. The environmentalism movement began hundreds of years ago when humans first noticed how significantly their actions influenced the nature around them. The movement advanced with the arrival of the industrial era and modern society. According to Stewart et al. (2012), there are five main stages through which a social movement proceeds: genesis, social unrest, enthusiastic mobilization, maintenance, and termination. Today, environmentalism is in the maintenance stage, as determined by the current organizational structure of the movement. The objective of this study was to determine how …

Bargaining For Integration, Shirley Lin

Faculty Scholarship

No abstract provided.

Structured To Fail: Lessons From The Trump Administration’S Faulty Pandemic Planning And Response, Alejandro E. Camacho, Robert L. Glicksman

Michigan Journal of Environmental & Administrative Law

The Trump Administration’s response to the COVID-19 pandemic is a stark reminder that poorly designed government can be a matter of life and death. This article explains how the Administration’s careless and delayed response to the crisis was made immeasurably worse by its confused and confusing reallocation of authority to perform or supervise tasks essential to reducing the virus’s ravages.

After exploring the rationale for and impact of prior federal reorganizations responding to public health crises, the article shows how a combination of unnecessary and unhelpful overlapping authority and a thoughtless mix of centralized and decentralized authority contributed to the …

Organization Change And Institutional Environment : Employee Influence And Financial Management Of Public Retirement Systems In The U.S, Hao Sun

Legacy Theses & Dissertations (2009 - 2024)

Previous attempts to understand and examine the employee influence on the financial performance of public retirement systems have produced inconsistent results. There have been different understandings and ongoing debates over the main variables to include in the models and the direction (positive vs. negative) of the association. What are the roles of public employees within the financial management of public retirement systems? What are the main variables that define employee influence? To answer these questions, this dissertation project, based on organization theory, first attempts to construct an exploratory measurement framework of employee influence from three aspects, external environment, perceived influence, …

Quality Improvement Project: Communication Guidance During And Following Maternal Hemorrhage, Kathleen Giramur

Doctor of Nursing Practice

Background. Maternal hemorrhage is a significant cause of worsening maternal morbidity and mortality in the United States. If timely, effective, and compassionate communication is not provided during and following traumatic birth events, negative mental health problems may result that affect maternal well-being, bonding with the baby, and family relationships. A gap analysis carried out at the clinical site showed that a written, evidence-based guidance on communication with patients and families during and after a maternal hemorrhage event was needed. Compliance through documentation is required by the Joint Commission. Trauma-Informed Care is an evidence-based communication approach that incorporates principles of safety, …

Remixed, Remastered: Investigating Organizational Adaptation In Higher Music Education, Jacob Bruce Hertzog

Graduate Theses and Dissertations

Higher music education presents a unique opportunity to examine change within higher education due to the digital revolution in the music industry over the past two decades. The purpose for conducting this study was to describe, map, and explain the strategies that higher music education programs are using to adapt to the digital revolution in the music industry. This study was grounded in organizational adaptation theory, drawing upon nine well-established theories: population ecology, life cycles, strategic choice, isomorphism, symbolic action, resource dependence, cybernetics, and network theory. Critical concepts of the turbulent environment, environmental perception, and organizational adaptation strategy emerged from …

Reimagining Global Partnerships In Higher Education Through Open Systems Theory

Journal of Comparative & International Higher Education

No abstract provided.

Change Sustainment Model (Csm) To Address Industry 4.0 In A Classified Environment, Hamilton Ervin

Electronic Theses and Dissertations, 2020-2023

Business and engineering have long intersected with each other in industry. In actuality, they are inseparable. That notion drove the thought process and actions taken to observe phenomena within a U.S. Fortune 500, Aerospace & Defense industry, Department of Defense, independent contractor. In Aerospace & Defense, the ability to implement technology freely and change to address an ever-evolving technological landscape in the world has proven to be difficult given the nature of the work performed. U.S. national security must be protected at all times, therefore information sharing guided by a "need-to-know" basis create an inability to easily implement organizational change …

Bargaining For Integration, Shirley Lin

Elisabeth Haub School of Law Faculty Publications

The Americans with Disabilities Act (ADA) requires employers to restructure exclusionary environments upon the request of their employees with disabilities so that they may continue working. Under a virtually unexamined aspect of the mandate, however, the parties must negotiate in good faith over every accommodation request. This “interactive process,” while decentralized and potentially universal, occurs on a private, individualized basis.

Although the very existence of the mandate has been heavily debated, the scholarship has yet to acknowledge that the ADA is actually ambivalent to individuals’ relative power to effect organizational change through bargaining. This Article is the first to critique …

Crisis Communication And Furloughed Hotel Frontline Employees’ Intention To Stay: The Role Of Perceived Organizational Support, Job Insecurity, And Job Affect, Tabitha A. Chapital

LSU New Orleans Theses and Dissertations

This study investigated furloughed hotel employee’s intention to stay (ITS), with their hotel and hotel industry, based upon the impact of crisis communication strategy, perceived organizational support (POS), job insecurity, and job affect following a crisis. A 2 (crisis communication strategy: apology vs. excuse) × 2 (POS: high vs. low) between subjects, factorial design was employed. The study found that apology strategy and high POS result in lower job insecurity among furloughed hotel employees. A negative correlation was also found between job insecurity and ITS with the hotel industry. These findings may support practical and theoretical implications for hoteliers, specifically …

School Principals’ Awareness Of Their Emotional Intelligence And Connections To Leadership, Lourdes M. Pimentel Soto

Dissertations

Leaders set the tone and mood of the organization through their attitudes and actions. This emotional climate set by the leader has been found to influence employee’s performance, including their sense of job satisfaction and commitment. In other words, what sets great leaders apart from their peers is their ability to drive the emotions of those they lead in the right direction. This ability to understand and manage one’s and other’s emotions is what is known as emotional intelligence (EI).

This qualitative study explored the perceptions of K-12 principals’ awareness of their EI in relation to how they lead, and …

Gaze, Volume 10, Number 3

Gaze, 1979-1990

Co-Editors: Allen Cook, John Stilwell. Staff Writers: Bob Dumais, Susan McKenzie, Vincent Astor, Ken Horton, Becky Caperton. Typesetting and Layout: Allen Cook, Bob Dumais, John Stilwell, Vincent Astor. Circulation: Cecil McLeod, John Stilwell, Bob Dumais. Advertising: Bob Dumais, Vincent Astor.

This is the second issue printed as volume 10, number 3.

Lindenwood Magazine, Fall 2021, Lindenwood University

Lindenwood Magazine (2017- )

Lindenwood University news magazine.

Leaders’ Strategies For Motivating The Millennial Generation To Sustain High Levels Of Performance, Juan Alvarez

Walden Dissertations and Doctoral Studies

Failure to identify and implement strategies to address the needs of the Millennial workforce can lead to a decrease in productivity in the organization. The increasing number of Millennials in the workforce creates a challenge for many business leaders in maintaining or surpassing the productivity levels found in organizations where the baby boomer employees are the majority. Grounded in transformational leadership theory, the purpose of this qualitative single case study was to explore the strategies that warehouse supervisors use to enable Millennial employees to maintain or surpass productivity levels in organizations. Interviews were conducted with six warehouse supervisors who had …

Staff Perceptions Of Standards-Based Grading Prior To Implementation, Steven K. Perkins

Dissertations

The purpose of this qualitative study was to evaluate the perceptions of a group of middle school teachers regarding changing to standards-based grading (SBG). Data were collected from the transcripts of two different focus groups and analyzed. Study results indicated that SBG measures were not well known by all staff, and many clear resistance points were present. Resistance points centered around five key themes: fear of loss of rigor, community pushback, lack of SBG practices knowledge, lack of supporting infrastructure, and extra time and work required. Recommendations that flow from these results are that, prior to implementing SBG, comprehensive data …

Leadership Influence On Collective Teacher Efficacy In Multi-Cultural Teams: A Mixed-Methods Study, Yaru Zhou

Education Dissertations

As evidence for positive effects of collective teacher efficacy on student performance and teacher well-being grow, increasing efforts have been made worldwide to understand how teachers’ beliefs in the team’s capacity form in schools. This study adopts a mixed-methods approach; 90 teachers from seven international schools in China participated in the survey, and eight teachers from these schools joined focus group interviews. This paper seeks to understand the relationship between teachers’ perceptions of instructional school leadership and collective efficacy, and how individual leaders’ character strength of encouragement and structural factors, including school levels and cultural dimensions, affect the relationship. Quantitative …

The Impact Of Incarceration On The Family; Perceptions Of Fatherhood By Incarcerated Fathers In A New York Jail: A Phenomenological Study, Priscila Echevarria De Sepulveda

Education Doctoral

The purpose of this study was to understand and explore, through a qualitative phenomenological design, the lived parental experiences of incarcerated fathers in a Northeastern New York jail. For this research, an incarcerated father will be defined as a father who has a child 18 years or younger and is confined to a jail. This research project sought to gain knowledge in this area, and this study’s results will inform policymakers who create policies and programs that may address the sustainability and development of an incarcerated father’s parental identity. The study population comprised of nine incarcerated fathers, between the ages …

A Framework For Moving Beyond Awareness: Exploring How School Building And District Level Leaders Address Implicit Bias Through Professional Learning Structures, Susan E. Lohret

Education Doctoral

The descriptive phenomenological design of this study explores the phenomenon of addressing implicit bias through professional learning structures. The study examines the lived experiences of educational leaders through their reflections of the experiences and how they make sense of the experiences. Participants were included with the following criteria: a) professionals with district level leadership or school building leadership in New York State public schools and b) participation in addressing implicit bias through a formal program, curriculum, initiative, or informal structure. Focus group and semistructured interviews were conducted and the data collection tools were field tested. Data was transcribed, coded, and …