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Full-Text Articles in Business
Relationship Between Employee Satisfaction And Patient Satisfaction Within The Veterans Affairs Health Care System, Krista Penn
Relationship Between Employee Satisfaction And Patient Satisfaction Within The Veterans Affairs Health Care System, Krista Penn
Walden Dissertations and Doctoral Studies
Within health care organizations, the experience of care is a critical measure of the quality of a health care system and is an important measure of success. Over the past several years, the quality and experience of care have been criticized within the Veterans Health Administration. Veterans Health Administration hospitals suffer from low patient satisfaction scores and high nurse turnover rates. Research shows a correlation between patient satisfaction and employee satisfaction within other health care organizations, yet there has been limited research on whether this type of relationship exists within facilities across the Veterans Health Administration. Using Donabedian’s quality health …
Exploring Management Practices Of The Health Care System For Contractors, Gary L. Williams
Exploring Management Practices Of The Health Care System For Contractors, Gary L. Williams
Walden Dissertations and Doctoral Studies
Researchers have found that military members serving in war experienced changes in physical and mental health. Military members' healthcare is managed by the Department of Defense. The problem was that management practices of the system for providing long-term healthcare for employees of a contracting company working in foreign combat zones is either minimal or nonexistent. The purpose of this case study was to explore ways that contractor managers and government managers can work together to provide healthcare for those contract employees who will be deployed with the U.S. military. The primary research question was to determine what managers of contractors …
Examining The Relationship Between Organizational Climate And Organizational Citizenship Behaviors Within Hospitals, Michelle Christine Maus
Examining The Relationship Between Organizational Climate And Organizational Citizenship Behaviors Within Hospitals, Michelle Christine Maus
Walden Dissertations and Doctoral Studies
Members of the healthcare industry have not fully understood organizational climate factors that enhance organizational citizenship behaviors (OCBs). This lack of understanding can result in negative patient outcomes. The purpose of this cross-sectional quantitative study was to examine the relationships between organizational climate factors and OCBs of employees at hospitals via person-organization fit theory. More, specifically, the purpose of this research was to explore (a) the relationships between organizational climate variables (i.e., welfare, autonomy, involvement, effort, training, integration, and supervisory support) and OCBs (n = 218), (b) differences in OCB scores between hospital leaders (n = 72) and followers (n …
A Qualitative Exploration Of The Security Practices Of Registered Nurses, Beth Ann Savage
A Qualitative Exploration Of The Security Practices Of Registered Nurses, Beth Ann Savage
Walden Dissertations and Doctoral Studies
Increased breach occurrences in healthcare cause concern for health information as reported by the Federal Government. Significant effort, regulations, and safeguards are in place to protect the systems used in the healthcare industry. Employee handling of security remains an area of vulnerability related to security protocols. The unified theory of acceptance and usage of technology (UTAUT) served as the model for this qualitative exploratory study with the purpose of understanding registered nurse (RN) perceptions and lived experiences related to IT security. Face-to-face interviews were conducted with 20 participants from the Three Rivers Chapter American Association Critical Care Nurses. Transcribed data …
Healthcare Executive Leadership Development And Succession Planning, Robin Ford Dillard
Healthcare Executive Leadership Development And Succession Planning, Robin Ford Dillard
Walden Dissertations and Doctoral Studies
Business leaders face leadership crises as executives from the baby boomer generation retire, creating a shortage of experienced and knowledgeable leaders. Some business leaders are unprepared for the replacement of retiring senior-level executives and lack strategies for succession planning. The findings of this study indicate succession planning and leadership development play a significant role in preparing future healthcare leaders in their ability to improve the quality of patient care and improve the strategic and financial health of the organization. Guided by the human capital theory the purpose of this multiple case study was to explore the strategies used by healthcare …
How Does Organizational Culture Impact Rn Engagement, Veronica Anntionette Ruffin-Ellis
How Does Organizational Culture Impact Rn Engagement, Veronica Anntionette Ruffin-Ellis
Walden Dissertations and Doctoral Studies
Lack of RN engagement in the acute care setting can result in poor staffing, nursing shortages, increased stress levels for nurses and decreased morale. When nurses are not engaged in their work setting, quality of care suffers. A wide range of literature focuses on the importance of RN engagement; however, few health care organizations have taken the initiative to implement programs that foster RN engagement, demonstrating a gap in practice. This study examined the relationship between the levels of RN engagement and their perceptions of their organizational culture. Kolcaba's humanistic approach to meeting the needs of RN staff was used …
Collaborative Strategies Used To Reduce Billing Administrative Cost, Stella Fayomi-Olaleye
Collaborative Strategies Used To Reduce Billing Administrative Cost, Stella Fayomi-Olaleye
Walden Dissertations and Doctoral Studies
Billing inefficiencies represent 80% of wasteful healthcare administrative costs that are projected to reach $45 billion by 2018. Potentially, a reduced billing administrative cost is estimated to yield an annual savings of $60 billion that could fund other societal needs such as jobs, wage increases, and education. Through the conceptual framework of iceberg change management model, this single case study explored collaborative strategies 3 healthcare billing managers in Dallas, Texas successfully used to reduce billing administrative costs. Data were collected through semistructured interviews and the review of company documents. Using Yin's procedure of examining, comparing, categorizing, and coding data, the …
The Effect Of Healthcare Reform On The Sustainability Of Nonprofit Hospitals, Carmela Josephine Lynch
The Effect Of Healthcare Reform On The Sustainability Of Nonprofit Hospitals, Carmela Josephine Lynch
Walden Dissertations and Doctoral Studies
Healthcare spending in the United States has continued to rise with annual healthcare cost of $3.8 trillion in 2014. While costs and the population continue to rise, resources continue to dwindle. Consequently, Congress has imposed various price controls and healthcare reform measures over the past 20 years, including the recent Patient Protection and Affordable Care Act (PPACA), which aims to decrease spending while enhancing quality and safety of care delivery. As a result of the implementation of the PPACA, 34 million additional Americans may be eligible for healthcare in a system already needing additional resources, increased access to care, and …
A Study Of Followers Under Transformational Leadership, Song X. Zhang
A Study Of Followers Under Transformational Leadership, Song X. Zhang
Walden Dissertations and Doctoral Studies
A gap exists in scholarship on how transformational leadership inspires healthcare workers in the eastern United States, which is important as healthcare costs are approximately 20% of the United States gross domestic product and rising. Improved healthcare performance may contribute to cost containment or even cost reductions. The purpose of this phenomenological study was to explore and describe the lived experiences of employees working for a transformational leader in a healthcare facility in the eastern United States. The conceptual framework was Bass's transformational leadership theory and von Bertalanffy's general systems theory. The overreaching research question asked how transformational leadership affected …
When Does Six Sigma Reduce Defects And Increase Efficiencies?, Richard Jay Sands
When Does Six Sigma Reduce Defects And Increase Efficiencies?, Richard Jay Sands
Walden Dissertations and Doctoral Studies
A field research-based statistical study was used to investigate successes and failures of Six Sigma methodologies based projects. Six Sigma methodologies require that projects be designed, planned, and implemented using techniques specifically designed to achieve desired benefits that are based on the method's key drivers for project success. This study addressed an identified gap in the literature that Six Sigma projects do not fail because of Six Sigma methodologies, but that the projects can fail because of deficient support processes. Six Sigma projects that do not achieve the desired benefits are often labeled as "fads". Research questions related to management …
Relationship Between Organizational Commitment And Turnover Intentions Among Healthcare Internal Auditors, Mouhamadou Thile Sow
Relationship Between Organizational Commitment And Turnover Intentions Among Healthcare Internal Auditors, Mouhamadou Thile Sow
Walden Dissertations and Doctoral Studies
Insufficient auditing staff has become a challenge facing internal auditing in the healthcare industry. Auditors' turnover rates range from 13.4% to 46.6% in the United States based on the type of organization. The purpose of this correlational study was to examine the relationship between affective commitment, continuance commitment, normative commitment, and turnover intention among auditors. Self-determination theory of motivation was the theoretical framework for examining the employee turnover problem. A random sample of 92 internal auditors was administered the TCM Employee Commitment Survey and Turnover Intention Scales. The model as a whole was able to significantly predict turnover intentions, F(3, …
Independent Retail Business Owners' Perceptions Of The Patient Protection And Affordable Care Act., Bradley A. Hall
Independent Retail Business Owners' Perceptions Of The Patient Protection And Affordable Care Act., Bradley A. Hall
Walden Dissertations and Doctoral Studies
Passage of the Patient Protection and Affordable Care Act (PPACA) in 2010 prompted the question of how independent businesses may react to the employer mandate in the PPACA. The law is based on the theory of managed competition and it is more likely to affect businesses with fewer employees than to affect larger businesses that already offer health insurance. The purpose of this quantitative, pre-experimental study was to examine the strategic responses of independent retail business owners in Hillsborough County, Florida, regarding their perceptions of the employer mandate in the PPACA. Before 2014, there was a great deal of non-peer-reviewed …