Business Administration, Management, and Operations Commons^™

Mission Over Bureaucracy: Special Operations Command’S Warrior-Driven Model For Defense Innovation, Robert D. Seader

Joint Force Quarterly

In an era of accelerating technological change, military organizations must rapidly develop and field new capabilities to maintain battlefield superiority. Traditional defense acquisition processes, optimized for peacetime oversight and risk avoidance, now take four times longer than in the 1950s, threatening to undermine military effectiveness against rapidly modernizing adversaries. This paper examines how the United States Special Operations Command (USSOCOM) has pioneered a fundamentally different acquisition approach that delivers new capabilities in months rather than the decades typical of conventional programs.

Through extensive interviews with senior acquisition leaders, this analysis identifies three core elements of USSOCOM’s success: a mission-centric culture …

Building A Culture Of Trust: Engaging Teams With Targeted Tactics For Meaningful Improvement In Patient Experience, Anna Buckner, Kimberly Lewis

Patient Experience Journal

Rising financial pressures and the need to revitalize culture prompted a renewed emphasis on patient experience at Billings Clinic. This case study describes the impact of redefining patient experience as a measure of trust and a set of care processes. It presents an alternative to the more traditional view of patient experience as an outcome metric based on meeting patient expectations. Billings Clinic chose the patient survey question likelihood of recommending as an organizational goal or key performance indicator (KPI). Under the direction of executive leadership, the patient experience team developed a new strategic framework aimed at driving improvement for …

Trust: Why A Commitment To Human Experience Matters, Jason A. Wolf

Patient Experience Journal

Trust is one of the most essential elements in our overall human existence. It is a critical part of our human experience, one that reaches well beyond the boundaries of healthcare. Trust is the element that holds society together. It emerges in the relationship of one human being connecting with another human being, and it reaches to the engagements people have with organizations, institutions, and systems as well. Trust, while hard to hold, is ever present. It is a powerful force that guides our way of being, our interactions, our choices, even if we ourselves are not directly conscious of …

Businesses Entering The Latin American Market, Valeria Rangel

Honors Capstones

This study examines the strategies global companies use to successfully enter and compete in Spanish-speaking markets in Latin America. As the region continues to experience economic development and growing demand for infrastructure and energy-efficient technologies, it presents important opportunities for multinational organizations. However, companies expanding into these markets must consider cultural differences, regulatory environments, and regional economic conditions when designing effective market entry strategies.

This research analyzes the key factors that influence global market expansion, including regional economic conditions, trade policies, and marketing strategies. Particular attention is given to the importance of localization, customer relationships, and digital communication when engaging …

Aligning Strategy And Execution: The Role Of Senior Leaders In Project-Driven Organizations, Kenneth J. Boff

M.S. in Leadership

Strategic alignment remains a persistent challenge in project‑driven organizations, where shifting priorities and distributed execution often create gaps between strategic intent and project‑level action. This study examined how Senior Leadership Communication Practices influence Strategy–Execution Alignment and tested whether Organizational Culture for Alignment and Change Management Readiness mediate that relationship. A quantitative, cross‑sectional survey was administered to 54 senior leaders in project‑driven environments. All constructs demonstrated strong reliability, and correlation & regression analyses confirmed significant positive relationships among leadership communication, cultural alignment, readiness, and strategic alignment. Leadership communication significantly predicted culture (R² = .444), readiness (R² = .431), and alignment (R² …

The Age Of Hr Delivering Stakeholder Value Through Strategic Organizational Capability: Talent, Leadership, And Culture, Anthony Nyberg, Rebecca R. Kehoe, Dave Ulrich, Patrick M. Wright

Research Briefs

A landmark collection of 62 chapters from the world’s foremost thinkers in HR strategy, talent management, and organizational leadership—written at the inflection point where AI, geopolitical uncertainty, and evolving stakeholder expectations are reshaping the future of work and the humans at its center.

Building A Vitalizing Team Culture, Iris Bull, Andrew Cibor

Purdue Road School

Leaders in the public sector face unique challenges in the recruitment and retainage of productive employees. Administrative staff from the City of Bloomington Engineering Department present an analysis of the strategies they employ to shape a high performing team. They examine mutable and designed aspects of their processes for advertising, interviewing, hiring, onboarding, and exit interviewing. Session participants will be provided tested strategies for stimulating professional growth, fostering intradepartmental collaboration, and building resilient culture.

Pxj Volume 12 – Key Theme Summary And Article Index, Patient Experience Journal

Patient Experience Journal

Volume 12 of the Patient Experience Journal showcases a global dedication to advancing human experience in healthcare, illuminating both existing challenges and crucial emerging practices. The content, spanning three issues, emphasizes that improving the human experience is not a temporary initiative but rather the essential foundation for building trust, ensuring safety, facilitating healing, and sustaining organizational resilience. The overarching message of Volume 12 is that human experience is the heart of healthcare. It is actively shaped through shared purpose, design, empathy, communication, and partnership. The journal calls for a future where every voice is heard, every story matters, every …

The Influence Of Culture + Technology On Night-Time Economy, Jianping Xu

Dissertations and Theses Collection (Open Access)

As a vital component of modern urban economies, the night-time economy has emerged as a crucial pathway for stimulating domestic demand and promoting consumption upgrading. With the rapid development of digital technologies and increasingly diversified cultural demands, the deep integration of 'Culture + Technology' has provided new momentum for the innovative development of the night-time economy. This study focuses on how 'Culture + Technology' empowers the night-time economy, exploring its impact mechanisms, current status, and development pathways through theoretical analysis, case studies, and empirical surveys.

First, this paper constructs a theoretical framework for 'Culture + Technology' empowering the night-time economy …

Changing Myths Into Truths: Dispelling Physician Misconceptions On Patient Experience, Amit Singh, Syed Ahmed, James Castellone, Michael H Kanter, Mikelle Key-Solle, Sherry Kroll, Paul A Lansdowne, Winnie Lee, Swati Mehta, Sofie Morgan, Sephora Morrison, Susan N Nathan, Sachin Patel, Alexie Puran, Donald Wickline, Liza Dileo Thomas

Patient Experience Journal

Patient experience work can be viewed by some physicians as outside their scope of practice and therefore the responsibility of non-medical providers. Assumptions may also be made by providers about what patient experience work is and is not. These myths can make it difficult to pursue meaningful patient experience related work that is in fact rooted in evidence showing improved outcomes. Moreover, these myths can downplay the importance of patient experience improvement work discouraging physicians who may be interested from pursuing it. In order to combat common myths that can be propagated about patient experience, the authors will cite research …

The Role Of Emotional Stability And Social Confidence In Leading With Vulnerability Moderated By Perceived Trust In The Leader, Perceived Trust In The Team, And Psychological Safety, Adam N. Smith

USF Tampa Graduate Theses and Dissertations

AKTiVe leadership is a foundational cultural model that has been adopted at Florida Health Science Center (Tampa General Hospital). The premise of the model is that treating each other with Authenticity, Kindness, Transparency, and Vulnerability (AKTiVe Model) will lead to cultural change that enhances trust, engagement, and psychological safety, which will in turn drive performance improvement for the organization. It takes years to change the culture of an organization, which highlights the need to focus on sustainability and resilience in the culture. This research aims to understand the personality traits that predict leading with vulnerability.

I focused on vulnerability because …

Crafting Ethical Problem-Solving Cultures: A Leader’S Role In Complex Adaptive Systems, Elizabeth A. Luckman

The Journal of Values-Based Leadership

In today’s complex and interconnected world, leaders play a critical role in fostering ethical problem-solving cultures within organizations. To enable leaders to succeed in this evolving landscape, this paper advocates for a necessary paradigm shift: a transition in mental models about how organizations function. Historically, organizations have been viewed as mechanistic systems, but there is a substantial opportunity to improve our work by viewing organizations as complex adaptive systems. This shift alters fundamental assumptions about organizational operations and redefines leadership as the creation of conditions for effective and ethical problem-solving. In this paper, I examine the changing mental models that …

Orchestrating Complexity: The Art Of Virtual Leadership In System Modelling, Vijay Kumar Sonawane, Bipllab Roy, Purnendu Bikash Acharjee, Indu Pv

Northeast Journal of Complex Systems (NEJCS)

This paper explores the dynamics of virtual leadership within global remote work environments, focusing on the application of complex system modelling to understand and enhance leadership efficacy. The application of computational modelling has been a regular feature in economics, science and technology fields, however its application in virtual leadership with linkage to sport leadership appears to be a novel concept. Adopting a multidisciplinary approach, this paper incorporates Game Theory as a conceptual framework to make the leadership model more relevant and applicable that can offer simpler understanding of complex play of leadership drivers. The model incorporates five key leadership dimensional …

Using Multiculturalism To Combat The Negative Creativity Effect Of Cultural Tightness: How It Is Done Matters, Jung Kiu Choi

Dissertations and Theses Collection (Open Access)

This study investigates the multifaceted influence of cultural tightness and multiculturalism on the global commercial success of pop music. Addressing an under-explored moderating effect of multicultural factors on creative output under tight culture, this research analyzes Billboard Global 200 and Spotify Top 50 chart data from 2013-2021. The empirical analysis reveals that cultural tightness negatively impacts pop song’s success. Conversely, multiculturalism, specifically through diverse languages and performance teams, generally enhances global success. A key finding is that while multicultural production teams do not directly correlate with success, they critically moderate the detrimental effects of cultural tightness, a buffering effect unique …

Creating A Regenerative Organizational Culture, Sukanya Nagfernandes, Jennifer Mowery

Beyond the Project Horizon: Journal of the Center for Project Management Innovation

Abstract

The review article aims to explore the concept of creating a regenerative organizational culture through the application of transformational practices. The study investigates the potential benefits of integrating regenerative practices within an organization's cultural framework to foster adaptability, innovation, and sustainability. By examining the literature on regenerative culture and digital transformation, this study provides an overview of the key components and strategies necessary for building a regenerative organizational culture in the digital era and proposes an innovative approach to predicting regenerative cultural practices required within stages of a project’s life cycle.

Organizational culture works as a lifeline. It is …

Beyond The White Coat: Mental Health In The Life Of A Junior Doctor, Araya Gautam

Patient Experience Journal

This article underscores the profound need for a culture that prioritises mental health, especially among doctors navigating their early careers. This personal narrative also highlights the importance of overcoming this and the challenges one can face while trying to do so. A journey of a 30-year-old doctor, as she hurdled along life with the passing of her grandparents and studying for the exam, it looked like a task that was achievable at first, but as time went by anxiety and self-doubts were not easy to navigate. This piece outlines why it is of utmost importance that we as doctor realise …

Leading In Turbulent Times: Why Experience Is Essential To Healthcare's Future, Jason A. Wolf

Patient Experience Journal

Healthcare systems around the world and throughout our community are being buffeted from all sides, with higher acuity patients, a vulnerable and stressed workforce, unsure finances and support structures, and even challenges to long-held medical truths. For as much as we traversed a once in a lifetime moment through the pandemic years, the residual effects and social and political sways that followed have woven their ways into healthcare overall. There is great uncertainty. There are rapidly emerging innovations. There are greater tensions in our society which show up in behaviors that impact how we provide care. These issues and more …

Mapping Ideology, Nonprofit Leadership, And Organizational Change, Christopher S. Collins, Regan Harwell Schaffer

Journal of Ideology

This article underscores the distinction between management and change, with change being a primary task of nonprofit leaders. It delves into the literature, both research and theory, on organizational change and its implications for leading a nonprofit organization. The implications discussed include how ideology can either inhibit or foster change. By highlighting the pivotal role of nonprofit leaders in promoting change, we aim to draw meaningful connections between self-awareness, ideology, and organizational action.

Patients' Perceptions: A Group Differences Study Twelve Months Before And Twelve Months During A Worldwide Pandemic, Nancy B. Valla

Patient Experience Journal

Objective: The COVID-19 pandemic subjected healthcare systems' to decreasing operational margins, enhanced regulatory scrutiny, and challenges related to patients' expectations. Until now, there was a lack of empirical evidence studying patients' perceptions prior to versus deep immersion into the pandemic. Methods: This quantitative non-experimental ex post facto causal-comparative study examined if and to what extent there were significant differences in patients' perceptions of the nurses' communications, doctors' communications, overall hospital rating, and willingness to recommend before versus during the COVID-19 pandemic for HCAHPS participating hospitals in California. The final sample size was 292 facilities grouped by two identically …

Patient Experience (Px) Giants: Pioneers And The Path Forward, Geoffrey A. Silvera, Courtney Haun, Varun Natarajan

Patient Experience Journal

This commentary pays tribute to the foundational figures in patient experience (PX) scholarship, acknowledging the "PX Giants" whose contributions have established and expanded the field's core principles. Building upon the analysis in Foundational PX, which identified highly cited works, this piece honors individual contributors who have contributed to the scholarly foundation of PX. It highlights the cumulative impact of both frequently cited and consistently productive scholars, underscoring their essential role in shaping patient-centered care. PX Giants have pioneered frameworks on diverse aspects of PX, such as patient-provider communication, care disparities, and the integration of patient perspectives into quality assessments. Through …

Why Human Experience Matters, Jason A. Wolf

Patient Experience Journal

As we close the 11^th volume of Patient Experience Journal and a pivotal year for experience efforts globally, it provides a moment of pause, of reflection, and an opportunity to return to purpose. As a publication accessed in over 220 countries and territories around the world, I am heartened by the fact that what is shared on these pages moves you. That what our amazing authors contribute here truly matters. This issue, with its 24 insightful articles, brings our total publication count to 570 articles. These pieces have informed us, pushed our thinking, and challenged our beliefs. This is …

Investigating The Perceived Impact Of Surgeons' Burnout On Surgical Physician Associates' Wellness In United States Ambulatory Surgery Centers, Rhionna J. Smith, Lihua Dishman, John W. Fick, Kathleen M. Thomas

Patient Experience Journal

Surgeons are the de facto leaders of surgical teams with surgical physician associates (SPAs) as integral members who function in all areas of the peri-operative environment. Surgeons often supervise SPAs. Ambulatory surgery centers (ASCs) provide patients with same-day diagnostic and preventive procedures as more convenient alternatives to hospital-based outpatient procedures. This qualitative, national, and cross-sectional study explored the perceived impact of surgeons' burnout on SPAs' wellness in U.S. ASCs during global health crises. Primary demographic and qualitative data were collected using a self-developed, three-section survey instrument: (1) information regarding informed consent; (2) 10 short demographic questions; and (3) two open-ended …

Primary Care Productivity And Patient Satisfaction Community Practice: What Is The Relationship?, Thomas G. Howell Jr.

Patient Experience Journal

Research has shown a consistent positive association between patient and provider experience and improved patient outcomes and safety. There is a belief that patient satisfaction and physician productivity are competing interests. The relationship for primary care physicians, in a Midwest Health system was evaluated as part of this project. Data from Press Ganey patient satisfaction surveys on likelihood of recommending the practice and the physician were compared between primary care physicians in the top quartile of average monthly patient visits and those that were in the three lower quartiles. A secondary analysis of patient satisfaction scores related to continuous years …

The Perceived Usefulness Of Patient Narrative Feedback In Primary Care Settings, Sasmira Matta, Yuna S.H. Lee, Rachel Grob, Mark Schlesinger, Ingrid Nembhard

Patient Experience Journal

Research suggests that insights from patient narratives – stories about care experiences in patients' own words – contain information that can be used to improve care. However, assessments of narratives reported by clinical personnel have been mixed. This is the first study, to our knowledge, to systematically measure how useful personnel in primary care perceive patient narratives to be. We surveyed 276 clinical and administrative personnel in nine primary care clinics in a large health system in the United States. We found that perceived usefulness of patient narratives is generally high, but varies by individual characteristics such as level of …

A Systematic Literature Review Exploring How The Diversity Of National Cultures Impact The Transformation Success In Organisations, Mark Searing, A.Omar Portillo-Dominguez

Other

The purpose of this study is to investigate current academic thinking regarding how cultural differences impact transformation success. It analyses cultural dimensions and other factors and how they correlate to project management. Using SCOPUS as a search engine, peer-reviewed academic papers from the period 2019-2023 were analysed as part of a systematic literature review. Results were gathered and grouped into themes as well as cultural dimensions for in-deep analysis and discussion. The results of this study found consensus on the negative impact of cultural diversity on project outcomes, but a significantly lower level of agreement with respect to the specifics …

Covid-19 Vaccine Perception And Hesitancy Among Uninsured Free Clinic Patients, Samin Panahi, Brenda Spearman, Justine Sundrud, Mason Lunceford, Akiko Kamimura

Patient Experience Journal

There are many complexities regarding the acceptance of COVID-19 vaccines, mainly because the COVID-19 vaccine had a fast track of development compared to vaccines developed in the past years. The purpose of this study is to understand COVID-19 vaccine perception and hesitancy among uninsured free clinic patients using the theory of planned behavior. This study had seven focus groups with 37 total participants, including 19 Spanish speakers. Free clinic adult patients (over the age of 18) participated in four focus groups during Summer of 2021. The average age of the participants was 44.7, and the majority of the participants self-identified …

Investing In The Bottom Line: The Value Case For Improving Human Experience In Healthcare, Jason A. Wolf, Vishal Bhalla, Brian Carlson, Jennifer Carron, Lanie Dixon, Julie K. Oehlert, Brant J. Oliver

Patient Experience Journal

Investment in human experience is imperative for healthcare organizations. It is a strategic focus that can lead to great benefits. Those that overlook experience, seeing it as “simply” about satisfaction or survey data, do so at great cost to their organization, team members, and most importantly those we serve – patients. A commitment to human experience – integrating the patient, workforce, and community experience – is essential for all healthcare organizations in realizing the goals they strive for and the impact they aspire to achieve. It leads to high-quality outcomes for those they care for. It creates a positive environment …

The Evolution Of Patient Experience: From Holistic Care To Human Experience, Corey Adams, Reema Harrison, Jason A. Wolf

Patient Experience Journal

Patient experience has evolved as a critical concept and outcome in health systems internationally. Evolving from consumer-led movements, coupled with shifts in the positioning of patients among clinical professions, the global focus on patient experience is now evident in nationally mandated measurement tools, the creation of dedicated institutional leadership roles, and outlets such as the Patient Experience Journal. By critically analysing the pivotal factors and milestones that have shaped its evolution throughout healthcare history, this review provides an in-depth exploration of the evolution of patient experience. In doing so, the review provides a critical analysis of the application of patient …

Looking Back To Move Forward: The Next Decade And Beyond For Human Experience, Jason A. Wolf

Patient Experience Journal

This issue comes out at an important moment for the experience conversation. It was ten years ago from the publication date of this issue on April 30, 2014, that the first issue of Patient Experience Journal (PXJ) was released. PXJ was intended to be a gathering place. A virtual town square for the experience movement where people could and would come together to share ideas and proven practice. This value of collaboration is at the foundation of our very efforts as a global community through The Beryl Institute. Experience is not some secret competitive ingredient in the world of healthcare. …

The Impact Of Resilience On A Middle Manager’S Resistance To Organizational Change, April D. Hall

Electronic Theses and Dissertations

Change is never ending in organizations, as it is necessary to maintain a competitive advantage. Although change is needed, research shows most change implementations do not succeed.

Middle managers (MMs) are considered the main facilitators of change. They receive directive for change and are tasked with not only processing and accepting the change but also communicating the directive down into the ranks and executing upon it. This basic qualitative study explored how resilience can aid an MM when implementing change, where resistance is present. The conceptual framework for this study included Lewin’s (1947) three-stage model of change theory and the …