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Articles 31 - 60 of 253
Full-Text Articles in Medicine and Health Sciences
Increasing Nurse Leader Knowledge And Awareness Of Information And Communication Technologies, Cory Stephens
Increasing Nurse Leader Knowledge And Awareness Of Information And Communication Technologies, Cory Stephens
Walden Dissertations and Doctoral Studies
Due to the recent coronavirus disease (COVID-19) pandemic, rapid technological innovation and nursing practice transformation exposed a deepening divide in the knowledge and awareness of information and communication technologies (ICT) among nurses. This technological skills gap undermines the benefits of ICT to nursing practice such as increased nurse satisfaction, improved care quality, and reduced costs. Nurse leaders are positioned to promote the use of ICT among nurses but may suffer from the same knowledge deficit of ICT as their followers. Guided by Locsin’s technological competencies as caring in nursing theory, Staggers and Parks’ nurse-computer interaction framework, and Covell’s nursing intellectual …
Lived Experiences Of Mothers Balancing Work And Family In The Restaurant And Food Services Industry, Brandi M. Fannell
Lived Experiences Of Mothers Balancing Work And Family In The Restaurant And Food Services Industry, Brandi M. Fannell
Walden Dissertations and Doctoral Studies
Women account for over half of restaurant and food service employees in the United States. The hours required to manage obligation to both jobs and families impact work–life balance among this population, which can lead to burnout behaviors such as complaints, turnover, and absenteeism. Guided by both self-efficacy and role conflict theories, a phenomenological study was conducted to understand work–life balance, engagement, and job satisfaction among working mothers in the restaurant and food service industry. Working mothers with children between ages 5 months and 17 years, who were employed full-time at casual restaurants and similar food service organizations, were interviewed …
The Relationship Between Length Of Stay, Hospital Characteristics, And Cost Of Care In Acute Care Hospitals In The U.S., Maria Mikhataykina
The Relationship Between Length Of Stay, Hospital Characteristics, And Cost Of Care In Acute Care Hospitals In The U.S., Maria Mikhataykina
Walden Dissertations and Doctoral Studies
Rising healthcare costs make access to healthcare less accessible for many individuals. Hospital administrators, payer stakeholders, and patients are concerned with rising healthcare costs, as many patients may be hindered from receiving quality health care. Grounded in complex adaptive systems theory, the purpose of this quantitative correlation study was to examine the relationship between inpatient hospital (a) LOS, (b) bed size, (c) location, (d) region, (e) control/ownership, and cost of care. The participants were community hospitals participating in the Nationwide Inpatient Sample (NIS) data collection tool of the Healthcare Cost and Utilization Project. The results of the multiple linear regression …
Relationship Between Incentive Program Costs, Incentive Payments, And Profitability, Claire Claire Turner
Relationship Between Incentive Program Costs, Incentive Payments, And Profitability, Claire Claire Turner
Walden Dissertations and Doctoral Studies
The lack of profitability among primary care businesses can have harmful impacts on business operations. Primary care businesses owners must remain profitable to remain in business and provide quality health care to patients. Grounded in Freeman’s stakeholder theory, the purpose of this quantitative correlational study was to examine the relationship between incentive program costs, incentive payments, and profitability. Data were collected from 73 primary care physician business owners in the Inland Empire region of southern California. The multiple linear regression analysis results indicated the model was able to significantly predict profitability, F(2,70) = 1343.6, p <.001, R2 = .975. Incentive payments (t = 51.837, p < .001, = .928) was the only statistically significant predictor. Key recommendations include educating primary care physicians on the potential financial benefits of full participation in the commercial line of business pay-for-performance incentive programs and creating a campaign to bring in patients for wellness visits. The implications for positive social change include the potential for an additional revenue stream for primary care physician business owners, which could support more clinics, increasing patient access. Patients having better access to healthcare could positively affect the health and wellness of individuals in local communities.
Relationship Between Employee Engagement, Kind Of Initiatives, And Workplace Wellness Program Effectiveness, Alicia Dobrzeniecki
Relationship Between Employee Engagement, Kind Of Initiatives, And Workplace Wellness Program Effectiveness, Alicia Dobrzeniecki
Walden Dissertations and Doctoral Studies
Ineffective workplace wellness programs prevent organizations from decreasing employee health and well-being costs. Workplace wellness managers lose more than $1,100 in decreased productivity each year. Grounded in the theory of planned behavior, the purpose of this quantitative correlational study was to examine the relationship between workplace wellness engagement, kind of workplace wellness initiatives, and workplace wellness program effectiveness. Data were collected from 146 workplace wellness program managers who completed the HERO scorecard. The multiple linear regression analysis results indicated the model was able to significantly predict workplace wellness program effectiveness, F(2, 143) = 85.482, p = < .001, R² = .545. Both predictors provided a significant contribution to the model, with workplace wellness engagement level (t = 8.342, p = < .001, β = .543) providing a higher contribution to the model than kind of workplace wellness initiatives (t = 4.584, p = < .001, β = .298). A key recommendation for workplace wellness program managers is to emphasize employee engagement in workplace wellness programs and choose the appropriate initiatives to ensure workplace wellness program effectiveness. The implications for positive social change include the potential for improved health and well-being within the U.S. workforce.
Strategies Mental Health Managers Use To Reduce Direct Care Employee Turnover, Theresa Foster
Strategies Mental Health Managers Use To Reduce Direct Care Employee Turnover, Theresa Foster
Walden Dissertations and Doctoral Studies
Direct care professionals assist people with intellectual and developmental disabilities with health care services in the consumer's home, community based residential setting, hospitals, and vocational settings. The high turnover rate of direct care professionals working in mental health organizations may jeopardize many services, including administrative, medical, and provisions for the individuals they serve. Retaining direct care professionals is vital due to the expected demand for direct care jobs in the future. Grounded in Herzberg’s two-factor theory, this qualitative multiple case study explored leadership strategies managers from mental health organizations use to retain direct care professionals. Participants were eleven managers from …
Wellness Programs: Strategies For Increasing Employees’ Productivity And Reducing Health Care Costs, Lymari Rentas González
Wellness Programs: Strategies For Increasing Employees’ Productivity And Reducing Health Care Costs, Lymari Rentas González
Walden Dissertations and Doctoral Studies
Business executives risk higher healthcare costs and absenteeism rates without implementing cost-effective strategies to support wellness within the organization. To offset rising healthcare costs and absenteeism, executives should implement wellness programs as a component of the benefits package provided to their employees and families. Grounded in the theory of planned behavior, the purpose of this qualitative multiple case study was to explore the cost-effective strategies that executives in the private and not-for-profit sectors implemented to encourage employees to adopt healthy habits for increasing productivity and decreasing organizations’ healthcare costs. Six executives from the healthcare sector within the southern region of …
Educating Nurse Leaders On The Application Of Watson’S Caring Science, Diane Lm Updyke
Educating Nurse Leaders On The Application Of Watson’S Caring Science, Diane Lm Updyke
Walden Dissertations and Doctoral Studies
Nurse leaders’ creation of a culture of caring for their nursing staff has been shown to improve nurses’ job satisfaction and retention, and ultimately patient outcomes. At the project site, there was a perceived gap in nursing leadership practice in integrating a culture of caring into leadership and management practices. Although staff and leadership identified similar caring behaviors, staff members did not perceive nursing leadership as caring, which affected the former’s job satisfaction. The purpose of this education project was to provide site leaders with information on specific caring behaviors and how to model these behaviors with staff using Watson’s …
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 …
Preventable Error Reduction Leadership Strategies Of Nurse Managers In A Hospital Setting, Sedrick Diego Bedolla
Preventable Error Reduction Leadership Strategies Of Nurse Managers In A Hospital Setting, Sedrick Diego Bedolla
Walden Dissertations and Doctoral Studies
AbstractPreventable medical errors in the healthcare industry account for hundreds of thousands of patient deaths annually. Nurse managers strive to develop strategies to reduce incidences of preventable medical error and increase patient safety in their organization to improve performance and reduce harm in the healthcare industry. Grounded in the complex adaptive systems theory, the purpose of this qualitative single case study was to explore strategies nurse managers use to reduce the rate of preventable medical errors among employees. The participants comprised 6 nurse managers who successfully used strategies to lower the rate of preventable errors in a healthcare facility in …
The Impact Of Assertiveness And Religiosity On The Expression Of Dissent Among U.S. Immigrant Nigerian Workers, Peter Osiabia Azorji
The Impact Of Assertiveness And Religiosity On The Expression Of Dissent Among U.S. Immigrant Nigerian Workers, Peter Osiabia Azorji
Walden Dissertations and Doctoral Studies
AbstractScholars have studied dissent in general, but few have focused on the impact of cultural contexts and characteristics on dissent. Literature on the influence of cultural factors on expression of disagreement in organizations, by immigrant Nigerian workers in the US has not received adequate attention. There is therefore a compelling need to bridge this gap. This quantitative nonexperimental correlation study examined the impact of assertiveness and religiosity (variables that may be influenced by culture), on expression of minority dissent among Nigerian immigrant workers in the United States. The inquiry was based on two theoretical models: Bourhis et al.âs interactive acculturation …
Retrospective And Forecasting Analysis Of Increased Long Term Care Demand In Niagara, Breanne Alissa Hines
Retrospective And Forecasting Analysis Of Increased Long Term Care Demand In Niagara, Breanne Alissa Hines
Walden Dissertations and Doctoral Studies
A problem exists within the Canadian healthcare system as many patients experience longer lengths of stay (LOS) in acute care (AC) and complex care (CC) beds within hospitals because of a lack of long term care (LTC) facilities. The purpose of this study was to evaluate the extra days patients wait for placement and assess the benefits of increasing the number of LTC beds. The theoretical framework used was the four-level model of the health care system. Research questions involved 2017-2019 data for the number of LTC beds required to eliminate waits and evaluate beds needed in the future. This …
Relationship Between Nurse-To-Patient Ratios, Patient Satisfaction Scores, And Hospital Profitability, Patrick Ross Bumstead
Relationship Between Nurse-To-Patient Ratios, Patient Satisfaction Scores, And Hospital Profitability, Patrick Ross Bumstead
Walden Dissertations and Doctoral Studies
In 2019, hospital profitability margins were at their lowest levels since the great recession due to a declining volume of patients. Hospital executives who fail to improve profitability are at risk of sustainability. Grounded in the service-profit chain theory, the purpose of this quantitative correlational study was to examine whether nurse-to-patient ratios and patient satisfaction scores significantly predict hospital profitability. Data were collected from 74 hospitals in Southern California from the Centers for Medicare & Medicaid Services government database and publicly available financial statements. Results from multiple regression analysis were not statistically significant. A key recommendation is for hospital executives …
Evidence-Based Hospice Care Education For Healthcare Clinicians, Nonie E. Weir
Evidence-Based Hospice Care Education For Healthcare Clinicians, Nonie E. Weir
Walden Dissertations and Doctoral Studies
Vulnerable populations with a terminal illness, who reside in a nursing home setting, continue to experience psychological, physical, and emotional effects that lead to end-of- life (EOL) suffering and discomfort. Globally, millions of individuals receive care from a hospice provider. By 2030, this figure will triple due to the increased lifespan of the geriatric population. The literature review has revealed that the practical problem is the lack of hospice care education received by healthcare clinicians. It is, therefore, important to prepare and educate healthcare clinicians about a peaceful death through an individualized plan-of-care (POC) from a holistic approach. The purpose …
Perceptions Of Nurse's Personal Smartphone Use At Work, Esperanza Criscuolo
Perceptions Of Nurse's Personal Smartphone Use At Work, Esperanza Criscuolo
Walden Dissertations and Doctoral Studies
Distracted nurses who use their personal smartphone at work has resulted in the diversion of attention from patient care. The specific problem is the personal smartphone use by nurses in the hospital settings has resulted in distracted patient care, leading to wrongful release of patient’s information, medical errors, injury or preventable patient death. The purpose of this qualitative study was to describe the perceptions of nurses regarding distracted patient care in their clinical workplace due to personal smartphone use by nurses. The study was grounded in the distraction-conflict theory conceptual framework. The key research question examined the perceptions of nurses …
Caring For The Caregiver: Second Victim Recovery Following A Serious Medical Error, Beulah Patrice Vance
Caring For The Caregiver: Second Victim Recovery Following A Serious Medical Error, Beulah Patrice Vance
Walden Dissertations and Doctoral Studies
In 1999, it was estimated that 98,000 deaths were attributed to medical errors and were the fourth most common cause of death in the United States. In 2016, medical errors were estimated as the third leading cause of death, with a mean death rate of 251,454 each year. Nurse involved in errors are known as second victims. Almost one in seven staff members reported that they had experienced a patient safety event within the last year that caused personal problems such as anxiety, depression, or concerns about their ability to perform their job. This project explored whether nurses are able …
Health Care Manager Electronic Medical Record Systems Implementation Strategies To Improve Patient Outcomes, Mcarthur Bruno Damis
Health Care Manager Electronic Medical Record Systems Implementation Strategies To Improve Patient Outcomes, Mcarthur Bruno Damis
Walden Dissertations and Doctoral Studies
Ineffective implementation of electronic medical record systems (EMRS) among health care outpatient clinics results in substantial financial loss. Health care managers (HCMs) in outpatient clinics who fail to implement EMRS adversely affect employee usage and performance. Grounded in fayolism theory, the purpose of this qualitative multiple case study was to explore the strategies health care managers used to implement EMRS in their organizations. The participants were six HCMs in a U.S East Coast city. Thematic analysis was used to analyze the data from semistructured interviews and internal company documents. Five themes emerged: internal communication, overcoming barriers, time management, compensation improving …
Strategies For Managing Work-Related Stress In The Petroleum Industry, Esang Lazarus Esitikot
Strategies For Managing Work-Related Stress In The Petroleum Industry, Esang Lazarus Esitikot
Walden Dissertations and Doctoral Studies
High work-related stress negatively impacts workers’ health and productivity in the Nigerian petroleum industry. Supervisors in the Nigerian petroleum industry who lack strategies to reduce work-related stress significantly lose worker health and organizational productivity. Grounded in person-environment fit theory, the purpose of this qualitative multiple case study was to explore strategies Nigerian petroleum industry supervisors use to manage work-related stress. Participants were six supervisors who have successfully used strategies to reduce work-related stress in the Nigerian petroleum industry. Data were collected from semistructured interviews and internal company documents relevant to reducing work-related stress and analyzed using thematic analysis. Three major …
Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag
Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag
Walden Dissertations and Doctoral Studies
Clinicians’ failure to accept contemporary technology has been a critical barrier to telemedicine program adoption. Staff technical challenges and resistance to change can affect technology return on investment, which concerns telemedicine program leaders. Grounded in Davis’s technology acceptance model, the purpose of this qualitative, descriptive single case study was to explore strategies used by program leaders in the Marianas Islands who successfully gained clinicians’ acceptance of contemporary technology. The participants were 5 program leaders recommended by their institution because of their leadership role and telemedicine technologies experience. Data were collected from 4 face-to-face and 1 audio teleconference interview with the …
Empowerment, Personality, And Leader-Member Exchange Quality In Physicians, Tony S. Reed
Empowerment, Personality, And Leader-Member Exchange Quality In Physicians, Tony S. Reed
Walden Dissertations and Doctoral Studies
Nearly 100,000 people suffer injury or death each year due to errors in the United States healthcare system. Researchers have identified that empowerment by physicians can address this significant social issue. Despite this knowledge, qualifications to empowering behaviors in physicians have not been identified. A quantitative nonexperimental correlation approach was used to determine the role that personality type and high-quality leader-member exchange may play in the physician’s ability to create empowerment at academic medical centers in the United States. The theoretical framework of empowering leadership, Jung’s psychological types, and leader-member exchange quality informed the research design and contributed to the …
Fairness, Emotional Intelligence, And Ethical Decision-Making In Customer Evaluations Of Providers, Tameka Austin
Fairness, Emotional Intelligence, And Ethical Decision-Making In Customer Evaluations Of Providers, Tameka Austin
Walden Dissertations and Doctoral Studies
Customer satisfaction is a topic that organizations must focus on for the success and continued sustainability of their organizations. Emotional intelligence, fairness, and ethical decision-making are areas that businesses must address to identify how their businesses are impacted by the choices that customers make when working with corporations. The gig economy (short- or long-term project in which a contract worker is hired to perform a specific task or long-term consultant assignment) is an area that has not been addressed to a great extent by psychology researchers. The purpose of this study was to examine the relationships between emotional intelligence, ethical …
Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag
Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag
Walden Dissertations and Doctoral Studies
Clinicians’ failure to accept contemporary technology has been a critical barrier to telemedicine program adoption. Staff technical challenges and resistance to change can affect technology return on investment, which concerns telemedicine program leaders. Grounded in Davis’s technology acceptance model, the purpose of this qualitative, descriptive single case study was to explore strategies used by program leaders in the Marianas Islands who successfully gained clinicians’ acceptance of contemporary technology. The participants were 5 program leaders recommended by their institution because of their leadership role and telemedicine technologies experience. Data were collected from 4 face-to-face and 1 audio teleconference interview with the …
The Relationship Between Organizational Culture And Hospital Performance In The Veterans Health Administration, Darline Jasmin Nabbie
The Relationship Between Organizational Culture And Hospital Performance In The Veterans Health Administration, Darline Jasmin Nabbie
Walden Dissertations and Doctoral Studies
High quality care consists of a culture that involves staff who are engaged and keepthemselves accountable when providing care. In 2014, employees described their organizational culture at the Veteran Affairs (VA) as entrenched and intimidating. An audit also revealed that in 2014, patients were receiving substandard care. The present study was an analysis of the relationship between organizational culture and hospital performance in the Veterans Health Administration (VHA). This study provided key stakeholders such as the VA administration an understanding of work climate as an indicator of organizational culture and how it affected hospital performance with the VHA. The VHA …
Workplace Psychosocial Factors, Perception Of Organizational Support, And Congregate Workers’ Quality Of Life, Claudine Alicia Cousins
Workplace Psychosocial Factors, Perception Of Organizational Support, And Congregate Workers’ Quality Of Life, Claudine Alicia Cousins
Walden Dissertations and Doctoral Studies
Congregate care organizations employ workers across various environments from shelters, group homes, long-term care homes, and correctional facilities. Congregate care workers in the developmental services sector face numerous risks that affect their quality of life due to workplace stress from daily interactions with individuals with intellectual disabilities and organizational demands. Workers’ perception of the support received from their organization may further impact their quality of life. The purpose of this quantitative study, guided by organizational support theory, was to examine the relationship among the independent variables of workplace psychosocial factors (defined as vicarious trauma, compassion fatigue, mental stress, or burnout), …
Strategies For Implementing Self-Service Technologies In Supermarket Retail Operations, Ryan Christopher Gurley
Strategies For Implementing Self-Service Technologies In Supermarket Retail Operations, Ryan Christopher Gurley
Walden Dissertations and Doctoral Studies
AbstractOrganization leaders who do not adopt self-service technology (SST) are at risk of failure. The adaptation of SST can aid leaders in the supermarket industry improve checkout operations, increase efficiency, and minimize customers’ waiting experiences, reducing the customers’ shopping satisfaction. Grounded in the disruptive innovation theory, the purpose of this multiple case study was to explore strategies supermarket managers use to adapt SST practices. The participants included six supermarket managers in Jackson County of Southern Illinois. Data were collected from face-to-face interviews with managers, company documentation, and observations. Thematic analysis was used to analyze the data. Four themes emerged: cultural …
Program Evaluation Of A Black Barbershop Health Outreach Campaign, Berkina Denise Porter
Program Evaluation Of A Black Barbershop Health Outreach Campaign, Berkina Denise Porter
Walden Dissertations and Doctoral Studies
Black-owned barbershops in the Black community lack barber administered interventions to provide education and health screenings to Black men. Increasing knowledge of health assessments in a black barbershop setting increases the number of health screenings and preventative care among Black men. Grounded in general systems theory, the purpose of this qualitative summative program evaluation was to explore the extent to which a nonprofit Black barbershop health program aligns with the Health Research (HR) program objectives. The evaluation was performed for a nonprofit organization located in Maryland, 6 years after the organization implemented the HR Program Network of barbers and salon …
Leadership Strategies To Achieve Organizational Excellence, Cherron Lakisha Blakely
Leadership Strategies To Achieve Organizational Excellence, Cherron Lakisha Blakely
Walden Dissertations and Doctoral Studies
Inadequate quality management tools and processes can lead to inefficient hospital operations and poor organizational performance. Community hospital leaders who fail to improve operations and organizational performance risk negatively impacting patient care and profitability. Grounded in the theory of high-performance work systems (HPWS), the purpose of this qualitative single case study was to explore strategies community healthcare leaders use to effectively employ quality management approaches to improve operations and achieve organizational excellence. The participants comprised 5 community healthcare leaders in the northeast United States who effectively used quality management approaches to improve operations and achieve organizational excellence. Data were collected …
Therapeutic Communication Skills For Nurses Working With People Living With Hiv, Charaine Ferguson
Therapeutic Communication Skills For Nurses Working With People Living With Hiv, Charaine Ferguson
Walden Dissertations and Doctoral Studies
Internalized stigma experienced by people living with HIV (PLWH) has been associated with numerous untoward health outcomes. Nurses' and healthcare professionals’ ability to effectively communicate can significantly affect the experience of stigma in PLWH. The practice-focused question was whether an interactive educational project could improve the knowledge and intent to use collective communication skills in nurses. This project uses concepts from Peplau's interpersonal relationship theory, principles of therapeutic communication, and unconscious bias. Online training content included patient testimonials related to stigma, discussions of unconscious bias by the Institute for Healthcare Improvement and Mayo Clinic professionals, review of Harvard University’s Implicit …
Effective Strategies To Reduce Employee Absenteeism Amongst Canadian Female Employees, Sue Haywood
Effective Strategies To Reduce Employee Absenteeism Amongst Canadian Female Employees, Sue Haywood
Walden Dissertations and Doctoral Studies
High absenteeism in female employees costs Canadian hospitals millions of dollars annually. Leaders of Canadian hospitals who lack strategies to reduce absenteeism in female employees witness significant financial losses in their organizations. Grounded in Herzberg's two-factor theory, the purpose of this multiple case study was to explore strategies Canadian hospital leaders used to reduce absenteeism in female employees. Data were collected from semistructured interviews, annual reports, and publicly available datasets relating to hospital retention strategies and were analyzed using a thematic analysis. Four themes on strategies to reduce absenteeism emerged: creating a supportive stance towards absenteeism, investing in mental health …
A Health Care Management Organization's Internal Controls Strategy For Managed Care, Elizabeth E. David
A Health Care Management Organization's Internal Controls Strategy For Managed Care, Elizabeth E. David
Walden Dissertations and Doctoral Studies
A lack of effective operational internal controls among health management organization (HMO) leaders could lead to poor operational practices, mismanagement of the government's health care funds, increased health care spending, and a negative impact on patient health outcomes. Grounded in transformational leadership theory, the purpose of this qualitative, single case study was to explore successful internal control strategies used by leaders at a southeastern Pennsylvania HMO. Data were collected from semistructured interviews with 5 participants who held positions of director or above within the organization for at least 3 years, had institutional knowledge, and had responsibility for overseeing the organization's …