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Full-Text Articles in Medicine and Health Sciences

Knowledge Sharing And Competitiveness Of Professional Service Firms: A Case Study, Albert P. Cruz Jan 2011

Knowledge Sharing And Competitiveness Of Professional Service Firms: A Case Study, Albert P. Cruz

Walden Dissertations and Doctoral Studies

The problem addressed in this study is that little action is taken to create the social aspects and social value of knowledge-sharing culture within organizations. There is a need for increased understanding of the behavioral side of knowledge management. The purpose of this study was to focus on knowledge sharing from a behavioral perspective. Knowledge management is defined as the accumulation, protection, and leverage of knowledge. This research study investigated the relationship between knowledge sharing and competitiveness and approached the field of knowledge management from the organizational, cultural, and behavioral perspectives. The research questions examined how knowledge workers described the …


Acceptance And Usage Of Electronic Health Record Systems In Small Medical Practices, Ritu Tannan Jan 2011

Acceptance And Usage Of Electronic Health Record Systems In Small Medical Practices, Ritu Tannan

Walden Dissertations and Doctoral Studies

One of the objectives of the U.S. government has been the development of a nationwide health information infrastructure, including adoption and use of an electronic health records (EHR) system. However, a 2008 survey conducted by the National Center for Health Statistics indicated a 41.5% usage of the EHR system by physicians in office-based practices. The purpose of this study was to explore opinions and beliefs on the barriers to the diffusion of an ERH system using Q-methodology. Specifically, the research questions examined the subjectivity in the patterns of perspectives at the preadoption stage of the nonusers and at the postadoption …


Exploration Of The Project Management Practitioner's Emotional Intelligence Competencies, Linda A. Hooper Jan 2011

Exploration Of The Project Management Practitioner's Emotional Intelligence Competencies, Linda A. Hooper

Walden Dissertations and Doctoral Studies

The success rate of information technology projects is on a downward trend, with reported losses in the billions of dollars. Recent studies indicate a 50--56% project success rate based on quality, budget, and on-time criteria. Building upon the conceptual framework of the emotional intelligence and knowledge management theories, the purpose of this phenomenological study was to explore how project management practitioners apply self- and cultural-awareness competencies to affect project outcomes. Using a purposeful sampling method, 24 experienced U.S.-based project management practitioners participated in a web-based questionnaire. Following Giorgi's data reduction process resulted in numeric data coding. Thematic analysis revealed themes …


Evolution Of Physician-Centric Business Models Under Patient Protection And Affordable Care Act, Tanya Nix Jan 2011

Evolution Of Physician-Centric Business Models Under Patient Protection And Affordable Care Act, Tanya Nix

Walden Dissertations and Doctoral Studies

For several decades, the cost of medical care in the United States has increased exponentially. Congress enacted the Patient Protection and Affordable Care Act (PPACA) of 2010 to ensure affordable healthcare to the citizens of the United States. The purpose of this case study was to explore physicians' perspectives regarding physician-centric business models evolving under the requirements of PPACA legislation. Complex adaptive systems formed the conceptual framework for this study. Data were gathered through face-to-face, semistructured interviews and e-mail questionnaires with a purposeful sample of 20 participants across 14 medical specialties within Northeast Texas. Participant perceptions were elicited regarding opinions …


Leadership Styles And Nursing Satisfaction Rates, Wilma Lee Jones Jan 2011

Leadership Styles And Nursing Satisfaction Rates, Wilma Lee Jones

Walden Dissertations and Doctoral Studies

The purpose of this project was to translate evidence-based literature into policy and practice guidelines in order to improve leadership standards and skills among nurse managers and improve patient outcomes and the quality of care. Guided by the American Nurses Credentialing Center Magnet Model and Lewin's change theory, which sets the framework for creating exceptional nursing leaders, a literature search was conducted from studies ranging from 2010 to 2012 from several databases. Inclusion criteria were based on the presence of one or more leadership styles discussed in the articles and the impact of leadership style on nursing satisfaction. A total …


Generational Cohort Differences In Types Of Organizational Commitment Among Nurses In Alabama, April Lavette Jones Jan 2011

Generational Cohort Differences In Types Of Organizational Commitment Among Nurses In Alabama, April Lavette Jones

Walden Dissertations and Doctoral Studies

In hospitals in the United States, the ratio of nurses to patients is declining, resulting in an increase in work demands for nurses. Consequently, organizations face challenges with nurses' organizational commitment. Studies have revealed generational differences, as determined by birth year, in employee levels of organizational commitment in a number of organizational settings. However, there is a gap in the literature regarding the impact of generational cohorts on the organizational commitment of nurses. The purpose of this quantitative, nonexperimental, cross-sectional design was to address whether generational cohorts of nurses differed in their levels of organizational commitment, and to investigate whether …


Improving The Detection Of Narcissistic Transformational Leaders With The Multifactor Leadership Questionnaire: An Item Response Theory Analysis, Dale Frederick Hosking Martin Jan 2011

Improving The Detection Of Narcissistic Transformational Leaders With The Multifactor Leadership Questionnaire: An Item Response Theory Analysis, Dale Frederick Hosking Martin

Walden Dissertations and Doctoral Studies

Narcissistic transformation leaders have inflicted severe physical, psychological, and financial damage on individuals, institutions, and society. Multifactor Leadership Questionnaire (MLQ) has shown promise for early detection of narcissistic leadership tendencies, but selection criteria have not been established. The purpose of this quantitative research was to determine if item response theory (IRT) could advance the detection of narcissistic leadership tendencies using an item-level analysis of the 20 transformational leadership items of the MLQ. Three archival samples of subordinates from Israeli corporate and athletic organizations were combined (N = 1,703) to assess IRT data assumptions, comparative fit of competing IRT models, item …


The Role Of Leadership In Safety Performance And Results, Halina E. Caravello Jan 2011

The Role Of Leadership In Safety Performance And Results, Halina E. Caravello

Walden Dissertations and Doctoral Studies

Employee injury rates in U.S. land-based operations in the energy industry are 2 to 3 times higher relative to other regions in the world. Although a rich literature exists on drivers of safety performance, no previous studies investigated factors influencing this elevated rate. Leadership has been identified as a key contributor to safety outcomes and this grounded theory study drew upon the full range leadership model, situational leadership, and leader-member exchange theories for the conceptual framework. Leadership aspects influencing safety performance were investigated through guided interviews of 27 study participants; data analyses included open and axial coding, and constant comparisons …


Factors Affecting The Job Satisfaction Of Registered Nurses Working In The United States, Ann Marie Huffenberger Jan 2011

Factors Affecting The Job Satisfaction Of Registered Nurses Working In The United States, Ann Marie Huffenberger

Walden Dissertations and Doctoral Studies

As the health care sector in the United States undergoes transformation, job dissatisfaction has become a problem that is confounded by the challenge that nurse executives encounter in understanding the aspirations of an increasingly diverse workforce. A quantitative survey was conducted online using a representative sample of registered nurses (RNs) nationwide. Approximately 127,000 RNs from across the nation received an invitation, and 272 RNs participated. Factorial ANOVAs were performed to answer the research questions of whether aspects of job satisfaction differ across the demographic factors of a diverse RN workforce. No differences exist in personal satisfaction or satisfaction with workload …