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Articles 331 - 360 of 744
Full-Text Articles in Health and Medical Administration
Primary Care Physicians’ Knowledge And Perception Of The Impact Of Health Literacy On Patient Care, Lutrisha S. King
Primary Care Physicians’ Knowledge And Perception Of The Impact Of Health Literacy On Patient Care, Lutrisha S. King
Walden Dissertations and Doctoral Studies
Until recently, many health literacy studies were completed from the patient and nurse perspective, while few focused on the physician perspective, specifically the primary care physician. The purpose of this study was to provide insight into the health literacy knowledge and education of primary care physicians and determine the association, if any, between physicians’ perceptions of patients’ limited health literacy and physicians’ use of health literacy communication techniques. The knowledge, attitudes, and practice (KAP) framework directed this study. This framework posits that knowledge informs or influences attitudes, which leads to practices. The KAP framework was employed to answer the research …
Exploring Family-Centered Care From The Perspectives Of Home-Health Physical Therapists, James Mathews
Exploring Family-Centered Care From The Perspectives Of Home-Health Physical Therapists, James Mathews
Walden Dissertations and Doctoral Studies
Older adults may need, or desire, caregiver and family involvement to avoid hospitalizations and institutionalizations. The caregivers of these older adults have the highest rates of burnout, injury, and turnover. Family-centered care (FCC) involves collaboration between healthcare practitioners, patients, family members, and caregivers. FCC is both established and effective in pediatric care settings. There is a paucity of evidence on how FCC is applied to older adult populations. Home health physical therapists (HHPTs) work with older adults in their homes and train both family members on how to safely handle and manage the care-dependent older adult. The purpose of this …
Relationship Between Hospital Performance And Medicare Reimbursement Penalties, Ashley Bays
Relationship Between Hospital Performance And Medicare Reimbursement Penalties, Ashley Bays
Walden Dissertations and Doctoral Studies
Medicare reimbursement penalties are a financial concern for health care leaders when hospitals underperform in the specific measures of hospital performance defined by the Hospital Value-Based Purchasing Program. Grounded in the general contingency theory, the purpose of this correlational study was to determine the relationship between the measures of hospital performance, clinical care, person and community engagement, safety, efficiency and cost reduction, and Medicare reimbursement penalties. Secondary data from the Centers for Medicare and Medicaid Services were collected from 420 acute care urban hospitals designated as teaching facilities with a bed size between 100â299 beds for the fiscal year 2019. …
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 …
Exploration Of Ehr Implementation Strategies: A Qualitative Study, Scot Eric Loerch
Exploration Of Ehr Implementation Strategies: A Qualitative Study, Scot Eric Loerch
Walden Dissertations and Doctoral Studies
AbstractElectronic health record system implementations have a high failure rate when properly developed strategies are not used. These implementation failures affect healthcare workers and practitioners core roles through a lack of documentation practices, which decreases the quality of the care of the patients. Grounded in the technology acceptance model, the purpose of this qualitative multiple case study was to explore the strategies information technology systems engineers use for the implementation of Health Information Management Systems. The participants were 10 information technology systems engineers from three healthcare organizations in the greater Tennessee area. The data were collected through recorded participant interviews …
The Relationship Between Program Leadership, Resident Physicians’ Wellbeing, And Quality Of Care, Fatima Msheik
The Relationship Between Program Leadership, Resident Physicians’ Wellbeing, And Quality Of Care, Fatima Msheik
Walden Dissertations and Doctoral Studies
Research studies have shown that organizational leadership and support affect organizational outcomes in many sectors, including healthcare. However, less is known about how organizational leadership influences the quality of patient care by physicians. This study was guided by the perceived organizational support theory and leader-member exchange theory that provide general understanding of how supportive leadership influences staff wellbeing and productivity. Ninety-five resident physicians residing in Lebanon participated in this cross-sectional study and completed an online survey, which consisted of demographics and five tools, namely, the Leader-Member Exchange 7, Perceived Organization Support 8, Maslach Burnout Inventory 7, Utrecht Work Engagement 9, …
Impact Of Servant Leadership Style On Customer Service And Patient Satisfaction, Chibunna E. Nwaobia
Impact Of Servant Leadership Style On Customer Service And Patient Satisfaction, Chibunna E. Nwaobia
Walden Dissertations and Doctoral Studies
Patient satisfaction presents an emerging area of research for healthcare providers because major healthcare providers like Medicare/Medicaid control the finances of healthcare institutions as based on their patient and customer satisfaction. The purpose of this study was to examine the impact of servant leadership on customer service, and patient satisfaction, in the Inland Empire Region of Southern California. The theoretical framework applied to this study was the servant leadership theory. Participants consisted of 82 managerial staff within the University Health System, which is comprised of a teaching hospital, 5 behavioral health centers, 10 federally qualified health centers, and a public …
Cybersecurity Using Risk Management Strategies Of U.S. Government Health Organizations, Ian Cornelius Wilkinson
Cybersecurity Using Risk Management Strategies Of U.S. Government Health Organizations, Ian Cornelius Wilkinson
Walden Dissertations and Doctoral Studies
Seismic data loss attributed to cybersecurity attacks has been an epidemic-level threat currently plaguing the U.S. healthcare system. Addressing cyber attacks is important to information technology (IT) security managers to minimize organizational risks and effectively safeguard data from associated security breaches. Grounded in the protection motivation theory, the purpose of this qualitative multiple case study was to explore risk-based strategies used by IT security managers to safeguard data effectively. Data were derived from interviews of eight IT security managers of four U.S. government health institutions and a review of relevant organizational documentation. The research data were coded and organized to …
Strategies To Implement A Material Management Information System For Medical Device Recalls, Paul Leo Lafrance
Strategies To Implement A Material Management Information System For Medical Device Recalls, Paul Leo Lafrance
Walden Dissertations and Doctoral Studies
Health care business executives lack strategies to implement material management information systems (MMIS) related to medical device recalls. Lacking sufficient MMIS, health care business executives face insufficient product tracking related to medical devices affecting operational efficiency. Grounded in the conceptual frameworks of the technology acceptance model and diffusion of innovation, the purpose of this qualitative single case study was to explore health care business executives’ strategies for implementing an MMIS related to medical device recalls. The participants were 6 health care executives who implemented an MMIS in an urban hospital in the northeast region of the United States. Data were …
Recognition, Classification, And Help-Seeking Behavior Of Nigerian Immigrants In Minnesota, Frederick Nnabuchionye
Recognition, Classification, And Help-Seeking Behavior Of Nigerian Immigrants In Minnesota, Frederick Nnabuchionye
Walden Dissertations and Doctoral Studies
Immigrants from non-Western cultures are known to underutilize mental health services in the United States. Part of the problem is in the way how cultures recognize and classify symptoms as a mental disorder. A report from the Minnesota Ombudsman's Office for Mental Health showed that out of every 6 suicide-related deaths in Anoka Regional Treatment Center in Minnesota, 4 are of African descent. The purpose of this quantitative study was to investigate the cultural view of depressive symptoms as possible predictors of attitude toward seeking professional psychiatric help. The theory of reasoned action/ theory of planned behavior provided the framework …
An Exploration Of The Gross National Happiness Approach To Assure Patient Safety And Healthcare Quality In Bhutan, Rinchen Pelzang, Alison M. Hutchinson
An Exploration Of The Gross National Happiness Approach To Assure Patient Safety And Healthcare Quality In Bhutan, Rinchen Pelzang, Alison M. Hutchinson
Journal of Sustainable Social Impact
Although the principles of Gross National Happiness (GNH) are currently being used as the overall framework for Bhutan’s development programs (including healthcare services), little is known about how Bhutanese healthcare professionals perceive the relationship between GNH and patient safety or how the GNH principles could help in improving patient safety in Bhutan’s healthcare system. The aim of this study was to explore how Bhutanese healthcare professionals, educators, managers, and policy makers perceive the relationship between GNH and patient safety and what they believe should be done to improve patient safety in Bhutan. A qualitative exploratory descriptive study using in-depth interviews …
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 …
Strategies For Implementing The International Organization For Standardization 15189 For Medical Laboratories, Wilson Mtotela
Strategies For Implementing The International Organization For Standardization 15189 For Medical Laboratories, Wilson Mtotela
Walden Dissertations and Doctoral Studies
Inadequate quality management systems (QMS) in medical laboratories result in errors, which cost the United States healthcare industry approximately $29 billion per year. Healthcare managers who fail to implement the International Organization for Standardization (ISO) 15189 QMS are at high risk of managing costs. Grounded in Lewin’s 3-step organizational change model and the force field analysis, the purpose of this qualitative multiple case study was to explore strategies healthcare managers use to design, develop, and implement an ISO 15189 QMS using a mentorship approach. The participants comprised 5 healthcare managers from the United Republic of Tanzania, East Africa, who implemented …
A Systematic Review Of Culturally Sensitive Strategies To Address Obesity Among Hispanic-American Pediatric Patients In The Primary Care Setting, Rachel Vurbeff
A Systematic Review Of Culturally Sensitive Strategies To Address Obesity Among Hispanic-American Pediatric Patients In The Primary Care Setting, Rachel Vurbeff
Walden Dissertations and Doctoral Studies
Obesity significantly increases morbidity and mortality, and its incidence amongHispanic-American children and adolescents exceeds that of any other ethnic group in the United States. Without proper intervention, these children and adolescents will experience the burden of costly comorbidities across the lifespan. Guided by Leininger’s theory of culture care diversity and universality, the purpose of this project was to identify evidence-based, culturally sensitive strategies to prevent and treat obesity among Hispanic-American pediatric patients in the primary care setting through a systematic review of the literature utilizing the Joanna Briggs Institute method. The practice-focused question that guided this review focused on finding …
Beyond Borders: Nigerian Diaspora, Men's Experiences Of Intimate Partner Violence, Christiana Ifeyinwa Chineme
Beyond Borders: Nigerian Diaspora, Men's Experiences Of Intimate Partner Violence, Christiana Ifeyinwa Chineme
Walden Dissertations and Doctoral Studies
Culture and social structures are factors in the way people view or think of intimate partner violence (IPV). A significant gap exists in the current literature regarding whether changes exist in IPV experience because of continuous and direct contact between individuals from different cultural origins. Despite the increasing emphasis on the social and structural determinants of IPV-related behaviors, research and interventions lag on how people view IPV while they live in their native country and when they migrate and are exposed to a different culture and social structure. The purpose of this qualitative phenomenological research was to explore the IPV …
Reducing Heart Failure Readmissions Through Staff Education, Christopher Davio
Reducing Heart Failure Readmissions Through Staff Education, Christopher Davio
Walden Dissertations and Doctoral Studies
Heart failure is a chronic health condition that can have devastating effects on thephysical and social well-being of patients. One critical component to heart failure treatment is understanding of the disease process and daily self-management for patients. The gap in practice at an acute care facility in the northwest United States was the lack of comprehensive discharge patient teaching to patients diagnosed with heart failure. The project explored if a heart failure education session for nurses would increase knowledge and competency on heart failure education. Knowle’s theory of adult learning was used to frame the project components. Thirty-one nursing staff …
Verbal Abuse Toward Early Career Nurses And The Effect To Workforce Operations, Steven G. Purdon
Verbal Abuse Toward Early Career Nurses And The Effect To Workforce Operations, Steven G. Purdon
Walden Dissertations and Doctoral Studies
AbstractSeveral studies report that healthcare workers face verbal abuse from patients, patients’ family members, and other healthcare personnel at increasingly higher rates, and trends depict early-career registered nurses (ECRNs) are affected disproportionally. This negative trend can affect the future registered nurse (RN) workforce and create a potential shortfall of qualified nurses. It has become increasingly important for hospital administrators to mitigate verbal abuse among ECRNs to manage their future RN workforce. This purpose of this quantitative study was to empirically evaluate the effects of verbal abuse towards ECRNs. This study used the social exchange theory to provide a framework that …
Bedside Nurses' Perception Of Their Role Managing Elderly Patient's Polypharmacy, Patience E. Walker
Bedside Nurses' Perception Of Their Role Managing Elderly Patient's Polypharmacy, Patience E. Walker
Walden Dissertations and Doctoral Studies
AbstractPolypharmacy is described as having six or more prescription medications that are consumed concurrently and affects citizens worldwide. Polypharmacy may negatively affect patient care in hospitalized patients because nurses may lack the time to provide adequate care because they are overworked and/or understaffed, leading to problems such as medication errors. The purpose of this qualitative descriptive phenomenological study, guided by role theory, was to explore bedside nurses' perceptions of their role regarding patient polypharmacy. Twelve bedside nurses were interviewed on their roles in polypharmacy and medication management for elderly patients. The interviews were analyzed and revealed three distinct themes and …
Effects Of Transformational Leadership On Direct Home Healthcare Employee Turnover, Lisa K. Johnson
Effects Of Transformational Leadership On Direct Home Healthcare Employee Turnover, Lisa K. Johnson
Walden Dissertations and Doctoral Studies
Ineffective leadership and excessive direct home healthcare workers’ intent to resign may decrease home healthcare worker satisfaction, increase workplace accidents, and hinder the quality of patient home healthcare. Home healthcare leaders have a problem of retaining direct home healthcare workers and can benefit from comprehending the factors that enhance leadership and mitigate the turnover of home healthcare workers. Grounded in transformational leadership theory, the purpose of this quantitative correlational study was to examine the relationship between the perception of transformational leadership behaviors and direct care intent to resign. The population consisted of direct home healthcare workers who reported to frontline …
Assessing Pain-Related Factors As Predictors Of Distress During Transitional Musculoskeletal Pain Experience, Gary Robert Ahlstrom
Assessing Pain-Related Factors As Predictors Of Distress During Transitional Musculoskeletal Pain Experience, Gary Robert Ahlstrom
Walden Dissertations and Doctoral Studies
During peopleâs pain experience, certain difficulties may emerge within individualsâ psychological and social domains that can confound and exacerbate the frequency of their pain-related distress episodes. Previous research has consistently found psychosocial factors evident during the first months of unresolved pain are reliable predictors of pain chronicity and disability at 12 months. This exploratory descriptive quantitative multivariate study included 2 nationwide online surveys that examined the frequency of moderate-to-severe symptoms of distress within the anxiety-depression spectrum, and the extent that 8 pain-related factors influenced and predicted episodes of anxiety and depressed mood, which included 2 demographic risk factors (age range …
Strategies To Reduce Costs Associated With Hospital Readmissions, Almunzer Zakaria
Strategies To Reduce Costs Associated With Hospital Readmissions, Almunzer Zakaria
Walden Dissertations and Doctoral Studies
Hospital administrators struggle to reduce hospital readmissions to improve hospital performance. Reducing costs of readmissions is important to hospital administrators because it may lead to an inability to meet budget requirements. Grounded by complex adaptive systems and business process quality management principles, the purpose of this qualitative single case study was to explore strategies nonprofit hospital administrators use to reduce costs associated with hospital readmissions. Participants included 4 successful hospital administrators at 1 hospital in Doha, Qatar, who have responsibility for overseeing readmissions. Data were collected using semistructured face-to-face interviews and organizational documents. Traditional text analysis was used to identify …
Hypertensive Self Care: An Educational Tool For Advanced Practice Nurses, Kelisia Burks Mckay
Hypertensive Self Care: An Educational Tool For Advanced Practice Nurses, Kelisia Burks Mckay
Walden Dissertations and Doctoral Studies
Poorly controlled hypertension is a serious public health problem. Persons with high blood pressure are required to perform a variety of self-care behaviors. Advance practice nurses can improve health outcomes for hypertensive patients when they provide self-care education along with prescribing appropriate medications needed to treat high blood pressure. The purpose of this study was to educate rural advance practice nurses about hypertension medication and self-care management using the Hypertension Self-Care Activity Level Effects (H-SCALE) and the 8th National Joint Committee (JNC- 8) hypertensive guidelines. Twelve primary care advanced practices nurses (APN's) participated in an educational presentation that included pre …
Leadership And End-Of-Life Planning Among Elderly Patients With End-Stage Renal Disease, Elizabeth R. Armstrong-Fears
Leadership And End-Of-Life Planning Among Elderly Patients With End-Stage Renal Disease, Elizabeth R. Armstrong-Fears
Walden Dissertations and Doctoral Studies
More than 8-million people in the United States possess no kidney function. The purpose of this quantitative casual-comparative research study is to examine the relationship between ethnicity status of African American and European American patients suffering from end-stage renal disease, and advanced care planning and end-of-life decision-making among patients who are 55 years of age and older. The health belief model is the selected explanatory framework used to examine (a) whether ethnicity status is a significant predictor of whether decedents had written end-of-life care instructions, (b) whether ethnicity status is a significant predictor of whether treatment decisions were made, and …
Case Analysis Of Acute Care Guidelines For The Prevention Of Pressure Ulcers, Carle Ray
Case Analysis Of Acute Care Guidelines For The Prevention Of Pressure Ulcers, Carle Ray
Walden Dissertations and Doctoral Studies
Prevention of pressure ulcers (PUs) in acute care settings is an attempt to avoid adverse events (AE). Literature shows that wounds such as PUs are the most prevalent complication for spinal cord injury patients (SCI) including quadriplegic individuals (QI). SCI and QI bring important pressure ulcer (PU) prevention knowledge to the hospital which involves teamwork and participation by nurses, organizations, and patients. The purpose of this qualitative study was to examine the effectiveness of acute care guidelines for PUs by drawing insights from multiple sources including interviews with QI, healthcare clinicians, care providers, family members, and an online search of …
Use Of Managerial Epidemiology By Healthcare Leaders In Ambulatory Settings, Chantelle Schenning
Use Of Managerial Epidemiology By Healthcare Leaders In Ambulatory Settings, Chantelle Schenning
Walden Dissertations and Doctoral Studies
Despite many health reforms, the United States continues to struggle with limited healthcare access, exponential healthcare costs, and poor quality of care. Overcoming these challenges requires healthcare leadersâ effective navigation of industry transformation towards population health and a shift in patient volume to ambulatory healthcare settings. Research has demonstrated that the use of managerial epidemiology, an application of epidemiology tools and principles to management decision-making within healthcare organizations, can better serve the health of the population and could improve the triple aim of inadequate access, high costs, and poor quality. However, the adoption of this practice is weak and its …
Urgent Care Centers And Workersâ Compensation Medical Cost Containment, Drema M. Thompson
Urgent Care Centers And Workersâ Compensation Medical Cost Containment, Drema M. Thompson
Walden Dissertations and Doctoral Studies
In response to healthcare payment policy reforms, billions of dollars in healthcare provider charges are challenged annually. Following the implementation of the Virginia workersâ compensation medical fee legislation, healthcare organizations experienced declining worker compensation medical fee schedule reimbursements and lack of profitability. Grounded in the adaptive cycle model, the purpose of this qualitative single case study was to explore strategies 2 urgent care center (UCC) leaders in Virginia used to increase profits after implementing the Virginia workersâ compensation medical fee legislation. Data were collected via in-depth interviews and a review of company documents. Thematic analysis was used to analyze data. …
Peers Erecting Barriers To Another Peer’S Success In The Healthcare Setting, Ricky D. Allen
Peers Erecting Barriers To Another Peer’S Success In The Healthcare Setting, Ricky D. Allen
Walden Dissertations and Doctoral Studies
In the healthcare workplace, bullying is shown to negatively impact patient care and safety, workflows, outcomes, interpersonal relationships, performance, mental and physical health, and cause a plethora of other secondary effects. The purpose of this qualitative phenomenological study was to explore the lived experiences of high performers or subject matter experts working in the healthcare field and had encountered peer-to-peer interference. The research questions focused on understanding the behaviors and outcomes of peer interference. Maslow’s hierarchy of needs was used as the conceptual framework. Data collection was achieved by interviewing 10 participants from a variety of healthcare backgrounds. Participants self-identified …
Human Resource Strategies Used To Retain Millennials In Hospitals, Thomas F. Turner
Human Resource Strategies Used To Retain Millennials In Hospitals, Thomas F. Turner
Walden Dissertations and Doctoral Studies
Lead hospital human resource managers (HRMs) experience new recruitment, retention, and training costs for Millennial employees to close the skill gaps and address challenges from Baby Boomer employees retiring. The median turnover rate of 3 years for Millennial workers in hospitals is more than 3 times higher than older workers at hospitals. The purpose of this qualitative multiple case study was to identify retention strategies hospital HRMs use to address the retention of millennial generational employees beyond 3 years. Transformational leadership theory was the conceptual framework for the study. The data collection process included semistructured interviews and a review of …
The Effect Of Maternity Care Practices On The Duration Of Breastfeeding, Lisette Rodriguez
The Effect Of Maternity Care Practices On The Duration Of Breastfeeding, Lisette Rodriguez
Walden Dissertations and Doctoral Studies
The natural practice of breastfeeding has been strongly noted as one of the most cost-effective, health promoting, disease-prevention strategies of the 21st century. Although primary health organizations recommend exclusive breastfeeding for the first 6 months of life with added complementary foods and continued breastfeeding up to 2 years of age or longer, many mothers do not breastfeed their infants for the recommendation length of time. Applied policies and health practices, such as those described under the 10 Steps to Successful Breastfeeding and The International Code of Marketing of Breast Milk Substitutes, have been noted as contributing factors that can considerably …
The Association Between Leapfrog's Healthcare Organizational Grades And 30-Day Mortality Rates, Steven Michael Armstrong
The Association Between Leapfrog's Healthcare Organizational Grades And 30-Day Mortality Rates, Steven Michael Armstrong
Walden Dissertations and Doctoral Studies
U.S. healthcare consumers have access to various provider ratings from several organizations that are meant to assist in selecting their healthcare providers. Leapfrog Hospital Safety Grades is one such rating system that professes to allow consumers the ability to select the best hospital for their care. However, since consumers ranking mortality risk as their most important concern, it is essential to determine if Leapfrog grades align with consumer expectations. Andersen's Phase-4 behavioral model of healthcare utilization was used as the foundation for understanding healthcare consumer preferences. This study was designed to determine if Leapfrog grades are predictive of CMS 30-day …