Health and Medical Administration Commons^™

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, …

Understanding Behavioral Health Stigma Within The Healthcare Workforce, Jason Robert Martin

Walden Dissertations and Doctoral Studies

Individuals who seek mental health treatment in the United States face significant barriers. One such barrier is the belief that those seeking mental health treatment are subpar people with some moral failure. One area where this phenomenon exists is the behavioral healthcare workforce. This study was conducted to understand the phenomenon of stigma that behavioral healthcare leaders exhibit toward behavioral healthcare patients using the Baldrige framework as its conceptual framework. Using a qualitative approach and case study design, interviews were conducted with 6 leaders within a large healthcare system in the suburbs of a major metropolitan area to evaluate their …

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

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 …

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 …

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 …

Structural Predictors Of Lights And Sirens Use By Emergency Medical Services, Justin Alex Sleffel

Walden Dissertations and Doctoral Studies

Ambulances regularly respond to scenes and transport patients while using lights and sirens (L&S), which are associated with an increased risk of vehicle crashes. The use of L&S persists, despite the risks, which impact emergency medical service (EMS) workers, patients, and other drivers and pedestrians on U.S. roadways. To understand the factors associated with ambulance crashes while using L&S, this study applied the Donabedian model to the problem. The purpose of this study was to investigate the association between 3 organizational structural factors—organizational type, organizational status (staffing model), and level of service—and ambulance crash rates while using L&S. This study …

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 …

Managing Clinic Variability With Same-Day Scheduling, Intervention For No-Shows, And Seasonal Capacity Adjustments, Kum Khiong Yang, Tugba Cayirli

Research Collection Lee Kong Chian School Of Business

This study investigates demand and capacity strategiesfor managing clinic variability. These include (i) same-day scheduling tocontrol random walk-ins, (ii) no-show intervention, where the clinic callsadvance-booked patients a day before to identify and release canceled slots tosame-day patients, and (iii) adjustments to daily number of appointments foradvance-booked patients to match seasonal variations in same-day demand. Thesestrategies are tested over the individual-block/fixed-interval (IBFI) and theDome appointment rules. The resulting appointment systems are tested underscenarios with different levels of same-day demand, demand seasonality,no-shows and cost ratios. The goal is to minimize the weighted sum of patients’wait time and physician’s idle-time and overtime. Our …

Was That In An Email? An Electronic Tool To Improve Nursing Communication Satisfaction, Jennifer A. Morgan

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: Nursing communication satisfaction impacts engagement and turnover as well as patient care which affects organizational profits. Although direct care nurses report dissatisfaction with nurse manager communication methods, organizations and nurse managers do not utilize best practice strategies. In addition, there is a lack of high-quality implementation studies of best practice communication methods, specifically on obstetrics units, to assist managers in improving communication methods. Methods: An electronic communication tool was implemented on an inpatient obstetrics unit at a large tertiary hospital in the Upper Midwest. The tool was accessible on all unit computers on the SharePoint site. The project leader …

Implementation Of Sbar Tool In A Rural Hospital, Molly M. Tschetter

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Introduction: Patient handovers between healthcare providers during shift change or unit and interfacility transfers are a vulnerable time for inadequate communication. To ensure a handover is concise, healthcare organizations must implement and educate their staff on evidence-based communication tools.
Methods: SBAR is a communication tool commonly used during a handover. SBAR allows for a steady flow of report and a reduction of information missed. When nurses use SBAR, the efficiency of their report improves and handover time is decreased. By decreasing interfacility handover time, patients may be transferred to higher levels of care faster. By receiving more advanced care faster, …

A Quality Improvement Initiative To Manage Shingrix Vaccine Inventory In Ambulatory Clinics, Tracy Colburn

DNP Scholarly Projects

Abstract

Background: Inventory control practices for adult vaccines, specifically Shingrix, in ambulatory clinics are not well known or researched. This quality improvement project takes place at a small healthcare organization consisting of a hospital and thirteen ambulatory clinics in Northern New England. Seven of the thirteen clinics have the Shingrix vaccine in their inventory.

Purpose: The aim of this quality improvement project was multifaceted. The first matter was the establishment of a two-week PAR level at seven of the thirteen ambulatory clinics connected to the organization. The second was the design and implementation of a Shingrix vaccine management program …

05-05-2020 Hsc Committee Minutes, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

10-13-2020 Hsc Committee Meeting Minutes, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

12-01-2020 Hsc Committee Meeting Minutes, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

Continuation Of Midodrine Upon Icu Discharge, Fahad Hussain, Deepti S. Rao

Quality Improvement/Patient Safety Symposium

Indications for Continuation of Alpha-1 Agonist Midodrine Upon ICU Discharge

Hussain, Fahad, MSII; Rao, Deepti, MD

Introduction:

Persistent hypotension in patients affected by circulatory shock is a common barrier to discharge in the ICU. Even after these patients have been otherwise stabilized, low-level hypotension often ensures that they remain in the ICU on IV vasopressors. Midodrine, an oral α1-agonist, has shown promise as an adjunct therapy to wean patients off IV vasopressors and facilitate earlier discharge from the ICU. According to a recent study done at the Mayo Clinic ICU, Rochester, discharge on Midodrine was associated with a shorter ICU …

03-02-2020 Hsc Committee Meeting Minutes, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

07-07-2020 Hsc Committee Meeting Minutes, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

Systemic Risk Management Plan For Electronic Medical Records (Emr): Why And How?, Ziniya Zahedi, Faisal Mahmud, Cesar Pinto

Engineering Management & Systems Engineering Faculty Publications

Electronic patient data use and handling are critical issues in terms of privacy, confidentiality, security, and the Health Insurance Portability and Accountability Act (HIPAA) regulations. The risks associated with electronic patient data are not limited to identity theft but rather include a person’s social, economic, and psychological well-being. However, there have not been many studies that have focused on the associated risk factors that could lead to these situations. This paper identifies those risks related to electronic patient data breaches by means of a grounded theory approach and develops a systemic risk management plan that enables engineering managers and risk …

Assessing Attitudes And Knowledge Regarding Voice Modification In Transgender People Among Practicing Speech Language Pathologists (Slps) In Texas, Iliana Renee Lopez

Open Access Theses & Dissertations

The purpose of this cross-sectional study is to examine the attitudes and knowledge of voice modification in TG persons among practicing SLPs in the state of Texas. Thirty-nine individuals completed the 10-minute survey with 38 questions. SLPs in Texas who responded are professionally and personally comfortable working with transgender individuals. Most respondents did not know what was targeted in voice modification services, however are willing to learn. Respondents' attitudes, knowledge and comfort were impacted most by personal values, graduate school education and personal relationships. The results from this study support the need for education and clinical training on cultural competence …

Attitude Towards Patient Undergraduate Medical Students In The University Of Malaya, Jeevitha Rajasingam

Student Works (2020-2029)

In the last two decades, patient safety awareness has become one of the emerging themes. To prevent from doing harm to patients, safe medical practices should be implemented and followed strictly. Therefore, a basic understanding of human factor principles need to be instilled into all health care workers. Medical universities play a vital role in fostering patient safety attitudes of their students towards the importance of patient safety during their practise. However, the medical curricula still face challenges regarding the correct timing and appropriate methods of instruction in their understanding of their principles. Experiments have shown that patient safety classes …

Distribution Of Healthcare Resources In Peninsular Malaysia : An Examination Of Equity With Respect To Geography And Allocative Processes, Saw Chien Gan

Student Works (2020-2029)

On a country’s pathway to Universal Health Coverage, it is important to ensure equitable healthcare provision and financing. There was a lack of evidence in equity of healthcare provision and financing across geographic areas in Peninsular Malaysia. This was despite the evidence that geographic factors directly and indirectly affect population health and healthcare services are mostly delivered at immobile healthcare facilities. In Malaysia’s mixed public-private healthcare system, Ministry of Health Malaysia (MOH) has a geographically comprehensive provision network and the MOH resources are distributed through geographic-bound MOH administrative structures. The private sector, which concentrated on more affluent geographic areas, also …

Access To Renal Transplantation And Post-Transplantation Prognosis (Retrapp) Study Of Adults In Malaysia, Kim Soon Peter Gan

Student Works (2020-2029)

Introduction Renal transplantation (RT) is recognised as the preferred treatment modality for end-stage renal disease. However, Malaysian transplantation rates have been low compared to other countries. Numerous clinical determinants have been associated with renal transplant recipient' (RTRs) health, which is the main focus of the healthcare fraternity. Coincident with the rising interest for equitable healthcare, many studies in the high-income countries have examined the disparities in RT. On the contrary, little is known about the association of socioeconomic gradient of RTRs on the access and outcome of RT in Malaysia, a low- and middle-income country. ReTRAPP was designed to explore …

What's Happening: December 30, 2019, Maine Medical Center

What's Happening

No abstract provided.

Letter From The Editors, Administrative Issues Journal Editors

Administrative Issues Journal

No abstract provided.

Attaining Philosophical Alignment: Localizing Systemic Change Through Adaptive Professional Development, Laura B. Kent

Administrative Issues Journal

This article describes the impact of an adaptive professional development program for K-8 mathematics teachers to enhance their implementation of standards that were streamlined to promote improved student learning and achievement. Students from the participating district scored higher than the state average and a neighboring district during the three years of implementation. Survey data showed growth in teacher enactment of dynamic problem-posing lessons during the three years of professional development. Peer classroom observations and shared reviews of student work samples were considered pivotal to teachers changing their instructional practices.

Teacher Hiring: The Disconnect Between Research Based Best Practice And Processes Used By School Principals, Laurie Kimbrel

Administrative Issues Journal

Student success is dependent on teacher quality; therefore, it is imperative that principals hire the teachers most likely to experience success as measured by the impact on student outcomes. This study investigated teacher hiring processes to determine the extent to which practices that are supported by selection science and teacher quality research are utilized by school principals. Data were gathered using a survey e-mailed to principals in ten states in the southern and western regions of the United States. Analysis indicated that principals do not use consistent processes and vary the hiring approach based on their opinion of conditions. Principals …

Tenure Clock Policy Transparency For Biological Clock (Family Friendly) Events, Michelle Mceacharn, Katherine Boswell, Kriti Chauhan, Sarah O. Siereveld

Administrative Issues Journal

The intention of this study is to investigate the transparency of information on university websites regarding the policies in place related to leave and/or tenure clock extensions for child-related events such as childbirth, adoption, or placement of a foster child. The main purpose is to improve awareness about the policies existing in academia related to these events. The secondary purpose is to determine whether major institutional characteristics affect the family-friendly policies of these institutions. Nearly 80% of the institutions studied communicated some type of information on their website related to tenure clock extension policies. An analysis of the data from …

Admission Assessment: Linking A Standardized Admission Exam To Nursing Program Outcomes, Anita C. Reinhardt, Teresa Keller, Alyce Kolenovsky, Hallie Keller, Pamela Schultz

Administrative Issues Journal

This article reports the results of an academic program evaluation in which standardized admission test scores are compared to intermediate and final program outcomes. We used two intermediate program measures of progress-first semester nursing grades and performance on a standardized exit exam prior to graduation. Program final outcomes compared are student attrition and graduate nurses’ performance on the NCLEX-RN. The analysis resulted in identifying statistically significant relationships between entrance exam scores and first semester grades. Statistically significant relationships were seen between entrance exam scores and performance on a pre-graduation exit exam. There was a statistically significant relationship between entrance exam …

What's Happening: December 16, 2019, Maine Medical Center

What's Happening

No abstract provided.