Social and Behavioral Sciences Commons^™

When "First, Do No Harm" Fails: A Restorative Justice Approach To Workgroup Harms In Healthcare, Pedro L. Flores

Dissertations

In healthcare, workgroup mistreatment is a pervasive problem that begins during medical education (medical and nursing school) and becomes embedded in the “hidden curriculum of professionalism,” which dissuades and even punishes learners for talking about abuse they witness. Furthermore, the mistreatment of healthcare providers (HCPs) pervades all disciplines in the healthcare delivery chain due to a combination of cultural factors, systemic pressures, dysfunctional hierarchies, and leadership’s tolerance of intimidating and disruptive behaviors. Not surprisingly, 18% of U.S. HCPs have left the medical field since the start of the COVID-19 pandemic, and burnout, stress, anxiety, and increased workloads have been identified …

Becoming Aware Of The Leader Within: Measuring The Impact Of Mindfulness Practices On Leadership Development, Ayumi Tachikawa

M.A. in Higher Education Leadership: Action Research Projects

The unprecedented events brought on by the global spread of COVID-19, along with the racial justice protest movement, have contributed to heightened mental, emotional, and physical distress among leaders. While research shows chronic stress and anxiety contribute to decreased focus, creativity, and overall well-being, mindfulness, the practice of being actively aware of the internal and external environment, can counter and mitigate those harmful effects that hinder effective leadership.

This research utilized a mixed-methods approach to examine the impact of mindfulness practices on three leadership competencies that an extensive literature review deems essential for successful leadership in times of uncertainty: self-awareness, …

A Grounded Theory Approach To Healthy Work Environment: Its Impact On Nurses, Patient Safety, And Significance In Healthcare Settings, Nicole Sevilla-Zeigen

Dissertations

A healthy working environment has been an area of interest for occupation health providers. There is anticipation that a safe working environment improves patient safety, which is associated with reduction in clinical nurse errors. Issues with medication errors and poor working environment pose a greater risk to patient safety. The aim of this qualitative study was to provide a broad understanding on nurses’ perceptions on the processes that influence a healthy working environment and the impacts of a healthy working environment on patient safety. An interpretive grounded theory methodology was used in this study to evaluate nurses’ perceptions in acute …