1697 research outputs found
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Data Adoption Capability Perceptions of Ohio Accounting Firm Employees
No full textSmall and medium-sized enterprises (SMEs) have a substantial impact on the U.S. economy, but they often struggle to survive beyond their first five years. As data-driven decision-making becomes essential, SMEs face challenges integrating Big Data Analytics (BDA) tools due to limited resources and internal capabilities. This qualitative case study used the Dynamic Capabilities Theory (DCT) to explore how employees at a small accounting firm in Ohio perceive their firm’s readiness to adopt and use BDA tools. The researcher interviewed twelve participants from various roles within the firm virtually. Thematic analysis of the transcripts revealed three main themes: organizational readiness and culture, technical capacity and infrastructure, and strategic integration and risk management. Participants acknowledged the growing importance of BDA, but also noted gaps in employee training, tool centralization, and internal communication. While access to tools and financial support was widely reported, proficiency and awareness varied. The study concludes that although the firm demonstrates strong financial and technical readiness, strategic employee engagement and targeted education are necessary for effective BDA integration. Findings underscore the importance of fostering a data-informed culture and investing in firm-wide digital literacy. The study contributes to the limited literature on BDA adoption in SMEs and offers actionable insights for practitioners and policymakers aiming to enhance analytics capabilities in small service-sector firms
A Qualitative Study Exploring How School And District Education Leaders Respond To Critical Organizational Crisis And Change Events
No full textThis qualitative study explored how PK-12 public school education leaders navigated the complexities of prolonged crises and the extent to which their practices reflected principles of generative, complexity, and adaptive leadership theories. The purpose was to examine how leaders balanced organizational stability with adaptability, while simultaneously addressing the emotional, cultural, and systemic dimensions of leadership during extended disruptions. Data were collected from a diverse group of 16 school and district leaders across multiple geographic regions in the United States, including urban, suburban, and rural communities. Through thematic analysis, the study identified leadership practices that extended beyond technical decision-making to encompass emotional regulation, trauma-informed systems thinking, and collaborative co-creation. Findings revealed that leaders employed adaptive scaffolding strategies to sustain continuity while fostering flexibility and resilience across their organizations. These practices emphasized relational trust, distributed problem-solving, and cultural stewardship—elements that resonated strongly with the frameworks of generative, complex, and adaptive leadership. The study also illuminated the often-invisible labor of leadership, including the emotional and structural work required to guide organizations through uncertainty. Collectively, the findings highlight leadership as an emergent, relational process essential for organizational resilience and systemic growth
Unveiling Employee Satisfaction in Healthcare Reimbursement Services: Identifying Key Factors and Their Impact
No full textThis study studied the key factors influencing job satisfaction among certified medical coders and billers working within healthcare organizations in the United States. Despite the essential importance of revenue cycle operations to healthcare organizations, the happiness and satisfaction of these professionals often receive inadequate consideration. Drawing on Herzberg’s Two-Factor Theory of Motivation and Satisfaction, the research utilized a mixed-methods design to produce a comprehensive understanding of the issue.
A purposive sample of 100 certified professionals was selected from two leading organizations in the field, AHIMA and Libman Education. Participants represented a diverse range of work settings, including hospitals, clinics, and contract coding firms. Quantitative data collection was conducted using the Job Descriptive Index (JDI) and Job in General (JIG) scale, which measure satisfaction across dimensions such as compensation, working conditions, advancement opportunities, supervision, coworker relations, and overall job satisfaction. Multiple linear regression analysis was employed to determine which of these factors most significantly predict overall job satisfaction.
To supplement the quantitative results, qualitative data were collected through open-ended survey responses and analyzed using thematic content analysis. The findings indicate that both intrinsic factors (such as recognition, communication, and opportunities for professional growth) and extrinsic factors (including salary, potential for advancement, and organizational policies) contribute to employee satisfaction. The insights gained from this research provide evidence-based recommendations for healthcare leaders aiming to enhance employee engagement, reduce turnover, and optimize revenue cycle performance
Over the Road Truck Driver Retention
No full textThis dissertation explores the relationship between employee satisfaction and intent to leave the company among over-the-road truck drivers. The researcher developed this study to address the driver retention problem that has existed among truck companies for years. This student conducted a quantitative study using multiple regression to analyze the data. The researcher completed this study by asking drivers to complete a survey that included questions from two well-known questionnaires and one open-ended question. Participants in the study were over-the-road truck drivers from a medium-large trucking company in the midwestern United States. Participation in the study was voluntary, and the researcher contacted the company through a professional relationship. The study includes multiple statistical analysis techniques to ensure accuracy of the study. The researcher was able to determine that one element of employee satisfaction had a significant relationship with driver retention, and the other elements of employee satisfaction were not found to significantly impact intent to leave the company. These findings were consistent with the responses to the open-ended question. The results of this study are an indication that trucking companies can take actions that will improve driver retention. This research also revealed actions that are currently in place that are positively affecting driver retention. This study adds to the existing literature regarding employee satisfaction and employee retention
Exploring and Overcoming Primary Barriers to Healthcare Access and Utilization During the Perinatal Period for Somali Women in Franklin County, Ohio
No full textImmigrant women face potential barriers when accessing and utilizing healthcare services during the perinatal period, including cultural differences, language barriers, low health literacy, and limited access to healthcare services. These challenges can result in delayed care, insufficient prenatal support, and poor maternal and infant health outcomes, despite the availability of services. Addressing these barriers is important, as they hinder immigrant women from fully benefiting from perinatal healthcare. Therefore, the purpose of this study was to explore the primary barriers immigrant women of Somali descent encounter during the perinatal period and recommend how health policies and administrative procedures can be adapted to improve their access to and utilization of perinatal healthcare services. The researcher employed an exploratory qualitative study and conducted semi-structured interviews with Somali immigrant women in Franklin County, Ohio to gain insights into cultural, linguistic, socioeconomic, and systemic challenges. The significance of this study lies in their potential to address the challenges in perinatal access and utilization among Somali women by recommending modifications to current healthcare administrative policies and procedures. ATLAS.ti software assisted in identifying the key themes utilizing the data collected from the participants
Leveraging Transformational Leadership at a Midwestern Two-Year College to Create a Culture of Care and Improve Student Success: A Case Study
No full textTwo-year colleges play a critical role in providing affordable access to higher education and advancing economic mobility. Yet, many two-year colleges struggle with low persistence, retention, and graduation rates. Leadership practices and institutional culture are critical to addressing these challenges. This qualitative case study explored how senior leaders at a Midwestern two-year college used transformational leadership practices to cultivate a culture of care and strengthen student success. Data were collected through semi-structured interviews with senior leaders, direct observations, and institutional data. Using a systematic coding and analysis process, five themes emerged: culture of care, transformational leadership practices, shared vision and mission alignment, student success structures, and organizational change and engagement. The findings demonstrated that leaders modeled transparency, empathy, and collaboration, embedding mission and values into decision-making while developing structures that supported students and improved institutional outcomes. Evidence included rising graduation and course completion rates, graduate wage growth, employee retention, and accreditation recovery. This study contributes to the literature by presenting a transferable model of leadership and cultural practices, illustrating how transformational leadership behaviors, coupled with a culture of care, can be adapted by other two-year colleges to address equity gaps, accreditation pressures, and declining completion rates
The Impact of a Nurse Navigator on the Completion of Medicare Annual Wellness Visits
Full text linkProblem: Despite being a covered service designed to support individualized prevention planning, the Medicare Annual Wellness Visit (MAWV) remains underutilized at a rural Federally Qualified Health Center (FQHC). Barriers include low patient awareness, inconsistent outreach, and a reactive scheduling process that excludes patients without upcoming appointments. These issues limit the FQHC’s ability to meet preventive care goals and sustain performance in value-based reimbursement models.
Aim of the Project: This quality improvement project evaluates the impact of implementing a nurse navigator on MAWV completion. The intervention incorporates proactive scheduling and cohort engagement to address barriers related to awareness, access, and outreach.
Review of the Evidence: Evidence supporting nurse navigator roles in MAWV coordination is promising, though primarily based on observational studies and quality improvement (QI) initiatives. While the outcomes suggest improved access and engagement, further research is needed to validate these findings across diverse clinical settings. Nurse-led outreach and standardized workflows show potential to enhance preventive services in underserved populations.
Project Design: The project follows the Plan-Do-Study-Act (PDSA) model and the OhioHealth Change Management framework. Staff readiness assessments, stakeholder input, and workflow audits support implementation. Data are collected weekly and analyzed using Microsoft Excel to track trends and guide improvement.
Intervention: Over the course of ten weeks, a nurse navigator conducts patient pre-screening, provides individualized outreach, schedules visits, and coordinates follow-up care. Staff receive training on revised workflows, and weekly progress reports support monitoring. All activities adhere to the Health Insurance Portability and Accountability Act (HIPAA) compliance standards and prioritize equitable engagement.
Significant Findings/Outcomes: MAWV completion rates rise from 43% to 52%, resulting in 35 additional visits. Clinicians describe the increase as clinically meaningful, and a large effect size is observed. Staff workload remains stable, and billing projections indicate a potential net revenue gain. Outreach efficiency improves by 18%, missed appointments decline, and documentation accuracy improves. Patients report higher satisfaction, especially with communication and coordination of care.
Implications for Nursing: This nurse navigator-led model improves access to preventive care without increasing staff burden. It supports nursing goals of equity, care quality, and population health in FQHC settings
Addressing the Achievement Gap Through Equitable Education by Meeting the Social Emotional and Academic Needs of Minority Students in Urban School Districts
No full textThis qualitative thematic analysis focused on how an urban school district located in the New England region of the U.S. could address the persistent achievement gap affecting minority groups including African Americans, Hispanics, immigrants, refugees, and low-income students by implementing culturally responsive practices, providing social-emotional support, and utilizing alternative education programs. The research problem focused on systemic inequalities that prevent minority students from having access to high-quality education. The purpose of the study was to explore how educational practices and structures can better support the academic and emotional well-being of these students. Quota sampling was used to recruit 15 participants including school leaders, educators, and student support service providers to participate in semi-structured interviews. A thematic analysis, conducted using Atlas.ti, identified seven themes: Equity Challenges, Barriers, Social Emotional Support, Urban Challenges, Culturally Responsive Practices and Inclusion, Alternative Education Programs, and Community Needs and Resources. Findings highlighted the need for culturally grounded, emotionally responsive, and community-connected educational approaches. The research recommended for systemic changes to teacher preparation, leadership development, support services, and alternative programming. The recommendations and future research suggestions presented serve as a guidance for educators, leaders, and policymakers who want to dismantle educational inequities in urban education through systemic reforms rooted in culturally responsive practices, social-emotional support, and equity-driven policy
Researched Argument Paper Against Capital Punishment
Full text linkThis paper presents a researched argument against the use of capital punishment for homicide perpetrators. It critiques the death penalty on grounds of impracticality, high costs, risk of wrongful execution, lack of deterrent effect, and collateral harm to families and society. Drawing on empirical studies and ethical reasoning, the author argues that life imprisonment and rehabilitative alternatives are more just and effective responses to homicide. The work highlights the moral and systemic flaws of capital punishment and advocates for its abolition in favor of humane sentencing practices. [Abstract generated by AI.
Group Therapy Plan Proposal
Full text linkThis group therapy plan proposes a 16-week, closed-group program for female survivors of sexual assault, integrating psychodynamic therapy and brief eclectic psychotherapy. The plan aims to foster healing, empowerment, and resilience through structured sessions focused on emotional support, trauma processing, self-awareness, and coping strategies. Theoretical frameworks guide the group’s objectives, structure, and evaluation methods, with progress monitored via intake assessments and ongoing feedback. The program emphasizes safety, trust, and the development of adaptive skills in a supportive environment. [Abstract generated by AI.