This work focuses on how to improve medical services for veterans in a manner that will result in high levels of satisfaction and attainment of needed services. This research assess how veterans access healthcare and receive service. The problem to be addressed relates to reports by veteran healthcare organizations regarding the presence of gaps in coverage and customer service disparities in healthcare. Common concerns involve the gaps between veterans’ expectations for services and the provided services. This study created a survey instrument that contextualized components of established scales along with demographics and constructs specific to the current study. This study assessed the relationships among a variety of constructs and dimensions with healthcare expectations and service quality using a series of simple regressions. The results showed a statistically significant relationship between quality and the use or intention to use technology. The study supports the contention that respondents are willing to use self-service technologies. Technology that incorporates digital devices into healthcare services offers an opportunity to bridge service gaps and holds a promise for giving veterans faster access to service and care in a beneficial manner.

Companies are becoming increasingly dependent on teams to drive creativity and innovation, which usually involves multiple teams working together to solve complex problems However, the first problem is that work teams do not always manage creativity and innovation well, especially when partnering with other work teams on highly complex projects that demand greater interdependence and collaboration, which can constitute as much as 90% of today's organizational projects. The second problem is that researchers struggle to define and measure creativity and innovation for the past decade resulting in significant variation both within and between creativity and innovation scales that have restricted meaningful theoretical discoveries and advances. The current study is significant because it introduces a novel instrument derived by John Turner that measures team creativity and innovation processes as a single unit, thereby raising the level of theoretical sophistication and leading to better practical applications. After conducting factor analysis, the current study validates six factors, including 36 indicators, and measures team creativity and innovation processes as complex adaptive systems (CAS). The current study recommends deploying the new instrument in other sectors beyond the IT sector and using multilevel techniques that include the individual and executive/organization levels of analysis.

The purpose of this study was to explore the alignment of soft skills sought by current business IS entry-level employers in electronic job postings, with the integration of soft skills in undergraduate business information systems (IS) syllabi of public four-year universities in Texas. One hundred fifty job postings were extracted from two major electronic career databases. Ten undergraduate AACSB-accredited programs in the field of business information systems (IS) were investigated, and syllabi for the 70 major courses of the business IS programs were obtained for review. Content analysis was applied to all job postings and syllabi, exposing all soft skills related to the 9 categories used in this study adapted from the 21st Century Framework for Learning (Partnership for 21st Century Learning, 2009). Frequencies were tabulated to determine rank of soft skills in job postings and syllabi, and Jaccard’s coefficient statistic of occurrence was used for cluster analysis. Soft skills within all 9 categories were found in job postings (n = 1554) and course syllabi (n = 774). Three soft skill categories were aligned between job postings and syllabi: (1) initiative and self-direction, (2) social and cross-cultural skills, and (3) flexibility and adaptability. However, because differences in the higher ranked …

In the modern economy, national innovation systems (NIS) contribute to a substantial increase in economic development in numerous parts of the world. NIS has been instrumental in integrating most developing countries' economies into the global capitalist system; however, some developing countries lag the innovation capacities to develop their NIS. The inability of the countries in Sub-Saharan Africa to gauge their NIS is problematic and probably risky for the countries' future development. Without proper evaluation and monitoring, it is hard for governments to create policies to advance their NIS to attain their desired economic development objectives. Development experiences of the countries in Sub-Saharan Africa and their insignificant standings in the global exchange of goods and services warrant a comprehensive way to measure and evaluate their NIS. This study ascertained how predictor variables: government effectiveness index (GEI), percentage of public spending on education (PSE) and labor force (LF) influenced the criterion variables: gross domestic product (GDP), gross national income (GNI) and human development index (HDI). The results categorized the countries that are performing soundly or not, and the knowledge from the assessments can aid in improving national policies for future performance of NIS in Sub-Saharan Africa. Likewise, it can help to create …

The purpose of this study was to conduct exploratory research regarding students' perceptions of blended learning environments at a state supported postsecondary institution. Specifically investigated were students' overall perceptions of blended learning environments, the reasons they chose to take a blended course, and whether generational differences existed in students' affected perceptions. An electronic survey was distributed to students enrolled in blended learning courses at the end of the spring 2009 term.

This study looked at leadership development at top performing nuclear plants in the United States. The examination of leadership development as actually practiced in the nuclear energy industry lead to the development of a best practice model. The nuclear industry is self-regulated through the Institute for Nuclear Power Operations (INPO). INPO has been evaluating nuclear plants over the past 15 years. Recently they have identified supervisor performance as a key factor in poor plant performance. INPO created a model for leadership development called Growing Industry Leaders. The nuclear industry has identified its aging workforce and subsequent loss of leadership as an emerging issue facing the nuclear industry in the next five to ten years. This initiative was aimed at both the supervisor shortfalls identified through plant evaluations and the state of the workforce within the nuclear industry. This research evaluated the elements of this model and compared them to a model of best practice. This research answered the following questions: What elements of leadership development should be included in leadership development programs? What would a model of best practice in leadership development look like? Data was collected from nine out of 103 top performing plants. Development activities were categorized by …

This dissertation seeks to determine the differences between veteran and non-veteran students' mental effort and task difficulty within undergraduate online courses in Bachelor of Applied Arts and Sciences (BAAS) programs at three public Texas universities. The BAAS program is geared toward non-traditional students, which includes veterans. The courses are delivered in flexible formats, including online courses, face-to-face courses, and blended courses, which use a combination of online and face-to-face courses. After reviewing literature and utilizing both the cognitive theory of multimedia learning and the cognitive learning theory, a survey was conducted using undergraduate students enrolled in BAAS programs at three public Texas universities. The data was analyzed by conducting a factorial ANOVA and Pearson correlation to determine if there was a difference between veterans and non-veteran students' mental effort and task difficulty within online courses within the BAAS programs. The results indicated that that all three hypotheses failed to reject the null hypotheses that: (1) there is no difference in mental effort of students who had military service, versus those who did not have military service, (2) there is no difference in mental effort of students who had military service, versus those who did not have military service, and (3) …

During team decision-making practices information is often shared among team members as part of the decision making process. Knowledge sharing involves one team member sharing information so that other team members can encode the knowledge to make their own mental representation of the new information (Huan & Jiang, 2012). Unfortunately, the literature has shown that new information is not always shared between team members during decision making processes (Stasser & Titus, 1985). When teams make decisions without considering all the information available poor decisions can result. This research study tests a team conceptual model derived by Turner (2013) addressing attitudes toward knowledge sharing. Structural equation modeling was conducted to test a portion of Turner’s (2013) team conceptual model. The tested model included the independent variables of psychological safety, team conflict, team cohesion, and transactive memory systems. The dependent variable for the dissertation was knowledge sharing.

The study's purpose was to identify demographics, educational background, finances, formal and informal education and experiences, reading habits, external environmental factors, psychological factors, and computer efficacy factors that predict a student's ability to successful complete an online (Web-based) distance learning community college course. Major student retention theories and student attrition and persistence research guided the study. Distance learners (N = 926) completed four surveys, which collected data for 26 predictor variables that included age, gender, marital status, ethnicity, support others, course load, first-time student, last semester attended, student type and location, financial stability, tuition payment, prior learning experiences, reading habits, family support, enrollment encouragement, study encouragement, time management, study environment, employment, extrinsic and intrinsic motivation, locus of control, self-efficacy, computer confidence and skills, and number of prior online courses. Successful or unsuccessful course completion was the dependent variable. Statistical analyses included Cronbach's alpha, Pearson chi-square, two-sample t test, Pearson correlation, phi coefficient, and binary logistic regression. Variables in each factor were entered sequentially in a block using separate binary logistic regression models. Statistically significant variables were course load, financial stability, prior learning experiences, time management and study environment, extrinsic motivation, self-efficacy, and computer skills. Selected predictor variables (N = 20) …

The purpose of this study was to examine a select set of organizational variables and determine their relationship to nursing assistants' intentions to quit in state-owned veterans' long-term care facilities located across the United States. America's long-term care industry (e.g., nursing homes, assisted living facilities) is a multibillion dollar industry. Because the U.S. government is projecting a 250% increase in the elderly population, staffing these nursing homes and related facilities is a critical concern. A vitally important but often overlooked factor of the long-term care industry is employee turnover. Of the staff in long-term care facilities, the nursing assistant (NA) position is particularly susceptible to turnover. Approximately 80% of NAs who enter the workforce leave within the 1st year and many leave within the first 3 months of employment. Some facilities report that they are unable to accept new residents because of a lack of qualified NAs. While many studies have researched this issue, staff turnover in long-term care facilities remains a serious and widespread problem. This study provides a foundation for future research related to the perceptions of intentions to quit of nursing assistants (NAs) working in state-owned veterans long-term care facilities by providing primary data regarding NAs intentions …

Patient satisfaction dimensions have a wide ranging and significant impact on organizational performance in the healthcare industry. In addition, the Centers for Medicare and Medicaid Services Hospital Value Based Purchasing (HVBP) Program links patient satisfaction to Medicare reimbursement, putting millions of dollars at risk for health systems. A gap in the literature exists in the exploration of how a patient's experience in the emergency department affects their satisfaction with inpatient services. In a multiple regression analysis, the relationship between HVBP Patient Experience of Care and hospital level factors including emergency department wait times are explored. Results indicate a statistically significant relationship between hospital level factors and standardized measure of patient satisfaction with a moderate adjusted effect size (p= <.0001, R2 adjusted= 0.184). Emergency department wait times post physician admit orders were most salient in predicting patient satisfaction scores (rs2= 0.434, β= -0.334, p= <.001). Recommendations to improve emergency department wait times include focusing on key decision points and implementation of electronic systems to support the movement of admitted patients out of the emergency department as quickly as possible.

Organizations rely on their training departments to deliver adequate training for effective use of knowledge on the job to new and tenured employees. The transfer of learned knowledge and skills yields many positive outcomes for the employees, the trainers, and the organization as a whole. Such outcomes include improved productivity and efficiency, increased morale, work enjoyment, improved customer service, and improved shareholder satisfaction. In order to achieve these outcomes, training departments must employ skilled training personnel knowledgeable about curriculum design and creative with training delivery and learning environments. These requirements implementation will depends heavily on the experience level of training professionals. Training professionals need to understand their own learning styles and how to appropriately utilize strategies to target the various learning styles that exist in the classroom. Instructors must constantly monitor the learning environment and be able to make immediate changes to meet the needs of the participants when necessary. Participants themselves play an integral role in the effective transfer of learning from the classroom to the job. Learners’ backgrounds, life experiences, and motivation to learn are important considerations for designing a positive learning experience. When training programs cater to learners’ preferred learning styles with an appropriate learning environment in …

This study sought to answer critical questions surrounding the impact that national culture has on specific parts of the employment experience of employees working for multinational organizations. As globalization expands and organizations are gaining larger footprints beyond regional operations, there has become a need to understand how cultural nuances could be playing a role in the employee experiences at these organizations. This study looks at two pieces of the employee experience in great detail, the psychological contract and job satisfaction. Understanding the process that builds psychological contracts between employee and employer is a critical piece to promoting a satisfied and productive workforce. The perception of a breach of the psychological contract has substantial negative implications. Understanding how the psychological contract and employee job satisfaction are linked is a key focus of this study. Binary logistic regression and path analysis were conducted on a sample of employees of multinational organizations which provided key findings and evidence that both nationality and job satisfaction play a statistically significant role in the perception of a psychological contract breach. The path analysis provided results that warrant further research, but was unable to substantiate the moderating effects of the dimensions of national culture on job satisfaction …

The Online Student Connectedness Survey (OSCS) was introduced to the academic community in 2012 as an instrument designed to measure feelings of connectedness between students participating in online degree and certification programs. The purpose of this study was to examine data from the instrument for initial evidence of validity and reliability and to establish a nomological network between the OSCS and similar instruments utilized in the field. The study utilized sequential exploratory factor analysis- confirmatory factor analysis (EFA-CFA) and correlational analysis to assess results of the data. Students enrolled in online courses at higher education institutions located in the United States served as the sample for this study. Three instruments were used during the study. The OSCS was administered first so that the factor structure could be examined for factor validity. Once confirmed, the Classroom Community Scale (CCS) and the Community of Inquiry Scale (COI) served as the instruments to examine nomological validity through correlational analysis of data.This study provided evidence of factor validity and reliability for data from the OSCS. After the initial EFA-CFA, the four-factor structure held, and 16 of the 25 original items remained for nomological testing. Statistically significant correlations were demonstrated between factors contained in the …