- ItemAn analysis of governing factors affecting diversity in local government capital improvement program implementation(2023-09-27) Ayala-Collazo, Isami C; Wyatt-Nichol, Heather; Naylor, Lorenda; Iyer, Seema; University of Baltimore. College of Public Affairs.; University of Baltimore. Doctor of Public Administration.This research sought to identify the governing factors affecting diversity in local government capital improvement program (CIP) implementation. Diversity was assessed at two phases: capital improvement plans drafting/approval and contract award. In particular, the implementation of small, minority, women owned business enterprise (SMWBE) programs was studied. Four counties in the state of Florida, United States of America served as the case study: Miami-Dade, Broward, Hillsborough, and Orange. A mixed methods approach was utilized. Each county’s approved CIP for the years 2010-2020, construction contracts awarded and registries SMWBE were statistically analyzed. Interviews with government executives performing the functions of procurement, business opportunity, and construction management were conducted and included as part of the qualitative analysis. The research confirmed that diversity is not used as a variable in CIP planning. The following governing factors were identified as affecting diversity in CIP implementation: program complexity, certification requirements, and communication inefficiencies.
- ItemImproving Usability and Reducing Overload Among Physicians Within the Veterans Affairs (VA) Hospital Using EHR Systems(2023-08-28) Felder, Jordan; Summers, Kathryn; Blodgett, Bridget; University of Baltimore. Yale Gordon College of Arts and Sciences; University of Baltimore. Master of Science in Interaction Design and Information ArchitectureThe Department of Veterans Affairs Medical Centers implemented the Bar Code Medication Administration (BCMA) into their practices between 1999 and 2000. The BCMA has significantly influenced physicians' daily workflows, with electronic systems helping to reduce medication errors. However, cognitive overload and related issues are common, highlighting the need for more intensive research on the Electronic Medication Administration Record (eMARs) to find solutions that alleviate these challenges for physicians. This research aims to identify the current usability problems in the Veteran's Affairs (VA's) hospital's eMAR/BCMA system and investigate how these systems contribute to physician overload, leading to medical errors and suboptimal patient outcomes.
- ItemAssistive Technology for Non-Institutional Alzheimer’s Care Settings(2021-06) Perez, Angelica; Summers, Kathryn; Blodgett, Bridget; University of Baltimore. Division of Science, Information Arts, and Technologies.; University of Baltimore. Master of Science in Interaction Design and Information Architecture.With a considerable number of individuals with Alzheimer’s non-institutionalized in the United States, there is an opportunity to innovate an assistive technology to support those care recipients, their caregivers, and those near to them. The proposed application, Gellah, positions itself as a digital application that serves as a repository for photographs, personally meaningful information, and reminders, that can be used by care recipients, caregiver(s), and others. Such a repository can help reassure, increase calm, entertain, increase confidence, and improve quality of life. The repository provides a space where the care recipient can retain and review information about their own life and about the people and events that matter to them. The proposed application was tested and evaluated using a semi-structured, virtual, qualitative approach. The evaluation focused on the usability of the product design, but it also helped highlight other product considerations (privacy, accessibility, ethical uses) that lend themselves to further research, exploration with implications for other disciplines. The proposed application allows use by both care recipients and caregivers. Based on the results of the study, it is anticipated that future iterations may provide family members and other authorized users the opportunity to contribute information or photographs to the repository. It is also recognized that this application may be helpful in institutional settings. Such expansion would require further analysis into how different roles are defined and managed in order to assure balancing privacy and to avoid burdening caregivers with multiple credentials for a single service. Also, it will be essential to develop an ecosystem that can grow with a care recipient’s Alzheimer’s progression for optimal user value.
- ItemCitizen Representation in Democratic Government Processes: A Study of Baltimore City's Central Business District Redevelopment from 1950-2007(2023) Bates, Lyndsay; Wachhaus, Aaron; Gourrier, Al; Naylor, Lorenda; University of Baltimore. College of Public Affairs.; University of Baltimore. Doctor of Public Administration.
- ItemJob Satisfaction as a Moderator of the Safety Leadership-Safety Performance Relationship in Nurses(2023-06-05) Maurice, William; Tedone, Archana; Mitchell, Thomas; University of Baltimore. Yale Gordon College of Arts and Sciences.; University of Baltimore. Master of Science in Applied Psychology: Industrial and Organizational PsychologyDespite organizations prioritizing safety, workplace accidents and injuries continue to occur. Thus, safety research has evaluated factors that influence employees’ workplace safety behaviors. The objective of this study was to examine job satisfaction as a moderator of the relationship between safety leadership and safety performance. The current study predicted that job satisfaction would strengthen the relationships between transformational leadership and safety performance but weaken the relationships between passive leadership and safety performance. This study dispersed surveys to 134 direct care nurses across the United States. Job satisfaction did not moderate any of the transformational safety leadership-safety performance relationships nor the passive safety leadership-safety performance and passive safety leadership-safety participation relationships. Interestingly, this study found that job satisfaction significantly weakened the relationship between passive safety leadership and safety compliance but only when job satisfaction was low. This suggested that significantly fewer safety compliance behaviors occurred when unsatisfied nurses had a leader who engaged in passive leadership behaviors. Because recent surveys have found that nurses’ job satisfaction has been declining, in combination with being required to complete more complex formal safety procedures since the outbreak of COVID-19, this finding is especially important for healthcare organizations as it places them at greater risk of poor retention rates, higher turnover, and reduced financial stability. This paper recommends that healthcare organizations target employee engagement in conjunction with leadership development initiatives to further enhance their impact on the organization.