Browsing by Author "Chermack, Tom, committee member"
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Item Open Access Establishing group norms through wiki technologies within a health-care setting: a case study(Colorado State University. Libraries, 2011) Evans, Shawn, author; Folkestad, Jim, advisor; Banning, Jim, committee member; Chermack, Tom, committee member; Rademacher, Bob, committee memberWithin rapidly changing environments in today's health care organizations, new technologies are sought to bridge gaps in processes, create connections between people, and facilitate workplace efficiencies. This study, anchored in diffusion of innovation theory, examined how one new technology is being utilized and diffused in a medium sized, multi-hospital health care system. Wiki technology allows multiple users opportunities to asynchronously collaborate and communicate through a web (internet) based application. Although potential benefits of this technology are exciting, the diffusion of this technology within a complex system is still a relatively unknown process. This case study examined how actors, or users, of three wikis perceived the establishment of group norms and rules that helped govern use of the wiki and diffusion of the technology to other members. Perception was measured through the distribution of an online questionnaire, interviews with the wiki administrators, and examination of wiki content. It was determined that group norms were ultimately helpful as new members learned how to use the wiki. In addition to wiki specific norms, this study determined group norms were perceived to be established at a higher organizational level than the wikis themselves; meaning, organization norms and rules strongly influenced how wiki specific norms and rules were determined. This study highlights the importance of strong organizational culture as it relates to members trying and adopting new, web-based technologies.Item Open Access Motives and success factors in co-teaching relationships: a qualitative case study(Colorado State University. Libraries, 2021) Hammel, Samuel "Kelley", author; Sebald, Ann, advisor; Chavez, Ernie, committee member; Chermack, Tom, committee member; Makela, Carole, committee memberThe purposes of this research were to understand what factors contributed to the success of highly rated co-teaching experiences and understanding to what extent those success factors are related to measured human motive constructs within the context of the acquired needs theory of motivation. The purpose included understanding the motives and success factors within the context of the global Covid-19 pandemic. To achieve these overall objectives, the following research questions guided this study: 1. What do the Teacher Candidate (TC) and Mentor Teacher (MT) believe are the top five reasons why this specific co-teaching experience was successful (Success Factors)? 2. Are there any common Success Factors among the MT/TC teams studied? 3. Are any of the Success Factors related to the three motivation constructs being studied, being the affiliation motive, achievement motive, and power motive of the TC or MT? 4. What do the TC and MT believe about how their own measured motives contributed to the success of the co-teaching experience? 5. What do the TC and MT believe about how the Covid-19 pandemic impacted the success of the co-teaching experience? Four co-teaching teams from four different northern Colorado elementary schools were selected for a total of seven individuals (four teacher candidates and three mentor teachers). All seven participants were interviewed after completing thematic apperception tests measuring the relative strength of the achievement, affiliation, and power motives of each individual. Themes emerging from the data included: (1) the importance of relationship and communication in co-teaching teams, (2) the importance of resourceful power in co-teaching teams, and (3) the importance of co-teaching during the pandemic or other emergencies. Recommendations for teacher educators and school administrators are provided based on each of these emergent themes. Given the findings, this study recommends further investigation of complementary motive patterns of successful co-teaching teams and the presence or absence of resourceful power within successful co-teaching teams.Item Open Access Risk adjusted critical care patient outcomes: a comparative analysis of critical care staffing, tele-ICU adoption, and ICU performance in relation to bedside staffing and engagement with tele-ICU(Colorado State University. Libraries, 2014) Hawkins, Helen Allison, author; Strathe, Marlene, advisor; Chermack, Tom, committee member; Gloeckner, Gene, committee member; Maynard, Travis, committee memberTelemedicine in a hospital intensive care unit, or tele-ICU, allows board-certified, critical care intensivist physicians and nurse practitioners to monitor multiple ICU patients twenty four hours a day, seven days a week (24/7) via a remote command center equipped with a network of audio-visual equipment and computer systems that provide real time access to patient data (Goran, 2012). Hospitals implement tele-ICU to address the increasing scarcity of trained intensivist resources (Jarrah & Van der Kloot, 2010), to provide improved safety through redundancy, and to enhance outcomes through standardization (Goran, 2010; Rufo, 2011). Whether at the bedside or via tele-ICU, staffing an ICU with board certified intensivist physicians is a best practice recommendation that has been shown to improve patient outcomes such as mortality and length of stay (Young, Chan, Lu et al., 2011). The purpose of this study was to evaluate multiple ICUs from a single U.S. hospital system in 2012 to determine if there were significant differences in the levels of adoption of tele-ICU and if so, assess the impact of varying levels of adoption on patient outcomes, specifically risk adjusted length of stay and observed versus expected mortality. Tele-ICU adoption was defined as the decision of ICU staff to make full use of tele-ICU resources to proactively co-manage patient care and ensure best practice adherence. Other ICU organizational factors such as bedside intensivist staffing pattern, ICU leadership effectiveness, and ICU employee engagement were also evaluated. Study results indicated significant differences in the level of adoption across the eight ICUs in the study. ICUs with low tele-ICU adoption had less than one order per patient stay compared to nearly 10-12 orders per patient stay for the ICUs with the highest levels of adoption. Significant differences were also found in both ICU and hospital observed versus expected patient lengths of stay based on level of tele-ICU adoption. A calculation was proposed and used to assess the observed versus expected mortality at the patient level across the groups based on level of adoption. Although the results mirrored the trend found in the length of stay results, differences were not significant. The study also found that ICUs with the lowest level of tele-ICU adoption and the longest lengths of stay were the ICUs staffed with intensivists at the bedside 24/7. Findings from this study suggested that the level of adoption of tele-ICU should be taken into account in future studies that evaluate patient outcomes. Future research should also evaluate the root causes of lack of tele-ICU adoption, and attempt to validate the findings in this study that patient outcomes are better when tele-ICU is fully adopted. Future studies should also attempt to measure and validate the costs and benefits of tele-ICU in conjunction with ICU staffing patterns, best practice adherence, and other organizational performance constructs that impact both the bedside and tele-ICU staff such as teamwork, culture, climate, communications, and collaboration. Studies that evaluate the optimal mix of ICU intensivist staffing should take into account the existence of tele-ICU, along with the level of adoption by bedside staff, as a component of the overall ICU staffing model.