This document provides instructions for a signature assignment in a doctoral research methods course. Students are asked to submit a 2-3 page project premise outlining their proposed applied doctoral project topic, including the problem statement, research questions, methodology, and references. They must also submit an updated annotated bibliography of 7-10 references, of which only 3 can be from a previous assignment. The premise and annotated bibliography should be submitted together in the course Dropbox and a copy of the premise should be emailed to the Assistant Dean to ensure appointment of a project committee chair and subject matter expert.

1. Running head: DUPLANTIERMDHA7008-2
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DUPLANTIERMDHA7008-2
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Annotated Bibliography
Research Theory, Design, and Methods
10/20/19
COMMENTS: Good job, Maria. You selected some sound and
credible articles for possible use in your Capstone Project down
the road. You’ll find a few notable issues – some of which have
been identified in your previous assignments – that you [still]
need to address in all future writings (e.g., text needs to be
LEFT-JUSTIFIED, not block-text; need to credit outside
sources of information with in-text citations and references;
APA style, etc.). Please see my detailed feedback below.
Remember … when you open this document, make sure you go
to the toolbar at the top of your screen and click the ‘Review’
link. From there, go to the right, click the dropdown, then click
‘All Markup’ to view all of my feedback (including any Track
Changes, highlighted in-text comments, and ‘Comments’
bubbles located in the right-hand margin of the document).
Annotated Bibliography
Excellent and effective leadership is essential for the success of
any organization. In the same case, the healthcare industry
requires effective leadership that can ensure quality service
delivery. Healthcare facilities have the unique priority of
providing patient care. Therefore, there is a need for good

2. leadership to ensure that professionals and other staff are well-
directed on what they ought to do to achieve the set
organizational goal. Besides, guidance helps in giving the
facility a direction to ensure coordination and a high level of
cooperation among the employees. Healthcare organizations
have different departments. Therefore, it is essential to ensure
that the facility has quality leadership that can help them work
together for the overall good of the facility and patients.
Research on leadership in healthcare can significantly
contribute to the improvement and efficiency of healthcare
facilities. The study will provide insight into the most effective
leadership strategies and styles that leaders can adopt to deal
with varying challenges in the healthcare context. Additionally,
it will contribute to determining the effectiveness of various
strategies that are critical in healthcare, as well as the role of a
leader to ensure the success of an entity. Leadership is crucial
in ensuring cooperation and teamwork between interprofessional
personnel. In this case, the study will be useful in promoting the
effectiveness of healthcare organizations through quality
leadership.
Key Terms
Leadership- the action of leading and directing a group of
people towards a particular goal. Healthcare- in the study,
healthcare refers to the large organizations with the
responsibility of providing care for treating physical and mental
illness in people.
Databases
1. Google Scholar
2. Science Direct
3. HealthData.gov
Chang, A. M., Cohen, D. J., Lin, A., Augustine, J., Handel, D.
A., Howell, E., & Sun, B. C. (2018). Hospital strategies for
reducing emergency department crowding: a mixed-methods

3. study. Annals of Emergency Medicine, 71(4), 497-505.
The study discusses emergency room (ER) crowding. ER
crowding among America hospitals has become the greatest
threat to the effectiveness and leadership of public health.
Therefore, it shows the importance of leaders adopting effective
techniques to ensure a reduction of the crowding in the
emergency department to provide quality service delivery. The
purpose of the article was to identify the important strategies
that leaders in high, low, and improving hospitals can utilize to
ensure a reduction in the ER crowding.
The research was conducted using a mixed methodology of the
comparative case study. Hospitals included in the study were
within the top and bottom 5% in experiencing ER crowding.
They were purposively nominated and enlisted. Other hospitals
that were recruited are those that showed a high performance in
the metrics between 2012 and 2013. The interview was
conducted with 60 key leaders who included doctors, nurses,
specialists on quality upgrading specialists, and managers.
The findings of the study were collected from four hospitals
listed as high performing, four low-performing, and four
facilities that had improved. In all these healthcare facilities,
ER crowding was considered a hospital-wide problem. However,
strategies varied with hospitals, with no particular intervention
being linked with performance in the extent of stay metrics.
Domains related to hospital performance included the hospital-
wide coordinated techniques, executive leadership performance
accountability, and data-driven management.
The gap in the study was the lack of previous researches that
addressed the root causes of ER crowding. As a result,
researchers failed to understand the practical strategies invested
by hospitals, thus resulting in an ineffective attempt to
eliminate the challenge. Generally, the outcome of the study

4. supported the idea that effective leadership is key in dealing
with ER crowding.
Choi, S. L., Goh, C. F., Adam, M. B. H., & Tan, O. K. (2016).
Transformational leadership, empowerment, and job
satisfaction: the mediating role of employee empowerment.
Human Resources for Health, 14(1), 73.
The study explored
at the influence of transformational leadership on team
coordination and performance. The aim of the research was to
comprehend the significance of transformational leadership in
promoting team interaction and conflict resolution. As well,
they aimed at contributing to the knowledge of transformational
leadership and its effect in a healthcare setting. The researchers
seek to contribute to the study of how transformational
leadership affects the team by indicating how leaders utilize the
strategy to promote cooperative conflict resolution, as well as
team coordination and performance.
A survey design was used to obtain data from 200 nursing staff
comprising of nurses and medical assistants working in both
private and public health facilities. The sample size was
purposively selected. The respondents answered 5-point Likert
scale questions relating to transformational leadership, job
satisfaction, and employee enablement.
The findings exhibited that empowerment reconciled the
influence of transformational management on job fulfillment in
nursing. As a result, the study contributes to the works of job
satisfaction in the health industry through the comprehending
the impact of employees’ empowerment and transformational
governance on job gratification. The gap concerning the study
was that several studies were conducted that researched the
relationship between employee empowerment and job
satisfaction. However, none was trying to seek the mediating

5. characteristic between the transformational management and job
fulfilment of nurses. The overall findings of the research were
in agreement with other studies where employee empowerment
is critical in job satisfaction.
Mitchell, R., Boyle, B., Parker, V., Giles, M., Chiang, V., &
Joyce, P. (2015). Managing inclusiveness and diversity in
teams: How leader inclusiveness affects performance through
status and team identity. Human Resource Management, 54(2),
217-239. doi:10.1002/hrm.21658
The authors review and discuss the influence of governance
inclusiveness on the performance through status and team
identity. The article shows the need for healthcare adopting the
inter-professional teams in decision making as opposed to uni-
professional teams. According to the authors, diversity in
healthcare teams enhances the availability of ideas necessary to
improve service delivery. However, they also assert that
diversity can as well lead to conflict and inadequate
performance in case it is not well-managed. The primary
purpose of the study was to understand the impact of leader
inclusiveness in healthcare.
The target population of the study entailed the healthcare teams
from the tertiary referral hospitals dealing with acute care in
Australia. The data were collected within 12 months (2009-
2010). It was a part of the comprehensive research on the
relationship between the effectiveness of an entity and
interprofessional teams. Two hundred ten teams were randomly
selected, and invitations sent to them via the central-practice-
development database. Three hundred forty-six members of the
total participants responded together with 75 leaders of the
teams. The response perceived difference in status and team
identity being considered as having significant influence
inclusiveness of a leader in performance.

6. The gap identified by the study is the continued use of solo
professional teams due to the difference in social identity and
status. This has reduced diversity in healthcare decision-making
teams. The findings support existing study in that inclusiveness
of a leader and particularly in a diverse team, contributes to the
performance of an entity.
Nelson, K., Boudrias, J. S., Brunet, L., Morin, D., De Civita,
M., Savoie, A., & Alderson, M. (2014). Authentic leadership
and psychological wellbeing at work of nurses: The mediating
role of work climate at the individual level of analysis. Burnout
Research, 1(2), 90-101.
The article presents a study on the effects of authentic
governance on psychological wellbeing through its effects on
the work climate. The article state that authentic management is
highly aligned with humane and values of patient care, which
are central to the nursing occupation. Research aiming at
comprehending the psychological wellbeing among nurses by
evaluating their role of both the authentic leadership and work
climate. Besides, the study also aimed at examining the possible
link between mental wellbeing and authentic leadership through
the mediational effect of environment
The researchers applied the time-lagged design to determine the
role of a mediational work climate for describing the impact of
authentic leadership. A sample size of 406 nurses participated
in the study by completing a total of two self-reported
questionnaires. The questions aimed at ascertaining authentic
leadership and work climate at standard. For six months, nurses
also undertook a measure to establish their level of emotional
wellbeing while at work.
The findings, which were obtained from an analysis using the
bootstrapping technique, established the mediation of work
climate on the association between realistic leadership and

7. mental wellness at work. The findings show that dependable
leadership has positive effects on the work climate through an
increase in the level of the mental wellbeing of nurses at work.
The most significant gap that contributed to the study was the
lack of a study that tested the mediation model using the time-
lagged design. The result of the study was in agreement with the
previous researches that supported the fact that authentic
leadership and work climate are determinants if the wellbeing of
nurses in the workplace.
Sfantou, D. F., Laliotis, A., Patelarou, A. E., Sifaki-Pistolla, D.,
Matalliotakis, M., & Patelarou, E. (2017, December).
Importance of leadership style towards the quality of care
measures in healthcare settings: a systematic review. In
Healthcare (Vol. 5, No. 4, p. 73). Multidisciplinary Digital
Publishing Institute.
The article addresses the aspect of effective leadership in
reinforcing the excellence and integration of care.in the study,
authors assert that quality care is an essential component in
enhancing a high level of productivity in healthcare. According
to the article, the Institute of Medicine identifies quality care as
one that is safe, patient-centered, effective, efficient, and
equitable. In this case, effective leadership is critical in
promoting efficient service provision.
The study aimed to determine the relationship between measures
of healthcare and various leadership styles. The data used in the
analysis were collected from 18 different kinds of research
conducted in multiple countries. The explorative research
design was adopted to understand the contribution of varying
leadership styles about care quality. The data was obtained
through research in the medical and EMBASE databases for the
period between 2004 and 2015. Findings showed a correlation
between leadership styles and the quality of care given.

8. The quantitative study on the leadership and impact on care
quality was conducted due to the high number of studies
rejected. With qualitative researches being considered
significant. From the result, it supported the findings of other
studies that considered leadership a central element for well-
managed and diverse care provision.
DELETE THIS EXTRA SPACING.
References
Chang, A. M., Cohen, D. J., Lin, A., Augustine, J., Handel, D.
A., Howell, E., & Sun, B. C. (2018). Hospital strategies for
reducing emergency department crowding: a mixed-methods
study. Annals of Emergency Medicine, 71(4), 497-505.
Choi, S. L., Goh, C. F., Adam, M. B. H., & Tan, O. K. (2016).
Transformational leadership, empowerment, and job
satisfaction: the mediating role of employee empowerment.
Human Resources for Health, 14(1), 73.
Mitchell, R., Boyle, B., Parker, V., Giles, M., Chiang, V., &
Joyce, P. (2015). Managing inclusiveness and diversity in
teams: How leader inclusiveness affects performance through
status and team identity. Human Resource Management, 54(2),
217-239. doi:10.1002/hrm.21658
Nelson, K., Boudrias, J. S., Brunet, L., Morin, D., De Civita,
M., Savoie, A., & Alderson, M. (2014). Authentic leadership
and psychological wellbeing at work of nurses: The mediating
role of work climate at the individual level of analysis. Burnout
Research, 1(2), 90-101.
Sfantou, D. F., Laliotis, A., Patelarou, A. E., Sifaki-Pistolla, D.,
Matalliotakis, M., & Patelarou, E. (2017, December).
Importance of leadership style towards the quality of care
measures in healthcare settings: a systematic review. In

9. Healthcare (Vol. 5, No. 4, p. 73). Multidisciplinary Digital
Publishing Institute.
NOTE: Delete the following blank page from your document.
�There is A LOT of factual information contained here, all of
which must be cited/referenced accordingly. This is especially
important in doctoral-level writing.
�… same here. You need to credit all outside sources of
information.
�These appear to be definitions, which DEFINITELY need to
be cited/referenced accordingly.
�First, this is a journal title; therefore, it should be italicized.
Second, for journal titles, capitalize only the key words in the
title.
NOTE: You’ll need to make the appropriate corrections from
here on out.
�You also need to italicize the volume number.
NOTE: You’ll need to make the appropriate corrections from
here on out.
�This word/term, when used in this context, is not a proper

10. noun; therefore, it should not be capitalized.
�Write out numbers 1 throughout 9 (unless it’s a person’s age,
a percentage. or a ratio); 10 to infinity can use the numeric form
(unless it begins a sentence).
�Different abbreviation/same meaning … but you need to be
consistent.
�
�???
�For article titles (even web-based ones), capitalize only the
first word and any proper nouns.
NOTE: You’ll need to make the appropriate corrections from
here on out
�Make sure this is justified all the way to the left before you
center it on the page.

11. 10/9/2019 Week 8 - Assignment: Signature Assignment: Create
Project Premise and Annotated Bibliography - DHA-7008 v1:
Research Theory, Design, and Meth…
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Week 8 - Assignment: Signature Assignment: Create
Project Premise and Annotated Bibliography
Instructions
DHA-7008 v1: Research Theory, Design, and Methods (555…
By now, you have had the time to really think about what you
want to do for your applied
doctoral project. This week, you will complete a project premise
using the template provided
in this week’s resources and provide an updated annotated
bibliography from Week 2. Your
annotated bibliography will include 7-10 references. Refer to
Week 2 for what should be
included in an annotated bibliography reference. You may only
use three of the references
from your Week 2 assignment.
The project premise will include:
The title of your proposed topic for your project

12. The problem statement
The project questions to be answered
The methodology and design for the project
Possible secondary data types or sources of information
References
In addition to submitting your premise to the Dropbox, please
send a copy of your premise to
the attention of the SHS Assistant Dean via [email protected]
The subject line of your email
should be formatted as follows: Last Name, First
Name_Premise. This step is necessary to
ensure the appointment of your project committee chair and
subject matter expert. Failure to
do so will result in unnecessary delays in completing your
courses, project, and degree. Also,
please retain a copy of your premise as you will be required to
resubmit it in DHA 7013.
Length:
Project Premise: 2-3 pages, not including title and reference
pages
Annotated Bibliography: 5-7 pages, attached to the Project
Premise after the

13. reference page
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10/9/2019 Week 8 - Assignment: Signature Assignment: Create
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14. Rubric - 25 Points
References: Include a minimum of 5 references for the Project
Premise, and 7-10 for the
Annotated Bibliography
Your assignment should demonstrate thoughtful consideration
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