{"id":{"repo_id":"creighton","oai_identifier":"oai:cdr.creighton.edu:10504/156082"},"canonical_url":"https://search.dev.ndltd.org/etd/creighton/oai:cdr.creighton.edu:10504/156082","repository":{"repo_id":"creighton","name":"Creighton University","base_url":"https://cdr.creighton.edu/server/oai/request"},"display":{"title":"Organizational Adaptations During Uncertain Times: A Qualitative Study of Decision-Making in Small, Hospital-Affiliated Healthcare Colleges","abstract":"Hospital-affiliated higher education institutions face a multitude of challenges and uncertainties, from a decline in enrollment to financial instabilities to large-scale health-system mergers. These higher education organizations must adapt in order to overcome challenges and remain sustainable in the future. Previous research was limited regarding decision-making for higher education institutions during organizational adaptation. The purpose of this qualitative study was to explore higher education leaders’ perceptions of decision-making practices during organizational adaptation in small, hospital-affiliated healthcare colleges during the post-COVID-19 timeframe. Semi-structured, in-depth interviews were conducted with 11 presidents and provosts of colleges who are members of the Consortium of Hospital-Affiliated Colleges and Universities. The findings revealed several themes and subthemes, including mission guidance, multifaceted decision-making factors, situational decision-making, the need to overcommunicate, and leader characteristics during the decision-making process. The proposed recommendations set forth in this study could be used by hospital-affiliated higher education leaders to aid or enhance their current decision-making practices when small or large-scale adaptations need to occur.","abstract_html":"Hospital-affiliated higher education institutions face a multitude of challenges and uncertainties, from a decline in enrollment to financial instabilities to large-scale health-system mergers. These higher education organizations must adapt in order to overcome challenges and remain sustainable in the future. Previous research was limited regarding decision-making for higher education institutions during organizational adaptation. The purpose of this qualitative study was to explore higher education leaders’ perceptions of decision-making practices during organizational adaptation in small, hospital-affiliated healthcare colleges during the post-COVID-19 timeframe. Semi-structured, in-depth interviews were conducted with 11 presidents and provosts of colleges who are members of the Consortium of Hospital-Affiliated Colleges and Universities. The findings revealed several themes and subthemes, including mission guidance, multifaceted decision-making factors, situational decision-making, the need to overcommunicate, and leader characteristics during the decision-making process. The proposed recommendations set forth in this study could be used by hospital-affiliated higher education leaders to aid or enhance their current decision-making practices when small or large-scale adaptations need to occur.","abstract_has_math":false,"creators":["Dirkschneider, Carla"],"institution":"Creighton University","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Tolstikov-Mast, Yulia"],"committee_chairs":[],"committee_members":[],"year":2024,"date_issued":"2024","date_published":"2024","updated_at":"2026-07-24T01:50:24Z","subjects":["Decision-Making","Higher Education","Hospital-Affiliated","Organizational Adaptation","Post-COVID"],"languages":["en_US"],"rights":["Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University and to ProQuest following the publishing model selected above."],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://cdr.creighton.edu/handle/10504/156082","outbound_label":"Repository record","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Tolstikov-Mast, Yulia"]},{"key":"dc:creator","label":"Author","values":["Dirkschneider, Carla"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2025-01-07T16:26:58Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2025-01-07T16:26:58Z"]},{"key":"dc:date.issued","label":"Date","values":["2024"]},{"key":"dc:publisher","label":"Institution","values":["Creighton University"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Decision-Making","Higher Education","Hospital-Affiliated","Organizational Adaptation","Post-COVID"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en_US"]},{"key":"dc:rights","label":"Dc Rights","values":["Copyright is retained by the Author. 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The purpose of this qualitative study was to explore higher education leaders’ perceptions of decision-making practices during organizational adaptation in small, hospital-affiliated healthcare colleges during the post-COVID-19 timeframe. Semi-structured, in-depth interviews were conducted with 11 presidents and provosts of colleges who are members of the Consortium of Hospital-Affiliated Colleges and Universities. The findings revealed several themes and subthemes, including mission guidance, multifaceted decision-making factors, situational decision-making, the need to overcommunicate, and leader characteristics during the decision-making process. The proposed recommendations set forth in this study could be used by hospital-affiliated higher education leaders to aid or enhance their current decision-making practices when small or large-scale adaptations need to occur."]},{"key":"dc:title","label":"Title","values":["Organizational Adaptations During Uncertain Times: A Qualitative Study of Decision-Making in Small, Hospital-Affiliated Healthcare Colleges"]}]}],"canonical_facts":{"dc:contributor.advisor":["Tolstikov-Mast, Yulia"],"dc:creator":["Dirkschneider, Carla"],"dc:date.accessioned":["2025-01-07T16:26:58Z"],"dc:date.available":["2025-01-07T16:26:58Z"],"dc:date.issued":["2024"],"dc:description":["2024"],"dc:description.abstract":["Hospital-affiliated higher education institutions face a multitude of challenges and uncertainties, from a decline in enrollment to financial instabilities to large-scale health-system mergers. These higher education organizations must adapt in order to overcome challenges and remain sustainable in the future. Previous research was limited regarding decision-making for higher education institutions during organizational adaptation. The purpose of this qualitative study was to explore higher education leaders’ perceptions of decision-making practices during organizational adaptation in small, hospital-affiliated healthcare colleges during the post-COVID-19 timeframe. Semi-structured, in-depth interviews were conducted with 11 presidents and provosts of colleges who are members of the Consortium of Hospital-Affiliated Colleges and Universities. The findings revealed several themes and subthemes, including mission guidance, multifaceted decision-making factors, situational decision-making, the need to overcommunicate, and leader characteristics during the decision-making process. The proposed recommendations set forth in this study could be used by hospital-affiliated higher education leaders to aid or enhance their current decision-making practices when small or large-scale adaptations need to occur."],"dc:identifier.uri":["https://cdr.creighton.edu/handle/10504/156082"],"dc:language.iso":["en_US"],"dc:publisher":["Creighton University"],"dc:rights":["Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University and to ProQuest following the publishing model selected above."],"dc:subject":["Decision-Making","Higher Education","Hospital-Affiliated","Organizational Adaptation","Post-COVID"],"dc:title":["Organizational Adaptations During Uncertain Times: A Qualitative Study of Decision-Making in Small, Hospital-Affiliated Healthcare Colleges"],"dc:type":["Thesis"]},"updated_at":"2026-07-24T01:50:24Z"}