Graduate School of Business


Doctor of Business Administration (DBA)


Geraldine Rosol


Burnout, Communication, Financial, End of Life, Leadership, Management, Motivation, and Quality of Life




This mixed methods research (MMR) addressed management's failure to give high-quality hospice care in healthcare facilities within the United States. Failure to provide high-quality care leads to issues with quality control and customer satisfaction. The researcher used an MMR design to perform a systematic survey of 96 participants in select U.S.-based hospice services management facilities. The medical records from the Research Institution organization were used to choose the participants. The total population was 1,300 from which 96 participants were randomly chosen. This study's first phase included surveying participants utilizing questions from a Likert scale that yielded quantitative responses. The second phase applied a methodical procedure employing open-ended questions to pull thoughtful answers from the participants. Doctors, nurses, hospice leadership, patients with cancer in hospice care (inpatient and outpatient) and veterans were interviewed. Doctors, nurses, leadership, patients, and veterans played a role in this study that focused on Maslow's leadership management theory. The significant issue was addressed by interviewing 25 veterans, 11 leadership management positions (doctors, nurses, leadership), and 60 cancer patient participants at their end of life. Several themes were discovered, which permitted the researcher to suggest potential implementation strategies to be adopted by leadership management in hospice care. The over-arching theme examined in Section 2 and Section 3 of this study formed a basis for further research on the existing literature gaps and for leadership management to use this study to implement best practice in hospice care organizations. Addressing these issues in hospice care may require using ideas mentioned in the recommendations of Section 3. Recommendations concerned implementing strategies to improve patient quality of care, to address staff burnout and employee well-being, to increase motivation and improve communication, and to consider the patient's financial well-being before and after their end of life. The research findings help shed light on the quality of care, leadership involvement, and patient-centered issues for individuals with cancer and their families in the last days of life. Keywords: Burnout, Communication, Financial, End of Life, Leadership, Management, Motivation, and Quality of Life

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