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2016

Walden Dissertations and Doctoral Studies

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Full-Text Articles in Physical Sciences and Mathematics

Effects Of An Integrated Electronic Health Record On An Academic Medical Center, Kenneth E. Koppenhaver Ii Jan 2016

Effects Of An Integrated Electronic Health Record On An Academic Medical Center, Kenneth E. Koppenhaver Ii

Walden Dissertations and Doctoral Studies

The debate about healthcare reform revolves around a triple aim of improving the health of populations, improving the patient experience, and reducing the cost of care. A major tool discussed in this debate has been the adoption of electronic health record (EHR) systems to record and guide care delivery. Due to low adoption rates and limited examples of success, the problem was a lack of understanding by healthcare organizations of how the EHR fundamentally changes an organization through the interactions of people, processes, and technology over time. The purpose of this case study was to explore the people, processes, and …


Exploring Organizations' Software Quality Assurance Strategies, Scott Underwood Jan 2016

Exploring Organizations' Software Quality Assurance Strategies, Scott Underwood

Walden Dissertations and Doctoral Studies

Poor software quality leads to lost profits and even loss of life. U.S. organizations lose billions of dollars annually because of poor software quality. The purpose of this multiple case study was to explore the strategies that quality assurance (QA) leaders in small software development organizations used for successful software quality assurance (SQA) processes. A case study provided the best research design to allow for the exploration of organizational and managerial processes. The target population group was the QA leaders of 3 small software development organizations who successfully implemented SQA processes, located in Saint John, New Brunswick, Canada. The conceptual …


Environmental Leadership: Exploring Environmental Dissonance Involving Natural Resource Consumption And Ecosystem Degradation, Thomas L. Tochterman Jan 2016

Environmental Leadership: Exploring Environmental Dissonance Involving Natural Resource Consumption And Ecosystem Degradation, Thomas L. Tochterman

Walden Dissertations and Doctoral Studies

As the corporate world, communities, and individuals become more globalized and demands on natural resources increase, a new emphasis on environmental leadership including a new pragmatic environmental ethos is needed to meet certain basic human needs of future generations. The research problem addressed in this study was the lack of knowledge concerning how environmental cognitive dissonance influences consumption practices related to inefficient resource utilization and ecosystem degradation. The purpose of this study was to provide an understanding of the breadth and depth of environmental cognitive dissonance among visitors to the Kruger National Park in South Africa. The research questions addressed …


Health Care Leaders' Experiences Of Electronic Medical Record Adoption And Use, Joseph B. Weagraff Jan 2016

Health Care Leaders' Experiences Of Electronic Medical Record Adoption And Use, Joseph B. Weagraff

Walden Dissertations and Doctoral Studies

Adoption of electronic medical record (EMR) technology systems of meaningful use has been slow despite the mandate by the U.S. government. The purpose of this single case study was to explore strategies used by health care leaders to implement EMR technology systems of meaningful use to take advantage of federal incentive payments. Diffusion of innovation theory provided the conceptual framework for the study. Semistructured interviews were conducted with 6 health care leaders from a military installation in the Southeast United States. Data were analyzed using software, coding, and inductive analyses. The 3 prominent themes were patient, provider, and champion. Alerts …


Water Management Efficiency In The Food And Beverage Industry, Maria Del C Reyes Torres Jan 2016

Water Management Efficiency In The Food And Beverage Industry, Maria Del C Reyes Torres

Walden Dissertations and Doctoral Studies

Water is critical for food production, food security, and health. Water quality management influences freshwater sustainability, land, and energy administration. Global agriculture accounts for more than 70% of all water consumption; the fertilizer, manure, and pesticide overspills are chief sources of water pollution worldwide. On a global scale, food-related waste directly impacts local food production and water resource management. The purpose of this multiple-case study on the food and beverage (FB) industry in the State of Georgia was to identify successful strategies for improving water management efficiency. The concepts of systems thinking, adaptive resource management, and integrated water resource management …


A Phenomenological Exploration Of The Experiences Of High School Students Enrolled In School-Wide College Readiness Programs, Sherlina Thomas Jan 2016

A Phenomenological Exploration Of The Experiences Of High School Students Enrolled In School-Wide College Readiness Programs, Sherlina Thomas

Walden Dissertations and Doctoral Studies

In the early 1980s, the United States experienced a high school dropout epidemic, leading school systems to adopt reform efforts. College readiness programs (CRPs) became a tool to address educational disparities in secondary and postsecondary education for over three decades. While decreases occurred in the overall high school dropout rate across racial and ethnic groups, they have been minimal. This study addressed a research gap on the lack of student input and perceptions about their experiences in CRP programs. This phenomenological study used in-depth, semi-structured interviews with criterion-selected former high school students from 3 schools within the ABC County School …


Assessing Information Technology And Business Alignment In Local City Government, Leslie Milbourne D'Anjou Jan 2016

Assessing Information Technology And Business Alignment In Local City Government, Leslie Milbourne D'Anjou

Walden Dissertations and Doctoral Studies

Top executives are interested in more transparent and formalized structures, applicable measurements, and clear justification of alignment. Limited or improper information technology governance (ITG) affects the business strategy that will ultimately influence the overall business alignment in local city government agencies (LCGAs). The problem addressed in this study was the lack of information regarding LCGAs IT/business strategic alignment maturity model (SAMM) level and the LCGAs' employment size. The purpose of this survey study was to evaluate 48 LCGA participants in the Southwestern part of the United States and compare their alignment perceptions with their cities' employment size. The theoretical framework …


Methylmercury Exposure Via Canned Tuna Fish Consumption And Breast Cancer, Jennifer Bodenrader Jan 2016

Methylmercury Exposure Via Canned Tuna Fish Consumption And Breast Cancer, Jennifer Bodenrader

Walden Dissertations and Doctoral Studies

Widespread consumption of canned tuna fish since the 1950s may explain some of the increase in breast cancer prevalence in the United States and Europe. Although canned tuna is the primary source of human exposure to methylmercury, its role as an estrogen activating metalloestrogen has been overlooked in the etiology and incidence of breast cancer. Carcinogenic theory asserts that increased exposure to estrogen elevates the risk of breast cancer. The purpose of this population-based, case control study was to examine the association between canned tuna consumption, total blood mercury, and breast cancer in the NHANES 2003-2006 surveys. A multivariable logistic …


Falls And Related Injuries Based On Surveillance Data: U.S. Hospital Emergency Departments, George K. Quarranttey Jan 2016

Falls And Related Injuries Based On Surveillance Data: U.S. Hospital Emergency Departments, George K. Quarranttey

Walden Dissertations and Doctoral Studies

Falls can lead to unintentional injuries and possibly death, making falls an important public health problem in terms of related health care cost, incurred disabilities, and years of life lost. Approximately 1 in every 3 Americans ages 65 years and older is at risk of falling at least once every year. Children, young adults, and middle-aged adults are also vulnerable to falls. The purpose of this study was to examine the epidemiology of falls and fall-related injuries using surveillance data from nationally representative samples of hospital emergency departments in United States. The study was guided by a social-ecological model on …


Social Influence And Organizational Innovation Characteristics On Enterprise Social Computing Adoption, Vincent Di Palermo Jan 2016

Social Influence And Organizational Innovation Characteristics On Enterprise Social Computing Adoption, Vincent Di Palermo

Walden Dissertations and Doctoral Studies

Ample research has been conducted to identify the determinants of information technology (IT) adoption. No previous quantitative researchers have explored IT adoption in the context of enterprise social computing (ESC). The purpose of this study was to test and extend the social influence model of IT adoption. In addition, this study addressed a gap in the research literature and presented a model that relates the independent variables of social action, social consensus, social authority, social cooperation, perceived relative advantage, perceived compatibility, perceived ease of use, perceived usefulness, and organizational commitment to the dependent variables of social embracement and embedment. A …


Exploring Knowledge Management Models On Information Technology Projects, Alan Richard Foote Jan 2016

Exploring Knowledge Management Models On Information Technology Projects, Alan Richard Foote

Walden Dissertations and Doctoral Studies

One way an organization manages the knowledge of its people is in information technology (IT) projects. Organizations develop IT projects for many socially responsible reasons, including improved health care services and better community services. IT projects do not always achieve the goals of the organization when the knowledge of the stakeholders is not managed for these objectives. For this study the purpose was to address the use of knowledge management (KM) in project management (PM) to improve the success of IT projects in achieving the organizational goals. The research questions were based on KM including its tools and techniques to …


Empirical Examination Of User Acceptance Of Enterprise Resource Planning Systems In The United States, Rohan Oldacre Jan 2016

Empirical Examination Of User Acceptance Of Enterprise Resource Planning Systems In The United States, Rohan Oldacre

Walden Dissertations and Doctoral Studies

Enterprise resource planning (ERP) systems are complex software packages that support an integrated real-time setting among the various business functions in an entire organization. ERP systems improve productivity, but only to the extent that employees accept and use the systems extensively to perform their duties. The leaders of many organizations have not been able to realize the expected benefits because of a lack of user acceptance. The purpose of this quantitative cross-sectional survey study was to examine the factors that influence user acceptance of ERP systems in the United States. Davis's technology acceptance model was the theoretical foundation used to …


Evaluating Federal Information Technology Program Success Based On Earned Value Management, Mae Moy Jan 2016

Evaluating Federal Information Technology Program Success Based On Earned Value Management, Mae Moy

Walden Dissertations and Doctoral Studies

Despite the use of earned value management (EVM) techniques to track development progress, federal information (IT) software programs continue to fail by not meeting identified business requirements. The purpose of this logistic regression study was to examine, using IT software data from federal agencies from 2011 to 2014, whether a relationship between schedule variance (SV), cost variance (CV), and actual cost (AC) could predict the success of IT software program, as operationalized by meeting the identified business requirements. The population of interest was 132 IT software programs developed between 2011 and 2014 for federal agencies. The sample source was an …


Teachers' Perceptions Of Manipulatives During Middle School Math Instruction, Angela L. Vizzi Jan 2016

Teachers' Perceptions Of Manipulatives During Middle School Math Instruction, Angela L. Vizzi

Walden Dissertations and Doctoral Studies

In a Colorado school district, school personnel and parents were concerned that middle school math proficiency levels were low for 2011-2014 and math teachers were not using manipulatives in their classes to increase math performance. The district's math coordinator did not foresee providing specific professional development (PD) for math manipulative use to address these concerns. Without this PD, math teachers may be ill-quipped to teach math concepts when using manipulatives, which, in turn, could lead to further poor math performance. The purpose of this qualitative bounded collective case study was to explore middle school teachers' perceptions of PD and perceived …


The Bop Energy Challenge And Pro-Poor Responses: Strategic Entry Pathways For Entrepreneurs, Felix Motekah Tang Jan 2016

The Bop Energy Challenge And Pro-Poor Responses: Strategic Entry Pathways For Entrepreneurs, Felix Motekah Tang

Walden Dissertations and Doctoral Studies

Many large multinational energy company leaders lack strategies to successfully enter and thrive in bottom of the pyramid (BOP) markets. The purpose of this single case study was to explore strategies using a purposeful selection of 7 senior managers from a U. S. based global multinational energy leader with experience in BOP markets in the Republic of Cameroon. The BOP concept served as the conceptual framework for the study. Data were collected through semistructured interviews with senior managers, relevant websites, and government publications. Several themes emerged that were narrowed through categorical aggregation to identify strategies. Major themes included BOP readiness …


The Impact Of Transformational Leadership Style On The Success Of Global Virtual Teams, Shery Wojtara-Perry Jan 2016

The Impact Of Transformational Leadership Style On The Success Of Global Virtual Teams, Shery Wojtara-Perry

Walden Dissertations and Doctoral Studies

Organizations in the age of modern technology have a diverse workforce, who are spread around the globe, and the business leaders of the 21st century need to understand how best to manage, overcome new challenges, and know the various skills of team members to capitalize on their differences and unique skills. To allow those geographically dispersed workers to reach their full potential and facilitate team success. Global virtual teams (GVTs) operate in complex environments characterized by diverse cultural and organizational elements. The primary purpose of this correlational and nonexperimental quantitative research was to examine the impact of transformational leadership on …


Comparative Analysis: Successes And Failures Of St. Louis, Stephen Anane-Boakye Jan 2016

Comparative Analysis: Successes And Failures Of St. Louis, Stephen Anane-Boakye

Walden Dissertations and Doctoral Studies

The St. Louis School District (SLSD) provided its students with a virtual education program (VEP) but abandoned it following a cut in federal funding, omitting an alternative pathway for students to complete their education. The problem addressed in this study was the effect of technology and management's decision to discontinue the VEP. The purpose of this qualitative study was to determine management's role and the effect of the technology in discontinuing the VEP. Dewey's theory of education and Koskela and Howell's theory of management established the theoretical foundation for the study. A purposeful sampling selection approach was used to recruit …


An Online Statistics Course From Faculty And Students' Perspectives: A Case Study, Ruth Best Jan 2016

An Online Statistics Course From Faculty And Students' Perspectives: A Case Study, Ruth Best

Walden Dissertations and Doctoral Studies

Faculty at a private college in the northeastern United States found students lacked prerequisite mathematical skills and were unable to transfer quantitative reasoning skills to upper level business courses. Guided by Mezirow's transformative learning theory and Knowles' approach to self-directed learning, this study examined how undergraduate students learn statistics online. The purpose of this qualitative embedded case study was to examine faculty and students' perspectives about the online statistics course design and delivery while exploring possible barriers to students' learning. Data collection occurred by review of course documents and the learning management system. Archival data generated questions for semistructured interviews …


Adoption Of Electronic Health Record Systems Within Primary Care Practices, Marvin Leon Reid, Jr. Jan 2016

Adoption Of Electronic Health Record Systems Within Primary Care Practices, Marvin Leon Reid, Jr.

Walden Dissertations and Doctoral Studies

Primary care physicians (PCPPs) have been slow to implement electronic health records (EHRs), even though there is a U.S. federal requirement to implement EHRs. The purpose of this phenomenological study was to determine why PCPPs have been slow to adopt electronic health record (EHR) systems despite the potential to increase efficiency and quality of health care. The complex adaptive systems theory (CAS) served as the conceptual framework for this study. Twenty-six PCPPs were interviewed from primary care practices (PCPs) based in southwestern Ohio. The data were collected through a semistructured interview format and analyzed using a modified van Kaam method. …


The Association Between Osteoporosis And Early Menopause Following Hysterectomy, Mia Meeyaong-Won Botkin Jan 2016

The Association Between Osteoporosis And Early Menopause Following Hysterectomy, Mia Meeyaong-Won Botkin

Walden Dissertations and Doctoral Studies

Osteoporosis is considered to be the most adverse public health disease associated with substantial mortality among postmenopausal women. Hysterectomy, surgically induced menopause, contributes to the early onset of menopause. However, there was no evidence of an association between early menopause following hysterectomy and osteoporosis among postmenopausal women. The purpose of this quantitative study was to examine the association between demographic and behavioral factors and the prevalence of osteoporosis among hysterectomized postmenopausal women. The integrated theory of health behavior change theoretical framework guided study. Cross-sectional secondary data from the 2009-2010 National Health and Nutrition Examination Survey were used. Multiple logistic regression …


The Impact Of Transportation Infrastructure On Nigeria's Economic Developmeny, William A. Agbigbe Jan 2016

The Impact Of Transportation Infrastructure On Nigeria's Economic Developmeny, William A. Agbigbe

Walden Dissertations and Doctoral Studies

The United Nations Development Programme (UNDP) described Nigeria's road networks as one of the poorest and deadliest transportation infrastructural systems in the world. Data from the UNDP and the World Bank (WB) show that Nigeria has suffered transportation infrastructure deficits; these data also illustrate Nigeria as one of the lowest indices in economic development in the last decade. This qualitative case study addressed the impact of a lack of investment in transportation infrastructure in the form of road networks on Nigeria's economic development. The purpose of the study was to understand the relationship between the investment in road networks and …


Perceptions Of Emergency Preparedness Among Immigrant Hispanics Living In Oklahoma City, Oklahoma, Rebekah Doyle Jan 2016

Perceptions Of Emergency Preparedness Among Immigrant Hispanics Living In Oklahoma City, Oklahoma, Rebekah Doyle

Walden Dissertations and Doctoral Studies

Tornadoes are occurring with increased frequency in Oklahoma. Emergency preparedness planning is essential to decreasing individuals' risks of injury or death from a tornado. Research on immigrant Hispanics' knowledge and perceptions of emergency preparedness is limited. The purpose of this study was to explore the perceptions and lived experiences of immigrant Hispanics who had experienced a tornado or other crisis weather conditions in Oklahoma during spring of 2013. The research questions explored their perceived risk for injury and knowledge of tornado preparedness planning. The health belief model provided the theoretical underpinnings for this qualitative phenomenological study. Semi structured interviews were …


Women Entrepreneurs: Keys To Successful Business Development And Sustainability Beyond Five Years, Delores Duncan Foster Jan 2016

Women Entrepreneurs: Keys To Successful Business Development And Sustainability Beyond Five Years, Delores Duncan Foster

Walden Dissertations and Doctoral Studies

Women-owned businesses are one of the fastest growing entrepreneurial populations, accounting for 8 million of the 28 million small businesses in the United States. Small businesses fail at a rate of 55% by the 5th year of operation and women, who own over 30% of all small businesses, contribute significantly to the 55% small business failure rate. Using Schumpeter's framework, this single exploratory case study investigated how women entrepreneurial small business owners use strategies to sustain their business operation beyond 5 years. A purposeful sample identified 2 women salon small business owners located in the Macon, Georgia metro area. Data …


Core Leader Competencies For Implementing Sustainability Strategies In Small And Medium-Sized Enterprises, Alan William Jackson Jan 2016

Core Leader Competencies For Implementing Sustainability Strategies In Small And Medium-Sized Enterprises, Alan William Jackson

Walden Dissertations and Doctoral Studies

Because small- and medium-sized enterprises contribute as much as 70% of the world's pollution, small-business leaders need to develop and implement strategic approaches to sustainable development. Global sustainable development spending may reach $5 trillion by 2030. Guided by leadership competency theory, this qualitative multiple case study explored the core competencies of 5 independent small business leaders who had successfully implemented environmentally sustainable initiatives in their manufacturing firms in eastern Nebraska. Interviews and company planning documents including strategic business plans were gathered, coded, and cross-case analyzed, and member checking was periodically conducted to strengthen the trustworthiness of interpretations. Thematic analysis identified …


An Analysis Of The Technological, Organizational, And Environmental Factors Influencing Cloud Adoption, Joe Malak Jan 2016

An Analysis Of The Technological, Organizational, And Environmental Factors Influencing Cloud Adoption, Joe Malak

Walden Dissertations and Doctoral Studies

Cloud computing provides an answer to the increasing costs of managing information technology (IT), and has become a model that aligns IT services with an organization's business strategies. However, concerns and uncertainties associated with cloud computing are deterring IT decision makers from making sound decisions regarding the adoption of the technology. The purpose of this online survey study was to examine the relationship between relative advantage, compatibility, organizational size, top management support, organizational readiness, mimetic pressure, normative pressures, coercive pressure, and the IT decision makers' intent to adopt cloud computing. The theoretical framework incorporated the diffusion of innovations theory, a …


Fostering An Environment Of Magnet Recognition By Using Internet Technology, Shyneka Montgomery Jan 2016

Fostering An Environment Of Magnet Recognition By Using Internet Technology, Shyneka Montgomery

Walden Dissertations and Doctoral Studies

Magnet Recognition, a nurse-driven certification, is an acknowledgement of nursing excellence within a hospital. Magnetic Recognition supports the highest quality of patient outcomes and is the standard for nursing care and professionalism in nursing practice. The site for this project has engaged in the process of seeking Magnet Recognition but lacked a method of communicating their progress to staff, prompting the need for the institutional intranet Magnet webpage. Guided by Roger's diffusion of innovation theory and Lewin's change management model, the purpose of this quality improvement project was to develop an evaluation plan for this webpage on the institutional intranet. …


Meeting Meaningful-Use Requirements With Electronic Medical Records In A Community Health Clinic, Tony Andrew Richardson Jan 2016

Meeting Meaningful-Use Requirements With Electronic Medical Records In A Community Health Clinic, Tony Andrew Richardson

Walden Dissertations and Doctoral Studies

Small nonprofit medical practices lack the technical expertise to implement electronic medical records (EMRs) that are consistent with federal meaningful-use requirements. Failure to comply with meaningful-use EMR requirements affects nonprofit community health care leaders' ability to receive reimbursement for care. Complexity theory was the conceptual framework used in this exploratory single case study. The purpose of the study was to explore the strategies nonprofit community health care leaders in Washington, DC used to implement EMRs in order to comply with the meaningful-use requirements. Data were collected via in-depth interviews with 7 purposively-selected health care leaders in a nonprofit clinic and …


Examining Employee Motivation, Environmental Systems, And Corporate Social Responsibility In Proenvironmental Behavior, Brian Warrick Jan 2016

Examining Employee Motivation, Environmental Systems, And Corporate Social Responsibility In Proenvironmental Behavior, Brian Warrick

Walden Dissertations and Doctoral Studies

The World Health Organization has pointed to climate change as the most significant issue in the 21st century as a result of greenhouse gas emissions and environmental pollution. Organizations are leaning toward corporate social responsibility (CSR) and environmental management systems (EMS) to reverse the current trend; however, these efforts are often ineffective or pooly implemented. The purpose of this quantitative study was to determine the extent to which employees' proenvironmental behavior relates to their protection motivation and organizational identification, as well as their perception and knowledge of the organization's CSR and EMS, respectively. Using social identity as the theoretical framework, …


Servant Leadership And Non Servant Leadership Organization Triple Bottom Line Reporting Outcomes, Lydia M. Daniels Jan 2016

Servant Leadership And Non Servant Leadership Organization Triple Bottom Line Reporting Outcomes, Lydia M. Daniels

Walden Dissertations and Doctoral Studies

The competitive environment of the 21st century, failure of U.S. companies, and the financial crisis of 2008 have moved leadership expectations to the forefront of research. However, there is a lack of empirical research about organizational reporting outcomes of self-identified servant leadership (SL) organizations compared to self-identified nonservant (non-SL) organizations. Guided by Greenleaf's SL theory, the purpose of this study was to compare information on organizational data for triple bottom line (TBL) reporting outcomes in SL organizations and non-SL organizations. Using causal comparative research design and global reporting initiative data with a sample of 12 organization reports, reporting outcomes were …


Exploring Factors Influencing Information Technology Portfolio Selection Process In Government-Funded Bioinformatics Projects, Braulio J. Cabral Jan 2016

Exploring Factors Influencing Information Technology Portfolio Selection Process In Government-Funded Bioinformatics Projects, Braulio J. Cabral

Walden Dissertations and Doctoral Studies

In 2012, the National Cancer Institute's (NCI) Board of Scientific Advisors (BSA) conducted a review of the Center for Biomedical Informatics and Information Technology's (CBIIT) bioinformatics program. The BSA suggested that the lack of a formal project selection process made it difficult to determine the alignment of projects with the mission of the organization. The problem addressed by this study was that CBIIT did not have an in-depth understanding of the project selection process and the factors influencing the process. The purpose of this study was to understand the project selection process at CBIIT. The research methodology was an exploratory …