Digital Commons Network^™

Beyond The Screen: Assessing The Impact Of Hospitalist Reliance On Electronic Medical Records In Patient-Centered Care, Brian H. Cox

Theses, Dissertations and Capstones

The integration of Electronic Medical Record (EMR) systems has transformed healthcare delivery, offering enhanced data accessibility, improved communication, and operational efficiency. However, concerns persist regarding the potential erosion of patient-centered care due to EMR overutilization. This study investigated how hospitalists’ use of EMR systems correlates with patient satisfaction, focusing on the dynamics of physician communication, hospital length of stay, and regional characteristics. Using a comprehensive framework combining Resource Dependency Theory and Donabedian’s Structure-Process-Outcome model, the research examines the influence of demographic, technological, and structural factors on healthcare outcomes.

The analysis, based on patient survey data from a large integrated delivery …

2024 San Diego Regional Climate Collaborative Annual Report, San Diego Regional Climate Collaborative

San Diego Regional Climate Collaborative

The San Diego Regional Climate Collaborative is a network for public agencies that serves the San Diego region to share expertise, leverage resources and advance comprehensive solutions to facilitate climate change planning. By partnering with academia, nonprofits, and businesses, the SDRCC also works to leverage the profile of regional leadership. This is the 2024 San Diego Regional Climate Collaborative Annual Report.

Examining Antecedents Of Diversity Initiative Fatigue: A Moderatedmediation Model, Anne Simpson

Masters Theses & Specialist Projects

This thesis investigates the relationships between bias awareness, motivation to respond without prejudice, racialized attitudes, and diversity initiative fatigue (DIF) among employees within an academic setting, specifically focusing on faculty and staff at Western Kentucky University. Data were collected through a survey-based approach to measure these constructs and assess their relationships. This study hypothesized that bias awareness negatively correlates with DIF and motivation to respond without prejudice mediating this relationship. Furthermore, the research examines how racialized attitudes moderate the relationship between bias awareness and motivation to respond without prejudice. By examining these relationships using a moderated mediation model, the study …

Expanding On The Relationship Between Incivility And Resource Depletion: Examining Race And Personal Tolerance For Mistreatment As Moderators, Aishwarya Kurmar

Masters Theses & Specialist Projects

Workplace incivility is ubiquitous, regularly impacting working adults. Through the framework of Conservation of Resources (COR) theory, I examined the relationship between workplace incivility and resource depletion using daily diary methodology. Workplace incivility negatively impacts employee outcomes at the organizational and individual level. As such, it was hypothesized that workplace incivility would have a positive correlation with increased resource depletion, measured as psychological fatigue. Under selective incivility theory, disenfranchised groups face increased instances of incivility. Following this theory, non-whites were hypothesized to experience a greater association between workplace incivility and resource depletion. Additionally, an individual’s personal tolerance of mistreatment for …

Social Comparison And Pressure: Examining The Roles Of Sex And Rank, Ashley East

Masters Theses & Specialist Projects

Faculty in academia face intense competition and growing expectations, often shaped by perceptions of others’ performance. During the COVID-19 pandemic, these dynamics were magnified, making social comparison a critical factor in understanding academic workplace pressures. The purpose of this study is to examine the changing work pressures and social comparison tendencies among academics during the COVID-19 pandemic. It is hypothesized that social comparison tendencies will be positively related to time pressure (H1a) and telepressure (H1b), with moderation by sex (H2a and H2b) and organizational rank (H3a and H3b). Using a panel survey of 197 tenure-track and tenured faculty members in …

Techbio Industries: Healthcare Manufacturer Takes A Strategic Leap During The Covid-19 Pandemic, Vafa Saboorideilami, Chang Seob Yeo, Sarah Lee, Yung-Jae Lee

Barowsky School of Business | Case Studies

Charles "Chuck" Benson, CEO of TechBio Industries, recollected an early Monday morning in March 2019 when he boarded a flight from San Francisco to Philadelphia to meet with the CEO of MedX Supply Chain. During the meeting, MedX requested TechBio to cut prices by 15%, threatening to source their products from a Chinese manufacturer. MedX reasoned that 60% of the market did not care about the quality of disposable lab products. Consequently, TechBio lost most of MedX's contracts, causing their sales to drop from $40 million to $30 million in about a year.

Utilizing Financial Modeling To Make Informed Equity Decisions Situated In The Scholarly And Public Sphere, Max Kimmel

Honors Senior Capstones and Theses

As of 2025, there is an estimated total of “US$145.4 trillion” (Olatunji-Albert and Meres) under management by institutional investors according to PricewaterhouseCoopers. This capital is primarily composed of high-net-worth individuals (individuals with liquid assets of at least $1 million (Hayes) in addition to universities' endowments and pensions. With the main intention of investing to be to preserve wealth, many retail investors believe that they are capable of outperforming the market, eliminating the need for industry professionals such as asset managers. After thorough examination and implementation of financial management concepts such as Stovall Sector Rotation and Markowitz Modern Portfolio Theory, it …

Systemic Challenges In Pediatric Healthcare: Exploring Reimbursement Disparities And Their Impact On Healthcare Equity, Jessica Ford-Davis, Alexandra Gillette

Theses, Dissertations and Capstones

Introduction: Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP) have provided health coverage for over 135 million Americans, with Medicaid playing a significant role in financing pediatric healthcare. Medicaid covers a wide range of services for children, particularly those from low-income families or with special healthcare needs, including preventive care, immunizations, vision and dental services, and mental health treatments. However, Medicaid reimbursement rates are lower compared to Medicare and private insurance, in some cases 30.6% lower, and have often been insufficient to cover the full cost of care, contributing to financial losses for children's hospitals. Despite these challenges, nearly …

Magnet Hospitals And Their Impact On Patient Outcomes, Connie Cochran, Molly A. Collins

Theses, Dissertations and Capstones

Introduction: In the competitive healthcare landscape, patient safety and quality care have remained critical priorities. The Magnet Recognition Program, awarded by the American Nurses Credentialing Center (ANCC), has recognized hospitals that have demonstrated excellence in nursing and improved patient outcomes. Built on five core pillars: transformational leadership, structural empowerment, exemplary practice, innovation, and quality results, this designation has supported professional development and collaborative care. Although only about 10% of U.S. hospitals have been Magnet-designated, they have been linked to reduced hospital mortality, hospital-acquired infections (HAIs), and patient falls.

Purpose of the Study: The purpose of this research was to evaluate …

Ua19/16/1/1 2025 Hilltopper Baseball Media Guide, Wku Athletic Media Relations

WKU Administration Documents

2025 baseball media guide produced by WKU Athletic Media Relations, includes athletic records and statistics, photographs, schedule and information regarding opponents.

Research Report: Insights Into Community, Heather Akin, Cheryl A. Burkhart-Kriesel, Mary Emery, Katelyn Larson, Bradley Lubben, L. J. Mcelravy, Timothy Meyer, Rebecca J. Vogt

Nebraska Rural Poll

Rural Nebraskans are more positive about the current change in their communities this year but are less positive about its future. Starting three years ago, the proportion believing their community changed for the worse was more than the proportion believing it had changed for the better (similar to what occurred in 2003 and 2009). However, last year that trend reversed back to the typical pattern and continued this year. This year, more people believe their community has changed for the better than has changed for the worse. When asked about what they expect ten years from now, this year more …

Persistence Is Not Key: A Study On The Relationship Between The Persistence Of Going Concern Opinion Type I Errors And Investor Confidence, Christin Marie Kooti

Theses, Dissertations and Capstones

This study examines how persistent Type I errors in going concern opinions impact investors’ decisions and confidence in the warning signal embedded in the opinion. Despite regulatory changes intended to improve audit accuracy and restore investors’ confidence in the audit profession, such as the Sarbanes-Oxley Act and the Accounting Standard Update 14-15, along with the StoneRidge Investment Partners vs. Scientific Atlanta Court Case verdict, persistent going concern opinions (Type I errors) weaken the perceived informativeness of audit warnings. Signaling theory provides the framework to explore the question: “Do persistent Type I errors in going concern opinions influence investors’ perceptions of …

Employee Benefit Plan Audits: Knowledge Spillover For Improving Quality, Lisa Ann Nash

Theses, Dissertations and Capstones

This study provides a unique glimpse into the work of non-BigN accounting firms offering Employee Benefit Plan (EBP) audit services for single employer defined contribution plans. The study examines knowledge spillover from joint services and EBP auditor specialization to improve EBP audit quality. EBPs often incur low-quality audits, resulting in penalties assessed by the Department of Labor (DOL) for deficiencies. Companies may feel a sense of comfort hiring the same auditor they used for their company financial statements, but the EBP audits require the auditor to possess specialized knowledge beyond the requirements for the financial statements to confirm compliance with …

Foundations Of Business, 2nd Edition, Holly Jackson

Open and Affordable Course Content at VCU

No abstract provided.

Factors That Impact Customer Loyalty As Examined In Integrated Marketing Communications Agencies, Terry L. Hapney Jr.

Theses, Dissertations and Capstones

Integrated Marketing Communications (IMC) agencies report high customer turnover, making it difficult for them to retain customers in the B2B realm. Relationship Marketing Theory informs this study, which centers on IMC firm growth from market share. Market share is a result of customer loyalty. There are factors that IMC agency leaders, such as CEOs and CMOs, can leverage to strengthen customer loyalty, including satisfaction, trust, quality, value, habit, engagement, attachment, image, and reputation. This study examines these concepts collectively for the first time in any context; it also examines them specifically in the IMC agency context for the first time. …

Uncovering New Perspectives On Job Performance In Diverse Work Settings: A Job Demand-Resource Theoretical Approach, Myesha P. Holmes

Theses, Dissertations and Capstones

The aim of this study was to integrate the agility literature within the theoretical framework of the Job Demand-Resource (JD-R) Theory to examine and validate whether employee agility (job resources) and work overload (job demands) influence the relationship between subjective wellbeing, work engagement, and job performance among remote, hybrid, and onsite workers. Data was collected through a Qualtrics Online panel, utilizing five standardized and validated scales, from a sample of 504 full-time employed respondents across the United States. The data was analyzed using Structural Equation Modeling (SEM) and Analysis of Variance (ANOVA). The results indicated a significant relationship between employee …

The Influence Of Generative Artificial Intelligence On Leadership: An Exploration Of Technology Professionals' Perceptions Regarding Leadership, Adaptation, And Organizational Culture In The Digital Age, Paul Thomas Herdman

Theses, Dissertations and Capstones

The emergence of generative artificial intelligence (GenAI) has introduced new complexities for organizational leadership, requiring technology professionals to adapt in real time to evolving digital tools, strategic demands, and cultural dynamics. Although prior research has examined AI’s broad influence on business processes, few studies have explored how technology leaders experience and interpret the leadership challenges and opportunities arising from GenAI. This qualitative dissertation addressed that gap by investigating the perceptions of senior technology professionals regarding GenAI’s influence on leadership roles, competencies, decision making, and organizational culture. Using Lanigan’s (1977) phenomenological method of human science, this study explored the lived experiences …

Size Premium In Small Business Valuation: Analysis Of Closely-Held Firms, Craig S. Galbraith

The Journal of Entrepreneurial Finance

One of the most misunderstood components of valuing a small closely-held business is how to address the impact of small size. Most closely-held enterprises are relatively small in size, with market values less than $1million. Many small mom and pop operations, or single owner-operator family businesses, often have market values even smaller. The most common method to account for size is to use the size premium reports from Kroll or another financial data service provider. However, these small firm premiums are determined exclusively from publicly-traded firms, where even the category of the smallest publicly-traded firms are still magnitudes larger than …

Reimagining Compliance: Explainable Ai Models For Financial Regulatory Audits, Hrishikesh Desai

Faculty Publications

This chapter develops an analytical model for Explainable AI (XAI) designed to support major types of banking regulatory compliance audits. Financial institutions increasingly rely on AI for efficiency in compliance tasks, but the opacity of complex models creates challenges in meeting regulatory transparency requirements. The proposed mathematical framework incorporates explainability as a quantifiable constraint in the optimization of AI models across five critical audit categories: CAMELS examinations, BSA/AML compliance, Consumer Compliance, IT Audits, and Internal Audits. By quantifying explainability through information- theoretic measures and Shapley values, the model balances predictive performance with regulatory requirements. The methodology is validated through a …

2025 Nebraska Business

College of Business: Trade Publications

2025 Nebraska Business

Exploring The Nexus Of Climate Change, Energy Poverty, And Resilience Through Social Enterprises, Bupe Kunda

Honors Program Theses

This thesis examines how social enterprises address the nexus of climate change, energy poverty, and resilience in Zambia. Despite abundant renewable resources, only 34% of Zambians have electricity access, with stark urban-rural disparities (67% vs 14.5%). Using a qualitative multiple case study approach, this research analyzes ZESCO Limited, Muhanya Solar Limited, and Nyimba Energy Service Company (NESCO) through an integrated theoretical framework combining Social-Ecological-Technical Systems (SETS), energy justice, and social entrepreneurship theories. The study reveals that social enterprises demonstrate innovative approaches including NESCO's energy service company model and Muhanya's prepaid metering system, yet face significant challenges achieving financial sustainability and …

Investing In Leaders To Support Neurodiversity At Work, Beth M. Houran

Theses, Dissertations and Capstones

Neurodiversity-focused hiring initiatives, such as those pioneered by JP Morgan Chase, DXC Technology, and Microsoft, are addressing talent shortages by harnessing the unique strengths of neurodiverse individuals. This research investigated the role of emotional intelligence, servant leadership, and organizational resources in supporting neurodiverse teams. Grounded in the conservation of resources theory, the findings reveal that EI is a significant antecedent to SL, enabling leaders to foster stronger relationships and engage in extra-role behaviors with neurodiverse employees. Notably, while SL positively impacts leader-member exchange and organizational citizenship behavior toward individuals, the hypothesized moderating role of resources was not supported, suggesting that …

2024-2025 Morehead State University Audit Report, Morehead State University. Accounting And Financial Services Office.

Morehead State University Audit Reports

2024-2025 Audit Report for Morehead State University.

Finding Our Way: Three Studies On The Evolving Role Of Arts Nonprofits In Contemporary Society, Trevor Meagher

Public Affairs Dissertations - Archive

Arts nonprofits play vital roles in defining the character of a community. However, our collective relationship with these organizations is evolving. This article-based dissertation leverages mixed methods to explore arts nonprofits’ evolving relationship with society.

The first article conceptually analyzes historical trends in arts advocacy in the United States. It explores how the arguments organizational supporters make in the hopes of securing financial and public support have developed and shifted in popularity over the past half-century. These streams are thematically connected through an emphasis on utilitarianism and value-extraction, and they have historically been employed in almost completely static proportion to …

Warring Identities: The Transition From Servicemember To Civilian Employee, Michael Beeson

Business Administration Dissertations - Archive

This dissertation explores the role that military service identity plays in the transition to civilian employment. While there is a large volume of research on both the servicemember transition out of the military and military service identity, this dissertation contributes to this literature by examining the intersection of military service identity and the transition to civilian employment. This dissertation is designed to examine the nature of the military identity as servicemembers separate from the military and transition to civilian employment using competing theoretical identity frameworks rooted in identity and social identity theories. First I conduct a survey study that examines …

Navigating Compliance: How Wage Theft Influences Warn Act Decisions, Roberto Gonzales

Accounting Dissertations - Archive

Economic theory suggests that firms comply with regulations when the expected costs of noncompliance outweigh the expected benefits (Becker 1968). Despite minimal enforcement, weak penalties, and strong incentives for noncompliance, some firms comply with the provisions of the Worker Adjustment and Retraining Notification (WARN) Act, which mandates advance notice of mass layoffs and plant closings. Using a sample of 7,084 firm-years necessitating WARN Act disclosures from 2000 to 2020, I reassess the cost-benefit calculus by first demonstrating that wage theft violations provide the incentives necessary to compel firms to comply with other minimally enforced laws like WARN. Next, I find …

A Theoretical Framework For Black Women’S Leader Development, Kayla Kai Parker

CGU Theses & Dissertations

This dissertation examines the leader development journeys of Black women, identifying key contributors and inhibitors that influence their progression into and experiences within formal leadership positions. This study employed a grounded theory methodology, integrated with an intersectional framework and Black feminist theory. Study data was gathered utilizing three methods: social media listening data points (n = 216), a leadership roadmap survey (n = 69), and structured interviews (n = 15). The open, axial, and selective coding led to the creation of a theoretical framework outlining two pathways to leadership outcomes: one shaped by inhibitors (e.g., identity management, overcompensation, hindrance, resource …

Do Patients Who Receive Dexmedetomidine As An Adjunct To Spinal Anesthesia For Cesarean Delivery Achieve Longer Block Duration Compared To Those Who Receive Spinal Anesthesia With Local Anesthetic Alone?, Liana S. Garrison

Theses, Dissertations and Capstones

Problem Statement: Cesarean delivery is associated with significant postoperative pain, typically managed with spinal anesthesia using a local anesthetic. While opioids are often added as adjuncts, the addition of dexmedetomidine, an alpha-2 agonist, has emerged as a potential alternative that may enhance the efficacy of the spinal block in terms of pain management, potentially improving block duration and quality compared to local anesthetic alone.

Methodology: A literature review was conducted on the use of dexmedetomidine as an adjunct to spinal anesthesia for patients undergoing cesarean sections. Databases used for the search included PubMed, CINAHL Complete, and MEDLINE. The keywords used …

2025, 2(21)

Journal of Marketing and Consumer Behaviour in Emerging Markets

Full Issue 2025, 2(21)

On Blockchain As A Tool Against Corporate Corruption, Yannis Normand

Northwestern Journal of International Law & Business

Over the last decades domestic and international legal frameworks have successfully coalesced to limit corrupt behavior worldwide. However, despite their success, current regulatory tools are not sufficiently well-equipped to address corruption in modern economic settings. These mechanisms can often be too costly to implement, too cumbersome to induce compliance, politically manipulatable, and may disincentivize foreign investment and internal corporate monitoring efforts. To address such drawbacks, policymakers should consider the introduction of blockchain-based tools in developing future anti-corruption efforts.

Blockchain can serve as a foundation for structures that can make it more attractive, easier and cost-efficient to monitor economic transactions, to …