Physical Sciences and Mathematics Commons^™

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

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 …

The Successful Implementation Of Electronic Health Records At Small Rural Hospitals, Daniel Richardson

Walden Dissertations and Doctoral Studies

Electronic health records (EHRs) have been in use since the 1960s. U.S. rural hospital leaders and administrators face significant pressure to implement health information technology because of the American Recovery and Reinvestment Act of 2009. However, some leaders and managers of small rural hospital lack strategies to develop and implement EHRs. The focus of this descriptive phenomenological study was to explore lived experiences of hospital leaders and administrators who have used successful strategies to implement EHRs in small rural hospitals. Diffusion of innovation theory shaped the theoretical framework of this study. Data were collected through telephone interviews conducted with participants …

Establishing Mobile Financial Services In Ethiopia, James R. Kanagwa

Walden Dissertations and Doctoral Studies

Mobile phone service is increasing among low income populations; however, with over 1 billion mobile service users worldwide, many people still lack banking services. Banks do not reach out to the poor because of the high operational costs involved. Scholars and industry practitioners have indicated that mobile phones could be an alternative channel for delivering financial services to the less advantaged and unbanked, without requiring a traditional bank with a branch network. The purpose of this bounded case study was to explore the strategies bank managers used to implement the new mobile banking service to the Ethiopian community. The new …

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 …

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. …

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

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

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

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 …

Decision-Making On Technology Deployment For Online Programs At Historically Black Institutions, Shirley M. Mcclellan

Walden Dissertations and Doctoral Studies

Historically Black colleges and universities (HBCUs) lag behind predominantly White institutions in their production of online courses and degree programs because of nonexistent or inadequate technology training for faculty members and limited financial resources. The purpose of this qualitative comparative case study was to obtain insight into how decisions are made on technology deployment and integration of online programs at HBCUs. Guided by Donaldson's contingency theory, this case study addressed how decisions are determined at HBCUs to integrate online learning programs into the curriculum and how the individuals who make these decisions perceive online learning programs. Survey responses were collected …

Examining Data Privacy Breaches In Healthcare, Tanshanika Turner Smith

Walden Dissertations and Doctoral Studies

Healthcare data can contain sensitive, personal, and confidential information that should remain secure. Despite the efforts to protect patient data, security breaches occur and may result in fraud, identity theft, and other damages. Grounded in the theoretical backdrop of integrated system theory, the purpose of this study was to determine the association between data privacy breaches, data storage locations, business associates, covered entities, and number of individuals affected. Study data consisted of secondary breach information retrieved from the Department of Health and Human Services Office of Civil Rights. Loglinear analytical procedures were used to examine U.S. healthcare breach incidents and …

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 …

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 …

The Role And Impact Of Cyber Security Mentoring, James O. Ellithorpe

Walden Dissertations and Doctoral Studies

Business organizations are faced with an enormous challenge to improve cyber security, as breeches and lapses through firewalls are increasingly commonplace. The Chief Information Security Officer (CISO) and Information Technology (IT) staff are constantly challenged to identify and purge online and network structural weaknesses. The goal is to reduce overall business risk because unresolved risks are a constant concern to consumers who are uneasy about cyber security failures. The purpose of this general qualitative study was to examine the role and impact of Cyber Security Mentoring (CSM) from the perspectives of the workplace CISO, mentors, and protégés, who were randomly …

An Evaluation Of Robotics In Nursing Homes To Reduce Adverse Drug Events, Ozell Ueal Jr.

Walden Dissertations and Doctoral Studies

Adverse drug events (ADE) cause many deaths annually in addition to affecting the quality of life of many others. The descriptive mixed methods approach, specifically exploratory case study and experimental design that guided this research utilized the survey and focus group methods to evaluate perceptions about robotic technology (RT) to reduce the rate of ADEs in U.S. nursing homes (NH). There is a lack of scholarly research into whether a conceptual approach rooted in RT can be implemented to assist with drug administrations in NHs. The purpose of this study was twofold. The first purpose was to evaluate the causes …

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 …

Strategies To Control Internal Factors Affecting Information Systems Projects In Puerto Rico, Annie Luz Roman Acevedo

Walden Dissertations and Doctoral Studies

Many project managers and business leaders lack effective strategies to control internal factors that affect information systems (IS) projects, which may impede leadership's ability to respond to market changes. The purpose of this multiple case study was to explore strategies used by 6 purposefully selected project managers who successfully implemented information system development (ISD) projects by controlling the internal factors that affected different ISD project phases in Puerto Rico's telecommunication service industry. The framework that guided this study was coordination theory. The data collection process included semistructured interviews and project documentation including business requirements, project charters, project plans, and lessons …

Retention Of Information Technology Employees, Sherry Ann Dixon

Walden Dissertations and Doctoral Studies

Business leaders often realize greater profitability when they have strategies to retain IT

employees. However, the cost to replace IT employees creates significant challenges for

business leaders. Given the growing impact of technology on operational costs, retention

of IT employees is imperative. This exploratory single case study sought to identify the

strategies that leaders use to increase IT employee retention. The population was 6

leaders from a military organization in Norfolk, Virginia, responsible for the retention of

IT employees. Herzberg's two-factor theory was the conceptual framework for this study.

The data was collected from semi-structured interviews with 6 leaders along …

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 …

Mitigation Strategies Of Technostress On Supply Chain Management, Robert Lewis Penn

Walden Dissertations and Doctoral Studies

Logistics managers work to create practices that reduce technostress, which is associated with diminished productivity in supply chain management. The purpose of this multiple case study was to explore the mitigation strategies that logistics managers at distribution centers used to reduce technostress with their employees in the Los Angeles County, California area. The conceptual framework included in this study was the sociotechnical systems theory. Semistructured interviews were conducted with 6 logistics managers from large distribution centers who implemented mitigation strategies that demonstrably reduced technostress with their employees. Public documents and physical artifacts reviewed in this study included productivity assessment tools, …

Unexpected Events In Nigerian Construction Projects: A Case Of Four Construction Companies, Gabriel Baritulem Pidomson

Walden Dissertations and Doctoral Studies

In Nigeria, 50% to 70% of construction projects are delayed due to unexpected events that are linked to lapses in performance, near misses, and surprises. While researchers have theorized on the impact of mindfulness and information systems management (ISM) on unexpected events, information is lacking on how project teams can combine ISM and mindfulness in response to unexpected events in construction projects. The purpose of this case study was to examine how project teams can combine mindfulness with ISM in response to unexpected events during the execution phase of Nigerian construction projects. The framework of High Reliability Theory revealed that …

A Multisite Hospital's Transition To An Interoperable Electronic Health Records System, Valerie Gerene Drill

Walden Dissertations and Doctoral Studies

The health care industry is transforming into an industry that requires health information technology, yet many health care organizations are reluctant to implement new technology. The purpose of this case study was to explore strategies that led to a successful transition from an older electronic health record (EHR) system to a compliant EHR system at a multisite hospital system (MHS). The study included face-to-face and phone interviews with 12 managers who worked on the transition of an MHS's EHR system in the Pacific Northwest region of the United States. The technology acceptance model was used to frame the study. Audio …

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 …

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 …

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 …

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. …

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 …

Exploring Leader-Initiated Change Management For Adopting Cloud Services, Nancy Marie Landreville

Walden Dissertations and Doctoral Studies

Cloud technology requires a virtualized ubiquitous and scalable environment with shared resources. The general problem in cloud adoption is the absence of standardization across organizations. A standardized approach remained elusive since the inception of the Cloud First mandate. The purpose of this study was to explore leader-initiated change management (LICM) practices in cloud adoption within organizations. The theoretical framework included the classical theories of Kurt Lewin's organization change management, leader-member exchange, intentional change, and appreciative inquiry. A multiple case study design approach facilitated the exploration of LICM-value added practices to identify standardization in cloud adoption practices. Data collection included semistructured …

Role Of Outsourcing In Stress And Job Satisfaction Of Information Technology Professionals, Janell Renee Robinson

Walden Dissertations and Doctoral Studies

Information technology (IT) outsourcing poses a potential job loss threat to IT professionals, which can decrease job security, job satisfaction, and organizational commitment. The problem that this study addressed was the perceived role of IT outsourcing in the job stress, job dissatisfaction, and turnover intention of IT professionals. The purpose of this study was to explore how job-related stress, job dissatisfaction, and turnover intention within the IT profession are influenced by outsourcing as perceived by IT workers themselves. Phenomenology was the methodology used, and the person-environment fit theory formed the theoretical framework for this study. The research questions addressed outsourcing …