Databases and Information Systems 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 …

Adoption Of Information And Communication Technology In Nigerian Small- To Medium-Size Enterprises, Kessington Enaye Okundaye

Walden Dissertations and Doctoral Studies

Small- to medium-size enterprises (SMEs) play a vital role in a dynamic economy through job creation, poverty alleviation, and socioeconomic development in developed and developing countries. The purpose of this multiple case study was to explore how SME leaders in Lagos, Nigeria, adopted information and communication technology (ICT) as a business strategy to increase profitability and compete globally. Organizational leaders have adopted ICT so that their organizations can become more efficient, effective, innovative, and globally competitive. This study involved 4 SMEs that had successfully implemented ICT. The participants included 5 SME leaders from each of the SMEs. The data collection …

Challenges And Implications Of Implementing Strategic Intelligence Systems In Mexico, Hector De Jesus Rivera Ochoa

Walden Dissertations and Doctoral Studies

Business intelligence (BI) allows companies to make faster and better-informed decisions. Unfortunately, implementing BI systems in companies in developing countries is minimal. Limited and costly access to the technology, coupled with the cultural background affecting how people perceive BI, has restricted such implementations. The purpose of this phenomenological study was to explore and describe the lived experiences of chief executive officers (CEOs) in northern Mexico to obtain insight into the challenges of implementing BI systems. Research questions focused on the reasons behind the lack of BI systems implementation and the challenges faced by these officers when implementing a new system. …

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 …

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. …

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 …

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 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 …

Electronic Warrant Systems: The Effect Of Advanced Technologies On Arrest Performance, Gerald Lee Ward

Walden Dissertations and Doctoral Studies

Public safety is negatively affected when arrest warrant information is not available to law enforcement officers, judges, prosecutors, and other criminal justice practitioners. The U.S. Government and the criminal justice community have advocated for electronic warrant systems (e-warrants). Peace officers know that when e-warrant systems deliver warrant information to them immediately from multiple jurisdictions, their safety is increased. However, the factors that cause these e-warrants systems to improve safety are not known. The purpose of this historical data analysis study was to determine if the use of e-warrant systems resulted in shorter clearance times than the use of legacy paper-based …

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 …

An Exploration Of Baby Boomer Mass Retirement Effects On Information Systems Organizations, Nithyanandam Mathiyazhagan Mathiyazhagan

Walden Dissertations and Doctoral Studies

The potential knowledge loss from Baby Boomer generation employee retirements can negatively affect information systems organizations. The purpose of this hermeneutic phenomenology study was to explore the lived experiences of the leaders and managers of information systems organizations as they tried to maintain operational continuity after Baby Boomer worker retirements. The impact of this issue was the operational continuity after the Baby Boomer worker retirement. The social impact of this issue was the knowledge loss events that might result in business loss or even bankruptcy. McElroy's knowledge life cycle model was the conceptual framework for this study that included knowledge …

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 …

Business Strategies For Asean's Single Window In Southeast Asia, Craig Allen Mcgee Jones

Walden Dissertations and Doctoral Studies

Since the Asian Financial Crisis of 1997 and the Global Financial Crisis of 2007, members of the Association of Southeast Asia Nations (ASEAN) have sought to strengthen ASEAN's regional economies through a digital trade project known as the ASEAN Single Window (ASW). The purpose of this case study was to explore the business strategies that multinational organizational leaders used to overcome business barriers while implementing ASEAN partnership contracts and ASW region-wide projects. This study may be unique in that, at the time of this research, there was no published study in which researchers had explored a single window for a …

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, …

Exploring The Cybersecurity Hiring Gap, Adam O. Pierce

Walden Dissertations and Doctoral Studies

Cybersecurity is one of the fastest growing segments of information technology. The Commonwealth of Virginia has 30,000 cyber-related jobs open because of the lack of skilled candidates. The study is necessary because some business managers lack strategies for hiring cybersecurity professionals for U.S. Department of Defense (DoD) contracts. The purpose of this case study was to explore strategies business managers in DoD contracting companies used to fill cybersecurity positions. The conceptual framework used for this study was the organizational learning theory. A purposeful sample of 8 successful business managers with cybersecurity responsibilities working for U.S. DoD contracting companies that successfully …

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 …

Strategies To Obtain Maximum Usage Of Enterprise Resource Planning Systems, Edward James Schaffer

Walden Dissertations and Doctoral Studies

Business organizations invest significant resources implementing enterprise resource planning (ERP) systems, yet some organizations utilize less than 75% of the ERP system capabilities. The purpose of this single-site case study was to explore ERP utilization strategies implemented by 4 managers in the information technology (IT) department from 1 organization that uses an ERP system in the Midwest region of the United States. The conceptual framework that grounded this study was the user participation theory. Data were collected through participant interviews and analyzed using traditional text analysis. Member checking was used to strengthen the credibility and trustworthiness of the interpretation of …

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 …

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 …