Exploring EHR Adoption and Implementation: The Impact of Resource Advantage Theory on Healthcare Organization's Competitive Position

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The hospitals and their healthcare providers need to optimize simultaneously three outcomes: healthcare costs, healthcare options offered to customers, and information utilization efficiency. The adoption of electronic healthcare record (EHR) technologies is a potential managerial mechanism for balancing these outcomes. EHR offers patient management and decision support capabilities that can ameliorate health delivery outcomes for patients, doctors, and hospitals through better-informed business and care decisions. The analysis of data collected in an EHR system may lower costs and improve health care delivery (or both). In sum, it could be argued that EHR is a source of competitive advantage. Despite this prima facie appeal, many hospitals remain reluctant to adopt and implement EHR due to lack of insights into return on investment, unavailability of tested systems and data entry obstacles. To address this gap between the potential of EHR system and lack of its adoption, the purpose of this research is to investigate the role of EHR as a resource of competitive advantage for hospital. Essay 1, titled "Implementation and Adoption of EHR: A Conceptual Model based on Resource Advantage Theory", describes the antecedents and consequences of EHR adoption and implementation. Essay 2, titled "Exploring the Relationship Between Electronic Healthcare Record …
Date: August 2019
Creator: Malhan, Amit Sundeep
System: The UNT Digital Library

Who are You Going to Believe: Me or Your Lying Eyes? Three Essays on Gaslighting in Organizations

In this dissertation, I theorize on how gaslighting manifests in managerial and organizational settings. I discuss the process of gaslighting and how the use of various manipulation tactics manifests between people in organizations over time. I take three distinctive approaches to study this complex phenomenon. First, using a rich case study, I develop new theory to explain how one notorious child molester was able to sustain a career for decades while assaulting hundreds of children and young women. In doing so, I introduce the concept of gaslighting which previously has only been rigorously applied to intimate interpersonal relationships in domestic (e.g., at home) settings. In essay 2, I expand on the individual level theory developed in essay 1 to develop a more generalized theory of gaslighting in organizations. I situate gaslighting within a nomological net of related constructs and illustrate how gaslighting is a unique construct with different antecedents and consequences that occurs in organizations more often than it should. In my final essay, I build on one of the propositions developed in essay 2 and empirically test what antecedents are likely to influence whether or not a firm is accused of gaslighting on Twitter. Through doing so, I find …
Date: May 2023
Creator: Kincaid, Paula A.
System: The UNT Digital Library

The Impact of Blockchain Food Tracing Information Quality and Trust on Intention to Purchase

The purpose of our research is to empirically test how system attributes of blockchain build trust through system and information components in blockchain food traceability systems. Findings showed that system attributes of blockchain are strong predictors of trust leading to intention to purchase. A sample of 358 responses were collected from college students through online survey. SmartPLS 3.0 is adopted for data analysis. We made contributions by building a new research model to guide future studies on trust formation in blockchain based systems as well as informing practice to adopt proven features of blockchain to create and capture values for customers.
Date: August 2022
Creator: Lai, Im Hong
System: The UNT Digital Library

Factors Influencing Continued Usage of Telemedicine Applications

This study addresses the antecedents of individuals' disposition to use telemedicine applications, as well as the antecedents of their usage to provide insight into creating sustained usage over time. The theoretical framework of this research is Bhattacherjee's expectation-confirmation IS continuance model. By combining a series of key factors which may influence the initial and continued usage of telemedicine applications with key constructs of Bhattacherjee's IS continuance model, this study aims to provide a deeper understanding of barriers to telemedicine app usage and how to facilitate continued use of these apps. Online survey data was collected from college students who are telemedicine application users. A total of 313 responses were gathered, and data analysis was conducted using SmartPLS 3. This dissertation contributes by looking at the IS adoption and IS continuance research simultaneously to connect these two research streams as well as suggesting the usage context of some established IS theory being different with regard to healthcare applications.
Date: August 2022
Creator: Liu, Xiaoyan
System: The UNT Digital Library

Three Essays on Harmony in Intrapersonal Identity Networks

Drawing attention to an under-examined process during organizational socialization, we develop theory to explain how newcomers' new organizational roles and social identities become embedded. The process of identities becoming embedded is influenced by how an individual's preexisting identities interact with new organizational identities during socialization. Perceived harmony relationships among identities indicate if newcomers experience identities interacting in a positive or negative manner generally. Using a network perspective, we suggest that the identity embeddedness of new roles and identities are indicated by: degree centrality in an intrapersonal identity harmony network, perceived harmony with the network itself, and the perceived cost of lacking harmony with a focal identity. Newcomers are likely to be more satisfied and engaged with identities with greater embeddedness as well as find such identities more salient. Organizations can work to embed their employees' new identities through initiating identity work directed towards increasing harmony perceptions among the newcomers' new organizational identities and preexisting identities. Through helping individuals create harmony relationships among identities, organizations can improve socialization outcomes.
Date: August 2021
Creator: Anzollitto, Peter
System: The UNT Digital Library
Exploring the Complex Exchange Relationships in Direct Selling Channels (open access)

Exploring the Complex Exchange Relationships in Direct Selling Channels

This dissertation research explores the factors that influence direct selling agents' sales performance and job satisfaction. In the direct selling channels, the agents not only sell the products to customers. They may concurrently perform a "distributor" role as a stand-alone entity composed of their own sales network. This dissertation research features two essays. The first essay investigates how direct selling agents' perceptions of control and sense of belonging relate to PO. This essay further explores how PO influences job performance and job satisfaction. Results suggest that perception of control and sense of belonging fuel PO. Furthermore, leader-member exchange mediates the relationship between PO and sales performance, as well as PO and job satisfaction in direct selling networks. The second essay introduces a new construct (relational incongruity) and discusses how complex sales environments and direct selling agents' organizational structures influence the relational incongruity in their organization and its ensuring effect on sales performance and job satisfaction. The results indicate that organizational complexity is positively related to relational incongruity. However, customer complexity has a negative impact on relational incongruity. Relational incongruity in direct selling agents' organizations has negative effects on job satisfaction but has no effects on sales performance. Epistemic curiosity undermines …
Date: December 2021
Creator: Geng, Guanyu
System: The UNT Digital Library

Development and Exploration of End-User Healthcare Technology Acceptance Models

This dissertation consists of three studies that collectively investigate the factors influencing the consumer adoption intention towards emerging healthcare technologies. Essay 1 systematically reviews the extent literature on healthcare technology adoption and serves as the theoretical foundation of the dissertation. It investigates different models that have been previously applied to study healthcare technology acceptance. Meta-analysis method is used to quantitatively synthesize the findings from prior empirical studies. Essay 2 posits, develops, and tests a comprehensive biotechnology acceptance model from the end-user's perspective. Two new constructs, namely, perceived risk and trust in technology, are integrated into the unified theory of acceptance and use of technology. Research hypotheses are tested using survey data and partial least square – structural equation modeling (PLS-SEM). Essay 3 extends the findings from the Essay 2 and further investigates the consumer's trust initiation and its effect on behavioral adoption intention. To achieve this purpose, Essay 3 posits and develops a trust model. Survey data allows testing the model using PLS-SEM. The models developed in this dissertation reflect significant modifications specific to the healthcare context. The findings provide value for academia, practitioners, and policymakers.
Date: May 2021
Creator: Wei, Xinyu "Eddy"
System: The UNT Digital Library
A Grounded Theory Model of the Relationship between Big Data and an Analytics Driven Supply Chain Competitive Strategy (open access)

A Grounded Theory Model of the Relationship between Big Data and an Analytics Driven Supply Chain Competitive Strategy

The technology for storing and using big data is evolving rapidly and those that can keep pace are likely to garner additional competitive advantages. One approach to uncovering existing practice in a manner that provides insights for building theory is the use of grounded theory. The current research employs qualitative research following a grounded theory approach to explore gap in understanding the relationship between big data (BD) and the supply chain (SC). In this study eight constructs emerged: Organizational and environmental factors, big data and supply chain analytics, alignment, data governance, big data capabilities, cost of quality, risk analysis and supply chain performance. The contribution of this research resulted in a new theoretical framework that provides researchers and practitioners with an ability to visualize the relationship between collection and use of BD and the SC. This framework provides a model for future researchers to test the relationships posited and continue to extend understanding about how BD can benefit SC practice. While it is anticipated that the proposed theoretical framework will evolve as a result of future examination and enhanced understating of the relationships shown the framework presented represents a critical first step for moving the literature and practice forward.
Date: December 2018
Creator: Baitalmal, Mohammad Hamza
System: The UNT Digital Library

Incorporating Ethics in Delegation To and From Artificial Intelligence-Enabled Information Systems

AI-enabled information systems (AI-enabled IS) offer enhanced utility and efficiency due to their knowledge-based endowments, enabling human agents to assign and receive tasks from AI-enabled IS. As a result, this leads to improved decision-making, ability to manage laborious jobs, and a decrease in human errors. Despite the performance-based endowments and efficiencies, there are significant ethical concerns regarding the use of and delegation to AI-enabled IS, which have been extensively addressed in the literature on the dark side of artificial intelligence (AI). Notable concerns include bias and discrimination, fairness, transparency, privacy, accountability, and autonomy. However, the Information Systems (IS) literature does not have a delegation framework that incorporates ethics in the delegation mechanism. This work seeks to integrate a mixed deontological-teleological ethical system into the delegation mechanism to (and from) AI-enabled IS. To that end, I present a testable model to ethically appraise various AI-enabled IS as well as ethically evaluate delegation to (and from) AI-enabled IS in various settings and situations.
Date: July 2023
Creator: Saeed, Kashif
System: The UNT Digital Library
From Property to Person: Understanding the Mediating Role of Control on Ovulation in the Female Consumer Experience (open access)

From Property to Person: Understanding the Mediating Role of Control on Ovulation in the Female Consumer Experience

My aim is to design a research program that emphasizes inclusivity through empiricism rather than anecdotes and benevolent sexism. To accomplish this goal, I review and build on the work assessing the influence of fertility in the female consumer experience (FCE). Fertility, especially menstruation, has been used anecdotally for too long. This research was designed to address the gap in knowledge around the way in which women perceive advertisements. More specifically, the role fertility plays in the process women go through when assessing advertisements and offerings. Does a woman's desire to seek variety become reduced when she sees a rival endorsing the offering? If this is the case, then there is a need to find a mediating variable that can overcome this effect. Internal locus of control, the level a person feels they are in control of the outcomes in their lives, was selected as a starting point. Having a high internal LOC should buffer a person's perceptions of another as a threat. A cross-sectional design from a convenience sample of university students was used to address a series of five research questions: 1) Does fertility status influence locus of control, 2) Does fertility status influence rival assessment, 3) Does …
Date: August 2019
Creator: Njoroge, Lydia
System: The UNT Digital Library
The Use of Data Analytics in Internal Audit to Improve Decision-Making: An Investigation of Data Visualizations and Data Source (open access)

The Use of Data Analytics in Internal Audit to Improve Decision-Making: An Investigation of Data Visualizations and Data Source

The purpose of this dissertation was to examine how managers' judgments from an internal auditor's recommendation are influenced by some aspects of newer data sources and the related visualizations. This study specifically examined how managers' judgments from an internal auditor's recommendation are influenced by the (1) supportiveness of non-financial data with the internal auditor's recommendation and (2) evaluability of visual representations for non-financial data used to communicate the recommendation. This was investigated in a setting where financial data does not support the internal auditor's recommendation. To test my hypotheses, I conducted an experiment that uses an inventory write-down task to examine the likelihood that a manager agrees with an internal auditor's inventory write-down recommendation. This task was selected as it requires making a prediction and both financial and newer non-financial data sources are relevant to inform this judgment. The study was conducted with MBA students who proxy for managers in organizations. Evaluability of visual representations was operationalized as the (1) proximity of financial and non-financial graphs, and (2) type of non-financial graph as requiring a length judgment or not. This dissertation contributes to accounting literature and the internal auditing profession. First, I contribute to recent experimental literature on data analytics …
Date: August 2019
Creator: Seymore, Megan
System: The UNT Digital Library

Three Essays on Phishing Attacks, Individual Susceptibility, and Detection Accuracy

Phishing is a social engineering attack to deceive and persuade people to divulge private information like usernames and passwords, account details (including bank account details), and social security numbers. Phishers typically utilize e-mail, chat, text messages, or social media. Despite the presence of automatic anti-phishing filters, phishing messages reach online users' inboxes. Understanding the influence of phishing techniques and individual differences on susceptibility and detection accuracy is an important step toward creating comprehensive behavioral and organizational anti-phishing awareness programs. This dissertation seeks to achieve a dual purpose in a series of three essays. Essay 1 seeks to explore the nature of phishing threats that including identifying attack intentions, and psychological and design techniques of phishing attacks. Essay 2 seeks to understand the relative influence of attack techniques and individual phishing experiential traits on people's phishing susceptibility. Essay 3 seeks to understand an individual's cognitive and affective differences that differentiate between an individual's phishing detection accuracy.
Date: August 2022
Creator: Bera, Debalina
System: The UNT Digital Library
Exploring the Conceptualization, Operationalization, and Application of Relational Mindfulness (open access)

Exploring the Conceptualization, Operationalization, and Application of Relational Mindfulness

Individuals vary in the level of their mental presence during interactions; some individuals are mentally present with others, while others are mired in their thoughts and emotions. Scholarly work on this area is limited, and we know very little about why some individuals display mental presence better than others. In this dissertation, I explore the concept through a series of three essays. In the first essay, I define relational mindfulness as the ability to be mentally present with others. Further, I propose that relational mindfulness has three essential features: others' focus, thought-switching, and emotional acceptance. I operationalize the scale to measure relational mindfulness and investigate its nomological network by correlating it with different constructs. Data from four different samples provide support for the three-factor structure of relational mindfulness and provide support for the relationship of relational mindfulness with related constructs. In the second essay, I explore the relevance of relational mindfulness for front-line employees by investigating the two pathways through which relational mindfulness can reduce fatigue of front-line employees. In the first pathway, I posited that relational mindfulness would decrease the intensity of surface acting of employees when their customers mistreat them, and thus reduce fatigue of employees. In the …
Date: December 2018
Creator: Sigdyal, Pratigya
System: The UNT Digital Library

Toward A Typology of eLancers: A Psychology of Working Perspective

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There is currently an increasing trend among the American working population to voluntarily join the gig economy. New terms like the gig economy, sharing economy, internet freelancing, and eLancing have been created to understand this emerging trend among today's workforce. There is a small, yet highly relevant, body of scholarly literature in human resource management that is focused specifically on the eLancing economy as a subset of the gig economy. The purpose of this research is to acknowledge and contribute to this timely literature, which has adequately recognized the enormous potential of this new trend of working. Grounded in the psychology of working theory, a theoretical typology of eLancers is proposed based on the workers' level of volition to be able to choose eLancing as their employment. Further, various predictors such as demographics and personality characteristics were explored on the basis of which eLancers can be classified into types. The study also proposes that different types of eLancers differ in their attitudinal and behavioral work and life outcomes. Prior research has shown that career decisions made by individuals with high work volition relate to higher levels of overall well-being. Hence, classifying eLancers on the basis of their varying levels of …
Date: May 2019
Creator: Philip, Jestine
System: The UNT Digital Library

Supply Chain Transparency from a Stakeholder's Perspective: Analyzing the Risks and Benefits of Supply Chain Information Disclosure

Supply chain transparency is principally focused on a company's efforts toward disclosing information about their products, and their supply chain operations to the public. Essay 1 is a conceptual paper that examines the risks of disclosing supply chain mapping information to consumers and proposes an approach to developing risk mitigation strategies. This essay also develops a set of supply chain mapping conventions that support the development of an agility-focused supply chain map. Essay 2 employs an experimental design methodology to examine the impact of disclosing the ethnicity of a supplier on consumers' behaviors, while also capturing the extent to which a consumers' ethnic identity and prosocial disposition influence their behaviors. Finally, also using an experimental design, Essay 3 analyzes consumer outcomes based on disclosing no, partial, and full supply chain transparency information, and accounts for heterogenous consumer traits such as the importance of information to a consumer and their perceived quality of information. Collectively, these essays advance the body of knowledge that seeks to understand the risks and benefits of supply chain transparency, by conceptually identifying risks and proposing an approach to minimize the risks associated with supply chain transparency, and by illuminating the conditions that prompt favorable consumer outcomes.
Date: July 2023
Creator: Porchia, Jamie Montyl
System: The UNT Digital Library