Instructional technologies can be effective tools to foster student engagement, but university faculty may be reluctant to integrate innovative and evidence-based modern learning technologies into instruction. It is important to identify the factors that influence faculty adoption of instructional technologies in the teaching and learning process. Based on Rogers' diffusion of innovation theory, this quantitative, nonexperimental, one-shot cross-sectional survey determined what attributes of innovation (relative advantage, compatibility, complexity, trialability, and observability) predict the probability of faculty adopting the audience response system (ARS) into instruction. The sample for the study consisted of 201 faculty who have current teaching appointments at a university in the southeastern United States. Binary logistic regression analysis was used to determine the attributes of innovation that predict the probability of faculty adopting the ARS into instruction. The data indicated that the attributes of compatibility and trialability significantly predicted faculty adoption of ARS into instruction. Based on the results of the study, a professional development project that includes 3 full days of training and experiential learning was designed to assist faculty in adopting ARS into instruction. Because the current study only included the faculty at a single local university, future studies are recommended to explore a more holistic view of the problem from different institutions and from other stakeholders who may contribute to the process of instructional technology adoption. The project not only contributes to solving the local problem in ARS adoption, but it is also instrumental in promoting positive social change by fostering evidence-based teaching strategies and innovations that maximize student learning.

Workflow issues related to adoption of the electronic health record (EHR) has led to unsafe workarounds, decreased productivity, inefficient clinical documentation and slow rates of EHR adoption. The problem addressed in this quality improvement project was nurses' lack of knowledge about workflow changes due to EHR adoption. The purpose of this project was to identify changes in workflow and to develop an educational module to communicate the changes. This project was guided by both the ADDIE model (analysis, design, development, implementation, and evaluation) and the diffusion of innovations theory. Five stages were involved: process mapping, cognitive walkthrough, eLearning module development, pilot study, and evaluation. The process maps and cognitive walkthrough revealed significant workflow changes particularly in clinical practice guidelines, emergency department treatment plan, and the interdisciplinary care plan. The eLearning module was developed to describe workflow changes using gamification, scenario-based learning, and EHR simulation. The 14-item course evaluation included a 6-point Likert scale and closed- and open-ended questions. A purposive sample of nurses (N = 30) from the emergency department and inpatient care areas were invited to complete the eLearning module and course evaluation. Data were collected until saturation was achieved (n = 15). Descriptive statistics revealed the participants' positive learning experience. This quality improvement project is expected to contribute to positive social change by facilitating the effective use of the new EHR which can improve the quality of patient care, promote patient safety, reduce healthcare costs, and improve patient outcomes.

The Internet of things (IoT) is a technology that will enable machine-to-machine communication and eventually set the stage for self-driving cars, smart cities, and remote care for patients. However, some barriers that organizations face prevent them from the adoption of IoT. The purpose of this qualitative exploratory case study was to explore strategies that organization information technology (IT) leaders use for security, privacy, and reliability to enable the adoption of IoT devices. The study population included organization IT leaders who had knowledge or perceptions of security, privacy, and reliability strategies to adopt IoT at an organization in the eastern region of the United States. The diffusion of innovations theory, developed by Rogers, was used as the conceptual framework for the study. The data collection process included interviews with organization IT leaders (n = 8) and company documents and procedures (n = 15). Coding from the interviews and member checking were triangulated with company documents to produce major themes. Through methodological triangulation, 4 major themes emerged during my analysis: securing IoT devices is critical for IoT adoption, separating private and confidential data from analytical data, focusing on customer satisfaction goes beyond reliability, and using IoT to retrofit products. The findings from this study may benefit organization IT leaders by enhancing their security, privacy, and reliability practices and better protect their organization's data. Improved data security practices may contribute to social change by reducing risk in security and privacy vulnerabilities while also contributing to new knowledge and insights that may lead to new discoveries such as a cure for a disease.

Social media has changed the way businesses relate to their customers. Since the beginning of social media, traditional methods of communicating with customers have begun to decline. The purpose of this multicase study was to determine the strategies of 5 owners of small restaurant businesses in Western North Carolina who successfully used social media marketing for 1 year or more. Rogers's diffusion of innovation theory was the conceptual framework for this study. Data collection included semistructured interviews, documents pertaining to social media marketing strategies, and social media pages and websites from the participating restaurants. These data were analyzed following Yin's 5-step analysis plan. The themes that emerged were social media platforms, word-of-mouth, and challenges implementing social media. Facebook, Yelp, and Instagram were the most used social media platforms. The participants implied that word-of-mouth has the potential to increase sales and to grow business. Challenges implementing social media included the ability to be consistent and actively engaged on the social media sites to allow business owners to respond quickly to negative posts made by customers. Small restaurant businesses can be successful if they develop and implement a social media presence, encourage customer feedback, and formulate a plan to overcome obstacles and challenges that may arise with implementing social media marketing strategies. These findings contribute to positive social change by increasing the sustainability of small businesses in the community, which may drive economic development and improve community relations.

In recent years, the state of Illinois has joined the "ban the box" movement which typically prohibits employers from inquiring about a prospective employee's criminal history until it has been determined whether the candidate meets the core qualifications for the position. Little, however, is known whether this legislative change has impacted how private employers use criminal history information and to what extent knowledge of criminal history impacts final hiring decisions. Using Kingdon's policy streams concept as a guide, the purpose of this general qualitative study was to understand whether implementation of "ban the box" principles impacts final hiring decisions. Data were collected through interviews with 27 hiring authorities in the state of Illinois. These data were transcribed, inductively coded, and then subjected to a thematic analysis procedure. Findings revealed that when previously convicted applicants were hired for positions, the most common reasons were noted as the quality and presentation of the candidate during the interview, possession of relevant job-related skills, and the candidate appeared remorseful of past behavior. When candidates were rejected by employers, it was most commonly because of a perceived nexus between the convicting offense and essential job requirements. Implications for positive social change include recommendations policy makers to consider future policy development that focuses on balancing the positive consequences of successful offender reentry with concern for public safety. Doing so may encourage lower recidivism and prosocial behavior including improved employment sustainability for those convicted of crimes, thereby promoting overall public safety objectives.

The healthcare system in the US faces substantial challenges related to cost, access and quality. Health Information Exchange (HIE) has been widely viewed as a viable solution for dealing with those challenges. Despite the potential contributions to the healthcare system that HIE promises, adoption and use of HIE have always been difficult, and the past two decades have witnessed significant HIE implementation failures. The limited understanding of HIE is a major obstacle for HIE success. Only recently in-depth research about HIE starts to appear in top IS journals. In addition, the uniqueness of healthcare industry adds to the complexity to HIE. Our study attempts to address this research gap by systematically examining multiple factors that influence HIE adoption and use. Using social exchange theory (SET) and diffusion of innovations theory, a research model was developed to empirically test major factors that impact healthcare providers’ relative advantages and risks perceptions for adopting and using HIE. It is further proposed that relative advantages and risks in turn impact organizations’ intentions for adopting and continuously using HIE. As such, we posit that organizations’ assessments of relative advantages and risks associated with HIE mediate the impacts of organizational and technological factors on organizations’ adoption and use intentions. This study uses questionnaire surveys for data collection. Out of a total of 163 responses, 117 surveys were completed and were analyzed using Partial Least Square software SmartPLS 3. Data analysis finds that most of the relationships were in the hypothesized directions with some of the relationships being significant. Specifically, top management support, absorptive capacity, trust, and HIE innovation characteristics positively affect relative advantages and negatively affect risk. Furthermore, relative advantages positively affect adoption/continuance intentions, whereas risk negatively affects adoption/continuance intentions. This study contributes to the literature and offers important practical implications. It is one of the early empirical attempts to understand the key factors that affect HIE’s adoptions and use. The research can also serve as a starting point for more in-depth studies in the future. Moreover, practitioners can use the several newly-developed scales to empirically examine healthcare providers’ adoption and use intentions.

The independent, complex role of a school nurse requires accurate documentation of assessments, interventions, and outcomes. Consistent documentation by all school nurses is crucial to study the impact of nursing interventions on children's health and success in school. While standardized nursing languages are available, the actual use of these languages is in the infancy stages of implementation. This national survey of school nurses reveals diverse practices in school nursing documentation. Using Everett Rogers' (2003) Diffusion of Innovation (DOI) theory, a web-based survey allowed respondents to identify their knowledge and attitude towards the use of standardized languages, including NANDA International (NANDA-I), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC). Respondents also rated barriers to adopting the use of NANDA-I, NIC, and NOC (NNN). The results of this survey serve as a foundation for moving the practice of school nursing towards consistent documentation. Ultimately, the implementation of NNN will allow school nurses to document more consistently, base practice decisions on evidence, and improve the health and academic success of children in schools.

The purpose of this research is to study the role of information and communication technology (ICT) and information and communication technology for development (ICT4D) in Cambodian non-government organizations (NGOs). By focusing on a workshop on the ICT applications Unicode and Open Office, initiated by the Cooperation Committee for Cambodia (the CCC), I intend to see how these applications were adopted, how they are used and what the future is for ICT and ICT4D in Cambodia. The research is based on qualitative, semi structured interviews with employees at CCC as well as NGO workers who were participants at the workshops. The theories that I have used are Amartya Sen’s capability approach, Everett Rogers’ diffusion of innovation theory and intercultural communication. This study shows that ICT is considered to be a very important tool for the development of Cambodia. Unicode has contributed with an easier way to type and read documents in Khmer and it is considered to promote the Khmer language. Open Office have not found its renaissance yet since people find it difficult to use although the NGOs sees its’ potential and wants to learn it. According to the NGO workers, ICT and ICT4D will play an important role for the Cambodian development in the future but because of a lack of infrastructure and proper knowledge about the new technology, it has not been used to its full capacity. In order for us to understand how ICT can reach its full potential within NGOs, there have to exist an understanding of Cambodian culture and history since the Khmer people’s values affect how the NGO workers look at development and the tools they are using.

Because of technology and the Internet, books have greatly transformed into e-books. In accord with the trend toward digital content, libraries start to purchase e-books for extending the volumes, and expect to give readers more reading choices. Whether e-books can be accepted or not relies on cognition of the readers. The purpose of this research is to understand the intentions of using e-books among college students. Due to their technological characteristics, this research utilizes the Diffusion of Innovation and Technology Acceptance Model to construct the framework of the research. Based on the related bibliography, this research uses questionnaires to collect data for descriptive statistics, test and verify the research hypotheses, and explain the intentions of using e-books. According to the research results, perceived usefulness and perceived ease of use can affect intentions, and between the two independent variables, perceived usefulness has a greater effect. Therefore, libraries can enhance the intentions of using e-books by perceived usefulness. For example, providing the e-books which college students need; on the other hand, teachers can request students for using e-books, and form the habit of using e-books.

This study aimed to investigate the innovation practices and the factors contributing to innovativeness in Bah&ccedil / eSehir Science and Technology High School (BSTHS). The study was designed as a case study and different qualitative data collection techniques were used to collect the data. 17 participants of this study were chosen among administrators, science and mathematics teachers and 4 students. The study documented both managerial and academic innovations at the School. Besides, the factors contributing to innovativeness at BSTHS were documented. Research findings show that the BSTHS was successful in establishing a place within the Turkish Education System as a new and original education institution. The BSTHS administration is working on, based on an effective leadership, providing most suitable conditions for education and learning, and they are doing that with a participatory administration approach. Beyond that, they constructed an effective network with the support of the Bah&ccedil / eSehir University towards the development of the school in line with its targets. According to the research findings, foremost aspects that make the BSTHS innovative and original are a new curriculum, an individual-based education system, application of new technologies in education and learning processes and the establishment of the institution as a self-learning organization. It is argued that different factors (e.g., leadership, participative management, social interaction, knowledge share) are combined with quality inputs (e.g., students, staff, technology, physical infrastructure) have contributed to the creation of a culture of innovation. Hence, it is concluded that extensive physical or financial resources are not enough to accomplish innovativeness. Besides, a culture of innovation needs to be cultivated in order to accomplish innovation.