ABSTRACT Background: For patients with life-limiting illnesses, having adequate knowledge of prognosis can strongly impact the choice between curative and supportive treatment. Objectives: The purpose of this research study is to explore patient understanding of prognosis and to illuminate the experience of having or not having prognostic information in people diagnosed with life-limiting illnesses. This study aims to investigate the patient's understanding of the term "prognosis", the significance of the term "prognosis" to the patient, and how prognosis may or may not affect future treatment choices. In addition, this study aims to further understand the experience of prognostic communication between provider and patient. The over-arching goal is to capture the personal perspectives of participants with a view to exploring their experiences around knowledge of their prognosis. Methods: A qualitative research design using a phenomenological approach was employed to examine how people experience prognosis. An invitation to participate in the study was publically announced via local newspapers, social media venues, and word of mouth. Participants who responded to study advertisements and who met inclusion criteria were asked to participate in one interview answering open-ended questions aimed at examining their experience with and knowledge of their prognosis. In addition, questions about prognostic communication between patient and health care provider were explored. All interviews were recorded, transcribed verbatim and analyzed using phenomenological methods. Results: Three study participants met the study criteria and were interviewed. Several themes emerged from the data including 1) patients have need for information about their illness, 2) prognostic data inform treatment choices, 3) patient experiences are unique and 4) patients feel a connection to nurses involved in their care. Conclusions: This study illuminated the patients' desire and need for information during their illness, the desire for patient autonomy, the difficulty of starting and having prognostic conversations, the downstream impact of having prognostic information, and the important role that nurses play for patients facing serious health issues. It is hopeful that the themes identified during the course of this research ultimately contribute to the knowledge base by informing healthcare providers on the importance of conveying prognostic information in a timely, direct, and sensitive manner.

Business leaders struggle with the application of appropriate leadership models to retain stakeholder trust. The purpose of this phenomenological study was to explore the lived experiences of mortgage and investment leaders and stakeholders on applying various leadership models to restore stakeholder trust. Stakeholder and stewardship theories formed the conceptual framework of this study. A purposive sample of 20 stakeholders from the investments and mortgage industry in central Colorado participated in semistructured interviews. The research questions were on a leader's application of various leadership traits to restore stakeholder trust. Six themes emerged following coding and reduction using a modified van Kaam approach: (a) benevolence, (b) transparency, (c) humility, (d) approachability, (e) authenticity, and (f) personality. The themes were consistent with transformative leadership traits and satisfied stakeholder affective needs for trust. These findings may be applicable to mortgage and investment business leaders who adopt a transformative leadership approach; such leaders may find an ethically sustainable leadership style that facilitates follower commitment and organizational change, reduces turnover, improves performance, and strengthens social relationships. Stakeholders may find that business leaders who adopt a transformative leadership approach may eventually commit to long-term wealth creation, maintain near-congruent values, and avoid self-serving behaviors.

Protreptic is a form of rhetoric, textual and oral in form, which exhorts its recipients to reorient their lives both morally and intellectually. Plato frequently portrays Socrates' use of this rhetoric with interlocutors who are enticed by the moral and political views of figures from Athens' intellectual culture. During these conversations Socrates attempts to persuade his interlocutors to reorient their lives in a way that conforms more closely to his own moral and intellectual practice of philosophy. Plato's depiction of protreptic, however, also exerts a protreptic effect on readers of his dialogues. Plato's writing thus performs a dual function, simultaneously depicting instances of protreptic at work and attempting to exert a protreptic effect on readers. In this dissertation I argue that understanding this dual function of Plato's writing is inseparable from understanding his conception of philosophy. I analyze the structure of protreptic in Plato's writing by identifying four aspects essential to an interpretive method that takes full stock of the protreptic function of Plato's dialogues. These aspects are (1) the proper recipient of protreptic; (2) the persuasive means available to protreptic; (3) the immediate target of persuasion; (4) the ultimate philosophical aim toward which protreptic advances the recipient. While some of these aspects must be determined with respect to particular dialogues, those that concern the form of Plato's writing—such as the means of persuasion and ultimate philosophical goals—can inform a general approach to Plato's dialogues. The means that Socrates uses to persuade his interlocutors are sometimes affective, influencing their emotions, and other times intellectual, appealing to them exclusively with logical argument. I argue that a combination of these means into a form I call “provocative-aporetic” better accounts for the means that Plato uses to exert a protreptic effect on readers. Aporia is a simultaneously intellectual and affective experience, and the way that readers choose to respond to aporia has a greater protreptic effect than either affective or intellectual means alone. The Republic is a crucial dialogue for studying protreptic because it addresses the ultimate moral and intellectual ends toward which Plato hopes to reorient readers, and puts the various protreptic means at Socrates' and Plato's disposal on full display. The dialogue offers both an argument for a life committed to virtue, and an outline of the theoretical insights—mathematical and dialectical—that philosophers may hope to gain from more serious study. It also portrays Socrates in conversation with characters of a variety sufficient to show his rhetorical and argumentative repertoire. In this dissertation I carry out a reading of the Republic according to the four aspects of the structure of protreptic discussed above. More specifically, I identify moments at which Glaucon and Adeimantus answer Socrates' questions in such a way that they concede to Socrates the truth of premises that contradict their defense of the unjust life. These moments reveal that the central point of dispute in the Republic concerns the nature of moral agency— particularly the functions of reason, desire, and habituation for moral agents. Accordingly, I identify two models of agency—a Technē Model and a Virtue Model— that ground their respective defenses of justice and injustice, and hold their own assumptions about reason, desire, and habituation within their respective moral psychologies. Glaucon and Adeimantus' moments of capitulation, function as moments of aporia for readers, who are then provoked to overcome the aporia by explaining why the capitulation is reasonable. In doing so, we gain an account how Glaucon and Adeimantus are coaxed to abandon their original views about justice, injustice, and moral agency and to accept those of Socrates. This account in turn yields insight into protreptic by depicting how Socrates brings about a reorientation toward philosophy from within a non-philosophical perspective.

This thesis explores the intellectual history of editor, writer, and philosopher, Paul Piccone and Telos, an independent journal of contemporary critical theory, which he founded in 1968. Born in Italy, Piccone lived most of his life in the United States, earning his Ph.D. in philosophy at SUNY-Buffalo in 1970. Piccone served as Telos’ editor and a major contributor from 1968 to 2004. This thesis follows the trajectory of his thought by contextualizing his writing within the broader world of Marxist, and eventually post-Marxist, political philosophy. Telos also concerned itself with modern interpretations of historical dialectics and early 20th-century Marxist philosophy. Piccone himself predicated much of his philosophy on Husserlian phenomenology, which stresses concrete experiences, and his writing therefore stands at a unique confluence of Husserl and Marx. Piccone ultimately became a leading exponent of anti-Liberal philosophy and the theory of artificial negativity, which examines capitalist hegemony in both material and socio-historical terms.

On average, a small business could lose $150,000 a year due to employee fraud schemes. For most of the small businesses affected by employee fraud schemes, the average $150,000 loss could be detrimental to the small business, causing the business to close. The purpose of this multiple case study was to explore the internal controls small business owners apply to detect and prevent fraud from occurring in the business. The population for the study consisted of 3 small business owners located in Hartsville, South Carolina who implemented effective internal fraud controls in their business. The conceptual framework guiding the study was the fraud triangle theory. Data were collected and triangulated through semistructured interviews, company internal control policy and procedure documents, the Committee of Sponsoring Organizations of the Treadway Commission internal control framework, and the Small Business Administration internal control good practices. Data were analyzed through coding. There were 3 themes which emerged in relation to addressing the central research question: cash collection, separation of duties, and attentiveness and awareness. The findings could contribute to positive social change by providing best practices for small business owners to mitigate the components of the fraud triangle and subsequently decrease, if not eliminate, fraud from occurring in small businesses.

Technological advancements continue to increase online accessibility and the virtual population. As students engage with these advancements, their lives and identities will be on a worldwide platform. The realities of online identities present a challenge for educators to teach students how to manage those online identities. Researchers have studied the after-effects of online identities, but there is a gap in understanding the individual's thought process during the creation of online identities. The purpose of this interpretative phenomenological analysis was to understand the perspectives of working high school graduates regarding the creation of online identities. The research questions were designed to elicit recent high school graduates' perceptions or viewpoints about creating online identities. The conceptual framework for this study included social identity theory and computer-mediated communication theory. Data were collected from 9 face-to-face interviews, including the creation of summary sheets, and were analyzed via member checking and extensive manual coding. Eight themes emerged, revealing that online identities were created to support social connections. The participants' responses generated 4 types of online identities: real, desired, enhanced, and deceptive. Participants did not place consideration into the idea that they were creating an identity. Recommendations included an application for educators to model online behavior and to help students manage their online identities. Further studies could include a data gathering tool that uses an anonymous platform. These findings can inform curriculum and expand the landscape of the literature toward the social change goal of helping students grow and thrive in the online world in a safe, effective, and ethical manner.

From 2001 to 2010, a lack of documented standards within ethics programs inhibited decision making, management practices, and corporate strategies for corporate leaders in the United States. Seminal theories in transformational, charismatic, servant, spiritual, and ethical leadership formed the conceptual framework for this phenomenological study, whose intent was to explore how senior leaders of Fortune 500 companies in Washington, DC integrated ethics into daily business decisions and the role in organizational performance. A convenience sample of 20 Fortune 500 leaders participated in face-to-face semistructured interviews to explore the assessment, definition, and documentation of various ethical standards in the company; the different mechanisms for ensuring ethical standards influenced decision making; and whether a senior leader's moral code influences the development of a code of ethics, ethical standards, or organizational culture. Using Saldana's coding process as an exemplar, 6 themes emerged from this investigation: ethical standards, organizational culture, ethics training, role modeling, values, and moral dilemmas. Findings revealed the need for scenario-based ethical training to guide senior leaders through dilemma-oriented problems. Implications for positive social change include benchmarks for ethical integration successes in business strategy that improve corporate social responsibility and change hiring practices to help build ethical corporate cultures.

Servant leadership (SL), a universal, ethical leadership style, consistently produces high performance and employee engagement. For the last two decades, lack of business ethics in decision making by senior leaders has resulted in many negative outcomes, such as the WorldCom scandal. The purpose of this descriptive phenomenological study was to identify and report the lived experiences of senior leaders in relation to decision making in SL organizations in the southwestern United States. The study's theoretical/conceptual foundations encompassed Maslow's motivation theories, decision theory, spirituality, spiritual intelligence, Cicero's virtue theory of ethics, and Greenleaf's SL. Data collection involved the use of semistructured interviews with a purposive sample of 18 participants who were senior leaders of SL organizations. Data analysis employed Giorgi's method whereby phenomenological reduction revealed meaning units, and psychological reduction reached descriptive psychological structures of experiences by hand coding and integrative data analysis software. Findings confirmed senior leaders' ethical decision making in SL organizations. Recommendations include addressing ethical decision making in team leadership at the board and operational levels and examining the interrelation of CEO ethical leadership and firm performance. Conclusions reached confirm a prevailing structure of experiences as collaborative, interdependent, egalitarian teamwork, a family metaphor. Application of the findings of this study may result in positive social change by fostering a more ethical, kinder capitalism in everyday life and in building community with more servant leaders and SL organizations.

White collar corporate corruption continues to be prevalent in the United States, costing shareholders billions of dollars annually. This study of the collapse of Coudersport, PA firm, Adelphia Communications, explored how and why leadership of this prominent and successful company made unethical decisions, created an atmosphere of moral disengagement, and led to the downfall of the company. Taped interviews with 10 executives who were employed at the company during the years of its rise and demise (1996-2006) were transcribed, hand coded, and analyzed to explore the ethical culture and leadership practices at Adelphia. These insights offer a possible explanation for the behavior that resulted in the collapse of the company. The theoretical framework for this qualitative case study included ethical work climate, moral cognitive theory, and the theory of moral disengagement. Results showed that the collapse of Adelphia was enabled by intense family control, low empowerment, and extreme greed and entitlement on the part of the founders who never made a clear business transition from being family-owned to a publicly-traded corporation. Additionally, proper oversight by the board and outside auditors was lacking. These findings may contribute to positive social change in the areas of ethical training and in creating and operationalizing corporate values in day-to-day decision making in the corporate environment. These findings also suggest further need for new legislative issues beyond existing law to hold external consultants involved in fiduciary responsibility more accountable.

The purpose of this autoethnographic narrative inquiry was for the researcher to describe and explain how he discovered, constructed, and refined his sense of moral purpose as a principal during his seven-year tenure at Orange Pines Middle School. He inductively analyzed and reflected primarily on self-authored texts tied to critical professional ethical dilemmas so as to discover emergent themes, patterns, insights, and epiphanies in the development of his persona as a morally directed school leader. He then analyzed and reflected on how he applied those defined values in interactions with groups of teachers to design and implement elements of school reform. He re-created these critical events through descriptive vignettes in which he captured personal and social implications of the experiences using Clandinin and Connelly's model of three-dimensional narrative space. In this study the researcher probed especially problematic ethical dilemmas he experienced while working as principal. He viewed the events through the multidimensional ethical frameworks of care, critique and justice of Starratt; the ethic of community described by Furman; and the ethic of the profession, posited by Shapiro and Stefkovich. Included is a discussion of moral purpose by Fullan and Sergiovanni, ethics by Begley, Senge, and others, leadership theories, and perspectives regarding interpersonal conflicts between principals and their staff. The researcher found the ethics of care, justice, critique, community, and the profession provided a useful framework for his professional reflections. He was able to describe and capture the tensions within the dilemmas through the specific language utilized by Starratt, Furman, and Shapiro and Stefkovich to analyze and understand the issues packed within each dilemma. Through the application of these frameworks he determined that his moral purpose has been to approach the position of school leadership with a combination of compassion and justice, in order to establish a collaborative and synergistic school community that works for the greater good of students. The study calls for more autoethnographic research into the dilemmas administrators teachers face in their daily practice, arguing that the best way to improve public education in this era of intense scrutiny and accountability is through the qualitative analysis of individual cases. The author places his particular constructivist approach to autoethnographic narrative inquiry within the broader philosophical background of qualitative research. This study contributes to the literature by showing focused insights into how representative ethical conflicts and dilemmas school leaders face during their daily practice can shape and guide their moral pursuit of effective school reform. It also shows ways that theoretical knowledge can inform professional practice.