Date of Conferral
2022
Degree
Ph.D.
School
Management
Advisor
Derek Rohde
Abstract
The U.S. Congress has enacted many regulations managed by branches of government such as Medicare to ensure healthcare organizations comply. Organizational leaders who place value on building effective compliance programs seek ways to enhance compliance. Understanding what motivates individuals to behave in a compliant way may help leaders develop programs that enhance those motivations. This nonexperimental, correlational, quantitative research study tested the relationship between the predictor variables, moral obligation, and social influence, with the criterion variable compliance behaviors among healthcare organizational leaders and to determine the mediating effect of ethical climate on the relationship. A total of 186 managers working in U.S. healthcare organizations participated in the study. Data were collected through an online survey and analyzed using multiple linear regression analysis. The analysis showed that both moral obligation and social influence significant impacted compliance behavior, and that ethical climate mediated the interaction between each relationship. Ethical climate strengthened the relationship between the criterion variable and the predictor variables. Understanding the motivators toward compliance may be vital to developing more robust compliance programs and training, which should decrease compliance incidents, potential fraud, waste, and abuse within the healthcare organization. Healthcare organizations are one of the pillars of any community. A breakdown in compliance increases the risk of fraud. Fraud deteriorates trust in those that commit fraud and the organizations that allow it. Strengthening organizational compliance strengthens the trust within the organization and within the community, which may contribute to positive social change.
Recommended Citation
Farmer, Tara M., "Moral Obligation and Social Influence Predictors of Compliance Behavior and Organizational Ethical Climate Among Healthcare Leaders" (2022). Walden Dissertations and Doctoral Studies. 13347.
https://scholarworks.waldenu.edu/dissertations/13347