RESEARCH Restaurant Management Strategies To Comply With Food Safety Regul
RESEARCH Restaurant Management Strategies To Comply With Food Safety Regul
RESEARCH Restaurant Management Strategies To Comply With Food Safety Regul
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2017
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Walden University
Carlos Calcador
Review Committee
Dr. Carol-Anne Faint, Committee Chairperson, Doctor of Business Administration
Faculty
Walden University
2017
Abstract
by
Carlos Calcador
Walden University
August 2017
Abstract
The recent economic crisis in Puerto Rico has created decreased health department fiscal
restaurant inspections without adding more operational funds, which in turn led to less
regulatory capacity. This situation instigated increased food safety regulation violations,
and food safety legislation changes, imposing more economic pressure to restaurant
owners, which leads to a lack of restaurant sustainability. The purpose of this case study
was to explore strategies six business visionaries, smart entrepreneurs, who have
Rico. They were key factors in the understanding of the business strategies applied to
comply with food safety regulations for the sustainability of their business. The study
and company documents provided the data for the study. Through thematic analysis, 4
themes emerged, legislative impact and food safety regulations, reducing economic stress
and cost controls, customer conduct, and employee knowledge transfer. Although, the
fiscal crisis has severely affected the entire restaurant industry and the economy in
general, also undoubtedly holds great opportunities for developing new strategies
with government agencies such as the CDC, or the state health department, use of
mystery shopper programs, and embrace social impact strategies to improve food service
practices that may optimize healthier food consumption for restaurant patrons and
increase profitability.
Restaurant Management Strategies to Comply With Food Safety Regulations
by
Carlos Calcador
Walden University
August 2017
Dedication
In the first place, I want to thank my Heavenly Father for the strength I received
from heaven, during times of difficulty during this study. Thank you for granting me the
power to believe in my passion, to pursue my dreams, and for the desire to contribute to
our society. I could never have done this without the faith I have in you, the Almighty. I
dedicate my doctoral study to my family for helping me survive the process and for their
love and support. Thanks to my parents, my father the Honorable Carlos Juan Calcador
Berrios, for his legacy as a legislator, civility, his humility, and an exemplary father.
Valiant in all his battles, in the Korean Conflict, as well as his battle with Alzheimer's.
To my mother, Leonilda Diaz, strong and docile fighter, who, along with my father
formed my character with his example of humility, struggle, surrender, and love. My
extraordinary sisters, Flora Ivette (Cuqui), and Leoni Minerva, and their respective
spouses. To my beloved wife Denisse, who, along with my son Jean Chris, and my
beloved daughters, Kathia Paulette, Josenis Nomar, Ashley Nicholle, and Yara Essined,
my grandson, Keaghan Lanier, my Granddaughters, Adriana and Cali, has been waiting
tirelessly and patiently for the culmination of this project. After great struggles, today
she celebrates with great joy the achievement of this longed-for project.
Thank you all! For your love, prayers, and guidance in life!
Acknowledgments
I would like to thank the Walden University faculty and staff, special thanks to
my mentors, Dr. Carol-Anne Faint, Chairperson, for her unique reassurance, patience,
Administration. To my committee members, Dr. Brenda Jack, Dr. Denise Land thanks
for your continuous support, feedback, and inspiration. Dr. Freda Turner, Program
Director, thanks for your encouragement. Your guidance and excellent mentorship have
friends, and I apologize if I omit someone. I would like to thank my friends Santos
Arroyo, Jose Fernandez, Juan Eliel Garcia, and Dr. Andres Roman, each of you has given
your time, complete support, wisely advises, and more. I will never forget you all.
Finally, last but not least, a deep and special thanks to my dearest friend Dr. Nanishka
Hernandez for being my study support and for the multiple paper reviews. Thanks for
Assumptions............................................................................................................ 7
Limitations .............................................................................................................. 8
Delimitations ........................................................................................................... 8
Transition .....................................................................................................................46
Participants ...................................................................................................................50
Research Design.................................................................................................... 53
Ethical Research...........................................................................................................57
Reliability.............................................................................................................. 64
Validity ................................................................................................................. 65
Reflections ...................................................................................................................94
Conclusion ...................................................................................................................96
References ..........................................................................................................................98
iii
List of Tables
Regulation Strategy....................................................................................................76
Table 2. Frequency of Participant References to Economic Stress and Cost Drivers ...... 79
Issue .......................................................................................................................... 84
iv
1
Section 1: Foundation of the Study
Jeewon, 2013). Food safety management is a critical issue for restaurant owners,
especially in fast-food restaurants (Wong et al., 2015). The Centers for Disease Control
and Prevention (CDC, 2014) found most foodborne illness outbreaks resulted from
found 82% of the foodborne illness outbreaks reported involved food employees
spreading infection because of the lack of hand washing (Person, Schilling, Owuor,
Ogange, & Quick, 2013). A lack of food safety information can lead to dangerous food
handling behaviors, positioning consumers at risk for food poisoning (Manes, Liu, &
common worldwide phenomenon (Painter et al., 2013). In this study, I investigated food
safety strategies in the fast-food restaurant sector of the northern region of Puerto Rico.
The study findings could contribute to social change by stimulating Puerto Rico
lawmakers and fast-food restaurant stakeholders to protect public health and remain
sustainable.
problem, public health issue, and restaurant management challenge (Petran, White, &
Hedberg, 2013a). In the northern region of Puerto Rico, the growing gastronomic
tourism industry is a vital economic sector, requiring a reliable system to monitor each
inspecting facilities engaged in the sale of food to the public because of the continuous
risks to public health (OSL, 2015). State and municipal administrations also have an
important role to play as leaders and visionaries (Pertschuk, Pomeranz, Aoki, Larkin, &
Paloma, 2013). However, although the population and number of restaurants have
increased, resources for the Department of Health of the Commonwealth of Puerto Rico,
Hwang (2013) stated the fast-food industry in the U.S. had grown considerably
since 1995. Hwang (2013) indicated in 1953, the fast-food industry sold only 4% of total
sales consumed away from home. However, Hwang added the ratio ascended to over
35% but less than 38% in 2009. In the United States, citizens spend approximately 50
cents of every dollar of food purchases in restaurants. In the first 3 months of 2015,
eating place sales totaled over $150 billion on a seasonally-adjusted basis (National
Restaurant Association [NRA], 2015). Further, sales represented $2 billion more than the
previous fourth quarter’s sales of approximately $148 billion. This case was the first
time the sales record for eating and drinking reached the $150 billion level in one-quarter
(NRA, 2015). The NRA projected to reach a record high of $683.4 billion in 2014
(NRA, 2015). In Puerto Rico, the United States Department of Labor’s Bureau of Labor
Statistics (BLS, 2013) reported in 2012, local consumers spent approximately $9.2 billion
in the food and beverage sector. My intent was to explore the food safety strategies fast-
food restaurant owners are using in the northern region of Puerto Rico and how these
are treated in hospitals, and 3,000 die due to foodborne related diseases each year (CDC,
2014). Foodborne disease (FBD) has approximately $55.5 billion in annual economic
costs, in addition to public health, social, and business impacts (Arnade, Kuchler, &
Calvin, 2013; Scharff, 2015). The general business problem was some fast-food
restaurant owners were not complying with food safety regulations and failing to meet
business problem was some fast-food restaurant owners lack business strategies to
Purpose Statement
The purpose of this qualitative multiple case study was to explore business
strategies fast-food restaurant owners use to comply with food safety regulations to
remain sustainable. The targeted population was fast-food restaurant owners from six
fast-food restaurants from three restaurant chains in northern of Puerto Rico. Findings
from this study may contribute to social change by compelling restaurant owners to
establish better food service practices, leading to healthier food consumption for those
choose between three methods of inquiry (a) qualitative, (b) quantitative, and (c) mixed
methods (Nartea, 2014). The quantitative method involves testing a hypothesis, studying
4
relationships, and examining statistical data (West, 2015). My intent in this study was to
learn from participants’ experiences and perspectives rather than statistical outcomes;
thus, the quantitative method was not appropriate for the study. The mixed methods
approach was not appropriate for the study because it includes both quantitative and
qualitative inquiry, and the inclusion of quantitative inquiry using statistical analysis was
not an appropriate approach. When using a qualitative approach, the researcher learns
business problem. During a thorough investigation of four qualitative design options (a)
ethnography study, (b) narrative study, (c) phenomenology study, and (d) case study, I
found investigators use ethnography to explore a given culture over a long period by
collecting data through interviews and observations. The study of food safety practice
was not limited to a particular culture; therefore, an ethnography approach would not
apply. A narrative design appeals to researchers investigating life stories (Temba, 2013).
Since my intent was to explore business strategies fast-food restaurant owners use to
comply with the food safety regulations to remain sustainable, the narrative design was
requires a very large sample size to ensure saturation (Moustakas, 1994). For these
seeks to understand why and how participants perceive events and make decisions (Yin,
2014). Miles (2013) stated case studies are an appropriate approach to exploring real-life
situations.
5
Research Question
The central research question for this study was: What business strategies do fast-
food restaurant owners use to comply with food safety regulations to remain sustainable?
Interview Questions
To answer the central research question, I asked participants the following seven
questions:
1. What strategies have you used to comply with the food safety regulations?
sustainable?
Conceptual Framework
the literature review section, I concluded the most relevant conceptual framework for the
study was the socio-economic theory. The socio-economic theory of compliance evolved
business compliance literature (Sutinen & Kuperan, 1999). The socio-economic theory
6
has three basic tenets: (a) when the business owner engages in legal activities, the risks of
engaging in illegal activities are greater than the benefits of acting legally, (b) the
business owner would engage in illegal behavior if the risks of the illegal activities are
minimal, and (c) if the potential gains of the illegal activities are significant, then acting
in an illegal framework might be the only means of sustaining the business (Sutinen &
business owners who want to engage in legal activities to sustain business operations.
(1999) holds business leaders may lack the capacity to abide by regulations because of
complexity in the northern Puerto Rico fast-food business environment makes the socio-
Operational Definitions
form, signed into law by the Governor or passed over the Governor’s veto, thus becoming
(CDC, 2014).
House Bill 1802: House Bill 1802 created the “Food Safety Act,” based on a
rating program authorizing the Department of Health to rank food service establishments
over the governor’s veto by Congress. Public bills, when signed, convert to public laws,
Assumptions
able to prove (Marshall & Rossman, 2015). My first assumption was the population
selected for the study was appropriate to investigate the business problem. Fast-food
restaurant owners may provide insights into the decision-making challenges related to
honesty was fundamental to the success of the research; therefore, participants had the
freedom to not respond any questions they may have felt uncomfortable answering. My
8
final assumption was the fast-food industry was a good choice for exploring business
responses to regulatory compliance. The fast-food industry was one of many industries
Limitations
the control of the researcher. The following limitations affected the study: (a) the study
results may not be transferable to other businesses or industries, and (b) while I sought to
enhance participant honesty by providing the freedom to answer any or all questions, this
Delimitations
the study. The study was delimited to only fast-food restaurant locations in the northern
region of Puerto Rico. The sample was limited to only six fast-food restaurants.
gastronomy tourism, is an important part of Puerto Rico’s economic model (OSL, 2015).
Findings from this study may help fast food owners narrow the gap between meeting
profit objectives and complying with food safety regulations in the Act on Food Safety.
Using more efficient strategies in fast-food restaurants may result in safer food for
customers, and may positively influence the economy and the jurisdiction of established
The study may contribute to business practice by identifying the strategies fast-
food restaurant owners in the northern region of Puerto Rico might apply to comply with
the Act on Food Safety to remain profitable. Using the socio-economic theory of
compliance, I sought to understand how the change in the law on food safety might affect
business operations and sustainability. Restaurant owners may gain insight from
different strategies, learn from specific challenges, and use several approaches to ensure
sustainability through change. Change management is a critical issue for businesses, and
learning and from others who adapted successfully may guide others in implementing
effective strategic changes (Buick, Blackman, O’Donnell, O’Flynn, & West, 2015).
The study may affect social change by fostering open dialogue on the strategies
critical for fast-food restaurants, lawmakers, food regulation agencies, and Asociacion
might increase the general economy within the restaurant industry of the northern region
of Puerto Rico (ASORE, 2012). A strengthened consumer base may improve local
profits for the fast-food industry in Puerto Rico may trickle down to other industries,
The purpose of this qualitative multiple case study was to explore business
strategies fast-food restaurant owners use to comply with the food safety regulations to
10
remain sustainable. The northern region of Puerto Rico may potentially experience
significant changes in the way the government regulates the food industry. Restaurants
falling within the catchment area of new legislation will obtain the guidance and stringent
Restaurants falling outside of the legislated areas will not obtain the same
Puerto Rico may gravely influence the purchasing behaviors of consumers in the event
some restaurants promote safe food handling while others do not (ASORE, 2012).
Studying the impact of the Food Safety Act on restaurant owners may provide insight
into how restaurant owners might incorporate stringent practices to remain competitive in
University of California, Berkeley, and the University of the State of Puerto Rico, among
Direct, and ProQuest. The objective of using the databases was to trace the long-term
effects of foodborne illnesses, collect ample information for the restaurant business, and
service industries published between 2013 and 2017, accounting for 85% of the 114
articles reviewed. The review has seven main areas including discussions of the socio-
economic theory of compliance, relevant theories, the restaurant industry in the northern
11
region of Puerto Rico, the economic impact of foodborne illnesses, consumer response to
food safety concerns, industry responses to food safety concerns, and governmental
Medley, Excel, and other database management software. The keywords I used in the
Safety Act, food safety law, health department, restaurant inspections, food service costs,
restaurant business, and restaurant industry. Others included economy, Puerto Rico
(1999), guided this study. The socio-economic theory of compliance evolved from
earlier research by Gary Becker (1968), a deterrence theorist, who established the
framework for understanding the link between socio-economic status and a propensity for
criminal behavior. Researchers may use deterrence theory to explain the decision-
The basic tenets of the socio-economic theory are business owners make
socio-economic theorists draw strongly on the factors of the socio-economic status of the
business owner. If a business owner experiences financial hardship, the decision to act
12
lawfully or unlawfully contextually changes (Sutinen & Kuperan, 1999). The decision
shifts from assessing merely the cost of acting in a certain way balanced by perceived
opportunity for business sustainability, and potential impoverishment may force business
evolved into the deterrence model of regulatory compliance (Sutinen & Kuperan, 1999).
Those supporting the deterrence model of regulatory compliance have argued the
weighting of general benefits and consequences. Business owners compare the benefits
and consequences of abiding by regulations versus the benefits of not abiding. Schelling
(1984) posited criminal behavior was a response to an evaluation of pros and cons of
committing a specific act. In the event an individual assesses the benefits of committing
an illegal act as outweighs the benefits of acting legally, the individual will commit the
Slater, Mgaya, and Stead (2014) found people behave, assume risks, and deliberately
make decisions depending on their immediate economic needs. Using this model,
managers may decide whether the benefits of avoiding compliance or reduce the cost of
complying obtained by breaching the food safety regulations will be better than: (a) cost
of being caught (fines), as well as the cost of being caught and cost of complying with
rules; (b) estimate (perception) benefit of complying; and (c) social implication of
13
restaurant involvement in public sanitation scandals. Researchers found this cost-benefit
analysis influenced business owners’ decisions to break the rules (Slater et al., 2014).
manufacturer may face reports a particular auto part caused a few deaths. Owners must
decide to recall the part, disrupting the manufacture and reputation of a product to the
broad population of auto owners, dealers, and service departments. The auto
manufacturer may decide to forego a recall and respond directly to the victims of
accidents to keep costs low and reduce public alarm. To make this decision by the
deterrence model of regulatory compliance, the auto manufacturer bases the decision on
the lesser of the penalties for non-compliance. The risk in this form of evaluation is too
many unknowns; the auto manufacturer can only presume the level of risk (Sutinen &
Kuperan, 1999).
influence the decision-making process moving beyond the structure of basic benefits
versus consequences (Sutinen & Kuperan, 1999). In the example, the auto dealer may
process. The added considerations of economic conditions may create obstacles for the
business owner, clouding the ability to quickly and accurately measure benefits and
consequences.
Sutinen and Kuperan (1999) argued the unique circumstances of each business
will affect the application of deterrence theory, and that businesses use other factors to
14
aid the decision-making process. The three tenets of the socio-economic theory are:
First, a business owner engages in legal activities when the risks of engaging in illegal
activities are greater than the benefits of acting legally. Second, a business owner
engages in illegal behavior if the risks of the illegal activities are minimal and the
potential gains of the illegal activities are significant. Third, the socio-economic
conditions experienced by the business owners may be such that acting illegally is the
The socio-economic theory of compliance holds that business owners may lack
the capacity to abide by regulations because of limited financial capacity, thus altering
the framework on which to base business decisions. Business owners must not only
weigh out the potential penalties and impact the penalty may have on the company, but
must also examine the impact compliance may have on basic business survival (Sutinen
& Kuperan, 1999). Business owners may experience narrowed options in decision-
processes based on limited available resources, which may result in poor quality products
When planning the study, I considered the possibility of using several theories
including the social exchange theory, the resource-based view (RBV) theory, deterrence
theory, and the socio-economic theory. The social exchange theory involves employees’
comprised of two concepts: business assets, and competitive business strategies. The
15
deterrence theory included the model of regulatory compliance (Lockett & Wild, 2014).
status, and the tendency for criminal behavior. After a thorough analysis of the theories, I
concluded the most relevant theory for the study was the socio-economic theory. Even
though the other theories were related to the topic, they were not sufficiently relevant
given my intentions.
Relevant Theories
what follows, I provide a summary of some and compare each to the socio-economic
theory of compliance. The social exchange theory (SET) includes the concept of cost and
benefit from the human behavior perspective (Soieb, Othman, & D'Silva, 2013; Ugwu,
Onyishi, & Rodríguez-Sánchez, 2014), and holds individuals and organizations tend to
discard processes bring high cost with no benefit (AbuKhalifeh & Som, 2013; Reissner
& Pagan, 2013). Researchers have used SET to understand correspondence among
employees and how employees exchange some responsibilities (Jose & Mampilly, 2015;
Shuck, Twyford, Reio, & Shuck, 2014). Barnes and Collier (2013) and Keeble-Ramsay
and Armitage (2015) exposed how employees perceive employer commitment, and how
this influences employee job commitment. For that reason, this theory was not
appropriate for my needs in this study because I sought to explore the external forces on
the business.
The developer of RBV theory, Edith Penrose, stated that the dominant coalitioms
of organizations’ dominant coalitions use all the firm assets to develop competitive
16
business strategies (Lockett & Wild, 2014). Firms assets, such as location, are resources
used by business operators to achieve and maintain with business success (Agarwal &
Dahm, 2015). From the economic perspective, business needs are of unlimited nature,
but resources are limited (Shirokova, Vega, & Sokolova, 2013). Even though the RBV
theory can be used to describe the relations between small business collapse and limited
resources, and how business operations use their management skills to accomplish the
highest rate of business efficiency and effectiveness (Seshadri, 2013), this theory was not
an option for this study. My intent was to focus on owners’ business decisions in contrast
According to Simard (2013), deterrence theory has its foundation in the standard
to avoid criminal action depends on the benefits or subsequent costs of their behavior
(Simard, 2013). In other words, sanctions deter people from committing illicit acts
Deterrence theorists paved the way for applying the theory to a wide range of business
individuals decide to comply or not comply with laws or regulations by weighing out the
benefits and consequences of the decision (Schelling, 1984). Simard found the burden of
liability for the damage caused by one’s behavior stimulates individuals to avoid
inefficient injuries, which means avoiding unnecessary spending. Sutinen and Kuperan
(1999) explained the deterrence model of regulatory compliance had two shortcomings
(a) a limited definition of behaviors associated with non-compliance, and (b) a lack of
17
practicality in the application of policy prescriptions. Sutinen and Kuperan highlighted
deterrence theory and the deterrence model of regulatory compliance, because deterrence
theory alone does not explain business decisions and behavior when socio-economic
as a conceptual framework for the study. After careful consideration of the above
Puerto Rico offers diverse dining experiences for patrons from fast-food, quick service,
and outlets to fine dining (ASORE, 2012). The Northern region of Puerto Rico relies on
the economic state of the food industry to offer a breadth of offerings, and quality goods
and services (ASORE, 2012). The food service industry became an integral element of
tourism in the northern region of Puerto Rico. To remain competitive within the
restaurant industry in the northern region of Puerto Rico, restaurant owners develop
essential skills and strive to operate within the government guidelines as a key strategy
fostering sustainability (ASORE, 2012). Operating beyond the scope of the legislation
leaves restaurant owners outside of the prime tourist catchment posing challenges related
The BLS (2012) estimated a total consumer spending around $9.24 billion on
food and alcoholic beverages in Puerto Rico. ASORE represented the entire business
segment of Puerto Rico and was the businesses source of their goods straight to the
foremost associates were chains and country restaurants, cafes, bakeries, and pastry
(Sánchez, personal communication, September 20, 2013). The ASORE (2012) reported
combined sales in restaurants and the cafés sector of $3.97 million, for a 43% of the total
consumer spend in the industry of food and alcoholic beverages with 67% jobs in the
food and beverage market. The restaurant industry employed about 57,510 people, of
whom 39,850 employed in restaurants of limited services and 17,660 employed in full-
hours worked, ASORE reported an average of 28.6 hours a week and the average wage of
Sales. With approximately 130 million people eating out between 2008 and 2009
in the United States, the NRA (2013) estimated in 2009, 48% of customer budgets
covered the cost of food and projected sales of $660 billion for 2013, representing a 3.8
% rise from the previous year. The prominence of the restaurant industry in the capital
net worth value has an impressive impact on the global economy, as the business units
create inter-firm linkages including food and beverage providers and producers (NRA,
2013). The capital net worth generates tax income for the government and offers
19
products and services to customers, in addition to creating jobs (Taber, Chriqui,
indicated the restaurant business sector employed seven million people in the United
workforce in the United States (BLS, 2013). The economic impact regarding jobs was
approximate $30 billion annually in the United States (BLS, 2013). The USCB estimated
$220 billion as the total annual revenue for the restaurant industry (McLinden et al.,
2014). The NRA (2013) estimated 13.1 million jobs by 2013 would represent 93% of
eating and drinking places with approximately 50 employees and more than 9% of people
employed in the United States (BLS, 2013). In May 2012, the economic report indicated
restaurants and other eating places had the lowest mean annual wage of $21,520
(McLinden et al., 2014). Likewise, according to the BLS (2013), the 90% of the largest
specific jobs in this industry had annual earnings averaged around $23,000. The need for
managerial positions in the hospitality industry and restaurant businesses (Sahagun &
Vasquez-Parraga, 2014). The BLS reported 11.5 million workers in the food preparation
and served related occupations. From that total, cooks and preparation workers assumed
2.8 million positions, and 914,970 supervisory restaurant positions, as of May 2012
(BLS, 2013). The restaurant business supports New York State’s tourism sector, which
employs more than 428,000 people with sales over $20 billion annually (BLS, 2013).
20
Based on those numbers, the restaurant industry became the second largest employer,
only behind government jobs (NRA, 2013; Sumelius, Björkman, Ehrnrooth, Mäkelä, &
Smale, 2014).
and fast-food restaurants were food establishments with limited counter service only.
Fast-food restaurants were quick, convenient, and low-priced (Sahagun & Vasquez-
Parraga, 2014), such as McDonald’s, Burger King, the Taco Maker, and many others
doing business in the northern region of Puerto Rico. Although the fast-food industry
was extremely competitive, eating out of the home (Hwang, 2013) was an increasing
activity creating health issues, yet supports a growing economy (NRA, 2015). Between
1978 and 2008, consumers spent approximately $600 billion annually on consumption at
table-service restaurants and fast-food businesses in the United States. Additionally, with
estimated costs of eating out, the economy witnessed a growth (Sahagun & Vasquez-
Parraga, 2014).
industry sustained and focused on, hygiene, food safety, regulation, and high competition
in the international market. Globally, millions of people each year suffer from FBD
(Dhama et al., 2013), creating social and economic stress, even in developing countries
(Lam, Remais, Fung, Xu, & Sun, 2013). Likewise, causing economic losses related to
lower labor productivity (Scharff, 2012). The United States Department of Agriculture
(USDA) estimated the increased cost to the U.S. economy of $10-83 billion per year
eating of street food was typical in many rural regions where unemployment was high;
salaries were low and with limited study opportunities and social programs; resulting
population with foodborne illnesses to be up to 30% annually (Lam et al., 2013). The
WHO projected 75 million individuals would become sick from food-connected illnesses.
The CDC (2014) estimated 48 million persons became ill with food pathogens such as
may make critical business decisions to remain operable. In the fast-food industry, in
financially repressed areas, business decisions, based on limited resources, may create
Incidence of Foodborne Disease (FBD) in the United States. The CDC (2014)
estimated 25% Americans could expect to suffer a foodborne condition yearly, and an
approximation of 110 per 100,000 citizens may receive hospital treatment, and
approximately two per 100,000 might die. By 2011, the CDC officials reported an
average of 128,000 hospitalizations and 3,000 deaths annually (Painter et al., 2013). For
example, more than 320,000 hospitalizations (Waters et al., 2013) and 5,000 deaths
continuing threat to health and welfare, with their containment dependent on national
disease surveillance and response capacities (Waters et al., 2013). Public health
authorities related the FBD outbreaks to cases of hemolytic uremic syndrome (HUS) in
children, Salmonella, parasites, and gastroenteritis (Waters et al., 2013). Officials of the
USDA (2013) stated if not handled correctly; perishable foods cause illness. Food
contamination tends to occur when restaurants prepare meals in bulk and store at 20°C to
60°C (68°F–140°F) for an extended period before serving (Waters et al., 2013). The
FBD occurred in establishments such as hospitals, school cafeterias, prisons, and most
every place where to exist a food process operation (Waters et al., 2013).
What humans eat directly relates to the quality of human nutrition and FBD
(Singh, 2015). For purposes of this analysis, the nutritional quality refers to the health-
related aspects of the individual (Singh, 2015) including feeding problems associated
with the intake of foods containing allergens. The food safety infractions include
improper food handling, poor cooking processes, improper holding temperatures, the
absence of hygiene of employees, among the numerous violations (Arendt et al., 2014).
Sutinen and Kuperan (1999) indicated business decisions become a complex and
compound problem when business decisions reflect the socio-economic hardship of the
business owner. Arendt et al. (2014) measured employee perceptions on food safety
issues linked to health inspection results. The researchers concluded Americans still
prefer to dine out regardless of the economic crisis. Also, food safety violations often
(Strohbehn, Arendt, Abidin, Fatimah, & Meyer, 2013). Strohbehn et al. (2013) found
food handlers have poor personal hygiene and poor personal habits although working in
restaurants. Strohbehn et al. found knives, mop cloths, and hand towels contaminated
The FBD arises from poor control of land use (agriculture activity), trade,
scarcity, global trade disparity, and climate change; hence, food safety regulations must
assure food quality management (Arnade et al., 2013). Stakeholders and leaders must
plan and implement cost-effective strategies to combat FBD. Food illnesses have a direct
and negative impact on productivity ratios and medical costs, affecting the economy of
obtain media reports on foodborne outbreaks (Petran et al., 2013a). Media attention on
food safety regarding increases in foodborne illness outbreaks associated with fruits and
vegetables has set back consumer attitudes and purchasing behavior (Arnade et al., 2013).
Food and beverage consumption studies have long considered how news coverage
Food safety in the northern region of Puerto Rico. Since the beginning of the
20th century, researchers have shown interest in the study of food pathogens on the island
of Puerto Rico (Añez & Rios, 2013). The Puerto Rican weather was a crucial factor for
24
the development of bacteria and food contamination before, or after, preparing food for
human consumption. The CDC reported the number of illnesses, hospitalizations, and
deaths related to each outbreak (Scharff, 2015). Several surveillance systems for FBD
were available at the local, state, and territorial levels. However, these systems detect
only a portion of the foodborne illness burden in the United States (Nsoesie, Kluberg, &
Brownstein, 2014). The low rate was mainly from few sick individuals looking for
medical care and absence of reporting to the right authorities (Nsoesie et al., 2014).
Fortunately, many cases present a clinical picture of symptoms disappearing within hours
or days (Scharff, 2015). The medical symptoms were often indigestion or effects of any
common virus.
of Puerto Rico, recognizes public health encounters constant threats, making necessary to
inspect the premises of establishments for the sale of food to the public (OSL, 2015).
Eating outside the home was no longer a mere convenience to become a constant
necessity in the daily lives of our citizens (OSL, 2015). In Public Hearings, the Secretary
products in Puerto Rico (J. Rullan, personal communication, September 20, 2013). The
Secretary stated the Food Hygiene Division of the Assistant Secretary for Environmental
Health; State Department of Health had an average of 180 examiners to inspect those
Food supply and food safety were foremost global public health issues and were
increased request for food supplies (Lam et al., 2013). Restaurant owners have
recognized food quality, and hygiene was crucial factors in the sustainability of the
& Sirotinskaya, 2014). Customer retention was a significant element of the fast-food
Regulatory authorities, including the Food Standards Agency (FSA), estimated the
economic loss related to food illnesses in $1.4 billion with about 765,000 reported cases
in 2006 (Gaungoo & Jeewon, 2013). Some researchers have stated additional food safety
controls have had a direct influence on higher food costs to the consumer (Gaungoo &
Jeewon, 2013). Sutinen and Kuperan (1999) explained socio-economic factors determine
decision-making practices and may lead to unethical or illegal practice if the cost of
contracting food pathogens. However, researchers warn of the concern of the food
industry about the potential economic impact of the measures (Parsa, van der Rest, Smith,
Parsa & Bujisic, 2015). The literature revealed a vast range of business and productivity
costs connected with the lack of resources to trace product quality within the restaurant
industry. For example, although ciguatera fish poisoning was a common form of the
seafood intoxication globally, it has been challenging to estimate the related disease and
26
economic burdens. The FDA estimated at approximately $700 million annual cost to the
substantial adverse effect on the health of the businesses forced to close operations under
the protection of bankruptcy law (Parsa et al., 2015). In jurisdictions outside the United
States, franchises in the fast-foods industry divide into administrative districts. Annually,
experts in the fast-food business and economy strategist assess the distribution of market
(Lam et al., 2013) regardless of jurisdiction. Two indicators of interest were the number
of cases of FBD and the number of deaths aimed to be able to understand the magnitude
of the problem in a coherent manner. The issue of food safety has become vital to the
economy of all countries of the world (Lam et al., 2013). In China, the speed with which
the Chinese economy has grown has forced the gradual change in the food supply
approach for food security. In economically valuable times, China's GDP surpassed $7.2
trillion in 2011, resulting in 11.8% of the world's economy (Lam et al., 2013). In Greece,
from 1996 to 2006, researchers collected information from the surveillance data, hospital
statistics, and published literature (Saguy & Sirotinskaya, 2014). The estimated result
was 896 disability-adjusted life years (DALY) per million of inhabitants. The estimation
contaminated food, and 900 of these occurrences were severe, and three of them fatal
for 70% of the DALY. For Saguy and Sirotinskaya (2014), the DALY metric system
offered a broad outlook on the social effect of foodborne illness, crucial for ranking the
foodborne illness to be $6.9 billion (Lopez Nazario, 2012). Likewise, the incidence of
foodborne illness was a public issue causing economic losses related to lower labor
productivity (Scharff, 2015), hospitalization, and added health care expenditures (Lopez
Nazario, 2012). The FBD outbreaks were costly for parties affected. Health care and lost
productivity cost approximations for FBD in one state because E. coli ranged from $405
million up to $7.1 billion yearly (Strohbehn et al., 2013). Government official did not
address the hidden cost of poor public relations and lost businesses from food served in
retail operations. The state government may prevent the number of cases by receiving
reports on time (Soon, Seaman, & Baines, 2013). Cost can affect any business operation,
and lawsuits and workers’ health care were visible costs (Strohbehn et al., 2013).
Significant medical costs and loss of productivity resulted from pathogens; specifically,
illnesses (Strohbehn et al., 2013). The primary cause of these foodborne occurrences
relates to user food handling and hygiene practices (Strohbehn et al., 2013). Besides the
restaurants was to operate through the consumer’s eyes and concentrate on distinguishing
the company policy from other categories within the restaurant businesses (Mason, Jones,
consumers with safe and nutritious foods (Quinlan, 2013). Quinlan found crucial,
safeguarding consumers ‘welfare similarly to educating and setting the foundations for
lasting sponsorship and mutual consumer-business benefits. For the same reason,
citizens were aware of food safety issues in the restaurant industry. Arnade et al. (2013)
stated when the security of the product becomes a public issue; consumer surveys serve
to measure the reaction and the potential economic impact. Using shifting quantity of
news containing both warnings and safety declarations to augment a conventional model
crucial to commercial success (Carter & Baghurst, 2014). Owners must balance the cost
Thus, food safety was a significant distress for consumers and food service
workers in the United States. Restaurant visitors noted disappointments in the restaurant
setting related to core attributes, such as poor food quality, resulting in a remarkable
effect on the economy (Wilder et al., 2014). Likewise, the relationship influences
consumer confidence for the food producers (Kheradia & Warriner, 2013).
29
Wilder et al. studied the perception of frontline consumer services personnel and
agree the purchaser awareness about food safety might influence the quality of food
served by vendors. The theoretical foundation of the study comprised the customer
satisfaction and the customer service theories (Wilder et al., 2014). The participants
included more than 100, but less than 151 clients and employees from Burger King. The
participants indicated the educational background did not change their attitude toward
food safety and quality. Previous studies conducted by Mason et al. (2013) identified a
significant gap in perception and evidence among the less educated consumers. In fact,
consumers were more aware of the content and effects of the pollutants of nutrients in
products such as fish. However, ordinary consumers have few opportunities to evaluate
the food handling controls of food service establishment (Mason et al., 2013). Most
consumers depend on publications and reports, which the health department publishes on
the issue of health inspection results. As an alternative, consumers must look for
carry presuppositions and observations regarding the safety and cleanliness practices of
the restaurant (Mason et al., 2013). The food service hygiene was a determinant factor
when people decided to eat out, and consequently a direct influence on business sales
(Strohbehn et al., 2013). The results indicated the cleanliness of the food was an
A more recent study by Mason et al. (2013) validated results of Strohbehn et al.
(2013) and Waters et al. (2013). Cleanliness of the restaurant was an important factor for
30
customers, including cleanliness of restrooms, kitchen, and the restaurant (Mason et al.,
2013). These factors influence customer decisions and selection of eating out. The factor
with less relevance included a nutritional menu with local and ethnic foods, menu item
in the food supply and cause major economic loss. Food scares demoralize the food
service industry and reduce faith in the traditional practices of governance. Sutinen and
Kuperan (1999) explained some businesses may experience a lack of growth due to poor
economies and may have no alternative but to offer inferior products and services that
may result in greater incidence of illness. Mason et al. (2013) stated most consumers
believe government involvement would help in improving the quality of food served in
restaurants. However, research into the economic outcomes indicated the establishment
financial stability depends on the food illness risk consumers perceived. The NRA
(2013) planned to develop accurate business tool’s capability of collecting changes in the
food safety first in the top five safety issues worried the Chinese population, surpassing
other social issues, such as public, traffic, health, and environmental safety (Lam et al.,
2013). Lam et al. (2013) indicated quality, cleanliness, and service were essential
Restaurant owners operate their business making dramatic adjustments in the use of
31
resources necessary to restaurant operations (expense controls), although focusing on the
customers' loyalty and profit goals (Sharifah Zannierah, Hall, & Ballantine, 2012).
Frank (2012) found the public dines out more often at locations where patrons
were confident about the restaurant administrators. Hence, restaurant owners must take
According to the BLS (2013), the fast-food restaurants and food service restaurant
the employment of food service managers from 2010 to 2020. The median wage of fast-
food restaurant managers was $48,130 per year, $23.14 per hour in the United States
(BLS, 2013). The position often requires long hours of restaurant management.
more than 45 hours weekly. Likewise, managers occasionally work seven days a week.
managers and factory managers, work regular hours. Managers, who supervise multiple
units of a chain of restaurants or franchises, work on short notice, including nights and
weekends. This responsibility increases pressure and severe business problems (BLS,
2013). The majority of the pressure relates to the objective of achieving customer
satisfaction (Frank, 2012) and health integrity. With the increasing activity of eating out,
food safety became a critical contributor to physical well-being (Mason et al., 2013).
Mason et al. defended the existence of evidence of the relationship between customer
metric to predict repeat patronage, which points to trademark loyalty and new customers
through word-of-mouth promotion (Frank, 2012) and sustain profitable operations. The
experience and cost controls. Legislators suggest 1 to 5 years of experience for training
program success. Hence, restaurant owners usually promote experienced food service
Even though the majority of food service managers possess less than 4 years of
college, the market demand for post-secondary educational requirements increased for
manager positions (BLS, 2013). The fast-food industry leaders recruit management
trainees from college hospitality or with previous internship experience or education from
food service management programs, and business profit management. The candidate for
budget, food sales, customer service, nutrition, hygiene processes, food planning, food
growing the profit and loss as the most important issue within the restaurant operation
(Gaungoo & Jeewon, 2013). Recent studies have shown the transfer of excellent value
33
serves to achieve customer satisfaction and loyalty (Frank, 2012). Likewise, beyond
appreciation, assuring customer health and integrity was crucial to sustain successful
necessary (BLS, 2012). The NRA awards a Food Service Management Professional
(FMP) for candidates who passed a written examination, after completing coursework
and satisfying the experience requirements. The BLS (2012) identified skills restaurant
owners must have, such as business control, profit skills, customer service, detail-
speaking skills, and stamina (physical, mental, and health). Commonly, the restaurant
chains as the food service management organizations trained their personnel through
rigorous programs for management job opportunities, such as food service certification
Kitchen managers who approve certification of the hygienic handling of food can
improve the practices of food preparation in a safe way and improve business health.
Arendt et al. (2014) performed an exploratory case study to prove training in food safety
influenced the key behavior of employees. Arendt et al. found employee perceptions of
training policies, self-efficacy, and social responsibility might have a direct effect on
behavior. Outcomes show the positivity in the employee’s outlook produced better
training results, higher health examination score, and sustainable business operation.
Restaurant owners who involve the employees in the process of food safety training, and
deliver encouraging feedback to coworkers, may obtain the benefit of higher health
inspection scores, and consequently sustainable operations (Arendt et al., 2014). The
34
researchers Strohbehn et al. (2013) suggested training was not enough for long-term
progress. Restaurant owners must examine their philosophy to boost restaurant sales,
through safety, sanitary practices, and incentives, for employees, eager to use peer
operational scheme to simplify consistent hand hygiene. Sutinen and Kuperan (1999)
underscored to realities that some business owners engage in the poor decision-making
process that may lead to poor quality products and services due to limited financial
resources.
Food safety inspections. Waters et al. (2013) explored the topic of perceptions
investigators aimed to uncover factors influenced the practices used by food inspectors
during the inspections (Waters et al., 2013). An exploration of the impact of inspections
of food service business was relevant for the restaurant business sustainability. Thus,
food service managers were accountable for the day-to-day business processes of
restaurants for cooking and serving food and beverages to customers (BLS, 2012).
Administrators safeguard customers were satisfied with their eating experience and
restaurants violating health codes (Kang, Kuznetsova, Choi, & Luca, 2013). In some
cities, such as Los Angeles and New York, the government requires restaurants owners to
post their inspection scores at their locations, affecting the revenue of the business
the health department after a restaurant health inspection, influenced consumers of food
assessment of the fee of $1,112.00, and the cost avoidance of FBD (McLinden et al.,
2014). The analysis had an apparent benefit of the food safety prevention program.
Thus, the occurrence of one FBD would cost $5,500 or likewise, at least as much as
$1,877 (McLinden et al., 2014). This calculation shows how the cost involved in each of
these incidents, increased the regulatory costs (McLinden et al., 2014). The project did
incidence by 50% (McLinden et al., 2014). The cost of three cents per meal for the
inspection fee justified the investment when considering the potential risk and high cost
which represented the spread foodborne illnesses (Scharff, 2015). Identifying food safety
risk encompassed a risk assessment (West, 2015). In addition to identifying the risk
assessment, assist the investigator in quantifying the risks. Typically, risk assessments
legislative assessments, and politics (West, 2015). The benefit was implicit on the cost-
ensure the direct influence observed to business growth and profits. Foodborne illnesses
drain restaurants of profits regarding potential lawsuits and lost customers. Besides, the
waste and improving the production and quality of food (Gaungoo & Jeewon, 2013).
36
Food poisoning occurs because of the ignorance related to proper food handling, legal
responsibilities and improve their skills (Gaungoo & Jeewon, 2013). Training can also
improve business cost control, upsize sales volume and profit, job satisfaction,
management skills, generate pride in appearance and team spirit, and increase the number
the economic health of restaurants by reducing the staff turnover, which was one crucial
cost of a restaurant business (Gaungoo & Jeewon, 2013). Conversely, for Howell (2013),
management does not prioritize training caused by budget cuts and short-term priorities.
For example, food safety educational resources may be difficult or costly to obtain
The FDA regulation requires a certified food safety monitor to oversee the
operations of the food service establishment (Arendt et al., 2014). To ensure employees
programs in food security were available for use (Strohbehn et al., 2013). The NRA
the food service industry (Arendt, Paez, & Strohbehn, 2013). Investigators from the
safety and health inspection and operational improvement (Arendt et al., 2014).
Conversely, Arendt et al. stated food safety training would improve business knowledge
37
and sanitation within the operations. However, other authors quoted investigators who
suggested the problem was the transfer of information from managers (certified) to
employees, and the chance to participate in training even with no charge. Strohbehn et al.
(2013) found proper performance management rarely processes work well, because of
onerous managerial phases, procedures, and tools incoherent in the daily activities and
failing in their implementation. From the restaurant business and food safety standpoint,
this might represent a risk for any business operation and liability controls. Nevertheless,
commitment and facilitated the tools to develop the performance skills (Albrecht, Bakker,
Gruman, Macey, & Saks, 2015). In this way, managers and owners control the outcome
expected, and at the same time, bring more accurate performance projections (Albrecht et
al., 2015).
about food safety issues foremost in enhanced hygienic operations in the food service
establishments. The authors measured the attitudes of the employees regarding the
training program, self-assessment, social contribution, and the design of the facility,
restaurants perfect for the study; these foodservice units involved the more on-site
complex operation, placing them on the brink of the potential foodborne illness outbreak.
The outcome of the study supports the theory the workers’ outlook has a significant role
38
in transferring knowledge and skills gained in training. Further, the study results show a
and social accountability. Making necessary to explore the effect of measures to improve
food safety regulations, food safety practices, and the impact of foodborne events
(outbreaks).
administrators’ readiness to backing food safety training for staff. Arendt et al. employed
the theory of planned behavior for the analysis and found subjective standards observed
behavioral control worked as a crucial role in offering to train to employees. This factor
was important for the study of food safety issues in contrast to customers, employees, and
owners' perception.
food operations. One primary concern was the absence of reliable data on the FBD
(Luning, Chinchilla, Jacxsens, Kirezieva, & Rovira, 2013). However, recent studies find
social media, such as Internet applications and platforms, have become an excellent
source data to spread the information about FBD surveillance (Hwang, 2013). Globally,
governments have recognized the awareness gained by citizens on the issue of food
security in the respective countries and implemented corrective measures. These efforts
business risks. Consequently, Hwang stated the first-step fast-food sellers should take to
scrutinize consumers’ perceptions about items served in restaurants. The exercise will
39
assist marketers to understand consumers’ new demands related to the improved health
restaurants researched; also, the authors identified food quality as critical element to
client satisfaction and client loyalty. For Hwang (2013), proper food safety practices
could upsurge customer satisfaction. Frank (2012), validated the position of Arendt et al.
and found owners identified the main factors of consumer attitudes and intentions to
purchase, were good quality, the social branding concept, the social recognition factor,
and business advantage. The staff rapport with clients’ influences client’s perceptions
(Frank, 2012). Agarwal and Dahm (2015) found care about management, and customer
satisfaction was more an encouraging factor than the perceptions of the vulnerability to
FBD. However, in the case of restaurants, customer loyalty represents a critical aspect
that determines economic stability and growth (Agarwal & Dahm, 2015).
The role of government and the most effective policy options for food illness
prevention was controversial because of the limited resources and political considerations
influenced by the public policy implementation (Lam et al., 2013). Policies targeting the
menu labeling regulations in New York, and soft drink and confection taxes in Denmark
Government health and safety officials have an obligation to protect people from
hunger and malnutrition. The illness prevention, including hand-washing, hygienic hand
40
drying, and covering one’s mouth when coughing, remain a challenge within the
restaurant industry (Pellegrino, Crandall, O'Bryan, & Seo, 2015). Health agencies in the
Advocates and food safety stakeholders contended state and local agencies have
an important role in the fight against diseases and foodborne pathogens (David & Katz,
2013). Despite annual restaurant inspections in the United States, the CDC officials
et al., 2013b). Lopez Nazario (2012) stated limited studies relate to inspection violations
with foodborne illness. Manes et al. (2013) stated to decrease food poisoning cases;
restaurant food handlers need correct knowledge of food safety codes as a starting point
most states, laws leave local health departments in charge of evaluating restaurants to
State and local public administrations had regularly intervened with food safety issues,
then the federal government, including the Congress and regulators (Pertschuk et al.,
2013).
(2014) stated the most important benefit of food inspection prevention programs was cost
of both the food industry and the government administration collaborated to improve the
41
system focused on food safety (David & Katz, 2013). Researchers have also found food
safety training had positively improved food safety inspection results (Strohbehn et al.,
(2013).
Restaurants with certified food handlers obtained better inspection scores than
result of ready-to-eat meats and soft cheeses and the high case-deadly ratio of listeriosis,
organizations. One risk-ranking model for listeriosis, within the ready-to-eat foods,
recognized delicatessen meat as the uppermost risk food (Painter et al., 2013).
with 99% of the of foodborne cases; as a result, the FDA (2015) strategists created the
FDA although staffs do monitor the regulatory compliances of food and cosmetic
products.
The FDA and the USDA Food Safety and Inspection Service (FSIS) function to
amend the safety of ready-to-eat food from the end-to-end development of policies.
Assistance for the food industry, and regulations intended to avoid listeriosis septicity of
these foods caused the cost per case of over $1.6 million (Painter et al., 2013). However,
the CDC has created better surveillance systems to enable quick outbreak detection.
Likewise, the CDC responds to, and monitors, incident trends. Government leaders
42
focused on teamwork strategies aim to better integration of government levels (David &
Katz, 2013). Public agencies have developed material for food safety education to stop
Certain laws when implemented might affect how a state classifies and reacts to,
cases of foodborne illness, making it hard to distinguish between food regulatory laws.
The laws intended to prevent FBD, and food-related public health laws aimed at detecting
and responding to the alleged activities (David & Katz, 2013). Compliance and
investment in food safety were a priority in the economy of countries such as New
Zealand. It was affordable when compared to the cost savings with the reduction of
foodborne illnesses, and the costs associated with the foodborne illnesses (David & Katz,
2013).
David and Katz (2013) provided public agency directors who recognized the
critical role of law, have critical public health responsibilities. The total economic effect
of foodborne illnesses would decrease in the United States, including Puerto Rico, by
improving the economic incentives to the food service industry (Scharff, 2015).
Nevertheless, costs of executing new food safety regulations must balance the projected
benefits of decreasing foodborne illness and determine the net benefits (Scharff, 2015).
With this exercise, government authorities may identify and efficiently assign funds
approved the landmark FDA Food Safety Modernization Act (Drew & Clydesdale, 2013;
FDA, 2015). The initiative constituted the most comprehensive change in the United
States of America food safety field since the 1930s (CDC, 2014). The Food Safety
43
Modernization Act (FSMA) legislators intend to make the food service system effective
The reform established a precedent as the first major reform of food safety laws in
the nation after more than 80 years (David & Katz, 2013; Drew & Clydesdale, 2013;
Kheradia & Warriner, 2013). The FSMA requires the participation of the sectors of the
food industry in creating prevention controls in the work unit, overturning the previous
vision of FDA prevention programs (David & Katz, 2013). The new law identified the
state and local agencies and organizations with the lead role in the effort to combat and
detect outbreaks of FBD. The FSMA demands increased preparation, training, and
empirical research on the use of laboratories for surveillance and immediate response at
the northern region of Puerto Rico. The FSMA does not cover businesses with less than
customers; and restaurants in the same state, or within a 275-mile radius (Drew &
Clydesdale, 2013). Another problem was the enforcement of laws and regulations
created to address the issue of FBD. In many instances, responses to outbreaks were not
up to date, limiting the ability of the authorities in the management of information and
research (FDA, 2015). Above 1,000-foodborne illness, outbreaks cause over 23,000
diseases in the United States yearly (Jones, Rosenberg, Kubota, & Ingram, 2013).
Another challenge facing policymakers was both rates outbreaks reported as the result of
research vary significantly between states (Jones et al., 2013). Authorities must seek
44
integrated systems, with updated processes, to be effective (David & Katz, 2013). While
outbreak reports vary between states, in general, more than 1,100 FDB outbreaks result in
Puerto Rico Food Safety Act amendment and business strategies. The
literature did not offer substantial information regarding the occurrences of foodborne
pathogens and its economic consequence in the northern region of Puerto Rico, besides
the cafeteria food-related issues (Winters, 2013). However, local news reporters covered
other isolated cases of food poisoning isolates. The result of regulatory inertia was
foodborne illnesses no longer unusual; rather, they were the norm (Winters, 2013).
When the United States entered a recession in late 2007 and early 2008, the effect
on the economy of Puerto Rico and the government budget was devastating. A business
reporter for a local newspaper in Puerto Rico, El Vocero, informed government officials
adjusted the State Health Department’s budget and reduced the workforce and its ability
September 20, 2013). The House of Representatives of Puerto Rico approved a project to
address the issue of inspections of food establishments to measure the level of hygiene
and sanitation of these businesses (OSL, 2015). The bill establishes a pilot program for
The law will substitute the current Food Safety Act of the Commonwealth of
Puerto Rico (OSL, 2015). The bill will authorize the State Department of Health
to each establishment’s food prepared on a scale of zero to five stars. The five stars
45
represent excellence, four means very good, three means good, two stars mean
satisfactory, one star means poor, and zero stars represent very poorly (OSL, 2015). The
intention of the Lawmaker was to alert customers to the practices of the food
(OSL, 2015).
company (Sharifah Zannierah et al., 2012). Arendt et al. (2014) suggested employee
image influences how food safety knowledge and skills gained transfers between
after the training program, public health regulations were crucial as a monitor of
restaurant operations (David & Katz, 2013; Farzianpour, Khaniki, Batebi, & Yunesian,
response to restaurants (David & Katz, 2013). It was crucial to provide the resources
necessary for the prevention and control of foodborne illness, whether among employee
deprived of enforcement of the new legislation, the restaurant managers have little
based on limited available resources and may result in poor quality products and services
to customers.
46
Transition
selected for research. The purpose of this qualitative multiple case study was to explore
strategies fast-food restaurant owners use to comply with the food safety regulations to
remain profitable and sustainable. In the literature review, I considered the business
sustainability of the restaurant industry. The restaurant industry has a significant role in
the economy of the northern region of Puerto Rico. Hence, the qualitative approach for
this study permitted exploration of the case study within the fast-food restaurant industry.
Section 2 contains specifics on the role of the researcher, participants, research methods
and design, population and sampling, ethical research, data collection and organization,
and reliability and validity of the study. In Section 3, I provided findings, implications,
The purpose of this qualitative multiple case study was to explore the business
strategies fast-food restaurant owners use to comply with the food safety regulations to
remain sustainable. In Section 2, I offer the purpose statement and discuss (a) my role as
researcher, (b) the participants, (c) the research method and design, (d) the population and
sampling, (e) ethical research practices, (f) data collection and organization, and (g) the
Purpose Statement
The purpose of this qualitative multiple case study was to explore the business
strategies fast-food restaurant owners use to comply with food safety regulations to
remain sustainable. The targeted population was fast-food restaurant owners from six
fast-food restaurants from three restaurant chains in the northern region of Puerto Rico.
Contributions to social change from this study may include restaurant owners to establish
better food service practices, leading to healthier food consumption for those who dine in
restaurants.
and collected physical artifacts, such as information from websites, signage, and
and proficiency interviewing personnel, and extensive knowledge and experience in the
with specific questions in sequence, avoiding follow-up (Marshall & Rossman, 2015).
Researchers collect and analyze data, report findings, keep the privacy of the study
participants, and follow the ethical guidelines (Marshall & Rossman, 2015; O’Brien et
al., 2015).
The respect for persons is a crucial element of ethical principles, as outlined in the
Belmont Report (1978). The Belmont Report of 1978 offers a policy for ethical practice.
I followed the ethical principles of respect for participants as outlined in the Belmont
between practice and research, basic ethical principles, and applications (Adams & Miles,
2013). This case study reflects my adherence to the ethical requirements for limiting
potential harms during the interview process. I had no previous relationship with anyone
Vogl (2013) stated personal contact was important in qualitative research when
when doing them by telephone. Likewise, Irvine, Drew, and Sainsbury (2013) researched
the differences of semistructured interviews by telephone and in person, and found that
over the phone there was a tendency for participants to request clarification. As an
interviewer, I was the primary instrument used in the data collection process. As such, I
used semistructured interviews and available physical artifacts such as websites, signage,
and bulletins to explore the strategies restaurant owners were using to comply with food
49
safety regulations. The interview protocol (see Appendix A) provided the precise order
instrument of data collection (Xu & Storr, 2013), address ethical issues, and minimize
bias (Yin, 2014). Some forms of bias may impact the study, including interviewer bias.
Interviewer bias occurs when the interviewer embeds personal opinion into the research
through any preconceptions about the topic. Participant bias may occur if the participants
contrive responses due to perceived pressure from the interviewer, or sense the
accordingly (Yin, 2014). The use of a sound conceptual framework might help the
reminding participants to answer honestly and to only answer questions they were
comfortable with answering. Following the interview protocol standardizes the data
collection process, ensuring consistency in the data collection process (Irvine et al.,
2013). I regularly reflected on the ethical requirements outlined in the Belmont Report
The participants selected for the study were appropriate research subjects because
this population has unique knowledge about the restaurant industry in the northern region
of Puerto Rico. The participants assisted me in understanding the business strategies they
implemented to comply with food safety regulations for the sustainability of their
businesses. Gladwell, Badlan, Cramp, and Palmer (2015) noted semistructured, in-depth,
one-on-one interviews are the most common technique to obtain a rich detail of the
phenomenon under investigation. Pietkiewicz and Smith (2014) and Roulston (2014)
explore strategies fast-food restaurant owners use to observe the food safety regulations
The eligibility criteria included the following: (a) participants had implemented
strategies to comply with food safety regulations; (b) the fast-food restaurant was located
in northern region of Puerto Rico, one region considered under the pilot program of the
Food Safety Act Amendment (OSL, 2015); (c) the restaurant was in operation since
2009; (d) participants were owners within the restaurant industry with no less than 2
recorded, face-to-face interviews; (g) the business was a restaurant, with operations in the
fast-food category; and (h) participants were experiencing the effects of strategies on
restaurant sustainability.
51
I used pseudonyms to protect individual participant identities. To initiate contact,
I explored fast-food business websites. Roulston (2014) used a random method to choose
the study participants. Using the criteria developed to determine participants, I review
business websites, selected business owners, and created a potential pool of candidates. I
then identified owners performing as manager, and made initial contact in person at the
business location. I introduced myself, explained the purpose of the study, identified they
met the criteria of the study, and invited them to participate in the research. Each
restaurant owner who agreed to participate replied by e-mail or by phone and confirmed
participation in the process. Likewise, each signed the consent form included (a) details
of the research, (b) my participation as an examiner, (c) the schedule and promise to
complete the interview, and (d) the rights of restaurant owners as interviewee to respond
abilities to remain profitable and sustainable. To fully understand the complexity of the
provide the best opportunity to learn from restaurant owners. My decision to select a
qualitative case study approach required a thorough investigation of various methods and
designs.
Research Method
I used a qualitative method to conduct the study. There are three methods of
52
inquiry: qualitative, quantitative, and mixed methods (Nartea, 2014). Quantitative
statistical data. Nartea (2014) described the quantitative method as the only factual
source of knowledge resulting from logical and mathematical data analysis, which is a
positivist viewpoint. Certainly, the quantitative is an approach very well regarded in the
statistical study, the research information I sought required exploring the phenomenon
through participants’ experiences. Therefore, I did not select a quantitative method for
the study. Venkatesh, Brown, and Bala (2013) explained mixed method researchers
option in social and behavioral sciences; therefore, I did not select a mixed methods
approach.
and interviews to collect the required information (Singh, 2015). A qualitative approach
organizational direction.
53
Research Design
I selected a case study design for the study because gathering detailed
Thomas (2015) specified a researcher must choose a research design that aligns with the
overarching research question and the conceptual framework guiding the study. Four
(Thomas, 2015).
comprehend how decisions evolve from diverse viewpoints (Lien, Pauleen, Kuo, &
Wang, 2014) or the lived experience of participants (Davis, 2013). Even though
prolonged time for the study (Davis, 2013), rendering the approach inappropriate.
performances, and issues affecting the group within a cultural context. For that reason, I
Narrative researchers using the narrative design tend to seek associations with
human activity from an ample perspective within the study (Temba, 2013). Narrative
studies are appropriate for researchers writing a biography to capture every life
experience of an individual over time (Uluyol & Akçi, 2014). Narrative investigations
54
afford overviews of a person or group from the perspective of the researcher. Writing a
life story was not my intent, so a narrative design was not appropriate for the study.
In a case study, researchers seek answers to why and how participants perceive
events and make decisions (Uluyol & Akçi, 2014; Yin, 2014). A relatively small sample
is adequate to gain a deep understanding of the themes effect (Yin, 2014). Miles (2013)
stated researchers use case study design because they are a suitable approach for
exploring real-life issues and current phenomena such as the effects the Act on Food
Miles (2013) stated case study design is suitable for researchers including an
program, over a specified period. Miles described the case study approach as appropriate
for exploring daily phenomena related to job responsibilities. When using an interview
technique, the case study researcher should work to achieve data saturation, and then
cease the interview process when the interview provides no new information. If the
process does not achieve saturation, researchers use sampling to continue to add
semistructured interview data from additional participants until the data reaches
available methods and designs, I used a qualitative multiple case study to conduct the
study.
The population for this qualitative multiple case study was restaurant owners
operating in the northern region of Puerto Rico. Through the application of purposeful
55
sampling, the intent was to collect pertinent information on the topic of the research from
the selected fast-food restaurant owners in the northern region of Puerto Rico who
possess knowledge and experiences notably informing the study objective. In purposeful
distinctive of the population under study (Palinkas et al., 2013; Yin, 2014). Mason et al.
(2013) indicated sizes for qualitative research were smaller than sample size used in
observations, and participants’ comments as potential sources of data for a case study.
and capturing unspoken nuances using paper and pencil. Interviews should continue until
the process reaches a point when new data generates no new information and the
interview process reaches saturation, at this point, the interview process ends (Rohde &
Ross-Gordon, 2012).
In the northern region of Puerto Rico, the growing gastronomic tourism industry
establishment providing food services (OSL, 2015). I did seek out at least six
participants for the study and ceased the interview process once the data collection
process reached saturation. Saturation occurs when the generation of new data longer
adds information to the research process, and at this time interviews cease (Rohde &
Ross-Gordon, 2012). If the data collection required more participants to reach saturation,
access to further participants by inquiring with those interviewed to increase the potential
56
interview candidate sources (Rohde & Ross-Gordon, 2012). However, I did not use
snowball sampling as it was not necessary for this study. Participants included fast-food
restaurant owners or owners performing as managers from the northern region of Puerto
Rico because of their personal experiences in the restaurant industry. The criteria for
selecting the participants included (a) participants own or own and manage a restaurant,
with operations within a fast-food category; (b) the fast-food restaurant was located
within northern region of Puerto Rico, one district considered under the pilot program
comprised on the Food Safety Act amendment (OSL, 2015); (c) the restaurant had been
in operation since 2009; (d) participants were restaurant owners or owners performing as
managers within the restaurant with no fewer than 2 years’ experience, within this role;
(e) participants were willing to sign a confidentiality agreement, and consent prior to
interview; and (f) they would agree to participate in face-to-face interviews, and have
identify only fast-food owners impacted by the legislation and whose decision-making
practices consider the impact of the legislation on service delivery and business
sustainability.
sampling involves identifying the most suitable candidates who the researcher determines
will offer valuable information to support the development of the research (Palinkas et
websites for facilities in operation and included only available and suitable organizational
candidates who met the research criteria. Once I identified and recruited appropriate
57
participants, I worked to identify a suitable interview location and time accommodating
participant needs.
Ethical Research
ethical standards. Gibson, Benson, and Brand (2013) stated researchers must maintain
high moral values, promoting honesty, openness, and respect for the participants,
involved organizations, the University, and the reader of the study. To initiate the
research process, I conducted interviews by having each participant signed and returned a
signed consent form. In the Informed Consent Form, I explained the purpose of the
in an interview process. As such, the study participants had the opportunity to withdraw
from the study at any time without consequence. I planned to destroy any information
collected from participants who withdraw unless the participants state otherwise. Each
participant name remains protected by replacing each name with a pseudonym (P1, P2).
As suggested by Yin (2014), participants will receive no incentive for participating in the
study.
Yin (2014) and Gibson et al. (2013) suggested participants need to understand the
measures taken to protect their confidentiality and identification secrecy to facilitate the
willingness, openness, and honesty on their responses and experiences shared. I used and
will keep folders with the data collected safely for 5 years in a locked file cabinet.
Finally, as suggested by Howell (2013) and Yin, after the holding period, a paper
58
shredder facilitated the destruction of paper copies, followed by the erasing of electronic
data from the hard drive, containing these folders. Walden University’s approval number
As a researcher, I was the primary instrument for the study. Marshall and
exploring the viewpoint of persons in particular situations. The research interview was
significant qualitative data collection methods (Marshall & Rossman, 2015). I conducted
technique allowed probing for responses (Banks, 2013). Additional information from
physical artifacts, including company websites, signage, and bulletins, triangulated the
research (Yin, 2014). I requested written permission to access the physical artifacts when
achieve the reliability point and validity expectation of the data collected.
For the study, an interview protocol guided the interview process (see Appendix
A). An interview protocol includes steps taken to complete the data collection process
(Yin, 2014). I developed seven open-ended questions for in-depth interviews as the
primary source of data collection (see Appendix A). I used an interview protocol to
guide the interview process. I did seek for additional source information following Yin
Hanson and Moore (2014) stated reliability was relative to the consistency of the
outcomes of the study despite the time. I used several techniques to ensure the reliability
59
and validity of the study including following an interview protocol (see Appendix A)
ensuring I have signed consents from all participants, asked the same questions to each
The interview protocol kept the research process consistent and repeatable. Marshall and
review the information collected through the interview process, and making any needed
changes to increase the accuracy of the data collected (Marshall & Rossman, 2015).
According to Harvey (2015), member checking involves asking the participant to review
their response to the interview questions for accuracy. I contacted each participant
following the interview, provided those with a written comment of their statements
gathered in the interview and had the participant reviewed the statements for accuracy
over the course of one week. After a week, I collected the distributed statements and
information. Yin (2014) suggested interviews and physical artifacts, such as websites,
signage, and bulletins, as suitable sources. To collect the data, I used a semistructured
interview technique, used open-ended questions (see Appendix A), and artifacts such as
participant’s ability to recall details at the time of the interview (Yin, 2014). The
to uncover participant experiences in the event the participant cannot remember (Yin,
2014).
primary advantage was the ability to capture subtle nuances such as facial gestures not
was the risk of bias potentially resulting from misinterpreting non-verb nuances (Vogl,
2013). To mitigate any distortion resulting from any bias, I applied my skills as an
recording device to capture the information shared. The recorder was in a location so as
not to distract the interview process. Following the interview, I wrote out all information
gathered on the recorder. Then, I forwarded the written documents to the participant to
member check, ensured the accuracy of the information collected. The participant had
one week to review the document, make changes and return the information. I took the
revised documents and, once all participants engaged in member checking, I commenced
The used of member checking fortified the interview process. I achieved member
checking by providing each participant with their contribution from the interview and had
61
them review the content of the contribution for accuracy. The participants had one week
to review the information and make any changes. After the revisions, the participant
returned the documented verbatim back to me for data analysis. Member checking was a
technique of verifying the information collected by participants. The process may lead to
not only a greater understanding of the phenomenon but may generate new information
supplementing the original interview (Marshall & Rossman, 2015). The flexibility of
unnecessary.
Yin (2014) stated the use of interview protocol (see Appendix A) helps to keep
researchers organized and in control of the data collection process. To keep track of the
research log, I used Qiqqa software, an electronic database software program, to organize
the data from reflective journals, field notes, and interviews. The research log contains
the logistical steps I took to complete the research process, including setting up the
recording device, safe storage of all collected data, software procedures, data collection,
learnings gained from experience, suggestions for change, and valuable techniques may
aid future researchers conducting a similar study. Excel spreadsheets facilitated data
organization as part of the data analysis process (Park & Park, 2016; Singh, 2015).
pseudonyms rather than actual participant names (P1, P2). Similarly, physical records of
interviews, recordings, notes, and transcripts remain stored under lock and key with hard
62
copies of the interviews (Connelly, 2014; Grossoehme, 2014). I used a safety box
controlled by access codes to protect data, a mobile device (flash drive) to preserve
passwords. The gathered data, including all archival data collected during the research
process, will remain secure for a period no less than 5 years following the study. The
safe storage of data was essential in maintaining the integrity of research (Kan, Adegbite,
Data Analysis
Case study researchers use triangulation to collect data from multiple sources to
ensure consistency in the data collection process (Yin, 2014). Triangulation helps to
reduce any bias, improving the quality of the research (Yin, 2014). Yin described four
clarity of the study, I triangulated the study using interviews, and physical artifacts such
as websites, signage, and bulletins. I first conducted at least six interviews with fast-food
restaurant owners and reviewed physical artifacts associated with each business. Second,
I assessed the data collection process for saturation, monitored the continual flow for new
information. When data collection failed to produce new information, the interview
process stopped.
The analysis requires four steps (Marshall & Rossman, 2015) which include (a)
gather both interview and physical artifact information and member check for accuracy,
63
transcribe the data collected, (b) code data by identifying key words or word groups, then
forming groups into clusters, (c) gather clustered information into defined groups of
information forming themes, and (d) gaining meaning from the recognized themes to
comprehend the common and distinctive patterns of information (Singh, 2015; Yin,
2014). Then, look for commonalities in words, patterns of joined words, and themes
within the arrangement of words to cluster concepts (Houghton, Casey, Shaw, & Murphy,
2013). Once clusters of words and phrases become evident, the next step was to seek
meaning developing a richer understanding of the content shared (Houghton et al., 2013;
Yin, 2014). Although identifying commonalities in the data were critical, as suggested
broaden my perspective. Once themes evolved in the data, Houghton et al. suggested
drawing the information into a narrative explanation, capturing the intent of each
Sutinen and Kuperan (1999) argued business owners face unique challenges
the larger business community and researchers. To apply the socio-economic theory of
compliance in the study, the use of open-ended interview questions was an appropriate
method for conducting the case study (Park & Park, 2016; Singh, 2015).
64
Reliability and Validity
Reliability
A significant test for instituting the quality of social science research was the
estimate of study reliability (Nartea, 2014; Yin, 2014). Exploratory data from diverse
viewpoints (Luckett, 2013), or validating interview resulted with other sources, increased
the reliability of the study. Yin stated the researcher should avoid bias evading influence
on the direction or outcome of the investigation. With the intent to avoid bias, the current
reliability and validity; to mitigate this weakness, qualitative researchers apply other
(a) the purpose of the study, (b) participant selection procedures, (c) data collection
checking, (d) data interpretation and analysis, (e) research findings, and (f) the credibility
of the study. In addition to creating an audit trail, I ensured alignment between the
problems investigated, the purpose of the intended study, the central research question. I
ensured the related data was secured on a password-protected database and stored
65
securely in a fireproof safe in my home for at least 5 years, and apply standard analytical
The idea of assembling reliable data to explore perception rest on the responses
of the participant’s experiences and the viewpoint brought to the event under study
(Luckett, 2013). For accurate analysis, Luckett (2013) suggested the researcher check the
emerging outcomes, and elucidate potential biases and assumptions. Regarding data
collection, the plan encompassed recording the interview in Spanish, then transcribing the
interview and the in-depth, open-ended questions to protect instrument reliability (Yin,
2014).
Yin (2014) specified test-retest reliability was a method to assess the reliability
and constancy of a measure at diverse times. In this regard, I developed questions from a
thorough review of the literature concentrated on the specific business problem. Member
collected. All efforts ensured accuracy in reporting adds quality and dependability to the
research process.
Validity
findings were factual and certain (Adewoye, 2013). According to Adewoye (2013),
generalizability of the phenomena under study. Based on the premise, the current study
did not involve or contained an external validity issue. However, to ensure internal
66
validity, I accurately translated from Spanish to English each recording, and written notes
were taken at each interview session, and enhanced validity through data saturation. Yin
(2014) stated the sample size was not as critical as saturation was in ensuring a case study
approach gains enough perspective to begin to analyze data and make inferences. To
guide. I stopped the interview process when the collection of new data provided no new
information.
and confirmability of a study (Yin, 2014). Various strategies strengthen the credibility of
a study. Luckett (2013) recommended the use of triangulation to achieve the expected
degree of validity in a case study. The triangulation process involves proving the validity
of the study with different data sources (Adewoye, 2013). The triangulation encompasses
the utilization of more than one approach to the investigation of a research question to
improve the thoroughness (Luckett, 2013). Yin suggested six methods of triangulating a
case study. I applied three methods to triangulate the study including semistructured,
open-ended, interviews, and physical artifacts, such as websites, signage, and bulletins,
strategies including following a strict interview protocol (Marshall & Rossman, 2015) to
ensure each participant receives the same interview question and further to ensure
participant as interpreted by the researcher (Yin, 2014). The participant read the
interpretation and verifies the accuracy of the information. The researcher provided a
time limit for the participant review, and with the information returned, makes changes to
the document to ensure the accuracy of the data collected. Confirmability refers to other
researchers’ abilities to confirm results by following the audit trail (Houghton et al.,
2013). According to Houghton et al., a neutral and accurate study reflects confirmability.
An audit trail was critical to ensuring an accurate a neutral study. An audit trail was a
method of recording decisions made throughout the research process, and a reflections
diary to track common and unusual practices enhancing the investigation process. I used
conducting the research. Included in this section is a discussion of data collection and
completed transcription, coding, and clustering. From the clusters, I developed themes.
The themes encapsulated the guiding conceptual framework, central research question,
and all forms of data collected. The themes helped to gain a deeper understanding of the
impact of legislation on the fast-food industry in Puerto Rico. The objective was to share
the multiple case study research findings with fast-food operators, restaurant owners,
68
lawmakers, public health department stakeholders, and the fast-food industry in the
In Section 3, I present the study outcomes associated with the assessment and
analysis of collected data. This section involves an ample coverage of details useful to
professional practice, along with implications for social change. Similarly, I included
In this section, I report findings from this study, identifying business strategies
fast food owners from Puerto Rico use to comply with the food safety regulations while
remaining sustainable. By analyzing the research data, I discovered the crucial role of
determining and exploring the links between the issues raised through the data collection
and the conceptual framework for the study. This section contains (a) the study
overview, (b) the presentation of findings, (c) a discussion of the applicability of the
study’s findings to professional practice, (d) the a discussion of the study’s implications
for social change, (e) recommendations for action, (f) recommendations for further study,
Introduction
The purpose of this qualitative multiple case study was to explore business
strategies fast-food restaurant owners use to comply with the food safety regulations to
remain sustainable. The study findings relate to aspects of food safety regulations
These findings thus may help restaurant owners formulate more effective business
strategies.
The overarching research question for this study was: What business strategies do
fast-food restaurant owners use to comply with food safety regulations to remain
economy, providing jobs for more than 57,000 people, of whom 39,850 are employed in
70
restaurants with limited services, and 17,660 are employed in full-service restaurants
(BLS, 2012). The restaurant industry accounts for 12.5% of GDP in the service sector
(BLS, 2012). However, low socio-economic conditions carry a significant challenge for
business owners who want to engage in legal activities to sustain the business (Sutinen &
owners experience challenges complying with regulations and food safety standards to
explore the strategies six restaurant owners used to overcome the socio-economic stress
reviewing the business documentation, I collected and organized the data. The
participants in this study were six restaurant business owners, including those of (a) two
chicken brand businesses, (b) one burger brand business, (c) one Mexican restaurant
business, (d) one pizza brand business, and (e) one Puerto Rican cuisine fast food style
restaurant. All the participants were located in San Juan, Puerto Rico, a territory of the
United States. P1 had 15 years of experience, P2 had 25 years of experience, P3, P4, and
P5 each had 30 years of experience, and P6 had more than 30 years of business
management experience.
Immediately after receiving the IRB approval number for this study, 11-18-16-
0352731 and expires on November 17, 2017, I organized my agenda, made the phone
calls to contact the six restaurant business owners, and presented myself and the study
intent. Each business owner indicated they were motivated to participate in the study.
71
Then, I e-mailed six consent forms to the already contacted participants, all of whom
validated the intent of the study and expressed the willingness to participate in the study.
Likewise, they recognized the study’s potential to contribute to the Puerto Rican
company documentation. All participants gave consent for recording before starting their
interviews. Using an interview protocol (see Appendix A), I asked each participant seven
participants answered all seven of the interview questions. I completed the interview
I triangulated the study data using the responses provided by participants and
documents, and then reviewed in comparison to primary themes I found in the literature
review. After the interview, some of the participants agreed to share with me their
sheet and copy of the documents they used to measure the operational costs of labor, food
and drink cost, petty cash form, point of sales (POS) reports, and product mixed forms,
among others. Some of them also shared with me the inspection sheets they used in their
quality control program, as well as the forms of food safety and customer safety audits
I transcribed the data and sent it back to each of the participants to validate the
content of the document and the answers offered in the interview. When I found there
were no new or meaningful answers to the study, I determined the study had reached the
72
point of saturation. I used the Microsoft Excel program for coding and analysis. I also
used pen, color pencils, and paper to perform deductive and open coding of collected
data, and to conduct frequency analysis. I used different color to trace, developed a code
system, and completed the co-occurrence analysis of coded data segments to identified
Using the member checking strategy, I sent each participant a copy of the
having them review the information collected through the interview process, and making
any needed changes to increase the accuracy of the data collected (Marshall & Rossman,
2015). Each participant read my interpretation of the data and verified the accuracy of
the information. I provided participants 72 hours to complete the review process, and all
participants agreed with the condition and returned the document within the stipulated
timeframe. With this strategy, I confirmed the impartiality and accuracy of the study. As
Houghton et al. (2013) have noted, a neutral and accurate study reflects confirmability.
audit trail (Houghton et al., 2013). The following four key themes arose from the data
analysis: (a) legislative impact and food safety regulations, (b) reducing economic stress
and cost controls, (c) customer conduct, and (d) employee knowledge transfer.
The emerging themes all related to the business strategies followed by fast food
restaurant owners from Puerto Rico complied with food safety regulations to remain
sustainable. Food safety and legislative impact emerged as the first theme related to
governmental responses to food safety concerns. The second emergent theme was the
73
economic stress of the Commonwealth of Puerto Rico, and the cost control strategies and
challenges they presented to sustaining restaurant operations. The cost controls were
associated with the cost drivers involved in the operation management of restaurants and
the efforts to keep a profitable business. The third emergent theme involved customer
behavior regarding awareness and buying decisions affecting the strategies applied to
market their brands while keeping profitable operations. The fourth emergent theme was
related to employee knowledge transfer issues, and how this interrelated with training
All emergent themes related to the main components I discussed in the literature
review, including the restaurant industry in the northern region of Puerto Rico, the
industry responses to food safety concerns, and governmental responses to food safety
1999), offered the foundation for my analysis of these emergent themes. All participants
explained the challenges they faced to comply with the changing business regulations
while keeping sustainable business operations. The responses from all the participants
supported my assumption that the population selected for the study (restaurant owners or
owners performing as managers) was appropriate for investigating the business problem.
Fast-food restaurant owners or owners performing as managers may provide insights into
restaurant owners use to comply with the food safety regulations to remain profitable and
discover more about the food safety regulation and the legislative impact to their business
operations. Food safety regulations allow restaurant owners to reduce FBD incidences
and remain sustainable. All six (100%) of participants indicated they used food safety
regulation guidelines as a strategy to avoid FBD incidences and food safety infractions to
keep their business sustainable (see Table 1). Infractions listed in the Puerto Rico Food
Safety Act include improper food handling, poor cooking processes, improper holding
temperatures, and the absence of hygiene in employees, among numerous other violations
(Arendt et al., 2014). Despite annual restaurant inspections in the United States, the CDC
officials reported most foodborne illness outbreaks occur in restaurant settings (Petran et
al., 2013b). Manes et al. (2013) stated that to decrease food poisoning cases, restaurant
food handlers need correct knowledge of food safety codes as a starting point to obtain an
The responses from all participants indicated that restaurant owners might follow
the NRA recommendations to protect the profit center, focus on foodborne illness
prevention programs, and keep restaurant business sustainable. Using more efficient
strategies in fast-food restaurants may result in safer food for customers, and may
positively influence the economy and the jurisdiction of established operations (Waters et
75
al., 2013). The following new strategies aimed at keeping restaurants sustainable
• Ensure the sanitary quality and safety of foods and beverages for human
services.
and the food handlers working in the restaurants and related services.
department.
• Join the local or national chapter of the NRA and get involved with their
• Get to know how the legislative process is pertinent to health and the
restaurant business. Learn how to create legislation and how it may affect the
epidemiological surveillance of food operations. One primary concern was the absence
of reliable data on the FBD (Luning et al., 2013). However, five of the six (83%)
participants voiced that following the food safety regulations per the current legislation is
the best warranty for compliance, but following their business standards of (a) quality, (b)
cleanliness, and (c) service assures sustainable business operations. P2, P3, and P5
indicated their standards of quality and food safety are more demanding and effective
than those required by the current legislation. They expressed feeling safer following
their food safety measures for excellent results, thereby avoiding liabilities or legal
claims for food poisoning. Food safety has become vital to the economies of all countries
of the world (Lam et al., 2013). Foodborne illness affects considerable amounts of the
land use (agriculture activity), trade, scarcity, global trade disparity, and climate change
(Abusin, 2015). Hence, food safety regulations must assure food quality management
distress has limited businesses’ capabilities to comply with new food safety regulations.
For Abusin (2015), managers and restaurant owners often find their hands tied by lack of
changes in food safety law. Nevertheless, to reduce the effect on productivity ratios and
to the economy of enterprises, society must diminish potential cases of FBD (Sharifah
All six (100%) participants emphasized failing to follow food safety guidelines
may be devastating for the “business branding,” placing the business’s sustainability at
high risk. The business strategy of fast food restaurants was to operate through the
consumer’s eyes and concentrate on distinguishing the company policy from other
categories within the restaurant industry (see Mason et al., 2013). All participants
comment about the need to balance the food safety regulations compliance with meeting
profit goals. Each recognized that maximizing resources and reutilizing material as
overhead might have a great impact on restaurant cash flow and economic health. The
standards (Quinlan, 2013). From the perspective of new legislations, Sharifah Zannierah
et al. (2012) stated, deprived of enforcement of the new legislation; the restaurant owners
regulations.
Although the topic of economic stress emanates from question 3, was present in
almost all the answers throughout the interview with each of the participants. Similarly,
the issue associated with the element cost from an accounting or administrative point of
the participants brought to the conversation the element of the fiscal situation of Puerto
Rico and how it had affected the businesses in general, including food. When the United
States crossed, the threshold entering a recession in late 2007 and early 2008, followed
globally in late 2008, the consequence of the economy of Puerto Rico and the
government budget was devastating. Five of the six participants (83%) agreed the
economic problem is at least international in nature (Table 2) since they had a direct
relationship with chains of restaurants in the Continental United States. For all
participants, the reduction of costs can offer restaurant owners excellent results to
improve the performance of restaurant operations. The following are some strategies
• Re-think selling strategies and revenue center (from the cost control
standpoint).
to landfill.
production level.
• Convert restaurant used fryer oil into biodiesel aim to get extra revenue.
Although cost drivers, all participants (100%) stated due to the new complexity
restaurant administrators rarely stop for a moment to review financial issues, such as
Profit and Loss Statements, in as systematic way. However, external forces and internal
forces influence business sustainability daily. A finding that validates other studies such
engage in decision-making processes based on limited available resources and may result
Table 2
2013). P2 emphasized the need for adopting new strategies beginning with changing the
way of managing restaurant cost system. According to Soieb et al. (2013), fast-food
owners use financial metrics, such as control variables related to the fixed and variable
cost of profit as part of their cost control system. Estimating and controlling the current
cost of goods or labor during a certain period can be quite difficult. For P4 “reducing
costs is not a difficult task,” but is crucial to use a cost drivers’ analysis. However, the
literature revealed a vast range of business and productivity costs connected with the lack
of resources to trace product quality within the restaurant industry. The lack of resources
contrasts with the socio-economic theory thus resources such as time and capital are of
limited nature. While those supporting the deterrence model of regulatory compliance
the weighting of general benefits and penalties. Likewise, the social exchange theory
(SET) applied to the identification of findings of the study. Thus, social exchange theory
encompassed the notion of cost and benefited from the human behavior viewpoint (Soieb
et al., 2013; Ugwu et al., 2014). Business owners compared the benefits and
The third theme uncovered was the participant’s perception of customer conduct
from the perspective of challenges to comply with food safety regulations while keeping
sustainable business operations. The customer conduct theme prevailed with a 66% as an
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emergent topic during the response to questions 3 and 7 (Table 3). Some of the key
business partnerships.
and service).
with the strategies follow toward to keep their business sustainable and profitable. Four
of six participants (67%) mentioned the customer conduct theme on more than five
finding, thus, for Saguy and Sirotinskaya (2014) customer holding was a significant
this finding validated the statement of NRA (2013) estimated in 2009, 48% of customer
budgets covered the cost of food and projected sales of $660 billion for 2013,
representing a 3.8 % rise from the previous year. For that reason, restaurant owners
recognized food quality and hygiene as a decisive factor in the sustainability of the
82
restaurant business, validating customer perception influenced customer patronage
The ASORE leaders stated strengthening customer satisfaction, and loyalty might
increase the general economy within the restaurant industry of the northern region of
Puerto Rico. A strengthened consumer base may improve local economies, drawing
more generalized consumerism to the fast-food industry. Greater profits for the fast-food
industry in Puerto Rico may trickle down to other industries building economic and
social wellbeing.
Table 3
Participant 2, Questions 3, 7 2 7
Participant 3, Questions 3, 7 6 20
Participant 4, Questions 3, 7 6 20
Participant 5, Questions 3, 7 4 13
Participant 6, Questions 3, 7 6 20
The majority of the participants, 5/6 (83%) stated customer patronage helped
them to combat economic distress in Puerto Rico. Lam et al. (2013) indicated quality,
cleanliness, and service were essential attributes, enhancing customer satisfaction. This
finding is crucial for restaurant profit stability. Thus, for Sharifah Zannierah et al.
83
(2012), restaurant owners operate their business making significant modifications in the
loyalty and profit goals. Abusin (2015) argued how businesses experiencing direct socio-
resources and may result in poor quality products and services to customers.
(Carter & Baghurst, 2014). Owners and managers must balance the cost of customer
retention and the operational effectiveness to be profitable (Wilder et al., 2014). Once
again, the application of the socio-economic theory was critical in the understanding of
the significance of controlling the way owners use their limited resources.
The fourth emergent theme included the participant’s perception about employee
knowledge transfer issue and how this interrelated with training aspects including
employee turnover, increasing the risk of business failure. Mason et al. (2013) indicated
training methods influenced knowledge and behavior change. Participants discussed the
controls. Overall, all participants suggested a sustainable restaurant must operate with
• Must count with an update and comprehensive Food and Beverage Safety
program.
agencies.
Table 4
Participant 2, Questions 4, 5, 6, 7 0 0
Participant 3, Questions 4, 5, 6, 7 4 29
Participant 4, Questions 4, 5, 6, 7 1 7
Participant 5, Questions 4, 5, 6, 7 4 29
Participant 6, Questions 4, 5, 6, 7 1 7
participants mentioned the importance of employee training but not as crucial as the issue
of knowledge transferring (Table 4). Arendt et al. (2013) stated food safety training
would improve business knowledge and sanitation within the operations. P1, P3, and P5
recognized their food safety training programs, the general management programs, and
brand protection programs as key to succeeding in the past 20 years. Validating the
control, budget, food sales, customer service, nutrition, hygiene processes, food planning,
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food preparation, business regulations, and technology (BLS, 2012). These findings such
as the emphasis on knowledge transfer contrasted with the social exchange theory (SET)
social exchange theory comprised the concept of cost and benefit from the human
Summary of Themes
The findings indicate if fast food restaurant owners focus their business strategies
in the following areas (a) reliable personnel training programs, and (b) a dynamic cost
management system they may be able to develop. Likewise, may sustain profitable
factor linked legislation changes or economy distress issues. The conceptual framework
for this study was the socio-economic theory. The socio-economic theory of compliance,
developed by Sutinen and Kuperan (1999) provided business leaders may lack the
economic conditions. The socio-economic theory was the tool to understand, identify,
and expose the strategies restaurant owners could use to comply with food safety
legislation and sustain profitable business operations. Sutinen and Kuperan stated the
socio-economic theory has three basic tenets: (a) a business owner engages in legal
activities when the risks of engaging in unlawful activities are greater than the benefits of
acting legally, (b) a business owner engages in unlawful behavior if the perils of the
illegal act are nominal and the possible gains of the illegal act are significant, and (c) the
participated in this study, clearly shared their recommendations aim to keep sustainable
distress. Sutinen and Kuperan emphasized the need to explore other antecedents
low socio-economic conditions may carriage a significant challenge for restaurant owners
who engage in legal activities to sustain the profitable business. Sutinen and Kuperan
indicated sustained business owners make decisions to comply based on cost versus
benefit. For reason, this study uncovered four key themes from participants’ responses:
(a) legislative impact and food safety regulations, (b) reducing economic stress and cost
controls, (c) customer conduct, and (d) employee knowledge transfer. Understanding the
restaurant owners from Puerto Rico to comply with the food safety regulations while
remaining sustainable.
The purpose of this qualitative multiple case study was to explore business
strategies fast-food restaurant owners used to comply with the food safety regulations to
remain sustainable. Participants were fast-food restaurant owners from six fast-food
restaurants from three restaurant chains in the northern region of Puerto Rico. The
and explanations of the outcomes of the study. Findings are (a) the legislative impact and
food safety regulations, (b) reducing economic stress and cost controls, (c) customer
87
conduct, and (d) employee knowledge transfer. All of them pertinent to restaurant
owners’ strategies to remain sustainable and profitable while complying with the industry
legislation and market regulations in Puerto Rico. The outcome of this study could
improving their business operations. From the professional practice perspective, this
study comprises the potential of restaurant owners to collaborate with the industry
stakeholders to improve their restaurant's operations and financial status. Likewise, this
study contributes to aspects related to current business and future operators in the
Restaurant Industry in the northern region of Puerto Rico. The legislative impact and
food safety regulations, reducing economic stress and cost controls, customer conduct,
and employee knowledge transfer are findings may guide restaurant owners to achieve
Reducing economic stress and cost controls may influence restaurants current
require previous food service experience and cost controls. Legislators suggest 1 to 5
years of experience for training program success. Hence, restaurant owners usually
(BLS, 2012). Still, an upward number of manager positions require formal education in
business, hospitality, or restaurant management programs. Even though the most food
service managers possess less than four years of college, the market demand for post-
secondary educational requirements increased for manager positions (BLS, 2013). The
and business profit management. Restaurant owners may reinforce their business by
improving areas such as business management, cost control, budget, food sales, customer
every dollar of food purchases in restaurants (Hwang, 2013). In the first three months of
2015, restaurant sales totaled over $150 billion on a seasonally-adjusted basis (NRA,
2015). Also, sales represented $2 billion more than the previous fourth quarter’s sales of
approximately $148 billion. Also, it represented the first time on record eating and
drinking sales reached the $150 billion level in a quarter. The NRA projected to reach a
turnover cost with the adequate implementation. In Puerto Rico, the OSL (2015)
reported local consumers, in 2012 spent approximately $9.2 billion in the food and
beverage sector. The fast-food restaurants and food service restaurant managers held
of food service managers from 2010 to 2020 (BLS, 2012). The median wage of fast-food
restaurant managers was $48,130 per year, $23.14 per hour in the United States (BLS,
2013).
89
From the viewpoint of the legislative impact and food safety regulations, food
safety, productivity, and illness cost effect food finding may help restaurant owners and
medical costs and loss of productivity resulting from pathogens foodborne (BLS).
foodborne illnesses (Strohbehn et al., 2013). The primary cause of these foodborne
occurrences relates to user food handling and hygiene practices (Strohbehn et al., 2013).
Besides the household or private residence, restaurants were the primary source of
In restaurants, the first 3 months of 2015, eating place sales totaled over $150
billion, on a seasonally-adjusted basis (NRA, 2015). The BLS (2013) reported Puerto
Rico consumers in 2012 spent approximately $9.2 billion in the food and beverage sector.
Likewise, for the northern region of Puerto Rico economy, the growing gastronomic
tourism industry is a vital fiscal sector, requiring a reliable system to monitor each
establishment providing food services (OSL, 2015). However, although the population
and number of restaurants have increased, resources for the Department of Health of the
(OSL, 2015). A lack of inspections create extra pressure on the restaurant industry in
becomes sick, 128,000 gain treatment in hospitals, and 3,000 die, due to foodborne
related diseases each year (Logan, 2012; CDC, 2014). Foodborne disease (FBD) has
90
approximately $55.5 billion in economic cost. Food illnesses also have a direct impact to
public health, social, and business sectors (Arnade et al., 2013; Munjal & Sharma, 2012).
economic problem, public health issue, and restaurant management challenge (Petran et
al., 2013a).
Contributions to social change from this study may include establishing better
food service practices leading to healthier food consumption for those who dine in
restaurants. Strengthening customer contentment and loyalty might upsurge the general
economy within the restaurant industry of northern region of Puerto Rico (ASORE,
2012). A strengthened consumer base may increase local economies, drawing more
widespread consumerism to the fast-food industry. Greater profits for the fast-food
industry in Puerto Rico may influence other industries building economic and social
wellbeing. The implications for social change related to the doctoral study could
comprise great opportunities of benefit for all stakeholders in the topic, such as the
potential for restaurant owners to share the food safety strategies used to comply with the
legislation to protect public health while keeping sustainable operations. Overall, the
study findings, may add to social change by stimulating Puerto Rico’s fast-food
restaurant stakeholders, for example such as: (a) customers, (b) employees, (c)
lawmakers, (d) mayors, (e) suppliers, (f) financial sector, (g) public health officials, and
The purpose of this qualitative multiple case study was to explore business
strategies fast-food restaurant owner use to comply with the food safety regulations to
remain sustainable. The northern region of Puerto Rico relies on the economic state of
the food industry to offer a breadth of offerings, and quality goods and services (ASORE,
2012). Puerto Rico, a Commonwealth of the United States, is one major employer in the
United States. The general business problem explored was under the premise that some
fast-food restaurant owners were not complying with food safety regulations and failing
Likewise, the specific business problem I investigated related to the premise some fast-
food restaurant owners lack business strategies to comply with the food safety regulations
to remain sustainable. The combination of themes resulting from the research led to the
recommended actions that Puerto Rican fast food restaurant owners should improve
business strategies to comply with the food safety regulations to remain sustainable.
The recommendations from this study may have significant business and social
impact to the financial health of other industries; thus, the restaurant industry contributes
to the economy of the United States, employing millions of individuals. I recommend the
application of the study findings may offer restaurant owners additional business
strategies to promote sustainable operations, profitable business, and safe food services.
improve services provided to their associates and members. ASORE have supportive
programs such as (a) Industry Representation, (b) Legislative and Labor Information, (c)
92
Educational Activities, or (d) Member Information Support. The four key themes arose
from the data analysis: (a) legislative impact and food safety regulations, (b) reducing
economic stress and cost controls, (c) customer conduct, and (d) employee knowledge
transfer are all key for developing new strategies to comply with food safety regulations
to remain sustainable. I will afford all participants with a copy of an overview of themes
and findings. As soon as the study is approved, I will notify all participants the complete
doctoral study is accessible to them if they want a copy to read and share with
the Puerto Rican Hispanic Chamber of Commerce of West Palm Beach. I will use my
position as Collaborator of the Hispanic E-Commerce, and as the CEO of the America
business relations with WordPress, Research Gate, and United Nations Foundation to
divulge relevant findings through all electronic media and social media access. I will be
able to communicate the findings through the structure of these and other community,
public, and non-profit organizations. The outcome of the study may apply to restaurant
business owners from other regions of Puerto Rico, as well as for any jurisdiction in the
United States, and any stakeholder worldwide. Finally, as a university professor, I will
recommend students pay attention and read the findings as an application of findings
Amsterdam, Europe, and Ottawa, Canada. The intent is to share the best practices and
The purpose of this qualitative multiple case study was to explore business
strategies fast-food restaurant owners use to comply with the food safety regulations to
remain sustainable. The outcome of the study provided some strategies restaurant owners
used were reducing economic stress and cost controls, customer conduct, and employee
knowledge transfer aimed to keep sustainable and profitable restaurant operations. I used
a case study as the research design, with semistructured face-to-face interviews with six
restaurant owners and owners performing as managers, I reached data saturation when no
other new information emerged after performing continuous interviews. Miles (2013)
described case study approach as the right design for exploration of phenomena within
the context of job responsibilities and using an interview technique. However, my study
has two limitations to consider for further research (a) results may not be transferable to
other businesses or industries, and (b) a researcher may enhance participant honesty by
providing the freedom to answer any or all questions; however, this did not ensure
honesty. Limitations are elements of the study beyond the control of the researcher
(Marshall & Rossman, 2015). Recommendations for further study comprise developing a
similar themes such as legislative and regulation impact in a specific industry such as, but
not limited to, the retail industry. The same recommendation applies to themes such as
reducing economic stress and cost controls, customer conduct, and employee knowledge
transfer. As for the honesty in responses, it is a matter beyond the control of the
research strategy may also bring a different outlook to the strategies restaurant owners
use to comply with food safety legislation and keep a sustainable business. Another
recommendation for further studies involve different geographical region with a bigger
Reflections
My vision of life changes as I begin my journey into the world of graduate study.
When I decided to do the exploration about legislation, sustainability, and the fast food
business, I faced a great challenge. For in all these features I had professional and work
experience, and great passion. However, I have no previous association with anybody
interviewer bias by not influencing the data collection process through any
preconceptions about the topic. During the conduct of this doctoral qualitative
exploratory case study, I kept using formal instruction and discipline in following the
established protocols, and by IRB guidelines could overcome all bias visions on the
aligning the context of the study while collecting data to reduce bias (Yin, 2014). The
principles or guidelines established by the IRB include boundaries among practice and
research, basic ethical values, and applications (Adams & Miles, 2013). Similarly, I used
the triangulation by conducting at least six interviews with fast-food restaurant owners,
reviewed all physical artifacts, assessed the data collected, and then reach the point of
95
saturation after monitoring the continual flow of new information. When data collection
failed to produce new information, I stopped the interview process. Within the method,
triangulation applies to the collection of data from multiple sources such as interviews
and physical artifacts, such as websites, signage, and bulletins (Park & Park, 2016; Singh,
2015). Objectivity became my best working tool. Conversely, there was a latent interest
in social impact and all that this implies. Positive social change to people and
communities may result from strategies to comply with food safety regulations. As well,
customer experience. Consequently, research on the topic, how fast food restaurant
owners could meet food safety legislation, and at the same time maintain sustainable
track record in San Juan, Puerto Rico, which comprises much of the northern region of
Puerto Rico to ensure the most accurate business information and high-level strategies.
vision of academic life because I offer myself new opportunities to interview great
connoisseurs of the food and restaurant industry of Puerto Rico. All of them, people of
work and result, who, over the years, and in some cases decades, have managed not only
to keep their businesses, but most of the participants have developed successful
obtain vast and precise information. Through the emerging issues, I could expand and
update my knowledge in the fast food restaurant business. I am now more prepared to
sector of significant social and economic impact for Puerto Rico. The study findings may
add to social change by stimulating Puerto Rico lawmakers and fast-food restaurant
Conclusion
The purpose of this qualitative multiple case study was to explore business
strategies fast-food restaurant owners comply with the food safety regulations to remain
documents, and physical artifacts, such as websites, signage, and bulletins, as suitable
technique, using open-ended questions (see Appendix A), and a set of artifacts such as
company websites, signage, bulletins, and financial statements such as monthly cash
flows and income statements. Likewise, I recognized the trust deposited and interested in
the study as some of the participants entrusted me, documents associated with their
among other things, effectiveness, quality of service, product quality, and cleanliness and
contribution from the interview and have them review the content of the contribution for
participants (Marshall & Rossman, 2015). Yin stated the sample size is not as critical as
97
saturation is in ensuring a case study approach gains enough perspective to begin to
analyze data and make inferences. I stopped the interview process just when the
collection of new data provided no new information. After I had recorded the interviews
and member checked for accuracy, I transcribed, coded, and developed themes. The
themes encapsulated the guiding conceptual framework, central research question, and all
forms of data collected. After this process, four key themes emerged: (a) legislative
impact and food safety regulations, (b) reducing economic stress and cost controls, (c)
customer conduct, and (d) employee knowledge transfer. I associated each emergent
theme with the literature review, the prevailing database of knowledge and socio-
economic theory. The study findings indicated restaurants owners might use (a)
reducing economic stress, (b) cost controls, customer conduct, and (c) employee
knowledge transfer aim to keep sustainable and profitable restaurant operations while
doi:10.5539/ass.v9n7p
Abusin, S. (2015). Approaches and methods used in analyzing compliance with fishery
doi:10.5897/AJAR2014.9289
Adams, D. P., & Miles, T. P. (2013). The application of Belmont report principles to
doi:10.3928/00989134-20131028-07
Adewoye, A. (2013). Unique competencies required for female leadership success in the
Agarwal, R., & Dahm, M. J. (2015). Success factors in independent ethnic restaurants.
.2015.995749
Albrecht, S. L., Bakker, A. B., Gruman, J. A., Macey, W. H., & Saks, A. M. (2015).
Añez, G., & Rios, M. (2013). Dengue in the United States of America: A worsening
doi:10.1108/09596111311290255
Arendt, S. W., Roberts, K. R., Strohbehn, C., Arroyo, P. P., Ellis, J., & Meyer, J. (2014).
Arnade, C., Kuchler, F., & Calvin, L. (2013). Consumers’ response when regulators are
uncertain about the source of foodborne illness. Journal of Consumer Policy, 36,
17–36. doi:10.1007/s10603-012-9217-6
Baer, A. A., Miller, M. J., & Dilger, A. C. (2013). Pathogens of interest to the pork
doi:10.1111/1541-4337.12001
Barnes, D. C., & Collier, J. E. (2013). Investigating work engagement in the service
Buick, F., Blackman, D. A., O’Donnell, M. E., O’Flynn, J. L., & West, D. (2015). Can
2013-0249
www.bls.gov
www.bls.gov
Carter, D., & Baghurst, T. (2014). The influence of servant leadership on restaurant
doi:10.1007/s10551-013-1882-0
Centers for Disease and Control. (2014). CDC Estimates of foodborne illness in the
David, S. D., & Katz, R. L. (2013). Navigating the legal framework for state foodborne
from http://www.franklinpublishing.net/insightschangingworld.html
Dhama, K., Rajagunalan, S., Chakraborty, S., Verma, A., Kumar, A., Tiwari, R., &
Drew, C. A., & Clydesdale, F. M. (2013). New food safety law: Effectiveness on the
doi:10.1080/10408398.2011.654368
Farzianpour, F., Khaniki, G. J., Batebi, F., & Yunesian, M. (2012). Compare the effects
doi:10.3844/ajassp.2012.1678.1683
Food and Drug Administration (FDA). (2015). FDA Food Safety Modernization Act
Frank, B. (2012). The formation of consumer attitudes and intentions toward fast-food
Gaungoo, Y., & Jeewon, R. (2013). Effectiveness of training among food handlers: A
Gibson, S., Benson, O., & Brand, S. (2013). Talking about suicide: Confidentiality and
doi:10.1177/0969733012452684
Gladwell, P. W., Badlan, K., Cramp, F., & Palmer, S. (2015). Direct and indirect benefits
Hanson, W. R., & Moore, J. R. (2014). Business student moral influencers: Unseen
doi:10.1080/1743727X.2014.914487
Houghton, C., Casey, D., Shaw, D., & Murphy, K. (2013). Rigour in qualitative case-
doi:10.7748/nr2013.03.20.4.12.e326
103
Howell, D. K. (2013). Strategies for sustaining motivation among front-line leaders: An
doi:10.1108/BFJ-10-2011-0246
Irvine, A., Drew, P., & Sainsbury, R. (2013). ‘Am I not answering your questions
doi:10.1177/1468794112439086
Jones, T. F., Rosenberg, L., Kubota, K., & Ingram, L. A. (2013). Variability among states
Jose, G., & Mampilly, S. R. (2015). Relationships Among perceived supervisor support,
doi:10.1080/15555240.2015.1047498
Kan, A. K. S., Adegbite, E., Omari, S. E., & Abdellatif, M. (2016). On the use of
Kang, J. S., Kuznetsova, P., Choi, Y., & Luca, M. (2013). Using text analysis to target
104
government inspections: Evidence from restaurant hygiene inspections and online
Keeble-Ramsay, D. R., & Armitage, A. (2015). HRD challenges faced in the post-global
financial crisis period–insights from the UK. European Journal of Training and
Kheradia, A., & Warriner, K. (2013). Understanding the food safety modernization act
and the role of quality practitioners in the management of food safety and quality
Ko, W. H. (2013). The relationship among food safety knowledge, attitudes and self-
doi:10.1016/j.foodcont.2012.05.076
Lam, H., Remais, J., Fung, M., Xu, L., & Sun, S. S. (2013). Food supply and food safety
Lien, B. Y.-H., Pauleen, D. J., Kuo, Y.-M., & Wang, T.-L. (2014). The rationality and
189-196. doi:10.1007/s11135-012-9759-3
Lockett, A., & Wild, A. (2014). Bringing history (back) into the resource-based view.
Luckett, R. D. (2013). Solar energy systems for Ohio a residential homeowners (Doctoral
No. 3600843)
Luning, P., Chinchilla, A., Jacxsens, L., Kirezieva, K., & Rovira, J. (2013). Performance
doi:10.1016/j.foodcont.2012.06.040
Manes, M. R., Liu, L. C., & Dworkin, M. S. (2013). Baseline knowledge survey of
Marshall, C., & Rossman, G. B. (2015). Designing qualitative research (6th ed.).
Mason, K., Jones, S., Benefield, M., & Walton, J. (2013). Consumer perceptions of quick
116. doi:10.1504/ijltm.2012.046445
McLinden, T., Sargeant, J. M., Thomas, M. K., Papadopoulos, A., & Fazil, A. (2014).
Component costs of foodborne illness: a scoping review. BMC Public Health, 14,
Miles, K. J. (2013). Exploring factors required for small business success in the 21st
Munjal, S., & Sharma, S. (2012). Applying innovative food cost management practices in
doi:10.1108/17554211211277897
Nartea, T. J. (2014). Exploring collaborative farm market networks for beginning farm
www.restaurant.org
Nsoesie, E. O., Kluberg, S. A., & Brownstein, J. S. (2014). Online reports of foodborne
O'Brien, D. R., Ullman, J., Altman, M., Gasser, U., Bar-Sinai, M., Nissim, K., ... &
(2015-7). doi:10.2139/ssrn.2586158
www.oslpr.org
107
Painter, J. A., Hoekstra, R. M., Ayers, T., Tauxe, R. V., Braden, C. R., Angulo, F. J., &
Palinkas, L. A., Horwitz, S. M., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K.
(2013). Purposeful sampling for qualitative data collection and analysis in mixed
doi:10.1007/s10488-013-0528-y
Park, J., & Park, M. (2016). Qualitative versus quantitative research methods: Discovery
doi:10.15577/jmt.2016.03.01.1
Parsa, H. G., van der Rest, J. P. I., Smith, S. R., Parsa, R. A., & Bujisic, M. (2015). Why
doi:10.1177/1938965514551959
Pellegrino, R., Crandall, P. G., O'Bryan, C. A., & Seo, H. S. (2015). A review of
doi:10.1016/j.foodcont.2014.09.015
Person, B., Schilling, K., Owuor, M., Ogange, L., & Quick, R. (2013). A qualitative
Pertschuk, M., Pomeranz, J. L., Aoki, J. R., Larkin, M. A., & Paloma, M. (2013).
Petran, R. L., White, B. W., & Hedberg, C. W. (2013a). Health department inspection
doi:10.4315/0362-028X.JFP-12-148
Petran, R. L., White, B. W., & Hedberg, C. W. (2013b). Using a theoretical predictive
doi:10.4315/0362-028X.JFP-12-147
Quinlan, J. J. (2013). Foodborne illness incidence rates and food safety risks for
2741-2759. doi:10.1080/09585192.2013.765497
Rohde, R. E., & Ross-Gordon, J. (2012). MRSA model of learning and adaptation: A
qualitative study among the general public. BMC Health Services Research, 12,
Saguy, I. S., & Sirotinskaya, V. (2014). Challenges in exploiting open innovation’s full
potential in the food industry with a focus on small and medium enterprises
doi:10.1016/j.tifs.2014.05.006
Scharff, R. L. (2012). Economic burden from health losses due to foodborne illness in the
028X.JFP-11-058
Scharff, R. L. (2015). State Estimates for the Annual Cost of Foodborne Illness. Journal
doi:10.6126/APMR.2013.18.3.05
Sharifah Zannierah, S. M., Hall, C. M., & Ballantine, P. W. (2012). Restaurant managers'
doi:10.1108/17590831211206581
Shirokova, G., Vega, G., & Sokolova, L. (2013). Performance of Russian SMEs:
Shuck, B., Twyford, D., Reio, T. G., & Shuck, A. (2014). Human resource development
doi:10.1002/hrdq.21190
Simard, L. S. (2013). A view from within the Fortune 500: An empirical study of
negative value class actions and deterrence. Indiana Law Review, Forthcoming,
Slater, M. J., Mgaya, Y. D., & Stead, S. M. (2014). Perceptions of rule-breaking related
Soieb, A. Z. M., Othman, J., & D'Silva, J. L. (2013). The effects of perceived leadership
Soon, J., Seaman, P., & Baines, R. (2013). Escherichia coli O104:H4 outbreak from
Strohbehn, C., Arendt, S. W., Abidin, U. Z., Fatimah, U., & Meyer, J. R. (2013).
from http://lib.dr.iastate.edu
Sumelius, J., Björkman, I., Ehrnrooth, M., Mäkelä, K., & Smale, A. (2014). What
doi:10.1108/03068299910229569
Taber, D. R., Chriqui, J. F., Vuillaume, R., & Chaloupka, F. J. (2014). How state taxes
and policies targeting soda consumption modify the association between school
processing fresh meat and fish (Doctoral dissertation). Available from ProQuest
professionals: A case study (Order No. 3681815). Available from Dissertations &
Uluyol, O., & Akçi, Y. (2014). A research on perceptions of manufacturing firms about
marketing and financial problems with the method qualitative analysis: Adiyaman
from www.ijbssnet.com/
United States (1978). The Belmont report: Ethical principles and guidelines for the
United States Department of Agriculture [USDA]. (2013). Food safety inspection service.
Venkatesh, V., Brown, S. A., & Bala, H. (2013). Bridging the qualitative-quantitative
doi:10.1177/0081175012465967
Waters, A. B., VanDerslice, J., Porucznik, C. A., Kim, J., deLegge, R., & Durrant, L.
www.neha.org/JEH/
doi:10.1007/s10551-014-2193-9
Wilder, K. M., Collier, J. E., & Barnes, D. C. (2014). Tailoring to customers’ needs
programs undermines food safety in the United States: The case of needled meat.
doi:10.1111/j.1475-6773.2011.01344.x
Wong, M. R., McKelvey, W., Kazuhiko, I., Schiff, C., Jacobson, J. B., & Kass, D.
diner behavior in New York City. American Journal of Public Health, 105(3),
114
e81-e87. doi:10.2105/AJPH.2014.302404
Xu, M. A., & Storr, G. B. (2013). Learning the concept of researcher as instrument in
http://files.eric.ed.gov/
Yin, R. K. (2014). Case study research: Design and methods (5th ed). Thousand Oaks,
CA: Sage.
115
Appendix A: Interview Protocol and Questions
Interview: Fast-food Safety and the Fast-Food Industry of northern region of Puerto Rico
a. The face-to-face interview will begin with introductions and an overview of the
b. I will start by thanking them for their time and confirming their agreement to
d. I will start the recording and state participant’s identification including date and
time of interview.
to interview questions.
f. I will let the participants know I will reach out to them by e-mail within 5
g. I will contact the participants by e-mail with transcribed data, and request to
I will conclude the interview by thanking them for participating in the study.
Interview Questions
To answer the central research question, I will ask participants the following
seven questions:
1. What strategies have you used to comply with the food safety regulations?
sustainable?
116
3. What challenges or barriers to strategy implementation impact you?
management?