Digital Commons Network^™

Exploring The Perceptions Of Adolescents And Young Adults With Sickle Cell Disease Regarding The Use Of A Mhealth Technology App To Support Their Transition From Pediatric To Adult Care And Adult Self-Management Practices, Jamillah Mansaray

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study: The transition from pediatric to adult self- care management practices for Adolescents and Young Adults (AYAs) with SCD is a pivotal period in their life. According to the literature, there is a positive interest and intention toward utilizing mHealth technology apps to support the transition and adult self-management practices. However, mHealth technology apps with appropriate SCD transition and adult self-management features does not currently exist for the AYA population and has not been reported on in the literature. The purpose of thisembedded mixed method study is to explore in AYA’s with SCD, …

Physical Activity Levels In First-Year University Students, Jerealya Cogdell

Honors College Theses

The purpose of this study is to see if physical activity (PA) is affected for students since transitioning from high school to their first semester in college. The study was conducted by asking questions pertaining to PA via an online survey through the platform Qualtrics. It will be administered to students at Georgia Southern University. However, only the data from freshmen students that meet specific criteria will be accounted for in this study. The data will be analyzed using Chi-squared to determine how PA is affected due to this transition. The data will compare the results from high school senior …

Life After Sport: A Program Development Plan For Student-Athletes, Loryn Shawn Frame

Graduate Theses, Dissertations, and Problem Reports

College athletics stakeholders have had growing concerns regarding student-athletes’ transition out of collegiate athletics. Research specific to student-athletes following college athletics has explored mental health, role identity, and occupational participation. This program development plan addresses occupational therapy’s role in assisting student-athletes transition out of collegiate athletics. The needs assessment conducted with West Virginia University athletic staff revealed two gaps in programming: athletic identity including leisure exploration, and a program to help student-athletes who want to enter health professional programs. Life After Sport comprises two programs, one to help student-athletes transition into a health professional program, titled Athletes in Medicine (AIM), …

Understanding Athletes’ Experience When Transitioning To Life Beyond Sport, Mary L. Dell'arciprete, M Lauren Dell'arciprete

Department of Occupational Therapy Entry-Level Capstone Projects

Discontinuation may be by choice or may be due to an injury; however most collegiate athletes’ sports engagement ends due to graduation causing them to shift their role in an occupation that played a crucial role in their self-identity. Athletes of all levels are challenged in their transition beyond sport and in the adjustment to the various role changes that occur. A significant life event, such as the end of one’s athletic engagement, can cause a loss of identity, purpose, and mental health decline. Former athletes may experience occupational disruption, a temporary inability to adequately engage in meaningful tasks due …

The Great Transition: A Qualitative Examination Of The Transition From Pharmacy Student To Pharmacist, Jessica Marlee Wilson

Honors Theses

Background: Over the years, community pharmacy practice has expanded and increased the number of responsibilities pharmacists must manage. Tasks such as managing the pharmacy, counseling patients, and administering vaccines are among the duties that pharmacists must carry out. The recent Covid-19 pandemic placed a significant strain on the retail pharmacy work environment and acted as an obstacle to the jobs of community pharmacists. Recent pharmacy graduates are often thrown into this variable work environment, and it seems that there is limited literature regarding the preparedness that they feel in this area of pharmacy work.

Objectives: To uncover the level of …

Mobile Munchies: An Occupation-Based Transitional Skills Program For Adolescents, Reilly S. Dujmovic

Occupational Therapy Capstone Presentations

This capstone project is focused on program development in the area of life/work skills for adolescents in a special education setting. The specific interest was in transition skills for adolescents, or skills that promote independence in ADLs, IADLs, and leisure, and work activities following formal education. The goal of this project was to develop work programming as an intervention to teach transition skills to adolescents in a special education classroom setting. The programming developed was based on programming the special education classroom has used in the past. Programming was modified to take an occupational therapy lens to reach the goal …

Targeting The Gap In Mental Health Advocacy For First-Year College Students, Hailey Kurtz

Honors Projects

The transition from high school to attending a university has been shown to have an impact on the mental health and well-being of first-year university students. First-year students struggle with anxiety and depression in relation to being in a new environment, feeling lonely, fitting in, and taking more academically rigorous coursework. Current students have an awareness of what mental health and well-being resources on their campus are available to them, but such resources are not widely used, though a majority of students indicate that they do or have struggled with their mental health. This indicates that though students are struggling …

From College To University: Nursing Students' Experience Of Transition, Mary Anne Krahn

The Dissertation in Practice at Western University

Increasingly complex healthcare systems require nurses to have a greater depth of knowledge and theory application to care for patients safely and competently. To prepare nurses for rapidly changing health care systems, the baccalaureate degree was accepted by the Canadian Nurses Association (CNA) as the standard for entry to Registered Nurse practice across Canada and became the entry-to-practice requirement starting in 2005 (Wood, 2011).

In Ontario, this entry-to-practice standard required the development of college and university collaborative partnerships to respond to the resulting implementation and capacity challenges in nursing education (MacMillan & Mallette, 2004). Although these partnerships have been in …

An Exploration Of Art Therapy Services Offered To University Community Members During Transition, Julia Arias, Marissa Gonzales, Melissa Gonzalez, Raegen Valdes

LMU/LLS Theses and Dissertations

This qualitative case study examined art therapy services offered by Loyola Marymount University's Helen B. Landgarten Art Therapy Clinic to university students and staff amidst the transition back to in-person services during the COVID-19 pandemic. The purpose of this study was to explore the efficacy of interventions and clinical themes that emerged as a result of the services offered to members of the university as they transitioned back to in-person services. Two focus groups were held to gather data from participants and facilitators of the workshops. The analysis of this data led researchers to find that the art therapy services …

How Stress And Coping In Nursing Affect Burnout In The Transition To Practice: A Literature Review And Proposed Study, Natalie Elizabeth Meade

Chancellor’s Honors Program Projects

No abstract provided.

Increasing Self-Determination Throughout The Transition Process: A Resource Guide For Benton Hall Academy, Melanie N. Vacchiano

OTD Capstone Projects

This capstone project was completed through a partnership with Benton Hall Academy in Nashville, Tennessee. Benton Hall Academy “strives to prepare each student academically, socially, behaviorally, and emotionally, through individualized instruction, to work to his or her potential and to make a successful transition into the workplace or into a higher learning experience”. This project focused on the compilation of resource materials for supplementary support/education purposes. Through collaboration with stakeholders, a virtual and hard-copy resource guide was created with the goal to encourage self-determination, life skills, and increase overall participation amongst high school students. Topics included faculty/staff resources, parent resources, …

Readiness Of Adolescent And Young Sickle Cell Patients To Transition From Pediatric To Adult Care, Tanisha D. Belton

Walden Dissertations and Doctoral Studies

Patients with sickle cell disease (SCD) face many challenges as they enter adulthood; therefore, preparing for the transition to adult care is crucial. Assessing the knowledge and skills adolescents and young adults (AYAs) possess before transitioning to adult care can aid in the success of their transition. However, a gap exists regarding factors attributed to guiding patients’ sense of readiness. The purpose of this quantitative study, driven by the theory of self-care management of SCD, was to examine the self-perceived readiness of SCD patients as they prepare to transition to adult care. Cross-sectional survey data were collected from 68 sickle …

Mentorship And The Transition From Registered Nurse To Advanced Nurse Practitioner, Arcelia Kiss

Walden Dissertations and Doctoral Studies

The transition from registered nurse to nurse practitioner (NP) can be challenging and stressful. This problem is particularly true for the novice NP who must adapt to a new scope of practice coupled with increased demands. Recognizing that mentorship can contribute to competency development, employee satisfaction, higher retention rates, and improved patient care outcomes, the goal of this project was to develop a staff education program and manual on mentorship. Knowles’ adult learning theory; Benner’s novice-to-expert framework; and the analysis, design, development, implementation, and evaluation model guided development of the staff education program and mentorship manual. Practice-focused questions guiding the …

Development Of A Transition Program For Young Adults With Type 1 Diabetes Progressing From Pediatric To Adult Care – A Feasibility Study, Elizabeth Ann Minchau

Graduate Theses, Dissertations, and Problem Reports

ABSTRACT

Development of a Transition Program for Young Adults with Type 1 Diabetes Progressing from Pediatric to Adult Care – A Feasibility Study

Elizabeth A. Minchau

Background: Emerging adulthood requires a delicate balance of the competing social, educational, occupational, and financial demands typical of this developmental stage. This time period presents special challenges for adolescents with type 1 diabetes (T1D), who must also prioritize consistent medical follow-up and ongoing intensive self-care. Emerging adults with T1D struggle with glycemic control that is further exacerbated by an often-times disorganized transfer of care between pediatric and adult endocrinology practices. Substantial gaps in care …

The Effect Of A Standardized Handoff Tool On Communication, Interunit Transitions, And Wait Time: A Quality Improvement Project, Silvia N. Myndresku

Graduate Theses, Dissertations, and Problem Reports

This project sought not only to improve the communication and interunit transitions of care between emergency department providers (EDPs) and inpatient providers (IPs) using a standardized handoff tool, but also to reduce the Emergency Room (ED) wait time for patients admitted to the community hospital. The project employed a quantitative quasi-experimental pre-test/post-test design to explore provider satisfaction with an evidence-based standardized handoff tools and wait time. Forty-eight providers completed the survey before the I-PASS implementation, and 43 providers completed the survey post I-PASS implementation. Though not statistically significant, data indicates that wait time increased for the post-implementation months of December, …

The Experience Of Transitioning For The Transgender Person: An Appreciative Inquiry Approach To Advance Gender Affirming Care, Shelley Evans

Electronic Theses and Dissertations

Background. The process of transitioning has a significant impact on improving quality of life among transgender and nonbinary people (Johansson et al., 2010). Transitioning is the act of moving towards a gender identity that feels more aligned with internal identity (Rankin & Beemyn, 2012). However, despite promising research that supports the benefits of medical, social and/or legal transitioning, the understanding of the experience has not been fully explored (Evans et al., 2021), and it is a barrier to advancing the delivery of gender affirming care among nurses, other health care providers, and health care organizations. There is a need to …

Health-Illness Transition Experiences Among Patients With Pancreatic Cancer, Jessica Goldberg

Dissertations, Theses, and Capstone Projects

Pancreatic cancer is one of the most commonly diagnosed cancers and is associated with a poor prognosis measured in terms of months and with significant palliative care needs, including psychological distress. Self-management describes a patient’s ability to manage the sequelae of serious illness, which can have an impact on quality of life and psychological health. One of the fundamental self-management skills is the management of transitions. A transition is a change in life situation or status that causes a shift in a patient’s identity, role, behavior, or interpersonal relationships. Patients with cancer experience multiple, often overlapping transitions that can influence …

The Evaluation Of Nurse Residency Program On New Graduate Nurse Retention, Trenisha Wilson

Doctor of Nursing Practice Projects

Healthcare settings are facing a major challenge in recruiting nurses in this demanding field. Nurse residency programs are designed to assist new graduate registered nurses with their transition to nursing practice. The nurse residency program assists new graduate nurses to develop their nursing skills, enhance their overall performance, and decrease turnover rate.

Purpose: The purpose of this project is to evaluate the effectiveness of the Veteran Affair Medical Center’s ability to retain new graduate nurses after attending a new graduate residency program.

Design Methods: This study is a retrospective pre-test and post-test design of the impact of the …

Transition To Adulthood: Experience Of Youth With Spina Bifida In Japan, Shiho Murayama

Theses and Dissertations

Purpose: The purpose of this dissertation was to describe the experiences of transition to adulthood for emerging adults with spina bifida (SB) in Japan.Background: Spina bifida is one of the most common congenital conditions that affect functions of multiple body systems, including orthopedic, urologic, gastrointestinal, neurological, and cognitive. The prevalence of SB in Japan was 5.18 cases per 10,000 in 2012 and the long-term trends of the prevalence did not decline despite the recommendation of folic acid intake by the Japanese Government in 2000. Over 70% of individuals with this condition can survive into adulthood today because of the advancement …

Establishing A Structured Mentorship Program For Novice Advanced Practice Registered Nurses In The Veterans Health Care System, Rodney Duckett

Doctor of Nursing Practice

Background. Mentorship is an age-old strategy still widely sought after to increase integration into the workforce. Employers of new APRNs must be aware that newly graduated APRNs are inexperienced. To maximize the employers’ investment, training on proper integration should be a high priority. This Doctor of Nursing Practice (DNP) project addressed this quality improvement issue through the implementation of a structured mentorship program to improve the overall transitioning of newly hired APRNs in the Veterans Health Care System (VHCS). Problem. The VHCS lacks a formalized, structured mentorship program for newly graduated APRNs entering the VA System. Intervention. Seven APRN mentors …

Exploring The Lived Experience Of Early-Career Millennial Nursing Faculty: Deriving Meaning From Their Perspective, Adrian Stamps

UNLV Theses, Dissertations, Professional Papers, and Capstones

An innovative way to combat the protracted nursing faculty shortage is to recruit up and coming generations of nurses to academia. The most recent generation to enter the academic ranks are millennials, often categorized in nursing by a birth year between 1981 and 2000. In contrast to preceding generations, millennials are seeking roles in academia earlier in their careers. Research has shown millennials have unique perspectives on the workplace and a tendency to leave positions if they are not satisfied. This pattern could pose a challenge for sustaining the nursing faculty workforce.

How millennials perceive their initial years in the …

A Narrative Analysis Of Psychological Adjustments Of Professionals Transitioning To Work Following Cerebral Vascular Accident (Cva), Mabel Munachiso Korie

Theses & Dissertations

This research study was a narrative analysis of the psychological adjustment of professionals transitioning to work after a cerebral vascular accident, commonly known as a stroke. The purpose of this research was to explore the psychological adjustment of professionals who returned to work after a stroke following their subsequent rehabilitation. This has been an important subject because stroke research predominantly addresses older adults, which means that there has not been enough information on the experience of affected working-age professionals. The Roy Adaptation Model and Social Cognitive Theory were the frameworks for the study. The data collected were from audio-recorded and …

Understanding Motivation To Lead In Nurses, Janete Sheiner

Dissertations & Theses (Open Access)

Background: Nurse leaders are indispensable to the delivery of quality, patient-centered care. They are influential in the practice environment, contributing to front-line staff job satisfaction. They work to improve retention, turnover, organizational health, and patient outcomes. Yet, there is a dearth of research investigating the motivating factors that appeal to, encourage, discourage, and help retain nurse leaders in their roles. The forecast of a shortage of nurse leaders, along with the reluctance of nurses to assume leadership roles, is affecting healthcare organizations throughout the United States. An in-depth understanding of the underlying factors related to motivation that appeal to, encourage, …

Stakeholder Perceptions On Transitioned Foster Youth Work Outcomes: A Mixed Methods Study In San Antonio, Bonnie Inkel

Occupational Therapy Program Student Theses, Dissertations and Capstones

Purpose: This examination of stakeholder perceptions on transitioned foster youth work outcomes is a crucial step to identify service strengths and barriers, characteristics of successful/unsuccessful outcomes, and opportunities for occupational therapy collaboration in San Antonio, Texas.

Method: A mixed-methods approach identified perceptions from two groups of stakeholders. Group I included transitionedfoster youth ages 18–24, and group II involved public/private agency professionals working with youth. Small sample sizes prevented traditional statistical analysis, but the Excel VARA (variance) statistical function analyzed numerical spread combinations from collected data, thus providing quantitative analysis.

Results: Participants confirmed they had not completed a similar survey on …

Development Of The Steppin' Up For Success Program, Darlene F. Guckenberger

Occupational Therapy Program Student Theses, Dissertations and Capstones

School transitions can be challenging for students, especially when students enter junior high school. Junior high school students experience significant developmental growth in the areas of autonomy, relationships, acceptance, cognitive skills, as well as physical differences associated with hormonal changes. When a student transitions into junior high school, evidence indicates possible declines in motivation, school interest, and academic achievement. Personal relationships, self-worth, and coping skills are essential for a successful transition between schools. Adolescents engage in the occupations of education, leisure, social participation, and activities of daily living. Occupational therapy is perfectly positioned as a support service within the school …

Transitioning From Individualized Pediatric Dental Care Of Children With Autism Spectrum Disorder At The Mailman Segal Dental Clinic To Traditional Dental Settings, Toni-Marie Small

Student Theses, Dissertations and Capstones

Background: Children with special healthcare needs (SHCN) such as Autism Spectrum Disorder (ASD) usually develop strong bonds with their pediatric dental care provider. However, as they mature, transitioning to other services or providers is necessary. Low rates of successful transition of children with SHCN have gained national attention especially since their lifelong conditions require continuous care. It is important to facilitate a smooth transition among providers; dental care providers specifically. These transitions are imperative to prevent these children from losing access to dental care as they mature. This pilot study seeks to describe the proportion of children with ASD seen …

Lived Experience Of Concept-Based Educated Novice Nurses Transition To Practice, Kim Hostetter

Walden Dissertations and Doctoral Studies

Novice nurses often feel unprepared to transition to practice, which results in increased turnover, which is costly to healthcare organizations and can compromise patient care. Many schools have transitioned to a concept-based curriculum, to move away from traditional content-saturated nursing education. The purpose of this study was to explore the lived experiences of novice nurses educated in a concept-based curriculum as they transitioned to practice. Benner’s novice-to-expert framework and Tanner’s clinical judgment model guided understanding of the behavior of the nurses during the transition period. This interpretative phenomenological study was used to understand new graduates’ perception of their experiences as …

Associate Degree Nursing Graduates’ Experiences Of The Transition From Student To Nurse, Katherine Margaret Slusser

Walden Dissertations and Doctoral Studies

Attrition among newly graduated nurses remains a top concern among nursing leaders in the United States. Many published studies about new graduate nurses focus on bachelors-prepared nurses or on mixed populations of nurses that include both associate and baccalaureate degree graduates. No published studies were located that focused specifically on the Associate Degree Nursing (ADN) graduate. The purpose of this qualitative, interpretive phenomenological study was to understand the experiences of transition after graduation and into professional nursing of newly employed nurses who graduated from an ADN program. The theoretical basis for this study was Meleis’s transition theory. The research question …

Clinical Nurse Experts' Experience Of Transitioning To The Novice Nurse Educator Role, Crystal Toll

Walden Dissertations and Doctoral Studies

Clinical nurse experts are often recruited into educator roles based solely on clinical expertise. Without support and mentorship, clinical nurse experts struggled with transitioning into the educator role. The purpose of this study was to understand the experience of new nurse educators’ transition from a clinical nurse expert to novice nurse educator and to examine the perceptions of supports and barriers. Transitional theory provided the conceptual framework and informed the development of the interview protocol. The research questions focused on the experience of transitioning from expert to novice and on identifying supports and barriers that influenced transition. Using a case …

Qualitative Inquiry Of Resilience In Veterans Transitioning To Civilian Life, Brenda D. Nicholson

Walden Dissertations and Doctoral Studies

This qualitative phenomenological research focused on the resilience of 10 veterans transitioning back to civilian life. An increase in suicide rates among veterans over the last 10 years has become a major concern for the U.S. Congress and Department of Defense (DoD). The theoretical frameworks guiding the study are Durkheim’s suicide theory, Lindenberg and Frey’s social production function theory, and Diener’s deindividuation theory. Many veterans have no self-awareness of their need for psychological and transitional assistance, leaving them vulnerable during a time of potentially increased and unfamiliar stress. Understanding the need for effective psychological adjustment and resilience in military members …