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Job Embeddedess Of Nurses Working In South Central Appalachia’S North Carolina Counties, Susan L. Adams Mrs. Dec 2017

Job Embeddedess Of Nurses Working In South Central Appalachia’S North Carolina Counties, Susan L. Adams Mrs.

Electronic Theses and Dissertations

Nurses working in the North Carolina counties of South Central Appalachia (NC-SCA) are a unique subset of nursing professionals. A continued nursing shortage is projected in this area while staffing has improved in other areas of SCA. The purpose of this research was to ascertain the level of job embeddedness of nurses working in NC-SCA in order to offer guidance regarding retention of nurses working in this area. Actively working licensed practical nurses, registered nurses, and advanced practice nurses (nurse practitioners, certified nurse midwives, clinical nurse specialists, and certified registered nurse anesthetists) from 29 North Carolina counties included in South …


Discharge Readiness For Families With A Premature Infant Living In Appalachia, Kathy Zimmerman Dec 2017

Discharge Readiness For Families With A Premature Infant Living In Appalachia, Kathy Zimmerman

Electronic Theses and Dissertations

With increased advances in technology, the overall survival rates in the Neonatal Intensive Care Unit (NICU) for premature infants at lower gestational ages, has also increased. Although premature infants survive at lower gestational ages, they are often discharged to home with unresolved medical issues. While the birth of a new baby for parents is a joyous occasion, they often have difficulty coping and transitioning into a parental role. Premature infants also have ongoing complications such as difficulty with feeding, developmental delays in growth, and long-term eye and respiratory complications. As a result of chronic health sequelae, premature infants require extensive …


Moving Mountains : A Study Examining Long-Term Impacts Of Mountaintop Removal Coal Mining On Mortality In The Appalachian Region Using Geographic Information Sciences Techniques., James Howard Kent Pugh Dec 2017

Moving Mountains : A Study Examining Long-Term Impacts Of Mountaintop Removal Coal Mining On Mortality In The Appalachian Region Using Geographic Information Sciences Techniques., James Howard Kent Pugh

Electronic Theses and Dissertations

Over the last hundred years, the Appalachian region has been dominated by the coal industry. It has also been and currently is one of the unhealthiest regions in the United States. Recent scholarship has examined the relationship between coal mining and health and mortality rates in the Appalachian region. The first study incorporates air quality and pollution data to examine if coal mining counties have higher levels of pollution and if this pollution contributes to mortality disadvantage. In the second study, I construct a population-based coal-exposure measure to better evaluate the relationship between coal mining and health I find that …


Young Adult Literature And Empathy In Appalachian Adolescents, Kelsey R. Kiser Dec 2017

Young Adult Literature And Empathy In Appalachian Adolescents, Kelsey R. Kiser

Electronic Theses and Dissertations

Based on recent research concluding that fiction can increase empathy, this project examines how multicultural young adult literature may encourage empathy in Appalachian adolescents. Empathy encourages prosocial behaviors, but evidence suggests that young adults’ ability to empathize has declined in recent decades. In addition, Appalachia in particular is still a relatively homogenous region as it is majority white, protestant Christian, and heteronormative. Because of this, young adults in Appalachia may encounter few diverse perspectives in real life; multicultural young adult literature can provide diverse perspectives with which teenagers can empathize in a region where they might not have similar opportunities …


Phenomenological Study Of The Lived Experiences Of Appalachian Spouses Of Combat Veterans With Post Traumatic Stress Disorder, Janice E. Greene May 2017

Phenomenological Study Of The Lived Experiences Of Appalachian Spouses Of Combat Veterans With Post Traumatic Stress Disorder, Janice E. Greene

Electronic Theses and Dissertations

This study was conducted to identify gaps in existing knowledge regarding impacts of combat-related PTSD on the spouse and to gain an understanding of the lived experience of Appalachian Spouses of combat veterans with PTSD. A systematic literature review was conducted to identify research and findings on the impacts of combat-related PTSD on spouses of veterans and a qualitative study was conducted to gain an understanding of the lives of Appalachian spouses of combat veterans with PTSD.

The systematic review identified 16 qualitative studies conducted between 1988 and 2016 in five countries spanning five wars. Regardless of the country of …


Hard To See Through The Smoke : Remembering The 1912 Hillsville, Virginia Courthouse Shootout., Travis A. Rountree May 2017

Hard To See Through The Smoke : Remembering The 1912 Hillsville, Virginia Courthouse Shootout., Travis A. Rountree

Electronic Theses and Dissertations

This dissertation examines rhetorical rememberings of the 1912 Hillsville, Virginia courthouse shootout. It begins with an overview of the historical event, then through four chapters focuses on different rememberings that take up the event. Using Burke’s terministic screens, the study presents several lenses through which to view these rememberings. Chapter One presents the national and local newspaper constructions of the shootout in three terministic screens: the violent mountaineer, the gangster, and the uncolonized other. These three screens predate what is now the hillbilly image of the mountaineer. Chapter Two analyzes performative actions of the shootout. The ballads about the event …


The Perceptions Of Success Of Latino Nursing School Graduates In The Appalachian Region Of The United States, Barbara M. Rauscher May 2017

The Perceptions Of Success Of Latino Nursing School Graduates In The Appalachian Region Of The United States, Barbara M. Rauscher

Electronic Theses and Dissertations

This qualitative narrative descriptive study focused on nine successful Latino nursing school graduates. Five participants were interviewed twice and four participants were interviewed once for a total of fourteen interviews. Participants and their families immigrated from Brazil, Costa Rica, Cuba, and Mexico. Participants attended school in North Carolina, South Carolina, and Tennessee.

Interviews revealed themes of Familism, Empowerment, and Perseverance. Familism was an overriding theme throughout each of the interviews. Participants described family as being their greatest support. They discussed sacrifices made by their families which assisted them in being successful. In addition, they also shared their willingness to make …


Trout Fishing In The Smokies And The Blue Ridge, 1880-Present: How-To, History, And Habitat, Nathaniel Cole Skaggs May 2017

Trout Fishing In The Smokies And The Blue Ridge, 1880-Present: How-To, History, And Habitat, Nathaniel Cole Skaggs

Electronic Theses and Dissertations

This study focuses on trout fishing in the Great Smoky Mountains and the Blue Ridge Mountains from 1880 to 2017. I begin with a collection of personal narratives of fly-fishing in Tennessee to portray the allure of southern Appalachia trout fishing. I then describe the transition from native Cherokee fishing practices to sport fishing in the Smokies and the Blue Ridge by 1880. I explore a brief history of the National Parks and the United States Forest Service during the early 1900s, and address European fly-fishing influences in the United States during the twentieth century. I examine the habitats of …


Before Me, After Me, Through Me: Stories Of Food And Community In Eastern Kentucky, Abigail Myers Huggins Jan 2017

Before Me, After Me, Through Me: Stories Of Food And Community In Eastern Kentucky, Abigail Myers Huggins

Electronic Theses and Dissertations

This text contextualizes and presents twenty-three oral history interviews conducted in eastern Kentucky during the summer of 2016 as a part of a Master of Arts thesis in southern studies. The interviews were conducted with people specifically connected to food, farming, and community activism in and near Letcher County, Kentucky. The interviews explore such topics as: past and present food traditions, seed saving, gardening, farming, food preservation, herbalism, local food systems, food access, youth, theater arts, lgbtq+ advocacy, and appalachian identity. This document complements an online collection of oral history excerpts created as an audio documentary portion of the overall …