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African American Father-Child Reproductive Health Communication, Nnenna Ohalete Phd Dec 2006

African American Father-Child Reproductive Health Communication, Nnenna Ohalete Phd

Dissertations

African-American children have their sexual debut (first voluntary penile-vaginal penetration) earlier thus are at disproportionately greater risk for more sexual partners and sexually transmitted infections. Father-child reproductive health communication was found to influence the timing of sex in other children however, a dearth of studies in African-American fathers existed. In this qualitative study reproductive health communication was explored in tape-recorded interviews of 19 African-American fathers from the perspective of critical theory, with the use of critical ethnography as methodology. How the content and pattern of reproductive health communication influenced sexual debut, and how fathers' moral/ethical stances influenced reproductive health communication …


Beholding The Beauty Of Self: The Psychological Integration Of The Afrocentric-Self Among African-American Females Socialized In A Eurocentric Aesthetic, Donna Lynn Cook Phd Nov 2006

Beholding The Beauty Of Self: The Psychological Integration Of The Afrocentric-Self Among African-American Females Socialized In A Eurocentric Aesthetic, Donna Lynn Cook Phd

Dissertations

Self-esteem and body image disturbances prominently figure into many physical and psychological health disorders such as depression, eating disorders, anxiety disorders, and chemical dependency. In Euro-American culture, media images of femininity and physical attractiveness reinforce generally held perceptions of the idealized female beauty as tall, white, slender, and often blond and blue eyed. The physical morphology of African-American women does not genetically "fit" this westernized standard of beauty with implications for their mental health. The socialization of African-American women in a culture that embraces a different ethnic standard of beauty influences their perceptions of how physically attractive they see themselves. …


What Are They Saying: Voices From The Inner City? Lived Experience Of Inner City African American Adolescents With Asthma, Othello Childress Phd Nov 2006

What Are They Saying: Voices From The Inner City? Lived Experience Of Inner City African American Adolescents With Asthma, Othello Childress Phd

Dissertations

The purpose of this study was to investigate the lived experience of African-American adolescents with asthma who reside in an inner city community. The research in this area of interest is sparse, yet the morbidity and mortality rates related to asthma within the African-American population are greater than the general population. This study offers the experience of living with asthma from the perspective of the young African-American adolescent. Using phenomenological methodology, the nurse researcher selected 13 African-American adolescents; aged 12 to 15, who reside and attend middle school in the inner city. All of the participants had a confirmed medical …


Defining Health And Health-Related Behaviors Following A Near-Death Experience, Suzanne C. Robertson Phd Nov 2006

Defining Health And Health-Related Behaviors Following A Near-Death Experience, Suzanne C. Robertson Phd

Dissertations

While broad categories of health and influences on definitions of health have been identified, the process through which adults define and re-define health has not been researched. The purpose of this study was to investigate the process of defining health and appropriate health-related behaviors following a near-death experience (NDE) as an adult and to articulate a grounded theory of decision-making. Five men and 15 women from the United States and United Kingdom were interviewed and the data were analyzed using the constant comparative method. The basic social process was I Still Had to Go Through the Process of Understanding. Understanding …


The Relationship Between Coping, Anxiety, And Quality Of Life For Taiwanese Post-Coronary Artery Bypass Graft Surgery Patients, Heng-Hsin Tung Phd Sep 2006

The Relationship Between Coping, Anxiety, And Quality Of Life For Taiwanese Post-Coronary Artery Bypass Graft Surgery Patients, Heng-Hsin Tung Phd

Dissertations

Coronary artery bypass grafting surgery (CABG) is a stressful event and requires coping strategies to achieve adaptation. In Taiwan, despite the fact that the incidence of CABG is increasing in both men and women, research on post-CABG adaptation is very limited and no research focuses on outcomes for women. This can lead to problems for health care providers who lack effective interventions to help these patients. The purpose of the study was to examine the relationship between coping, anxiety, and quality of life in Taiwanese post-CABG patients. A cross-sectional correlational design was used; the sample consisted of 50 female and …


Investigating Professional Development In Technology For Literacy Teachers, Michanne Hoctor Edd Aug 2006

Investigating Professional Development In Technology For Literacy Teachers, Michanne Hoctor Edd

Dissertations

Citrus Heights (a pseudonym) School District is an award-winning exemplar of technology integration. This small urban district has focused its resources on the re-design of its K-8 classrooms and curriculum to support educational reform through the use of technology, including hardware, software, and teacher professional development. Current best practices suggest that while staff development may begin with conventional in-service training, it should move quickly beyond to efforts that support teachers’ development as professionals involved in decision-making, inquiry, and leadership in their classroom teaching. In order to develop as professionals, teachers specifically need help and support in integrating new knowledge and …


Connecting Art And Science: An Interdisciplinary Strategy And Its Impact On The Affective Domain Of Community College Human Anatomy Students, Kevin Petti Phd Aug 2006

Connecting Art And Science: An Interdisciplinary Strategy And Its Impact On The Affective Domain Of Community College Human Anatomy Students, Kevin Petti Phd

Dissertations

Educational objectives are often described within the framework of a three-domain taxonomy: cognitive, affective and psychomotor. While most of the research on educational objectives has focused on the cognitive domain, the research that has been conducted on the affective domain, which speaks to emotions, attitudes, and values, has identified a number of positive outcomes. One approach to enhancing the affective domain is that of interdisciplinary education. Science education research in the realm of interdisciplinary education and affective outcomes is limited; especially research conducted on community college students of human anatomy. This project investigated the relationship between an interdisciplinary teaching strategy …


An Exploration Of Supportive Relationships In The Lives Of Academically Successful Individuals With Autism, Jodi Ann Robledo Phd Aug 2006

An Exploration Of Supportive Relationships In The Lives Of Academically Successful Individuals With Autism, Jodi Ann Robledo Phd

Dissertations

This study explored 17 dyads of academically successful people with autism and individuals whom they identified as supportive. Four research questions guided this study: 1) How do individuals with autism and the people who support them describe their relationship? Specifically, how was the relationship established, how has it changed, what are the benefits and challenges, what works and what does not, and how is the relationship maintained? 2) From the perspective of both the individuals with autism and the supporting individuals, how do their relationships provide support for the individual with autism? 3) How does the mode of communication influence …


Reconsidering Academic Dishonesty: A Critical Examination Of A Complex Organizational Problem, Tricia Bertram Gallant Phd Aug 2006

Reconsidering Academic Dishonesty: A Critical Examination Of A Complex Organizational Problem, Tricia Bertram Gallant Phd

Dissertations

Academic dishonesty, traditionally framed as a problem of student agency, plagues higher education institutions. In order to facilitate leadership toward the resolution of the problem, this study reconsiders academic dishonesty as a symptom of the complex interplay among agency, structure, and culture. The theoretical framework utilized, which I call Systemic Interactionism, builds on existing sociological, leadership, and organizational theories to provide a more robust explanation of academic dishonesty and other complex organizational problems. This reconsideration of academic dishonesty occurs in the context of three American higher education institutions. I employed a variety of field methods (interviews, observations, and document analysis) …


A Retrospective Evaluation Of The Planetree Patient Centered Model Of Care Program's Impact On Inpatient Quality Outcomes, Susan Stone Phd Jul 2006

A Retrospective Evaluation Of The Planetree Patient Centered Model Of Care Program's Impact On Inpatient Quality Outcomes, Susan Stone Phd

Dissertations

This retrospective quasi experimental study evaluated the effectiveness of Planetree's patient-centered model of care. Donabedian's model linking structure and process to outcome was used to frame this study. The structure variable is the inpatient acute care hospital unit and the process variable consists of the Planetree patient-centered model of care. Outcomes are (1) patient satisfaction, (2) length of stay, (3) readmission, (4) cost per case, and (5) productive nursing hours per patient day. All data for patient satisfaction, length of stay, readmission, cost per case and productive nurse hours per patient day were retrospective, no participant recruitment was needed. Data …


Nurse Practitioner Adoption Of Clinical Innovations, Rhoberta Jones Haley Phd Jul 2006

Nurse Practitioner Adoption Of Clinical Innovations, Rhoberta Jones Haley Phd

Dissertations

Adoption of clinical innovations by Nurse Practitioners (NP) is a complex phenomenon, rooted in personal values and influenced by challenges within health care environments. When clinical innovations are adopted or rejected by NPs, this decision has meaning for patients, NPs, health care agencies, and society. The decision controls the opportunity for patients to access a clinical innovation that could reduce morbidity and mortality, save money, and provide satisfaction related to the health care encounter. The purpose of the study was to increase knowledge about NP adoption of clinical innovations, particularly emotionally-laden clinical innovations. The lines of inquiry focused on what …


Healthcare Encounters Of Formerly Incarcerated Women: A Grounded Theory Study, Karen Sue Hoyt Phd Jun 2006

Healthcare Encounters Of Formerly Incarcerated Women: A Grounded Theory Study, Karen Sue Hoyt Phd

Dissertations

The adult correctional population in the United States soared to nearly 7 million people (Bureau of Justice Statistics [BJS], 2005). Over 2 million individuals were housed in prisons or jails in the United States. Nearly 7 percent (6.9%) were women (BJS, 2005). Recent trends in the adult correctional population suggest that there has been a stark increase in the number of formerly incarcerated women in the United States. The purpose of this research was to explore how formerly incarcerated women perceived their healthcare encounters. The aims of this study were to answer the following questions. How did formerly incarcerated women …


Older Single Women In Transition: Moving To A Supportive Retirement Community, Linda L. Hansen-Kyle Phd Jun 2006

Older Single Women In Transition: Moving To A Supportive Retirement Community, Linda L. Hansen-Kyle Phd

Dissertations

This study explored role changes, resilience, social, and health challenges encountered by older women who transitioned to a retirement community that provided social, health, and safety support structures. The aim of this study was to analyze and describe the transition from the viewpoint of the participants. Although previous research has shown transitions lead to psychosocial, emotional, physical, and health changes, the importance of this study stems from the lack of research on older women moving to supportive communities and their unique challenges. A convenience sample of 39 women, aged 70-94, who had been living alone before moving to a church …


Resilience And Quality Of Life In Taiwanese Survivors Of Childhood Cancer, Li-Na Chou Phd, Msn, Rn May 2006

Resilience And Quality Of Life In Taiwanese Survivors Of Childhood Cancer, Li-Na Chou Phd, Msn, Rn

Dissertations

Survivors of childhood cancer are at risk to develop physiologic-psychosocial complications that affect their quality of life. This study explored how the independent variables of illness-related risk (ILLRK), individual risks (IRK), protective factors (PF) and resilience (RS) affected the dependent variable---quality of life (QOL)--in Taiwanese survivors of childhood cancer. Triangulated research methodology was employed to (1) identify the statistical relationships between the variables and (2) explore qualitatively what these variables meant to the subjects and how their perceptions further explained the statistical results. Haase's (2004) Adolescent Resilience Model was used as the theoretical framework. Ninety-eight Taiwanese adolescent cancer survivors, diagnosed …


Exercise Self-Efficacy, Stages Of Exercise Change, Health Promotion Behaviors, And Physical Activity In Postmenopausal Hispanic Women, Pamela Wolfe Kohlbry Phd May 2006

Exercise Self-Efficacy, Stages Of Exercise Change, Health Promotion Behaviors, And Physical Activity In Postmenopausal Hispanic Women, Pamela Wolfe Kohlbry Phd

Dissertations

The purpose of this correlational research is to understand the relationships among the variables of exercise self-efficacy, stages of exercise change, health promotion behaviors, body mass index (BMI), health problems, and the level of physical activity in postmenopausal Hispanic women. The significance of this study is to contribute research that enhances the understanding of the relationship of psychosocial and health promotion correlates and physical activity in postmenopausal Hispanic women. On a national level, this is important because Hispanic women make up one of the fastest growing minority populations and they experience the second highest level of obesity. This research is …


Acts 2:42 In 2006: Examining Small Group Discussion In An American Mega-Church, Sheri Guseman Edd May 2006

Acts 2:42 In 2006: Examining Small Group Discussion In An American Mega-Church, Sheri Guseman Edd

Dissertations

During the last century, Americans have become increasingly isolated from one another, resulting in feelings of loneliness and creating a void of community (Frazee, 2001). However, as attendance at mainline churches continues to decline (Stafford, 1998), attendance and participation in mega-churches, defined as those serving more than 2,500 individuals and offering a multiplicity of services, continues to increase (http://www.hirr.hartsem.edu/org ). One popular explanation for this phenomenon is that mega-churches are often characterized by an organized small group ministry---something absent in more traditional churches. Although this trend has clearly swept the nation (Gladwell, 2005), related research on the efficacy of the …


The Dilemma Of Disclosure For College Students With Attention Deficit Disorder, Teresa L. Spoulos Edd May 2006

The Dilemma Of Disclosure For College Students With Attention Deficit Disorder, Teresa L. Spoulos Edd

Dissertations

Many college campuses are striving to recruit and retain a diverse student population, and one population making its presence known are students with disabilities. As a result of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990, students with disabilities are ensured equal access to education through the removal of architectural barriers and the provision of reasonable accommodations. Despite the existence of these laws, however, many students with attention deficit disorder (ADD) choose not to request classroom accommodations from professors. Students choose not to disclose out of fear of having inaccurate labels placed on them, being …


Mentoring Of Special Education Administrators, Deborah Mcdonald Toups Edd May 2006

Mentoring Of Special Education Administrators, Deborah Mcdonald Toups Edd

Dissertations

Mentoring powerfully develops human potential but little has been known about mentoring in special education administration. Because mentoring has a centuries-long record of success, because of the importance of special education administrators, and because of the paucity of empirical knowledge on mentoring in special education administration, this study examines mentoring in the special education administration community. The population for the study was approximately 1,465 practicing special education administrators in the state of California identified by the Center of Personnel Studies in Special Education (COPSSE). Electronic mail was used to introduce the on-line survey, Mentoring for Special Education Administrators. The instrument …


Creativity Fostering Behaviors In The Nurse Educator, Barbara Neher Taylor Phd May 2006

Creativity Fostering Behaviors In The Nurse Educator, Barbara Neher Taylor Phd

Dissertations

The purpose of this descriptive study of 93 BSN nurse educators in the State of California was to examine the relationship between creativity fostering behaviors in the nurse educator and intrinsic motivation, creativity fostering behaviors and the teaching/learning goals, and creativity fostering behaviors and class size, number of years teaching, and university type. This sample included 93 participants, 93% were female, Caucasian (91%), with a mean age of 53 and worked in a public university (65%). Medical/surgical was the most common clinical specialty (26%), with a mean of 29.15 years in nursing practice, and 15 years as a nurse educator. …


Effects Of Organizational Trust, Pablo Velez Phd, Msn, Rn May 2006

Effects Of Organizational Trust, Pablo Velez Phd, Msn, Rn

Dissertations

This study examined the relationship between levels of organizational trust (OT) and nursing turnover rates, turnover expenditures, patient satisfaction scores, nurse managers' job satisfaction, and nurse managers' perception of fair compensation. An OT inventory and demographic questionnaire were used to collect data from 57 nurse managers working for not-for-profit hospitals in California. Pearson correlations analysis showed that OT was statistically significantly (p = .05) related to overall hospital patient satisfaction scores, nurse managers' job satisfaction, nurse managers' perception of fair compensation, and executives' tenure. OT was not correlated with nursing turnover rates or nursing turnover expenditures. By focusing on developing …


The Effects Of Participating In Youth Theater, Mark Plato Arapostathis Edd May 2006

The Effects Of Participating In Youth Theater, Mark Plato Arapostathis Edd

Dissertations

The purpose of this study is to explore the effects of student participation in youth theater on the students. Research suggests that theater arts have aided in building student cognition and contributed to the development of literacy. Davenport (1999) concluded that the experience and knowledge that one gains from theater arts form the basic building blocks for the skills needed to learn and to become literate. He added that creative expression is the actual production of a work of art, and this direct, personal involvement provides the experience base upon which cognitive development occurs. This cognitive development has practical application …


Gender Influences In The Graduate Classroom: An Investigation Of Female And Male Student Perceptions, Gerald B. Blanton Edd May 2006

Gender Influences In The Graduate Classroom: An Investigation Of Female And Male Student Perceptions, Gerald B. Blanton Edd

Dissertations

Defined by Mary Rowe (1977) as micro inequities, seemingly insignificant gender bias behaviors create an inequitable academic environment and marginalize groups and individuals in the American classroom. Popularized by Hall and Sandler's 1982 report on the "chilly" classroom, gender bias is subtle and differs from the more obvious behaviors associated with sexual harassment. However, gender bias research appears incomplete. Study findings contradict each other, few studies explore gender bias in the graduate classroom, and fewer yet compare the perceptions of women and men concerning gender influences in the graduate classroom. This dissertation investigates perceptions of the influence of gender in …


Officers' Use Of Leadership Skills Learned In The Navy's Intermediate Officer Leadership Training Course: A Replication Study, Terrence Eugene Hammond Edd May 2006

Officers' Use Of Leadership Skills Learned In The Navy's Intermediate Officer Leadership Training Course: A Replication Study, Terrence Eugene Hammond Edd

Dissertations

All Naval enlisted personnel and officers are required to attend Leadership Continuum courses at designated career intervals. One of the required courses for officers is the Intermediate Officer Leadership Training Course (IOLTC). This study replicated William F. Conroy III's 2001 dissertation study of graduates of the IOLTC offered in San Diego with graduates of a similar course offered by the Center for Naval Leadership (CNL) at Naval Amphibious Base (NAB), Little Creek, VA. Like the Conroy study, this study attempted to identify barriers and incentives that IOLTC graduates encounter on-the-job that either encourage or discourage their use of leadership skills …


The Reluctant Sorority: Stories Of American Wives Of Prisoners Of War And Missing In Action, 1965–1973. Lessons In Exercising Leadership In The Absence Of Power, Steven L. Smith Edd May 2006

The Reluctant Sorority: Stories Of American Wives Of Prisoners Of War And Missing In Action, 1965–1973. Lessons In Exercising Leadership In The Absence Of Power, Steven L. Smith Edd

Dissertations

Increasingly, political action committees and special interest groups dominate the national policy-making process. Critics charge that campaign contributions buy access to and influence with policy makers, and that the differential ability to make such contributions results in disproportional representation. The question then becomes: how do ordinary citizens who are unable to use substantial financial contributions to "purchase" access to power mobilize people to influence public policy. To state the question another way: how can people provide leadership when they possess neither positional power nor the means commonly used to influence those with positional power? This historical study examines these questions …


Changes In Functional Status Of Home Health Cardiac Patients From Admission To Discharge, Mary Rita Mcgoldrick Phd, Mph, Msn, Rn, Anp-Bc Apr 2006

Changes In Functional Status Of Home Health Cardiac Patients From Admission To Discharge, Mary Rita Mcgoldrick Phd, Mph, Msn, Rn, Anp-Bc

Dissertations

The purpose of this research is to examine the functional status (ADLs and IADLs) in patients with a primary/secondary diagnosis of cardiac disease in the home health setting. The independent variables of dyspnea and service were examined for the effect on discharge functional status while controlling for the effects of age, gender, race, admission functional status, primary and secondary diagnosis. A descriptive correlational, non-experimental study of cardiac patients in an urban home health agency from January 2003 to December 2004 was conducted using data collected through a retrospective chart review. Seventeen areas of OASIS (ADL and IADL) were assessed for …


So You Think It's Inclusion…Think Again: A Quantitative Analysis Of Stakeholder Perceptions In Community Youth Organizations, Mary Mcallister Shea Edd Apr 2006

So You Think It's Inclusion…Think Again: A Quantitative Analysis Of Stakeholder Perceptions In Community Youth Organizations, Mary Mcallister Shea Edd

Dissertations

Over the last thirty years, a cultural transformation has occurred in public schools as students with disabilities have slowly moved from segregated sites and special day classes to more inclusive classroom environments. Although this change has largely been driven by legislative mandate, including the requirement that students be supported in the least restrictive environment possible, the benefits of inclusion have been exceedingly well documented in the literature. Unfortunately, the inclusiveness seen within schools has not extended to the provision of out-of-school programs, and as a result, sixteen years after the passage of the Americans with Disabilities Act, children with disabilities …


Clients' Expectations Of Public Health Nurses' Home Visits, Eva G. Miller Dnsc, Ms, Rn, Phn Mar 2006

Clients' Expectations Of Public Health Nurses' Home Visits, Eva G. Miller Dnsc, Ms, Rn, Phn

Dissertations

Although there is considerable research on the relationship between client expectations and outcomes of care in acute care settings, less is known about clients' expectations for public health nurses' home visits. The aim of this study was to understand clients' expectations of public health nurses' home visits as a first step in making explicit how expectations affect client responses to, and ultimately, outcomes of public health nurses' care. Interviews were conducted with a convenience sample of 19 primary caretakers of high-risk infants admitted to a Neonatal Intensive Care Unit (NICU) and voluntarily enrolled in a High-Risk Infant (HRI) Program in …


Homeless Mothers' Perceptions Of Parenting In Shelters, Sarah E. Young Whitaker Dnsc, Msn, Rn Mar 2006

Homeless Mothers' Perceptions Of Parenting In Shelters, Sarah E. Young Whitaker Dnsc, Msn, Rn

Dissertations

Descriptions of parenting in a homeless shelter were obtained from nine single mothers housed in one of two shelters in a major southwestern border metroplex. Case study methodology was used to obtain their perspectives on parenting in this unique context. Content analysis was used to organize and analyze emerging themes. Major themes that emerged from the study were (a) a lack of autonomy, (b) gaining access to material resources, (c) lack of privacy, (d) constant change and insecurity in the environment, (e) differing values, and (e) psychosocial support.


Male Arab-Muslims Health And Health Promotion Perceptions And Practices, Abdel-Raheem O. Yosef Phd, Msn, Rn Mar 2006

Male Arab-Muslims Health And Health Promotion Perceptions And Practices, Abdel-Raheem O. Yosef Phd, Msn, Rn

Dissertations

The Arab Muslim population is one of the dramatically increasing minorities in the United States. In addition to other factors, gender, religion and cultural background influence individuals' beliefs, behaviors, and attitudes to health and illness. Little is known about Arab American male immigrants, how they perceive illness, how they promote their health, and the stressors they experience and barriers they face in accessing the American health care system. The purpose of this study was to develop knowledge about the male Arab-Muslims' health perceptions and health promotion perceptions and practices. This qualitative exploratory study used a grounded theory approach to gain …


Navigating The Rules Of Clinical Practicum Work: An Interpretive Study Of The Experiences Of Associate Degree Nursing Students, Leonie L. Sutherland Phd Jan 2006

Navigating The Rules Of Clinical Practicum Work: An Interpretive Study Of The Experiences Of Associate Degree Nursing Students, Leonie L. Sutherland Phd

Dissertations

Responding to changes in technology, economics, and the demographics of society, nurse leaders incorporate new ideas and systems into clinical practice. Nurse educators are challenged to adopt these ideas and systems and make them part of the nursing curriculum. Educators develop tools and strategies to help students gain knowledge and skills to work with patients in the clinical setting. The ways in which students use these tools and perceive and manage their clinical work is not understood. The dearth of research related to what students actually do in clinical practicum settings provided the backdrop for this study. This is a …