Digital Commons Network^™

Evaluation Of Public Radon Messaging In Kentucky As Compared To Three Other States, Abigail Knapp

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Radon poses a large health risk to those exposed to it, as it is an invisible, odorless, carcinogenic gas. Kentucky has high ambient levels of radon, but public awareness remains low as tobacco has been publicized as the main cause of lung cancer. As Kentucky has the highest incidence of lung and bronchial cancers in the United States, we aimed to examine the state’s health department radon page to see if it has sufficient information to warn residents about radon and provide resources. We reviewed the current Kentucky public messaging, radon rates, testing rates, and legislation compared to Ohio, Washington, …

Effects Of Peer Training On The Use Of Aided Language Modeling And Aac User Communicative Acts, Shelby Smith Sheets

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

The purpose of this study was to evaluate the effects of two peers versus one peer on the rate of aided language modeling. The peers were trained and then implemented the communication strategy while playing a tabletop game with an AAC user with extensive support and complex communication needs (ESCCN). A multitreatment design was used to compare the effects of the rate of aided language models (ALM) provided by peers, the rate of communicative acts (CA) provided by the AAC user, and the fidelity of peer implementation of ALM when two peers versus one peer played a tabletop game with …

Use Of A Nurse-Led Daily Goals Checklist To Improve Multidisciplinary Rounds In The Icu, Marissa Riley

DNP Projects

Research has shown a multidisciplinary rounding approach can improve patient care outcomes in the intensive care unit (ICU). Due to the complexity and wide range of the healthcare team, many patient details and treatment goals may be overlooked during daily patient rounds without a daily goals checklist to help ensure collaboration and communication of the multidisciplinary team. A nurse led daily goals checklist could be useful for framing nurse-provider conversations to promote comprehensive communication and collaboration. The purpose of this project was to improve adherence to a nurse-led daily goals checklist to improve communication and collaboration between the nurses and …

Huddle Implementation In The Perioperative Setting, Tina Thomas

DNP Projects

Background: Communication is essential for safe and effective patient care. In the perioperative setting, information sharing is critical to care coordination. Lack of communication between caregivers can lead to medical errors. Evidence shows that huddles lead to increased communication, satisfaction, and engagement between team members resulting in better patient outcomes. Huddles are short, less than 10-minute gatherings that focus on the daily schedule, identify potential obstacles, explain unique needs, and discuss preceding day issues.

Objectives: This project aimed to evaluate the effectiveness of huddles on employee satisfaction, engagement, and communication of healthcare workers while also determining if huddles were …

Coaching And Training Paraprofessionals To Implement Communication Strategies In The Classroom With Students With Disabilities, Andrea Grace Antoniewicz

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

The purpose of this project was to evaluate the effects of a training and coaching intervention on increasing paraprofessionals use of communication strategies to increase the participation between students with disabilities and paraprofessionals. Students with CCN struggle to interact with peers and communicate appropriately, and therefore need guided instruction by adults. To encourage interactions across contexts, paraprofessionals must first learn how to use communication strategies. This skill also was chosen to extend our knowledge on coaching paraprofessionals to use different communication strategies to promote communication with students with ESN and CCN.

Effect Of Communication And Time Spent With Children On The Parenting Difficulties Of Single Parents In Korea, Ki Jeong Park

MPA/MPP/MPFM Capstone Projects

This research aims to analyze the effect of the time spent with children and the degree of communication with children on the difficulties of parenting children by single parents in Korea. As for the single parents' parenting difficulties, economic hardships have been widely discussed. However, not many studies examined other psychosocial factors between single parents and children, such as the problem of communication between parents and children and the lack of time spent with parents and children, despite their importance in parenting children. This study claims that the focus of public policies, governmental support, and non-profit organizations' roles to resolve …

Increasing Initiations Of Communication For Students With Moderate And Severe Disabilities Using A Prompt Hierarchy, Ryan Elizabeth Queenan

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

The purpose of this study was to increase initiations of communication for high school students with moderate and severe disabilities using a prompt hierarchy in the context of environmental arrangements. A multiple probe across participants design was used to evaluate the effectiveness of implementing a prompt hierarchy with an environmental arrangement. The results showed that when using a prompt hierarchy in the context of an environmental arrangement were effective in increasing initiations of communication for high school students with moderate and severe disabilities.

Teaching Social Communicative Intents To Elementary Aged Students Through The Use Of Aided Language Modeling, Kaitlyn Yvette Kousins

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

The purpose of this study was to extend the research of using aided language modeling as an intervention with elementary aged students with extensive support and complex communication needs. A multiple probe design across participants was used to determine if there is a functional between an aided language modeling intervention and improvements in contextually relevant initiations (i.e., requests and comments) between children with extensive support and complex communication needs. The results showed that using aided language modeling within play-based sessions was effective in teaching social communicative intents to students with extensive support and complete communication needs.

The Effects Of Peer Training And Coaching On The Implementation Of Aided Language Modeling With An Aac User With Extensive Support And Complex Communication Needs, Sara Elizabeth Henderson

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

The purpose of this study was to evaluate the effectiveness of training peers at a middle school in aided language modeling. The peers were trained and then coached as they implemented the strategy during a social break time in the resource classroom when communicating with an AAC user with extensive support and complex communication needs (ESCCN). A multiple probe across participants design was used to evaluate the effects of the peer training and coaching program. The results showed that the implementation of a peer training and coaching program were effective in increasing the frequency of aided language modeling and the …

A Multiple Goals Perspective On Burnout Disclosure And Support Among Attending Physicians, Alison N. Buckley

Theses and Dissertations--Communication

Burnout is a common experience among physicians and has been identified as a precursor to substance abuse and suicide ideation. When not addressed, burnout can have many negative personal, relational and professional consequences. Research about the burnout experience is limited due to the taboo nature of the topic. The present study used a multiple goals theoretical perspective to examine how physicians disclose burnout in order to access social support. Attending physicians from various specialties (N = 30) participated in one-on-one interviews and were asked to discuss their burnout experience, conversational goals during burnout disclosure, catalysts and barriers for disclosure, and …

Integrating Persuasive Messaging Strategies Into Higher Education Early Alert Interventions To Improve Student Academic Behaviors, Joseph Gayheart

Theses and Dissertations--Communication

Higher Education is at a critical juncture as both public and private institutions seek to attract, retain, and graduate students. Institutions of higher education have traditionally developed communication and engagement strategies that become part of early warning/alert systems intended to increase student positive academic behaviors and improve student success. Persuasion can be a powerful tool in improving communication—especially when persuasive messages are deployed within the complex and ever-changing media landscape. Communication and persuasion scholars, for example, have applied persuasive messaging interventions in a variety of contexts but have yet to substantially apply these persuasive tactics in a higher education setting. …

Building Communication, Collaboration, And Self-Efficacy Among Elementary School Counselors Through Communities Of Practice, Garrett Rimey

Theses and Dissertations--Educational Leadership Studies

There are few life-changing experiences like transitioning from elementary school to middles school. A new setting, new peers, new teachers, and new structures have been shown to elicit a myriad of emotions from students as they transition into middle school. A student’s academic record, accommodations, and other pertinent academic information follow a student into middle school; however, their social and emotional portfolio does not. Research has shown that students who are negatively impacted the most by transitioning into middle school also show their academics are negatively impacted, with title 1 students showing to be even more negatively impacted. However, school …

Incorporating Environmental Arrangement Strategies Into Classroom Activities, Brandy M. Denton

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

Individuals with extensive support needs, including those who have autism spectrum disorder and are classified as level 3 in the area of social communication, are more likely than same-age peers to display delays in age-appropriate social communication and engagement in activities. To address these issues, special education teachers, in collaboration with related-service providers, should create social communication and engagement objectives. Once objectives are identified, teachers can plan for and implement environmental arrangement (EA) strategies to promote these behaviors in a natural context. EA strategies are a long-standing approach to creating a communication-rich environment and can be used alone or paired …

Gay Men And Satisfaction With Health Care Interactions, Michael Huggins

Theses and Dissertations--Nursing

The purpose of this research was to determine relationships among depression, anxiety, self-rated physical and mental health, self-advocacy, internalized homophobia, and quality of patient-provider communication to satisfaction with health care interactions. These were measured while controlling for select demographic variables: age; ethnicity; urban or rural domicile; relationship status; household income; highest educational attainment; health insurance; disclosure to health care provider as a gay man; reason for last healthcare visit; and, general health self-rating. The specific aims of this study were to: 1) identify general characteristics of gay men in this sample; 2) examine how levels of satisfaction with health care …

Methods To Improve Interprofessional Collaboration In Administrative Dyads, Julie Lee Hudson

DNP Projects

Abstract

PURPOSE: The primary objective of this project was to determine if specific interventions, to include education, rounding, and regular meetings, improved collaboration and communication for nurse/physician dyads working in acute care hospital administrative roles.

METHODS: The study employed a prospective pre-test and post-test comparison of participants’ scores on a validated survey tool. This tool (JeffSATIC) measured perception of collaboration between nurses and physicians. The objective was to evaluate the differences in these scores in participants before and after an intervention.

RESULTS: This study sought to discover if specific interventions impacted scores on a tool measuring collaboration among dyad pairs. …

Budweiser In The 2017 Super Bowl: Dialectic Values Advocacy And The Rhetorical Stakeholder, Benjamin P. Windholz

Theses and Dissertations--Communication

Organizational-public relations discourse is changing given the advent of social media, and corporate statements are evaluated under different criteria in the digital age. Grounding Budweiser’s response to controversy over their 2017 Super Bowl advertisement in terms of consumer expectations for corporate social responsibility provides a new perspective for approaching Bostdorff and Vibbert’s (1994) conceptualization of values advocacy. This study recognizes the power of the rhetorical stakeholder, a discursively created public, and demands re-evaluation of the values common to society from a co-creational OPR perspective. Conceptualizing dialectic values advocacy outlines the changing values among contemporary, common stakeholders as well as the …

Impact Of A Nurse-Physician Communication Intervention On Psychological Empowerment And Effectiveness Of Collaboration Between Medical Staff And Critical Care Nurses, Kristen Wieder

DNP Projects

Background: Nurse-physician communication is an essential element of safe, effective patient care, nurse engagement and job satisfaction. Communication breakdowns can lead to poor patient outcomes and disengagement among nurses.

Purpose: The purpose of this project was to determine the impact of a nurse-physician communication intervention on psychological empowerment of critical care nurses. A second purpose of the study was to evaluate the effectiveness of communication between critical care nurses and members or the cardiothoracic surgery team and understand barriers and communication challenges.

Methods: A quasi-experimental pre-test/post-test design was utilized to evaluate the impact of a nurse-physician communication intervention …

Going Gaga: Pop Fandom As Online Community Of Practice, John D. N. Carter

Theses and Dissertations--Linguistics

Among various fan sites dedicated to pop stars, GagaDaily is one prominent online collective that centers around Lady Gaga. This study is a piece of ethnographic research focused on two claims – GagaDaily constitutes a Community of Practice (Eckert, 2006) in an online setting, and the regular use of humor by users fulfills social and pragmatic roles in the discourse. Communicative phenomena (both textual and graphic) that characterize the linguistic repertoire of GagaDaily members were catalogued from the first 100 pages of one thread within the forums. These data were grouped into categories corresponding to different dimensions of language use …

Using A Naturalistic Time Delay To Initiate A Request For Preferred Objects From Same Aged Peers, Brian A. Newton

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

The purpose of this study was to provide training to peer tutors in order to teach students with severe intellectual disability to initiate communication to obtain preferred objects. A multiple probe (days) across students was used to evaluate the effectiveness of the peer implementing a naturalistic time delay to teach the communication skill. Two of the four students were able to initiate communications with the peer tutors to use objects they preferred. One student showed increasing in responding prior to the implementation of the intervention. The results showed that the peers were able to maintain the instructional procedures to teach …

Family Rounds In The Medical Intensive Care Unit: An Intervention To Enhance Communication, Travis R. Klein

DNP Projects

Background: In the Intensive Care Unit (ICU) family member satisfaction is an important element of quality patient care. Families of ICU patients value communication with care providers and involvement in their relative’s care.

Objectives:

1. To determine if scheduled family rounds each day can improve the satisfaction and feelings of support with decision-making for family members of ICU patients?

2. Evaluate any associations between patient characteristics (hospital length of stay, ICU length of stay, and ventilator days) and family satisfaction?

Methods: This pilot project was conducted in a 12-bed medical ICU led by advanced practice nurses (APRN-MICU). Using the family …

Family Dinner Across Generations: My How Times Have Changed?, Dayna E. Parrett

Theses and Dissertations--Family Sciences

In an effort to determine differences between family dinners across generations, this study examined typical family dinners of participants and how they have changed across the four generations addressed. Previous qualitative research has been conducted to determine communication frames that occur during family dinners and the effect of parenting styles on family dinners, but little research connecting generational differences to family dinners has been published. Data were collected from a homogeneous sample of twenty-four women living in three counties across the Commonwealth of Kentucky. By asking open ended questions during interviews, similarities and differences between family dinners across generations were …

Communicating Social Support: Understanding Complexities Of Breastfeeding Communication Among African American Mothers, Nicole Rachael Peritore

Theses and Dissertations--Communication

Breast milk is the best choice for meeting the nutritional needs for an infant whenever possible. Despite the knowledge that this nutritional choice is the best choice for an infant, data demonstrates that there is a sharp decline in the rates of breastfeeding mothers. Among African Americans, breastfeeding rates are significantly lower than the national averages. Despite many of the applications of social support in communication research, there is a gap in knowledge on the social support systems in the context of breastfeeding, especially for African Americans. With the social ecological model as a framework, social support theory provides understanding …

A Practice Improvement Project To Improve Knowledge And Perceptions Of Palliative Care Among Patients With Heart Failure And Cancer In The Acute Setting Using Video Enhanced Education, Crystal F. Spellman

DNP Projects

Background: Clear communication of the purpose and benefits of palliative care can reduce barriers to acceptance of such services for patients and families. The purpose of this practice improvement project was to assess and improve knowledge and perceptions of palliative care among patients with a diagnosis of heart failure and cancer in the acute setting using a video enhanced education intervention. Methods: This practice improvement project took place at a 555 bed teaching hospital. 18 patients referred to an inpatient palliative care consult service in the acute care setting with a diagnosis of either heart failure or cancer participated. …

Effects Of A Collaboratively Developed Peer Mediated Intervention On The Social Communication Skills Of Students With Complex Communication Needs In Inclusive Classroom Settings, Alice L. Rhodes

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

Recent Federal education reform and legislation (Individuals with Disabilities Education Act, 1997, 2004; No Child Left Behind Act, 2001) have shifted to emphasize the inclusion of all students in mainstream social and academic settings within the public schools. Despite the shift towards inclusion and the benefits of peer interaction experiences, recent observational studies have revealed that, for students with disabilities, social interactions are often limited. This study evaluated the effect of a collaboratively developed, peer mediated intervention on the social communication of students with complex communication needs in inclusive classroom settings. The study utilized a single-case multiple probe design across …

Evaluating The Effectiveness Of Crucial Conversations® Training On Nurses’ Self-Efficacy, Deeanna R. Mccallie

DNP Projects

Background: The history of nurse/physician communication is well documented. Although there is no universal definition of nurse-physician communication, an increasing body of evidence identifies this factor as an important component of organizing and delivering safe, quality care to patients. Communication has been identified as the root cause in 65% of sentinel events and noted as having significant effect on patient outcomes; contributing significantly to increasing care coordination, decreasing length of stay, and decreasing mortality rates. Purpose: To examine whether Crucial Conversations® training improves nurses’ self-efficacy scores and assess whether clinical nurse report improved ability to communicate with physicians. Methods: A …

Learning To Retell Stories Through Comparative Teaching: Writing And Drawing, Rachel L. Lindle

Theses and Dissertations--Art and Visual Studies

Students who are emergent readers and writers are often difficult to assess, as they are unable to communicate understanding in writing. From my observations, these students communicate ideas best through concrete forms of expression, rather than the abstract formation of letters and writing that is unfamiliar to them. Drawing provides an alternate form of expression from writing. Based on information found in literature review and personal experiences from working with students who are emergent readers and writers, pictures and drawings are a bridge to communicate ideas with these students. This form of expression and communication may be a useful assessment …

Status Of Communication And Tracking Technologies In Underground Coal Mines, Alexander D. Douglas

Theses and Dissertations--Mining Engineering

In 2006, Congress passed the MINER Act requiring mine operators to submit an emergency response plan that included post-accident communications and tracking systems to MSHA within three years of the Act. These systems were required to be designed for maximum survivability after a catastrophic event, such as a fire or explosion, and to be permissible (meets MSHA criteria for explosion-proof). At that time, no commercially available systems existed that met these standards. Several companies undertook developing new, or enhancing existing, technologies to meet these requirements. This research presents the results of a study that was conducted to determine the present …

Communication During First-Time Multidisciplinary Clinic Visits: Navigating Parental Decision Making And Uncertainty Management In Pediatric Chronic Illness, Anna M. Kerr

Theses and Dissertations--Communication

Individuals with chronic illnesses must manage long-term uncertainty and decision making as they cope with the ways the illness influences almost every aspect of their lives. In the context of pediatric illnesses, parents assume the burden of uncertainty management and decision making during the diagnosis and treatment of their child’s illness. It is common for children with complex chronic illnesses to see multiple specialists for the treatment of their condition. The first visit to a specialist is often more elaborate than a routine primary care visit. While previous research has explored parents’ decision making and uncertainty management during a child’s …

Use Of The Diagnostic And Statistical Manual-5 Among Current Music Therapy Students, Jasmine Simons

Theses and Dissertations--Music

The Diagnostic and Statistical Manual (DSM) provides updates of diagnostic criteria and it is crucial that clinicians from all relevant fields are aware of new terminology. Music therapists are increasingly being added to interdisciplinary teams and need to efficiently communicate with other professionals. This study aimed to discover if current music therapy students are familiar with the DSM-5 before they enter their professional practice. Music therapy students from two American Music Therapy Association-approved universities completed a survey aimed to assess their use and knowledge of the DSM-5. A total of 58 participants were included in the analysis. Findings from …

The Nature And Perceived Influence Of Lifestyle Discussions With Older Adults In Primary Care, Shoshana H. Bardach

Theses and Dissertations--Gerontology

The Nature and Perceived Influence of Lifestyle Discussions with Older Adults in Primary Care Rationale: A healthy diet and physical activity help with disease prevention and disease management and can promote quality of life regardless of the age at which an individual begins engaging in these behaviors. Despite the value of these health behaviors, many older adults do not follow lifestyle recommendations. Given that older adults frequently interact with the healthcare system, primary care providers are well situated to counsel older adults to improve their health behaviors. Unfortunately, we do not know how to most effectively engage in this counseling. …