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Articles 1 - 30 of 146
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Perfection: The Fatality Of Down Syndrome, Mallory Baucom
Perfection: The Fatality Of Down Syndrome, Mallory Baucom
Undergraduate Honors Theses
Down syndrome is a condition that carries with it a negative stigma and many negative assumptions. The advancement of the medical community has begun to allow expectant parents to anticipate whether their child will have Down syndrome. However, in recent years mothers are using the results of prenatal tests as a deciding factor to decide if they will continue the pregnancy. The negative stigma associated with Down syndrome has transformed into a discrimination against people with Down syndrome. There are many influencing factors that affect the decision-making process of expectant mothers. The decision to terminate one’s pregnancy is not made …
Self-Care In Bsn Students: Developing A Self-Care Plan, Jamie Davis Brandon
Self-Care In Bsn Students: Developing A Self-Care Plan, Jamie Davis Brandon
Nursing Theses and Capstone Projects
Stress is an issue of concern in nursing practice and nursing education. Stress leads to burn out and compassion fatigue in the nurse and student nurse. To combat stress, professional organizations advocate for self-care practices. Research indicates self-care practice can reduce stress levels and increase health and wellness. An evidenced-based DNP project was conducted over a seven-week time frame during a mental health nursing course to educate senior BSN students on different dimensions of self-care to reduce stress levels and increase use of self-care practices.
Text Message Intervention For Latino Adults To Improve Diabetes Outcomes In An Urban Free Clinic Setting, Sharon R. Allen
Text Message Intervention For Latino Adults To Improve Diabetes Outcomes In An Urban Free Clinic Setting, Sharon R. Allen
Nursing Theses and Capstone Projects
Introduction: This text message intervention sought to help patients at a free clinic in the Southeastern U.S. that have uncontrolled diabetes (DM) (A1C > or = 7) improve their DM clinical and behavioral outcomes, and thereby help them to live healthier, more hopeful and productive lives as they deal daily with this chronic illness. Eight weeks of educational text messages were sent to help improve DM care and outcomes. Method: Free clinic patient Latino adults with DM (n=25) pre-post one group design. Results: Statistically significant results (p < .05) were seen in three (SKILLD, p=.001, DSES, p = .000, and SDSCA, p = .042) of the four tools/surveys administered. A1C improvements were significant from the pre-intervention (M = 9.10, SD = 1.51) and the trended post-intervention values/results (M=8.26, SD = 1.29, t [21] = 2.79, p = .0110). Discussion: Does personalized communication, education and follow up for patients at the free clinic improve diabetes knowledge, self-efficacy and self-care? This text message intervention shows great promise to improve outcomes for diabetes self-management.
Rescue The Clinical Nurse Educator With A Transformative Mentorship Program, Sue J. Beaman
Rescue The Clinical Nurse Educator With A Transformative Mentorship Program, Sue J. Beaman
Nursing Theses and Capstone Projects
The purpose of this project was to develop a transformative mentorship program for clinical nurse educators. Jean Watson’s Theory of Human Caring (THC) was used as the theoretical framework for the development of this program. The population for this evidenced-based project was 12 clinical nurse educators who work in a private baccalaureate liberal arts college. These educators provide supervision for students in the hospital as well as community clinical practice settings. This evidence-based project examined if the implementation of a mentorship program would help increase the confidence level of the clinical educator. The project was implemented over a three-month period …
Early Fetal Loss In The Emergency Department And Nurses’ Perceptions Of Care: Implementation Of A Framework For Care, Sandy Langheld
Early Fetal Loss In The Emergency Department And Nurses’ Perceptions Of Care: Implementation Of A Framework For Care, Sandy Langheld
Nursing Theses and Capstone Projects
Women and families widely report dissatisfaction with miscarriage care received in the emergency department (ED). Nurses in the ED are not formally trained in principles of perinatal bereavement, including meeting the complex psychological needs of clients experiencing the loss of an early pregnancy. Nurses may lack the confidence, preparedness, and knowledge needed to care for these clients holistically. This project hypothesized ED nurses’ perceptions (knowledge, confidence, and preparedness) would improve subsequent to education and implementation of an evidence-based framework for care. Emergency department nurses’ perceptions (knowledge, confidence, and preparedness) of care significantly increased after education and implementation of an evidence-based …
The Impact Of Social Factors On Readmission Rates Of Heart Failure Patients, Lashwanda Richardson
The Impact Of Social Factors On Readmission Rates Of Heart Failure Patients, Lashwanda Richardson
Nursing Theses and Capstone Projects
Heart Failure is the most common reason for readmission among Medicare fee-forservice patients. While there are medical and health related factors such as medication adherence and comorbidities that contribute to heart failure readmissions, there are many social factors that cause readmission as well. This thesis will focus on the impact social factors have on heart failure patients that lead to their readmission. It will also discuss evidence-based interventions that reduce readmissions and improve the performance of hospitals on their 30-day readmission performance measure. Reducing readmissions in patients with heart failure will reduce hospital costs. It will also help to close …
School Culture Survey Constructs And Student Achievement Relationships In Title I K-8 Schools, Carol Hammonds Miller
School Culture Survey Constructs And Student Achievement Relationships In Title I K-8 Schools, Carol Hammonds Miller
Education Dissertations and Projects
This quantitative study investigated the correlation between school culture constructs and student achievement in 160 Title I K-8 schools from four Local Education Agencies. Title I schools receive funds from the federal government to fund programs and provide resources to help students meet rigorous standards on state assessments. School culture is defined as the beliefs, perceptions, relationships, attitudes, and written and unwritten rules that shape and influence every aspect of how a school functions. This study aimed to determine if any relationship existed between school culture constructs and student achievement. Statistical analysis included preexisting data collected from the 2016 North …
Collective Efficacy, Teacher Beliefs And Socioeconomic Status In Title I And Non-Title I Schools, Betsy Furr
Collective Efficacy, Teacher Beliefs And Socioeconomic Status In Title I And Non-Title I Schools, Betsy Furr
Education Dissertations and Projects
The purpose of this quantitative study was to examine the association between collective efficacy, teacher beliefs, and socioeconomic status with reading and math student achievement in the Title I and Non-Title I schools of one school district. This study examined factors that influence student achievement in a district with a majority of Title I schools. Of the eight K–8 schools in the participating district, five are Title I. Collective efficacy and teacher beliefs were used to gather data about what teachers believe regarding student learning. The efficacy survey in this study provided data about instructional strategies and student discipline. The …
An Examination Of The Impact Of A Middle School Transition Program On Student Academic Intrinsic Motivation, Melissa West
An Examination Of The Impact Of A Middle School Transition Program On Student Academic Intrinsic Motivation, Melissa West
Education Dissertations and Projects
This case study addressed student academic intrinsic motivation during transition into middle school. The study examined one middle school that conducts a middle school transition program. The study collected data about student intrinsic motivation in reading, math, social studies, and science. The researcher explored procedures learned during the middle school transition program that students and teachers felt most directly impacted student intrinsic motivation. This study was an extension of Sealy’s (2012) dissertation about high school transition. The purpose of this study was to extend the generalization of the original study, build on previous research, and add related knowledge to the …
The Reading Strategies/Skills Within The North Carolina Rta Summer Reading Camp, Leroy Leon Wray
The Reading Strategies/Skills Within The North Carolina Rta Summer Reading Camp, Leroy Leon Wray
Education Dissertations and Projects
This dissertation was designed to examine the reading strategies within the North Carolina Read to Achieve (RtA) Program summer reading camp and the achievement low socioeconomic elementary students made in reading during summer camp. The study was from a K-12 school and measured by the RtA Program. The study looked at third-grade students located in the urban piedmont area of North Carolina. It looked at reading strategies used during the North Carolina RtA Program summer reading camp and sought to determine if there are reading gains or losses of students who attended the North Carolina RtA summer reading camp. The …
Co-Teaching In Inclusion Classrooms: An Investigation Of Secondary Inclusion Practices, Margaret Erin Keene
Co-Teaching In Inclusion Classrooms: An Investigation Of Secondary Inclusion Practices, Margaret Erin Keene
Education Dissertations and Projects
This study was an investigation of co-teaching and inclusion practices at the secondary level. In the explanatory sequential mixed-methods study, regular education co-teachers as well as special education co-teachers offered insights by their participation in a survey and focus groups. This study investigated co-teacher perceptions of inclusion and how their perceptions of inclusion and co-teaching influenced the extent of teacher use of elements of Dr. Friend’s co-teaching models. The study also investigated and identified the needs of co-teachers. Co-teaching is defined as “two or more professionals delivering substantive instruction to a diverse, or blended, group of students in a single …
Generational Differences In Motivations Of North Carolina Public Elementary School Teachers, Alison Headlee Whitaker
Generational Differences In Motivations Of North Carolina Public Elementary School Teachers, Alison Headlee Whitaker
Education Dissertations and Projects
This mixed-methods study addressed the generational differences in intrinsic and extrinsic motivation among elementary teachers in North Carolina. Intrinsic motivation to persist in the profession was examined through the lens of Pink’s theory that autonomy, mastery, and purpose determine a person’s degree of intrinsic motivation. Information relating to extrinsic motivation was also examined. Data were collected through a 33-question survey distributed via email and social media. Quantitative data were analyzed using the Kruskal Wallis H Test to determine significant differences. Qualitative data were coded and analyzed for themes leading to insight into internal and external motivations of elementary school teachers. …
The Relationship Between Administrator Interpersonal Skills And School Climate, Student Learning, And Teacher Retention, Marsha Justice
The Relationship Between Administrator Interpersonal Skills And School Climate, Student Learning, And Teacher Retention, Marsha Justice
Education Dissertations and Projects
The purpose of this mixed-method study was to determine if specific interpersonal skills (trustworthiness, communication, empathy, and problem-solving) possessed by principals, as perceived by teachers, are important characteristics in creating and maintaining a positive school climate, increasing student learning, and retaining teachers in the elementary school setting. The participants in the study were teachers from 13 elementary schools in a North Carolina county. This study used both quantitative and qualitative data from a combined principal soft skill and climate survey, 2015–2016 North Carolina report card on teacher retention, 2015–2016 EOG math/reading scores, and results from teacher interviews to examine the …
The Alignment Of Instructional Practices With Digital Learning Environments, Angela Szakasits
The Alignment Of Instructional Practices With Digital Learning Environments, Angela Szakasits
Education Dissertations and Projects
The purpose of this study was to examine how teacher instructional practices aligned with digital learning environments. The following four research questions guided this investigation: How do teachers demonstrate leadership in digital learning? How do teachers model and teach digital citizenship? How do teachers use digital content and resources for instruction? How do teachers use technology for data and assessment? The North Carolina (NC) Digital Learning Competencies for Classroom Teachers (NCDPI Digital Teaching and Learning Division, 2016) provided the theoretical framework for this study, and the research questions aligned with the four focus areas of these competencies. This mixed-methods study …
Math I Benchmark Testing: Friend Or Foe?, Shelley Gainey West
Math I Benchmark Testing: Friend Or Foe?, Shelley Gainey West
Education Dissertations and Projects
This quantitative study addresses the ability of locally developed Math I benchmark assessments to predict student performance on the Math I end-of-course (EOC) state assessment for a rural county in North Carolina. Many districts in North Carolina lack funds to purchase commercially developed benchmarks and must rely on district personnel to develop these assessments. Locally developed benchmark assessments are not typically validated or considered psychometrically sound. Signal Detection Theory (SDT) was used to determine cut-off values on the locally developed Math I benchmark assessments for pass/fail grouping of students that will inform instructional interventions prior to the Math I EOC …
General Education Teachers' Self-Efficacy To Teach Autistic Students In Kindergarten Through Fourth Grade General Education Classrooms, Tanya Michelle Wynn
General Education Teachers' Self-Efficacy To Teach Autistic Students In Kindergarten Through Fourth Grade General Education Classrooms, Tanya Michelle Wynn
Education Dissertations and Projects
Children are being diagnosed with autism at an alarming rate; and as these students enter schools to be educated alongside their peers, general education teachers need to feel prepared to teach them. Many years ago, students with autism were placed in separate classrooms and were not in general education classrooms. As times have changed and autistic students enter into general education classrooms that are taught by general education teachers, this study examined the self-efficacy of those teachers when it comes to educating these students. This research was done in a rural school district, and kindergarten through fourth-grade teachers from three …
Representations Of Black Characters In Children’S Literature: A Product Of Histories, Ideologies, Narratives, Depictions, Politics, And Laws, Annie Calloway
Representations Of Black Characters In Children’S Literature: A Product Of Histories, Ideologies, Narratives, Depictions, Politics, And Laws, Annie Calloway
Education Dissertations and Projects
This qualitative, directed content analysis examined fiction and nonfiction children’s literature published between 2015 and 2017. Through the lens of Critical Race Theory, the study describes the ways in which Black characters are represented in early readers. Using books located in community libraries, school media centers and retail outlets, the study concludes that Black characters are represented less frequently and in ways that often do not take into account cultural, political, and legal manifestations of White privilege. This discussion of race, identity, power structures, and education aims to create and promote thought and discussions surrounding the genealogies of racial oppressions. …
In It Together: The Impact Of Data-Driven Teams On Student Learning, Collaborative Practice, And School Culture, Marcie Wilson
In It Together: The Impact Of Data-Driven Teams On Student Learning, Collaborative Practice, And School Culture, Marcie Wilson
Education Dissertations and Projects
The goal of this study was to determine the impact of data-driven teams on student learning, collaborative practice, and school culture. The participants in the study were the data-driven team members from four middle schools in a North Carolina county. The study used EOG test results in 6–8 reading and math from before implementation to after implementation of data-driven teams, EVAAS growth in 6–8 reading and math from before implementation to after implementation of data-driven teams, results on Gruenert and Whitaker’s (2015) School Culture Survey given after implementation, interviews with the principals of each middle school, and focus group interviews …
The Impact Of Quick Response (Qr) Technology On Anxiety With First Semester Nursing Students Related To The Performance Of Psychomotor Skills With Patients In Clinical, Lee-Ann Terri Kenny
The Impact Of Quick Response (Qr) Technology On Anxiety With First Semester Nursing Students Related To The Performance Of Psychomotor Skills With Patients In Clinical, Lee-Ann Terri Kenny
Nursing Theses and Capstone Projects
Anxiety seen with first semester nursing students in a clinical setting when performing psychomotor skills can be a root cause of fear, lack of confidence, ill symptoms, and can lead to unsafe practice ultimately causing injury to patients. The learning and practicing of psychomotor skills occur prior to students first clinical experience, and in most cases over a short period of time. Implementation of Quick Response (QR) technology linked to psychomotor skills during didactic, allowed students quick access to review skills prior to performing skills within the clinical setting. In conclusion, a decrease in anxiety was noted by first semester …
Correctional Nursing: Why Is Retention An Issue?, Bethany Jernigan
Correctional Nursing: Why Is Retention An Issue?, Bethany Jernigan
Nursing Theses and Capstone Projects
The specialty of correctional nursing has its own set of considerations and concerns that impact retention and affect healthcare outcomes for the offender population. The purpose of this research study was to identify specific areas causing poor nursing staff retention and recruitment within the correctional environment. The literature review revealed correctional nursing can benefit from: improved education and training for correctional nurses, emphasis and focus on public health in the correctional environment, role confusion in correctional nursing, and further investigation and research needed in recruitment and retention. Prison nursing staff at a large, rural correctional facility, completed the revised Casey-Fink …
Stress And Mindfulness Meditation Strategies In Nursing Student Clinical Education And Future Clinical Practice, Joanne Kathryn Mcclave
Stress And Mindfulness Meditation Strategies In Nursing Student Clinical Education And Future Clinical Practice, Joanne Kathryn Mcclave
Nursing Theses and Capstone Projects
The purpose of the DNP project was to assist students to recognize, reduce, and manage their stress. The mindfulness meditation interventions are an effective strategy to manage and reduce stress. The project was set in a southeastern part of the United States at a community college that had an associate degree nursing program. At present, nursing education does not include stress and the management of stress in the curriculum. The project targeted associate degree nursing students to teach students how stress influences their lives and evidence-based strategies to alleviate their stress in clinical practice and in future practice through education …
Nursing Documentation Environment In The Hospital Setting, Alice Cavin
Nursing Documentation Environment In The Hospital Setting, Alice Cavin
Nursing Theses and Capstone Projects
Nurses often document in open nurses’ stations exposed to frequent interruptions. Much has been written on the need to limit distractions while collecting and administering medications but little has been published on the effects interruptions have on nursing documentation. The purpose of this study was to examine the environment in which nurses chart and to gather their perceptions of the documentation environment. Marilyn Ray’s Theory of Bureaucratic Caring was the guiding framework for this study. A review of the literature revealed the effects open work spaces, noise, and interruptions can have on work performance. This study, a focus group discussion, …
Stress Management And The Novice Nurse, Patrice Lawrency
Stress Management And The Novice Nurse, Patrice Lawrency
Nursing Theses and Capstone Projects
The stress of the novice nurse impacts the quality of patient care, emotional, and physical wellbeing of the novice nurse and hospital costs. The aging of the Baby Boomer generation is impacting the nursing profession. These factors should be addressed to promote the retention of novice nurses in the profession. Research has shown that the mitigation of stress in the novice nurse can have a positive impact on the nursing shortage. An inundation of literature exists on the evolution process from the academic to the clinical setting, but few studies identified resources to provide support to the novice nurse. Strategies …
Frailty Screening In Cardiac Surgery Patients: Improving Risk Stratification, April P. Hargett
Frailty Screening In Cardiac Surgery Patients: Improving Risk Stratification, April P. Hargett
Nursing Theses and Capstone Projects
Frailty has been noted throughout the literature to have a negative effect on patient outcomes especially in patients undergoing major surgical interventions such as cardiothoracic surgery. Preoperative assessments have historically included assessment of all body systems, however fails to evaluate patients for baseline physical functioning or frailty. The American College of Cardiology has recommended frailty screening on all cardiac surgery patients; however, facilities have failed to educate staff providing care to this population on the impact of frailty and use of commonly used frailty screening tools. This project hypothesized that Cardiothoracic Surgery Nurses and providers would have improved knowledge and …
Discharge Risk Screening And Interdisciplinary Communication: A Method To Mitigate Discharge Delays, Tammy Linton
Discharge Risk Screening And Interdisciplinary Communication: A Method To Mitigate Discharge Delays, Tammy Linton
Nursing Theses and Capstone Projects
Identification of discharge barriers early during the hospital stay is essential to coordinate services post-discharge. Timely discharge of patients when medically safe controls costs, promotes positive health outcomes, and increases quality of care. Discharge planning is a multifaceted interaction that relies heavily on effective communication between all disciplines and the patient. Research suggests interdisciplinary collaboration and effective communication as leading strategies to mitigate discharge delays. The purpose of this study was to examine the impact of interdisciplinary collaboration on discharge planning and length of stay for medical surgical patients. A daily discharge team meeting was implemented as a best practice …
Improving Nurse-Patient Communication Using The Teach-Back Method, Sheila Revis Smallwood
Improving Nurse-Patient Communication Using The Teach-Back Method, Sheila Revis Smallwood
Nursing Theses and Capstone Projects
Effective nursing communication considers health literacy, the person’s ability to understand and make health decisions based on the information given. Health professionals often overestimate the health literacy of patients, thereby affecting patient outcomes. In a hospital environment, patients rate the ability of the nurse to explain things in a way patients understand by completing the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) after discharge. The HCAHPS results are converted to a score which is used in a formula to determine hospital reimbursement; the lower the score, the lower the reimbursement. The purpose of this project was to improve …
Nurse Confidence Levels In Malignant Hyperthermia, Paige Wilson
Nurse Confidence Levels In Malignant Hyperthermia, Paige Wilson
Nursing Theses and Capstone Projects
Malignant hyperthermia is a life threatening medical emergency. When individuals with a certain genetic predisposition are exposed to certain pharmaceutical triggering agents, a malignant hyperthermia crisis can occur. If the crisis is not recognized early and symptoms are not treated, the ending result will be patient death. The ability to recognize and intervene in a malignant hyperthermia crisis demonstrates knowledge and confidence by the nurse. Simulation training is an educational tool that nurses can use to increase confidence levels in recognizing and intervening in this type of medical emergency in a safe environment. The findings from this research indicate a …
Using End Of Life Care In A Simulation Scenario In An Effort To Help Increase Student Confidence, Amy P. Davis
Using End Of Life Care In A Simulation Scenario In An Effort To Help Increase Student Confidence, Amy P. Davis
Nursing Theses and Capstone Projects
This evidence-based project examined how using the end of life care in a simulation scenario would help in an effort to increase student confidence. A sample size of 28 Practical Nursing Students participated in the simulation scenario. The Confidence Scale (C-scale) developed by Susan Grundy, was administered to the students as a pre-test prior to the simulation and a post-test after the simulation. The C-scale measured student confidence and consisted of five questions asking the students to rate themselves on a scale of one to five in performing a task. The goal was to see if the student’s confidence level …
Watson’S Theory Of Human Caring: Effect On Nurse Perception Of Care Environment, Shannon Jones
Watson’S Theory Of Human Caring: Effect On Nurse Perception Of Care Environment, Shannon Jones
Nursing Theses and Capstone Projects
Psychiatric and mental health nurses face unique problems related to the specifics of the role including low morale and burnout. These problems stem from many factors including insufficient staffing, lack of support from management, and patient behaviors such as aggression or noncompliance which lead to poor patient outcomes. The purpose of this study was to determine what effect adoption of Dr. Jean Watson’s Theory of Human Caring has on nurse perception of the care environment on an inpatient psychiatric unit in a rural community hospital as measured by a modified version of the Combined Assessment of Psychiatric Environments (CAPE) instrument. …
Improving Gender Diversity In Nursing Through A Mentoring Program, Nancy Lynn Hilburn
Improving Gender Diversity In Nursing Through A Mentoring Program, Nancy Lynn Hilburn
Nursing Theses and Capstone Projects
Diversity can add value to a team by bringing in ideas and viewpoints from various backgrounds that may not have been thought of otherwise. This is also true in the health care setting. Nurse leaders have identified a strong connection between a diverse nursing workforce and the ability to provide quality, culturally competent care to patients (American Association of Colleges of Nursing, [AACN] 2015). According to the Kaiser Foundation, there were 3,184,283 registered nurses (RN) in the United States in 2016. The National Council of State Boards of Nursing and The Forum of State Nursing Workforce Centers 2013 National Workforce …