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Medicine and Health Sciences

Theses/Dissertations

2019

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Full-Text Articles in Education

Abroad View Of Wellness, Patrick Kunkel, Megan Mills, Seth Clark Aug 2019

Abroad View Of Wellness, Patrick Kunkel, Megan Mills, Seth Clark

Masters Theses/Capstone Projects

A presentation on a Study Abroad trip taken to Hungary.


Journey Of The State Budget, Karina Carmichael Aug 2019

Journey Of The State Budget, Karina Carmichael

Masters Theses/Capstone Projects

In attempts to make government fair and equitable, the process of any bill but especially the budget bill can be extremely convoluted and difficult to follow. I was able to learn how to navigate the system and understand the processes by which things happen at the statehouse.

The statehouse is filled with representatives of countless interest groups all fighting for their opinion of how things should be done. As demonstrated by this budget cycle, government can be a push and pull directed by politics, personal opinions, and countless other factors, which may result in nothing getting done.


Creating A Culture Of Courage: A Behavioral Health Study Of Resilience And Response To Traumatic Events For Firefighters, Brett Ellis Aug 2019

Creating A Culture Of Courage: A Behavioral Health Study Of Resilience And Response To Traumatic Events For Firefighters, Brett Ellis

CUP Ed.D. Dissertations

Firefighters experience a variety of challenging situations and traumatic events while performing necessary job duties as public servants, which can create behavioral health concerns and even suicide ideation. The purpose of this study is to recognize how individual resilience relates to lived experiences for firefighters who may need next-level behavioral healthcare, which in turn, will identify higher “at risk” firefighters with suicide ideation who need increased mental and emotional care outside of peer interventions. The fundamental question centers on what role does individual resilience, as well as formal and informal resources of behavioral health support, play in mitigating the impact …


Implementing Foot Care Program In A Rural Clinic, Maliheh Bakhshi Aug 2019

Implementing Foot Care Program In A Rural Clinic, Maliheh Bakhshi

Doctor of Nursing Practice (DNP) Projects

Abstract

The prevalence of type 2 diabetes mellitus and its complications have increased in the United States (U.S.) in recent years. Patients with diabetes have a higher risk of foot ulcers due to diabetic peripheral arterial disease accelerated by the direct damage to the nerve and blood vessels in lower extremities by high blood sugar. Foot amputations, and frequent hospital admissions due to these and other diabetes complications are also increasing. Healthcare providers’ have a unique opportunity to prevent these complications and hospital admissions, and to promote patient wellness and physical well-being through the provision of timely education and direct …


Trans In Higher Ed: Understanding The Experiences Of Transgender And Nonbinary College Students, Katherine Cochran Aug 2019

Trans In Higher Ed: Understanding The Experiences Of Transgender And Nonbinary College Students, Katherine Cochran

Theses and Dissertations

This qualitative study sought to further explore the lived experiences of trans and nonbinary college students, in attempts to address the empirical gap contributed to by conflation of sexual and gender minorities’ experiences in research. The focus is on the lived experiences of trans and nonbinary college students to explore identity development, their experiences on campus and with mental health services, the nature of help-seeking behaviors, and their recommendations for mental health professionals, allies, and college staff. Data were collected through semi-structured interviews addressing the following research questions: (1) What are the lived experiences of trans and nonbinary college students; …


The Effects Of Hand Holding On Cancer Patients Level Of Anxiety: A Single-Case Study, West Loveland Aug 2019

The Effects Of Hand Holding On Cancer Patients Level Of Anxiety: A Single-Case Study, West Loveland

Graduate Theses and Dissertations

The purpose of this dissertation was to explore how the anxiety levels of non-Hodgkin’s lymphoma patients receiving chemotherapy are affected while holding hands with a secure attachment. This study utilized three experimental single-case designs: participant one measured under a B-design, participant two measured under a B-A design, and participant three measured under an A-B design. Each participant’s anxiety was assessed during six chemotherapy treatments and one meeting with their primary oncologist to discuss the prognosis of their cancerous disease. Results visually indicate a greater effect on anxiety reduction during treatment when the intervention is utilized compared to only having a …


Perceptions On The Effectiveness Of Diversity And Inclusion Hiring: Are We Really Getting Ahead? [2019], Deidre D. Pierson Aug 2019

Perceptions On The Effectiveness Of Diversity And Inclusion Hiring: Are We Really Getting Ahead? [2019], Deidre D. Pierson

Master's Theses

Diversity and inclusion hiring in NCAA Division III athletic departments has seen some improvement over the last two decades, but questions remain on whether we are really getting ahead. There continues to be a lack of diversity, particularly in private Northeast institutions. The purpose of this study was to determine the perceived effectiveness of hiring practices and initiatives utilized by athletics departments. The study utilized tenants of critical theory which supported the in-depth questioning and centering of the lived experiences of participants. This study used semi-structured interviews of nine Division III female head coaches of women’s sports to examine their …


Animal Assisted Therapy And Support Animals, What Mental Health Professionals Know And Understand, Alexandro H. Velez Aug 2019

Animal Assisted Therapy And Support Animals, What Mental Health Professionals Know And Understand, Alexandro H. Velez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Animal-assisted therapy can greatly benefit mental health professionals with clients in and out of the school settings in many ways. It is believed mental health professionals are successfully implementing Animal Assisted Therapy, even though some are not. Mental health professionals who are not using Animal Assisted Therapy are not doing so as the result of various variables, such as lack of information, knowledge, training, certification and policies, which prevents them from using Animals Assisted Therapy with clients and the community. It is also believed some mental health professionals are using animals as part of therapeutic interventions without proper training. The …


Exploring The Match Demands Of Division I Women’S Collegiate Soccer, Robert W. Sausaman Aug 2019

Exploring The Match Demands Of Division I Women’S Collegiate Soccer, Robert W. Sausaman

Electronic Theses and Dissertations

The purpose of this dissertation is to shed light on the physical demands of women’s soccer at the NCAA division I college level. Though research does exists describing the physical demands of women’s soccer, the vast majority seeks to explain the physical demands association with the professional and international level. This dissertation sought to: 1) examine the physical demands of NCAA division I women’s soccer and 2) observe changes in physical demands of two NCAA division I women’s soccer players over a four-year career using a case study approach.

Study 1 examined the physical demands of twenty-three athlete from a …


A Rural Telehealth Objective Structured Clinical Examination, Devon Schlottach Jul 2019

A Rural Telehealth Objective Structured Clinical Examination, Devon Schlottach

Dissertations

Problem Rural healthcare consumers experience increased health disparities, especially when accessing health care. The use of telehealth to improve access has become an essential competency for nurse practitioner (NP) students. This study evaluated NP students’ confidence and competence of rural social determinants of health (rSDOH) before and after a telehealth simulation.

Methods A descriptive, cohort design was used to review NP students’ pre- and post-surveys, written case studies, and a video-recorded telehealth OSCE for a patient living in a rural area.

Results Student self-rated knowledge of rural health care did not improve despite didactic learning and simulation (z = …


The Left Behind Generation: Instructional Practices To Increase The Technological Literacy Of Older Adults, Daphne Pace Phillips Jul 2019

The Left Behind Generation: Instructional Practices To Increase The Technological Literacy Of Older Adults, Daphne Pace Phillips

USF Tampa Graduate Theses and Dissertations

This study sought to explore the utilization and perception of best practices by community-based technology training programs when instructing older adults to become technologically literate. The target population included adults age 55 years and older of the Baby Boomer generational cohort who ranged academically from possessing a high school diploma or General Education Diploma (GED) through a college degree and had enrolled in a local technology training program to improve their technological skill level with the goal of obtaining employment and/or to remain functionally independent. This study was conducted at three community technology training centers located in the southeast that …


Dysphagia Management In Schools: A Survey Of Speech-Language Pathologists, Catherine Felicetti Jul 2019

Dysphagia Management In Schools: A Survey Of Speech-Language Pathologists, Catherine Felicetti

Masters Theses

Introduction: To date, few research studies have evaluated pediatric feeding and swallowing practices in school systems across the United States. This study aims to i) understand the factors that impact a speech-language pathologists (SLPs) level of comfort in providing these services, ii) to identify barriers to service provision, iii) develop a concrete understanding of a SLPs role in providing feeding and swallowing services in a school setting, and iv) to identify the types of service suggested by school-based SLPs in response to a fictional case study.

Methods: School-based SLPs and clinical fellows were invited to participate in a 10-15 minute …


Quantifying The Friedreich Ataxia Rating Scale And The Functional Performance Measures, Chelsea Rene Davis Jun 2019

Quantifying The Friedreich Ataxia Rating Scale And The Functional Performance Measures, Chelsea Rene Davis

USF Tampa Graduate Theses and Dissertations

Friedreich Ataxia (FA) is a debilitating autosomal-recessive neurodegenerative disorder which is characterized by ataxia of all four limbs, difficulty walking, areflexia, and dysarthria. Further complications of FA include diabetes, scoliosis, and hypertrophic cardiomyopathy. Approximately three-quarters of people with FA have onset before the age of 25 and in most instances, affected individuals will require the use of a wheelchair within ten years after symptoms emerge.

The current advancements in clinical trials have escalated the developmental demand for a scale which validates adjustments in FA. The Friedreich Ataxia Rating Scale (FARS) is a disease-specific semi-qualitative assessment which includes three subscales (functional …


Socioeconomic Status's Impact On The Experience Of Loneliness, Tessa Samuels Jun 2019

Socioeconomic Status's Impact On The Experience Of Loneliness, Tessa Samuels

Sociology & Anthropology Theses

Loneliness is a feeling that is nearly universal, yet some people are more vulnerable to prolonged exposures of the experience of loneliness. Due to the subjective nature of loneliness, there is minimal literature on loneliness without the variable of social isolation (Hawkley et al. 2008, Ryan et al. 2008, Kearns et al. 2015, Lee and Ishii-Kuntz 1987) or social capital (Benner and Wang 2014, Andersson 1998, Ryan et al. 2008, Kearns et al. 2015) involved. There are numerous variables that impact loneliness. One must consider age — there has been solid gerontology research that reveals that elderly people are less …


The Lived Experience Of Healthcare Leadership Dyads: Perceptions Of Agency, Susan Murphy Campanelli Jun 2019

The Lived Experience Of Healthcare Leadership Dyads: Perceptions Of Agency, Susan Murphy Campanelli

All Theses And Dissertations

Healthcare leadership is evolving in response to recommendations from the Institute of Healthcare Improvement (IHI). Physicians and administrators are partnering to form leadership dyads. These leadership dyads are focusing on improving healthcare quality, decreasing costs, and improving access. Existing literature on healthcare dyads explores leadership training needs for physicians, focuses on the differences between physicians and administrators, and emphasizes the need to develop role clarity for dyad leaders. There is a lack of empirical literature exploring how the physician and the administrator develop into a leadership team and extend shared leadership into their organization.

This phenomenological study applies Bandura’s (1986) …


The Relationship Between Nursing-Faculty Incivility And New-Graduate-Nurse Self-Confidence During Transition To Practice: A Correlational Study, Martha Kershaw Jun 2019

The Relationship Between Nursing-Faculty Incivility And New-Graduate-Nurse Self-Confidence During Transition To Practice: A Correlational Study, Martha Kershaw

CUP Ed.D. Dissertations

Decreased self-confidence is seen in nursing students who experience nursing-faculty-to-nursing-student-incivility and in new-graduate-nurses during their transition to practice. Using a quantitative correlational design, I examined the relationship between nursing-faculty-to-nursing-student incivility and new-graduate-nurse self-confidence including the extent to which the relationship exists and whether the relationship existed for some groups more than others, specifically male and female nurses, and nurses who graduated from associate’s degree and Bachelor of Science programs. Through the surveys completed by 212 registered nurses who had been practicing less than three years, the participants reported on their experience with nursing-faculty-to-nursing-student incivility using the Perceived Faculty Incivility Scale …


Teaching Physical Education Skills To A Student With A Disability Through Video Modeling, Robin Huddleston Jun 2019

Teaching Physical Education Skills To A Student With A Disability Through Video Modeling, Robin Huddleston

Theses and Dissertations

Video modeling (VM) is a video-based intervention (VBI) that has been implemented with individuals with disabilities to teach various life and educational skills. It is a tool that allows learners to watch a target skill modeled on a pre-recorded video. The learner is able to re-watch a new skill as many times as needed, and the teacher is given the flexibility needed to work with multiple students while providing individualized instruction. The participant in this study was a 13-year-old male with a traumatic brain injury (TBI) and intellectual disability (ID). The participant was enrolled in a life skills class at …


Emotional And Behavioral Disorders Screening In Utah Schools, Oakley Dean Banks Jun 2019

Emotional And Behavioral Disorders Screening In Utah Schools, Oakley Dean Banks

Theses and Dissertations

This descriptive study provides insight on the prevalence of Emotional and Behavioral Disorders (EBD) screening and school psychologists' roles in that screening process in Utah schools. EBD screening plays an important role in implementing Multi-Tiered System of Supports (MTSS). An electronic questionnaire was sent to 260 practicing Utah school psychologists. A total of 89 of those school psychologists completed the survey resulting in a 34% participation rate. Twelve percent (n=11) of participants reported that EBD screening was happening in their schools. Participants reported that the lack of resources to address student needs, the lack of administrative support, and the school …


Agreement Between Parent And Teacher Ratings Of Social Communication Abilitieson The Children's Communication Checklist-Second Edition, Courtney Lynn Hammond Jun 2019

Agreement Between Parent And Teacher Ratings Of Social Communication Abilitieson The Children's Communication Checklist-Second Edition, Courtney Lynn Hammond

Theses and Dissertations

The Children's Communication Checklist-Second Edition (CCC-2) is a behavior rating scale developed to address the difficulties of assessing social communication in children. It was designed to be completed by a parent rater. However, since it would be helpful to know the extent to which ratings are context-dependent, this study looked at the agreement between parent and teacher ratings on the CCC-2 as well as the percent agreement on the severity of disorder. Twelve parent-teacher pairs completed the CCC-2 for children who had a documented developmental language disorder with specific impairment in social communication. Cohen's kappas, Cohen's weighted kappas, and percent …


Kinematic And Acoustic Vowel Changes In Adult Bite Block Speech, Tanner Keith Low Jun 2019

Kinematic And Acoustic Vowel Changes In Adult Bite Block Speech, Tanner Keith Low

Theses and Dissertations

The current study examined the lingual kinematic and acoustic effects of bite blocks on vowels in a sentence context. Twenty adult native English speakers (10 male, 10 female) with no speech, language, or hearing deficits participated in the study. The corner vowels found in the sentence, The blue spot is on the black key again (i.e., /u/, /É‘/, /æ/, /i/), were measured kinematically and acoustically immediately before and after bite block insertion. The participants' speech was audio-recorded and their lingual articulatory movements were measured with a Northern Digital Instruments Wave electromagnetic articulograph. The sensor coils were attached to three different …


Sociability In Children With Developmental Language Disorder, Miranda Elizabeth Miller Jun 2019

Sociability In Children With Developmental Language Disorder, Miranda Elizabeth Miller

Theses and Dissertations

This study employed the Teacher Behavior Rating Scale (TBRS) to investigate two aspects of sociability, likeability and prosocial behavior, in 143 children with developmental language disorder (DLD) and 131 of their typically developing peers. Initially, measurement invariance analysis was performed to determine if teachers evaluated likeability and sociability in a similar manner for both children with DLD and their typically developing peers. Likeability items on the TBRS were invariant, and 4 of the 5 prosociability items were invariant. Subsequent analysis revealed that teachers rated children with DLD lower in both likeability and prosociability in comparison to their typically developing peers. …


An Assessment Of Irb Member Values Using The Irb Researcher Assessment Tool, Andrew Gerber May 2019

An Assessment Of Irb Member Values Using The Irb Researcher Assessment Tool, Andrew Gerber

Theses and Dissertations

This study employed the IRB Researcher Assessment Tool (IRB-RAT) to better understand values held by IRB members at Rowan University, and piloted the use of the IRB-RAT in this institutional context. A sample of Rowan University IRB affiliates, including administrators and members (N = 11), provided ratings related to their "ideal" and "actual" IRB on this 45-item questionnaire, addressing eight areas of IRB performance. Analyses included mean calculations, calculations of mean difference, and comparisons to those provided in a national validation sample for the measure. Results indicated that, by comparison to a national validation sample, Rowan University IRB members tended …


Beyond The Transcript: A Narrative Analysis Of Students' Experiences With Academic Dismissal In A Baccalaureate Nursing Program, Angela Edwards Capello May 2019

Beyond The Transcript: A Narrative Analysis Of Students' Experiences With Academic Dismissal In A Baccalaureate Nursing Program, Angela Edwards Capello

LSU Doctoral Dissertations

ABSTRACT

Re-defining different is the first step in addressing inequity in nursing education and the disparities that result in a high incidence of academic dismissal in baccalaureate nursing programs. What are the students' differences that contribute to one student’s ease of progression through a baccalaureate nursing program and those who struggle from the first semester?

This study provides a private look into the experiences of nine baccalaureate nursing students who were academically dismissed from their nursing program. Each story chronological from the time they decided to pursue nursing to their experiences during nursing school and to their lives after dismissal. …


Nurse Anesthesia Program Administrator's Decision-Making In Determining Interventions For A Student Exhibiting Unsatisfactory Clinical Performance, Laura S. Bonanno May 2019

Nurse Anesthesia Program Administrator's Decision-Making In Determining Interventions For A Student Exhibiting Unsatisfactory Clinical Performance, Laura S. Bonanno

University of New Orleans Theses and Dissertations

The purpose of this grounded theory study is to define the process that nurse anesthesia program administrators use to determine if a student nurse anesthetist’s unsatisfactory clinical performance warrants intervention by the program. There is little room for error in anesthesia practice as mishaps typically result in significant injury and death. Students who exhibit unsatisfactory clinical performance may pose an immediate risk to patient safety as well as a future risk if allowed to progress in the program. The lack of guidance in the form of clearly articulated expectations and processes contribute to the emotional strain nurse anesthesia faculty and …


Exploring The Decisions Involved In Evidence-Based Practice Adoption By Athletic Trainers, Brittany Vorndran Allard May 2019

Exploring The Decisions Involved In Evidence-Based Practice Adoption By Athletic Trainers, Brittany Vorndran Allard

Seton Hall University Dissertations and Theses (ETDs)

Background: The governing bodies of athletic training have been putting an emphasis on evidence-based practice (EBP) through college curriculum changes and continuing education requirements. Research has shown these interventions are increasing knowledge, but there is still a knowledge to practice gap.

Purpose: The purpose of this study was to explore the decisions involved in EBP adoption by practicing athletic trainers (ATs).

Methods: This study utilized a general qualitative approach that was exploratory in nature. Fifteen participants participated in the study, and all were practicing certified athletic trainers who stated they were using EBP when making treatment decisions.

Data Collection …


Promoting Resilience In Economically Disadvantaged Adolescents Through School-Based Expressive Arts Groups, Bailey Knox May 2019

Promoting Resilience In Economically Disadvantaged Adolescents Through School-Based Expressive Arts Groups, Bailey Knox

Expressive Therapies Capstone Theses

Since 2013, the majority of students served by the public school system in the United States have been considered “low-income” by the federal government. The stressors associated with low socioeconomic status significantly increase risk for social, emotional and behavioral challenges at all age levels, but can be particularly damaging to adolescents coping with heightened stress levels related to the intense multi-dimensional changes that define this developmental period. As the correlation between economic disadvantage and negative socio-emotional and academic outcomes is increasingly evidenced, schools have begun to recognize their responsibility for providing preventative mental health care to high-risk students. Over the …


Stress Management: A Group Curriculum For Female Adolescents, Taylor Schaible May 2019

Stress Management: A Group Curriculum For Female Adolescents, Taylor Schaible

Dissertations, Theses, and Projects

In recent years, research has found that adolescents are experiencing stress at an astounding rate, even compared to adults. With a thorough review of the literature, it has been found that schools in the United States are experiencing an adolescent stress epidemic. Furthermore, students are experiencing stress in ways beyond an academic arena. With that being said, there seems to be a connection between stress leading to anxiety, as well as stress having a profound affect for students who have experienced traumatic experiences. Additionally, the research has shown that there are structural differences within a developing brain that may cause …


Enhancing Health Literacy Using Teach Back Method To Increase Patient Adherence To, Tram Mendoza May 2019

Enhancing Health Literacy Using Teach Back Method To Increase Patient Adherence To, Tram Mendoza

Doctor of Nursing Practice (DNP) Projects

Background: Health literacy is a complicated and perplexing topic for those not trained in the medical field. Patients possess pieces of health literacy to some degree, while some have none at all. Limited health literacy can pose a very threatening risk on a patient’s well-being, interfering with their self-care and health maintenance, possibly creating more obstacles for the patient if health instructions and education are not clearly understood. This can lead to increased health expenditures due to treating the effects of poor health maintenance in addition to emergency room visits that may have not been necessary had the patient understood …


Examining The Effects Of Service-Learning On Students' Perceptions Of The Ches Responsibilities– A Pilot Study, Victoria M. Surratt May 2019

Examining The Effects Of Service-Learning On Students' Perceptions Of The Ches Responsibilities– A Pilot Study, Victoria M. Surratt

MSU Graduate Theses

Purpose: To evaluate the effectiveness of a service-learning project on students' willingness, confidence, and perceived importance to incorporate the Certified Health Education Specialist, Areas of Responsibility (CHES-AOR), into their profession. It was hypothesized that students participation in a service-learning project in an undergraduate health and wellness course would be more willing, confident, and perceive it as more important to apply the CHES-AOR within their chosen health profession. Methods: Missouri State University students registered in the fall 2018, undergraduate Health and Wellness service-learning course (KIN-350-001), completed an online survey at the beginning and the end of the semester. Seven questions were …


Enhancing Nutrition Education For School Aged Children; A Preventive Health Measure And Quality Improvement Project, Fanny M. Powell May 2019

Enhancing Nutrition Education For School Aged Children; A Preventive Health Measure And Quality Improvement Project, Fanny M. Powell

Doctor of Nursing Practice (DNP) Projects

Objective: The purpose of the DNP project was to improve nutritional knowledge of the adolescents at Kings Canyon Unified School District while also improving their perceived ability to choose healthy food. This project was enveloped in a larger community outreach mission utilizing a free school-based clinic for the purposes of providing sports physicals to students and health screening and physicals to the community. Additionally, nurse practitioner students engaged in a cultural immersion experience through clinical rotations in Central Valley.

Methods: Adolescent students who registered for the clinic watched a nine-minute nutrition video, created by the DNP student, while waiting …