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Full-Text Articles in Medicine and Health Sciences

Understanding Baccalaureate Nursing Education Progression From The Student Perspective Using A Grounded Theory Approach, Jennifer Jean Dahlman Oct 2019

Understanding Baccalaureate Nursing Education Progression From The Student Perspective Using A Grounded Theory Approach, Jennifer Jean Dahlman

Dissertations (1934 -)

National data provides evidence there is a significant gap between the number of first-generation college students (FGCs) and members of underrepresented minority groups (URMs) who are enrolling in baccalaureate programs of nursing (BSN) and those that persist beyond graduation and become members of the nursing workforce. There is a need to graduate more underrepresented student populations from BSN programs and understanding their progression through baccalaureate education can inform our efforts to support them. The purpose of this study was to explore and understand the needs of FGCs and URMs enrolled in BSN programs and to use online mentoring as a …


Measuring Polyvictimization Among Vulnerable Children: A Confirmatory Factor Analysis, Kelli J. Jones Apr 2019

Measuring Polyvictimization Among Vulnerable Children: A Confirmatory Factor Analysis, Kelli J. Jones

Dissertations (1934 -)

The purpose of this study was to test the pathways to polyvictimization model, a conceptual model developed by Dr. David Finkelhor, as an accurate measure of victimization among children in fragile families. Polyvictimization is the simultaneous, accumulative exposure to multiple forms of victimization. Finkelhor’s pathways to polyvictimization model consisted of four hypothesized pathways to becoming polyvictimized. The four pathways include a) residing in a dangerous community, b) living in a dangerous family, c) having a chaotic, multi-problem family environment, and d) the child has emotional or behavioral problems that increase risk behavior, engender antagonism, and compromise the capacity to protect …


Identifying A History Of Nonfatal Strangulation: What Impacts Screening By Healthcare, Law Enforcement And Advocates?, Jennifer Delwiche Apr 2019

Identifying A History Of Nonfatal Strangulation: What Impacts Screening By Healthcare, Law Enforcement And Advocates?, Jennifer Delwiche

Dissertations (1934 -)

Intimate partner violence (IPV) is a pervasive social epidemic in the United States, affecting as many as one in four women in their lifetime (CDC, 2010). Nonfatal strangulation (NFS) is one type of IPV, in which the application of external pressure on the neck of the victim results in interruption of blood or oxygen flow (Shields et al., 2010). Research has indicated that a history of nonfatal strangulation for victims of IPV can indicate an increased risk for worsening violence, medical complications, or death. Despite the identification of increased vulnerability for victims with a history of nonfatal strangulation, there is …


The Influence Of Continuity Of Nursing Care In The Acute Care Setting On Readiness For Discharge And Post-Discharge Return To Hospital, Sarah J. Bahr Apr 2019

The Influence Of Continuity Of Nursing Care In The Acute Care Setting On Readiness For Discharge And Post-Discharge Return To Hospital, Sarah J. Bahr

Dissertations (1934 -)

Background: Promoting continuity of nursing care has the potential to increase patient readiness for discharge, which has been associated with fewer readmissions and emergency department (ED) visits. The few studies that have examined nursing continuity during acute care hospitalizations did not focus on discharge or post-discharge outcomes.Objectives: The aim of this research study was to examine the association of continuity in nurse assignment to patients prior to hospital discharge with return to hospital (readmission and ED/Observation visits), including exploration of the mediating pathway through patient readiness for discharge and moderation effects of unit environment and unit nurse characteristics.Methods: …


Healthcare Provider Influence On Health Behavior Modification In Gestational Diabetics, Denise K. Fryzelka Apr 2019

Healthcare Provider Influence On Health Behavior Modification In Gestational Diabetics, Denise K. Fryzelka

Dissertations (1934 -)

The overall aim was to understand the process of healthcare provider influence by exploring associations between professional influence measures and patient engagement in health behavior modification in women with Gestational Diabetic Mellitus (GDM). An integrative literature review resulted in defining and developing the Healthcare Provider Influence (HPI) conceptual model based on the Integrated Theory of Health Behavior Change and Transformational Leadership theory. HPI is defined as a process wherein a purposeful interpersonal interactive, collaborative, and transformative relationship develops between a patient and a healthcare provider working together toward a specific focus of health behavior modification outcomes. Measures for testing the …


Toward Quality Preceptorship: A Dyad Sudy, Laurie Ann Kunkel-Jordan Apr 2019

Toward Quality Preceptorship: A Dyad Sudy, Laurie Ann Kunkel-Jordan

Dissertations (1934 -)

Problem: Approximately 70% of newly graduated nurses work in hospital settings, but their turnover rates are high, costly to employers, and due, in part, to lack of satisfaction with job orientation processes. Effective preceptorship is widely regarded as pivotal to newly graduated nurses’ successful transition to the professional nurse role; yet, the critical elements of preceptorship have not been empirically determined. Numerous researchers proffer the preceptor - newly graduated nurse interpersonal relationship as key, but preceptorship research has not been focused on this dyadic interaction. Consequently, its true impact remains unknown. Accordingly, this study addressed the following research question, “Are …