Public Affairs, Public Policy and Public Administration Commons^™

An Assessment Of Primary Care Physician Opinions About Supporting The Independent Autonomous Practice By Advanced Practice Nurses, James Michael Flanigan

Graduate Theses and Dissertations

The Affordable Care Act (ACA) changed the national discussion about who is the decision-maker in healthcare delivery – physicians or others that pay the bill. The federal government is the largest payer of healthcare services while states are responsible for implementing the ACA’s features. Through the ACA, the federal government endorsed non-physician primary care by advanced practice registered nurses (APRN). The research question of this study is: Why do some primary care physicians support independent autonomous practice for advanced practice registered nurses while others do not? The research question should be important to policy-makers because physicians are the predominate purchasers …

Factors Affecting The Sustainability Of Public-Private Collaborations At The Municipal Level: The Case Of Motorcycle Rallies, Anne Burgin Diallo

Graduate Theses and Dissertations

Urban public-private collaborations promoting large-scale tourist events are increasingly common. The incentive to collaborate, for urban policy-makers, is the perception of the opportunity for economic development, and yet little is known about factors contributing to the sustainability of such urban cross-sector collaborations. The dissertation accomplishes three objectives. First, it combines resource dependence theory (RDT) and goal congruence theory (GCT) to extend our understanding of how collaborating organizations align their respective organizational goals and manage their interdependencies in complex, urban, inter-sectoral, environments. This is accomplished through use of complementary factors from each theory. Second, using qualitative methods, the research applies RDT …

A Community-Based Participatory Approach To Understanding Health Beliefs, Policies, Barriers, And Solutions Related To The Health Disparities Of Marshallese Cofa Migrants In Arkansas., Pearl Anna Mcelfish

Graduate Theses and Dissertations

Public policies have different effects on different populations groups and can perpetuate health disparities among some populations. My research utilizes community-based participatory approach to research in the examination of one unique population: the Marshallese. This dissertation research presents three papers that are part of a cohesive research agenda predicated on community-based participatory research (CBPR) to facilitate policy-oriented learning. My research can be used to inform health policy, health care services, and health education. Chapter Two presents the article titled: Health Beliefs of US Marshallese Regarding Type 2 Diabetes.

This article explores the research question: what health beliefs related to diabetes …

Applications Of Cultural Theory And Empirical Analysis Of Sustainable Energy Policy Preferences In Arkansas, John Henry Kester Iii

Graduate Theses and Dissertations

The local policy arena is ripe for research on policy elite decisionmaking because where policy diffusion is concerned, previous studies focus on state-to-state and city-to-city dynamics. Therefore, there is a significant opportunity to expand understanding about the adoption of policies and policy diffusion at the local level. Identification of individual level determinants that signify policy adoption is a cornerstone to fostering this knowledge. This study examines such preference indicators found among policy elites in select Arkansas cities. For this research, the primary theoretical perspective for evaluating individual determinants is cultural theory, which has shown strong correlation to individual policy preference …

Prostate Cancer Education In The African American Community: Implcations For Community-Based Health Communication Strategies, Barry Charles Hill

Open Access Theses

This paper examines the social milieu of African American barbershops by exploring health discussions and information transfer between barbers and barbershop clients. This paper examines associations between peer helper and health promotion intervention variables, and peer helper intervention effectiveness in increasing knowledge and health discussion frequency. Study findings suggest barbers with higher education are significantly more effective as peer helpers in discussing health topics more frequently (OR 4.64; CI 1.00 - 21.49) and in increasing client knowledge (β 0.94; CI 0.26 - 1.63). Additionally, barbershop health educational materials were significantly associated with increased barber health discussion (OR 4.13; CI 1.32 …

Socially Constructing Drug Addicts From The Poor: A Critical Discourse Analysis, Kalynn Susan Amundson

Graduate Theses and Dissertations

Welfare drug testing was authorized by the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996, and has subsequently garnered extensive legislative interest in numerous states. This policy raises several questions, which are the subjects of the two journal articles and one manuscript included in this dissertation.

The first article addresses the question of a possible confluence of War on Drugs and Welfare Reform policies as evidenced through welfare drug testing policy, and indicated by continuity in policymakers’ rhetoric. This study examines federal-level policymakers’ debate discourse in these two policy streams. The analysis finds themes of the Social pathology, …

Understanding The Experiences Of African-American Relatives Who Serve As Care Providers To Custodial Children In Arkansas: An Intersectional Case Study, Carmen Johnson-Hardin

Graduate Theses and Dissertations

An increase in the provision of long-term care by relative caregivers to custodial children has brought attention to the physical, emotional, and Social challenges of this complex caregiving experience. Prior studies have examined separate structural identities that focus on comparing the quality of life, educational status, Social status, and income of grandparent custodial caregivers. To extend this research, it is important to explore the gaps in service provisions to relative caregivers; comparative viewpoints of relative caregivers and service providers regarding policies and practices; and heterogeneity among Black relative caregivers utilizing an intersectional framework. Face-to-face or telephone interviews were conducted with …

The Educational Benefits Of Cultural Institutions, Brian Kisida

Graduate Theses and Dissertations

A significant portion of the education children receive occurs outside of the traditional classroom and produces outcomes not typically captured by standardized achievement tests. This dissertation is part of an effort to expand the educational venues and outcomes educational researchers rigorously examine. In particular, I present the key results from experimental studies of the effects of school tours to the Crystal Bridges Museum of American Art in Bentonville, AR., and to the Museum of Discovery in Little Rock, AR.

Chapter 1 focuses on arts exposure and critical thinking outcomes. A problem for the arts’ role in education has been a …

Human Intelligence In Federal Terrorism Cases, Noah James Schneider

Graduate Theses and Dissertations

Though it has often been quipped that the September 11th attacks changed "everything", domestic policy alterations were among the most significant changes after 9/11. Specifically, the 2002 Ashcroft Attorney General Guidelines and the 2008 Mukasey Attorney General Guidelines were two of the most impactful policy changes following 9/11. These Attorney General Guidelines changed the way the Federal Bureau of Investigation (FBI) investigated terrorism in the United States in addition to making counterterrorism the FBI's top priority. One of the ways the FBI prevents terrorism is through the use of undercover agents and confidential informants. How the 2002 and 2008 Attorney …

The Power Behind The Controversy: Understanding Local Policy Elites' Perceptions On The Benefits And Risks Associated With High Voltage Power Line Installation In The State Of Arkansas, Rachael Marie Moyer

Graduate Theses and Dissertations

Following a proposal for the installation of high voltage power lines in northwest Arkansas, a controversial policy debate emerged. Proponents of the transmission line argue that such an installation is inevitable and necessary to efficiently and reliably support the identified electric load in the region. Opponents claim that the lines will degrade the natural environment and hamper the tourism-based local economy in affected regions, notably in Ozark Mountain areas. This study seeks to understand how local policy elites perceive the benefits and risks associated with proposed transmission lines, which is a critical step in comprehending the formation and changes of …

Assessment Of The United States National Security Space Management And Organization, Charles G. Simpson

Theses and Dissertations

This research analyzes the results of the Report of the Commission to Assess the United States National Security Space Management and Organization, dated January 11, 2001 in order to determine which recommendations were beneficial, which recommendations are still in effect and what additional measures should be undertaken to continue, and even advance, our standing as a premier space power. It analyzes the potential managerial and organizational shortcomings of National Security Space within the United States Government, specifically the Department of Defense. Additionally, this paper reviews the various management and organizational force restructuring which occurred as a result of the commission’s …

The Effect Of Cluster Size Variability On Statistical Power In Cluster-Randomized Trials, Stephen A. Lauer, Ken P. Kleinman, Nicholas G. Reich

Biostatistics and Epidemiology Faculty Publications Series

The frequency of cluster-randomized trials (CRTs) in peer-reviewed literature has increased exponentially over the past two decades. CRTs are a valuable tool for studying interventions that cannot be effectively implemented or randomized at the individual level. However, some aspects of the design and analysis of data from CRTs are more complex than those for individually randomized controlled trials. One of the key components to designing a successful CRT is calculating the proper sample size (i.e. number of clusters) needed to attain an acceptable level of statistical power. In order to do this, a researcher must make assumptions about the value …