Digital Commons Network^™

Pediatric Icu Nurses' Suggestions Forimproving End-Of-Life Care, Jeremy Ratliff

Theses and Dissertations

Of the 34,000 children who die annually, over 28,000 are four years old or younger. Nurses working in pediatric intensive care units (PICU) provide end of life (EOL) care before, during, and after death of these children. The purpose of this study was to determine thesuggestions PICU nurses have for improving EOL care for dying pediatric patients and their families. A sample of 1047 PICU nurses, who were members of the American Association of Critical-Care Nurses (AACN), were sent a 70-item questionnaire. One open ended item asked nurses to offer a suggestion for improving EOL care for dying PICU patients. …

Story Retell Narratives In Five School-Aged Children With Language Impairment, Megan Bradshaw Deere

Theses and Dissertations

Many children identified with Language Impairment (LI) demonstrate difficulty comprehending and producing narratives. Their narratives are often structurally less complex and of overall poorer quality than those produced by their typically developing peers. These difficulties may negatively impact the academic and social success of children with LI. This thesis evaluates the performance of five school-aged children with LI on a story retell probe embedded within an intervention designed to address their social and emotional language abilities. During the 10-week intervention, participants completed a series of story retell probes using wordless picture books. The story stimuli were taken from the Edmonton …

Nursing Informatics Research And Emerging Trends In 2015, Jane M. Carrington, Victoria Tiase, Nicolette Estrada, Kimberly D. Shea, Katherine M. Dudding, Brooke A. Finley, Christine Nibbelink, Ryan Jay Rasmussen, Monte L. Roberts

Faculty Publications

This article presents the annual project where we search the literature to learn the advances made in nursing informatics research. The Nursing Informatics Year in Review project originated with the American Medical Informatics Association (AMIA)-Nursing Informatics Work Group (NIWG) as a regular presentation at the AMIA-NIWG Sunday meeting. This article reports on the findings from project year four, 2015, that was presented at the AMIA-NIWG meeting in San Francisco, CA, in November 2015. As with prior years of this project, we have read articles that have contributed to further development of the science. This article presents the results from our …

Embracing Multiplicity: Autobiographical Personae In Ruth Hall, Gina Marie Schneck

Theses and Dissertations

Sara Payson Willis Eldredge Farrington Parton, more famously known as the elusive Fanny Fern, employs three autobiographical personae mediated by fiction in her debut novel, Ruth Hall: (1) Ruth Hall, the novel's protagonist; (2) Floy, the fictional Ruth's pseudonym; and (3) Fanny Fern, Parton's real-life pseudonym and the name under which Ruth Hall was published. Together these personae assert a fragmented presence that incorporates various voices and lives, allowing for exploration, growth, and interactivity.Philippe Lejeune's autobiographical contract outlines three specific guidelines for autobiography—that it be a narrative, that it explore personal history, and that it link author and protagonist. Ruth …

Exploring The Effect Of An Interdisciplinary Teamwork Intervention In Acute Rehabilitation, Julie K. Cope

Theses and Dissertations

Purpose: The purpose of this study was to explore the efficacy of an interdisciplinary intervention on interdisciplinary teamwork and patient functional outcomes in an acute inpatient rehabilitation unit at a mid-sized regional hospital. Design: Pilot mixed-methods pre-post intervention study. Methods: Interdisciplinary teamwork and patient functional outcomes were measured before and after a teamwork intervention. Interdisciplinary teamwork was measured with the Healthcare Team Vitality Instrument (HTVI) and a qualitative staff questionnaire developed by a content expert. Patient functional outcomes were measured by aggregated Functional Independence Measure (FIM®) scores. Findings: Post-intervention FIM® gain scores increased significantly (p = .008). Staff questionnaire revealed …

The Activity Of Alkaline Glutaraldehyde Against Bacterial Endospores And Select Non-Enveloped Viruses, Justen Thalmus Despain

Theses and Dissertations

Alkaline glutaraldehyde (GTA) has been used as a high level chemical disinfectant and sterilant for many years and is known to kill a broad spectrum of organisms ranging from vegetative eukaryotes to bacterial endospores. Although the mechanism of sporicidal action has been studied on numerous occasions, GTA's exact mechanism(s) of action are still debated. In addition to the uncertainty of GTA's mechanism(s) of action, GTA has also shown significant variability in the time required to kill endospores and naked viruses. A better knowledge of the lethal mechanism(s) of GTA is needed to understand this discrepancy in kill times for GTA …

The Impact Of Shortening A Long Survey On Response Rate And Response Quality, Daniel Stephen Allen

Theses and Dissertations

Many factors influence the response rate of a survey or questionnaire. The BYU alumni questionnaire was initially a lengthy survey with over 200 questions. After a short version of the questionnaire was created and administered, response rates appear to have increased substantially. Male respondents appear particularly more inclined to respond to the shortened version compared to the long version. The questionnaire is examined through various statistical analyses and compared between the short and long versions. Results are presented in the context of existing research on response rates and response quality.

Interconnectedness, Complicity And Ambiguity: Reading With Dark Ecology, Rachel Dene Whipple

Theses and Dissertations

There are many aspects of ecological thinking. When reading texts through a lens of dark ecology, certain conflicts that arise from the imposition of human expectations on natural systems are revealed. These include interconnectedness, complicity, and ambiguities. Within a system, boundaries are contingent and transitory. Beginnings and ends are gradual, not definite. Ecological systems change over time, but it is a category error to imagine that change represents progress or to assume a teleological purpose. While there are hierarchies of power, and different roles, no species is, ecologically speaking, more advanced than another. Ecological criticism focuses on interconnectedness, complicity, and …

Sex Differences In Cognitive Decline In Mild Cognitive Impairment And Alzheimer's Disease, Juliann Thompson

Theses and Dissertations

Alzheimer's disease (AD) is the most common form of dementia and results in progressive cognitive decline, particularly in regards to memory (National Institute on Aging, 2012). Prior research has shown sex differences in brain-atrophy rates of AD patients, with women experiencing a higher rate of progression in volume reduction (Skup et al., 2011). This suggests that there may also be differences in cognitive functioning between sexes, particularly in the rate of cognitive decline with a more rapid disease progression for dementing females compared to dementing males. The current study monitored memory function longitudinally in approximately 200 total participants, 100 with …

Bahram & Camila, Bahram, Camila, Tsos

TSOS Interview Gallery

Bahram tells the story of the Afghanistan's 1992 government collapse and subsequent civil wars that destroyed the city of Kabul. "There was war in every alley, every house, every area and every village. 60,000 people were killed." Their family emigrated to Pakistan and after living there for some time, some relatives of a friend from their village travelled to Pakistan and required lodging so they stayed with Bahram's family. In some developing and under-developed countries, the custom of arranged marriage to child and infant daughters is practiced. These house guests demanded their one-year-old daughter be given in marriage to a …

Mina And Gulyar, Tsos

TSOS Interview Gallery

Mina:

Mina was the second polygamous wife to her husband in Afghanistan. After her husband’s death 16 years ago, her husband’s first wife and children took all the husband’s belongings as their own, including the house and land. Forced to find another place to live, Mina and her sons fled to Pakistan, where they lived until returning to Afghanistan to ask for their share of Mina’s husband’s property. In response, both Mina and her children were beaten, resulting in the death of her oldest son. Mina and her younger son, Gulyar, escaped, and as Gulyar hid, Mina buried her older …

Lima And Hanif, Tsos

TSOS Interview Gallery

In Afghanistan, Lima worked as a teacher, and her husband worked (and continues to work) for the government as an agricultural manager. She has a fourteen-year-old son who is deaf and has related speech problems; he could not be treated for them properly in Afghanistan. Because her uncle was very wealthy, Lima received daily threats that her son would be kidnapped and held for ransom. Her uncle went to Germany with his own children and her son to protect them from the kidnapping threats.

Although Lima’s son was safer in Germany, she still faced threats because of her work as …

Modeling Of Acoustic Resonators And Resonator Systems For Use In Passive Noise Control, Matthew Franklin Calton

Theses and Dissertations

Acoustic resonators, such as the Helmholtz and quarter-wave resonator, can be used to attenuate unwanted noise in an enclosed space. Classical formulations can be used to approximate resonator performance for a given resonator configuration, but may lack sufficient accuracy for some applications. This research aims to improve the analytical characterization of resonators to provide better correlation to experimental results. Using higher-order approximations and proper end corrections, more accuracy can be obtained in calculating the impedance and resonance frequency of a single resonator, which will then carry over into the overall configuration of the model. The impedance of a system of …

Vaccination Perceptions Of Urban School Employees, Janelle L. B. Macintosh, Karlen E. Luthy, Katreena C. Merrill, Renea L. Beckstrand, Lacey M. Eden, Emily L. Wright

Faculty Publications

The purpose of this study was to explore public school employee perceptions regarding vaccinations. Employees from 1 urban school district in Utah responded to the School Employees' Perception of Immunizations Questionnaire. Lack of perceived efficacy was the most common explanation for lack of seasonal influenza vaccine. Being unsure of need was the most common reason participants were unvaccinated for measles, mumps, and rubella. The most common reason for rejecting a mandatory vaccine policy was a perceived violation of personal freedoms. Nurse practitioners can positively influence the health of public school employees by ensuring they are properly vaccinated.

Edgar Allan Poe And Alan Parsons: All That We See Or Seem Is Nevermore, Kimball R. Gardner

Student Works

Edgar Allan Poe was one of the greatest poets of the nineteenth century, and several critics and experts agree that he was well ahead of his time. As a result, he has had heavy influence on the twentieth and twenty-first centuries. One group that he impacted greatly was the progressive rock band the Alan Parsons Project. This group recorded an album titled Tales of Mystery and Imagination—an homage to Poe and his works.

This paper investigates two of Poe's poems: "A Dream within a Dream" and "The Raven," and how the song adaptations by the Alan Parsons Project can …

How Louisa May Alcott's 1870 Visit To Switzerland Helped Her Become A "Literary Lion", Megan Armknecht

Swiss American Historical Society Review

On April 2, 1870, Louisa May Alcott-the author of Little Women-embarked on a European grand tour with her sister, May Alcott, and her friend Alice Bartlett. The women's travels took them to France , Switzerland, Italy, Germany, and England. This grand tour was meant to give Louisa, who was riding on the heels of Little Women's success, a reprieve to regain her health. Her father, Bronson Alcott, wrote to a friend three days before their departure: "I wish Louisa were in better health and spirits, but am consoled in the hope that she is under weigh [sic] to find them …

Functional Brain Imaging In Survivors Of Critical Illness: A Prospective Feasibility Study And Exploration Of The Association Between Delirium And Brain Activation Patterns☆, James C. Jackson, Alessandro Morandi, Timothy D. Girard, Kristen Mirkle, Amy J. Graves, Jennifer L. Thompson, Ayumi K. Shintani, Max L. Gunther, Christopher J. Cannistraci, Baxter P. Rogers, John C. Gore, Hillary J. Warrington, Wesley Ely, Ramona O. Hopkins

Faculty Publications

Purpose

We undertook this pilot prospective cohort investigation to examine the feasibility of functional magnetic resonance imaging (fMRI) assessments in survivors of critical illness and to analyze potential associations between delirium and brain activation patterns observed during a working memory task (N-back) at hospital discharge and 3-month follow-up.

Materials and methods

At hospital discharge and 3 months later, fMRI assessed subjects' functional activity during an N-back task. Multiple linear regression was used to examine associations between duration of delirium and brain activity, and elastic net regression was used to assess the relationship between brain activation patterns at 3 months and …

Carl Jung's Historic Place In Psychology And Continuing Influence In Narrative Studies And American Popular Culture, Emily S. Darowski, Joseph J. Darowski

Swiss American Historical Society Review

Cart Gustav Jung was a Swiss-born psychiatrist who lived from the late nineteenth century well into the twentieth century. He founded the analytical psychology movement and is known for ideas such as the collective unconscious, archetypes, and one of the first conceptions of introversion and extraversion. The following paper explores Jung's influence on the field of psychology and other disciplines, postulating that his more lasting, but subtle influence exists outside his chosen field. This topic for exploration developed out of conversations between the two authors, one with an educational background in cognitive psychology, the other in American Studies. We draw …

Book Review: Healthy Living In The Alps: The Origins Of Winter Tourism In Switzerland, 1860-1914, Victoria M. Breting-Garcia

Swiss American Historical Society Review

No abstract provided.

Promoting Adult Pertussis Vaccination In The Workplace, Karlen Beth Luthy, Jennifer L. Bainum, Renea L. Beckstrand, Janelle L B Macintosh, Lacey M. Eden, Brooke Saunders

Faculty Publications

Vaccines are an important disease prevention strategy among individuals of all age groups. Despite the success of vaccinations in preventing communicable diseases, adults, in particular, often have sub-optimal vaccination rates. Consequently, some vaccine-preventable diseases, such as pertussis, are still on the rise in the United States despite the availability of the Tdap vaccine. As most adults can be found in the workplace, occupational and environmental health nurses are in a unique position to encourage employers to promote adequate Tdap vaccination among their employees. As specific resources regarding Tdap vaccination are lacking, the Pertussis Prevention Toolkit was developed to help occupational …

Program And Classroom Factors Affecting Attendance Patterns For Hispanic Participants In Adult Esl Education, Steven J. Carter

Theses and Dissertations

This report explores factors contributing to absenteeism and attrition in government-funded adult ESL programs. Because adult learners enrolled in inexpensive programs typically juggle numerous priorities and responsibilities beyond their schooling, their motivation must be maintained in order for them to continue to attend their language classes. As consumers, they "directly or indirectly assess the cost-benefit ratio of their program participation every time they attend or do not attend classes/tutoring sessions" (Tracy-Mumford & Baker, 1994, p. 8). Tendencies toward absenteeism can ultimately lead to attrition, which poses serious challenges for programs as it inhibits their success rates, their funding, and ultimately …

An Investigation Of Associations Between Heart Rate Measures Of Aerobic Fitness And Executive Functioning In Pre-Adolescent Children, Kimberly Anne Barnett

Student Works

The present study evaluated the associations between direct measures of aerobic fitness and executive functioning in pre-adolescent children aged 8 to 12 years. To evaluate these associations, the study employed a cross-sectional design and a series of three step hierarchical regressions were conducted. Results suggest that after controlling for age, sex, and BMI percentile, heart rate measures of aerobic fitness did not independently predict executive function. These findings provide preliminary evidence that contradicts a growing body of research within the adult literature demonstrating an association between aerobic fitness and executive function.

Breast Cancer Risk Assessment: Evaluation Of Screening Tools For Genetics Referral, Maren Lothyan Zaro

Theses and Dissertations

Purpose: This study assessed effectiveness of five tools recommended by the US Preventive Services Task Force (USPSTF), designed to help primary care clinicians determine which unaffected patients to refer to genetics specialists for breast cancer risk assessment based on concerning family history. Design: This descriptive secondary analysis included 85 women aged 40-74. All participants had a first-degree female relative previously diagnosed with breast cancer who also had uninformative negative BRCA1/2 tests. Methods: Each pedigree was evaluated using the five tools including the Family History Screen-7 (FHS-7), Pedigree Assessment Tool (PAT), Manchester Scoring System, Referral Screening Tool (RST), and Ontario-Family History …

Pornography Use And Loneliness: Assessing Correlations Using Three Associative Models, Samuel Alejandro Pereyra

Theses and Dissertations

Given the current debate on the discrepancies of pornography research and the inconclusiveness of addiction to pornography, this study examines the associative nature between pornography use and loneliness using a measurement model and two structural equation models where pornography use and loneliness are regressed on each other, respectively. Survey data was collected from a sample of 1,247 participants, who completed an online questionnaire containing questions on pornography use, the University of Los Angeles Loneliness Scale (UCLALS), and other demographic variables. Results from our analyses revealed significant and positive associations between pornography use and loneliness for all three models. Findings provide …

Validity And Reliability Of A Photographic Method Of Assessing Body Composition, Elizabeth Z. Macdonald

Theses and Dissertations

The LeanScreenTM app uses photographs and touchscreen technology of an iPad or iPhone to estimate body composition using the Department of Defense (DoD) prediction equations that use cirumference measurements of the neck, abdomen, waist, and hips. The purpose of this study was to determine the validity and reliability of the LeanScreenTM app in 148 weight-stable adults (82 men, 66 women) who were normal weight, overweight, or obese as defined by body mass index. The percent body fat (%BF) of each subject was estimated during one visit using dual-energy x-ray absorptiometery (DXA) as the criterion measure, and three field methods: the …

The Impact Of Behavioral Activation On Maternal Well-Being In Mothers Of Children With Autism Spectrum Disorder, Christine Horne Mcallister

Theses and Dissertations

Autism Spectrum Disorder (ASD) is a developmental disorder known for deficits in language and social skills. It is often associated with maladaptive behaviors. Studies have indicated that these behaviors in children lead to increased stress, anxiety and depression in mothers. This study examines the effects of parent-implemented Positive Behavior Support (PBS) and behavioral activation (BA) on reducing problem behaviors and increasing maternal wellness. The single subject study was conducted with three mothers (between the ages of 30 and 45) and their three children (between the ages of 5 and 7) with autism spectrum disorder. The results of this study demonstrate …

Longitudinal Examination Of Observed Family Hostility And Adolescent Anxiety And Depression As Mediated By Adolescent Perspective Taking And Empathic Concern, Trevor Dennis Dahle

Theses and Dissertations

The purpose of this longitudinal study was to examine hostility in family interaction and its impact on adolescent depression and anxiety with adolescent perspective taking and empathic concern as mediators. Gender differences were also examined. Adolescents were from 353 two-parent families in a large north-western city in the United States and on average were 13.25 years old (SD=1.01) for girls and 13.30 years (SD=.99) for boys at the beginning of the study. This study utilized data from waves 3-5. Earlier waves of data were not used because some of the measures were not available for earlier waves. Results indicated that …

Spiritual Pathways To Healing And Recovery: An Intensive Single-N Study Of A Patient With An Eating Disorder, Troy William Lea

Theses and Dissertations

This study presents an in-depth case study of eight sessions of spiritually integrated psychotherapy with a 20-year-old woman recovering from an Eating Disorder. The inclusion and utility of session-to-session outcome data as well as systematic follow up data in conjunction with in-depth qualitative interviews are shown. The therapist and client's perspectives are highlighted over the course of treatment. Three clinical areas of focus (renewing identity, reducing self-contempt, and fostering hope) are extracted from the qualitative interviews and the therapeutic process of weaving them together is highlighted. The Tau-U and SMA single case study statistical analyses are used to highlight clinical …

The Effects Of A Social Communication Intervention On The Production Of Emotion Words For Children With Language Impairment, Emilee Anne Longmore

Theses and Dissertations

Many school-age children with a diagnosis of Language Impairment (LI) also have social communication difficulties. Some of these difficulties are related to deficits in emotion understanding. This thesis evaluates the effects of a social communication intervention designed to increase the production of emotion-based words as an indicator of emotional competence. For five elementary school-aged children with LI, the production of emotion-based words was analyzed by first determining the frequency of words produced in preintervention sessions for the following categories: happiness, sadness, anger, fear, surprise, and disgust. Following these measures, the participants received 20 intervention sessions over the course of treatment. …

The Relationship Between Scores From The Student Risk Screening Scale: Internalizing And Externalizing (Srss-Ie) And Scores From Student Engagement Instrument (Sei) In A Sixth-Grade Sample, Adrienne Ann Atkin

Theses and Dissertations

This study analyzes the relationship between scores from a measure of student engagement and scores from a measure that screens students for being at risk for emotional and behavioral disorders (EBD) in sixth grade students. Screening instruments are used in schools to improve identification of students at risk for behavioral difficulties. Measures of engagement assess students' levels of psychological and cognitive engagement in school. Students in this study completed the Student Engagement Instrument (SEI), an instrument used for measuring student engagement. Teachers completed the Student Risk Screening Scale-Internalizing and Externalizing (SRSS-IE) for their students, which screens for risk of EBD. …