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2013-December-01-Department Of Music Concludes Fall Series With Three Free Concerts, University Marketing And Communications, East Tennessee State University

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An Evaluation Of The Quality Assurance Plan At East Tennessee State University’S Dental Hygiene Program, Jennifer E. Fielden

Electronic Theses and Dissertations

Quality assurance in healthcare is fundamental in ensuring the achievement of desired outcomes for patients. In 2011 a quality assurance plan was created at the East Tennessee State University (ETSU) dental hygiene program in order to meet accreditation standards. The purpose of this study was to evaluate this plan in order to determine its effectiveness in improving the quality of patient care indicators. One hundred fifty patient charts were selected and audited. Deficiencies were counted in the categories of assessment, treatment, documentation, referral, caries management, perio management, patient education, and follow-up. Research findings were varied; however, external variables with the …

Health Service Utilization And Stigma Among Hiv-Positive Men-Who-Have-Sex-With Men (Msm) In Rural Appalachia, Roger L. Blackwell Jr

Electronic Theses and Dissertations

ABSTRACT

Health Service Utilization and Stigma among

HIV-Positive Men-Who-Have-Sex-With-Men (MSM) in Rural Appalachia

by

Roger Lee Blackwell

The world has now entered the third decade of the AIDS epidemic. Men-who-have-sex-with-men continue to be disproportionately affected by HIV/AIDS. The United States still struggles in its response to this ongoing crisis in many areas: disease prevention, treatment, and HIV related stigma, prejudice and discrimination. Much of the information reported on MSM living with HIV has come from urban population centers, but only a few studies have focused on HIV positive MSM living in rural areas. Therefore, the overall aim of this dissertation …

A Comparison Of Perceptions And Implementation Of Shared Governance Between American And Chinese Higher-Education Institutions, Dianyu Zhang

Electronic Theses and Dissertations

The purpose of this quantitative study was to assess the status of institutional stakeholders’ perceptions and application of shared governance on an American higher education campus and a counterpart in China and determine if there were differences among the groups of stakeholders both within and between the institutions. A 2-inventory researcher-developed survey of shared governance was used to measure each factor.

The data analysis found significant differences among the 4 categories of participants at the Chinese institution. For the General Acceptance dimension of the Perceptions of Shared Governance Inventory (PSGI) the Chinese staff members reported significantly higher scores than all …

Becoming The Best Mom Or The Best Doctor? Gender Inequality And Medical Students’ Specialty Choice, Casey L. Lawson

Electronic Theses and Dissertations

In anticipation of an expected national shortage of primary care physicians, 24 medical students from the East Tennessee State University Quillen College of Medicine were selected through a snowball sample and participated in in-depth interviews. A major aim of the study was to explore the social and economic factors influencing students’ specialty choice and career interests. Students’ perceptions of “rural” environments, student debt, professional obligations, specialties, and preceptorship experiences were analyzed. Students’ gender heavily influenced their feelings about choosing a medical specialty, as did their stereotypes of physicians in particular medical fields. The thesis concludes with recommendations for challenging negative …

Student Retention And First-Year Programs: A Comparison Of Students In Liberal Arts Colleges In The Mountain South, Jeff S. Howard

Electronic Theses and Dissertations

The purpose of this study was to examine the association between the retention rate and 9 firstyear student programs at Liberal Arts Colleges in the Mountain South, a region in the southern Appalachian Mountains of the United States. Nine first-year programs were studied: Summer Bridge Programs, Preterm Orientation, Outdoor Adventure Orientation, Targeted Seminars, Learning Communities, Early Warning/Early Alert Systems, Service Learning, Undergraduate Research, and Assessment. The data for this study were accessed via the college database of The National Center for Education Statistics (NCES, 2013). Chi Square tests were used for analysis to identify associations between first-year student retention and …

Broadband Access For Students At East Tennessee State University, Thomas Scott Sawyer

Electronic Theses and Dissertations

The purpose of this study was to determine the availability of Internet access for students attending East Tennessee State University during the fall semester 2013. It has been unknown to what degree broadband access is available in the East Tennessee State University service area that includes counties in East Tennessee, Southwest Virginia, and Western North Carolina.

The research was conducted during the fall semester 2013 including the months of August, September, and October of 2011. Data were gathered by surveying currently enrolled students of the university. Seven hundred eighty-four students responded to the survey. The survey instrument covered areas of …

Youth And Family Based In-Home Services Program In Tennessee: Factors For Success, Craig S. Hall

Electronic Theses and Dissertations

Intensive in-home services is a family-centered, strength-based intervention program offering comprehensive treatment that includes family therapy, mental health treatment and parenting skills for caregivers, development of positive social systems, and assistance with accessing community resources for long-term support (Youth Villages, 2013b). Framed on family system theory, Intensive-In Home Services (IIHS) was developed from Cognitive Behavioral Therapy, Functional Family Therapy, Social Development, and Crisis Intervention models as a means to modify behaviors that place youth at risk for out-of-home placement. The socio-historical development of these models is examined in the literature review.

Intensive in-home services is a family-centered, strength-based intervention program …

The Effects Of Family Structure On Juvenile Delinquency, Alisha B. Parks

Electronic Theses and Dissertations

Studies show that family structure is an important factor in explaining delinquency among adolescents (Price & Kunz, 2003). There is a lack of research, however, pertaining to cohabitation. The main goals of this study are to determine if there are variations in delinquency between cohabitating and other family types, and to examine the extent to which parental social control measures account for the variation in delinquency by family structure. Data from the National Longitudinal Study of Adolescent Health (Add Health) are used for the purposes of this study (n = 4,389). While there are no significant differences in violent delinquency …

Effects Of High Fidelity Simulation On Knowledge Acquisition, Self-Confidence, And Satisfaction With Baccalaureate Nursing Students Using The Solomon-Four Research Design, Rachel M. Hall

Electronic Theses and Dissertations

High Fidelity Simulation is a teaching strategy that is becoming well-entrenched in the world of nursing education and is rapidly expanding due to the challenges and demands of the health care environment. The problem addressed in this study is the conflicting research results regarding the effectiveness of HFS for students’ knowledge acquisition after participating in simulation exercises. Specifically this researcher determined the effects of a formatted simulation scenario on knowledge acquisition among nursing students and the students’ satisfaction and selfconfidence with the simulation learning activity. Kolb’s Experiential Learning Theory (1984) provided the framework for this study.

This study used a …

Fire On The Prisoners: An Autoethnographic Study Of Ethics In Historical Storytelling, A. Trae Mcmaken

Electronic Theses and Dissertations

During field experience as a storyteller constructing a performance based on the Battle of Kings Mountain on behalf of the Overmountain Victory Trail Association and the Overmountain Victory National Historic Trail, I encountered ethical and philosophical dilemmas. This challenge centered on ethical and spiritual convictions that put me in potential conflict with the task of creating a performance about war. This experience forms the basis of an autoethnographic approach to the art form, revealing the critical role played by personal ethics and a functioning engagement with historiography and narrative theory in producing effective performance stories. Historical performance storytelling has little …

Technology Use In Rural Appalachia: A Pilot Study Of The Implications For Pediatric Behavioral Health, Courtney E. Lilly

Electronic Theses and Dissertations

Technology is a promising means for increasing rural individuals’ access to behavioral healthcare. However, the range of technology use in rural areas is currently unknown. The aims of this study were to examine the use of technology in rural areas, the relationship between technology use and willingness to access pediatric mental health services via videoconferencing, and this relationship within the context of other critical variables linked to service uptake. Data were collected at 2 pediatric primary care clinics. While no significant relationship was found between technology use and willingness to use videoconferencing, a significant relationship emerged between previous service seeking …

The Road From Paraprofessional To Certified Teacher: A State, School District, And University Partnership, Robert A. Winstead

Electronic Theses and Dissertations

Over the past few decades thousands of special education teachers have been teaching students with disabilities on emergency or temporary certificates (Barnes, Crow, & Schaefer, 2007). The majority of these teachers entered the field of education with little to no preparation. Most of these under qualified teachers were hired in rural areas. Prior to the establishment of the cohort between the Tennessee Department of Education and East Tennessee State University-Sevier County Schools in 2000, there had been little to no planning in addressing the challenge of teacher shortage, specifically teacher attrition, in East Tennessee for special education teachers (East Tennessee …

Experiences And Expectations Of An African American Male Veteran Student In Higher Education, Gladys S. Cole-Morton

Electronic Theses and Dissertations

Since the Post-9/11 GI Bill an increasing number of veterans and military students are seeking to complete degrees online and through enrollment at campuses across the nation (Brown 2011). The increased number of military students in postsecondary education settings presents challenges and opportunities for both the veteran student and institution of higher education. Military students also referred to as veteran students are choosing to pursue postsecondary education for occupational and employment opportunities, personal growth and enrichment, and to use their Post-9/11 GI education benefits. It is expected that military personnel with past military service in Afghanistan and Iraq will become …

Barriers To Membership In The American Dental Hygienists’ Association In The State Of Georgia, Brandy Henderson

Electronic Theses and Dissertations

Professional associations must have a significant level of membership to be effective. Georgia membership is increasingly low; therefore, ADHA cannot represent dental hygienists’ interests. This study determined factors that caused dental hygienists to continue to forgo membership in the ADHA. Several theoretical views of professional membership were considered. The sample was acquired from an unbiased systematic sampling of 50% (3,270) of registered dental hygienists and a convenience sampling of ADHA nonmembers at 2 continuing education seminars in Georgia. Data collection procedures included an electronic cover letter, consent form, and survey via Survey Monkey or hard copies for seminars. Three hundred …

Tcap Scores And Per Pupil Expenditures: Statewide Changes Before And After Tennessee’S First To The Top Act, Martha Ely Cantrell

Electronic Theses and Dissertations

The purpose of this study was to investigate the relationships between the changes in Tennessee Comprehensive Assessment Program (TCAP) scores and the changes in Per Pupil Expenditures (PPE) after the enactment of First to the Top Act of 2010 and the receipt of $501,000,000 in federal Race to the Top (RTTT) grant monies. Half of that money was retained by Tennessee Department of Education (TDOE) for education reform initiatives. The other half was awarded to each Local Education Agency (LEA) according to the Title I formula after TDOE approval of individual Scopes of Work. Reform initiatives included transition to Common …

A Qualitative Study Of School Staff Perceptions Of Lasting Effects After Implementation Of Gear Up In Five Rural East Tennessee Counties, Flora R. Craig Mrs

Electronic Theses and Dissertations

This study analyzed the perceptions of 13 school staff and their experiences with the implementation of GEAR UP TN. The primary purpose of this study was to examine how program activities and services are being sustained after funding for GEAR UP TN ceased.

Qualitative methodology guided this study. This approach allowed for the perspectives and lived experiences of the school staff to be voiced and heard. Data collected included their stories based on semistructured interviews and observations.

Findings are presented in 4 themes that pertain directly to the research questions regarding key elements that contributed to program continuation, procedures that …

Educational Leadership Program Emergent Design As Experienced By The Greene-King Cohort At East Tennessee State University, Brian S. Cinnamon

Electronic Theses and Dissertations

The purpose of this qualitative case study was to examine perceptions of East Tennessee State University (ETSU) cohort members on the experience of redesigning the leadership preparation program requirements. Particularly, cohort participants in the Greene-King cohort were chosen by an admission process to participate in a grant program as governed by the Southern Regional Education Board (SREB) in partnership with ETSU and local school agencies in Greeneville and Kingsport. The ETSU Department of Educational Leadership and Policy Analysis (ELPA) in the Claudius G. Clemmer College of Education collaborated with Kingsport City and Greeneville City school districts to redesign educational leadership …

Students With Disabilities: Perspectives Of Regular Education Teachers Of Increased Inclusion, Mindy D. Myers Mrs.

Electronic Theses and Dissertations

The purpose of this study was to explore regular education teachers’ perceptions of inclusion. The participants of this study were K-12 regular education teachers located in Tennessee’s First region. Specifically, this research explored (1) perceptions of the impact of inclusion on instructional strategies, (2) perceived level of preparedness to effectively teach students with disabilities (3) professional development needs of regular education teachers instructing students with disabilities, and (4) collaborative relationships between regular and special educators. The data sources analyzed consisted of a survey design using a 4-point Likert scale. Each research question had a corresponding null hypothesis. Each research question …

Identification And Characterization Of Genetic Factors Involved In Candida-Bacterial Interactions, Sean J. Fox

Electronic Theses and Dissertations

Throughout existence, fungi and bacteria have long shared ecological niches and thus engage in numerous interactions to mutually enhance survival or antagonistically gain competitive advantages. Of importance to human health are those interactions that involve bacteria with the opportunistic fungi, Candida albicans. An important virulence factor of C. albicans is the ability to control morphology, which allows the transition between yeast, pseudohyphal, and hyphal phenotypes. Morphological control in C. albicans is governed by quorum sensing and the secreted autoregulatory molecule farnesol. Quorum sensing allows individual cells to sense the environment and respond as a group. Bacteria also use quorum …

Physical Security Assessment Of A Regional University Computer Network, Nathan H. Timbs

Electronic Theses and Dissertations

Assessing a network's physical security is an essential step in securing its data. This document describes the design, implementation, and validation of PSATool, a prototype application for assessing the physical security of a network's intermediate distribution frames, or IDFs (a.k.a. "wiring closets"). PSATool was created to address a lack of tools for IDF assessment. It implements a checklist-based protocol for assessing compliance with 52 security requirements compiled from federal and international standards. This checklist can be extended according to organizational needs.

PSATool was validated by using it to assess physical security at 135 IDFs at East Tennessee State University. …

Freshman Academy At One School In East Tennessee: A Mixed Method Study, Yvonne L. Robinson

Electronic Theses and Dissertations

The purpose of this study was to compare the student achievement prior to and after the implementation of a freshman academy at one school in East Tennessee. The researcher used student data from the end of course exam scores for Algebra I and English I. The failure rate of freshman prior to and after the implementation of the Freshman Academy was examined. The data were analyzed using a chi square statistical analysis. A significant difference was observed in the end of course exam scores for Algebra I and English I after the implementation of the Freshman Academy. Qualitative data examined …

Native American Empowerment Through Digital Repatriation, Michelle L. Fitch

Electronic Theses and Dissertations

Following the Enlightenment, Western adherence to positivist theory influenced practices of Western research and documentation. Prior to the introduction of positivism into Western scholarship, innovations in printing technology, literary advancements, and the development of capitalism encouraged the passing of copyright statutes by nation-states in fifteenth century Europe. The evolution of copyright and positivism in Europe influenced United States copyright and its protection of the author, as well as the practice of archiving and its role in interpreting history. Because Native American cultures practiced orality, they suffered the loss of their traditional knowledge and cultural expressions not protected by copyright. By …

Teaching Experience And Perceived Challenges For School Administrators Regarding Job Stress, Respect, Student Achievement, Assessment & Evaluation, And Professional Development, Erika H. Bradley

Electronic Theses and Dissertations

The purpose of this quantitative study was to investigate whether an administrators’ professional teaching background and years of administrative experience influence their perceptions of the opportunities and challenges they face guiding the improvement of teaching and learning. Specifically this research analyzed administrators’ perceptions of level of stress, respect among colleagues and school community, professional development, student achievement, and assessment and evaluation. Participants in this study consisted of Tennessee and North Carolina principals, assistant principals, and associate principals within a 60 mile radius of the East Tennessee State University campus. Data were collected through an online survey system, Survey Monkey. The …

“Between The Dream And Reality”: Divination In The Novels Of Cormac Mccarthy, Robert A. Kottage

Electronic Theses and Dissertations

Divination is a trope Cormac McCarthy employs time and again in his work. Augury, haruspicy, cartomancy, voodoo, sortition and oneiromancy all take their places in the texts, overtly or otherwise, as well as divination by bloodshed (a practice so ubiquitous as to have no formal name). But mantic practices which aim at an understanding of the divine mind prove problematic in a universe that often appears godless—or worse.

My thesis uses divination as the starting point for a close reading of each of McCarthy’s novels. Research into Babylonian, Greek, Roman and African soothsaying practices is included, as well as the …

Mathematics Curriculum Coaching And Elementary School Students’ Mathematics Achievement In A Northeast Tennessee School System, Evandro R. Valente

Electronic Theses and Dissertations

Educators and policymakers have demonstrated interest in finding ways to better equip mathematics teachers so they can help students achieve at a higher level. Academic coaching has been identified as an effective professional development activity for teachers. The purpose of this study was to investigate the difference between students’ achievement levels before and after a mathematics initiative in a Northeast Tennessee school district. In this study I analyzed grades 3 – 6 students’ Tennessee Comprehensive Assessment Program or TCAP scores in the year prior to the hiring of a mathematics coach and their respective scores 2 years after the placement …

Perceived Barriers And Facilitators To Mental And Behavioral Health Screening And Treatment In Primary Care For Women In Northeast Tennessee, Sarah K. Hill

Electronic Theses and Dissertations

Between one quarter and one third of all primary care patients meet criteria for at least one mental disorder. However, many women are not screened for mental disorders as recommended by the literature. Some studies suggest even lower rates of screening and treatment in rural areas. This researcher sought to identify barriers and facilitators to mental and behavioral health screening and treatment for women in primary care and solicit feedback on how to ameliorate perceived barriers. Given the limited extant data describing rural Appalachian women’s perceptions of barriers and facilitators to receiving mental health services an exploratory qualitative analysis was …

Graduate Student Attitudes Toward Different Instructional Approaches Within Face-To-Face, Online, And Blended Learning Environments In A Public Four-Year Institution Of Higher Learning, Philip Rotich

Electronic Theses and Dissertations

This study compared graduate student attitudes toward different instructional approaches within online, blended, and face-to-face courses in a public institution of higher learning. The participants completed an online survey questionnaire that was designed by the researcher using 4 learning theories in education: behavioral, cognitive, constructivism, and humanistic (Merriam, Caffarella, & Baumgartner, 2007) approaches toward teaching and learning. There were 210 total responses from graduate students enrolled during 2013 spring semester. There were more female (71.4%) than male (28.6%) students who responded. Previous studies have compared face-to-face (F2F) and online methods of instructions and have shown mixed results. Whereas some studies …

Exploring Self-Efficacy And Stress Of Senior Nursing Students Who Participate In Progressive Simulation., Kaitlyn Nora Luckey-Smith

Undergraduate Honors Theses

According to Bandura (1994), self-efficacy is defined as "the belief in one’s capabilities to organize and execute the courses of action required in managing prospective situations" (quoted by Pajaras, 1996, p. 543). Self-efficacy has long been theorized to increase job retention and success after graduation from a nursing program. In this study, the researchers explored whether high fidelity simulation during the senior semester of nursing school increases perceived self-efficacy among nursing students. We also evaluated the impact of stress levels on perceived self-efficacy. The study surveyed 135 senior BSN students from both traditional and accelerated programs a Southeastern Tennessee University …

Meeting The Needs Of Family Members Of Icu Patients., Kalie Nolen

Undergraduate Honors Theses

The intensive care unit is an extreme environment which houses the most critically ill patients in a hospital. As a result, an array of equipment, IV lines, medications, and sounds that are unfamiliar to the general public can be found. These factors, added to the fragile emotional state of families and friends who have recently admitted a loved one, can be overwhelming. This rush of unforeseen stimuli often leads to feelings of fear and powerlessness (Farrell, Joseph, & Schwartz-Barcott, 2005).

The patients in Intensive Care Units (ICU) are the primary focus of staff; some need virtually continuous care. As a …