Digital Commons Network^™

Implementation Of Skin-To-Skin Immediately Post C-Section: A Pilot Study, Miah Vernor

Dissertations

Skin-to-skin contact during the golden hour is a practice that has numerous health benefits following the delivery of a newborn. These benefits include a healthy transition to extrauterine state, initiation of breastfeeding, thermoregulation, and more. However, the mode of delivery affects how often this practice is done. Parents who deliver vaginally are routinely offered the opportunity to perform skin-to-skin immediately after delivery whereas birth parents who deliver by cesarean section are not always offered this same benefit due to various reasons. A quality improvement project was conducted on an 18-bed labor and delivery unit at a Midwest hospital. This project …

Implementation Of Skin-To-Skin Contact Immediately Post Cesarean Birth: A Quality Improvement Project, Sophia Cooke

Dissertations

Problem: Skin-to-skin contact implemented within the first hour of a newborn’s life improves health outcomes for both mother and infant. One of these health outcomes includes exclusive breastfeeding. The purpose of this quality improve project was to implement an infant securement device within the operating room after cesarean section births to decrease the time to initiate skin-to-skin contact and increase exclusive breastmilk feeding rates at discharge.

Methods: This study utilized a descriptive, observational design and was guided by the Plan-Do-Study-Act framework. A pre-test, post-test design was utilized to compared retrospective and prospective data. The retrospective data was collected to assess …

Developing Expertise And Multiculturally Informed Supervision Practices, Mary Martha Abernathy

Dissertations

The American Counseling Association (Media Kit, 2023) records state that 62% of their membership is made up of master’s level clinicians, with 18.92% holding a doctorate and another 5.07% enrolled in a doctoral program. Membership is largely skewed toward master’s level professionals and only 7.44% of ACA members report working in a counselor education setting (Media Kit, 2023). However, most research regarding supervision is based on supervisors practicing in an academic setting (Cook et al., 2018; Jones et al., 2019; Kemer et al., 2014; Kemer et al., 2017; Kemer, 2020). The objective of these studies is to understand how master’s …

Implementation Of Intentional Hourly Rounding At Pediatric Hospital, Margaret Bernard

Dissertations

Problem: Intentional hourly rounding improves patient safety and can impact patient fall rates. At a pediatric hospital in suburban Missouri, the fall rate is 25%. This quality improvement project worked to implement a standardized intentional hourly rounding process at a pediatric hospital to bolster their fall prevention program.

Methods: This quality improvement project was conducted using a descriptive, observational design utilizing patient chart review and hospital quality department records. The setting was a 60-bed pediatric hospital in the Midwest with 2 inpatient units that specializes in chronic, complex care. The sample was a convenience sample of 92 male and female …

Symptom Burden, Identity Balance, And Emotional Distress In Cancer Survivors, Lynne Bentley

Dissertations

Emotional distress suffuses the experience of cancer survivors and is associated with adverse outcomes. Emotional distress is a response to a circumstance, which threatens the stability of identity. Of the antecedents to emotional distress in cancer patients, symptom burden accounts for the greatest amount of variance. Qualitative studies in populations of cancer survivors have shown that identity affects the experience of emotional distress related to symptom burden. The purpose of this dissertation research was to measure the relationships among symptom burden, identity balance, and emotional distress by testing whether identity balance mediates the relationship between symptom burden and emotional distress …

Influence Of Social Capital On Community-Based Health Care Programs In Rural Paupa New Guinea: An Ethnographic Study, Carol J. Bett

Dissertations

This descriptive, ethnographic study explored the influence of cultural health beliefs and social capital on the adoption of community-based health care interventions by rural villages in Papua New Guinea. The development of local level resources that lead to improved health indices requires an awareness of both the cultural context and the relational components of social capital that link people within the community. Social capital has been defined as resources that are an inherent part of a social group and the elements of social organization such as trust, networks, and norms of reciprocity that facilitate mutual cooperation (Billings, 2000; Carpiano, 2006). …

A Novel Use Of Social Network Analysis And Routinely Collected Data To Uncover Care Coordination Processes For Patients With Heart Failure, Sijia Wei

Dissertations

Effective patient care transitions require consideration of the patient's social and clinical contexts, yet how these factors relate to the processes in care coordination remains poorly described. This dissertation aimed to describe provider networks and clinical care and social contexts involved during longitudinal care transitions across settings. The overall purpose of this dissertation is to uncover the longitudinal patterns of utilization and relational processes needed for effective care coordination in transitional care, so we can redesign interventions that focus on informational and relationship networks to improve interaction patterns and system performance for people living with heart failure (HF) as they …

Unveiling The Path To Lgbtq+ Inclusive And Culturally Competent Healthcare: A Multi-Dimensional Examination Of Trainings, Policies, And Perspectives, Hyunmin Yu

Dissertations

LGBTQ+ individuals encounter enduring discrimination and adverse healthcare encounters within the healthcare system, with profound implications for their health and wellbeing. Policymakers have advocated for the adoption of LGBTQ+ inclusive and culturally competent healthcare, including training for health professionals, to promote health equity among LGBTQ+ populations. However, implementation of these policies within healthcare systems varies, posing structural and individual-level barriers. In this dissertation, I employ an ecological model of LGBTQ+ health disparities and a conceptual model of determinants of health disparities in vulnerable populations within the healthcare system to examine the impact of structural inequities on the implementation of LGBTQ+ …

An Exploration Of Literacy Instruction In Higher Education Programs In Missouri, Melinda Odom

Dissertations

Literacy supports all content areas and is crucial to the academic achievement of all students (Birdyshaw et al., 2017). The International Literacy Association (ILA, 2017) posits that teachers are the most crucial factor in content and pedagogical achievement. The ILA (2019) stresses that students have a right to a highly effective and knowledgeable educator who can provide evidence-based reading instruction. Research illustrates that students who do not learn to read by the third grade continue to struggle throughout school (Rickenbrode & Walsh, 2013). Rickenbrode and Walsh (2013) confirm that most of these students will remain poor readers and are more …

The Choice Of Pre-K: An Examination Into Black Caregivers’ Early Childhood Care Decisions And How Early Childhood Care Predicts Black Children’S Educational Outcomes, Anna Grace Rollins

Dissertations

Despite the national push for increased Pre-K enrollment, findings on the effects of attending Pre-K are contradictory and inconsistent. Due to conflicting research and viewpoints on traditional education outcomes, many families are choosing not to send their children to Pre-K. This study focused on the often overlooked thoughts and experiences of Black parents and guardians when making decisions about early childhood education for their children, as well as the academic and behavioral effects of attending Pre-K for Black children in subsequent years. Through surveys and interviews, this study explored factors that influence Black parents’ decisions about enrolling their children in …

The Impact Of Trauma In Urban Communities On Educators And How They Prevail, Angelique Brown

Dissertations

This research was an exploration of the impact of community trauma in urban communities. The focal participants were educators who have worked 10 or more years in the profession and in a school building. The study surveyed 20 educators using open-ended questions to understand their experiences with trauma, strategies for coping, and the effects on their personal and professional lives. Community trauma, including gun violence, mass and school shootings, homelessness, educational neglect, was common among participants. Notably, traumatic events such as the deaths of Michael Brown, George Floyd, and Trayvon Martin, and the COVID-19 pandemic, had significant emotional personal and …

What Are The Odds? Integrated Stem And Student Conceptual Understanding Of Genetics Dihybrid Inheritance, Jessica Cooper

Dissertations

Integrated Science Technology Engineering Math (STEM) education allows students to build conceptual understanding by connecting material to other content areas and real-world contexts. Strong conceptual understanding allows students to move beyond factual recall and instead synthesize and transfer their knowledge to new applications. In high school biology, students need to develop a strong conceptual understanding of genetic inheritance in the context of dihybrid inheritance. This qualitative case study was designed to understand the influence of an integrated STEM approach on student conceptual understanding of genetic dihybrid inheritance. The situated STEM learning and conceptual change theoretical frameworks guided the research design …

Satellite Campus Enrollment: A Qualitative Investigation Of Enrollment Preferences Of The Post-Traditional Student, Alexis K. Wood

Dissertations

For many, the “American Dream” involves earning a college degree. This degree promises a brighter professional and personal future and an improved overall quality of life. The steps taken to achieve this dream are graduating from high school, heading straight to college, graduating with that bachelor’s degree, and moving forward in the “perfect” career. While this step-by-step process seems natural to most, the reality is that in the fall of 2022, 69.2 percent of high school graduates entered the workforce, opting to pursue that degree much later in life ("College Enrollment," 2023). Researchers refer to this type of student as …

Student Perceptions Of Integrated Stem Education In A High School Geometry Class, Alyssa Noland

Dissertations

Integrated Science Technology Engineering Mathematics (STEM) education provides students with opportunities to solve integrated real-world problems. Integrated STEM instruction aims to develop 21^st-century skills in students and promote interest in STEM subjects through authentic real-world tasks. Student perceptions can help educators and administrators to understand the benefits and constraints of integrated STEM instruction. This qualitative case study was designed to understand student perceptions of integrated STEM instruction and student perceptions of the value or applications of mathematics. The situated STEM learning and social constructivism theoretical frameworks guided the design of the lessons and methods of the study. High …

Inpatient Staff Perspective On Verbal De-Escalation Within A High Acuity Population, Giovanna Dezutti

Dissertations

This study explored inpatient staff’s perspective of verbal de-escalation within a high acuity population as well as the factors that make either a positive or negative impact on the effectiveness of verbal de-escalation as used in high acuity impatient settings. This phenomenological study used semi-structured interviews of 5 participants working in this setting. Participants were recruited through snowball sampling, and interviews were conducted via zoom. This study found that participants unanimously agreed that the training they received regarding verbal de-escalation was not sufficient and that employment of certain personality traits and behaviors were more effective than using only the methods …

A Qualitative Study Exploring The Management & Implications Of Power Differentials Experienced By Pre-Licensed Supervisees In Clinical Supervision Settings, Joyti Jariwala

Dissertations

The focus in this qualitative study was to explore how power differentials in supervision create positive and negative experiences between licensed psychologists and pre-licensed doctoral students. The study results provide insight into how supervisees navigate these dynamics during supervision, which typically involves experiential learning environments in which trainees discuss progress, receive feedback, and enhance their skills. The theoretical framework grounding the study was social learning theory, which is based on the idea that individuals learn from modeling, observation, and imitation in a social context (Bandura, 1986). Reflexive thematic analysis was used to recognize similarities in findings gathered via two sets …

Shattering The Mask: Unveiling The Destructive Force Of Misogynoir, Ledominique Hubbard

Dissertations

As a Black woman, my professional journey has been consistently marred by encounters with racism and gender bias. In this research, I employed autoethnography to shed light on my experiences and meticulously examine the challenges of misogynoir I faced while holding pivotal positions, including that of a detested team leader, an ingenious instructional teacher, and an anti-racist assistant principal across three distinct school campuses in two states. My narrative unfolds in various contexts, notably as the sole Black female teacher and team leader within nine elementary schools in a predominantly white, female-staffed rural district. Furthermore, I underscore my role as …

The Effect Of A Contextualized Dosage Calculation Learning Intervention On Pre-Nursing Students' Math Self-Efficacy And Ability To Pass High Stakes Dosage Calculation Examination On First Attempt, Eileen V. Weatherby

Dissertations

Many students in pre-licensure nursing programs struggle with calculating accurate medication dosages even though they meet the numeracy requirements for application to the nursing programs. Most pre-licensure programs require that nursing students pass dosage calculation exams at a specified level of accuracy before progressing to the next term. Students typically have three tries to pass at the specified level and should they not succeed, they must withdraw. If they wish to continue in the program, they must complete the requirements for reentry which may include space availability restrictions. Factors influencing dosage calculation performance include fear of mathematics, low math self-efficacy, …

Emotional Intelligence And Critical Thinking In Practical Nursing Students: A Quantitative Study, Jennifer L. Knaack

Dissertations

The aim of this study was to understand if emotional intelligence was predictive of critical thinking in practical nursing students enrolled in a practical nursing program. The literature shows that nursing students' emotional intelligence and critical thinking directly affect student success; however, there is limited research focused on emotional intelligence and its predictability of critical thinking in practical nursing students enrolled in a practical nursing program. This quantitative, predictive study was designed to fill the gap in the literature on the relationship between emotional intelligence and critical thinking in nursing students enrolled in practical nursing programs.

Nursing Student Perceptions Of Presence In A Virtual Learning Environment: A Qualitative Description Study, Jason R. Thrift

Dissertations

Multifaceted approaches to learning are used for educating student nurses. One common teaching modality in nursing education, simulation, provides hands-on experiences in a safe environment to prepare student nurses for professional roles. High quality simulation standards recommend an engaging immersive experience, with physical, emotional, and conceptual fidelity to clinical practice. Presence is the perception of being there in a simulation as if it were real. Studies have reported improved learning outcomes with increased sense of presence. A simulation modality seldom used in nursing education is virtual reality simulation (VRSim) a three dimensional, immersive experience. VR-Sim with head mounted visual and …

Factors Influencing Outcomes Of Undergraduate Nursing Student's Education, Patricia Jenkins Barnard

Dissertations

In 2021, approximately 509,000 undergraduate nursing students graduated from baccalaureate nursing educational programs. These new registered nurses (RNs) faced the same adversities as prior generations, including feeling unprepared to practice nursing, personal expectations did not match the reality of the situation, and working in an unwelcoming environment exacerbated by COVID-19 changes. During the time of COVID-19 changes in classroom delivery and settings brought these issues to the forefront (Dewart, 2020; IOM, 2010; NLN, 2015). There is a lack of information about nursing education modalities and their efficacy. Preliminary review documented that there was no clear evidence of which teaching modalities …

The Perception Of The Implementation Of Culturally Relevant Pedagogy To Support Black Male Students In Mathematics – A Case Study, Chiquita Granville

Dissertations

Culturally Relevant Pedagogy is a method of education that promotes an inclusive and empowered learning environment by acknowledging and valuing students varied cultural origins. CRP is especially important for tackling the ongoing achievement discrepancies encountered by high school Black Male students in the context of mathematics instruction. This abstract emphasizes the value of culturally sensitive instruction in enhancing black male students' mathematics learning results and experiences.

This research will examine the difficulties faced by Black male students in Mathematics classes, including prejudice, a lack of cultural representation in the curriculum, and a lack of relevance between the subject matter and …

Exploring The Relationship Between Partner Boundary Flexibility Congruence And Well-Being Outcomes While Work From Home During Covid: The Mediation Of Dyadic Empathy, Huaying Li

Dissertations

This study integrates person-environment fit theory and boundary theory to examine the influence of congruence in work and family boundary management on the well-being of couples working from home during the COVID-19 pandemic. Focusing on the differences in work and family boundary management preferences between spouses, the study assesses the effects on dyadic empathy (empathic concern and perspective-taking), marital satisfaction, and job performance. Utilizing latent congruence modeling with survey data from 222 US employees, the study reveals that congruence (difference) in family flexibility between couples negatively impacts empathic concerns and perspective-taking. Conversely, actual transitions between work and family positively influence …

The Undocu-Competence Of College And University Websites: A Lonestar State Analysis, Karina Castro-Pavon

Dissertations

The purpose of this study was to analyze the websites of Texas public four-year, private four-year, and two-year institutions of higher education (IHEs) to determine the extent to which website content corresponds with the recommendations of undocumented scholars and supporters. The study aimed to investigate whether the website content differs based on various institutional-level characteristics and to identify any relationships between contextual-level factors that may affect the information presented on websites. The study answered the following research questions: (1) To what extent does the information presented on Texas IHEs' institutional websites align with the Institutional Undocu-Competence (IUC) framework? (2) Does …

Perspectives Of College Students With Disabilities Regarding Their High School Transition Experience: Notes For High School Transition Planning, Lindsay Hartzler, Kitty Dong, Andrew Johnson Kliethermes, Kaitlyn Sandheinrich, Mark Wheatley

Dissertations

Students with disabilities face many challenges as they transition to postsecondary education. These students are often unprepared for the rigor of postsecondary academics; they often lack self-efficacy skills and have limited awareness of postsecondary supports or cannot successfully access them. This study aims to give voice to college students with disabilities to inform practices of high school personnel involved with transition and higher education professionals supporting them. Using Kohler’s Transition Taxonomy 2.0 (2016), researchers sought to study the perspectives of eleven college students on their high school transition experiences in the areas of academic preparedness, self-advocacy skills, and experiences with …

Diagnosing Silent Forgiveness At The Dialogical Limit In Endō Shūsaku’S Novel Silence, Catherine Buescher

Dissertations

I situate this dissertation within the context of the rightly noted deficiencies of dialogue and dialogical hermeneutics, deficiencies that prevent dialogue from effectively addressing the pathological nature of many of today's social issues, e.g., white supremacy, sexual and gender inequality, and climate change. Using the lens and limits of Western dialogical hermeneutics as noted by David Tracy, I conduct a case study of the dialogues of the main characters - Rodrigues, Ferreira, Kichijiro, God—in Endō Shūsaku’s novel Silence, noting the silence active in each of the dialogues at the end of the novel. I then argue that the nature and …

“If They Can Help, They Will”: A Community Cultural Wealth Approach On Parent Support And Its Influence On The College Success Of First-Generation Latinas, Fabiola Rosiles

Dissertations

This study explores the parental support first-generation Latinas have received, and recognizes the skills, knowledge, and various forms of support that Latinx parents can and have provided their daughters when they seek a college education. Through a community cultural wealth framework, this study adds to the current literature on Latina and first-generation college students and specifically challenges the deficit approach that is often used when studying these student and parent populations. Furthermore, this study aids in better understanding the experiences of first-generation Latinas who receive parental support in ways that are outside of the traditional in-school presence and support. Through …

Daring Dames And Dirty Deeds: Chicago Burlesque, Drag, And Censorship Politics, 1850-1980, Lucas Andrew Bensley

Dissertations

"Daring Dames and Dirty Deeds" is a history of burlesque, drag and censorship politics in Chicago from 1850 to 1980. In this period, burlesque and drag entertainers and shows adapted to changes in the tastes and sensibilities of the public. In the late nineteenth and early twentieth centuries, burlesque was primarily a form of parody of "higher culture" entertainment featuring circus performers, comedians, and female dancers in elaborate costume. In Chicago, burlesque gradually changed to become an art form that pushed the boundaries of how women could perform on stage while challenging laws and cultural norms of decency and chastity. …

Implementation Of Tai Chi Fall Prevention Program In A Community-Based Setting, Shabnampreet Kaur

Dissertations

The increasing rate of falls among older adults is a health concern that may lead to injuries and reduced quality of life. At the project site there was no systematic process to impact fall rates, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if the translation of Li et al.'s research regarding the Tai Chi fall prevention program would impact the rate of falls among adults 65 years and older. The project was piloted over 12 weeks in a community-based setting in urban New York. Imogene King's goal attainment theory and Kurt …

Liberating Bioethics Through Agape: A Feminist Perspective From The Periphery, Kimberly Vargas Barreto

Dissertations

Despite the vast number of cultures and peoples that reside in the West, ethical action in bioethics is determined through the perspective of la Totalidad, which does not include the Other or individuals from the periphery. In my dissertation, I argue that the universalization of U.S. clinical bioethics (la bioética estadounidense) and the coloniality of knowledge that extends from it are, at its core, imperialistic in nature and result in the exclusion of patients with intersectional identities. While clinical bioethics was first conceived as a critical tool for medicine, the acceptance of principlism as the central theory in the field …