Digital Commons Network^™

Pneumococcal Vaccination In Adult Patients With Chronic Obstructive Pulmonary Disease, Samjhana Thapa

Dissertations

Problem: Patients with Chronic Obstructive Pulmonary Disease (COPD) are at risk for exacerbations due to pneumonia which could lead to unwanted outcomes. Despite the existence of evidence regarding phone call reminder usage as a communication strategy about vaccinations as an effective preventive measure that can minimize the likelihood of contracting pneumonia. In a primary care facility in Kentucky, phone call reminders are not being used to promote vaccinations.

Method: This quality improvement (QI) pilot project used a descriptive, comparative, and retrospective design with the aim to increase the pneumococcal vaccination rate by 10% over 3 months by implementing a phone …

Cultural Competence In Nursing School Curricula, Mayra P. Toney

Dissertations

The purpose of this study was to determine the benefit of both classroom instruction and an immersive clinical experience for the development of cultural competence skills among student nurses. The 3-D Model for Culturally Congruent Care was the framework used for this quantitative descriptive correlational study. The premise of the model is to draw upon the knowledge that culturally competent care derives from the healthcare provider and client level, an essential factor to the delivery of culturally competent healthcare. A convenience sample of 74 student nurses from two separate cohorts enrolled in a diploma-based program were asked to complete the …

Learning Science: Physical And Life Sciences In Curricula Across U.S. Schools Of Nursing, Valerie C. Sauda

Dissertations

Nursing educators are being challenged to provide curriculum that meets the changing healthcare environment and demand for creative, innovative nurses to assist in transforming healthcare into the future (Benner, Sutphen, Leonard, & Day, 2010; Institute Of Medicine, 2011). The liberal education provided within a baccalaureate of science in nursing (BSN) degree program provides a diversity of courses within the curriculum, including courses in the natural, physical, mathematical, and social sciences (American Association of Colleges of Nursing [AACN], 2008). Although nursing programs have included science courses in curriculum since the early 1900s (Nutting & Dock, 1907), there is lack of nursing …

Exploring Relationships Between Psychological Capital And Perceived Stress Among Newly Graduated Nurses, Rita J. Jarvis-Isaac

Dissertations

Stress among the newly graduated nurses has been linked to physical and emotional distress, high turnover rates, and the quality of patient care. Psychological capital is a positive state of mind that consists of four components (hope, efficacy, resilience, and optimism). Higher levels of psychological capital have been linked to improvements in the work environment, and the psychological and emotional state of nurses. Despite the extensive work of researchers exploring psychological capital among nurses, its relationship to stress among new graduate nurses has not been well studied. The purpose of this quantitative, correlational study was to explore the relationship between …

Healthcare Needs And Factors Related To Non-Use/Underutilization Of Veterans Healthcare Administration (Vha) Health Services Entitlements By Post 9/11 Women Veterans, Teresa A. Parsons

Dissertations

Women are the fastest growing population in the Department of Veteran Affairs (VA), but only in recent history. U.S. military shift to an All-Volunteer Force (AVF) in 1973 resulted in a dramatic spike in women serving in the military. During the transition from active military to Veteran status, Veterans are eligible to apply to the Department of Veterans Affairs (VA) for benefits, including healthcare. In 2020, the VA estimated that over two million Women Veterans (WV) were living. The VA estimates the percentage of WV will rise to over 18% of all Veterans by 2046. In a report to Congress …

It Is What It Is...Enduring The Never-Ending: The Lived Experiences Of Parenting Adult Children With Developmental/Intellectual Disabilities, Siri Gurunam Kaur Khalsa

Dissertations

The parental home is the predominant place of residence for adults with developmental disabilities/ intellectual disabilities (DD/ID) (Heller et al., 2007). More than 75% of the adult population with DD/ID, living in the US, continue to have their basic needs provided by parents (Williamson & Perkins, 2014). This is based on the estimated statistic of 1.0 to 1.58% of the entire U.S. adult population has a developmental disability (Anderson et al., 2019; Fox et al., 2015). About 2.9 million adults with DD/ID live with a parent 55 years (Byun et al, 2006), with more than 25% of these parents older …

The Lived Experience Of Older Nepalese Women With Urinary Incontinence, Somi Panday

Dissertations

Urinary incontinence (UI) poses a significant challenge for women across different cultures, as their diverse perceptions of UI impact their decision-making and choices, which are influenced by personal beliefs and preferences. Although research on women's experiences with urinary incontinence has shown substantial progress, encompassing various cultural contexts, more studies are still needed to examine cultural factors and employ the framework of transcultural nursing theory. Additionally, limited research has explored the experiences of older women with urinary incontinence in Nepal. This descriptive phenomenological study aims to explore the lived experience of older Nepalese women dealing with urinary incontinence. By applying the …

Feasibility Of A Telehealth-Delivered Breathing Intervention For Patients With Idiopathic Pulmonary Fibrosis, Aubree Carlson

Dissertations

Idiopathic pulmonary fibrosis (IPF) is a debilitating chronic lung disease that affects approximately 100,000 individuals in the United States (US), with 30,000 to 40,000 new cases diagnosed each year. Dyspnea is experienced by 90% of patients with IPF and is correlated with reduced quality of life, anxiety, depression, and decreased survival time in this patient population. Breathing management techniques such as pursed lip and diaphragmatic breathing can reduce perceived dyspnea, however this symptom management strategy is not readily taught to patients outside of inpatient hospital settings and pulmonary rehabilitation programs, the latter of which only being accessed by 3% of …

The Nursing Process And Allegations Of Malpractice Against Perinatal Registered Nurses In Florida, Genifer Jones Johnson

Dissertations

The nursing process as a foundation of professional nursing practice organizes care around the components of assessment, diagnosis, planning, implementation, and evaluation as required for professional registered nurses by the Florida Nurse Practice Act. Nurses who fail to comply with the Nurse Practice Act risk poor outcomes for their clients, disciplinary action from the State regulatory body, and legal action from the clients. This study was an examination of litigation claims against professional registered nurses in Florida who practice perinatal nursing seeking to identify and categorize allegations of negligence within the components of the nursing process. The expectation of this …

The Perceived Level Of Self-Efficacy Of Direct Care Staff Who Complete Person-Centered Care Dementia Training In Long-Term Care Setting, Tammy B. Retalic

Dissertations

Education that enables direct care workers to provide person-centered care approaches to older adults with dementia is necessary to optimize quality of life and reduce unnecessary antipsychotic medication use in long-term care settings. A quasi-experimental repeated measure project design evaluated the effectiveness of a dementia training program (one of several interventions implemented to reduce antipsychotic medication rates) by measuring the perceived level of self-efficacy before the training, immediately after the training and four to six weeks after completing the training.

Exploring Nurse Faculty Decisions Related To Virtual Simulation During A Global Pandemic: A Quantitative Descriptive Study, Karen Braccialarghe

Dissertations

This research evaluates academic nurse faculty' decisions while implementing virtual simulation as a teaching method before and during the COVID-19 pandemic. Secondary purposes of this study were to explore nurse faculty perceptions of the effectiveness of virtual simulation, the barriers and challenges faced while implementing virtual simulation, and perceived effectiveness of student learning outcomes during the COVID-19 pandemic while utilizing virtual simulation. A survey, the Virtual Simulation Implementation Evaluation Tool (Braccialarghe, 2021) was developed by the researcher to answer the research questions. The tool was sent to nine simulation experts to rate content validity.

A convenience sample of nurse faculty …

The Lived Experience Of Registered Nurse Reiki Practitioners: A Phenomenologic Study Using Computer Mediated Communication, Wendy J. Waldspurger Robb

Dissertations

The use of complementary and alternative modalities (CAM) has increased over recent years with healthcare consumers spending billions of healthcare dollars on a variety of CAM therapies. Reiki is an energy-based CAM therapy that is derived from the ancient practices of Tibetan monks. Proponents of Reiki believe that the unblocking or redistribution of the body's natural energy facilitates the body's ability to self-heal.

The purpose of this study was to describe the lived experience of registered nurses who administer Reiki treatments to themselves and/or others. This study used computer-mediated communication to collect the research data from registered nurse Reiki practitioners …

Effect Of An Rn-Facilitated Post Discharge Phone Call Hf Self-Management Strategy, Vivia O. Haye

Dissertations

Heart Failure (HF) is associated with substantial financial challenges resulting in exorbitant yearly costs, and frequent readmits to the emergency department. Post-discharge HF self-management is crucial to improve client outcomes. The purpose of this quantitative, quasi-experimental, project was to examine whether the implementation of an RN-facilitated post-discharge phone call that focused on HF self-management strategies reduced return emergency department (ED) visits within 72 hours in an urban South Florida hospital. Orem's self-care theory and the Meleis transition model were used for their success in managing chronic illnesses such as HF. Both examined if an RN facilitated post-discharge telephone call that …

What’S The Big Fat Deal?: The Experience Of Fat Students In College, Andrea Marie Melrose

Dissertations

Weight-based discrimination is considered the last acceptable form of discrimination in the United States. Fat bias and stigma are present in healthcare, employment, and education. This dissertation study explores the experiences of fat students on college campuses, examining their experiences of anti-fat bias and discrimination. Additionally, this study explores policy and practice implications for improving the experiences of fat college students and supporting body diversity on campus. This dissertation has four overarching research questions that focus on the following topics: fat students’ experiences of weight-based stigma and discrimination in college, the limitations of physical space on college campuses, perceptions of …

If You Don’T Live By The Sea, You Won’T Talk About Sailing: An Interpretative Phenomenological Approach Of The Polish Immigrant Experience In Chicago And The Acculturation Of Racial Beliefs, Monica Zabinski

Dissertations

There has been a steady increase in research and focus on defining and understanding racism and the role it plays in the ongoing inequality and inequity between individuals of White descent and individuals who are Black, indigenous, or people of color (BIPOC). However, little research has focused on what changes with racial beliefs when individuals immigrate between various countries where racism, discrimination, and racial beliefs may appear differently. Our objective was to increase our understanding of how the acculturation process may impact or change racial beliefs over time. Our research sought participants of Polish descent in the Chicagoland area and …

Impact Of Physical Inactivity On Glucose Metabolism And Skeletal Muscle Secretions In Healthy Trained Rats And Potential Counteracting Effect Of Exercise And Protocatechuic Acid, Hira Shakoor

Dissertations

Modern societies have significantly transformed people's lifestyles, leading to a substantial increase in physical inactivity, which concerns 23% of adults and 81% of adolescents worldwide. Physical inactivity is a major factor contributing to the emergence of chronic diseases, most prominently Type 2 Diabetes (T2D), which exhibits a high prevalence in many countries. T2D is characterized by elevated blood glucose levels due to cells’ responsiveness to insulin. The shift towards inactivity likely occurred more rapidly than the genome's capacity to adapt, resulting in the metabolic dysfunctions underlying the development of T2D. Skeletal muscle is crucial in the onset of these metabolic …

Predicting Nurse Faculty Intent To Stay: A Quantitative Study Of Contributing Factors And Their Influence, Erica Frost

Dissertations

The United States faces a shortage of nursing faculty members, impacting the nation's ability to meet the demand for more nurses in the workforce. The purpose of this study was to identify factors that predicted nurse faculty members' intent to stay in academe. Dozens of factors were identified in the literature and grouped using Herzberg's (1966) motivation-hygiene theory of job satisfaction. An online questionnaire was administered to 402 full-time prelicensure baccalaureate nursing faculty in the United States. The survey measured personal, job, and organizational factors including demographics, emotional intelligence, resilience, educational preparation, self-efficacy, mentoring and orientation, interpersonal relationships, and satisfaction …

Apoe Risk Disclosure: A Review Of Positive And Negative Outcome, Stacey Rowcliffe

Dissertations

Two of this century’s most significant healthcare challenges are Alzheimer’s disease and mild cognitive impairment, with 40 million people suffering from the diseases. In fact, a conservative estimate projects that both conditions will double every 20 years until 2050. Alzheimer’s disease involves memory impairment, disorientation, confusion, and various problematic behaviors. Presently, no prevention method or cure has been discovered for Alzheimer’s. Mild cognitive impairment typically includes problems with memory, language, thinking, and judgment beyond those typical of one’s age. Usually, these symptoms do not interfere with daily activities but do not improve and have been linked with a risk of …

Molecular Mechanisms Of Amyloid-Like Fibril Formation, Sharareh Jalali

Dissertations

Proteins play a critical role in living systems by performing most of the functions inside cells. The latter is determined by the protein's three-dimensional structure when it is folded in its native state. However, under pathological conditions, proteins can misfold and aggregate, accounting for the formation of highly ordered insoluble assemblies known as amyloid fibrils. These assemblies are associated with diseases like Parkinson's and Alzheimer's. Strong evidence suggests that three mechanisms are critical for forming amyloid fibrils. These mechanisms are the nucleation of amyloid fibrils in solution (primary nucleation) as well as on the surface of existing fibrils (secondary nucleation) …

Exploring Topological Phonons In Different Length Scales: Microtubules And Acoustic Metamaterials, Ssu-Ying Chen

Dissertations

The topological concepts of electronic states have been extended to phononic systems, leading to the prediction of topological phonons in a variety of materials. These phonons play a crucial role in determining material properties such as thermal conductivity, thermoelectricity, superconductivity, and specific heat. The objective of this dissertation is to investigate the role of topological phonons at different length scales.

Firstly, the acoustic resonator properties of tubulin proteins, which form microtubules, will be explored The microtubule has been proposed as an analog of a topological phononic insulator due to its unique properties. One key characteristic of topological materials is the …

Advanced Traffic Video Analytics For Robust Traffic Accident Detection, Hadi Ghahremannezhad

Dissertations

Automatic traffic accident detection is an important task in traffic video analysis due to its key applications in developing intelligent transportation systems. Reducing the time delay between the occurrence of an accident and the dispatch of the first responders to the scene may help lower the mortality rate and save lives. Since 1980, many approaches have been presented for the automatic detection of incidents in traffic videos. In this dissertation, some challenging problems for accident detection in traffic videos are discussed and a new framework is presented in order to automatically detect single-vehicle and intersection traffic accidents in real-time.

First, …

Fortifying Robustness: Unveiling The Intricacies Of Training And Inference Vulnerabilities In Centralized And Federated Neural Networks, Guanxiong Liu

Dissertations

Neural network (NN) classifiers have gained significant traction in diverse domains such as natural language processing, computer vision, and cybersecurity, owing to their remarkable ability to approximate complex latent distributions from data. Nevertheless, the conventional assumption of an attack-free operating environment has been challenged by the emergence of adversarial examples. These perturbed samples, which are typically imperceptible to human observers, can lead to misclassifications by the NN classifiers. Moreover, recent studies have uncovered the ability of poisoned training data to generate Trojan backdoored classifiers that exhibit misclassification behavior triggered by predefined patterns.

In recent years, significant research efforts have been …

Program Analysis For Android Security And Reliability, Sydur Rahaman

Dissertations

The recent, widespread growth and adoption of mobile devices have revolutionized the way users interact with technology. As mobile apps have become increasingly prevalent, concerns regarding their security and reliability have gained significant attention. The ever-expanding mobile app ecosystem presents unique challenges in ensuring the protection of user data and maintaining app robustness. This dissertation expands the field of program analysis with techniques and abstractions tailored explicitly to enhancing Android security and reliability. This research introduces approaches for addressing critical issues related to sensitive information leakage, device and user fingerprinting, mobile medical score calculators, as well as termination-induced data loss. …

Data-Driven 2d Materials Discovery For Next-Generation Electronics, Zeyu Zhang

Dissertations

The development of material discovery and design has lasted centuries in human history. After the concept of modern chemistry and material science was established, the strategy of material discovery relies on the experiments. Such a strategy becomes expensive and time-consuming with the increasing number of materials nowadays. Therefore, a novel strategy that is faster and more comprehensive is urgently needed. In this dissertation, an experiment-guided material discovery strategy is developed and explained using metal-organic frameworks (MOFs) as instances. The advent of 7r-stacked layered MOFs, which offer electrical conductivity on top of permanent porosity and high surface area, opened up new …

Computational And Experimental Investigation Of Elemental Sulfur And Polysulfide, Jyoti Sharma

Dissertations

Petroleum processing results in the generation of significant quantities of elemental sulfur (S₈), leading to a surplus of sulfur worldwide. Despite its abundance and low cost, the use of sulfur in value-added organic compound synthesis is limited due to its unpredictable and misunderstood reactivity. This dissertation aims to address this issue by tackling it from two angles. Firstly, by utilizing Density Functional Theory (DFT) calculations, the reactivity of sulfur in the presence of nucleophiles is studied. This facilitates the identification of organic polysulfide intermediates that can be generated under different conditions, as well as the corresponding reactivity for …

Toward Smart And Efficient Scientific Data Management, Jinzhen Wang

Dissertations

Scientific research generates vast amounts of data, and the scale of data has significantly increased with advancements in scientific applications. To manage this data effectively, lossy data compression techniques are necessary to reduce storage and transmission costs. Nevertheless, the use of lossy compression introduces uncertainties related to its performance. This dissertation aims to answer key questions surrounding lossy data compression, such as how the performance changes, how much reduction can be achieved, and how to optimize these techniques for modern scientific data management workflows.

One of the major challenges in adopting lossy compression techniques is the trade-off between data accuracy …

Pláticas Liberadoras: Testimonios Of Chicana/O Elders En La Comunidad De San Diego, Gabriel Nunez-Soria

Dissertations

There is robust scholarship inquiring about many facets of critical consciousness (CC), most of which is centered around working with teens, youth, and educators. This study explored development of CC through testimonios of the lived experiences of eight Chicana/o elders in San Diego County. All eight of these elders participated in the Chicana/o movement during the late 1960s and early 1970s and carried these experiences with them into the present moment. Development of CC, the contextualized understandings of historical, social, and systemic aspects of our collective struggle against oppression through dialogue, reflection, and action, is a fundamental aspect of liberatory …

Advocating For Social Change: How A Human Service Nonprofit Organization Makes Sense Of Its Advocacy Successes And Failures, Megan Pontes

Dissertations

Nonprofit organizations (NPOs) are uniquely positioned to play a vital role in social change, and many integrate advocacy in their efforts. This dissertation examined how one human service nonprofit organization working to help the unhoused engaged in advocacy and advocacy evaluation using formal and informal methods. Through an in-depth case study of Think Dignity, a San Diego-based NPO engaged in the day-to-day work of social change, this research revealed how it developed its advocacy efforts, collaborated with partners, and assessed its successes and failures. Informed by the framework of social change leadership, the researcher conducted semi-structured interviews with Think Dignity. …

Climate Justice Perspectives And Strategies Implemented By Public Health Nurses And Their Community Partners, Jessica Leclair

Dissertations

The purpose of this dissertation was to understand PHN perceptions, strategies, and experiences with environmental and climate justice in the United States. In the first published study, a scoping review, I examined strategic actions nurses take to promote environmental justice through research, education, advocacy, and practice reported in peer-reviewed literature.

‘The Food Of The Home’ An Exploration Of Place And Practice Of Ordinary Women In Dublin City 1950-2000 On Irish Cuisine, Roann Byrne

Dissertations

Before the rise of restaurants and the accessibility of dining out, the home was where food engagement took place. In the recent surge of Irish Michelin restaurants, and our growing reputation for food culture, one element has been overlooked. Long before the great chefs and level of fine dining we have now – the heart of Irish food culture lay in the home. In the ongoing debate of what Irish cuisine is, we haven’t thought to look inwards, to the routes of our food engagement. This thesis seeks to understand the places, practices and engagement of ordinary women and food …