Digital Commons Network^™

Kukama Radio: The Politics And Aesthetics Of Indigenous Media In Peruvian Amazonia, Gabriel Torrealba Alfonzo

Dissertations

This dissertation is about the political and aesthetic dimensions of Indigenous media in Peruvian Amazonia. It explores how Kukama media-makers use aesthetic mastery to engage in three key political fields in Amazonia: indigeneity, historicity, and environmentalism. I specifically examine the audiovisual discourses and media-making practices coming from an Indigenous radio station called Radio Ucamara, located in the town of Nauta in Northeastern Peru (Loreto region). Drawing on place-based ethnography and digital research methods, I analyze the way this radio station instrumentalizes multiple digital and non-digital media forms to make visible (and also audible) their identities, violent histories, and cosmological worlds …

Predictors Of Relational Aggression In Women Across Adulthood, Alison Poor

Dissertations

Relational aggression involves behavior intended to harm victims’ social status or reputation through acts like manipulation, gossip, exclusion, and blackmail. Most of the research on relational aggression has focused on children and early adolescents, with college students receiving some attention in recent years. A smaller body of work supports the relevance of relational aggression among adults in workplace settings, marital relationships, and assisted-living facilities. While few studies with adults have been integrated into the literature on relational aggression, they provide evidence that these behaviors continue into adulthood. The current study explored relational aggression among women between the ages of 18 …

A Rudimental Drumming Vocabulary Applied To The Folk Music Of Argentina, Justin Sherrod

Dissertations

This dissertation examines the methods and approaches used by Argentine percussionist Mr. Sebastian Hoyos to incorporate rudimental drumming into the composition Soy de Salta: Suite para percusión criolla y orquesta. The study demonstrates the steps taken to employ Argentinian folk music content through four folk styles: Baguala, Zamba, Chacarera, and Carnavalito. The bombo legüero, one of Argentina's most well-known and essential folk percussion instruments, plays a supportive and dominant role in Soy de Salta, introducing rudimental components into the music. This original research therefore addresses rudiments, variations of rudiments, and simple and complex writing styles for the snare drum …

Reducing Stress And Burnout In Hospice And Palliative Care Through Education, Marvet Wint

Dissertations

Burnout, a syndrome described as a state of mental and or physical exhaustion, impacts the workforce of hospice and palliative nurses where employees' behaviors and professional efficacy reflect poorly on their work. The prevalence of burnout among hospice nurses led to the development of this project. The Maslach Burnout Inventory (MBI) served as a reference guide for developing the content, which addressed whether a staff education program at this Southeastern United States facility, would affect a change in knowledge among hospice nurses reduce burnout. Knowles's theory of adult learning framed this education program on self-care and stress management. Focus was …

Neurodiverse Perceptions Of Inclusivity In The Workplace, Shannon Lively

Dissertations

The increase in neurodivergent professionals in the workplace has led to a significant need for researchers to examine neurodiversity inclusion in the workplace. Research has portrayed workplace inclusion as the perception that the individual is a valued member of a workgroup through satisfactory experiences of belongingness and uniqueness. Through semi-structured interviews with 20 neurodivergent professionals, this study examined how they view inclusion, exclusion, and cope with exclusion in the workplace. The neurodivergent participants identified six inclusion and six exclusion categories. Results were largely consistent with previous inclusion research, however, one novel category, flexible accommodations, suggests the importance of considerate accommodations …

Educating Nurses On Workflow Changes From Electronic Heath Record Adoption, Rhoda Lynn San Jose

Dissertations

Workflow issues related to adoption of the electronic health record (EHR) has led to unsafe workarounds, decreased productivity, inefficient clinical documentation and slow rates of EHR adoption. The problem addressed in this quality improvement project was nurses' lack of knowledge about workflow changes due to EHR adoption. The purpose of this project was to identify changes in workflow and to develop an educational module to communicate the changes. This project was guided by both the ADDIE model (analysis, design, development, implementation, and evaluation) and the diffusion of innovations theory.

An Analysis Of Capital Flow To Construct An Economic Typology In A Comparative Case Study Of Three Ancient Cities: Third Kingdom Of Ur, New Kingdom Of Thebes, And Classical Athens, Darrell Gremillion

Dissertations

This dissertation adds to the literature on Economic Development through the development of a Typology of Economy applicable to the earliest cities. Understanding the evolution of these early economies is a crucial step in understanding the past to assist in the establishment of policies for the future. This is especially important in the light of the environmental and sustainability challenges facing the globe today.

The cities in the comparative case study include the Third Dynasty of Ur in Mesopotamia, the New Kingdom of Thebes in Egypt, and Classical Athens in Greece. These cities are chosen for the case study for …

Losing Face-To-Face Selling In A Digital World: An Empirical Investigation Of Relationship Selling In The Independent Insurance Agency, Casey Bell

Dissertations

Over the past 20 years, our economy has transformed into a service-based economy as opposed to the previous industrial-based economy. The service industry is growing and rapidly becoming one of the primary sectors of the economy. Relationship selling is crucial to the service industry, especially the property and casualty insurance market—because it involves complex, highly intangible services. Even though consumers use the internet before reaching out to an insurance agent, this does not mean relationship selling is unnecessary. With complex products like property and casualty insurance, relationship selling is crucial to grasp what consumers truly need and understand. The purpose …

Predictors Of Nurse Practitioners' End-Of-Life Communication Behaviors With Adults Who Have End-Stage Renal Disease, Joanne V. Payongayong

Dissertations

The scope of end-of-life (EOL) communication is not well known among advanced practice nurses (APNs) who care for adults with end-stage renal disease (ESRD). Guided by the Theory of Planned Behavior, the aims of the study were to examine the independent effects of knowledge, attitude, and perceived behavioral control on APNs' engagement in EOL communication and the mediating and moderating effects of attitude and perceived behavioral control between knowledge and EOL communication. A theoretically derived 17-item survey measuring the concepts of interest was developed and administered to a convenience sample of 127 APNs.

Advance Care Planning In Advanced Heart Failure: A Relational Exploration Of Autonomy, Tieghan Killackey

Dissertations

Advance care planning (ACP) is the process of understanding and sharing personal values and goals to ensure people with serious illnesses receive healthcare and treatment that is consistent with their goals and preferences. With the increasing number of treatment options available to patients living with advanced heart failure (HF), ACP is regarded as a means of preserving individual autonomy throughout the illness trajectory. Despite significant public awareness campaigns, research and interventions developed to increase participation in ACP, this practice remains severely under-utilized by those who are chronically ill. This gap in practice highlights the need for further exploration of how …

Technology In Nursing Classrooms: A Qualitative Phenomenological Interpretative Study, Ose G. Martinez

Dissertations

Nursing students have to learn how to critically think and pass a licensure examination to practice their profession. Current students seem to be bored by lecture strategies most commonly applied by seasoned nurse educators. A gap in the literature regarding lived experiences of seasoned nursing faculty members applying technological applications when teaching nursing topics. The purpose of this phenomenological interpretative study was to understand the lived experiences of seasoned nursing educators using technology in nursing classrooms. Seventeen seasoned nurse educators participated in semistructured interviews. The interviews were transcribed and analyzed with the NVIVO 11™ software. During the interpretative analysis, eight …

The Relationship Between Transformational Leadership And Attachment Theory Among Field Grade Officers In The U.S. Army, Rebecca Ochs

Dissertations

Purpose: The purpose of this quantitative correlational study was to determine what relationship exists between U.S. Army field grade officers’ self-reported scores on the five domains of the Leadership Practices Inventory (LPI) (Kouzes & Posner, 2002) and their self-reported scores on the Experiences in Close Relationships Scale (ECR) (Brennan et al., 1998). Methodology: This study used a correlational approach to collect quantitative data from U.S. Army field grade officers. Using the LPI, a self-report transformational leadership measurement tool developed by Kouzes and Posner (2002), that measures five domains that include: (a) model the way, (b) inspire a shared vision, (c) …

The Perception Of Army Counselors On The Impact Of Emotional Intelligence Training On Army Non-Commissioned Officer Leadership Decision-Making Effectiveness, Geraldine Turituri

Dissertations

Purpose: The purpose of this qualitative phenomenological study was to describe the perception of Army counselors in the Military Family and Life Counselor (MFLC) program about the impact of emotional intelligence (EI) training on Army non-commissioned officer (NCO) leadership decision-making effectiveness in their supervision of the soldiers they are responsible for. This study also researched the perception of these counselors about the benefits and challenges of incorporating EI leadership preparation with traditional Army training for NCOs.

Methodology: This qualitative phenomenological study explored Army counselors’ perceptions about the need for EI training for Army NCOs to perform as effective decision-makers. Since …

Tobacco Use And Secondhand Smoke Exposure Among Women In Aleta Wondo, Ethiopia: An Exploratory Study Of Knowledge, Attitudes, Beliefs And Behaviors, Anne Berit Petersen

Dissertations

By 2030, sub-Saharan Africa is projected to be the epicenter of the tobacco epidemic. In Ethiopia there is an opportunity to avert an increase in tobacco-induced diseases; however, local data is needed to inform proactive contextualized tobacco control interventions. This cross-sectional community-base study was conducted to assess the knowledge, attitudes, beliefs, and behaviors (KABs) related to tobacco use and secondhand smoke (SHS) exposure of women in the Aleta Wondo region.

Allied Health Faculty Members’ Perspective On Interprofessional Collaborative Practice: A Hermeneutic Phenomenological Study, Prajakta Khare-Ranade, Margaret Newsham Beckley, Mary Geders Falcetti

Dissertations

A framework for interprofessional collaborative practice (IPCP) was developed by the World Health Organization (WHO) (WHO, 2010) in response to the need to address the complicated conditions that exist in today’s health systems. Much of the focus of today’s health service delivery is predicated on the social determinants of health (Barzansky et al., 2019), which refer to the environmental conditions associated with where people are born, live, go to school, work, play, age, and worship that have an impact on health, function, quality of life, and risks (Healthy People 2030, n.d.). IPCP is thought to be the only approach effective …

A Development And Validation Of The Advance Planning Preparedness Scale (Apps), Renee Mcleod-Sordjan

Dissertations

Delayed advance care planning and costs of aggressive life sustaining treatments at end of life significantly contribute to the economic burden of healthcare in the United States. Dying trajectories, in most chronic conditions, have terminal prognostic uncertainties that do not address advance care planning by clinicians in a timely manner. Clinician and nursing barriers include perceptions of inappropriate timing, lack of skills in end-of-life communication and viewing readiness as a behavior rather than a death attitude. The purpose of this study is to develop and validate the measurement of psychological preparedness for ACP to aid in the understanding of readiness …

Up The Bayou Without A Paddle: A Historical Case Study Of Black Catholic Education In New Orleans Post-Katrina, Anisha Morrell

Dissertations

By concentrating on one of the tenets of Critical Race Theory (Harper et al., 2009), counter-narrative, this study focused on: (1) the history of New Orleans prior to the Louisiana Purchase; (2) the inception, history, and advancements of Black Catholic education prior to Brown v. Board of Education; and (3) controversies in Black Catholic education post-Katrina.

By delving into the history of New Orleans, I will assert that The Roman Catholic Archdiocese of New Orleans struggled with whiteness as property and an ardent desire to present a narrative embodied by interest convergence in historically-Black Catholic secondary schools since each school’s …

Effect Of An Education Intervention On Nursing Students' Knowledge Of And Attitudes Toward Caring For Transgender And Gender Nonconforming People, Tanya N. Carmichael

Dissertations

Transgender and gender nonconforming (TGNC) people experience inequities in accessing health care, quality of care, and health outcomes. Rates of stress, depression, suicidal ideation/attempts, smoking, alcohol and substance use, and certain sexually transmitted infections are higher among TGNC people. Barriers to accessing care for TGNC people include social and economic marginalization; fear, stigma, and discrimination; and health care professionals (HCPs) with limited experience and knowledge about caring for TGNC people. Lack of knowledge and biased attitudes toward gender minorities within health care contribute to care that is substandard, delayed or refused outright; non-use of existing evidence-based guidelines for TGNC-related care; …

Effect Of The Diverse Standardized Patient Simulation (Dsps) Cultural Competence Education Strategy On Nursing Students' Transcultural Self-Efficacy Perceptions, Eda Ozkara San

Dissertations

Nursing students find it challenging to provide culture-specific care for patients representing diversity in ethnicity, race, language, socioeconomic status, religion, gender, sexual orientation, immigration history, and lifestyle and frequently lack confidence in their knowledge, skills, and abilities. Simulation has become a useful strategy for teaching nursing students assessment skills, technical skills, teamwork, delegation, self-efficacy, and professional communication. An alarming gap exists within the literature concerning innovative teaching and learning strategies that are carefully designed, implemented, and evaluated and follow a conceptual model, guidelines, and standards to enhance cultural competence development of diverse student groups, who must work with patients from …

The Crisis Of Missouri’S Polity: How Privileged Interest Groups Influenced The Development Of Missouri’S 2014 Tax Reform Law, William Warren

Dissertations

Increasing wealth inequality has created a public discourse concerning its societal impact and the government’s role in its regulation. Should the government regulate and redistribute wealth through taxes and government programs, or should the market regulate it? To this end, one concern that has not been discussed is to what extent wealthy individuals have manipulated our government institutions to ensure their preference of market regulation of wealth distribution. Scholarly research has been conducted at the national level to determine the networks who are altering our political institutions to enable wealthy, minority interests’ access to our legislative process. Due to our …

Nicu Culture Of Care For Infants With Neonatal Abstinence Syndrome: A Focused Ethnography, Monica M. Nelson

Dissertations

The purpose of this ethnographic study was to describe the culture of care and nonpharmacological nursing interventions performed by NICU nurses for infants with NAS.

Evaluation Of The Efficacy Of A Telehealth Support Forum For Reducing Distress In Informal Caregivers Of Patients With Glioblastoma, Stacey D. Green

Dissertations

Glioblastoma is incurable, deadly, and disabling. Informal caregivers of glioblastoma patients face an unpredictable, laborious, costly, and distressing experience. Supported caregivers have less distress and improved caregiver mastery. Often times, caregivers are unable to attend support groups, increasing risk of adverse events for caregiver and patient. This increased risk highlights a need for increased access to support. The purpose of this project was to determine if distressed caregivers of glioblastoma patients at an academic medical center would report reduced distress after participating in telehealth support forums over a period of four weeks. The health belief model was used to implement …

The Lived Experiences Of Expert Nurse Clinicians Transition To Novice Nurse Educators: A Phenomenological Study, Sabrina L. Colbert

Dissertations

The literature is replete with information regarding the nationwide shortage of nursing faculty occurring in academia and practice. Due to the lack of available nursing faculty, masters-prepared nurses are being recruited into academia from clinical practice: expert clinicians with limited preparation in educational pedagogy. This descriptive phenomenological study explored the lived experiences of participants who transitioned from expert nurse clinicians to novice nurse educators in academia. The theoretical framework was Benner's novice to expert theory to explain and interpret the phenomenon as consciously experienced by novice nurse educators.

Standardized Reporting For Hospice Admissions, Courtney Davenport

Dissertations

­­Background: Effective communication should include the use of a standardized handoff reporting tool. Without the use of a standardized reporting tool in the hospice setting, there is the risk for a lack of communication between team members, which can lead to increased symptoms at end of life and less-than-optimal quality care.

Purpose: The purpose of this project is to implement a standardized handoff reporting tool, known as HAND-IT, to be used with hospice admissions. The primary outcome measure is to record the percentage use of the HAND-IT tool with admissions.

Methods: A quality improvement prospective design was used for this …

Breaking Cultural Stigma Associated With Mental Health Among Black Immigrants, Chika Ijioma

Dissertations

Abstract

Problem: Immigrants are the fastest growing segment of the United States population with 10% identifying as black and all are widely affected by mental illness especially, during the immigration process. The lack of health insurance impacts access to health and mental health care. The study aims to decrease perceptions of mental health stigma and improve knowledge with relation to mental illness in the black immigrant population after an educational program.

Methods: The project used a descriptive, observational pre-post-test design with an educational program. It collected quantitative data in the pre-post-survey via paper and pencil, using coded data …

Vaccine Hesitancy, Provider Time, And Decision To Vaccinate, Kenneth Shackelford

Dissertations

Problem: To date, there is a significant gap in the literature involving studies evaluating the time healthcare providers spend educating vaccine-hesitant caregivers about the necessity for their child’s immunizations. Due to alarming resurgence rates of vaccine-preventable diseases in children, this project aimed to answer the following question: In vaccine-hesitant caregivers of newborns through six months of age, what is the effect of provider discussion time on vaccine administration (item) at well-child visits during the child’s first six months of life?

Methods: Using a descriptive observation design, pre-collected data on provider discussion time and vaccine administration was evaluated retrospectively from …

Implementation Of A Vestibular Disorder Screening Tool In An Urgent Care, Kathleen A. Probst

Dissertations

Implementation of a Vestibular Disorder Screening Tool in an Urgent Care

Kathleen A. Probst

M.S.N., University of Missouri-Columbia, 2007

B.S.N., University of Missouri-Columbia, 2004

A Dissertation Submitted to The Graduate School at the University of Missouri-St. Louis in partial fulfillment of the requirements for the degree

Doctor of Nursing Practice

August 2023

Advisory Committee

Susan Dean-Baar, PhD, RN, CENP, FAAN

Chairperson

Jennifer Vines, DNP, MSN, RN

Troy Dinkel, MD

Copyright, Kathleen A. Probst, 2023

Abstract

Problem: Vestibular disorders disrupt everyday living and can cause reduced quality of life. Guidelines developed to screen for vestibular disorders are not efficient to use …

Evaluation Of Dirfloortime® On Mother’S Depression, Anxiety, And Stress, Hailey Vanderleest

Dissertations

This paper reports the results of a retrospective record review and qualitative questionnaires of mothers of children with neurocognitive disorders such as autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD). The aim was to examine the relationship between DIRFloortime® use in children with ASD and ADHD and PHQ-8 scores for depression, GAD-7 scores for anxiety, and PSS-10 scores for perceived stress among the children’s mothers. The results showed no statistical significance between DIRFloortime® use in children and PHQ-8, GAD-7, and PSS-10 scores for mothers. Qualitative questionnaires did report improvements in quality of life. Implications for the need of evidence-based developmental …

Orthostatic Vital Signs In Bone Marrow Transplant Patients, Julianne Tomac

Dissertations

Abstract

Background: Orthostatic hypotension is a potentially serious risk factor that can cause falls in adults, especially those receiving a bone marrow transplant. The odds of falling increase if diagnosed with a hematological form of cancer while receiving treatment due to side effects of chemotherapy and medications.

Methods: This retrospective record review investigated the completion rate of orthostatic vital signs in bone marrow transplant patient’s days 10 to 17. The aim was to discover 2% of positive orthostatic cases in a 6-month period. The primary outcome measures included the number of orthostatic vital signs obtained and secondary outcome measures included …

The Experiences Of Black American Older Adults Managing Pain: A Nursing Ethnography, Sheria G. Robinson-Lane

Dissertations

Pain can negatively affect quality of life for Black elders. They are less likely to report pain concerns and have voiced pain needs adequately met. To better understand the pain management experiences and concerns of Black elders, an ethnographic study was completed within an urban, low-income, elder housing facility.