Digital Commons Network^™

Vicarious Learning And Perceived Self-Efficacy Among Pre-Licensure Nursing Students During Pediatric End-Of-Life Situations, Stephanie Clark

Dissertations

Despite decades of acknowledgement among nursing academics and organizations, end-of-life (EOL) nursing education is significantly lacking. Insufficient EOL care education leaves nursing students feeling ill-prepared to adequately care for clients and their loved ones at EOL. Though the literature reveals a recent increase in didactic and simulation-related EOL education sporadically being integrated into nursing curricula, minimal research addresses important topics of pediatric EOL care and provision of therapeutic communication, considered critical to EOL care. End-of-life clinical experiences, particularly in pediatrics, are limited for pre-licensure nursing students. Though effective, simulations can be costly and timely to execute, are restricted by limited …

The Relationships Between And Among Parental Perceptions Of Family-Centered Care, Parental Beliefs, And Parental Stress In The Pediatric Intensive Care Unit, Kelly Keefe-Marcoux

Dissertations

Children hospitalized for critical care require increasingly complex and technical care, which can be very stressful for parents. Awareness of the importance of parents' role while their child is receiving critical care is vital to deliver care within a family-centered philosophy that is mutually beneficial to parents and nurses. This descriptive correlational study examined the relationships between and among parental perception of Family-Centered Care (FCC) nursing practices, parental beliefs regarding their role and their hospitalized child, and parental stress during their child's admission to the Pediatric Intensive Care Unit (PICU). This study utilized the Family-Centered Care theoretical framework to examine …

Sociodemographic And Health-Related Risks For Loneliness And Outcome Differences By Loneliness Status In A Sample Of Older U.S. Adults, Laurie A. Theeke

Dissertations

Loneliness is a prevalent problem for older adults and has been shown to be associated with negative physical, psychological, and social variables. There has been limited research focusing on the relationship of loneliness to health. There is a gap in the literature when it comes to understanding how the problem of loneliness relates to the health of older adults in the United States.

The purpose of this study was to address this gap in the literature through the testing of two models, the first model represented the postulated risks for loneliness and the second model represented the postulated outcomes for …

Evaluating Middle School English Language Learners’ Science And Literacy Proficiency, Yasemin Ozkaya

Dissertations

The academic success and English proficiency of ELL students are receiving more attention as a result of the growing number of ELL students and the demand for accountability and assessment in education. It is widely accepted that ELL students struggle on state standardized tests because they lack the cognitive academic language abilities needed to succeed on extensive subject evaluations (Thakkar, 2013). According to Abedi and Dietel, ELLs' academic performance lags behind that of other segments of population, and the attainment gap reduces only slightly over time (2004).

The NWEA archival data of 6th, 7th, and 8th grade students who attended …

Mating Burrows In The Fiddler Crab Leptuca Pugilator: How A Key Resource Is Contested, Constructed, And Shared, Zachary Michael Lane

Dissertations

The Atlantic sand fiddler crab, Leptuca pugilator, is found on sandy, vegetated beach across a large portion of the United States’ Atlantic and Gulf of Mexico coasts and is iconic in regions where dense populations of the species occur for its charismatic courtship, competitive, and foraging behaviors. The social dynamics of the species are complex. Reproductively active males maintain mating territories in the dangerous heat of the intertidal zone, away from their food source at the water’s edge, where they inhabit specialized mating burrows. These mating burrows are essential to successful female reproductive success, and when it is time …

Case Study On Increasing The Amount Of High School El Students College And Career Ready, Octavio Patino

Dissertations

Purpose: The purpose of this qualitative multicase study was to describe the leadership practices of high school principals who work with their staff to close the college and career achievement gap for English language learners (ELLs) based on Anderson and Ackerman Anderson’s (2010) change model (mindset, behavior, culture, and systems).

Methodology: This qualitative multicase study was conducted through interviews with four high school principals of Title I schools in California. I selected qualitative methods because they describe the leadership practices that worked with their staff to close ELLs’ college and career readiness (CCR) gap.

Findings: Close examination of data from …

Missed And Prior Diagnoses In Children Later Diagnosed With Autism, Maire Diemer

Dissertations

Awareness of autism is rising, yet social determinants of health continue to impact rates, ages of diagnosis, and diagnostic load. Different psychiatric labels carry stigmas; unequal rates of diagnoses may indicate biases in the healthcare system. This study investigates six prior diagnoses (ADHD, disorders of conduct, adjustment, anxiety, mood, and intellectual disability) assigned to children who are later diagnosed with autism. The study investigates how race, sex, and geographic factors were associated with age of diagnosis and diagnostic load. This study utilized a sample of 13,850 children aged 2-10 who were diagnosed with autism on Missouri Medicaid between 2015 and …

Professional Development For Classified Managers Within The Business Services Departments At California Public School Districts, Juliet Castorena Orozco

Dissertations

Purpose. The purpose of this Delphi study was to identify and describe professional development topics required to prepare classified managers in California public school district business services departments as effective leaders as perceived by a panel of experts. This study also sought to identify the degree of importance of each professional development topic and the best strategies to address those topics as perceived by a panel of experts.

Methodology. A Delphi research design was used to identify and describe professional development strategies necessary to prepare classified managers in the business services division of California public school districts. The Delphi panel …

Deciphering Description: A Study Of The Works Of Joseph Conrad, Autumn Pearson

Dissertations

This project analyzes Conrad’s use of description in his narratives in light of the 1897 Preface to ‘Narcissus.’ Conrad’s elevation of description stands in contrast to Gérard Genette’s account of narrative theory but within the space Mieke Bal makes for the reconsideration of description within the theory. Narrative theory provides the terminology for specific narrative moments in which Conradian description can be analyzed—the narrative opening, the narrative pause, and various narrative levels. In addition to analyzing Conradian works, the project traces the evolution of Conrad’s thinking about description throughout the course of his career and invites the reader to rethink …

Effect Of An Experiential Learning Model For Simulation Design On Clinical Nursing Judgment Development In Pre-Licensure Baccalaureate Nursing Students, Joyce Victor

Dissertations

Simulation is an experiential learning process used in nursing education to develop and evaluate competencies, including clinical judgment (Berragan, 2011; Jeffries, 2012), yet the effectiveness of simulation in nursing education is not sufficiently evaluated (Foronda, Liu, & Bauman, 2013) and simulation design is not adequately theory-based (Kaakinen & Arwood, 2009; Rourke, Schmidt, & Garga, 2010; Jeffries, 2012; Rodgers, 2013). In this study, Kolb's Model of Experiential Learning (Kolb, 1984; 1999) was employed to create an experiential learning simulation design. A quasi-experimental study was used to test the effects of this new design on clinical nursing judgment development and its relationship …

Primed For Sport Coaching: A Mixed-Methods Pilot Study Of A Six-Week Intervention, Pete S. Paciorek

Dissertations

This six-week pilot study was conducted using grounded theory from “What Works in Character Education” (Berkowitz & Bier, 2014) and specifically the “PRIMED for Character Education” framework (Berkowitz, 2021) applied to 11 high school sport coaches. The three key ideas of focus were on whether the PRIMED framework could increase the coach-participants’ commitment to character education, self-efficacy as character educators, and self-identification as Servant Leaders in an effort to “nurture the flourishing of human goodness” (Berkowitz, 2021) of our youth and, in this case, specifically, high school student-athletes.

With millions of youth involved in sport in North America and across …

Home And Community-Based Service Utilization Patterns For Seniors With Alzheimer's Disease And Related Dementias, Margaret E. Saari

Dissertations

Half a million Canadians are living with Alzheimer's disease and related dementias. Approximately half these individuals live in the community, supported by informal caregivers. In this population, utilization of formal services is low and patterns of utilization are not well understood. Previous studies examining predictors of service use have examined services in isolation however, often multiple services are utilized, with little coordination between services.

The purpose of this study was to provide a better understanding of the community-based services utilized concurrently by seniors with dementia and their caregivers.

Stigma As A Treatment Barrier In Trauma Exposed College Students, Lydia Sigurdson

Dissertations

Exposure to a traumatic event puts an individual at risk for subsequent psychological distress. Though trauma exposure is common in undergraduate students, college mental health services remain severely underutilized. One reason may be stigma associated with mental illness. The current study investigated the role of stigma on treatment seeking behaviors in trauma-exposed college students. Qualifying participants were randomly assigned to one of two stigma conditions. One week following measure completion, participants received an email offering a free, brief, self-guided intervention described with a stigmatizing label (“trauma symptoms”) in one condition, and as a broad problem (“stress”) in the other. It …

Comparison Between The Effectiveness Of Mysci And Openscied Curricula On The Achievement And Attitudes Of Eighth Grade Science Students, Nicole Vick, Nina Blanton

Dissertations

Educators have struggled with maintaining student engagement in science, especially as students transition from primary to middle school and upper grades (Vedder-Weiss & Fortus, 2012). A recent push in science education has been the adoption of the Next Generation Science Standards (NGSS), released in 2013, whose development was guided by A K-12 Framework for Science Education (NGSS Lead States, 2013). As a result, more educators have been incorporating curricula that require students to ascertain disciplinary core ideas using lenses of cross cutting concepts while engaged in science and engineering practices; the three dimensions of NGSS performance expectations (PE) also …

The Impact Of Teach-Back Method On Hospital Readmissions, Rebel L. Heasley

Dissertations

Excessive healthcare costs resulted in the advent of the Centers for Medicare and Medicaid Services Hospital Readmission Reduction Program, where hospitals incur financial penalties for high readmission rates. This suburban hospital reported readmission rates of 10.38% in 2020 and 9.03% in 2021, much higher than the desired Vizient national benchmark of 6.83% or the twenty-fifth percentile. A literature review revealed that using the teach-back method alone or with other discharge activities can reduce hospital readmissions. This project tackled the quality
issue of high readmission rates by addressing patient education at discharge. The quality improvement project translated the use of the …

Sit Less, Move More: A National Study Of Physical-Activity Behavior And Cancer, Stella O. Nwogugu

Dissertations

Physical activity is associated with lower risks of cancer, the second leading cause of death among Americans. Yet, sedentary behavior is the prevailing lifestyle for about 80% of American adults. Additionally, cancer survivors remain significantly inactive, even though physical activity has been shown to decrease risk of cancer and cancer recurrence, improve tolerance of cancer therapy, and reduce mortality. This research explores the relative impact of personal agency, social support, and key demographic variables on physical-activity behavior for a national sample of adults as well as how these relationships differ for cancer survivors and their counterparts.

Telehealth Implementation At A Spinal Cord Injury Clinic Within One Veteran Affairs Medical Center In Pennsylvania, Kristina Tait

Dissertations

Patients with a spinal cord injury (SCI) often require follow-up care from a specialized provider to help reduce complications. The project sited noted that poor follow-up attendance was due to the distance the patients were from the specialty site and sought an evidence-based approach to manage follow-ups. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of the American Academy of Family Physicians (AAFP) A Toolkit for Building and Growing a Sustainable Telehealth Program in Your Practice would improve attendance rates for follow-up appointments among SCI patients.

Experiences Of Students In Degree-Seeking Proprietary Nursing Programs In South Florida, Yvanessa Georges

Dissertations

Students of proprietary programs perform significantly lower in the NCLEX than students of other programs. This is more significant in the state of Florida where the NCLEX pass rate is below the national average. Although the discrepancy in the first-time pass rates is well documented in the statistics, the reason for this is unclear, and there is paucity in the literature addressing this phenomenon.

The purpose of this study was to explore the lived experience of nursing students attending degree-seeking proprietary programs in South Florida.

Evaluation Of A Classroom Management Video Training Package, Avner Fraidlin

Dissertations

To address the concerning implications of inadequate teacher preparation and training in using classroom management, the literature highlights several steps training programs can take. Namely, this includes supplementing training curricula with dedicated courses on evidence-based classroom management practices and providing teachers with performance feedback following guided practice opportunities (Stevenson et al.,2020). Videos which have been used as an instructional tool in teacher education for several decades (Ciani et al., 2021; van Es & Sherin, 2006), have been incorporated as a component in classroom management teacher trainings with positive outcomes (Wilkinson et al., 2020), and feedback has been established as an …

A Narrative Inquiry Study Of Adult Female Survivors Of Childhood Sexual Abuse And Their Journey Into Individual Counseling, Alex Houseknecht

Dissertations

The purpose of the narrative inquiry is to investigate the journey of adult female survivors of childhood sexual abuse (CSA) in seeking out and obtaining individual counseling. The goal is to understand why survivors seek individual counseling and how the process of obtaining and utilizing counseling unfolds over time.

This qualitative study is conducted with convenience and criterion sampling selection. The participants used for the study are two adults who identify as female, aged 18 or older, who are survivors of more than one incident of CSA and are current clients of therapists in the investigator’s existing professional network. Additionally, …

Prospective Mathematics Teachers’ Technological Pedagogical Content Knowledge In Pieces, Nicholas Eric Witt

Dissertations

Productively integrating technology is a vitally important part of teachers’ practice (Barlow, 2021; Bezuk et al., 2017; NCTM, 2018). To adequately prepare Prospective Mathematics Teachers (PMTs) for the demands of teaching professionally, we need to understand more about how teachers and PMTs learn to integrate technology into their classroom. Some models exist related to teachers’ knowledge of integrating technology (e.g., Mishra & Koehler, 2006; Rocha, 2020). However, these models do little to conceptualize the knowledge resources that are activated in the moment of designing technologically-enhanced, conceptually-oriented mathematics tasks. This dissertation draws on ideas from the Knowledge in Pieces (KiP) (diSessa, …

An Action Research Study On Visible Learning Feedback And Motivational Interviewing Concerning Underserved Advanced Placement Students, Lori A. Vaughn

Dissertations

Underserved minority students participating in Advanced Placement (AP) courses encountered increased academic pressures, in addition to inequitable conditions in education. The following study addressed inequity, as well as self-motivation, self-regulation, feedback practices, and student autonomy. The researcher implemented Visible Learning Feedback, an academic intervention, focused on bridging the gap in knowledge (Brooks et al., 2019; Hattie & Yates, 2014). Furthermore, the researcher designed a Motivational Interviewing (MI) pilot program, a client-centered approach concentrated on participant social-emotional well-being (Miller & Rollnick, 2013). The study’s purpose involved improving AP exam scores, increasing post-test essay grades, and raising self-motivation and self-regulation measurements through …

Improving Autonomous Vehicles Operational Performance Using Resilience Engineering, Johan Fanas Rojas

Dissertations

Autonomous vehicles are expected to revolutionize the transportation industry by providing a safer and more efficient means of transportation. However, as autonomous vehicles are deployed on public roads, they are exposed to significant risks, both in terms of safety and system performance. Recent studies have highlighted a range of errors and accidents associated with autonomous vehicles, underscoring the need for a systematic approach to improve their operational resilience. Resilience engineering, a discipline focused on designing and analyzing complex systems to better cope with unexpected events and disruptions, offers a promising framework for addressing these challenges. Despite the potential benefits of …

Functional Generalized Linear Mixed Models, Harmony Luce

Dissertations

With the advancements in data collection technologies, researchers in various fields such as epidemiology, chemometrics, and environmental science face the challenges of obtaining useful information from more detailed, complex, and intricately-structured data. Since the existing methods often are not suitable for such data, new statistical methods are developed to accommodate the complicated data structures.

As a part of such efforts, this dissertation proposes Functional Generalized Linear Mixed Model (FGLMM), which extends classical generalized linear mixed models to include functional covariates. Functional Data Analysis (FDA) is a rapidly developing area of statistics for data which can be naturally viewed as smooth …

Enabling Energy Efficiency In Connected And Automated Vehicles Through Predictive Control Techniques, Farhang Motallebiaraghi

Dissertations

The transportation sector is a significant contributor to global energy consumption and emissions, necessitating the development of sustainable transportation systems. In this regard, connected and automated vehicles (CAVs) have emerged as a potential solution to transform the transportation industry. By harnessing advanced mapping and location technologies, Vehicle-to-Vehicle (V2V) and Vehicle-to-Infrastructure (V2I) communication, CAVs offer the promise of improving efficiency, reducing traffic congestion, and enhancing safety and comfort. However, the adoption of CAVs also brings about various challenges, including energy efficiency concerns that need to be addressed to fully realize their potential benefits. This dissertation investigates energy-efficient control techniques for transportation …

Telehealth Functional Behavior Assessment In Practice: A Demonstration Of The Clinical Utility Of Dynamic Probability Analyses And Estimates Of Contingency Strength, Lilith Michaele Reuter-Yuill

Dissertations

The spread of SARS-CoV-2 and acceleration of coronavirus disease cases resulted in a global pandemic and presented unique and unprecedented humanitarian issues. Behavior analysts trained in the area of functional behavior assessment offer important services that may assist families to address behavioral challenges that they face during this difficult time. Despite the growing body of evidence of telehealth functional behavior assessments, practitioners still face several unknowns. In Experiment I, a telehealth functional behavior assessment was conducted with three children with autism spectrum disorder. Assessment methods represented a continuum of experimental control from unstructured conditions (no experimental control), structured descriptive assessment …

Moral Discourses Of Atheist Organizations: Moral Contrasts, Symbolic Boundaries, And Collective Identities, Alexander Fether

Dissertations

This dissertation examines the ways atheist organizations construct morality and valorize atheist identities. Focusing on a discursive resources approach, wherein “atheist” is a social category whose meaning is contested, this analysis examines how representations of “atheists” are sedimented by the ways individuals and organizations communicate about atheism, religion, morality, secularism, and other relevant concepts which constitute this identity.

Examining the websites of two prominent atheist organization, Qualitative Content Analysis is used to identify the strategies used to legitimate atheist identities, discredit religion, and construct a coherent atheist morality. I describe the way atheist organizations engage in boundary work to challenge …

(Re)Envisioning Factors Contributing To Black Men’S College Success: An Ecological And Critical Reflection Using Photovoice, Collette Brown Rogers

Dissertations

This research uses modified photovoice combined with an ecological and antideficit approach to amplify the voices of Black men who have completed college degrees. The study explores the question: What factors contribute to college completion for Black men? Using a qualitative approach and the Ethos platform to collect images, photo captions, and critical reflection data from a purposive sample of five Black men. Data analysis included inductive and deductive coding, data organization within the ecological systems, and member checking to validate the findings. The study acknowledges the unique challenges Black men face in pursuing higher education. It emphasizes the importance …

Adverse Childhood Experiences(Aces) And Nonverbal Reasoning Skills, Monika Malinowska

Dissertations

Severe stress and interpersonal traumatic experience in childhood have a cascade effect on an individual's physical and mental health. There is evidence that people with complex adverse childhood experiences have diminished cognitive abilities. However, there are few studies on the effects of Adverse Childhood Experiences (ACE) on non-verbal reasoning skills. This study aimed to assess the relationships between ACEs, non-verbal reasoning skills, and academic achievement.

Parenting And Students' Gpa In The Latino Population: An Exploratory Study, Carolina Arboleda

Dissertations

The present study experimentally investigated Latino high school students’ grade point averages (GPA) and the parenting styles used by their parents based on Baumrind’s (1968, 1971, 1989, 1991) theory of parenting behaviors. Participants (N=52) were asked to take a survey of 62 questions total addressing three parenting dimensions as measured by the Escala Parental Breve to categorize their parents’ behaviors into parenting styles. Participants also responded to demographic questions such as English proficiency, household income, parents’ education level, and other relevant factors impacting parenting and GPA. Results from the study were limited as there was a limited number of participants; …