Digital Commons Network^™

Leaders Of Change: An Exploration Of Relationships Between International School Administrators’ Mindsets And Their Preferred Leadership Styles, Joe Brogan

Dissertations

At the heart of educational leadership is the ability to manage change. Leaders who can successfully manage change invariably will be more effective. This is especially true in the often-transient world of international schools, where change happens frequently in response to evolving internal and external environments.

K-12 international schools that use the English language as the medium of instruction have proliferated since the end of the Cold War. There has been exponential growth, especially in China, India, and other developed and developing nations. The quality of leadership in these schools is extremely important to stakeholders, especially students, and, consequently, it …

Transitional Care Interventions As Implemented By Faith Community Nurses, Deborah J. Ziebarth

Dissertations

Hospitals are seeking innovative and efficient methods of decreasing avoidable readmissions. Despite the volume of nursing literature exploring the use of advanced practices nurses in providing transitional care, only one study mentions the use of a faith community nurse. The faith community nurse operates in the community and has the skills to provide transitional care. The purpose of this study was to describe transitional care as implemented by faith community nurses using a standardized nursing language: the Nursing Intervention Classification (NIC). A mixed method descriptive design was selected to facilitate a thorough exploration of the interventions implemented by faith community …

Conceptualization Of Factors That Have Meaning For Newly Licensed Registered Nurses Completing Nurse Residency Programs In Acute Care Settings, Beverly Dianne Rowland

Dissertations

Nurse residency programs (NRPs) have been identified as a means to promote transitioning of new nurses into the professional nursing role. Questions have arisen related to which elements within those programs are most meaningful to the development of new nurses. As the nursing shortage drives the need for quick transition and development of nurses to meet workforce needs, nursing must identify what is meaningful to nurses in their transition to practice. The purpose of this multi-site study was to explicate meaning from the experiences of newly licensed registered nurses (NLRNs) who have just completed NRPs. The research question was ";What …

Improving Maternal Outcomes Through Quantifying Blood Loss In Cesarean Sections, Michelle R. Barrier

Dissertations

Abstract

Problem: Postpartum hemorrhage is a preventable, leading cause of maternal death in the United States and is a direct result of a delay in diagnosis, intervention, and treatment of postpartum hemorrhage. Inaccurate measurement of blood loss from the use of estimation instead of quantitative techniques leads to a failure to recognize and respond appropriately. While there are risk factors for postpartum hemorrhage, all pregnant women are at risk.

Methods: This Quality Improvement (QI) project used a descriptive cohort study design, utilizing a retrospective chart review, to evaluate the quantification of blood loss during cesarean sections on maternal outcomes. Data …

Decreasing Central Venous Catheter Usage For The Hemodialysis Patient, Antionette Jordan

Dissertations

Abstract

Problem: The central venous catheter (CVC) usage rate in a large urban dialysis clinic was 34.5% and the Centers for Medicaid and Medicare Services (CMS) goal is 10.7%. CVC usage is a quality metric monitored by CMS to assess whether dialysis facilities are providing quality services which can impact reimbursement for the clinic. Failure to meet this metric can result in a penalty of up to 2% in reimbursement. The purpose of this quality improvement project was to determine if an interdisciplinary team (IDT) approach to vascular access planning and care influenced the CVC usage rate by 10% …

The Relationship Between Nursing Unit Culture And The Use Of Evidence-Based Practice Among Nurses In Hospitals, Jin Jun

Dissertations

Evidence-based practice (EBP) has been the gold standard for clinical practice. However, the use of EBP by healthcare providers, including nurses, has remained at suboptimal rates. Though researchers have examined various factors that influence nurses' use of EBP, studies of more complex organizational factors are limited. Nursing unit culture, which encompasses unique shared values, beliefs, and assumptions, may be one of the driving forces in determining nurses' behavior, leading to variation in the use of EBP. The purpose of this study was to examine the association between nursing unit culture and the use of EBP among nurses in hospitals under …

From The Battlefield To The Classroom: An Exploration Of Post-9/11 Female Combat Veterans Who Completed Graduate School After Military Service, Arthur Littler Iii

Dissertations

Since 2011, approximately 200,000 service members transitioned from military service to the civilian sector each year (U.S. Department of Veterans Affairs, 2016). , 2014). According to the U.S. Bureau of Labor Statistics’ 2018 Employment Situation of Veterans Summary report, 8.9% of veterans were disadvantaged as they have little to no higher education. Without a financial support system to fall back on, transitioning veterans face the inevitable issue of homelessness. Research by Tsai, Hoff, and Harpaz- Rotem (2017) found the rate of homelessness among veterans has increased over the past decade with female veterans more likely than their male counterparts to …

An Examination Of Summer Melt For Trio Talent Search And Upward Bound Alumni, Jasmine D. Clay, Jasmine C. Lewis

Dissertations

College access programs provide middle and high school students with essential skills to prepare them for a successful transition to postsecondary education. TRIO Talent Search (TS) and Upward Bound (UB) are federally funded programs established to strengthen the likelihood that students from underserved groups will graduate high school and pursue higher education. Both programs offer support to low-income and first-generation students to ensure equitable access to higher education. While these programs offer a holistic approach to student development, including personal and professional support, some students from underserved groups experience challenges during the summer months that prevent them from enrolling in …

The Wheels On The Bus Go Round And Round: Rethinking The St. Louis Busing Program, Tango Walker, Ketosha Harris

Dissertations

This autoethnography shares our personal experiences and counter-narratives in the St. Louis busing program. Through our mission we expound on experiences and real-life situations as seen through our lens as a student and a mother in the St. Louis busing program. Critical race theory (CRT) was used as an essential framework allowing us to focus on the following four tenets: counter-stories, permanence of racism, whiteness as property, interest convergence. (Anderson, et al., 2017). Critical race theory (CRT) is the framework in social sciences that examines society and culture as it relates to categorization of race, law and power (Lynn & …

Liquid Biopsies For Type 2 Diabetes Mellitus: Biomarkers For Disease Risk And Diagnosis, Stephanie Chidester

Dissertations

Background: Type 2 diabetes mellitus (T2DM) has reached epidemic proportions in the United States. There is a critical need for earlier and more effective screening and diagnostic tools. Innovative liquid biopsy technologies may play a key role in meeting this need. Liquid biopsies are a non-invasive, adjunctive tool for determining diagnosis, prognosis, and therapeutic response. This dissertation focuses on two potential applications of liquid biopsy technologies to T2DM: (1) epigenome-wide association studies to identify epigenetic markers of risk for T2DM, and (2) extracellular vesicle (EV)-based biomarker studies to identify and detect markers associated with T2DM development and progression. Dissertation studies: …

Heart Rate Variability Following Treatment For Ptsd: Testing The Polyvagal Theory, Brittany F. Goodman

Dissertations

Posttraumatic stress disorder (PTSD) has been linked to lower heart rate variability (HRV), including measures of vagal tone. Treatments targeting the autonomic nervous system (ANS) have demonstrated efficacy in improving vagal tone, but it is less clear whether similar effects can also be achieved with cognitive therapies. The polyvagal theory has suggested that symptoms of social dysfunction are linked to vagal tone through a phylogenetically organized response to stress. HRV was collected during rest, reactivity (exposure to personalized trauma scripts), and recovery using a scripted imagery paradigm in female PTSD positive physical and sexual assault survivors (N = 41) …

Lived Experiences Of Nurse Leaders, Catherine J. Mohammed

Dissertations

The National Academy of Medicine (NAM) has called for more leadership, more accountability, and increased education and training of health care leaders. The NAM has demanded that nurses participate in health care policy making, increase their knowledge of research and data collection, advise leaders across the business world, train and educate seamlessly, and practice to the full extent of their licensure. The purpose of this qualitative phenomenological study was to explore the lived experiences of 12 influential nurse leaders from the state of Arizona. Transformational leadership theory provided the framework for the study. Semi-structured interview data were transcribed, coded, and …

Quality Improvement: Improving Type 2 Diabetes Self-Management And A1c Levels In Older Adult Veterans Using An Automated Message System, Danielle Brunson

Dissertations

Background: Diabetes mellitus is prevalent among the US population; particularly type 2 diabetes. As the population ages, the number of adults 65 years of age or older with diabetes is increasing. Diabetes is also common among U.S. veterans. Approximately 25% of U.S. Department of VA patients have diabetes. Evidence demonstrated a prevalence of diabetes among older veterans. Innovative approaches to improve diabetes care and health outcomes for veterans are needed.

Aim: This quality improvement (QI) project examined the use of a unidirectional automated text message system (Annie) to improve self-management behaviors of veterans with Type 2 diabetes, as evidenced by …

Breadwinner Mothers Of School-Aged Children During Covid-19: An Interpretative Phenomenological Analysis, Rebecca D. Miller

Dissertations

Working mothers have long faced myriad challenges to optimal work-life balance, with evidence of negative consequences to their physical and mental wellbeing. During the COVID-19 pandemic, working mothers reported unprecedented difficulties, though inquiry into breadwinner mothers’ experiences remained lacking. This research focused specifically on the experiences of breadwinner mothers of elementary school-aged children who navigated remote working and remote schooling during the COVID-19 pandemic. A diverse sample of 12 breadwinner mothers across the United States completed semi-structured interviews focusing on the impact of the pandemic on their daily lives, as well as how they understood their experiences in light of …

Postpartum Patient Teaching Success: Implications From Nursing And Patient Perspectives, Dawn Day

Dissertations

A recent examination of postpartum patient satisfaction scores in an inner-city hospital revealed decreased satisfaction of discharge teaching practices. Guided by Knowles' model of andragogy and Donabedian's model of structure-process-outcome, the purpose of this study was to gain an understanding of how the structure and process of discharge teaching practices impact successful postpartum teaching. This mixed-method, concurrent study examined the structure, process, and outcome of postpartum patient discharge teaching practices. A convenience sample was used to obtain 138 patient surveys, observations of 15 nurses completing discharge teaching, and 15 face-to-face patient interviews. Data analysis included the use of Spearman's rho, …

Which Attributes Separate Top-Performing Outside Salespeople From The Rest?, Paul Niemann

Dissertations

For decades, sales organizations have faced the ongoing challenge of attaining the maximum sales results from their salespeople. Whether a salesperson has plenty of skill but lacks the will to reach their potential or has the will to become a top salesperson but lacks the necessary skills to reach their potential, the failure of sales organizations to obtain maximum results from their salespeople is a problem. Some salespeople have plenty of skill but lack the will to reach their potential, while others have the will to become a top salesperson but have not yet acquired the necessary skills to reach …

The Emancipatory Praxis Of Integral Nursing: The Impact Of Human Caring Theory Guided Practice Upon Nursing Qua Nursing In An American Nurses Credentialing Center Magnet® Re-Designated Healthcare System, Lura Wendy Marks

Dissertations

This qualitative study critically examined nurses' perception of nursing qua nursing in an American Nurses Credentialing Center Magnet® re-designated healthcare system in Albany NY. Watson's Theory of Human Caring is used by many Magnet® hospitals, including the site for this study, to inform and guide nursing practice. Watson's Theory supports concepts and practices of integral health, holism, caring, healing, and the education and integration of complementary health care modalities as independent therapeutic nursing interventions. This study aimed to understand the nurse's emancipatory experience, comportment and self-agency as she/he participated in a theory guided practice; and illuminate the nurses' acquisition, understanding …

Research And Relationship-Based Curriculum – Exploration Of How Research And Relationship Experiences In Undergraduate Education Impact Students’ Employability, Graduate Education Intention, And Entrepreneurial Acumen, Michelle Pipes

Dissertations

After decades of shrinking financial research support (Smith, 2004), continuously rising tuition and student debt (Beal et al., 2019), and the induction of numerous alternatives (Garrett, 2021), traditional higher education is struggling to provide the value that students are demanding (Woodall et al., 2014). Student engagement has been positively linked to increased retention (staying in school until completion of a degree) and reduced dropout (leaving school and not returning) rates (Finn & Rock, 1997; Reschly & Christenson, 2012), both of which contribute to how students perceive the value of higher education (Alves, 2011). The purpose of this study was to …

Addressing Racial Trauma In Counseling: Perspectives And Lessons From The Field, Claire Martin

Dissertations

Racism has permeated all aspects of American life (Bell, 1992) and many Black communities suffer racial trauma as a result. Mental health professionals have an ethical responsibility to develop strategies to serve the needs of diverse communities. The purpose of this qualitative study was to explore the experiences of Black mental health professionals who serve individuals experiencing racial trauma. Using Critical Race Theory as a theoretical framework and qualitative Thematic Analysis as a methodology, twenty-three (23) Black mental health professionals were asked the following questions: (1) What are the experiences of Black mental health professionals working with clients who have …

Certified Clinical Nurse Leaders Not Hired Into The Formal Role: Job Title Survey And Systematic Review, Jacqueline Alexander Clavo-Hall

Dissertations

The purpose of this study is to answer the following questions: (1) To what extent do NHA CNLs report engaging in CNL competency-based activities in their current positions? (2) Does NHA CNLs' engagement in CNL competency-based activities vary by job titles? (3) What roles were certified CNLs enacting if they were not hired into officially titled CNL roles?

A Mixed Methods Study Of How High School Principals Build Trust With Staff Using Weisman’S Five Domains Of Trust Model, Danielle Clark

Dissertations

Purpose. The purpose of this mixed method case study was to identify and describe how high school principals establish trust with teachers using the five domains of connection, concern, candor, competence, and consistency (TVI, 2010). In addition, it was the purpose of this study to determine the high school principals’ perceived degree of importance of the five domains for building trust.

Methodology. This mixed methods research design used quantitative and qualitative data to analyze the research questions related to trust between high school principals and their staff. The study combined surveys and in-person interviews. The quantitative data were gathered via …

The Knowledge And Attitudes Of Oncology Nurses On Advance Directives, Bailey Nettles

Dissertations

Advances in healthcare technology has changed how healthcare professionals care for patients, increasing the importance of Advance Directives (ADs). ADs are legal documents describing patient end-of-life care wishes. Despite the usefulness of ADs, particularly in oncology settings, most patients do not have one.

This qualitative content analysis study examined knowledge and attitudes of ADs among oncology nurses to obtain a better understanding of ADs. Literature on ADs and nurses is dominated by quantitative research. This study addresses knowledge gaps best filled by qualitative methods.

Ten experienced oncology nurses answered eleven open-ended questions using online video conference interviews. The eleven questions …

A Case Study In Resiliency: How A University Survived A Pandemic, Mary Ellen Stewart

Dissertations

This case study was conducted to investigate how the COVID-19 pandemic affected the campus of a small private university in central Mississippi, where traditionally, relational community and interaction were key contributors to campus culture. Through document analysis, individual interviews with campus leaders, and focus groups consisting of members of key departments, the role of resiliency was examined during the early days of the COVID-19 pandemic. Emerging from the data were the four thematic categories of leadership, campus culture, engagement and interaction, and challenges. Key components in each category revealed the significance of resiliency of university leaders, faculty, and staff as …

A Phenomenological Study To Describe How Hispanic Entrepreneur Women Use Mark Crowley’S Four Principles To Accomplish Extraordinary Results, Elizabeth Vargas

Dissertations

Purpose: The purpose of this phenomenological study was to describe how exemplary Hispanic entrepreneur women lead from the heart using Crowley’s four principles (building a highly engaged team, connecting on a personal level, maximizing employee potential, and valuing and honoring achievements) to accomplish extraordinary results in their organizations.

Methodology: A qualitative phenomenological research approach was used in this study to illuminate the lived experiences of exemplary Hispanic entrepreneur women. A sample of eight Hispanic entrepreneur women from the target population in Southern California was chosen. The sample of eight Hispanic entrepreneur women was chosen using predetermined criteria. Each participant was …

Black Women Vice Presidents Of Student Affairs At Community Colleges Leadership Pathways And Barriers, Danielle Sims Brooks

Dissertations

This study explored the lived experiences of five Black women Vice Presidents of Student Affairs (VPSAs) at community colleges through narrative inquiry to get a better understanding of the strategies Black women deploy to be successful as well as the challenges and barriers they must navigate. Data was analyzed from a purposeful sample of five Black women VPSAs to get a better understanding of the experiences of Black women executive leaders in higher education. Participants shared many similarities in their educational and professional backgrounds in higher education by their experiences with leading and developing essential areas in student affairs. Findings …

An Examination Of Medical Resident Practices Regarding Patient Communication About Infant Safe Sleep Practices, Summer Samir Chahin

Dissertations

Infant mortality is a significant public health concern in the United States, particularly because of the large racial disparities in death rates. In particular, Black infants die at a rate twice that of white infants (Center for Disease Control, 2016). Sleep-related deaths are one of the most preventable causes of infant mortality. In Kalamazoo, Black and multi-racial infants account for the majority (3 out of 4) of sleep-related deaths (Sleep-Related Infant Deaths in Kalamazoo County Fact Sheet, 2017). To reduce sleep-related deaths, the American Academy of Pediatrics published recommendations for safe sleep practices (American Academy of Pediatrics, 2016).

Unfortunately, caregivers …

A Mixed-Method Study On The Online Learner Readiness Questionnaire Instrument At A Midwest University, Sky Toland

Dissertations

Online learning readiness is a field of study that has emerged and become increasingly relevant over the past two decades. Several instruments have been developed and used to measure readiness for online learning in college students. The Online Learner Readiness Questionnaire, or OLRQ, sought to measure student readiness for online asynchronous learning through a 30-question instrument. The OLRQ generated feedback for students, based on their answers; this feedback was designed to address both strengths and areas of deficiency, giving specific guidance on how to strengthen these areas. Literature in this field typically fell under the larger umbrella of online and …

Evaluating Transition Programs For Students With Disabilities In A Midwest Suburban School District, Edward J. Rodgers

Dissertations

This study aimed to address current support, the effectiveness of services, successful programs, critical resources, potential outcomes, and limitations for the school district's transition services through the program evaluation. The researcher developed a qualitative research study focusing on six research questions to provide recommendations on special education transition services for post-secondary success. The researcher and dissertation committee developed a survey distributed to 121 employees of the study's district. The minimum number of survey responses was surpassed by three, resulting in 33 responses. The survey questions gathered responses to provide information about the district's special education transition programs and services that …

A Mixed-Methods Investigation Of A Comprehensive Clinical Examination In An Accredited Athletic Training Program, Tom Godar

Dissertations

This study aimed to examine the impact and potential benefits of a comprehensive skills-based clinical examination within an accredited athletic training program. It was hypothesized that a comprehensive clinical examination could accurately assess student preparedness for the BOC examination and support the students’ continued academic and clinical development. The clinical examination was developed and adapted over several years, and it consisted of multiple psychomotor skills assessments and scenario-based modules with standardized models. The validity of the clinical examination was examined retrospectively, using historical academic data representing four academic cohorts from a single institution. Student demographic profiles and academic data were …

Investigating Self-Directed Learning And Adult Learner Readiness Attributes In A Call Center Environment, Mary Suzanne Scott-Muenter

Dissertations

This study investigated the self-directed learning (SDL) attributes of call center employees and explored the impact of an adaptive learning intervention used within the corporate training program. In order to explore the perception of the learners, the self-rated scale of self-directed learner readiness (SRSSDLR) survey instrument was used to gather participant feedback (Williamson, 2008). Qualitative data was collected from the surveys, completion scores were gathered through the LMS system, and performance data focused on trainee proficiency on the job following training. Quantitative analysis was conducted using the Pearson Correlation Coefficient, and t-tests to determine relationship between the self-directed learning attributes …