Digital Commons Network^™

Nurses' Attitudes And Perceptions Regarding Their Role In Incorporating Prayer In Practice, Sonia H. Wisdom

Dissertations

The nurses' role in praying is not clearly defined. Scientific evidence to guide nurses praying in practice is lacking resulting in inconsistencies as nurses develop individualized strategies from personal frameworks in meeting the patient's spiritual needs. This descriptive study was conducted with a self-selected sample of 2,688 registered nurses licensed with the Florida Board of Nursing to explore nurses' attitudes and perceptions to their role in praying in practice. The four reliable subscales extracted by factor analysis were attitudes to prayer, role perception, relevant activities, and challenges in praying. All subscales showed that nurses hold positive perspectives and support their …

Baccalaureate Nursing Students' Attitudes Toward End Of Life Care: The Impact Of Simulation-Based Learning, Kristin M. Sagedy

Dissertations

All nurses may be obliged to care for patients at the end of life. Baccalaureate nursing education should prepare nurses to provide this care, but best practice for end of life care education has not been established. Nurses are not adequately prepared to care for dying patients and grieving families. This research study explored the effectiveness of low-fidelity simulation-based learning (SBL) activities on improving baccalaureate nursing students' attitudes toward end of life care. Junior-level baccalaureate nursing students participated in this quasi-experimental study. A standardized tool assessed students' attitudes toward end of life care before and after the SBL activities. While …

The_Instaprep_Project: A Social Marketing Intervention On Instagram To Increase Oral Hiv Prophylaxis In Black Men Who Have Sex With Men, James Q. Simmons

Dissertations

Incidence of HIV diagnoses is higher in Black men who have sex with men (BMSM) than any other socio-demographic population in the United States. BMSM account for 26% of all new HIV diagnoses in the U.S. yet make up an estimated 1% of the U.S population. In 2017, Centers for Disease Control and Prevention (CDC) predicted 50% of BMSM would be diagnosed with HIV in their lifetime. Oral HIV pre-exposure prophylactic (PrEP) medications developed to prevent sexual transmission of HIV are 95-99% effective. However, Blacks represent only 10% of PrEP prescriptions. Targeted Social Marketing initiatives on Instagram need to be …

Identifying Transfer Of Care Gaps: Electronic Health Record Capture Of Perioperative Handoff Communications, Sharon Giarrizzo-Wilson

Dissertations

Transitions in patient care are held together by interdisciplinary handoff communications intended to coordinate the patient's ongoing care requirements. Patients with complexity in care encumber the transfer of care process requiring a higher level of care coordination between the interdisciplinary team (Coleman, 2003; Naylor et al., 2004). While the literature is abundant on the characteristics and quality of handoff communications, it is limited on the requirements of what data is necessary for ongoing care following transfer communications (Galatzan & Carrington, 2018).

Utilization Of A Clinical Decision Support System To Increase Chlamydia Screening Rates In Sexually Active Young Women: A Quality Improvement Project, Raine Martin

Dissertations

The objective of this Doctor of Nursing Practice (DNP) scholarly project was to implement an evidence-based intervention, the clinical decision support system (CDSS), and include education to promote increased routine chlamydia screening practices in an outpatient clinic. An additional objective was to assess CDSS usability using the System Usability Scale (SUS) to evaluate for project sustainability. The project design was a quasi-experimental study with post-implementation data collection with a comparison of norms of baseline chlamydia screening from the prior year. The project was completed over eight weeks. The project was implemented at a family health clinic located in a southcentral …

Effectiveness Of The Nurse-Practitioner-Driven Enteral Nutrition Protocol, Jho Mary Tangcora

Dissertations

The delay in initiating enteral feeding (EF) in the critical care unit is known to cause malnutrition which may lead to poor patient outcomes. The purpose of this quasi-experimental quantitative project was to determine if the nurse practitioner (NP)-driven enteral nutrition protocol recommended by the Society of Critical Care Medicine (SCCM) and the American Society for Parenteral and Enteral Nutrition (ASPEN) will psychologically empower the NP toward reducing the delay on initiating EF and lowering the length of stay (LOS) of adult patients an intensive care unit in urban California over four weeks. This project utilized the theoretical foundation of …

Espoused Versus Operationalized Organizational Values: A Case Study Of Values Integration, Erik Dees

Dissertations

At the start of the 21^st century, corporate America found itself confronted by a series of scandals about powerful business leaders unethically exploiting the system and their own organizations. Among the most familiar of these scandals is the one involving the former energy and commodities services corporation, Enron. Illegal accounting practices in that organization resulted both in the dissolution of that organization and in passage of the 2002 Sarbanes-Oxley Act, which placed greater demands on corporate accounting practices.

Enron’s maleficence deeply affected its more than 20,000 employees through job loss and the evaporation of retirement benefits. Enron leaders’ widely …

Compassion Satisfaction, Burnout, And Intent To Stay Among Nurse Leaders, Lisa D. Surby

Dissertations

Nurses in leadership roles have a substantial influence on the quality of the work environment and on safety, quality, and patient outcomes. However, compassion satisfaction (CS) and burnout (BO) have historically been understudied, and evidence is lacking regarding the existence of a relationship between CS, BO, and intent to stay among nurse leaders. The purpose of this cross-sectional descriptive study, guided by Stamm's theory of CS and compassion fatigue (CF), was to determine if there was a relationship between CS and BO and intent to stay among nurse leaders. An anonymous online survey was conducted using the Professional Quality of …

Teachers Attitudes Regarding Adverse Childhood Experiences, Trauma-Informed Educational Practices, And Student Resiliency, Alyson Reynolds Kohl

Dissertations

Purpose: The purpose of this convergent parallel design mixed methods case study was to determine how training on Adverse Childhood Experiences and Trauma-Informed Educational Practice affected the attitudes of teachers, in Shasta County’s Enterprise Elementary School District (EESD), regarding students who had experienced Adverse Childhood Experiences (ACE). A further purpose of this study was to understand if teachers in EESD perceived training in ACE and Trauma-Informed Educational Practices (TIEP) was effective in changing their classroom practices to support the resiliency of students who had experienced ACEs.

Methodology: The methods for this research included: an online survey, The Attitudes Regarding Trauma-Informed …

Clinical Factors That Influence Nurse Responsiveness In Activating Rapid Response Services, James Tormey

Dissertations

This study advances the understanding of essential clinical knowledge skillsets that nurses need to identify and respond to early signs of patient deterioration. The identification of critical thinking and assessment skills that nurses require may support professional practice through improved nursing education curriculum or additions of necessary critical care skillsets. The purpose of this study, which was framed by Benner's novice-to-expert model, was to identify and measure critical thinking skills that influence a nurse's ability to detect deterioration in patients and call the rapid response system (RRS). The research questions addressed the relationship between a nurse's clinical or reasoning skill …

Investigation Of A Checklist To Reduce Medication Errors Among Pre-Licensure Baccalaureate Nursing Students, Mary Agoglia

Dissertations

This experimental pilot study was aimed at the development of a quality standard to facilitate medication administration error detection, prevention, and reporting among pre-licensure baccalaureate nursing students. Based on both the literature review and peer review, sequential steps of the medication administration process were identified, bundled, and anchored in the mnemonic, C-MATCH-REASON, to form a new inquiry-based paper checklist that pairs clinical reasoning with rule adherence. The Checklist (independent variable), for nursing student utilization, was accompanied by an error tracking instrument (Observation Form) for nursing faculty (raters) to measure medication errors committed, recovered, and reported. Reason's (1990) error theory was …

Retention, Structural Empowerment, And Dialysis Nursing: Integrating Kanter's Theory And The Refined Nurse Worklife Model, Richard C. Scepura

Dissertations

During this two-phase project, factors that dialysis nurses experience contributing to stress, retention, and the intentions of staying were examined. The theoretical frameworks of Kanter's Theory of Structural Empowerment (KTSE) and The Refined Nurse Worklife Model (NWLM) were utilized in the creation of a learning module regarding structural empowerment. In phase one this was reviewed by an expert dialysis nurse focus group from seven different states with experience in dialysis from seven to forty years. During phase one, the expert panel gave high-frequency domain input including access to support, resources, and the need for strong leadership. The module was adjusted …

Ensemble Data Fitting For Bathymetric Models Informed By Nominal Data, Samantha Zambo

Dissertations

Due to the difficulty and expense of collecting bathymetric data, modeling is the primary tool to produce detailed maps of the ocean floor. Current modeling practices typically utilize only one interpolator; the industry standard is splines-in-tension.

In this dissertation we introduce a new nominal-informed ensemble interpolator designed to improve modeling accuracy in regions of sparse data. The method is guided by a priori domain knowledge provided by artificially intelligent classifiers. We recast such geomorphological classifications, such as ‘seamount’ or ‘ridge’, as nominal data which we utilize as foundational shapes in an expanded ordinary least squares regression-based algorithm. To our knowledge …

Identification Of Cultural Differences And Their Effects On International Relations: A Novel Approach, Stephen W. Jones

Dissertations

International Relations suffers from underspecified treatments of culture that risk reifying, essentializing, or ignoring the effects of cultural differences in the conduct of relationships between states. Following a review of the development of the culture concept, this interpretivist, epistemologically critical realist, dissertation introduces intercultural adaptive frameshifting from the intercultural communication literature. To assess whether culture has effect within an epistemic community, four frameworks are evaluated within a non-IR field (global Christian reasoning). Speech act theory is used to assess meaningful affect through illocutionary and/or perlocutionary divergence based on cultural difference.

Following the findings that such cultural differences do in fact …

The Application Of Motivational Design To Office Hours Conducted Within Fully Online Courses, Mark P. Ferguson

Dissertations

This study investigated the effectiveness of office hours conducted within online classes and created a framework for instructors to use when adapting office hours, office hours structures, and office hours procedures for online educational environments. A mixed-method approach using a sequential explanatory design was used to first gather quantitative information concerning student perception and use of office hour within online classes and student interaction preferences within online classes. This information was then used to in the development of a framework base the ARCS Model of Motivational Design and Social Information Processing Theory for instructors to use when planning and implementing …

Mobbing And Job Satisfaction Among Registered Nurses In Mississippi, Brenda Collins

Dissertations

The incidences of mobbing or workplace bullying are a common occurrence among nurses. The practice has been associated with overwhelming and long-standing comprising emotional, psychosomatic, and psychosocial distress. Mobbing (workplace bullying) impacts the target, those close to them, and the organization in which they work. The experience of mobbing produces affective reactions in the target. Affective experiences on the job can impact job satisfaction within organizations. Job satisfaction plays an essential role in sustaining an adequate nursing workforce. Subsequently, some nurses become frustrated and opt for resigning or early retirement when they are no longer satisfied with the culture or …

Framing Difference: A Content Analysis Of Disability Coverage In Saudi Arabia Newspapers, Majedah Alsewaiah

Dissertations

The problem of misrepresentation and underrepresentation of people with disabilities in printed periodical media raises concerns for stakeholders. Although this problem extends to multiple global cultures, the invisibility of people with disabilities in Saudi Arabia newspapers is particularly concerning. The existence of negative stereotypes that prevent individuals with disabilities from achieving positive progress in their lives is perpetuated by negative frames that the media fosters in its flawed narratives of disability.

The application of the framing theory enables the current study to expand the knowledge of positive and negative frames that exert an influence on stakeholders. Based on the literature …

Physical Education Teachers' Instructional Adaptations To Teach Motor Skills To Children With Language Disorders, Kristen Morgan

Dissertations

Children with language disorders have a unique blend of impairments related to communication, memory (Gray et al., 2019; Montgomery et al., 2019), executive functioning (Kapa & Plante, 2015), motor skills (Hill, 2001), imitation, gestures (Wray et al., 2017), and reaching early motor milestones (Diepeveen et al., 2018). These deficits may negatively affect learning motor skills in physical education (PE). Instructional adaptations to overcome these learning impairments in PE has not been greatly explored in the literature. Nor has teachers’ level of self-efficacy in providing adaptations to children with language disorders. The purpose of this study was to examine instructional adaptations …

"Ain’T I A Woman?”: The Intersectional Representation Of Black Women Professional Leaders Above The Concrete Ceiling In Scandal And How To Get Away With Murder, Jessica Love

Dissertations

This dissertation investigates the politics of re-presentation of the two Black leading characters in Shonda Rhimes’s televised series, Scandal (Olivia Pope) and How to Get Away with Murder (Annalise Keating). This textual analysis explores how the characters are re-represented as leaders at the intersections of race, class, gender, and sexuality using Kimberlé Crenshaw’s (1989) theory of intersectionality. This study also imposes Patricia Hill Collins’s (2005) matrix of domination to explicate how the hegemonic structure of the concrete ceiling conditions their identities and exertion of power in the workplace. To do this, the researcher investigated cultural workplace expectations tied to notions …

Gender And Cross-Cultural Invariance Of Attitudes Toward Statistics Among Non-Stem Undergraduate Students, Mihili Edirisooriya

Dissertations

Because of the wide usage of statistics in almost every field, many universities have incorporated statistics into their undergraduate and graduate curricula. Students taking statistics have often reported negative experiences and an aversion to statistics. Non-STEM students have often reported negative attitudes toward statistics (Chew & Dillon, 2014; Keeley et al., 2008). Researchers have used qualitative and quantitative approaches to measure attitudes toward statistics. The Survey of Attitudes Toward Statistics-36 (SATS-36) scale has been the most widely accepted measure to investigate attitudes toward statistics. Any psychometrically sound measurement instrument requires invariance across groups in its usage. Otherwise, measurement biases could …

Vision Based Activity Recognition Using Machine Learning And Deep Learning Architecture, Sarbagya Shakya

Dissertations

Human Activity recognition, with wide application in fields like video surveillance, sports, human interaction, elderly care has shown great influence in upbringing the standard of life of people. With the constant development of new architecture, models, and an increase in the computational capability of the system, the adoption of machine learning and deep learning for activity recognition has shown great improvement with high performance in recent years. My research goal in this thesis is to design and compare machine learning and deep learning models for activity recognition through videos collected from different media in the field of sports.

Human activity …

Discrete Moving Target Defense Application And Benchmarking In Software-Defined Networking, Charan Gudla

Dissertations

Moving Target Defense is a technique focused on disrupting certain phases of a cyber-attack. The static nature of the existing networks gives the adversaries an adequate amount of time to gather enough data concerning the target and succeed in mounting an attack. The random host address mutation is a well-known MTD technique that hides the actual IP address from external scanners. When the host establishes a session of transmitting or receiving data, due to mutation interval, the session is interrupted, leading to the host’s unavailability. Moving the network configuration creates overhead on the controller and additional switching costs resulting in …

Racial Identity, Masculinity, And Academic Help-Seeking Behaviors In African American Male College Students, Walter T. Malone

Dissertations

The purpose of this study was to examine the influence of Black racial identity attitudes, as measured by the Cross Racial Identity Scale (CRIS), and masculine norms, as measured by the Conformity to Masculinity Norms Index -46 (CMNI-46), in relation to men's academic helpseeking behavior. Participants were 120 African American undergraduate males at a historically White university in the Midwest region of the United States. Four hypotheses were designed to help guide the measure's influences on two academic help-seeking variables, avoidance and perceived benefits. The first and second hypotheses both focused on the effects of Black college men's racial attitudes. …

Understanding The Unique Role Of The Special Education Teacher And The Essence Of The Special Education Teacher’S Life In The Inclusive Setting, Evelyn C. Phillips

Dissertations

The drive for inclusive practices has required the special education teacher to become an integral part of the general education setting. Yet as the nation recovers from the ubiquitous COVID-19 virus, many schools are challenged to provide a learning environment that is conducive to all students while balancing the need to provide safety and an appropriate education. As schools find their way to a new normal, this study examines the unique role of the special education teacher engaged in inclusive practices. Using a phenomenological approach combined with the constant comparative method, this study explores what meaning special education teachers ascribe …

An Examination Of Types Of Health Insurance And The Reported Prevalence Of Autism In The United States, Jennifer L. Thompson

Dissertations

The prevalence of Autism Spectrum Disorders continues to rise despite barriers of changes to diagnostic criteria and lack of insurance coverage. Increases in prevalence affect costs associated with a disorder since cost of health care services are often estimated based on utilization of services. This can also affect an individual’s ability to access to health care services. To equitably distribute autism services to individuals an accurate estimation of the true prevalence of autism is needed.

Access to health care can be influenced by the type of insurance coverage a person holds. Other factors, such as socio-economic status, ethnicity, location of …

"Not In My Town": A Community's Response To Water And Soil Pollution, Karolina Staros

Dissertations

At the core of this dissertation is the acknowledgment that social movements are complex networks of people who face many obstacles in their efforts to achieve social change. One critique of social movements is that their goals and mission are limited to short term ideas and not long-term, systemic transformation. The lack of long term, systemic change can be observed when social movement groups mobilize for the same cause over and over again with what appears to be little progress over a period of time. The exact blueprint for a social movement’s success does not exist, but it is posited …

Effectiveness Of A Brief Parent Training In Pivotal Response Treatment For Young Children With Autism Spectrum Disorder, Hesham F. Hassan Abda

Dissertations

This study used a single-case research design across subjects. The purpose of this research was to investigate the effectiveness of a brief 6-hour training program in Pivotal Response Treatment (PRT) for parents of young children with Autism Spectrum Disorder (ASD) on the increased use of social functional utterances (SFU) by their children during play sessions. Baseline data were collected before the parent training. Training commenced once baseline trends showed stability, at which point the parents – all of whom were three fathers – received instruction in PRT motivational techniques for use in the home setting during play sessions. During the …

Non-Psychiatric Registered Nurses' Perceptions Of Caring For Persons With Mental Illness In A Non-Psychiatric Healthcare Setting, Debra Sue Ollila

Dissertations

Patients with mental illness receive care in acute medical facilities for medical and acute psychiatric problems. Non-psychiatric nurses are responsible for the care of patients with mental illness regardless of their training in psychiatric nursing skills. The purpose of this study was to inform the nursing profession and nursing education of the needs of non-psychiatric nurses in caring for patients with mental illness. This study also sought to discover non-psychiatric nurses’ experiences during the COVID-19 pandemic. This research study used qualitative descriptive phenomenology to explore the research phenomenon. Eight participants were interviewed virtually using a semi-structured interview guide with interview …

Deeper Learning And District-Level Curriculum Leadership: A Case Study Of One Large Public School District, Jonathan Warren Cooney

Dissertations

A key element within school accountability frameworks across the United States is student performance as measured by standardized assessments. Scholars have argued that these types of assessments and accountability systems have narrowed the curriculum to emphasize students' development of discrete, specialized skills. Researchers have recently suggested that deeper learning approaches will better support students in building the skills and understanding needed for life and work. Unfortunately, deeper learning has not commonly been observed at the school-wide level. Recent research suggested that a prevailing culture of district-level curriculum leadership serves as a potential barrier to the enactment of deep learning in …

The Experiences Of Mental Health Service Providers Adapting Counseling Treatments For Refugee Clients, Gurusewak Singh Khalsa

Dissertations

This study examined the perceptions of mental health professionals through their experiences of adapting counseling treatments to meet the cultural needs of their refugee clients. For this interpretative phenomenological study, 11 licensed clinicians participated in in-depth, semi-structured interviews that utilized multicultural counseling and vicarious trauma theories. Results were presented in superordinate and subordinate themes. This study added to the literature and exploration of the unique experiences of mental health providers culturally adapting their counseling approaches in order to provide more effective services to refugee communities. Participants discussed the influences of their cultural backgrounds, the challenges, supports, and areas of growth …