Digital Commons Network^™

Perceptual Differences Between Lighthouse Team Members And Non-Lighthouse Team Members Regarding School Attendance, Classroom Discipline, And School Climate In Leader In Me Schools, Nina J. Henson

Dissertations

The Leader in Me is a school approach with a focus on socioemotional education adopted by over 3,000 schools across the globe (Soutter, 2018, p.8). As culture continues to change with technology and new social aspects, character education programs must continue to adapt as well to support student needs within schools (Rocco, 2018). This quantitative study was designed to identify differences in perceptions of Lighthouse Team members and Non-Lighthouse Team members about how the Leader in Me impacts student attendance, classroom discipline, and school culture. Surveys were sent to educators in 22 schools in southern Missouri who had implemented the …

The Role Of Plasticity In Bumble Bee Responses To Environmental Variability, Matthew Austin

Dissertations

An aim of contemporary biology is elucidating the causes and consequences of phenotypic plasticity. Here, I approach this aim by exploring the eco-evolutionary dynamics of phenotypic plasticity and environmental variability in bumble bees (Apidae: Bombus), a congeneric clade of eusocial pollinating insects. Throughout their evolution, bumble bees have encountered spatiotemporal variability imposed by dynamic floral environments. Today, bumble bees additionally encounter spatiotemporal variability imposed by anthropogenic environmental change. In this dissertation, I explore how phenotypic plasticity affects how successfully bumble bees respond to environmental variability imposed by anthropogenic global change (Chapters 1 and 2) and their floral resources (Chapters …

Supporting Hope In Midlife Cancer Survivors: Intervention Workshop, Clare Marie Butt

Dissertations

Cancer patients lack information and support needed to make the transition to survivorship. This problem was addressed by testing a psycho-educational group intervention, the Mid-Life Directions Workshop, for its effect on hope and quality of life in midlife cancer survivors.

A Comparison Of The Effectiveness, Efficiency, And Post-Training Outcomes Of Traditional Behavioral Skills Training And Asynchronous Remote Training, Dani Pizzella

Dissertations

While applied behavior analysis (ABA) is the most commonly recommended therapy for individuals with Autism spectrum disorders (New York State Department of Health, 1999; Surgeon General, 1999), there is a significant lack of board certified behavior analysts (BCBAs; Bethune & Kiser, 2017; Maglione, Kadiyala, Kress, Hastings, & OʹHanlon, 2016). Telehealth may help to increase the availability of training in behavior analytic procedures, however, BCBAs have been slow to adopt remote training measures (Tomlinson, Gore, & McGill, 2018). This may be due to the in-vivo training requirements of common behavior analytic training procedures. This research compares traditional, face-to-face behavioral skills training …

Engaging Middle School Emergent Bilinguals In Language Awareness: A Practitioner Researcher Study, Carol Lickenbrock

Dissertations

This practitioner research study (Cochran-Smith & Lytle, 2009) traced the journey toward critical literacy of a group of seven emergent bilinguals and me, their teacher, over the course of a four-month unit on argument as part of our English for Speakers of Other Languages 3 (ESOL3) class. Many of these students, like many emergent bilinguals in the United States, had been disempowered because they had not had access to the academic texts of school. As part of this research, students worked with tools of Systemic Functional Linguistics (SFL) to analyze the interpersonal, ideational and textual metafunctions of argumentation in lessons …

Measuring The Impact Of Cognitive Behavioral Coaching With Nonverbal Immediacy On The Self-Efficacy Of Undergraduate Students In Stem Courses, Christopher Miller, Melissa Joy Benton

Dissertations

A quasi-experimental study explored whether the practice of cognitive behavioral coaching with an intentional focus on nonverbal immediacy has an impact on the self-efficacy of undergraduate students taking college-level STEM (Science, Technology, Engineering, and Mathematics) courses. A positive impact to self-efficacy for students who receive the coaching intervention was anticipated. The research took place at a public research university located in the Midwest. Subjects included students who were required to work with a success coach as a condition of their enrollment and/or financial aid eligibility. Information obtained included perception of nonverbal immediacy of the coaches and self-efficacy of the student, …

Explaining Relationships Between Stress And Resilience In Pharmacy Students, Rebecca Jones

Dissertations

ABSTRACT

Stress is a growing issue on college campuses, and students in a professional pharmacy program may be at an even greater risk for associated problems. The purpose of this study was to gain information about resilience and its relationship with stress, high-risk behaviors, and grade point averages (GPAs) in students who just completed their first professional (P1) year of a pharmacy program. The research questions for this study were: 1) What is the relationship between levels of stress and level of resilience in these pharmacy students, 2) What is the relationship between high-risk behaviors and level of resilience?, and …

Evaluation Of Mcgeer Criteria For Uti Determination In A Nursing Home, Julie Rehagen

Dissertations

Problem: Urinary tract infection (UTI) is one of the most complex and challenging medical diagnoses to make in the long-term care (LTC) population. The unnecessary treatment of a UTI can increase cost of care and the likelihood of multi-drug resistant organisms.

Methods: The McGeer criteria which focuses on UTI in the LTC population was utilized to complete a quality improvement initiative. A descriptive cohort project utilizing retrospective and prospective data was completed to determine if an implemented McGeer criteria protocol improved the avoidable treatment of asymptomatic bacteriuria (ASB).

Results: Before implementation of the protocol, 62.5% of residents were unnecessarily treated …

The Effectiveness Of Multiple-Choice Test Items In Assessing The Clinical Judgement Abilities Of Prelicensure Registered Nursing Students, Tracy D. Holt

Dissertations

The purpose of this study was to evaluate the effectiveness of multiple-choice questions in assessing the clinical judgment abilities of prelicensure registered nursing students. Nurse educators are responsible for ensuring fairness in testing and evaluating the development of clinical judgment abilities of students throughout the nursing program of study. This study compared multiple-choice test items developed using the current NCSBN® NCLEX-RN test item writing guidelines to multiple-choice test items developed using the new guidelines proposed by the NCSBN® Next Gen NCLEX-RN® project.

Comparison Of Nursing Student Academic Achievement And Satisfaction Based On Face-To-Face Interaction Versus Distance Education In Teaching Therapeutic Crisis Management Techniques, Jennifer S. Graber

Dissertations

Nursing education today is very different with advances in science and technology. Nurse educators are using distance education in an effort to offer students the ability to practice varying skills in a safe non-threatening environment. This quasi-experimental, post-hoc causal comparative study had a two group post-test only design. There were two conditions: face-to-face classroom delivery of course content and distance education with online course content. The study was designed to compare effectiveness of distance education and face-to-face interaction through reviewing test grades and class grades. Additionally students were asked to rate their satisfaction of the different modalities.

A Mixed- Methods Study Investigating The Perceptions Of Culture Among Faculty, Staff, Adjunct Instructors, And Administrators In A Four-Year, Private, Midwestern University, Amanda J. Price

Dissertations

This mixed-methods study investigated the different perspectives between faculty, staff, adjunct instructors, and administrators utilizing the Competing Values Framework developed by Cameron & Quinn (2011). The quantitative portion of this study analyzed how each employee type viewed the institution’s current culture and how these perceptions were similar or dissimilar to the preferred culture. The qualitative portion, on the other hand, aimed at understanding each group’s viewpoints on the university’s ability to achieve its mission and purpose, adapt and change, clearly communicate, and to effectively lead. These insights were necessary for the researcher to gain insight into the institution’s culture beyond …

Utilizing Wellness Champions As A Faith-Based Initiative For Mental Health Promotion, Tracy M. Webster Cooley

Dissertations

Abstract

Purpose: This program evaluation project evaluated the effectiveness of mental health training and support provided to wellness champions affiliated with a behavioral health organization. This project sought to gain a better understanding of how clergy and laypersons acting as wellness champions in predominately African-American faith-based organizations perceive they create an atmosphere to decrease stigma and increase mental health promotion and wellness when receiving education and training on mental health.

Methods: A descriptive project using a program evaluation design to evaluate the effectiveness of the training of 122 wellness champions from faith-based organizations received from a behavioral health organization …

Evaluation Of Sleep Hygiene Checklist For Delirium In An Intensive Care Unit, Ying Wei

Dissertations

Abstract

Problem: Delirium is a severe complication brought on by sleep deprivation that could increase mortality and prolong intensive care unit (ICU) stays in critically ill patients. This project aimed to develop and implement a sleep hygiene checklist to decrease the incidence of delirium in a Medical Intensive Care Unit (MICU).

Methods: This study used a pre-post design to compare the incidence of delirium pre-and post-implementation of the sleep hygiene checklist. Forty-four patients and thirty-six patients were recruited for the pre-and post-intervention groups, respectively.

Results: The result of this study demonstrated use of a sleep hygiene checklist could decrease the …

Impact Of The Hester Davis Fall Risk Scale On Inpatient Falls, Amelia Payne

Dissertations

Problem: During a three month period in 2018, a rural acute care facility experienced a fall rate of 3.4 falls per 1,000 patient days. The aim of this clinical scholarship project was to implement the Hester Davis Fall Risk Scale (HDFRS) for adult inpatients in a rural acute care facility.

Methods: Utilizing the Find, Organize, Clarify, Understand, Select- Plan, Do, Study, Act (FOCUS-PDSA) model, the HDFRS was implemented and evaluated using a pre and post design to determine its impact on falls per 1,000 patient days and falls with injury per 1,000 patient days. The method of evaluation was a …

Evaluation Of A Type 2 Diabetes Mellitus Care Coordination Program, Carrie Smith

Dissertations

Abstract

Purpose: This Quality Improvement (QI) project evaluated the impact of an existing Diabetes Care Coordination (DCC) program at an urban clinic for clients with no health insurance in the Midwest. Diabetes related indicators of those enrolled in the DCC program and client reported barriers were documented over a 19 month period.

Sample: Clients included were 18 years and older, with no insurance, having the diagnosis of Type 2 diabetes mellitus, and were enrolled in the DCC program within the first six months of the program's initiation.

Methods: A retrospective chart review of 24 clients recording diabetes related outcome indicators …

The Development Of Science Identity In Undergraduate Stem Majors: A Case Study Of Urban High School Students, Charles Mcwilliams, Benjamin Nims, Kathleen Dwyer

Dissertations

The STEM fields, science, technology, engineering, and mathematics, face a significant challenge: the underrepresentation of women and minority racial groups entering STEM degree programs and careers. Addressing this STEM gap requires more than quality curriculum and educational supports; there is a need to understand the social psychological processes that influence students’ perceptions, motivation, and interest in STEM. The concept of science identity has been posed as a research perspective to understand participation and persistence in STEM. Enacting a science identity may include describing oneself as a scientist, having a high sense of self-efficacy to do scientific work, displaying an interest …

Increasing Cms Sepsis Core Measure Adherence Rates Through Virtual Consultation, Angela Cann

Dissertations

Problem: According to the Centers of Disease Control and Prevention (CDC, 2016), it is estimated that sepsis affects around 1.5 million individuals in the United States annually, causing the death of 250,000 individuals and being responsible for one out of three hospital deaths. One-fourth of patients who develop severe sepsis will die during their hospital stay. Delays in sepsis treatment contribute significantly to increased morbidity, mortality, and length of stay in the hospital. The Centers for Medicare and Medicaid (CMS) sepsis bundle guideline adherence rate in the Emergency Department of a Level III Trauma Center was stagnant at 55% through …

Improving Clinician Adherence Rates To Aims Testing On Individuals Taking Long-Term Antipsychotics, Shavaun Johnson

Dissertations

Abstract

Problem: Tardive dyskinesia is a common problem that creates challenges in the lives of those affected by it. The Abnormal Involuntary Movement Scale records the occurrence of tardive dyskinesia in patients receiving neuroleptic medication. With this scale, clinicians can detect tardive dyskinesia and its severity over time. The aim of this study is to learn the current rate of adherence for clinicians at the organization and to create and implement an intervention that will increase that rate in an effort to improve patient outcomes and quality of life.

Methods: This quality improvement project will use a descriptive cohort …

Multidisciplinary Team Approach Effect On Pediatric Severe Asthma, Lila Kertz

Dissertations

Problem. Children with severe asthma are more likely to be non-adherent with their prescribed medications, often related to barriers. A holistic assessment of these patients has been suggested, but is not typically performed in most pediatric asthma clinics. The purpose of this project was to evaluate the effects of severe pediatric asthma clinic services designed to perform holistic assessments and provide comprehensive care.

Methods. An observational, descriptive design was used to evaluate the Severe Asthma Clinic for Kids (SACK) created in 2013 using a retrospective database review. A convenience sample of data collected on all children treated in the clinic …

Compassion Fatigue And The Emergency Department, Alexandra Myers

Dissertations

Problem The emergency department (ED) is a high-stress environment. Nurses exposed to this stress for prolonged periods are subject to compassion fatigue (CF). The purpose of this quality improvement project was to identify and reduce the level of CF in ED nurses by implementing Real Time Transformative Response^© (RTR). RTR^© is a technique that uses combinations of neurofeedback response awareness, biofield therapy intervention, and clearing of unwanted energy.

Method A purposeful sample of ED nurses working at a moderately-sized, suburban, Midwestern hospital ED who were scheduled to work 24-hours or more per week completed a Professional Quality of …

Degree Completion Of Underrepresented Minorities Majoring In Mathematics As A Function Of Undergraduate Student Programs, Marnice Anthony

Dissertations

Abstract

Students with disabilities, minorities, and women are underrepresented in the critical demand courses of study in Science, Technology, Engineering, and Mathematics (STEM) undergraduate college enrollment. Institutions of higher education in the United States of America are challenged with a continuous need for undergraduate students to choose and earn a STEM degree. The 2019 annual report of Women, Minorities, and Persons with Disabilities in Science and Engineering indicated these groups continue to be disproportionately underrepresented relative to the U.S. population. In 2014, the U.S. Department of Education reported that upon graduation students studying mathematics in college have higher employment rates …

An Exploration Of The Parental And Spousal Experiences Of Fathers/Husbands In Families Of Children With Chronic Illness, Amy M. Nulsen

Dissertations

The purpose of this study was to investigate the parental and spousal experience of fathers in families of children with chronic illness and to compare this to the experience of fathers of healthy children. Four research questions were explored: As parents, what is the experience reported by fathers of children with chronic illness in terms of participation in care, overprotection, discipline, communication, family leisure/recreation? Along the same dimensions, how does this compare to the experience reported by mothers? As husbands, what is the experience reported by fathers of children with chronic illness in terms of caretaking responsibility, marital satisfaction, communication? …

The Lived Experiences Of Male Partners Of Women Who Have Previously Been Diagnosed With Postpartum Depression, Judy Kaye Smith

Dissertations

This qualitative, descriptive phenomenological study was conducted to determine the actual lived experiences of male partners of women who have previously been diagnosed with postpartum depression. The study also explored the knowledge level of male partners with regard to the phenomenon of postpartum depression. While experiences were varied, three common themes emerged of being vulnerable, being helpless, and coping with two to four sub-themes identified under each one. The seven men who participated demonstrated gaps in the knowledge with regard to the phenomenon of postpartum depression.

Integrating Nursing Peer Review Into A Unit Shared Governance Model, Mary Jane Brann

Dissertations

Transformational nursing leaders develop environments that empower nurses to achieve nursing excellence. The systems identified by the Magnet Accreditation program, such as shared governance and peer review, help achieve these environments. During the project, a peer review tool based upon the American Nurses Association (ANA) standards of practice was developed. The tool was revised to assist staff nurses with identification of medical record items that exemplified each standard while they were completing the mandatory medical record audits required by the Joint Commission.

Social Patterns And Pathways Of Hiv Care Among Hiv-Positive Transgender Women, Dana D. Hines

Dissertations

Transgender women have the highest HIV prevalence rates of all gender and sexual minorities, yet are less likely to enter and be retained in HIV care. As a result, they are at high risk for HIV-related morbidity and mortality. This study aimed to describe the illness career of transgender women living with HIV and to describe how interactions with health care providers and important others influenced their illness trajectory.

The Role Of Professional Nursing In The Origin Of The Newborns' And Mothers' Health Protection Act Of 1996 From A Feminist Perspective, 1981-1996, Jan-Louise Leonard

Dissertations

This social historiography tells the story of the origin of the Newborns' and Mothers' Health Protection Act of 1996. In the 1980s when the federal government reduced allocations to states' Medicaid programs as a cost saving measure, hospitals, initiated early discharge of patients to save costs. Given four million births annually, childbirth is the most frequent reason for hospitalization in the United States. Hospitals discharged Medicaid insured mothers and newborns very early at twenty-four hours for a normal birth and seventy-two hours for a cesarean. Other insurers adopted similar managed care strategies in the early 1990s. By 1995, unionized nurses …

Title I Schools And Strategies That Work, Michelle Manriquez

Dissertations

Purpose: The purpose of this study was to identify and describe the strategies principals of Title I schools perceived as most effective in improving English language arts (ELA) scores by at least 10 points, through the lens of WestEd’s Four Domains of Rapid School Improvement.

Methodology: This study utilized a qualitative methodology to gather data via the California Dashboard and semi-structured interviews of 11 principals from 11 different sites in northern California that showed at least 10-point growth on the Smarter Balanced Assessment Consortium (SBAC) standardized test. The interview questions were based on the Four Domains for Rapid School Improvement: …

The Russian Research Center At Harvard Versus Cambridge Analytica: Influencing The Public In A Cold War, Robert Joshua Howard

Dissertations

No abstract provided.

College Choice Decisions: An Analysis Of University Honors Students, Thomas Tyler Clark

Dissertations

The purpose of this research was to analyze the importance of various institutional attributes in the college-choice process of honors students. The study surveyed honors students (N = 279) currently enrolled in an honors college at one university. Students rated 51 items on the degree of importance in their college decision. An exploratory factor analysis was used to determine the underlying factors in the college-choice process.

The results indicated that cost was the most important issue students considered when determining an institution to attend. Cost of attendance and financial assistance offered were followed by quality of course instruction, safety on …

A Phenomenology Study Of Possible External And Internal Factors Relating T Women’S Under-Representation In Leadership In Large Chinese Media Organizations In Beijing City, Xiaoxue Xiang

Dissertations

The purpose of this study is to gain a better understanding of possible factors that contribute to the underrepresentation of women in leadership positions in Chinese media through their lived experience. The 10 participants in this study were from large media organizations in Beijing. The results of this study indicate Balancing work and family and Chinese traditional culture can be considered as the external possible factors of the barriers women leaders encountered in Beijing large media organizations; the negative influence of traditional culture on Chinese women, which refers to women’s low self-evaluation and negative self-awareness, can be taken as the …