Digital Commons Network^™

Peer Collaborative Clinical Decision-Making In Virtual Reality Nursing Simualtion, Thye Peng Ngo

Dissertations

In nursing education, it is common for students to collaborate and make decisions as a group in simulations. One of the vital nursing competencies is students' ability to make sound clinical judgments and decision-making in simulation. Teamwork among students in simulation significantly affects their critical thinking and clinical reasoning. However, how students collaborate and make decisions in simulation is a complex phenomenon and not well studied and understood. In addition, most existing decision-making frameworks, such as Tanner's Clinical Judgment Model and the National Council of State Boards of Nursing's Clinical Judgment Measurement Model, focus solely on individual decision-making. Alternatively, teamwork …

Deficit-Oriented Language Use: Understanding The Effects Of Deficit-Oriented Labeling On First-Generation Students, Jeff Foulkes, Jeff Foulkes

Dissertations

Purpose: The purpose of this sequential mixed methods study was to describe how first- generation undergraduate college students perceive that deficit-oriented and strengths- based language has impacted them during their first year of study. A further purpose of this study was to identify how these students overcome the negative influences that are associated with deficit-oriented language.

Methodology: A sequential mixed methods research design was chosen to address the research questions for this study. Using a convenience sampling approach, the survey was disseminated to all first-year students in a specific program at a single university. Once the quantitative survey data were …

Exploring Evidence-Based Practice Norms Among Bedside Nurses In Magnet-Designated Hospitals: A Q Methodology Study, Rachel Ramsey

Dissertations

Evidence-based practice (EBP) is a recognized standard of professional nursing due to its positive impact on care quality and patient outcomes. Despite ongoing efforts to maximize EBP at the point of care, current estimates indicate that only 30% of healthcare decisions are evidence-based. Individual and organizational factors are commonly identified for their influences on EBP in nursing, but group factors have been largely unexplored. Group-level factors, such as norms, are essential to investigations of phenomena that occur within multilevel organizations (i.e., hospitals) where individuals work in groups. Understanding the EBP norms that emerge among groups of nurses in direct care …

The Postsecondary Success Of Historically Marginalized Black And Latino Male Students: Examining Factors That Impact College Readiness Preparation And Persistence, Molly Croghan, Ebonie Davis, Janci Finkley, Zehra Khan, Yvette Levy, Evans Mudanya, Lizbeth Roman

Dissertations

This qualitative research study investigates the multifaceted factors influencing the postsecondary success of historically marginalized Black and Latino male students, with a particular emphasis on understanding the impact of college readiness preparation and persistence. Employing a comprehensive research design, the study integrates semi-structured interviews with high school teachers and counselors, and Black and Latino male freshmen and sophomores to provide a holistic exploration of the challenges and opportunities within the educational journey. Situated within an interpretive phenomenological paradigm, this study elucidates the experiential realities and viewpoints of the subjects, thereby illuminating the socio-cultural, institutional, and individual factors shaping their trajectories …

Exploring Nurses' Perceptions Of Nursing Presence In The Mental Health Setting, Joy Scharfman

Dissertations

Nursing presence is a core relational phenomenon in nursing. It involves devoting attention to being with and connecting with another, which is essential for providing holistic, person-centered care. There is scant research on the experience of nurses practicing in mental health settings who use presence in the care they provide.

This research aims to understand the lived experience of nurses providing nursing care and engaging with presence in the mental health setting.

The Process Of Restoring Personal Integrity: Mitigating The Emotional Cost Of Medical Errors, Marie M. Prothero

Dissertations

This constructivist grounded-theory study was conducted to explore the emotional response to and recovery process following a medical error causing harm to a patient. The study participants were 37 registered nurses (30 women and 7 men), and unstructured interviews provided rich, detailed data. Through an inductive analysis of these errors, a taxonomy of errors is proposed. The Circumstance of Error Model was developed, and five distinct error circumstances were identified: accidental, unanticipated, distracted, unrecognized/unknown, and external. By linking the circumstances of error types with the recovery process, new insights were obtained. These insights resulted in a theory, reestablishing competency, that …

Improving Adjunct Nursing Instructors' Knowledge Of Student Assessment In Clinical Courses, Kelly Vowell Johnson

Dissertations

Utilization of adjunct nursing instructors to teach clinical courses is a common occurrence in nursing programs. Adjunct clinical instructors are often expert clinicians, but they have limited experience in teaching and lack the expertise needed to be successful in the educator role, such as knowledge of student assessment. Faculty development programs that focus on student assessment can provide adjunct clinical faculty members with the necessary knowledge to become effective educators and ensure student, faculty, and program success.

The purpose of this study was to examine to what extent a faculty development workshop on evaluating students in clinical courses affected adjunct …

Student–Faculty Engagement Solutions For Retention Of Racially Minoritized Students, Rayza Rolon Nieves, Kevin M. Wathen, Jordan M. Watson, Shanee E. Haynes

Dissertations

This qualitative study examined the importance of student–faculty interactions for racially minoritized students. Persistent challenges in low retention rates for racially minoritized students have been a focal point of scholarly investigation for decades (Carey, 2004; Kinzie et al., 2008). Despite research indicating that engagement between students and faculty is crucial for improving student retention, these interactions are constrained (Cox et al., 2010). The presence of effective student–faculty engagement can foster students’ persistence, while the absence of engagement can create a negative academic experience, especially for racially minoritized students.

Tinto’s theory of student departure (1975, 1987, 1993) is one of the …

Splanchnic Oxygenation And Feeding Intolerance In The Very Low Birthweight Infant, Melissa C. Dollings

Dissertations

Feeding intolerance is common in preterm infants but can be an ominous precursor of necrotizing enterocolitis, a life-threatening gastrointestinal disease. The definition and management of feeding intolerance vary widely. This research examined the relationship between feeding intolerance, intrauterine factors, extrauterine factors, and intestinal immaturity and circulatory immaturity in the premature, very low birthweight infant. It also explored the use of splanchnic oxygenation (a marker of intestinal perfusion) as an objective measure of feeding intolerance.

Development Of A Model To Guide The Implementation Of Simulation-Based Education In Under-Resourced Nursing Education Institutions In Lesotho, Pule Solomon Moabi

Dissertations

The changing landscape of nursing education to competency-based education has strengthened the importance of simulation learning in the process of developing the required graduate competencies. In Lesotho, simulation-based education was adopted in 2012 with the support of external experts but with no clearly defined model to suit resource-constrained nursing education institutions.

To develop a model that will guide implementation of simulation-based education for resource-constrained nursing education institutions in Lesotho.

Help Or Hindrance: Latinx College Graduates’ From Stem Majors Perceptions Of University Culture Following Vincent Tinto’S Theoretical Framework Of Student Persistence, Carmen Gonzalez, Carmen Lucia Gonzalez

Dissertations

Purpose: The purpose of this phenomenological study was to explore how Latinx college graduates who have achieved STEM degrees perceive the culture of their university and the STEM program they were enrolled in as supporting or not supporting a Latinx college student’s persistence to graduation.

Methodology: A qualitative phenomenological approach was the methodology selected for this study. This phenomenological research captured and described the lived experiences of study participants through interviews and artifacts.

Findings: The findings of this research illustrate (a) Research participants all perceived that creating relationships with STEM program faculty was important in supporting them toward degree completion, …

Clinical Supervisors Competency And Readiness To Supervise Telehealth Practices, Myriam Buitrago

Dissertations

The growing effectiveness of telehealth as an alternative practice is gaining acceptance not only by professionals in the healthcare field but also by people who have benefited from this approach. New training and supervision practices are required to meet the new telehealth approach. Clinical supervision is a new profession identifying the competencies that define their best practices. However, telehealth is forcing us to evaluate and redefine them to meet the new telehealth requirements. This study used two assessments, the Supervisor competence self assessment and the supervisor evaluation and the Supervisor Competence Scale, to measure supervisors' self-evaluation of their performance as …

Readers’ Workshop Model Impact Urban Primary Students’ Motivation And Reading Progress, Narissa Waller

Dissertations

In order to assess the impact of the Readers' Workshop on academic success and literacy progress of primary students in an urban Midwest primary school, the researcher conducted a study. Through this study, the researcher aimed to determine whether the implementation of the Readers' Workshop positively affected the academic and literacy progress of primary students in an urban setting. Student progress was analyzed by comparing their assessment scores and reading levels in fall 2022 and spring 2023. The study aimed to identify effective teaching practices that can be implemented to bridge the achievement gap between urban students and their counterparts. …

A Design Thinking Mixed-Methods Study On Deliberate Practice And Building Collective Efficacy For Teachers In The Midwestern United States, Brian Elder

Dissertations

Educational research identified teacher efficacy as a primary driver for student learning and building a positive school culture (Hattie, 2018). However, understanding how to build and support the self and collective efficacy of teachers remained unclear and an elusive process for in-service teachers. The following research study used a design thinking mixed-methods study to explore how professional development rooted in a criteria of deliberate practice worked to build professional capacity of teachers and increase teacher efficacy (Ericsson, 2020). The research project initially began embedded at an independent school in a Midwestern city before expanding to include 15 in-service teachers representing …

Integrating Computer Vision In Construction Progress Monitoring: A Comprehensive Analysis And Future Perspectives, Muhammad Sami Rehman

Dissertations

This dissertation presents an in-depth exploration of the integration of Computer Vision (CV) in Construction Progress Monitoring (CPM), a field that has traditionally relied on manual and document-centric approaches. Such traditional CPM techniques lead to poor tracking of project progress, resulting in delays, cost overruns, bitter stakeholder relationships, schedule changes, and legislative proceedings to settle construction claims. The primary objective of this research is to investigate the potential of CV technology to transform CPM into a more efficient, accurate, and automated process. This is achieved through a series of comprehensive studies encompassing a systematic review, critical appraisal, barrier analysis, feature …

Cultural Agility Competency Of Relationship Management As A Leadership Imperative: A Study Of Charter School Administrators, Monica Christensen

Dissertations

As the United States has become more diverse, research on Culturally Responsive School Leadership strategies and practices and research on Culturally Agility competencies has expanded. While interest has continued to grow in both of these areas of focus, little was known in the intersectionality of these two areas as it relates to cultural competency within K-12 charter schools. More specifically, little was known about how charter school administrators are culturally agile when managing relationships in their organization. Purpose: The purpose of this phenomenological study was to identify and describe how charter school administrators are culturally agile when managing relationships in …

Returning To School After A Pandemic: K-12 School Mental Health Practitioners’ Perspectives Returning To School In Regard To Mindset, Behavior, Performance, And Social Connections, Viridiana Benitez Esparza

Dissertations

Purpose: The purpose of this phenomenological study was to determine K-12 school mental health practitioners’ perceptions of their experiences working with students following the 2-year educational/social/emotional trauma of the COVID-19 pandemic with regard to the mental health practitioners’ mindset, behavior, performance, and social connections. Methodology: The researcher conducted a phenomenological study examining particular experiences of participants to understand their perspective during a phenomenon (McMillan & Schumacher, 2006). This qualitative study interviewed 12 school mental health practitioners who served in K-12 public schools after the pandemic in Los Angeles County, California. Semi-structured interview questions were used for data collection and aligned …

Pattern Recognition In Experienced Pediatric Nurses, Kathleen Wilson Neal

Dissertations

Little is known about how nurses build their knowledge beyond skills and tasks. Nurses may develop the ability to use a number of objective and subjective information sources to recognize the patterns of healthcare, behavioral, and social issues. The purpose of this study was to describe the development of pattern recognition in pediatric nurses in an acute care setting.

Using Ultrasound-Guided Peripheral Intravenous Access In Difficult Intravenous Access Patients, Diana Hampton

Dissertations

Inserting a peripheral intravenous catheter (PIVC) can be challenging on the first attempt. At the project site there was no systematic process to impact failed first-attempt success for PIVC access, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if the implementation of the Emergency Nurses Association's (ENA) Clinical Practice Guideline: Difficult Intravenous Access would impact the number of patients identified as difficult intravenous access (DIVA) and first-attempt success for peripheral intravenous access. The project was piloted over 12 weeks in a community living center in a Veterans Administration facility in the southern …

Exploring The Relationship Among Clinical Judgment, Academic Resiliency, Student Predictors, And Exam Remediation In Prelicensure Nuring Students Preparing For Next Generation National Council Licensure Examination [For] Registered Nurses, James F. Oberlander

Dissertations

As the field of nursing becomes increasingly more complex, nursing students are psychologically challenged as they progress through a program of study, prepare for the licensure examination, and enter professional practice. Identifying factors that influence student outcomes is necessary for faculty to effectively guide students toward successful completion of nursing school and passing the National Council Licensure Exam for Registered Nurses (NCLEX-RN). Along with academic and nonacademic demographic variables, the main objective of this exploratory, quantitative research study was to investigate the relationship between clinical judgement, academic resiliency, exam remediation, and NCLEX-RN first attempt pass rates.

Increasing Providers' Education Of Patients In The Management Of Type 2 Diabetes Mellitus, Ruby A. Akuffo

Dissertations

Approximately 29.1 million individuals of all ages in the United States are affected by diabetes, amounting to 9.3% of the entire population (Adjei Boakye et al., 2018). Much research has been completed and is ongoing on type 2 diabetes mellitus. Numerous resources, including education in different languages, medications, and peer support, are available for patients with type 2 diabetes mellitus. However, patients may not be able to fully access these resources to manage the condition (Schillinger, Bullock, & Herman, 2022). The purpose of this evidence-based project was twofold: to increase provider education of patients with type 2 diabetes mellitus, and …

Improving Nurse's Documentation In The Emergency Department, Jacqueline N. Wright-Cole

Dissertations

The appropriate documentation and effective hand-off communications are essential components for attaining and maintaining the continuity of quality care for patients in the emergency department. Despite global efforts and standards geared towards improving the accuracy and function of documentation, the issue of incomplete documentation and hand-off communication persist in the local emergency department. Incomplete documentation and handoff communications have been regarded as key factors of delayed patient care as well as discontinuation of care in the clinical setting. A detailed study conducted for evaluating the effectiveness and benefits of the Institute Healthcare Improvement SBAR guideline as a checklist on nurses' …

Evidence Based Practice Among Primary Care Nurse Practitioners, Stephen Van Roper

Dissertations

This study describes primary care nurse practitioner (PCNP) beliefs in, knowledge, implementation and utilization of evidence based practice (EBP). Research questions answered are:

1. What are the levels of belief, implementation, knowledge and utilization of EBP among PCNPs?

2. Is there a relationship with PCNP demographics (personal, professional, and practice), belief, knowledge, implementation and utilization of EBP?

3. Do PCNP demographics (personal, professional, and practice) and scores on belief, knowledge and implementation influence EBP utilization?

Life After Emancipation: A Phenomenological Study Of Emancipated Foster Youth And Their Lived Experiences, Felecia Gray

Dissertations

Purpose: The purpose of the current phenomenological study was to identify and describe the perceptions of emancipated foster youth (EFY) regarding the factors that have impacted their successful transition into adulthood. The secondary purpose of this study was to describe the measures EFY considers essential for a successful transition from foster care to independent living.

Methodology: This qualitative study identified and described the lived experiences of 12 emancipated foster youth from Los Angeles County, California. Respondents were purposively chosen based on specific criteria. Data were collected, and themes were formed with regard to five characteristics of the emerging adulthood theoretical …

A Design-Based, Mixed Methodology Study On Neurodiversity-Affirming Practices Among Speech-Language Pathologists In A Midwestern School District, Sarah E. Schmid

Dissertations

As autism diagnosis increased (Maenner et al., 2023; Wright, 2017), autistic individuals increasingly advocated for services aligned with a neurodiversity perspective (Jordan, 2010; Leadbitter et al., 2021). Using a human centric, design-based approach, the researcher identified a lack of alignment between the emerging preferences of the autistic community and the services speech-language pathologists (SLPs) in a large, suburban special education school district felt competent in providing. Some SLPs in the district reported a lack of knowledge and training about the neurodiversity movement and felt further training on the topic was needed. Once the knowledge gap was identified, the researcher worked …

Exploring The Relationships Between Health Literacy And Hba1c In A Rural Border Region, Stephen Jaime

Dissertations

Aims/Objectives: The purpose of this study was to describe the relationships between select sociodemographic and clinical characteristics, individual health literacy levels, and hemoglobin A1c (HbA1c) levels among Hispanic patients with diabetes living in a rural border region.

Background: The frequency of complications from diabetes can increase as HbA1c levels rise, causing the person with diabetes to be at greater risk for blindness, amputation, or renal failure. Unfortunately, people of Hispanic background are at higher risk of developing diabetes compared to non-Hispanic Whites. Many people living in rural towns that border Mexico are of Hispanic background, increasing their risk of developing …

Towards A Servingness Advising Approach: From The Advisors’ Perspective At A Hispanic-Serving Institution, Salvador Gomez-Pantoja

Dissertations

Research on student success is replete with studies showing that academic advisors play a vital role in shaping students' achievement, tenacity, and persistence (Hatch & Garcia, 2017; Hunter & White, 2004; Kuh et al., 2005; Kuhn, 2008; Pascarella & Terenzini, 2005; Strayhorn, 2015). Using the multidimensional conceptual framework of servingness in HSIs (Garcia et al., 2019) as a lens, I conducted a collaborative action research study that examined an academic advising model that was recently launched at a large, public, four-year Hispanic-Serving Institution (HSI). Specifically, the purpose of this study was to examine the experiences of advisors who are part …

An Aviation Curriculum For An Urban Diverse School District: The Need And Possibility, Stephanie Kiley

Dissertations

The aviation industry expects over two million new personnel in the next twenty years to ensure safe commercial travel and support long-term growth. However, the industry needs more diversity. This study gathered information from administrators and educators in a large, diverse urban school district to address this issue through questionnaires and focus groups. The study aimed to highlight the need for more aviation-related opportunities. The research questions focused on identifying factors that could support or hinder high school aviation programs, perceptions of educators and administrators on introducing an aviation curriculum, and influences that lead students to choose aviation as a …

Cross-Linguistic Awareness In 90/10 Two-Way Bilingual Immersion Programs, Patricia Mondragón-Doty

Dissertations

Purpose: The purpose of this phenomenological study was to identify, describe, and recommend the specific cross-linguistic connection instructional strategies that teachers in TWBI 90/10 programs have found to be most effective for fostering language and literacy development.

Methodology: This qualitative phenomenological study explored how teachers of TWBI 90/10 programs perceived the use of specific cross-linguistic connection instructional strategies to better serve emergent bilingual learners (EBLs) and what implications cross-linguistic connections had on dual language instruction. To determine what best instructional strategies support bilingualism, biliteracy, academic achievement and cultural competence, in-depth semi structured interviews were conducted. Ten teachers were selected to …

Understanding Dual Language Teachers' Language Ideologies Using Translanguaging Theory And Pedagogy: A Mixed-Methods Approach, Joseph P. Elliott

Dissertations

The purpose of this explanatory, mixed-methods research study was to understand dual language teachers’ language ideologies using a pluralist theory of bilingualism called translanguaging (García et al., 2017). Translanguaging is also a pedagogy that teachers can employ to help emergent bilingual students grow and learn. The research design employed two phases: Phase One used survey research and confirmatory factor analysis to analyze data from 110 dual language teachers across the United States regarding their translanguaging beliefs, attitudes, policies, and practices. Phase Two used one-on-one interview data from three dual language teachers who completed the Phase Two survey. Using these data, …