Digital Commons Network^™

The Relationship Between Background Music And Symptomatology In Adults Diagnosed With Adhd, Michelle L. Spiewak

Dissertations

Individuals who have been diagnosed with attention-deficit/hyperactivity disorder (ADHD) often experience symptoms that interfere with their daily functioning, concentration, and performance at school, at home, in the workplace, and in social settings. Previous research has been conducted into the effects of background music on various facets of learning, mostly with populations of children and individuals without ADHD. The focus in this clinical research project was to examine the relationship between background music and symptomatology in 18 adult students between the ages of 18 and 26 years who had been diagnosed with any type of ADHD. Results did not indicate significance …

Impact Of Covid-19 On Latinx And Black Communities, Carolina Zuluaga

Dissertations

This critical literature review project explored the impact of COVID-19 on Latinx and Black communities. According to the Centers for Disease Control and Prevention, as of September 28, 2022, around 16% of COVID-19 cases in the United States were among Latinx people, and 14% of cases were among Black people (Centers for Disease Control and Prevention, 2022). Since COVID-19 began, clinicians have become more conscious of the effects of health disparities within racial and ethnic minorities, which has warranted increased advocacy by educating health and mental health providers and creating and providing resources to these communities and clinicians. The review …

Narratives Of Perseverance By Latina Women Paving Their Way To Success In Science, Technology, Engineering, Art, And Math (Steam) Higher Education, Toni Carmichael

Dissertations

The purpose of this narrative study was to understand the experiences of successful Latina women attaining higher education in Science, Technology, Engineering, Art, and Mathematics (STEAM) and the challenges they have overcome along the way. Additionally, I sought to examine ways in which these students challenged the stigma of invisibility often attached to Latino communities. Representatives from Brazil, Ecuador, El Salvador, and Mexico, the participants of this study were seven women employed in various areas of STEAM with higher education degrees.

Cultural Capital and Feminist Cultural Studies provided the theoretical framework for this study. The three-dimensional narrative design was applied …

Improving Recognition Of Depression Among The Adult Patients In Psychiatric Settings, Jane A. Ferraris

Dissertations

Depression rating scales may improve depressive symptom identification. At the project site, there was no consistent process for determining patients' depressive symptoms, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if the translation of Dunlop et al.'s research utilizing the Hamilton Depression Rating Scale-6 (HAMD-6) would impact the rate of identification of depressive symptoms and referrals to psychology for Cognitive Behavioral Therapy (CBT) among adult patients.

Male Nursing Students In The Community College And The Struggle To Completion, Geri Brewer

Dissertations

Despite significant contributions to healthcare made by male nurses throughout the centuries, nursing is a female-dominated profession, creating challenges for male nursing students. The problem addressed in this study was that male nursing students experience challenges that impede their success toward completing their urban Midwest community college nursing program. Guided by the nursing undergraduate retention and success model, the purpose of this basic qualitative study was to explore male nursing students' perceptions of the challenges they face that impede their success and their recommendations for the supports they need to overcome these challenges within two urban Midwest community college nursing …

Nurse Practitioner's Perspectives On Human Trafficking In The Emergency Department; A Narrative Inquiry, Ann Gerhart

Dissertations

Background: Human trafficking (HT) is a global and domestic concern that impacts individuals, families, and communities. Over the last ten years, HT has become a significant public health concern intersecting with the health care community in various settings. HT abuse and oppression have both short- and long-term health consequences. Approximately 50 to 88% of trafficked individuals visit a health care provider, and 63% of those visits are evaluated in the emergency department (ED). Nurse practitioners (NPs) working in the ED interact with HT individuals but have not been represented in recent research scholarship.

Purpose: The purpose of this qualitative …

Mantram For Mamas: A Pilot Study For Postpartum Women, Ritamarie Smedile

Dissertations

Objective: This pilot study launched an online Mantram Repetition Program (oMRP) using a virtual health portal that aimed to explore online portal accessibility, oMRP acceptance, and overall interface satisfaction among a sample of postpartum women.

Background: Postpartum depression remains one of the most common and severe childbirth complications, affecting more than 13% of women during the first three months after childbirth. Cognitive or behavioral talk therapy sessions and medication are the most frequently recommended treatments to alleviate symptoms. Although effective, women tend not to enroll or adhere to these modalities, suggesting they need alternative treatment plans. A possible alternative, mirroring …

The Lived Experience Of Patients With Clostridioides Difficile, Andrea Scherschel

Dissertations

Background: Clostridioides difficile (C. difficile) is the most common healthcare-acquired gastrointestinal infection in the United States. While there is a plethora of information on the treatment and diagnosis of C. difficile infection (CDI) in the literature, there is a paucity of research findings describing the lived experience of a person with the disease.

Objective: This study described the lived experience of patients who have had one or more CDIs.

Lines of Inquiry: There were two lines of inquiry for this study: (1) Describe the lived experience of having a CDI, and (2) determine if photo-elicitation as a research modality enhanced …

Anxiety And Agitation In Adult Patients Admitted To An Emergency Room During The Covid-19 Pandemic, Doris L. Asombrado

Dissertations

Purpose: The purpose of this retrospective correlational study was to identify the relationship between COVID-19 status and the prevalence of anxiety-agitation with select sociodemographic and clinical characteristics in adults admitted to the ED during the pandemic (03/01/2020 through 12/31/2020).

Background: COVID-19 infections combined with the WHO and CDC recommendations to mitigate spread have had deleterious psychosocial and economic outcomes with the risk of subsequent COVID-19 related mental illness. Studies indicate one in three adults experience anxiety or depression.

Methods: This retrospective correlational study reviewed 2,572 psychiatric admissions from a Southern California ED during the pandemic from March 1, 2020 through …

Social Determinants Of Health And Health Confidence, Laura Truman

Dissertations

Purpose/Aims: The purpose of this study was to investigate the relationship among social determinants of health (SDOH), select sociodemographics, and health confidence level in adults receiving care at an urgent care center.

Background/Rationale: To improve overall health and reduce health inequities during a global pandemic and unprecedented rates of inflation, the relevancy and urgency of identifying how patient-level SDOH impact health confidence level are even greater. Extant research indicates a relationship between the number of unmet social needs and low health confidence. Low health confidence predicts poor involvement in self-care and is associated with an increased use of costly health …

Relationship Between Social Support And Stress In Accelerated Nursing Students, Karen L. Bravo

Dissertations

Nursing program attrition rates and retention rates in the first year of professional practice are excessive due to stress. Investigating through this quantitative, correlative research study is due to the lack of information related to accelerated students and stress. Theories framing this study, the Transactional Model of Stress and Coping, and Triadic Reciprocal Determinism Theory, posit that the environment, whether internal or external, affects stress reactions. The research questions included relationships of Significant Other Support, Family Support, and Friend Support to Perceived Stress Score in a two-part online survey of 116 United States participants.

The Experience Of "Doing Well" In Older Nursing Home Residents: Bringing The Past To The Present, Ronald J. Walent

Dissertations

Though discussions of well-being and quality of life for older adults in American nursing homes have flourished over the past decade, relatively few studies have explored these notions from the perspective of older residents themselves. The purpose of this research is to understand experiences and perceptions of "doing well" in older nursing home residents.

Diabetes-Related Distress Experienced By Saudi Adults With Type Two Diabetes Mellitus, Ibtesam Alqahtani

Dissertations

Living with a chronic condition such as diabetes mellitus (DM) and adhering to its complex treatment regimen strongly affect patients' psychological well-being as well as their physical health. Diabetes-related distress (DRD) is a common issue, affecting 40% of DM cases, but it often goes unnoticed and untreated. Despite the high prevalence of DM in the Saudi population, DRD has received little research attention.

This study explored the lived experience of DRD among Saudi adults with type 2 diabetes mellitus (T2DM) in the Kingdom of Saudi Arabia.

Saudi Adults In Vaso-Occlusive Crisis Accessing Healthcare For Pain Management: A Phenomenological Inquiry, Jawhrah Alqahtani

Dissertations

Vaso-occlusive crises (VOCs) require frequent utilization of healthcare services by adults with sickle cell disease (SCD). This increases the likelihood of poor care and healthcare disparities. The experiences of SCD patients attempting to access pain management have rarely been examined. An evaluation of these experiences may ease the lifelong suffering of Saudi Arabians affected by SCD.

This study explored the lived experience of Saudi Arabian adults when accessing the healthcare system for pain management in VOC.

Racism Without Race: The Racialization Of Middle Eastern And North African Students At U.S. Colleges, Hannah Mesouani

Dissertations

Although a growing body of literature covers the experiences of international students at U.S. colleges, the stories of those who do not fit into the U.S. racial schema remain untold. This study examined how Middle Eastern and North African (MENA) students understood their racial identities given the United States’ tense history with Islam and the MENA world. Using foundational texts on critical race theory, current scholarship on Arab Americans and foreign-born students, and facets of the Ethnic Identity Scale (EIS), this study examined the experiences of MENA students who study amid a national backdrop of xenophobia and racialized Islamophobia. This …

Talking Back To The Elpac: Resilient Resistance And (Re)Imagining Through Ypart, Zulema Reynoso

Dissertations

Policies that label and track students based on language and race dismiss the voices and lived experiences of English learners (ELs) through forced fits and ideologies that devalue multiple languaging and ways of knowing. This qualitative study explores how an educator and 20 seventh-grade bi/multilingual Latinx students labeled long-term English learners (LTELs) reimagined how language is perceived, taught, and assessed across traditional schooling contexts and language policy landscapes. Drawing from LatCrit theory, Latina/Chicana feminisms, and dimensions of youth participatory action research (YPAR), this study centered both LTELs as jóvenes educados (dignified youth) and a conceptualized taller (studio space) to affirm …

Queering Healthcare Equity: Exploring How Two Community Health Centers That Specialize In Lgbtq Healthcare Frame Cultural Competence, Tommy Royston

Dissertations

Despite increased advocacy and funding, significant inequities in healthcare access, quality of care, and health outcomes have continued to persist for lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ) communities. Intersecting marginalized identities such as race, gender, and disability compound health inequities faced by LGBTQ folx. These inequities are not random; rather, they result from deeply embedded homophobia, transphobia, ableism, and racism that pervade the U.S. healthcare system. An exploratory comparative case study was completed using qualitative data collection methods (i.e., key informant interviews, focus groups, and document analysis) to investigate how two California-based Federally Qualified Health Centers (FQHCs) that specialize in …

Equalizing Postsecondary Transition For At-Promise Youth Receiving Special Education Services: A Chance To Succeed, Karla R. Sanchez

Dissertations

Postsecondary transition can be difficult for At-Promise Youth Receiving Special Education Services (APYRSES). Special educators supporting postsecondary transition often manifest traditional and institutionalized forms of oppressive education while dismissing collective values and beliefs.

This qualitative case study examined the beliefs and attitudes shared by three special education teachers after being introduced to a justice-focused, humanizing intervention to facilitate postsecondary transition for APYRSES. The conceptualized intervention was grounded in liberatory educational frameworks and drew from critical, culturally affirming, sustaining, and humanizing theories that foster cultural reciprocity, self-determination skills, and antiracist social–emotional justice learning to afford opportunities for APYRSES to succeed. The …

Analysis Of One Secondary School's Support Systems For Aspiring First-Generation Latinx College Students: A Case Study, Tiffany Cunningham

Dissertations

U.S. Census Bureau Report (2020c) showed Hispanic students constituted 18.5% of the U.S. population, 36% attended higher education and only 14% completed postsecondary education. Research has shown Hispanic, specifically Latinx, students faced barriers in accessing higher education’s hidden curriculum, compounded by deficit beliefs about their language, culture, and lack of family involvement (Kiyama, 2018; C. Martinez & Mendoza, 2020). Additionally, first-generation college students require college readiness skills, including specialized knowledge about college and measurable and immeasurable skills shown to support student success in college (Chlup et al., 2018; Duncheon, 2021; Morley et al., 2021). Despite secondary school supports like college …

Audacious Corazón: A Nuanced Art Of Care, Dianne Bermudez Torres

Dissertations

Historically, the concept of care in higher education has focused on academic achievements, neglecting the significance of building meaningful relationships between faculty and students that engage both affective and cognitive dimensions (Noddings, 1994). Teaching with the heart, or corazón, embodies care in teaching. Employed in this study was a mixed-methods, exploratory case study approach that explored the intricate art of care and how faculty foster bilingual authorization credential teacher candidates to evolve into culturally responsive educators. Pearson et al.’s (2021) cariño pedagogy serves as a model that empowers faculty’s humanizing agency. Additionally, the study also reflected on the concept of …

Resistencia Indocumentada: Exploring The Lived Experiences Of Higher Education Undocumented Students In The San Diego-Tijuana Border Region, Adan Escobedo Sanchez

Dissertations

Undocumented students face myriad obstacles while attending higher education institutions that would deter them from completing their academic journeys. Furthermore, they are placed with a dual narrative that labels them as either dangerous or exceptional. This study explored the lived experiences of undocumented students in college in the San Diego-Tijuana border region to consider what factors have led to resilience and resistance in their academic journey. By understanding these factors, the research aimed to tackle the dual narrative that burdens undocumented students from the illegality as a master status they possess.

This study used narrative inquiry and a literature review …

Nursing Education In Complementary Alternative Modalities: A Case Study, Deborah Bird

Dissertations

Purpose: The purpose of this embedded case study was to describe the preparation for and utilization of complimentary alternative modality (CAM) interventions by an experienced Doctor of Nursing Practice (DNP) prepared nurse practitioner (NP) working in an outpatient setting.

Background: Given the widespread use of CAM by the American public and the potential complications involved in combining CAM and standard medical care, a lack of educational preparation in CAM interventions by NPs delivering primary care in outpatient health care settings represents both a potential risk and a missed opportunity to provide holistic patient care. Such a lack of knowledge also …

Relationship Of Vulnerability To Coercive Control And Intimate Partner Violence (Ipv) Among Latinas, Susan D. Watson

Dissertations

IPV is the most common cause of violence-related injury to women in the United States and greater than one-third of all female homicide victims in the U.S. were killed by the victims' husband or partner. Nationally, intimate partner violence (IPV) has been identified as a public health issue, and internationally gender inequality is the number one human rights issue. In addition to risk factors identified among multicultural samples, characteristics that increase Latina vulnerability to IPV may relate to the specific cultural scripts between partners that are expected and supported within Latino culture.

Voices From The Frontier: Stories Of Nurse Practitioners Working In Remote Settings, Lynn Jakobs

Dissertations

Frontier communities are the most sparsely populated and geographically remote areas in the United States. Residents of these communities often lack access to healthcare resources of any kind. Nurse Practitioners (NPs) are more likely than physicians to practice in these areas and provide a vital link in the frontier healthcare safety net.

This narrative inquiry into the practice experiences of frontier NPs informs the discipline of nursing regarding the significant contribution frontier NP practice makes to the delivery of frontier healthcare. This inquiry creates a repository of stories upon which nurse leaders, health care policy makers, and nurse educators interested …

Professional Identity Of Japanese Nurses: Bonding Into Nursing, Misuzu F. Gregg

Dissertations

The purpose of this study was to explore the process of establishing the professional identity of Japanese nurses. Professional identity was defined as self-identification with the nursing profession in Japan. Following a grounded theory design, data were generated by interviews, multi site participant observations, and theoretical memos. Eighteen Japanese nurses who were selected by theoretical sampling were formally interviewed. All tape-recorded interviews were transcribed in Japanese. Data were analyzed using methods of constant comparative analysis. Throughout the analysis both Japanese and English were used to avoid losing the subtle nuances of the Japanese language.

Growth Mindset: Exploration Of Career Development, Employee Engagement, And Disparity Among Working Professionals, Dillon Harper

Dissertations

A large body of literature has explored the beneficial impact of adopting a growth mindset and its relationship with academic performance. While the literature has provided many valuable findings as it pertains to academic settings, there is a gap in understanding growth mindset’s influence in the workplace as well as understanding if growth mindset’s effect is different for individuals who come from marginalized communities. This study aimed to close the gap by investigating if growth mindset is a predictor of higher work engagement in working professionals. Findings indicated that growth mindset is not a predictor of work engagement among working …

High Leverage Professional Development Topics That Support The Retention Of Special Educators, Meggan Lokken

Dissertations

Purpose: The purpose of this mixed-methods study was to determine how experienced special education teachers rate and describe the importance of professional development topics identified as high leverage practices in special education by Council for Exceptional Children and CEEDAR Center at helping them perform their teaching jobs, and to determine how the ratings of the different groups (preschool, elementary, middle, high school, and adult transition grade level ranges) compare to one another.

Methodology: The current study is a mixed-method descriptive comparative design, utilizing both quantitative and qualitative survey methodology. A quantitative approach will be used to rate experienced special educator’s …

Organizational Citizenship Behaviors, Self Efficacy, Job Satisfaction, And Organizational Commitment Of Science And Math Teachers In Alabama, Andrew N. Wood

Dissertations

This study investigated the correlations between occupational citizenship behaviors, self-efficacy, job satisfaction, and organizational commitment of math and science teachers. The purpose was to discern how these variables interacted to determine how best to support these teachers so they may be more likely to stay teaching in their organizations until retirement. The researcher surveyed math and science teachers within the State of Alabama. There were 314 math and science teachers who completed the survey instrument. Six hypotheses were evaluated to determine if all the variables had positive relationships with each other. From the correlation analysis, used for hypothesis testing, total …

A Delphi Study To Determine The Organizational Supports Necessary For Middle School Counselors To Be Successful And Positively Influence Student Outcomes, Debbie Monroe

Dissertations

Purpose: The purpose of this Delphi study is to identify, from the perspective of expert counselors, the roles that middle school counselors perform during their workday, to rate the importance of the roles identified, and to identify organizational supports necessary for middle school counselors to successfully perform each of the six most important roles identified. Additionally, this study seeks to gain feedback from expert middle school counselors on how to best align the necessary organizational supports with the identified most important roles.

Methodology: The Delphi method was utilized for this study through an electronic survey that asks participants a combination …

Using Imagery Practice To Improve Airline Pilot Situational Awareness, Brian Christopher Sajdak

Dissertations

Pilot error remains the primary cause of airline airplane accidents (Federal Aviation Administration, n.d.). Airline pilots have relied on Crew Resource Management and Threat Error Management to reduce or eliminate errors (Helmreich & Foushee, 2019). Unfortunately, the worldwide accident rate continues to increase (International Air Transport Association, 2021), demonstrating the need for further research into improving aviation safety. Current regulations do not require imagery training for airline pilots to improve situational awareness (Federal Aviation Administration, 2017a). Athletes and other professionals, such as musicians and medical professionals, use imagery to improve performance (Munzert et al., 2009). Imagery practice may improve the …