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Internet Pornography Use, Loneliness, And Adult Attachment Patterns Among Asian Indian Young Adults: An Explanatory Sequential Mixed Methods Design, Anish Baby

Dissertations

Internet pornography consumption among Asian Indian Americans, an ethnic minority group, is largely underrepresented in current scholarly literature despite their growing population in the United States. The purpose of this research was threefold: (a) to measure the prevalence of internet pornography use among Asian Indian American young adults and adults; (b) to explore the relationship between internet pornography use, loneliness, and attachment patterns; and (c) to describe the lived experience of problematic porn consumers. Using an explanatory sequential mixed methods design, I conducted this study in two distinct phases: quantitative followed by qualitative. In the quantitative phase, I employed an …

Interdependence Of Spirituality And Well-Being Among Korean Elders And Family Caregivers, Suk-Sun Kim

Dissertations

The purpose of this study was to explore the relationship of family spiritual interdependence to the well-being of elders and their family caregivers within Korean family caregiving situations. The correlation of spirituality and well-being between elders and caregivers and the actor and partner effect of spirituality on well-being were examined in terms of how family members' spirituality influences their own and partners' well-being.

Nurse Educators' Consensus Opinion On Using An Academic Electronic Health Record: A Delphi Study, Darlene S. Hanson

Dissertations

The purpose of this study was to determine the opinions of nurse educators in the state of North Dakota (ND) who were using the academic Electronic Health Record (EHR) known as SimChart. In this dissertation research study, factors that either hindered or facilitated the introduction of SimChart in nursing programs in ND were examined. Additionally, opinions were sought from nurse educators regarding whether or not SimChart contributed to student learning.

A Study Of Nurses' Experiences With Behaviors That Compromise A Healthy Work Environment In The Hospital Setting, Connie K. Schultz

Dissertations

The existence of disruptive behaviors in the hospital setting has been shown to affect the communication and collaboration between healthcare professionals. This study explored nurses' experiences with behaviors that compromise a healthy work environment. The data collection was accomplished through semi-structured interviews and review of organizational documents. The results of the analysis concluded that there existed a low incidence of disruptive behaviors in the selected organization. Themes were determined that reflected inconsistencies in the nurses' practice environment that contributed to the presence of disruptive behaviors. Inconsistency in communication and collaboration, in holding colleagues accountable, and the lack of visibility of …

The Neuroendovascular Procedures In The Cath Lab: An Educational Intervention, Jolly M. Kuruvilla

Dissertations

Stroke is the fifth leading cause of death and a major cause of disability. Catheter-based therapies for acute ischemic and hemorrhagic stroke have emerged as the latest model of care for patients experiencing stroke. Catheterization laboratories are now performing neuroendovascular procedures such as thrombectomy and embolization for stroke; it is critical that nurses assist with cardiac catheterization be proficient in neuroendovascular procedures. The project began with a clinical question: Among nurses practicing in a cath lab, will there be a difference in knowledge level and clinical competencies in preparing and monitoring patients for thrombectomy and embolization (neuroendovascular procedures) before and …

Perceptions Of Undergraduate Nursing Students On Racism And Racial Disparities In Maternal Health, Monika Costa

Dissertations

The United States has persistent racial inequities in maternal health, with African American women experiencing the highest maternal mortality and morbidity (Centers for Disease Control and Prevention, 2020). Structural inequities, racism, implicit and explicit biases, and discrimination contribute to disparities in maternal health outcomes in the United States (Alshusen et al., 2016; Davis, 2019; Institute of Medicine, 2003, Liese et al., 2019, National Academies of Sciences, Engineering, and Medicine, 2020). In recent years, racial discrimination and bias have been important topics of discussion. However, very little research has been done about nursing curricular preparedness to address implicit bias and racism …

The Effects Of Simulation On Nursing Student Knowledge, Attitudes, And Clinical Preparedness In The Care Of Transgender Clients, Julie Cartney

Dissertations

Nationally, nursing education provides extremely limited coverage of LGBTQIA+ topics and as a result, nursing students lack clinical confidence and knowledge to assess and intervene effectively in this marginalized population. Despite national health goals and organizational calls for health equity, transgender persons continue to experience significant healthcare disparities and barriers in accessing quality health care.

The purpose of this project was to determine if the incorporation of a simulation scenario that features the care of transgender patient would have a positive effect on the knowledge, attitudes, and clinical preparedness of practical nursing students.

Women's Lives After An Induced Abortion: A Phenomenological Study Of The Long-Term Post Abortion Experience, Rosanna Formanek Hess

Dissertations

Most previous research investigations on the post abortion experience studied women up to two years post abortion. The findings of many of these short-term studies indicate that 5-20% of women have severe psychiatric distress two years after the abortion. Little is known about the long-term effects of an abortion in women who experienced the event.

The purpose of this study was to explore the abortion experience in women who had a legal, elective, first trimester, induced abortion > 5 years before the interview. The main objective of the study was to learn how each woman was affected by the abortion and …

Influence Of Leadership Styles On Expatriate Nurses' Professional Integration In The Uae, Emmah Ncube

Dissertations

Transnational nurse migration has evoked a growing interest in the phenomenon of professional integration of expatriate nurses into their host societies. Despite research connecting employee and organizational outcomes such as job satisfaction and organizational citizenship behavior to the quality of leadership styles, there remains a lack of research linking professional integration of expatriate nurses to nurse leadership styles in the UAE. The purpose of this grounded theory study was to develop a theory that would explain how nurse leadership styles and behaviors impacted the professional integration of expatriate nurses into the multicultural work environment of the UAE. The research questions …

Transition Experiences Of Novice Mid-Level Academic Nurse Leaders From Educators To Administrators, Joana Velasquez

Dissertations

The shortage of academic nurse leaders (ANLs) is imminent and creates a crisis for the nursing profession. Nurse educators commonly assume leadership roles with minimal preparation and training. However, few research studies have explored the transition of nursing faculty to ANLs. Consequently, several aspects of transitioning from educator to administrator have remained unknown. The purpose of this generic qualitative research was to explore the experiences of novice mid-level ANLs who transitioned from educators to academic administrators, identify the facilitators and barriers to the transition process, and describe the indicators of a successful role transition. The primary research question that guided …

The Relationship Between Staff Nurses' Perceptions Of Nurse Manager Caring Behaviors And Their Perception Of Exposure To Workplace Bullying Within Multiple Healthcare Settings, Lynda D. Olender

Dissertations

This study examined the relationship between staff nurses' perception of nurse manager caring behaviors and their perceived exposure to workplace bullying within multiple healthcare settings. It was based on the theoretical position that caring promotes reciprocal caring and healing for each other and for the larger universe as informed by Watson's theory of human caring (1979, 2006, 2008). Results indicated a statistically significant, negative, linear relationship between the CFS-CM and the NAQ-R (r = -.534, p < .001), meaning that as staff nurses' perceptions of their nurse manager caring increased, their perception of exposure to negative acts (meeting the definition of workplace bullying) significantly decreased. The sample consisted of primarily older, more experienced, staff nurses who worked 10 years or longer within their work environment. Data analysis also revealed that staff nurses who were females and those who worked in Medical/Surgical settings were significantly more likely to perceive their managers as caring (p < .05 respectively) and that a high workload significantly influenced the staff nurses perception of exposure to workplace bullying (p < .05). In view of the predicted nursing shortages as baby-boomer nurses retire at the same time the demand for health care is rising (AACN, 2009), these findings highlight the importance of caring leadership for the health and availability of nurses at the bedside, and may lead to shifting work priorities for nurse managers. Study findings may also foster the design and implementation of a caring curriculum and caring competencies applicable for the nurse managers' role either within nursing academic or clinical settings.

Being Multicultural In The Workplace, Fiorella Morales

Dissertations

As the workforce becomes increasingly diverse and organizations elevate their efforts to address issues of diversity, equity, and inclusion (DEI), it is critical to engage in a deeper investigation of the experiences of multicultural individuals at work. In this qualitative study, nine multicultural individuals were interviewed using a sociological lens to gain their perspective on the relationship between their identity and their work experiences. The primary research questions that guided this study were: (a) how do multicultural individuals influence the workplace? In turn, (b) how do their workplace experiences affect their identity and sense of self? Data was coded and …

Adherence To Antihypertensive Medications Among African Americans Adults, Obiageli Obah-Mbanefo

Dissertations

Purpose: To describe adherence to antihypertensive medications among African Americans adults aged 35 to 65 years in south Los Angeles.

Study Aims: Aim 1: Describe patient sociodemographic factors (age, gender, education, insurance, employment, living arrangement and income), clinical factors (history of current depressive symptoms, comorbidities, comorbidity Charlson score and number of comorbidities), health literacy level, and medication adherence to hypertension (HTN) medications. Aim 2: Describe the relationships between sociodemographic factors, clinical factors, health literacy level, and medication adherence. Aim 3: Compare medication adherence between patients with high health literacy level, low possible health literacy, and low health literacy level.

Background: …

Impact Of Authentic Leadership On Team Psychological Safety As Mediated By Relationship Quality, Mechelle J. Plasse

Dissertations

Leadership is a dynamic process with a far-reaching impact. Leadership is the process of guiding a group of individuals towards the achievement of a common goal. Healthcare leaderships looks to guide staff towards the common goal of positive patient outcomes. The literature has demonstrated that staff outcomes related to the health of their work environment can impact patient outcomes. A contributor to the health of the work environment is the relational tone of the unit; this tone is partly shaped by the skill and philosophy of the leader. Relational dynamics can influence several processes, including psychological safety which is a …

An Analysis Of Cultural Values, Religiosity And Family Member's Caregiving On The Positive Appraisal Of Caring For The Elderly, Fayron R. Epps

Dissertations

The stress and burden experienced by the family caregiver during the caregiving experience has been widely researched and established among the literature. Limited research exists on the impact of cultural values, religiosity and family caregiving on the caregiver's positive appraisal of caring for a dependent elderly family member. Therefore, the purpose of this study was to examine the influence of cultural values and religiosity on the positive appraisal of caregiving among African American, Hispanic and Caucasian caregivers for dependent elderly family members. A predictive correlational study design was employed to examine the relationship amongst variables for 69 African-American, Hispanic and …

An Exploration Of Hispanic Female Principals’ Career Advancement Through The Lens Of Intersectionality, Natalie Baptiste

Dissertations

Purpose: The purpose of this phenomenological study was to explore the perceived impact of barriers created by the intersection of gender and ethnicity on the advancement of Hispanic females to the K-12 principalship. A second purpose of this study was to identify strategies Hispanic females leverage to overcome barriers due to intersectionality while advancing to the K-12 school principalship.

Methodology: This qualitative research study employed a phenomenological approach to describe the lived experiences of nine Hispanic female principals serving in public K-12 schools in Orange and Riverside counties in California. Data collection included an interview protocol of 13 …

A Phenomenological Study Of How Exemplary Elementary Principals Perceive The Five Practices Of The Infinite Mindset Inspire The Achievement Of Extraordinary Results, Jeff Heilig

Dissertations

Purpose. This phenomenological study aimed to explore and describe the perceived impact of the infinite mindset and its five essential practices on exemplary elementary principals to inspire the achievement of extraordinary results. A further purpose was to understand the organizational supports and barriers exemplary leaders perceive affect the development of an infinite mindset.

Methodology. This study explored and described the perceived impact of the infinite mindset on inspiring extraordinary results as perceived by exemplary elementary principals in south Los Angeles County. A thematic team of eight peer researchers and four faculty advisors collaboratively developed the semistructured interview protocol used in …

Self-Management By Adolescents And Young Adults Following A Stem Cell Transplant, Caroline F. Morrison

Dissertations

A grounded theory study was conducted to better understand the process AYA use to manage their care following a SCT. Specific aims included: 1) to explore self-management facilitators, barriers, processes and behaviors within individual, family, community and healthcare system domains using the pediatric self-management framework to develop initial interview guides; 2) to describe how AYA manage their care regimen post HSCT; and 3) to describe rates of oral medication adherence for AYA post HSCT and how they relate to patterns of self-management.

Nursing Faculty Experiences With Interactive Learning In The Associate Degree Nursing Classroom, Katheryn M. Csonka

Dissertations

The purpose of this basic qualitative study was to explore associate degree nurse faculty perceptions and experiences with the use of interactive learning in their classroom. Interactive learning is an approach to teaching and learning that promotes student learning with an active process. The implementation and continued use of interactive learning can be difficult for nurse educators who may be influenced by their previous perceptions and experience with use. There is a plethora of knowledge on the benefits of interactive learning with students, yet there is a gap in literature specific to nursing faculty experiences in the nursing classroom..

Persistence Factors Described By Nursing Students Of African Descent: A Narrative Inquiry, Claudette R. Spencer

Dissertations

High attrition rates among nursing students of African descent have resulted in a nursing workforce that lacks diversity. Research has largely focused on the obstacles facing students who dropped out of their nursing programs, including financial constraints, academic issues, and personal challenges. Few studies have considered the students who persisted. The purpose of this qualitative dissertation study was to examine the factors that contributed to the persistence of students of African descent enrolled in nursing programs in community colleges as described in the stories and reflections of recently graduated alumni. Data was obtained with the use of two research questions …

Strategies For The Improvement Of Healthcare Through Simulation, Roger C. Lankheet

Dissertations

Medical errors continue to plague the healthcare industry. The annual rates of morbidity are approximately 2.69 million (AHRQ, 2019), while mortality rates exceed 400,000 per annum (Makary & Daniel, 2016). There may be no panacea to combat these egregious rates. However, simulation of patient care events may better prepare healthcare professionals to prevent medical errors as it has been proven to be an effective learning strategy (Kirkham, 2018), enhancing skills while gaining experiential knowledge, without risk to actual patients.

The purpose of this qualitative study was to gain a better understanding of factors that impede or foster the frequent utilization …

Examining The Effects Of A Rater Training Program On Interrater Reliability With The Lasater Clinical Judgment Rubric, Deborah A. Halliday

Dissertations

There is high demand for competent graduate nurses as they begin working in healthcare. However, the transition from classroom to professional practice can be difficult. Students and newly licensed entry-level practitioners must develop and possess suitable clinical judgments in order to demonstrate clinical competency in the delivery of safe patient care. Currently, there is a call for nursing education to provide increased rigor in performance evaluation of students' clinical judgment prior to graduation.

The primary purpose of this study was to determine if rater training had an effect on interrater reliability among raters with the Lasater Clinical Judgment Rubric (LCJR) …

Clinical Faculty Strategies To Decrease Nursing Students' Anxiety During Clinical Practice: A Qualitative Study, Elijah Z. Yarpah

Dissertations

Stress in the clinical learning environment is a psychological and physiological element that affects nursing students' learning outcomes and health. In clinical settings, nursing students encounter stressors that are critical to their academic success as well as their future professional performance. Nursing educators struggle to assist students in developing strategies to manage clinical stress. A review of relevant literature did not identify coping strategies clinical educators and nursing staff can promote to help learners deal with stressors. Therefore, to provide robust ideas to help nursing students manage stress in the clinical learning environment, this study was designed to answer one …

Reconstruction Of The Professional Identity: The Mature Ad Nurse After Bsn Completion, Constance G. Demmery

Dissertations

In 2011, the Institute of Medicine (IOM) announced a key initiative to increase the number of registered nurses (RN) at the bedside prepared at the baccalaureate of science in nursing (BSN) level. For decades, the RN entry level into the profession has been debated, often lying dormant during nursing shortages. The profile of today's RN is age 50, has many years of clinical experience, and holds an associate degree in nursing (ADN). Many ADN-prepared nurses are returning to academia to earn their BSN. However, there is little research on how the mature, experienced ADN integrates years of clinical experience with …

Exploring The Relationship Between Job Satisfaction And Intent To Remain Within An Organization Among Millenial Nursing Faculty, Kristie E. Davis-Collins

Dissertations

The nursing faculty shortage continues to grow with time with impending detrimental effects. Several factors influence the nursing faculty shortage, including inadequate compensation to clinical areas, low pool of potential nurse educators in graduate programs, and a faculty wave of retirements. Based on this information, it is vital for nursing institutions to improve job satisfaction and the intent to remain among millennial nursing faculty. The purpose of this study is to evaluate the relationship between job satisfaction and intent to remain within an organization among millennial nursing faculty. A cross-sectional, correlational research design was used to test the hypotheses of …

The Effects Of Disinformation Upon National Attitudes Towards The Eu And Its Institutions, Alex Murphy

Dissertations

This work explores the effects of misinformation and disinformation upon national attitudes towards the EU. Several nations, in particular the Russian Federation, have been working for decades to spread narratives that debase the political processes of healthy democracies around the world. There is strong evidence to show that extensive efforts have been made to disrupt the inner workings and overall membership of the EU, to support disruptive policies in the United States such that political deadlock is maintained indefinitely. These efforts are largely based on the spreading of misinformation and disinformation across social networks that have done very little to …

Development Of A Hospital Discharge Planning System Augmented With A Neural Clinical Decision Support Engine, David Mulqueen

Dissertations

The process of discharging patients from a tertiary care hospital, is one of the key activities to ensure the efficient and effective operation of a hospital. However, the decision to discharge a patient from a hospital is complex, as it requires multiple interactions with nurses, family, consultants, health information records and doctors, which can be very time consuming and prone to error. This thesis descries how a neural network based Clinical Decision Support system can be developed, to help in the decision making process and dramatically reduce the time and effort in running the discharge process in a hospital. A …

Cultivating Parental Participation And Community Engagement Through Building A Culinary Garden And Teaching Kitchen: Latinx Perspectives On Parental Participation In A Community School, Jaclynne Michelle Medina

Dissertations

This study researched how a school could increase parental participation and community engagement while building a new Culinary Garden and Teaching Kitchen project. This engagement was foundational for expanding parental participation opportunities and further developing the community school. The study explored ways to balance power relationships between the home and school to develop an implementation plan that better reflects the community being served. Theoretical lenses such as CRT and LatCrit were the basis for centering the voices of Latinx families and valuing their various forms of capital consistent with the Community Cultural Model. Participants influenced the design of the garden …

Variation In Organizational Factors Influencing The Implementation Of The Pediatric Annual Physical Therapy Visit, Katherine Anne M. Smith

Dissertations

Hypothesis and Research Question

The research hypothesis is “Organizational Factors influencing the implementation of the Pediatric Annual Physical Therapy Visit (PAPTV) vary by practice setting, geographic location, and experience implementing the PAPTV.” The related research question is “How do organizational factors influencing the implementation of the PAPTV vary by geographic location, practice setting, and therapists experience with the PAPTV?

Problem and Purpose of Research

While health promotion and wellness (HPW) initiatives are widely accepted as beneficial to both the patient and the healthcare system, the rollout of new initiatives is often challenging. The PAPTV has been a significant HPW initiative …

Gardening And Watering 21st Century Soil: Culturally Responsive And Technology Enhanced Instructional Design In K12 Schools, Elissa W. Frazier

Dissertations

Decades of research have documented the positive impact of culturally responsive teaching on academic outcomes for African American and LatinX students. However, as the field of education has become increasingly embedded with technology as a powerful tool of instruction, more attention is needed to understand how culturally responsive teachers use technology to close achievement gaps. Although national public policy over the last twenty-years has documented the negative impact of the digital divide on low SES, African American and LatinX students, large-scale efforts to close the divide have focused primarily on access to devices only. More recently, the second digital “use” …