Digital Commons Network^™

Perceptions Of Perinatal Nurses Caring For Perceived Stigmatized Patients During The Covid-19 Pandemic In Perinatal Settings: A Qualitative Study, Deborah Tucker

Dissertations

Perinatal nursing consists of caring for women before, during, and shortly after the birth experience, providing a unique opportunity for nurses to care for women and families in a fundamental moment of life (Simpson et al., 2020). This qualitative descriptive study design allows for straight descriptions of phenomena to evaluate perceptions of nurses caring for perceived stigmatized patients in the perinatal setting during the SARS-CoV-2 (COVID-19) pandemic. As research gaps were identified, the following research questions were developed and used to guide this study:

1. What are the perceptions of caring in perinatal nurses who deliver care to perceived stigmatized …

The Influence Of Word Pair Associative Direction On Judgment Of Learning Reactivity, Nicholas Maxwell

Dissertations

Judgments of learning (JOLs) are commonly used by researchers to assess whether individuals can accurately predict later memory performance. While the JOL literature has generally operated under the assumption that providing judgments at study does not affect the learning process, recent studies have shown a reactivity effect in which memory differs between participants who do and do not make JOLs at study. The effects of providing JOLs on memory have been mixed: Some studies report memory improvements (i.e., positive reactivity), while others report memory costs (i.e., negative reactivity). Additionally, little work has evaluated the effects of associative direction (i.e., credit-card …

Transitioning Eating Practices Of Older Adults, Michelle Lajoy Jackson

Dissertations

Purpose: The purpose of this descriptive qualitative study was to explore what factors may have influenced the transition of an individual older adult’s eating practices over a lifespan and the impact participants perceived those factors currently had upon their nutritional health in older adulthood.

Background: The older adult population is recognized as one of the fastest growing populations in the United States. One of many growing concerns for this population is the impact of dietary practices on the morbidity and mortality of this aging population. There is limited research to date that has explored the transitioning of appetite …

Competency And Work Environments Among Military And Civilian Perioperative Registered Nurses: A Predictive Model, James X. Stobinski

Dissertations

This study examined the self-assessed competency levels, work environments, sub-specialty training and selected demographic characteristics of two groups—civilian and military (United States Navy) perioperative nurses. The Nurse Competence Scale (NCS) was used to assess competency levels, and the Practice Environment Scale-Nursing Work Index (PES-NWI) was used to assess the nursing work environment. Demographic characteristics, including years of experience, educational level and type of sub-specialty training, were gathered, and comparisons were made between the groups.

A cross-sectional non-equivalent comparison group design was used. The research was conducted by mailed survey packets. All active duty Navy perioperative nurses (228) were surveyed, as …

Leading With Heart: How Exemplary K-5 Principals Demonstrate Transformational Leadership Through Heart-Based Practices, Teresa Hubbard

Dissertations

Purpose: The purpose of this phenomenological study was to describe how exemplary K-5 principals in Southern California lead from the heart using Mark Crowley’s (2011) 4 principles (building a highly engaged team, connecting on a personal level, maximizing employee potential and valuing and honoring achievements) to accomplish extraordinary results in their schools.

Methodology: This study utilized a qualitative phenomenological methodology to study the behaviors of elementary principals. This study, due to current Covid restrictions, included virtual one-on-one interviews that were held via the Zoom online platform. The data collected included audio and video recordings, written transcripts, and artifacts from school …

Developing "A Personal Knowing" - A Grounded Theory Study, Mark Davies

Dissertations

The past 30 years have seen rapid expansion in nursing roles, and the provision of education that supports them. However, the nature of the knowledge that characterises advanced practice, and the pedagogical strategies that are utilised in catalysing its development have yet to be extensively evaluated. Whilst a number of frameworks which purport to conceptualise this knowledge do exist, such structures remain somewhat provisional. Likewise, the pedagogical approaches employed in the development of knowledge for advanced practice are derived as much from teacher preference, organisational expedience, and external policy drivers as educational efficacy. The study presented within this thesis addresses …

Acculturation, Self-Efficacy And Breastfeeding Behaviors In A Sample Of Hispanic Women, Ivonne F. Hernandez

Dissertations

Breastfeeding confers immunological, physiological and psychological benefits for the infant and mother as well as social and economic benefits to the nation. The United States Department of Health and Human Services (HHS), Healthy People 2020 has established national objectives for the initiation and duration of breastfeeding at 82% initiation, 61% at six months and 34% at one year. In addition, they have set goals for exclusive breastfeeding at 3 months to be 46% and 25% at 6 months of infant's age. Currently breastfeeding initiation is at the highest recorded level of 76.9%, yet significant disparities exist (CDC, 2012). The purpose …

Implementation Of Remote Patient Monitoring To Improve Medication Adherence And Efficacy In Patients With Asthma And Chronic Obstructive Pulmonary Disease: A Quality Improvement Project, Barbara A. Werner

Dissertations

Asthma and chronic obstructive pulmonary disease (COPD) are long-term respiratory diseases that can adversely affect an individual's quality of life and inflict financial strain on the patient, family, and healthcare system (Kocks et al., 2018). Adherence to prescribed inhaler medication is an integral component of effective disease management. Remote patient monitoring may serve as an effective means to proactively measure adherence with inhaled medications to improve respiratory health outcomes and decrease avoidable healthcare utilization (George & Bender, 2019). An inobtrusive device attaches to the metered dose inhaler to passively monitor the use and electronically transmit the information to a digital …

A Qualitative Descriptive Study Of The Experiences Of Nurse Educators In Developing And Implementing Concurrent Enrollment Adn-Bsn Programs, Janice E. Hawkins

Dissertations

Nursing leaders have called for more bachelor-of-science-in-nursing-(BSN)-prepared nurses to meet workforce demands. There is limited capacity in BSN programs to meet the projected demand. Currently, associate degree in nursing (ADN) programs produce the majority of registered nurses. To increase the number of BSN graduates, nurse educators recommend innovative educational models for seamless progression from the ADN to the BSN. Concurrent enrollment ADN-BSN programs offer one potential model to produce more BSN graduates. The purpose of this study was to describe the process of developing and implementing concurrent enrollment ADN-BSN programs. The research question was as follows: What is the experience …

On The Edge Of Leadership: Narratives Of Asian Indian American Women In Higher Education In The United States, Denozy Sharma

Dissertations

This study was an investigation of the experiences of Asian Indian American Women (AIAW) in higher education in the United States. The motivation of this study was to gain a better understanding of Asian Indian American Women who, in spite of their rising presence in academia and educational attainment, are noticeably underrepresented in academic leadership roles. Asian Indian American women fall far behind White females in leadership positions in higher education.

A qualitative research methodology has been conducted. The investigation involved the narratives of the five female participants (faculty members and/or administrators in U.S. higher education) who identified themselves as …

Implications Of The Improvement Science Process On Swpbis Implementation At A Title I High School, Cody Rich

Dissertations

Disparities in discipline are well documented throughout our nation as the gap continues to increase (Losen et al., 2015; Losen & Skiba, 2016; Raush & Skiba, 2004; The Civil Rights Data Collection, 2014). Though Black students comprise only 16% of the student population in the United States, they account for nearly half of school suspensions and expulsions (The Civil Rights Data Collection, 2014). In the context of RHS (location of this dissertation in practice), Black students encompass nearly 20% of the student population while accounting for approximately 30% of the total number of referrals. More alarming is that administration suspended …

Youth Organizing From Within: A Case Study Of A District Youth Equity Council, Amy Elizabeth Nelson

Dissertations

The experiences of Black, indigenous, and person of color (BIPOC) youth in our school systems often share a common thread of having to navigate deficit thinking, institutionalized racism, marginalization, and discrimination (Hammond, 2015; Ladson-Billings, 2016; Roy et al., 2019). While youth organizing has emerged as a potential counter to deficit narratives, it is rarely seen in school settings (Arthurs, 2018; Kirshner & Ginwright, 2012; Roderick et al., 2020; Roy et al., 2019). Using critical race theory as a framework, this case study examined a sample of BIPOC middle and high school students serving on a district Youth Equity Council, their …

School Leadership Through The Covid-19 Pandemic: A Phenomenological Study, Deanna Kay Dykstra-Lathrop

Dissertations

This phenomenological study presented the lived experiences of eight high school principals who led through the COVID-19 pandemic. The participants represented eight different school from five school districts from across Colorado. Each participant’s school implemented 1:1 devices, namely Chromebooks or iPads, for each student prior to the pandemic’s onset. The research question that guided this study was: What are lived experiences of high school principals who led through the COVID-19 pandemic? Data were collected via one-hour, individual, semi-structured interviews in person or via Zoom, then transcribed and analyzed. A phenomenological approach to the data was employed while implementing bridling methods …

At Risk For Success: Promising Practices In Their Own Voices, Amber Leigh Mcelwee

Dissertations

This qualitative phenomenological study utilized high school graduate perceptions to identify pedagogical methods, educational structures, and school supports that improved their participation, inclusion, and growth within their classrooms and coursework. The research was focused on students identified at-risk to graduate high school and how educational supports affected the success or constraint in attaining their diploma. The research design applied a connected learning framework structure with a focus on student interest, relationships, and opportunities as defined by the Connected Learning Alliance. One component of connected learning was student-centered learning; therefore, an examination of John Dewey’s educational philosophy of student-centered practices and …

The Ballybriar Heist: An Original Composition And The Incorporation Of Folk Music And Tintinnabuli Influences, Conor Darling Mulroy

Dissertations

The Ballybriar Heist is a thirty-eight minute five-movement piece for symphony orchestra. It is based on a condensed version of the short story “The Ballybriar Heist.” The music draws influence from a variety of sources. Through analyzing folk music and seeing its influence in concert hall compositions throughout the nineteenth and twentieth centuries, one sees how these folk traditions evolved and were incorporated into concert hall music. Composers collected and transcribed folk music, giving them new ways to approach composition. Examining the music and performance practice of traditional Irish music shows how these traditions and performances influenced composers’ writing as …

Mothers’ Perspectives On Language And Literacy Development In Children With Disabilities Adopted From China, Jessica B. Hovland

Dissertations

Children with disabilities and special needs make up the vast majority of those currently being adopted internationally into the United States (U.S.). China has been a leading sending country for international adoption since the 1990s and remains one of the few nations with thousands of orphaned or abandoned children, many with congenital disabilities or significant medical needs, in government welfare institutions. While most children adopted internationally (CAI), whether from China or other nations, experience developmental catch-up after adoption, children with disabilities and those who spent time in institutional settings exhibit persistent language deficits that impact literacy and academic skills as …

Implementing Theory-Based Debriefing In The Clinical Learning Environment To Improve Teaching And Learning Outcomes, Adrienne Denise Wilk

Dissertations

For decades, the hallmark of nursing education has been experiential learning in a hands-on clinical environment (Kolb, 1984), allowing students to utilize clinical reasoning and decision-making skills and apply theoretical knowledge to patient encounters (Gubrud-Howe, 2020). To optimize student learning, nurse educators must develop skills to implement teaching methods that promote higher-level reasoning skills in students. One teaching method that is useful in the clinical setting and promotes higher-level reasoning is debriefing. While there were robust findings in the literature about debriefing simulated clinical experiences and the positive effect these had on students’ learning and reasoning (Cantrell, 2008; Dreifuerst, 2012; …

A Narrative Inquiry Into The Impact Of Chronic Within-Year Teacher Turnover On Students, Sara Ashley Myers

Dissertations

This dissertation explored the impact of chronic within-year teacher turnover through the narratives of students who have experienced it. A three-part series of interviews were used to capture these lived stories, in addition to artifact collection and creation, by focusing on the perceptions of events through time and the impact of said events on students’ beliefs and understandings of teacher-student relationships. Participants included three junior students who had experienced within-year teacher turnover chronically, with three instances or more in their school career. The data collected from these series of interviews and collection of artifacts were analyzed and restoryed alongside participants …

The Impact Of Service-Learning Experiences On Baccalaureate Nursing Alumni, Stephanie Joy Matthew

Dissertations

The purpose of this research study was to explore the long-term impact of international service-learning (ISL) experiences taken by nursing students in Bachelor of Science in Nursing (BSN) programs and how their current nursing practice might be affected by these experiences. A sequential explanatory mixed methods case study design was used to survey and interview BSN alumni about their cross-cultural experiences. The quantitative survey data used the Cultural Capacity Scale (Perng & Watson, 2012) to compare scores of 93 BSN alumni who did and did not have an ISL experience during nursing school. Then the qualitative portion utilized semi-structured interviews …

An Examination Of Academic Growth In Middle School Students Receiving Tier 3 Instruction And Teacher Perceptions Regarding Mindset, Stephanie M. Opela

Dissertations

Existing research on the implementation of RTI and growth mindset practices at the secondary level was sparse, despite the literature on the challenges facing the middle school structure and best practices for adolescent learners. This quantitative study added to the body of research by examining components of each effort in an urban school district. The researcher compared the academic growth of middle school students who received Tier 3 instructional support in reading or math to the academic growth of students who did not receive Tier 3 support. The data revealed no significant difference between the growth of the two groups. …

An Historical Study Of Student Outcomes For School Improvement Grant Recipient Turnaround High Schools In The State Of Missouri With Emphasis On Ninth Grade Achievement, Attendance, Discipline, And Graduation Rates, Juanita Chambers

Dissertations

The purpose of this study was to analyze the implementation of the School Improvement Grant using the Turnaround Model to improve student academics, by looking at attendance, and drop out and graduation rates on ninth-grade achievement in Missouri. In the United States, within our urban schools, high school drop-out has been a serious, national crisis, which effects the graduation rate. Dropping out of high school has many unfavorable results that have negative effects on the economy, such as employment, crime, personal earnings, and health, such as in the lack of insurance. Students exhibit problems before they enter high school. Thus, …

Interventional Radiology Procedures Without Sedation: The Nurse Experience, Catherine De Leon

Dissertations

Background: Many IR procedures offer a less invasive and economical alternative to some open or laparoscopic surgeries. Patients undergoing a procedure without moderate sedation are awake, alert, with heightened sensory perceptions, and vulnerable to their surroundings. There is a gap in the current body of literature relating to the IR nurse’s experience of caring for patients during procedures without the use of moderate sedation.

Purpose/Aims: The purpose of this study was to explore the lived experience of Interventional Radiology (IR) nurses caring for conscious patients undergoing a procedure without the use of sedation. This phenomenological study aimed to describe the …

Perceptions Of Secondary Educators Regarding The Educational Engagement Of African Immigrant Students With Disabilities, Charity Obiageli Uzochukwu

Dissertations

Despite the vital role that educational engagement has on student learning and academic achievement, there is limited research on how secondary educators perceive the concept concerning African immigrant students with disabilities. There is a significant increase of African immigrant students with disabilities in United States (U.S.) public schools. Little is known regarding how secondary educators perceive their roles and facilitate educational engagement for these students. Inadequate information about immigrant students with disabilities, further makes it difficult to support this student population in U.S. public schools. This phenomenological qualitative study investigated how secondary educators perceived their roles in facilitating educational engagement …

Exploring Perceptions Of Math Instructional Practices In Preparation For High-Stakes Testing, Rachel M. Green

Dissertations

In all things, I give my God glory; He is my strength and comforter. To my mom, thank you for giving me life and choosing to love me relentlessly. You are, to me, an inspiration and a warrior for Christ. To my mother-in-law, my first classroom teacher, completing this project could not have happened without you. Its success is just as much yours as it is mine. Thank you for giving me my best friend and biggest supporter. To my Joe, the wind beneath my wings and protector of my heart, you have been with me through every season of …

Gay Male K-12 School Leaders' Self-Sabotaging Behaviors And Their Journey To Reclaiming Their Power: An Explanatory Mixed Methods Study, John Mccarthy

Dissertations

Purpose: The purpose of this mixed-method explanatory study was to identify and describe self-sabotaging behaviors experienced by California gay male K-12 school leaders to explore the impact these behaviors have had on their career development. A secondary purpose of this study was to identify strategies employed by California gay male K-12 school leaders to overcome these self-sabotaging behaviors.

Methodology: This mixed-method sequential explanatory study explored the lived experiences of eight gay male K-12 school leaders who self-identified that they have experienced self-sabotaging behaviors throughout their career. Purposeful, convenience, snowball sampling was utilized to identify gay men who met …

Native Hawaiian Caregivers' Cultural Perspectives Of Pediatric Asthma Management, Donna-Marie Palakiko

Dissertations

Asthma remains the leading cause of chronic respiratory illness among Native Hawaiian children 0 to 17 years in Hawai'i. The National Asthma Education and Prevention Program (NAEPP) established asthma management guidelines which includes medical assessment and monitoring, education in partnership with the caregiver, control of environmental triggers, and medication adherence (National Asthma Education Prevention Program [NAEPP], 2007).
However, these guidelines do not consider the worldview, health beliefs, and cultural practices of caregiver, child, and family.

The purpose of this study was to describe how Native Hawaiian caregivers manage pediatric asthma, to understand which strategies are considered cultural practices, and to …

Hydrolytically Degradable Thermosets With Tunable Degradation Profiles Via Ketal-Based Crosslinks, Benjamin Alameda

Dissertations

Thermoset polymer networks are ubiquitous in the construction of high-performance materials due to their excellent mechanical properties, solvent resistance, and thermomechanical performance. However, the crosslinked structure that instills these materials with favorable performance also makes them incredibly resistant to degradation and are nearly impossible to recycle – adding to the ever-growing problem of plastic pollution. Hydrolytically degradable thermosets have emerged as a potentially sustainable alternative to traditional thermosets by affording networks that are inherently degradable in aqueous environments. This dissertation focuses on the development of hydrolytically degradable thermoset networks with tunable degradation behavior through the implementation of ketal-based crosslinks. Given …

Promoting Safe Sleep Education For At Risk Mothers, Breanna James

Dissertations

Sudden infant death syndrome (SIDS) is an unexplained scary phenomenon that has plagued parents for years until research determined there was a link between the infants sleeping position and sudden death. Local community leaders in health and advocacy review fetal and infant deaths on an annual basis to identify ways that infant mortality may be prevented. Barriers related to social determinants of health and lack of knowledge specific to safe sleep were identified root causes. Evidence-based recommendations for safe sleep set forth by the American Academy of Pediatrics have demonstrated effectiveness in reducing mortality. The purpose of the quality improvement …

Improving Clinical Alarm Fatigue And Alarm Management Competency Among Critical Care Nurses By Implementing A Unit Based Alarm Management Bundle, Stephanie Bosma

Dissertations

Clinical alarms are designed to signal an unsatisfactory patient physiological state, alert staff to malfunctioning medical equipment or systems, and warn the operator of potential hazards to the patient. While alarms interrupt the patients healing process, alarms also induce a crippling fatigue among nurses, known as alarm fatigue. The concept of alarm fatigue and clinical alarm management competency remains a common problem among nurses who work in the acute care setting. In the Surgical Intensive Care Unit (SICU) at a teaching hospital in Northeast Florida, alarm fatigue, consistent alarm management skills, and competency surrounding the use of the Philips physiologic …

Nursing Faculty Shortages: Perspectives From Deans And Directors Of Bsn Programs, Diane Porretta Fox

Dissertations

This study examined the shortage of nurse faculty in one Midwestern state. The purpose of the study was to identify facilitators and barriers to recruiting and retaining nurse faculty. Case studies were conducted, with the primary data source being semi-structured interviews with deans and directors of six nursing programs that offer the Bachelor of Science in Nursing (BSN) degree. The interviews and a review of institutional artifacts informed the study.