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An Examination Of The Relationship Between Acculturation, Islamic Religious Practice, And Academic Performance Among Saudi Arabian Students In The United States, Marzook A. Aldhafeeri

Dissertations

Recent data have indicated that universities in the United States (U.S.) host as many as 21,933 students from Saudi Arabia, making Saudi Arabia one of the top four countries for international students attending U.S. universities. Several research studies have indicated that religiosity and acculturation influence student’s performance. However, there is a scarcity of studies that assessed the relationships among acculturation, religious practices, and the academic performances among Saudi Arabian students in the U.S. The purpose of this study was to examine the relationship among acculturation, religiosity, and academic performance among Saudi Arabian students in the United States. This study was …

Latina's Experiences Of Shared Parenting In The Context Of Intimate Partner Violence: A Phenomenological Study, Pisinee Dangwung

Dissertations

This dissertation presented a hermeneutic phenomenological study conducted with 12 Latina mothers who were survivors of intimate partner violence (IPV) considering or in a process of shared parenting with their former abusive partner. The purpose of this study was to explore the essence of shared parenting experiences among participants in the IPV context and examine how attachment style, adverse childhood experiences, and cultural values impacted their shared parenting decisions and processes. The study was guided by the theoretical frameworks of symbolic interactionism, intersectional feminism, and attachment. Findings indicated adverse childhood experiences and cultural values affected participants’ shared parenting decisions and …

Stem Education:An Examination Of School Leaders’ And Teachers’ Perceptions On Stem Implementation In Uae Schools, Sara Elkeir Hamad

Dissertations

STEM education in the UAE is currently receiving growing attention due to the massive economic growth, which created a need for STEM-qualified graduates. Accordingly, UAE educational policymakers and curriculum developers advocate developing and implementing STEM education at all educational levels. The research emphasized that STEM education positively affects students’ ability to solve problems, be innovative, think critically, and be technology literate. This study aims to examine school leaders’ and STEM teachers’ perceptions of STEM implementation practices in the UAE context. A sequential explanatory, mixed-method design was employed to collect the data from the school’s leaders and teachers, quantitively using a …

The Use Of Short Videos To Promote L2 Interaction Among Young Efl Learners, Safa Alothali

Dissertations

Short videos are a tool for multimodal learning. Utilizing these videos in second language (L2) classrooms to facilitate interaction among learners can be an asset for language learning by providing varied pedagogical approaches. This convergent concurrent mixed-methods design study analyzed the efficacy of short videos to promote L2 interaction in English as a Foreign Language (EFL) context in the United Arab Emirates (UAE). The study aimed to highlight if short videos facilitate classroom interaction among EFL learners and in what ways. It also indented to pinpoint young EFL learners’ perceptions and attitudes toward using short videos in promoting their interaction …

Collaboration Among Parents Of African-American Students And A Church Sponsored Tutoring Program, Latiya Evette Kirby-Curlin

Dissertations

This study examines the lived experiences of African-American parents with children who attend a church-sponsored tutoring program. While this study focuses on the African- American parents' perspectives and lived experiences, the study provides an insight into the barriers that impact the implementation and success of the program, challenges of parental involvement, and promotes a higher level of academic achievement in education. This study provides information about lessening the barriers and the way in which parent involvement plays an essential part in a child's education. This qualitative study consisted of nine semi-structured interviews that focused on capturing information as well as …

Reflections On Professional Development: An Autoethnographic Study In Theories Of Practice, Sara Elizabeth Jennings

Dissertations

This autoethnographic project extends the work of Argyris and Schön (1974); Houchens (2008); Houchens and Keedy (2009); Houchens, Hurt, Stobaugh, & Keedy (2012); and Houchens, Stewart, and Jennings (2017) by replicating an experiment in reflective practice using a self-coaching protocol as a means for mapping one’s own theories of practice. Relying on selfreflexivity to study professional learning in a culture of school reform, the author used Argyris and Schon’s (1974) theories of practice as a conceptual framework by adapting a self-coaching protocol (Houchens, 2008; Houchens et al., 2012; Houchens et al., 2017) and pairing it with selfobservations of video-recorded instructional …

Nurses' Experiences Caring For Patients With Opioid Use Disorder, Pamella M. Campbell

Dissertations

Over the past 2 decades, opioid use in the United States has taken thousands of lives, reached the level of epidemic in 2017, and has been an area of study among scholars. The problem is health care professionals, including nurses, lack training on how to care for people with opioid use disorder (OUD). Nurses are at the frontline of patient care and understanding the nurses' experiences in the care of patients with OUD may help to improve the patients' quality of care. The purpose of this qualitative descriptive study was to develop an understanding of the experiences of nurses with …

Participant Experiences In Phase I Pediatric Oncology Clinical Trials, Stacey M. Crane

Dissertations

Phase I clinical trials (P1Ts) are the first step in testing new medical therapies in humans, and are essential for developing new and innovative therapies for children with cancer. P1Ts are ethically controversial as they are not intended to directly benefit participants, but are particularly controversial for children with cancer who are only able to participate when there is no known curative therapy for their cancer. Benefits of pediatric oncology P1T participation may include improved quality of life (QOL) and hope. Risks may include fostering unrealistic hope, burdening children with additional medical procedures and toxicities, and limiting the opportunity for …

Research Nurses' Attitudes And Practices Regarding Communication Of Risks And Benefits During The Research Informed Consent Process, Lidia Lika Nusbaum

Dissertations

Many studies show that research participants frequently do not fully comprehend information regarding risks and benefits (R&B) associated with clinical trials even though this is a fundamental component of the research informed consent (IC) process, required by ethical and regulatory guidelines. Research nurses often take an active role in obtaining IC while explaining study details and verifying potential participants' understanding. Although there are published recommended strategies to enhance the IC communication process, particularly for R&B communication, there is a paucity of research focused on research nurses' perspectives about the process. This study addresses this gap in the literature and provides …

Factors Affecting Nurses' Intention To Leave Their Primary Nursing Position, Scott P. Kaye

Dissertations

The United States is facing an imminent nurse staffing crisis. An aging workforce, an increasing elder population, and new staffing legislation have added to existing difficulties in retaining nurses. Retaining nurses is a priority in emergency departments, one of the few specialty departments that exceed the national average turnover rate, with an average of 95% of the nursing staff leaving their positions every five years.

This dissertation used dual-factor theory, dimensions of nursing surveillance, and intersectionality as theoretical frameworks; employed secondary analysis of the National Sample Survey of Registered Nurses (2018) dataset; and utilized hierarchical regression Modeling to examine the …

Understanding The Benefits Of Latino Giving Circles: An Emancipatory Research Study, Adriana Loson-Ceballos

Dissertations

This dissertation shows how Latino giving circle members understand their philanthropy and how participation affects their well-being, civic engagement, and philanthropic activities by focusing on giving circles’ composition, members’ goals, and perceived benefits. I used an emancipatory research paradigm with Latino-focused critical race theory, LatCrit, to study the Latino Giving Circle Network (LGCN). A survey was used for data collection, and research platicas were employed in the survey’s analysis; both were selected and designed centering Latinos to overcome challenges in researching Latinos.

Demographic findings reveal a range of Latino experiences. Sixty-six percent reported Mexican ancestry, compared to 83% of California …

Constructing The Process Of Healthcare Decision-Making By Adolescent Athletes Post Sport-Related Concussion, Jeanette Faith Green

Dissertations

Sport-related concussion (SRC) is associated with short- and long-term health consequences. Current recommendations require immediate removal of an athlete suspected of injury, relying symptom self-reporting. Many SRC are unreported resulting in continued play despite symptoms, a risk for subsequent injury. The purpose of this dissertation was to explore influential factors and pivotal decision points within the process of health decision-making (DM) of adolescent athletes post-SRC. Twelve semistructured interviews were conducted with predominantly white high school athletes. Grounded theory methodology was used to examine salient concepts within athletes' DM process. Data were coded and analyzed using dimensional analysis with explanatory model …

The Correlation Between Peer Support And Quality Of Life Of Nurses, Kim Diane Rose Maryniak

Dissertations

Nurses can experience stress and perceived traumatic events during their career. This distress in the workplace can affect the quality of life of nurses. Exposure to perceived distressing events may lead to burnout, compassion fatigue, post-traumatic stress disorder, patient errors or poor outcomes, horizontal violence or even nurses leaving the profession. Peer support is a strategy which has been explored to increase defensive lines and improve coping. The purpose of this descriptive, correlational study was to examine if a relationship exists between the use of peer support, as conceptualized within the framework of the Neuman System Model, and the quality …

Improving Pediatric Nurses Knowledge About Palliative Care Services, Marilia M. Rivera

Dissertations

Palliative care knowledge is important for nursing staff caring for children with life-threatening and debilitating illness because it can provide comfort-based interventions to optimize their quality of life. Nurses in pediatric settings can support the patient and family by providing education and evaluate patients who can benefit from palliative care services. If nurses do not have the palliative care education to support this comfort care process, the quality of life for children with life-threatening and debilitating illness may be affected. The purpose of this DNP project was to educate pediatric nurses about pediatric palliative care standards. The educational program resulted …

Parental Self-Efficacy, Feeding Practices, And Weight Gain During Infancy: A Secondary Analysis, Jessica S. Bahorski

Dissertations

Mechanisms contributing to childhood obesity begin during early life, including infant feeding practices and an excessive rate of infant growth. Parental decisions regarding their infant contribute to these mechanisms. Parental self-efficacy (PSE) is the belief parents have in their ability to accomplish the tasks of parenting and is associated with infant outcomes. A high sense of PSE, breastfeeding self-efficacy, or self-efficacy for feeding has been found to be associated with healthy infant feeding practices. However, this research is limited in scope and has not been conducted in populations at greatest risk for childhood obesity such as low-income or African-American infants. …

Male Combat Veterans In Pre-Licensure Baccalaureate Nursing Programs: A Phenomenological Exploration, Kelly L. Dyar

Dissertations

There is recognized shortage of nurses in the United States which includes a lack of baccalaureate prepared nurses and lack of workforce diversity related to gender. Military veterans could be a recruitment source for the problems currently facing the nursing profession. However, both student veterans and male nursing students have experienced feelings of isolation, lower grade point averages, and higher rates of attrition. A scoping review of the literature revealed a lack of nursing education research literature related to veterans as nursing students. Therefore, the purpose of this study was to explore the lived experience of male combat veterans in …

Handoff Communication Among Senior Nursing Students: A Phenomenological Study, Juanita Hanley-Gumbs

Dissertations

Despite discussions in health care regarding poor communication and its link to patient safety, it was revealed in the literature that many student nurses are inadequately prepared to conduct handoff communication. Student nurses have difficulty in this area due to limited or no experience with the handoff process, which jeopardizes patient safety. The purpose of this research study was to understand how senior nursing students make meaning of their lived experiences with handoff communication. The guiding research question for this study is: How do senior nursing students make meaning of their lived experiences with handoff communication during the change-of-shift report …

Variables That Influence Student Nurse Progression During Sophomore Year In A Traditional Bsn Program, Connie Mcfadden-Chase

Dissertations

The purpose of this dissertation was to discover variables that influence student progression during the sophomore year in a traditional bachelor of science in nursing program. Research exists to identify factors that will predict the retention of students or will contribute to students' success. Tinto's model on student retention was the framework for this study with constructivist grounded theory as the methodology to unravel the data and discover new meanings. The results of the study align with Tinto's model and illustrates the importance of faculty and peer relationships in conjunction with guidance in navigating the particularities of nursing coursework and …

Examination Of The Informed Consent Process As Experienced By Patients Who Underwent De Novo Transjugular Intrahepatic Portosystemic Shunt, Chemoembolization Or Radioembolization Procedure, Marsha A. Hughes-Gay

Dissertations

The purpose of this study is to examine the informed consent (IC) procedure as it was experienced by patients who had undergone a de novo transjugular intrahepatic portosystemic shunt (TIPS), chemoembolization (TACE), or radioembolization (TARE) procedure in an Interventional Radiology (IR) Department. The three main study aims and a fourth exploratory aim are as follows: (1) Describe how patients who underwent a de novo TIPS, TACE, or TARE procedure in an IR Department described the IC procedure; (2) Describe what information patients who underwent a de novo TIPS, TACE, or TARE procedure in an IR Department recalled being told during …

The Critical Factors Influencing The Attitudes And Behaviors Of Nurses Caring For Patients With Substance Use Disorders, Suzan Blacher

Dissertations

Nursing is known to be an ethical and caring practice discipline, yet there is some evidence that nurses may have negative attitudes and behaviors towards persons with substance use disorders. Few nurses realize these undesirable attitudes and behaviors negatively impact the very patients they are caring for (Can & Tanriverdi, 2015). These attitudes and behaviors are also considered unprofessional and may place nurses in violation of the Nursing Code of Ethics (American Nurses Association, 2015).

The purpose of this qualitative constructivist grounded theory study is to develop a middle-range theory explicating the process of nurses caring for Substance Use Disorder …

Intervention Effects Of A Cognitive Behavioral Skills Building Program On Newly Licensed Registered Nurses, Marlene Sampson

Dissertations

The well-being of healthcare clinicians is considered a national crisis. Healthcare clinicians, including nurses, have higher rates of substance abuse, depression and suicide than the national average. Depression and poor health in nurses are linked to medical errors and patient dissatisfaction. Ninety-one percent of NLRNs report high stress levels resulting in stress-related illness, absenteeism and burnout. In 2017, the National Academy of Medicine launched the Action Collaborative on Clinician Well-being to develop evidence-based solutions to reduce this public health epidemic. The purpose of this study was to examine the effects of a Cognitive Behavioral Therapy (CBT)-based skills building program entitled …

American Nursing Faculty's Experiences With International, Ell, And Esl Nursing Students In Bsn Degree Programs, Rosalynn Williams Thyssen

Dissertations

This basic qualitative dissertation research study addressed the question of how American nursing faculty describe their experiences with international, English language learner (ELL), and English as a second language (ESL) baccalaureate degree nursing students. There is a call to increase the number of diverse nursing graduates to meet the need of a globalized nursing profession.

Exploring Health Literacy In The Acute Care Setting In A Rural Border Region, Shiloh A. Williams

Dissertations

Health literacy is important to ensuring patients have the necessary knowledge and skills needed to actively participate as a member of their own healthcare team. Patients with low health literacy are at increased risk for poor outcomes and limited participation in decisions affecting their health or treatment plan. Using the Social Ecological Model (SEM) as a framework, the purpose of this study was to determine the relationship between medical-surgical registered nurses, medical-surgical patients and the registered nurse's (RN) assessment of their patient's health literacy of those who live in a ruralborder region. The study's sample consisted of 84 pairs of …

How Intensive Care Unit Nurses Conceive Of Personal And Professional Risk When Exercising Clinical Autonomy, William Albert Randall

Dissertations

Nurses are often encouraged to work to their fullest potential, including exercising clinical autonomy--a factor known to decrease morbidity and mortality. Nonetheless, nurses endure historical, societal, and professional barriers to be respected and independent. In the intensive care unit (ICU), critically ill, often unstable patients require nurses to respond quickly and adapt to each unique situation, which may mean migrating outside of formal rules, norms, and policies, or "rule-bending." However, as inherent subordinates of hospital administrators and physicians, rule-bending, no matter how well-intended, necessary, or benign, often cause nurses to function in a grey zone of vulnerability and risk.

I …

The Impact Of Health Literacy, Culture And Psychological Factors On The Pap Testing Behaviors Of African Immigrant Women In The United States, Joycelyn Cudjoe

Dissertations

African immigrant (AI) women have low Pap testing rates. Limited health literacy is a barrier to cancer screening among racial/ethnic minority populations. Sources and types of health information can shape health literacy. However, how health literacy, sources and types of health information along with cultural and psychosocial correlates impact the Pap testing behaviors of AI women remains unknown.

To examine how sources and types of health information impact health literacy and health information exchange, and in turn, how health literacy, culture and psychosocial (cancer knowledge, self-efficacy, decisional balance, cultural beliefs) factors influence the Pap testing behaviors of AI women.

The Experiences And Expressions Of Compassion Among Critical Care Nurses, Mark S. Walker

Dissertations

Compassion is a core attribute of nursing practice and is associated with improved patient satisfaction and outcomes. For the last several decades, nurse researchers have been focused on the concept of compassion fatigue. Only recently has compassion appeared in nursing literature. Therefore, the purpose of this study was to explore the experiences and expressions of compassion among critical care nurses.

This dissertation includes a literature review of compassion within nursing education and practice, how it is currently defined, and a review of the empirical data. Next, two interpretative phenomenological qualitative studies were conducted. One study explored the experiences of compassion …

Exploring Mentoring Relationships Among Novice Nurse Faculty: A Grounded Theory, Katie Ruth Busby

Dissertations

The growing and aging population has created an increased demand for health care, resulting in a need for hundreds of thousands more nurses across the United States. As a result, additional nurse faculty are needed to teach the next generation of nurses. However, nurses who enter the faculty role in academia often come from various professional backgrounds with different educational preparation that may not equate to success with the tripartite faculty role of teaching, scholarship, and service. As a way to retain and develop novice faculty, mentoring relationships and programs are promoted as an intervention for career and psychosocial development …

Acculturative Stress, Psychological Flexibility, And Cardiovascular Health Behaviors Among Second Generation Arab Americans In The Greater Washington Dc Region, Randa Merizian

Dissertations

Arab Americans are under-represented in cardiovascular (CV) research, but recent evidence reveals they are at disproportionate risk for poor CV health behaviors when compared to the overall United States of America population. The proposed study is designed to measure the impact of two factors, acculturative stress and psychological flexibility, on CV health behaviors among second generation Arab Americans in the Greater Washington DC region. The outcome variable will be measured using the CV Health Behaviors Questionnaire adapted from the American Heart Association Life's Simple 7 (LSS). Participants will be recruited from five local churches and mosques and George Mason University …

Academic Nurse Educator Attitudes Regarding Their Role Educating Ethnically And Racially Diverse Nursing Students: A Focused Ethnography, Melissa Lillian Weir

Dissertations

The purpose of this research was to explore academic nurse educator attitudes, specifically beliefs and values, regarding their role educating ethnically and racially diverse students through the lens of culturally relevant pedagogy. Focused ethnography methodology was applied through all phases of this research. Interviews with 14 academic nurse educators provided insight into a subculture of nursing. Themes that emerged from data analysis included strengths perspective, teacher-student relationships, diversity as an asset, crucial or difficult conversations, and ethnicity and race setting the narrative. In addition, assimilation and white privilege were discussed due to compelling and varied responses from participants.

Minority Nursing Students' Perceptions About Help-Seeking When Under Stress: A Basic Qualitative Study, Marjorie Attis-Josias

Dissertations

Nursing students experience many situations that lead to stress. Stress can have many adverse effects on students, including attrition, and minority nursing students often grapple with a unique set of stressors related to their status as minorities. This study was conducted to close the gap in the literature about minority nursing students' beliefs and attitudes about help-seeking for stress. A basic qualitative design was utilized to answer one research question, How do minority nursing students describe their experiences with help-seeking when under stress? Individual interviews were conducted with 12 ethnic and racial minority students enrolled in their third or fourth …