Digital Commons Network^™

Implementing A Depression Screening In A Pediatric Acute Care Setting For Adolescents With Type 1 Diabetes, Kelcie Marler

Dissertations

Problem: Depression among adolescents with Diabetes Mellitus type 1 (DM 1) is three times more prevalent than adolescents without chronic disease. Diagnosis of depression has been found to negatively affect the quality-of-care management, quality of life, and results in an increase in hospital admissions with hypoglycemia or hyperglycemia events.

Methods: A depression screening, the patient health questionnaire 9 (PHQ-9), a validated screening tool for use among adolescents was implemented in this quality improvement (QI) project. It was the first cycle of a plan-do-study-act (PDSA) cycle for in a pediatric ICU. Adolescents between the ages of 12 – 18, were …

Evaluation Of A Dirfloortime® Program For Autism Spectrum Disorder, Jennifer L. Pipitone

Dissertations

Problem. Parents with children who have neurodevelopmental disorders, such as autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) experience high levels of parenting stress. The prevalence of ASD is on the rise in the United States. As a result, there has been an increase in the use of treatment modalities, in effort to better understand which modalities have the most positive impact on children and their parents. DIRFloortime® is a developmental treatment modality used to help strengthen the parent-child bond and used to decrease parental-child stress. The Autism Parenting Stress Index (APSI) measures the impact of an intervention …

Mental Health Concerns Of Frontline Registered Nurses Associated With The Covid-19 Pandemic, Julie Ingle

Dissertations

Problem

COVID-19 caused local healthcare facilities to admit patients with COVID-19 at increasing rates, critically overloading healthcare system resources. Caregiver-related stress associated with the COVID-19 pandemic placed frontline registered nurses (RNs) at risk for mental health consequences (Havlioglu & Demir, 2020; Shechter et al.,2020).

Methods

This quality improvement project used a descriptive design to administer a collection of validated instruments assessing anxiety, depression, posttraumatic stress disorder (PTSD), and demographics. A purposive sample of RNs were recruited from the COVID-19 units in a local hospital, and the survey was distributed via email.

Results

During the implementation period (April 4, 2021-May 15, …

Proactive Text Messaging For Public Health Surveillance During The Covid-19 Pandemic, Daria Kester

Dissertations

Problem

The Department of Public Health (DPH) of a suburban Midwestern county considers surveillance and control of COVID-19 to be sub-optimal, resulting in part from difficulties with completing case and contact interviews.

Methods

To increase the success rate of case investigation, proactive messaging using short message media (SMS) alerts is used in a quality improvement initiative based on the PDSA framework. Participants are sent text message alerts prior to receiving a call from a DPH case investigator. Results are recorded in a statewide database.

Results

Individuals who received text messages prior to receiving a case investigation interview phone call were …

Digital Contact Tracing During The Sars-Cov-2 Pandemic, Erin Katherine Moran

Dissertations

Problem

Manual contact tracing (MCT) is considered an essential public health intervention for infectious disease control. During the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, there was insufficient funding or personnel to reduce transmission effectively. Throughout the pandemic, Missouri remained below the recommended contact tracing response rate (CRR) of 50%. One method used globally to aid in pandemic control was digital contact tracing (DCT); however, Missouri was unable to implement digital contact tracing due to barriers faced, which were not unique.

Methods

DCT was selected as subject of a strategic plan (SP) to augment MCT efforts. Other locales’ successes …

Attitudes Toward Sars-Cov-2 In Frontline Healthcare Workers And First Responders, Michelle Tiffany Arrington

Dissertations

Problem: To date, little evidence exists to understand attitudes of SARS-CoV-2 in frontline healthcare workers (HCW) and first responders (FR), related to best practices in mitigating virus spread. The purpose of this project was to assess attitudes toward COVID-19 in young adults, ages 18-44 years old, who are frontline workers related to their adherence to PPE guidelines, social distancing, hand hygiene, community exposures, and vaccinations.

Methods: A descriptive survey design using five-point Likert scale questions and 26 open-ended questions and was implemented one-year after onset of the pandemic. A purposive sample working in a large, urban, Midwest metropolitan area was …

Mental Health Effects Of The Covid-19 Pandemic On Older Adults, Elizabeth Kerr

Dissertations

Problem: Significant psychological effects such as anxiety, depression, stress, and loneliness are shown to affect the older adult population, aged 65 years and older. The social isolation and disconnectedness related to the COVID-19 pandemic potentially worsens anxious and depressive feelings, increasing the risk for adverse outcomes in the high-risk older adult population. This project aimed to identify older adults at risk for acute, situational mental health issues associated with the pandemic.

Methods: A descriptive study design was used. Telephone interviews were conducted to explore effects of the COVID-19 pandemic on mental health responses in older adults. A convenience sample …

The Effects Of Race, Ethnicity, Education, Marital Status, And Family Size On Hysterectomy Rates, Zula Price

Dissertations

Decreasing disparities in hysterectomy rates have been a goal of the United States Department of Health and Human Services as a method of improving women's health. In the United States, hysterectomy rates remain high, particularly among Black women in contrast to other racial and ethnic groups (Qi et al., 2013). This study, using a descriptive research framework, utilized a sample of 1,921 women across the United States who participated in the 2012 National Health and Nutrition Examination Survey (NHANES).

Data were analyzed from the responses of subjects who reported having a hysterectomy in the 2012 NHANES, which is designed to …

Holistic Blood Pressure Management Plan In Primary Care, Marilyn L. King

Dissertations

The purpose of this Doctor of Nursing (DNP) quality improvement (QI) project was to demonstrate the usefulness of implementing a bilingual educational module for patients with hypertension on improving knowledge, self-efficacy, and self-management at Kids Kare Pediatrics and Family Kare Clinic.

A Screening Tool To Identify Patients At High Risk For Perioperative Neuropathy, Carla M. Ibbotson

Dissertations

This project aimed to evaluate anesthesia provider attitudes surrounding the clinical topic of perioperative peripheral nerve injury. Additionally, the project sought to introduce anesthesia providers to a novel risk assessment device that may help identify patients at high risk for perioperative peripheral nerve injury while assessing its potential utility in anesthesia practice.

Development Of A Scale To Measure School Psychologists' Self-Efficacy For Working With Gifted Populations, Brittany Marie Dodds

Dissertations

School psychologists are specialists in educational assessment, consultation, youth mental health, and social-emotional-behavioral development. As a result of their training, school psychologists are positioned to serve students with exceptionalities, including gifted students. However, research indicates that school psychologists' familiarity with gifted issues is lacking and that information regarding school psychologists' self-efficacy for working with this population is nonexistent. Therefore, the aim of the present study was to create a tool to assess school psychologists' self- efficacy for working with gifted populations. The Dodds Inventory of Gifted Self- Efficacy for School Psychologists (DIGS-SP) was developed and administered to 229 practicing school …

Examining The Effects Of A Curriculum-Based Professional Learning Community On Teacher Efficacy Toward Inquiry-Based Science Instruction, Samuel Joel Northern

Dissertations

Improving STEM education is pivotal to our country’s economic future and security. Unfortunately, most young students have limited access to standards-based science education. Science instruction is notoriously difficult to implement in the early grades. This dissertation explored the root causes for the lack of effective science instruction in elementary schools, including accountability testing, instructional time, historically weak standards, family factors, teacher efficacy, and professional development.

This study aimed to understand how elementary school teachers’ attitudes promote or hinder the implementation of science instruction. This study’s primary driver to improve science education in the early grades was a curriculum-based professional learning …

Challenges Associated With Treatment Of Borderline Personality Disorder In Older Adults And The Impact On Psychosocial Development, Marisa Victory

Dissertations

The continued growth of the global aging population calls for further expansion and development of the appropriate diagnosis and treatment of older individuals living with borderline personality disorder (BDP), yet there is limited information regarding the impact of the disorder in later adulthood. The pivotal work of Erik Erikson, specifically his psychosocial stages of development, is a widely accepted conceptual framework for understanding human development including into older adulthood. During the late adulthood psychosocial stage of development, people experience a multitude of changes in relationships, work status, family, and what they define as meaningful. These changes can have a negative …

The Effect Of Pedagogical Agent Persona On Performance, Self-Efficacy, And Attitudes In Adult Learners In An Online Environment, Justin L. Mathews

Dissertations

Pedagogical agents, virtual avatars that are often included in online training or educational modules, have been studied in a variety of disciplines to determine the extent to which their inclusion in online or multimedia learning environments may influence both cognitive and affective outcomes in learners. The present study examined the effect of a peer-like pedagogical agent providing motivational messaging in an online English language learning environment to determine if the agent will positively affect college students’ performance, self-efficacy, and attitude in comparison to a control group. All participants studied an online, self-paced English grammar module, either with (treatment version) or …

The Influence Of Professional Development On Teacher Self-Efficacy In Gifted Education, Keely P'Pool

Dissertations

The purpose of this research is to study the impact of effective professional development training provided to both preservice and inservice teachers about gifted education and gifted students. This research also seeks to discover whether a notable difference exists between preservice and inservice teachers in regard to the increase in their knowledge and self-efficacy upon completion of the professional development training. A quantitative approach using a survey and a required training was used for all participants. Study participants included preservice teachers attending a southern Kentucky public university who were taking education classes as well as inservice teachers from 11 school …

Postpartum Depression In South Asian American Mothers: An Examination Of Screening Tools And Associated Cultural Factors In Assessment, Heer Panchal

Dissertations

Postpartum depression is a disorder impacting an overwhelming number of women after childbirth with symptoms of depression, anxiety, guilt, and hopelessness. Due to limited research and understanding of postpartum depression in the growing South Asian population in the United States, it is vital to gather data and research on this population to increase understanding of patterns and experiences that occur within the South Asian American population and to incorporate cultural factors into the screening process. The current research’s objectives include discussing the facets of postpartum depression, current tools used to screen for postpartum depression, and helpful interventions to create a …

Does The Input Equal The Outcome For Students With Emotional And Behavioral Disabilities?, Brigid Eileen Bright

Dissertations

Students with emotional and behavioral disabilities experience poor post-secondary outcomes despite the existence of research-based best practices to improve outcomes (Freeman et al., 2019; Mitchel et al., 2019). Research signifies this population as underserved and under-identified (Barnett, 2012). Additionally, funding best practices indicate student outcomes should be considered when allocating resources (Chartrand, 2019). The purpose of this mixed methods study was to consider both inputs and outcomes for graduates with emotional and behavioral disabilities (EBD) and graduates with significant cognitive impairments (SCI) in a rural northwest Arkansas district and the fiscal allocation for both populations. A comparison of quantitative post-secondary …

The Impact Of Consumer Smart Device Platforms On Illness Uncertainty And Anxiety In Patients With Atrial Fibrillation, Wing Yan Vien Cheung

Dissertations

Atrial fibrillation (AFib) is a common cardiac arrhythmia associated with increased risk for comorbid health conditions. Advancements in consumer technology have enabled patients to monitor hearth rhythm independently, yet, much remains unknown about patient outcomes related to the use of these smart device platforms (SDP). The aim of this study was to examine the iatrogenic and/or remedial effects of SDP use on patient reported outcomes of illness uncertainty, cardiac anxiety, body vigilance, AFib symptoms, symptom burden, and healthcare utilization. The sample included 130 AFib participants (65 in SDP group) recruited through ResearchMatch, American Heart Association support forum, and other online …

From Alsace To America: The Development And Migration Of Ashkenazi Jewish Cuisine From Its Origins In Eastern France, Angela Hanratty

Dissertations

This research examines the historical development of a distinctly Ashkenazi Jewish cuisine from its roots in the Alsace region of France, through the Jewish settlements in Eastern Europe, and the mass immigration to America in the 19th and 20th centuries. The aim of the research was to come to an understanding of how global perception of what is considered to be quintessentially Jewish food (as evidenced in American Jewish delicatessens, Jewish homes, and in popular culture) has been shaped by developments in Alsace. Long standing views were held that Ashkenazi food developed in Eastern Europe, specifically Poland and the former …

Reducing Hospital-Acquired Pressure Injuries Through The Implementation Of The Leaf Patient Monitoring System, Meghan Kelley

Dissertations

A top priority for all hospitals is patient safety. A major component of patient safety classified under this category is prevention of hospital-acquired pressure injuries (HAPIs), which are considered "never-events" by the Joint Commission and align with the World Health Organization as preventable harm. Due to current policies on a particular unit not proving to be effective at reducing HAPIs, the implementation of the FDA-cleared Leaf Patient Monitoring System was proposed. This technology uses a sensor adhered directly to the patient to reduce the trending HAPI rates on the a progressive care unit while assisting nursing in adhering to the …

Diabetic Education To Reduce Readmission Of Patients With Diabetes, Nicoleta F. Buiciuc

Dissertations

Hospital readmissions by patients with diabetes rise due to known risk factors such as lack of a healthy diet, physical activity, aging and obesity (Sonmez, Kambo, Avtanski, Lutsky, & Poretsky, 2017). Diabetes education and management is key to improving self-care behaviors and reducing hospital readmissions within 30 days (Drinic et al. 2017 & Sullivan & Alexander, 2019). Diabetes self-management involves education on healthy diet, exercise, self-monitoring of blood glucose, avoidance of risk factors and complications (Chai et al., 2018). Hospitalization provides an ideal time to identify barriers to improving a diabetes home regimen and promote DSME (Inpatient Diabetes Management, 2016). …

Depression Screening And Management In A Free Primary Care Clinic, Ashley Gagne

Dissertations

Introduction. Depression diagnoses in the United States continue to rise within the primary care setting. At a free primary care clinic in the Southeastern United States, the PHQ-9 screening tool was being used to screen patients for depression, but providers were not regularly addressing positive screenings. Aims. This quality improvement project aimed to evaluate health care staffs' awareness, attitudes and confidence towards depression screening and management and implement best practices in primary care identification and follow up for depression.

Methods. Health care staff at a primary care clinic responded to Revised Depression Attitudes Questionnaire (RDAQ) pre-and post-surveys to measure their …

Developing A Diagnostic Tool Of A Community’S Health, Ruth Kurtycz

Dissertations

Where we live can affect nearly every aspect of our lives, including how long those lives will be. Previous studies have demonstrated large health disparities between communities in the United States; since the health of a community can significantly impact its residents, evaluating and predicting community health is of interest to many people. Currently the Federal government collects and publishes data on community-level demographics, housing, crime rates, and disease. State-level and non-governmental agencies track and share community housing prices, school performance, neighborhood safety, and other characteristics. In short, there is a wealth of information but the work being done around …

Dominating Functions In Graphs, Maria Talanda-Fisher

Dissertations

Domination in graphs has become one of the most popular areas of graph the- ory, no doubt due to its many fascinating problems and applications to modern society, as well as the sheer mathematical beauty of the subject. While this area evidently began with the work by the French mathematician Claude Berge in 1958 and the Norwegian-American mathematician Oystein Ore in 1962, domination did not become an active area of research until 1977 with the appearance of the survey paper by Ernest Cockayne and Stephen Hedetniemi. Since then a large number of variations of domination have surfaced and provided numerous …

Exploring Principals’ Experiences With Social Justice Issues In Their Work As School Leaders, Djimtibaye Otalbaye

Dissertations

Social justice has taken on a special importance in education today, although it is not a new concept in terms of human history. Social justice is not a local issue, but exists in all parts of the world (Jean Marie et al., 2014). Differentiation among social environments of schools and increasing elements of diversity and roles of schools to create a socially just structure can be seen as main reasons for these issues (Turhan, 2010). Schools are therefore challenged to address the social conditions and hardships of students by responding to their needs (Avant, 2014).

The purpose of this basic …

The Acquisition Of Dental Competencies And Clinical Skills: Perceptions From Students, Faculty, Practicing Dentists And Industry Professionals In The Dominican Republic, Laura Virginia Reyes Alardo

Dissertations

The Dominican healthcare system faces many challenges, and dental education is not an exception. The lack of competencies established for dentistry is one of the most critical challenges that dentistry faces. There is no way to guarantee that all dentists receive the same quality education with no standards and lack of competencies. Previous research has revealed that the competencies achieved by dental students determine the way such students develop their professional practice in the future as dental graduates (Alcota, De Gauna, & González, 2016). However, there is a lack of shared language observed in dental education around the world. Not …

A Quantitative Assessment Of Marital Quality Among Couples In Kerala, India, Grace Kochuparambil

Dissertations

The increasing number of divorces and domestic violence in Kerala, India points out the need to assess marital quality among couples in Kerala. The lack of assessment tools in the native language prevents evaluating Malayali couples' marital relationships. The purpose of the proposed study was to examine couples' marital quality in Kerala and validate the translated Marital Adjustment Questionnaire (MAQ) and Marital Quality Scale (MQS), the M-MAQ and the M-MQS, respectively. The instruments were translated into Malayalam through a forward and backward translation. A quantitative survey research design collected data from a criterion[1]based sample of 260 couples in Kerala using …

Closing The English Language Proficiency Gap In Post-Secondary Education In Canada, Priscilla Lothian-Hendrix

Dissertations

The proposed research employed a mixed-method approach to investigate why the linguistic standards of the Canadian Language Benchmark (CLB) (levels 5–8) are deemed satisfactory for English as a second language (ESL) learners at the college level. An examination of the Canadian English Language Proficiency Index Program (CELPIP) identified why an ESL learner with a CLB level of 5–8 requires English support services in post-secondary education to achieve academic success in Canada. The CLB levels of six female participants were analyzed using a questionnaire in reading, writing, listening, and speaking to explore their English levels in articulating the language, pronouncing words, …

Adapting Independent Reading For The Virtual Classroom, Ellen J. Foley

Dissertations

There is no doubt that the 2020-2021 school year was an unprecedented one. Around the world, COVID-19 school closures forced teachers to change their instructional practices with very little time, preparation, or guidance. While frustrating and challenging, experiences from this particular school year provide unique insight into pedagogical adaptations from in-person contexts to virtual ones.

This qualitative, grounded theory study examines the experiences of six secondary English Language Arts (ELA) teachers and their adaptations of independent reading pedagogies for their virtual classrooms during the 2020-2021 COVID-19-impacted school year. Independent reading is a practice that depends on proximal classroom factors including …

Community Attitudes Toward Police In Benton Harbor And St. Joseph, Michigan, Brian Molina

Dissertations

The present study sought to help investigate which public safety interventions may be appropriate for improving the safety and quality of life of Benton Harbor community members. To begin answering this question, researchers collected baseline measures of community attitudes toward police (ATP). St. Joseph residents were sampled to allow for a direct comparison of two sister cities within the same county, with nearly opposite racial and economic characteristics.

To obtain these data, surveys were administered to both Benton Harbor and St. Joseph community members. There were nine demographic/predictor variables included in the community perception survey. The variables were (a) location, …