Digital Commons Network^™

Effect Of Standardized Nurse Teaching On Patient Experience Using Cahps®, Julie Hake

Dissertations

Abstract

Purpose: This quality improvement (QI) project aimed to determine if a standardized nurse teaching approach improved patient understanding of diagnosis and treatment as it relates to women diagnosed with a pelvic floor disorder (PFD) after receiving a standardized nurse education (SNE) session in an urban tertiary care Urogynecology practice.

Methods: Females aged 18 and older with a newly diagnosed PFD and prescribed PFPT for the first time who agreed to receive the SNE and complete the CAHPS® survey were included in the project. Patient perception of PFPT was assessed via phone interview utilizing the Consumer Assessment of Healthcare …

Uncertainty In The Context Of End-Of-Life Communication In Heart Failure, Caleb Pardue

Dissertations

End-of-life communication between patients, their family members, and healthcare providers is essential to quality care at the end-of-life. Advance care planning is increasingly utilized to facilitate end-of-life communication, but heart failure patients in particular face numerous challenges to achieving adequate end-of-life communication. Extant literature has highlighted the inherent uncertainty in heart failure as a barrier to end-of-life communication as well as the role of time perspective on the experience of heart failure patients, but little empirical research has been conducted to examine the impact of these constructs. The sample included 168 participants with heart failure who were recruited online through …

A Quantitative Assessment Of The Effectiveness Of A Global Online Professional Development Course To Enhance 21st Century Skills In Stem Instructional Design, Chris Link

Dissertations

Science, technology, engineering and mathematics (STEM) disciplines are becoming increasingly important in the 21st century workforce, but there is currently a shortage of STEM professionals around the world. Even when students graduate with STEM degrees, many lack basic interpersonal skills such as communication and problem solving that would position them for success in the marketplace. The New York Academy of Science developed the STEM Education Framework to help ensure that STEM curricula teach the Essential Skills that students need in order to thrive in the modern workplace. In order for educators to proficiently utilize the STEM Education Framework, they must …

Hope, Acculturation, And English Language Proficiency In The Career Decision Self-Efficacy Of East Asian International Students, Yang Ai

Dissertations

The present study explored the predictive abilities of hope, acculturation to American culture, acculturation to the home culture, and English language proficiency to career decision self-efficacy for East Asian international students in the United States who are originally from China, South Korea, and Japan. A total of 167 international students from China, South Korea, or Japan participated in this study. This study used a correlational design to measure the relationship between four predictor variables, including hope, acculturation to American culture, acculturation to the home culture, and English language proficiency and an outcome variable, career decision self-efficacy, among East Asian international …

Elitnauristet Yuutllu Calillgutkut Elitnaurluki Elitnaurat: Yup’Ik Peoples And Public-School Principals In Southwestern Alaska, A Quantitative Survey Of Cultural Values, Anthony Graham

Dissertations

This dissertation explores the alignment between local school principals’ values and ideas about what should be taught in their public schools and the values of the local Yup’ik communities in which those principals serve. A review of scholarly literature served as a basis for identifying Yup’ik values and a survey which measured principals’ beliefs about the importance and priority of those values was used to collect a variety of data. Findings showed both differences and similarities between principals’ priorities and Yup’ik values and was clear that the similarities and differences were predominantly related to the number of years of a …

Guided Pathway Elements From The California Community College Counselor Perspective, Tiffany Welter

Dissertations

Purpose: The purpose of this qualitative multicase study was to describe what California community college counselors consider important elements of guided pathways that increase student success. Additionally, this study will explore how counselors describe the challenges of guided pathways. Lastly, this study identified counselor recommendations for improving guided pathways to increase student success.

Methodology: This qualitative study used a multiple-case study to explore what important guided pathway features California community colleges offer students from the counselor’s perspective. Semi-structured interviews were held with 12 counselors from six California community colleges that have implemented guided pathways on their campuses to capture rich …

Do User-Generated Ratings Affect Hotel Valuations? – An Analysis Of The Chicago Hotel Market, Shailesh Patel

Dissertations

Today’s travelers are increasingly relying on aggregated online opinions to make purchase decisions. One of the sectors most impacted by these online reviews is the hospitality industry, where consumer review websites such as TripAdvisor, Expedia, and Bookings.com play a critical role in influencing consumer's choice of hotel and the price they will pay for the room. Recently, there have been studies investigating the various aspects of user-generated online reviews and ratings. The purpose of this paper is to investigate the impact of user-generated ratings on hotel valuations. Our paper does this using regression analysis to study the impact of TripAdvisor …

Automated Medication Dispensing Cabinet And Medication Errors, Marie Walsh

Dissertations

The number of deaths due to medical errors in hospitals ranges from 44,000 to 98,000 yearly. More than 7,000 of these deaths have taken place due to medication errors. This project evaluated the implementation of an automated medication dispensing cabinet or PYXIS machine in a 25-bed upper Midwestern critical access hospital. Lewin's stage theory of organizational change and Roger's diffusion of innovations theory supported the project. Nursing staff members were asked to complete an anonymous, qualitative survey approximately 1 month after the implementation of the PYXIS and again 1 year later. Questions were focused on the device and its use …

Nutritional Management Of The Extremely Low Birth Weight Infant: An Evidence Based Clinical Practice Guideline, Dana Lunde

Dissertations

Premature birth has risen steadily over the last decade resulting in an increased number of infants needing neonatal intensive care. The demand for neonatal intensive care has lead to many improvements in the delivery of such care with an increase in the survival of the smallest and most premature infants. However, most of these infants are being discharged from neonatal intensive care units (NICU) with severe extrauterine growth restriction (EUGR). Extremely low birth weight (ELBW) infants born at 23-27 weeks gestation and who have a weight of less than 1,000 grams are at the highest risk for EUGR because of …

Someone Like Me: The Impact Of Engagement On High Achieving First Generation Community College Students In California’S Central Valley, Emily Berg

Dissertations

Purpose: The purpose of this comparative phenomenological study was to describe how the impact of engagement factors between high achieving Central Valley, California first generation community college students enrolled in college honors programs and high achieving Central Valley first generation community college students who are not enrolled in college honors programs compares with regard to engagement factors of interaction with faculty, interaction with student peers, time on the college campus, participation in oral and written reports, the application of critical thinking skills, and other student identified factors related to disruption in their lives on their academic achievement in college.

Methodology: …

The Experience Of Early Mobility After One Week Of Hospital-Acquired Deconditioning, Lila S. Moersch

Dissertations

Abstract

Older adults who are hospitalized spend most of their time in bed. Prolonged bed rest and immobility in older adults may result in deconditioning of the muscles, leading to a loss of muscle mass and strength. The loss of muscle mass results in weakness and reduced physiological functioning post-hospital discharge. Immobility is especially problematic in older adults who naturally lose muscle mass and strength due to the aging process. Older adults who experience weakness post-hospital discharge face challenges with mobility. The purpose of this study was to describe the early mobility experiences of adults who are 60 years old …

A Mixed Methods Examination Of Generational Faculty Perceptions When Developing Online Courses, Jelena Fleming

Dissertations

As technology continues to change rapidly, online learning altered higher education. As a result, instructional designers and instructional technologists became more critical in supporting faculty in online course design. Transitioning courses to the online environment created external barriers, such as no training and support, primarily for faculty who never taught online. Instructional designers and instructional technologists helped address external barriers among full-time and adjunct faculty and provided a positive online course development experience. Therefore, the researcher conducted a mixed-methods examination of generational faculty perceptions experienced during online course development at a small Midwestern institution. The researcher investigated a difference between …

Examination Of Cranial Electrotherapy Stimulation (Ces) On Depressive And Anxiety Symptoms Of Caregivers: A Double Blind Experimental Study, Reginald Gerard Jefferson

Dissertations

The caregiver population has recently been recognized in society as a population highly susceptible to problems related to increased anxiety, burden, and abnormal psychological well-being. This experimental pretest post-test 2-group double-blind study was designed to measure the efficacy of cranial electrotherapy stimulation (CES) on anxiety and depressive symptoms of caregivers. Changes in anxiety and depressive symptoms were identified using pre- and posttest measures of State-Trait Anxiety Inventory and Beck Depression Inventory. Caregivers were assigned a pre-coded CES device. Neither the researcher nor the caregiver knew whether a device was active or sham until the completion of the entire study. This …

Development And Validation Of A Food Frequency Questionnaire For The Adult Emirati Population For Use In Epidemiological Studies, Najoua El Mesmoudi

Dissertations

No abstract provided.

Noncognitive Factors: Deaf And Hard Of Hearing Graduates’ Perceived Influence On College Readiness, Cindi Swenson

Dissertations

Purpose: The purpose of this phenomenological study was to explore and describe how deaf and hard of hearing college graduates perceive the extent to which Farrington’s (2012) five noncognitive factors influenced their ability to successfully complete a four-year college degree.

Methodology: This phenomenological study identified and described the extent to which noncognitive factors influenced deaf and hard of hearing college graduates’ ability to successfully attain their college degree. Eight participants were selected through purposeful sampling based on criteria including being a resident in California and graduating with a four-year college degree between 2017 and 2020. The researcher conducted semi-structured interviews …

The Impact Of Teacher Beliefs On Classroom Technology Use: A Case Study On The Interplay Between Teachers’ Beliefs About Students And Technology And Their Classroom Technology Practices With A Primarily Minority Student Population, Tracee Miller

Dissertations

The purpose of this study is to assess the intersection of teachers in urban public schools’ digital beliefs and with their technology practices in the classroom, especially in classrooms where most students are students of color. It examines some subtopics of the primary research question, including what beliefs tech-savvy teachers hold about how technology should be used in classrooms, whether teachers use technology to empower students and encourage creativity, whether teachers integrate students’ self-created digital identities in a classroom setting, and how school- or district-level expectations and support regarding technology integration into classroom settings impact teachers’ implementation and students’ experiences. …

Searching For A “Home”: Examining The Experiences Of Confucian Asian College Students With Third Culture Kid Backgrounds, Yuima Mizutani

Dissertations

Third culture kids (TCKs) spend their childhood and adolescence outside of their home countries. Because of their unique backgrounds, TCKs and adult TCKs face challenges including identity development, low self-esteem, lack of connection with their home countries, posttraumatic stress disorder, depression, adjustment disorder, and others. Although the number of TCKs is increasing due to globalization, this population has been understudied. Moreover, most existing research has focused on TCKs in Western countries. Few researchers have studied Confucian Asian adult TCKs; that is, adult TCKs from China, Hong Kong, Singapore, Japan, South Korea, Taiwan, and others. Confucian Asian countries have collectivistic cultures …

Nursing Students' Perceptions Regarding Faculty Feedback, Deborah Hartzog Chatham

Dissertations

Higher education researchers in a variety of disciplines have explored instructor and student perceptions of what constitutes feedback that is useful and timely. Researchers agree that students desire feedback but are often not sure of how to interpret or use faculty comments. Students vary in an understanding of what constitutes feedback. Nursing researchers have conducted fewer studies to determine student concerns regarding faculty feedback. Nursing faculty differ in perceptions of what constitutes effective feedback. Nursing faculty use various forms of feedback, such as written comments, audio recordings, and automatically generated feedback. These variations suggest nursing faculty do not always know …

Academic Success Factors Influencing Linguistically Diverse And Native English Speaking Associate Degree Nursing Students, Josie L. Veal

Dissertations

To address the healthcare needs of vulnerable populations, nursing educators should evaluate educational preparedness and identify which factors influence a successive academic trajectory in nursing school. A prospective design was used to determine the relationships and differences among the anatomy and physiology course grade, self-efficacy, linguistic diversity, language acculturation, and components of the National League for Nursing pre-admission exam for registered nurses and first semester nursing course grades of linguistically diverse and native English speaking associate degree nursing students. A relationship exists between the PAX-RN composite score, anatomy mean grade, language diversity, and general self-efficacy score, the Nursing Pharmacology and …

Study Of The Incorporation Of Sustainability Topics Into The Accounting Curriculum At Missouri Four-Year Colleges And Universities, Kimberly Ulrich

Dissertations

Businesses around the world voluntarily utilize corporate sustainability reporting to display non-financial information along with their financial results to satisfy the curiosity of their stakeholders. The United Nations played a key role in the evolution of sustainability over time and development of reporting standards. Eventually governments may require thorough coverage of financial and non-financial information in one comprehensive integrated report. To meet this demand, the accounting curriculum must include sustainability reporting topics for accounting students. Leading research and this dissertation demonstrated a holistic approach was best. The most successful higher education institutions incorporated sustainability practices throughout their institutions in addition …

Design Thinking As A Common Language Between Higher Education And Employers, Johnna Denning-Smith

Dissertations

This qualitative study explores student skill preparedness for the work force through semi-structured interviews and focus groups with current college students, faculty members, and employers. Responses from study participants were transcribed, coded, and thematically organized into the following four categories of skills that employers seek in recent college graduates: critical thinking skills, resiliency, workplace skills, and discipline specific skills. The findings include participant perceptions of the importance of these skills and whether higher education effectively prepares recent graduates for the workforce. As part of this discussion, design thinking is presented as a bridge between these groups and as a solution …

Empowering Nurses Of Minority In The Face Of Incivility And Bullying: Through The Lens Of Phenomenology, Corrine Floyd

Dissertations

Abstract

Up to 85% of nurses have reported exposure to incivility in the workplace (Hunt & Marini, 2012). The often-subtle nature of incivility toward nurses in a minority population may partially explain why it remains a problem. Healthcare organizations realize the need for civility to counter the high turnover rate, staff shortages, and low job satisfaction reported by nurses, but lack understanding of how nurses of a minority population perceive incivility and bullying. This study aimed to answer the research question how do nurses with minority representation experience incivility and bullying versus empowerment in the workplace? A descriptive phenomenological design …

Predictors Of Positive Outcomes In Treating Individuals Diagnosed With Idd And Comorbid Psychiatric Disorders, Jacob Omondi Wasonga

Dissertations

The purpose of this research was to evaluate the use of a new treatment protocol, the systemic treatment plan (STP) by identifying the predictors of positive treatment outcomes for individuals diagnosed with intellectual and developmental disabilities (IDD) and comorbid mental health conditions. This study examined the relationship between challenging behaviors, psychiatric conditions, and positive treatment outcomes for individuals with IDD and co-occurring disorders, particularly those individuals whose treatment was driven by the STP. A linear regression analysis was conducted to determine which challenging behaviors and psychiatric disorders best predict positive outcomes in systemically engaged treatment. The results from this study …

Racial/Ethnic Identity Modeling: An Exploration Of The Effects Of Bilingualism On Racial/Ethnic Identity Expression And Self-Esteem In Multiple-Race Black/African American Adults, Tritia Miyako Finley

Dissertations

The psychological well-being and racial/ethnic identity expression of bilingual multiple-race individuals mixed with Black/African American and another minority racial/ethnic category are largely underrepresented topics in current scholarly literature despite their growing population in the United States. In the current study, the sociohistorical and political processes of colonialism and coloniality were discussed to provide context for the critical examination of familial foreign language ability (FLA), self-esteem (SE), and Black/African American racial/ethnic identity (BRI) expression among multiple-race Black/African American adults (N = 204). Using structural equation modeling, results indicated that higher levels of FLA were related to higher levels of SE. …

An Analysis Of Gothic Conventions In Abu Al-Reesh’S Umm Al-Duways And Saadawi’S Frankenstein In Baghdad, Amna Matar Khalfan Mohammed Al Neyadi

Dissertations

Gothic as a literary form first appeared in late eighteenth-century British literature, when Horace Walpole described the second edition of his novel, The Castle of Otranto (1764), as a Gothic story. From that time, and throughout the nineteenth century, Gothic continued to exist in English literature and other European nations’ works of literature. This dissertation aims at proposing and delineating the existence of Gothic elements in modern Arabic novels. In doing so, this research demonstrates that the Gothic genre is part of contemporary Arabic novels, even though Arab literary criticism pays less attention to this fact. This study focuses on …

Mindfulness And Social Emotional Learning: The Lived Experience Of Students Learning English As A Second Language, Lara Catherine Donnelly

Dissertations

In a phenomenological case study, the author sought to gain an awareness of the lived experiences of 4th and 5th grade ESL students, their parents, and their teachers who participated in the MindUp mindfulness curriculum. The author was interested in the relationship between the mindfulness curriculum and SEL based on the perspective of all three participant groups. Qualitative interviews were conducted with 3 students, at least one parent of each of those three students, and the two classroom teachers who conducted the MindUp lessons. Five main themes developed from coding of the raw data: (1) positive impact on students; (2) …

Recognition Of Gender Microaggressions In The Workplace: The Case Of Predisposition And Propensity To Recognize, Alicia Ako-Brew

Dissertations

This study examined the individual factors that affect the recognition of gender microaggressions in the workplace. A total of 220 subjects participated in this study. Specifically, this study revealed how social dominance orientation, ambivalent sexism and gender discrimination perceptions toward women affect a third-party observer’s recognition of gender microaggressions perpetrated against women. In addition, this study examined the effect of role congruence on the propensity to recognize gender microaggressions. Role congruence stems from role congruity theory which posits that a woman in a leadership or masculine role will receive positive or negative evaluations based on the degree to which she …

Predictors Of Hiv/Aids Related Stigma And Discrimination Among Anglophone Caribbean Women, Kimberly A. Hires

Dissertations

The effects of the Human Immunodeficiency Virus (HIV) global epidemic continue to emerge decades after the first wave of infection. One key aspect of the HIV epidemic that is significantly impacted by culture and knowledge of HIV transmission is stigma, specifically HIV/AIDS related stigma and discrimination (HASD). The Caribbean region has the second highest HIV prevalence rate in the world. In 2011, there were approximately 13,000 new infections and 10,000 AIDS related deaths among adults and children in the Caribbean. Three Anglophone nations significantly impacted by the HIV epidemic are Guyana, Trinidad and Tobago and Jamaica. HASD has been identified …

Bedside Nurse Recognition Of Delirium In The Medical-Surgical Setting, Bridget Ann Denzik

Dissertations

Delirium in adults aged 65 and older is a common occurrence in the acute care setting and is often unrecognized by bedside nurses. Delirium can trigger a negative cascade of events resulting in an increase in morbidity and mortality, functional decline, longer length of stay, and high rates of post hospital institutionalization and has a significant socioeconomic impact. The purpose of this quality improvement project was to establish a solid foundation using scholarly literature to support the development of a delirium prevention, recognition, and treatment program in the medical-surgical acute care setting applying the program logic framework. The goal was …

Relationships Between Professional Development And Attitudes, Knowledge, And Skills In Play Therapy Among Counselors, Cynthia Ann Anderson

Dissertations

Most counselors receive inadequate training in play therapy, through university counselor education programs, to counsel children using the method, which leaves novice counselors searching for workshops, institutes, conferences, or self-training to effectively meet the mental health needs of children with play therapy. In this first-of-its-kind study, the researcher investigated relationships between professional development and play therapy among working counselors and measured attitudes, knowledge and skills, and types of training in play therapy. A nonrandom sample of counselors were recruited from relevant online sources in this quantitative study. Attitudes, knowledge, and skills were measured by the self-reported Revised Play Therapy Attitude-Knowledge-Skills …