Digital Commons Network^™

The Effects Of Culturally Competent Messaging On Willingness To Engage In Firearm Means Safety, Sarah E. Butterworth

Dissertations

Little is known regarding how to most effectively deliver messaging that promotes safe firearm storage behavior. This study examined the extent to which engagement with firearm means safety messaging is conditional based on type of messaging, political beliefs, past suicidal ideation, and implicit associations of firearms with safety or danger. A sample of 909 American firearm owners recruited from Amazon’s Mechanical Turk (mTurk) was randomized to receive standard or gun culture-friendly firearm suicide prevention messaging at baseline, with 608 completing one-month follow-up. Main effects of messaging condition on means safety openness, intention to change firearm storage practices, and actual changes …

Exploring The Relationship Between Mindfulness, Self-Compassion, And Empathy In Student Therapists, Nicole Montes

Dissertations

Literature suggests that the practice of mindfulness may foster self-compassion within the practitioner. Mindfulness is also associated with increased empathy towards others. The current study explored the relationship between a mindfulness intervention and student clinicians’ levels of self-compassion and empathy towards a mock “client.” Graduate student clinicians were randomly assigned to two groups: one that participated in a mindfulness exercise then viewed a mock client video, and another that did not participate in the mindfulness exercise and went directly to viewing the mock client video. Participants’ levels of empathy towards the client and self-compassion were measured. The results revealed no …

Transitions: The Lived Experience Of Bachelor Of Science Nursing Students, Rita Peters

Dissertations

Peters, Rita. Transitions: The Lived Experience of Bachelor of Science Nursing Students. Published Doctor of Philosophy dissertation, University of Northern Colorado, 2020. This study explored the lived experience of the Bachelor of Science in Nursing (BSN) nurse utilizing an interpretive phenomenological approach. Transition theory was utilized as the lens to guide the study. Societal needs are demanding nurses who are capable of caring for increasingly complex patients. An aging population continues to increase the need for nurses. The increased need for new nurses is complicated by continuing attrition from schools of nursing. The literature identified many interventions that have been …

Characteristics And Motivation Of Spanish- Speaking Latinx Families Of Children With Disabilities Engaged In A Family Support Group, Sandra Helena Rasmussen

Dissertations

Rasmussen, Sandra Helena. Characteristics and Motivation of Spanish-Speaking Latinx Families of Children with Disabilities Engaged in a Family Support Group. Published Doctor of Philosophy dissertation, University of Northern Colorado, 2020. English learners consistently demonstrate achievement gaps with family educational engagement being one method to improve student academic achievement, however, culturally and linguistically diverse families engage less due to cultural and language differences as well as due to motivational barriers. The purpose of this phenomenological qualitative study was to add to the limited literature by gaining insights into the motivational reasons of Spanish-speaking families to engage in a family support group. …

Consequential Saints: A Preliminary Study Of Jazz And Religion In New Orleans, David Baker

Dissertations

The moral ecosystem of New Orleans at the beginning of the twentieth century offers a unique opportunity for jazz to function and be observed beyond positivist definitions of music. The common narrative often cites religion and morality as peripherally influencing factors in the development of jazz but frequently disregards the impact of New Orleans’ atypical religious milieu and its influence on local culture. While recent research exists that studies the nuanced role of identity, phenomenology, and culture in shaping early jazz, the influence of New Orleans’ unusual form of morality and religion is subsequently ignored. Understanding the birth of jazz …

Experiences Of Middle School Principals With Accountability-Related Stress And Coping Skills, Gus T. Calbert

Dissertations

This exploratory qualitative study was focused on the impact of state and federal mandates on the role of middle school principals, specifically what increased responsibilities and major areas of stress middle school principals are experiencing; how any enhanced stress impacts these middle school principals, both professionally and personally; and what coping mechanisms principals use to handle the stress of any increased responsibilities.

The experiences and perceptions of 12 principals from one Midwestern state were captured through semi-structured interviews, and by having them complete Allison’s Coping Preference Scale. Their answers provide a deeper understanding of what it is like leading a …

Application Of Artificial Intelligence And Geographic Information System For Developing Automated Walkability Score, Md Mehedi Hasan

Dissertations

Walking is considered as one of the major modes of active transportation, which contributes to the livability of cities. It is highly important to ensure walk friendly sidewalks to promote human physical activities along roads. Over the last two decades, different walk scores were estimated in respect to walkability measures by applying different methods and approaches. However, in the era of big data and machine learning revolution, there is still a gap to measure the composite walkability score in an automated way by applying and quantifying the activityfriendliness of walkable streets. In this study, a street-level automated walkability score was …

Development Of An Instrument Measuring Existential Authenticity, Misty M. Richmond

Dissertations

The purpose of this study was to develop an instrument to measure existential authenticity in adults. Existential authenticity was defined as awareness of the existential givens in the human experience as defined by Irvin Yalom. This construct is theorized as the goal of existential psychotherapy, which is a meaning-centered psychotherapy aligned with the purpose of providing clients with the tools to cope with life's negativities and live a meaningful life. Many diagnostic conditions, including depression, psychological trauma, and anxiety, are conceptualized as amenable to the benefits of existential psychotherapy and the journey towards existential authenticity.

A Comparative Study Of Student Achievement And Teacher Perceptions Between Differently Structured Special Education School Districts, Leigha Wetter

Dissertations

In order to provide recommendations for special education service organization practices, the researcher investigated student achievement and teacher perceptions of differently structured special education school districts that collaborated with a special school district to provide special education services and schools that provided their own special education services. Through evaluating the varying school districts, this study aimed to address possible best practices within the structuring of the organizations to increase student achievement for students with special needs. In order to evaluate the organization of the school districts, the researcher analyzed the student achievement of special education students at the elementary and …

Personality Type, Self-Efficacy, And Learning Style Preference: A Quantitative Study Of Ninth-Grade Students In Missouri, Katie Lee Mock

Dissertations

Personality types, learning style preferences, and self-efficacy domains of ninth-grade students in southwest Missouri were explored in this study. The study was conducted to shed light on needs assessments used to identify learner differences due to the rise of mixed-ability classrooms. Five selected schools participated in the study during the 2019-2020 school year. The Big Five Personality survey was used to identify the dominant personality type of each participant: openness, conscientiousness, extroversion, agreeableness, or neuroticism. The Self-Efficacy Questionnaire for Children (SEQ-C) was used to identify the dominant self-efficacy domain for each participant: academic, social, or emotional. The Thinking and Learning …

Development And Evaluation Of A Nursing Psycho-Educational Program Focused On Communication For Family Caregivers In Early Alzheimer's Disease, Krystyna Klodnicka Kouri

Dissertations

In the early stage of Alzheimer's disease, a major area of concern for the family caregiver is that of communication with the family member. In response to this problem, a psycho-educational intervention focused on communication was developed for the family caregiver and tested within an experimental design. The theoretical framework for the study included the McGill Model of Nursing, Self-efficacy theory and Geragogy. The study took place in a semi-urban region. The sample was recruited through memory clinics, a geriatric assessment unit and in the community. The inclusion criteria for participants were as follows: (1) being the principal caregiver of …

Exclusionary Beliefs, Multicultural Ideology, Empathy, And Perceived Threat: A Comprehensive Model Of Anti-Immigrant Prejudice, Reigna El-Yashruti

Dissertations

Despite the increased movement of people across national borders, anti-immigrant sentiment continues to pose challenges to immigrant mental health and disrupt intergroup relations. In the USA, where over 14% of the population is comprised of foreign-born individuals, immigrants continue to face prejudice from both the public and political administration. Intergroup Threat Theory (ITT) explains this prejudice as stemming from the perception that the out-group poses a threat to the cultural purity, economic stability, or physical safety of the in-group. Traits that promote group exclusion, such as perceived group superiority (i.e. Right-Wing Authoritarianism; RWA, Social Dominance Orientation; SDO, cultural dominance; CD) …

Supporting Hope In Midlife Cancer Survivors: Intervention Workshop, Clare Marie Butt

Dissertations

Cancer patients lack information and support needed to make the transition to survivorship. This problem was addressed by testing a psycho-educational group intervention, the Mid-Life Directions Workshop, for its effect on hope and quality of life in midlife cancer survivors.

Engaging Middle School Emergent Bilinguals In Language Awareness: A Practitioner Researcher Study, Carol Lickenbrock

Dissertations

This practitioner research study (Cochran-Smith & Lytle, 2009) traced the journey toward critical literacy of a group of seven emergent bilinguals and me, their teacher, over the course of a four-month unit on argument as part of our English for Speakers of Other Languages 3 (ESOL3) class. Many of these students, like many emergent bilinguals in the United States, had been disempowered because they had not had access to the academic texts of school. As part of this research, students worked with tools of Systemic Functional Linguistics (SFL) to analyze the interpersonal, ideational and textual metafunctions of argumentation in lessons …

Measuring The Impact Of Cognitive Behavioral Coaching With Nonverbal Immediacy On The Self-Efficacy Of Undergraduate Students In Stem Courses, Christopher Miller, Melissa Joy Benton

Dissertations

A quasi-experimental study explored whether the practice of cognitive behavioral coaching with an intentional focus on nonverbal immediacy has an impact on the self-efficacy of undergraduate students taking college-level STEM (Science, Technology, Engineering, and Mathematics) courses. A positive impact to self-efficacy for students who receive the coaching intervention was anticipated. The research took place at a public research university located in the Midwest. Subjects included students who were required to work with a success coach as a condition of their enrollment and/or financial aid eligibility. Information obtained included perception of nonverbal immediacy of the coaches and self-efficacy of the student, …

Utilizing Mindfulness-Based Exercises To Reduce Anxiety Severity Scores According To The Gad-7, Kelly Calhoun

Dissertations

Abstract

Problem: Generalized anxiety disorder (GAD) affects thousands of Americans every year. Mindfulness, a practice of bringing oneself into the present moment, has been shown to impact anxiety symptoms positively.

Objective: This prospective observational correlational study utilized mindfulness-based exercises to help decrease anxiety severity according to the generalized anxiety disorder-7 (GAD-7) in an outpatient psychiatric practice.

Methods: Participants practiced mindfulness exercises for two months. The GAD-7 was completed three times to monitor symptom severity. Two participant satisfaction surveys were completed to determine whether participants felt the exercises were beneficial for decreasing their anxiety.

Results: A repeated measures ANOVA was used …

Bridging The Gap In Primary Care Of Inflammatory Bowel Disease (Ibd) Patients, Deanna Dial

Dissertations

Abstract

Problem. Patients in rural or medically underserved areas (MUAs) with inflammatory bowel disease (IBD) have limited access to primary care preventative services, making them even less likely to obtain preventative care, placing them at even greater risk for adverse health outcomes.

Methods. A two-phase retrospective chart review utilizing a convenience sample of patients diagnosed with IBD from a privately-owned gastroenterology office to evaluate the effectiveness of increasing preventative screenings for IBD patients. The first review included 53 patients seen from January to April 2019. A preventative screening

evaluation tool (PSET) was developed based on literature recommendations, including the American …

Diversity In Pre-Nursing Majors And Nursing Program Applicants, Christel Fehr

Dissertations

Problem: The population of the US has become increasingly ethnically diverse. This diversity has not been reflected in the nursing workforce with approximately 70% being Caucasian and 85% being female, resulting in a disparity in healthcare delivery by minorities. The purpose of this project was to perform an analysis of race, ethnicity, and gender diversity in undergraduate nursing applicants at a rural midwestern university.

Method: A retrospective review of nursing applications, enrollment reports, and graduation rates were examined for three academic years.

Results: 326 students (N=326) applied to the nursing program from Fall 2016 through Spring 2019. Of …

Nurse Practitioner Student Confidence And Competence In Common Women's Health Diagnostic Procedures, Jessica Cowan

Dissertations

Problem: In areas with limited health resources, such as Guatemala, cost-effective and reliable methods for sexually transmitted infection and cervical cancer screenings are needed. The purpose of this Quality Improvement (QI) project was to develop standardized training in Vaginal Wet Mount (VWM) preparation and cervical cancer screening using Visual Inspection with Acetic Acid (VIA) for Nurse Practitioner students who traveled to Guatemala for a week-long global immersion experience.

Methods: This was a QI project with a prospective descriptive design utilizing a purposive sample of 10 University of Missouri-St. Louis Nurse Practitioner students who traveled to Guatemala on medical mission trip …

The Effectiveness Of Multiple-Choice Test Items In Assessing The Clinical Judgement Abilities Of Prelicensure Registered Nursing Students, Tracy D. Holt

Dissertations

The purpose of this study was to evaluate the effectiveness of multiple-choice questions in assessing the clinical judgment abilities of prelicensure registered nursing students. Nurse educators are responsible for ensuring fairness in testing and evaluating the development of clinical judgment abilities of students throughout the nursing program of study. This study compared multiple-choice test items developed using the current NCSBN® NCLEX-RN test item writing guidelines to multiple-choice test items developed using the new guidelines proposed by the NCSBN® Next Gen NCLEX-RN® project.

Comparison Of Nursing Student Academic Achievement And Satisfaction Based On Face-To-Face Interaction Versus Distance Education In Teaching Therapeutic Crisis Management Techniques, Jennifer S. Graber

Dissertations

Nursing education today is very different with advances in science and technology. Nurse educators are using distance education in an effort to offer students the ability to practice varying skills in a safe non-threatening environment. This quasi-experimental, post-hoc causal comparative study had a two group post-test only design. There were two conditions: face-to-face classroom delivery of course content and distance education with online course content. The study was designed to compare effectiveness of distance education and face-to-face interaction through reviewing test grades and class grades. Additionally students were asked to rate their satisfaction of the different modalities.

Knowledge And Health Beliefs About Breast Cancer Screening Among Rural Palestinian Women: Pilot Study, Hanan Saca-Hazboun

Dissertations

Breast cancer is the most frequent type of cancer among women and the risk increases with age, with an estimated 1.67 million new cases in 2012 and a 25% incidence of all cancers in women in both developed and developing countries. It is the most frequent cause of cancer death in women in less developed regions (324,000 deaths, 14.3% of total), (Ferlay, Soerjomataram, Dikshit, Eser, Mathers, Rebelo, et al., 2015). Breast cancer is diagnosed at advanced stages of the disease in women who reside in the developing countries of the Eastern Mediterranean region (Jemal, Bray, Center, Ferlay, Ward, & Forman, …

Utilizing Wellness Champions As A Faith-Based Initiative For Mental Health Promotion, Tracy M. Webster Cooley

Dissertations

Abstract

Purpose: This program evaluation project evaluated the effectiveness of mental health training and support provided to wellness champions affiliated with a behavioral health organization. This project sought to gain a better understanding of how clergy and laypersons acting as wellness champions in predominately African-American faith-based organizations perceive they create an atmosphere to decrease stigma and increase mental health promotion and wellness when receiving education and training on mental health.

Methods: A descriptive project using a program evaluation design to evaluate the effectiveness of the training of 122 wellness champions from faith-based organizations received from a behavioral health organization …

Evaluation Of A Type 2 Diabetes Mellitus Care Coordination Program, Carrie Smith

Dissertations

Abstract

Purpose: This Quality Improvement (QI) project evaluated the impact of an existing Diabetes Care Coordination (DCC) program at an urban clinic for clients with no health insurance in the Midwest. Diabetes related indicators of those enrolled in the DCC program and client reported barriers were documented over a 19 month period.

Sample: Clients included were 18 years and older, with no insurance, having the diagnosis of Type 2 diabetes mellitus, and were enrolled in the DCC program within the first six months of the program's initiation.

Methods: A retrospective chart review of 24 clients recording diabetes related outcome indicators …

Utilizing High Flow Oxygen Therapy In Infants With Bronchiolitis, Sarah Ulses

Dissertations

Problem Bronchiolitis is the leading diagnosis of hospitalizations for children under one-year. The purpose of this study was to evaluate the effectiveness of supportive high-flow oxygen (HFO) therapy for infant patients requiring more than 2L/min nasal cannula (NC).

Methods An observational, descriptive design with convenience sampling of infants aged one-year or less, hospitalized with bronchiolitis and requiring HFO therapy. Comparisons were done between 2019 when no HFO was allowed on the general unit and in 2020 when HFO was allowed.

Results Of 28 patients (N = 28), 13 (n = 13) were in the 2019 cohort and 15 …

Take 10 Program Effects On Fifth Grade Academic Achievement, Emily Janes

Dissertations

Problem Less than one-fourth of children reach their recommended 60-minutes of daily physical activity. Inactivity can result in poor academic performance; whereas physical activity stimulates brain functions responsible for regulating comprehension and attention, release of brain chemicals to improve learning, and enhances neurogenesis resulting in better cognition. The purpose of this quality improvement project was to evaluate the Take 10 exercise program in a rural, Midwestern elementary school fifth grade classroom.

Methods An observational, descriptive design with a purposeful sample of fifth-grade students in a rural elementary school. Grades in math, science, and reading were examined the semester before (quarter …

The Development Of Science Identity In Undergraduate Stem Majors: A Case Study Of Urban High School Students, Charles Mcwilliams, Benjamin Nims, Kathleen Dwyer

Dissertations

The STEM fields, science, technology, engineering, and mathematics, face a significant challenge: the underrepresentation of women and minority racial groups entering STEM degree programs and careers. Addressing this STEM gap requires more than quality curriculum and educational supports; there is a need to understand the social psychological processes that influence students’ perceptions, motivation, and interest in STEM. The concept of science identity has been posed as a research perspective to understand participation and persistence in STEM. Enacting a science identity may include describing oneself as a scientist, having a high sense of self-efficacy to do scientific work, displaying an interest …

Increasing Cms Sepsis Core Measure Adherence Rates Through Virtual Consultation, Angela Cann

Dissertations

Problem: According to the Centers of Disease Control and Prevention (CDC, 2016), it is estimated that sepsis affects around 1.5 million individuals in the United States annually, causing the death of 250,000 individuals and being responsible for one out of three hospital deaths. One-fourth of patients who develop severe sepsis will die during their hospital stay. Delays in sepsis treatment contribute significantly to increased morbidity, mortality, and length of stay in the hospital. The Centers for Medicare and Medicaid (CMS) sepsis bundle guideline adherence rate in the Emergency Department of a Level III Trauma Center was stagnant at 55% through …

Mitigating Suicide Risk Post-Discharge From Inpatient Crisis Stabilization: Safety Planning Intervention, Leighia M. Mcghee

Dissertations

Abstract

Purpose: The purpose of this program evaluation is to evaluate the effectiveness of a newly implemented safety planning intervention (SPI) tool, comparing patient outcomes relating to suicide attempt rates, emergency department (ED) encounter rates, and inpatient rehospitalizations rates pre and post its integration to care in a suburban behavioral health hospital.

Methods: A descriptive cohort design utilizing a retrospective chart review was completed over six months, three months pre, and three months post implementation of the SPI program. A convenience sample of inpatient charts was reviewed to assess the rate of suicide attempts, ED encounters frequencies, and hospitalization rates …

Optimizing The Effectiveness Of Peripheral Intravenous Catheters, Carrie Kollar

Dissertations

Problem Hospitalized adult patients require more than one short peripheral catheter (SPC) to complete the prescribed intravenous (IV) therapy due to catheter failure and the practice of resiting. The purpose of this quality improvement initiative was to increase the rate of SPCs remaining in situ for the entire duration of the IV therapy for hospitalized adult patients.

Methods Application of an engineered securement device (ESD), an educational program pertaining to modifiable risk factors, and changing the practice to removal upon clinical indication were methods utilized to reduce the number of SPC insertions and catheter failures. This study was conducted at …