Digital Commons Network^™

The Emotional Intelligence Of Elementary Principals And The Impact On Culture, Colleen Conway

Dissertations

This study involved examining the emotional intelligence (EI) of elementary principals and then comparing their EI to their ratings on the Illinois 5Essentials survey. The main questions were: Is there a relationship between principal EI and school culture? How do principals create a positive working environment? What is needed to build and maintain a positive school atmosphere? Throughout this qualitative research, more specific questions centered around principal relationships and trust, creating supportive environments, having strong communication and accountability, professional development, and overall school atmosphere. Though the surveyed population was small, the results showed principals who were high in the relationship …

Determining Factors For Improved Uptake Of Harm Reduction Services In The United States: A Study Of Inclusive, Culturally Sensitive Messaging, Lauretta Ekanem Omale

Dissertations

Harm reduction refers to public health policies and programs aimed at decreasing the adverse consequences associated with drug use. While harm reduction services (e.g., syringe exchange programs) can mitigate health risks, marginalized groups face barriers to service access and utilization, partially due to ineffective messaging approaches that fail to align with cultural values and experiences. A one-size-fits-all approach to messaging can negatively impact service utilization, health outcomes, and health disparities. Ineffective communication can lead to poor adherence to treatment, poorer health outcomes, and increased adverse events.

Culturally insensitive communication contributes to stigma, mistrust, and lack of perceived relevance, discouraging service …

Teaching Writing With The Digital Feedback Protocol: A Peer-To-Peer Intervention To Increase Elementary Student Writing Motivation, Karyn Keenan

Dissertations

Writing is a complex task, especially for elementary school writers; motivation in writing leads to greater writing performance and writing quality. Teachers enter their careers underprepared to teach writing and have to seek out professional development on writing for themselves. Technology can be leveraged in the elementary writing classroom, but it is an under researched area. The Digital Feedback Protocol is a case study dissertation study with an embedded professional development opportunity that supports teachers to implement a protocol for students to provide digital feedback to each other’s writing. The study was conducted with four third grade teachers and their …

A Program Evaluation Of 3de Schools By Junior Achievement, Audra Lewis-Hoesch

Dissertations

3DE Schools by Junior Achievement is a framework for instruction designed to reshape the instructional ecosystem through a high school model that uses project-based learning and case-study methodology to help students acquire core competencies. The context of this inquiry includes various states in America where 3DE Schools are implemented. I utilized a mixed methods approach to collect data and gauge the influence of the 3DE instructional framework on students' readiness for college and career pursuits. Key outcomes showed that students in 3DE cohorts scored higher in math and English than the national average, contributing to an overall higher graduation rate …

Sensing With Integrity: Responsible Sensor Systems In An Era Of Ai, David Eisenberg

Dissertations

Deep and machine learning now offer immense benefits for consumer choice, decision-making, medicine, mental health and education, smart cities, and intelligent transportation and driver safety. However, as communication and Internet technology further advances, these benefits have the potential to be outweighed by compromises to privacy, personal freedom, consumer trust, and discrimination. While ethical consequences for personal freedom and equity rise from these technological advances, the issue may not be the technology itself but a lack of regulation and policy that allow abuses to occur. A first study examines how emerging sensor-based technologies, limited to only accelerometer and gyroscope data from …

Evaluating The Health Literacy Practices Of A Primary Care Health System Serving A Diabetic Population At High Risk For Low Health Literacy, Alana D. Norris-Bermudez

Dissertations

Health literacy (HL) is a powerful determinant of patient health outcomes, yet a minority of the U.S. population possesses proficient health literacy. Healthy People 2030 positions HL prominently among the new overarching goals as follows, "Eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all" (The Office of Disease Prevention and Health Promotion, 2023). HL comprises two interlinked components: personal HL and organizational HL, (Office of Disease Prevention and Health Promotion, n.d.). Implementing HL practices within healthcare system facilities such as hospitals, FQHCs, and/or primary care practices to support universal HL precautions …

Wellness Promotion Quality Improvement Project, Jacqueline K. Cantor

Dissertations

The purpose of this capstone project was to bring evidence-based wellness promotion through physical activity (PA) using the World Health Organization (WHO) (2020) guidelines to Psychiatric Mental Health Advanced Practice Nurses (PMH-APRNs) to improve mental health care and provider self-care. The guiding PICOT question was "For PMH-APRNs in community-based mental health practices, will the consistent implementation of the evidence-based intervention of a wellness prescription promoting physical activity based on WHO's (2020) PA Guidelines, compared to no consistent use in current practice, increase the promotion/prescription of PA to their mental health patients and increase the PMH-APRNs' own physical activity over eight …

A Non-Weight Centered Approach To Modifying Eating Attitudes In Polycystic Ovarian Syndrome, Jo'quishia A. Lethermon

Dissertations

Polycystic Ovarian Syndrome (PCOS) is an anovulatory disorder characterized by insulin resistance and endocrine dysfunction. Infertility and abnormal weight gain in women of childbearing age are often a result of PCOS, impacting quality of life and posing potential long-term health sequelae. Prescribing weight loss has been adopted by clinicians as an effective intervention to improve insulin resistance. For some patients, this practice has led to the negative effects of weight cycling and disordered eating attitudes which can result in long term adverse cardiometabolic outcomes. A quasi-experimental pre-and-post-test study was conducted to evaluate how a non-weight centered program influences eating attitudes …

Reducing Maternal Morbidity From Peripartum Hemorrhage In Cesarean Delivery, Jennie Lee

Dissertations

Background/Purpose: Maternal hemorrhage is the second highest cause of direct maternal death and the leading cause of morbidity and mortality in the United States. This public health crisis is highlighted by the economic burden of over $30.8 million annually in the United States. The greatest tragedy in the review of maternal mortality is that 84% of pregnancy-related deaths were determined preventable. Identifying trends of factors that predispose women to hemorrhage can mitigate rates of severe maternal morbidity and mortality. This study describes relationships among demographic factors (maternal age, race, and ethnicity), clinical and physiologic factors, which include coexisting medical conditions …

Evaluating Effective Communication Of Baccalaureate Nursing Students, Christine N. Brockway

Dissertations

The purpose of this mixed methods study was to determine how communication evaluation by clinical faculty compared in a clinical setting versus a simulation setting for Bachelor of Science in Nursing (BSN) students. Fifty (50) BSN students from three different schools of nursing were scored using the Interprofessional Situation, Background, Assessment, Recommendation Nurse to Physician Rubric in both clinical and simulation settings by seven nursing faculty. Scoring for each student occurred in both settings during one semester. Following the evaluation, students and faculty were asked to participate in a focus group to discuss their experience. Results from this study showed …

The Effect Of Guideline Education On Anticoagulatin Management And Professional Collaboration In Ecmo Patients, Luis E. Farfan

Dissertations

This project aims to assist nurses and advanced practice nurses in preventing thrombosis and bleeding during ECMO treatment. It suggests following established anticoagulation guidelines, providing comprehensive education, and promoting teamwork among healthcare professionals. This approach can enhance patient outcomes by increasing knowledge and collaboration, ultimately leading to optimal administration of unfractionated heparin. Over approximately 20 weeks, the project was undertaken to enhance knowledge pertinent to anticoagulation management in patients undergoing Extracorporeal Membrane Oxygenation (ECMO). This initiative involved facilitating educational sessions tailored for nurses and Advanced Practice Providers (APPs) and focused on improving collaborative processes between these healthcare professionals.

Development And Evaluation Of A Teamstepps® Program Among Cardiac Procedural Unit Staff In A Mid-Atlantic Community Hospital To Improve Teamwork And Patient Safety, Dawn K. Mutchko

Dissertations

Communication and teamwork between members of the non-provider patient care team in the cardiac procedural unit were observed to be unbalanced and at times ineffective. Team members additionally expressed concerns regarding efficiency and accuracy in patient handoff, specifically between units. The goal of this study was to improve teamwork and communication among the staff of the cardiac catheterization and electrophysiology lab. Participation in this initial, single-unit phase would include the non-physician staff of that unit.

Intercultural Perspectives On Managing Organizational Change In Response To Government Policy Reform: A Case Study On The Leadership Of New Oriental Education, Yihe Yang

Dissertations

In 2021, a policy aimed at addressing educational inequality triggered a significant upheaval in the private tutoring sector of China by fundamentally transforming prevailing business models and financial viability within the industry. New Oriental Education & Technology Group Inc. (New Oriental Education), one of the preeminent private tutoring enterprises in China, attracted considerable attention for its subsequent organizational change. This study explored the leadership dynamics and organizational change efforts implemented by New Oriental after the policy enactment.

The theoretical framework synthesized organizational change theory, organizational culture, and transformative leadership approaches from both Western and Chinese perspectives. It elucidated effective practices …

Ripple Of Hope: Understanding The Lived Experience And Academic Achievement Of Latinx Students At Arrupe College And Dougherty Family College: A Case Study, Richard P. Virgin

Dissertations

One of the most common and important entry points into higher education for Latinx and other underrepresented students is through community college. However, national completion rates for Latinx community college students have been trailing their white peers. This gap in academic achievement has prevailed since the 1990s. The trailing rates of degree completion for Latinx students can lead to lower lifetime salary earnings, lack of career advancement, greater risk of losing employment, and an increased chance of living in poverty. However, a successful community college model may be seen as a disruptor in the educational sector due to its much …

Borderland Voices: Exploring The Educational Journey Of Transfronterizx Students, Families, And Educators For Enhanced Engagement And Empowerment, Sobeida Velazquez

Dissertations

Transfronterizx students and their families cross the U.S.–Mexico border for academic, economic, social, cultural, and linguistic reasons. Socioeconomic disparities, deportation, and work have propelled some families to live in Mexico and enroll their U.S.-born children in U.S. schools to provide more socioeconomic opportunities in the United States. Educators of transfronterizx students are uniquely tasked to work with these nontraditional students. Moreover, transfronterizx students and their families have distinct needs in U.S. schools; as such, there is a need for further research on the transfronterizx experience in the U.S. K–12 system. This qualitative narrative inquiry study aimed to understand the experiences …

A Comparison Of Emotional Intelligence And Resilience Between Bachelor's Degree And Associate Degree Nursing Students, Natalie Board

Dissertations

Emotional intelligence and resilience are essential proficiencies critical for nurses to deliver safe and quality patient care. In the healthcare industry, nurses are exposed to numerous complex circumstances in demanding and high-stress environments. The quality of patient care a nurse can deliver depends on one's capacity to handle certain situations effectively. Emotional intelligence and resilience were potentially important variables in improving clinical practices and patient outcomes (Cleary et al., 2018). With the nursing shortage in the US, all nurses became necessary and required on the front lines of patient care during this time of dire need, regardless of their levels …

Addressing Barriers To Medication Adherence: An Evidence-Based Screening Instrument Validation Study, Donna Washburn

Dissertations

Adherence to a prescribed medication regimen is often critical to successful disease management. Cancer diagnoses often further complicate control of the comorbid diseases. Older cancer patients with multiple comorbidities receiving chemotherapy treatment are at increased risk for adverse health outcomes from uncontrolled disease when nonadherent to their medication regimen. The intent of this pilot study was to test the validity of an evidence-based screening instrument designed to identify patients at risk for medication nonadherence and uncontrolled illness. The W-BMA (Washburn-Barrier to Medication Adherence) screening criteria were applied to retrospective data of cancer patients with multiple co-morbidities. SPSS was used to …

Pain Interference In Chronic Musculoskeletal Pain: Examining A Resilience Model Of Dispositional Optimism, Coping Responses, And Mind-Body Practices, Trey Heffernan

Dissertations

Chronic musculoskeletal pain is the leading cause of disability in the United States. Pain interference, or the ways chronic pain negatively interferes with everyday life, is the biggest problem impacting individuals with chronic musculoskeletal pain. Although previous research has targeted risk factors associated with poor health outcomes, the adaptive functioning of some patients with chronic pain highlights a need for research investigating resilience factors. The purpose of this study was to investigate the direct and indirect relationships between resilience factors of optimism, coping responses, and mind-body practices on pain interference for individuals with chronic musculoskeletal pain. Specifically, the resilience model …

Expediting Stroke Transfers: Improving Door-In Door-Out Times In A Community Hospital Emergency Department, Susan E. Maynard

Dissertations

Patients with acute ischemic stroke are at high risk for death and disability without rapid treatment. Thrombectomy is a time-sensitive procedure that can restore blood flow to the brain.

Phenomenological Research Examining Administrators And Special Education Teachers' Perception, Experience & Knowledge Of The Mississippi Special Education Growth Rubric, Tricia Pittman

Dissertations

In the current era of accountability, public school administrators’ responsibilities may include evaluating special education teachers and providing them with feedback and support to improve their effectiveness. The problem that exists is that administrators who do not have a background in special education are charged with the responsibility of evaluating special education teachers, resulting in special education teachers not getting the support or feedback necessary to improve their instructional practice.

In addition to administrators not having the background knowledge necessary to effectively evaluate and support special education teachers, the problem of developing an effective evaluation model to evaluate special education …

A Correlational Study Of The Relationship Of Nurses' Pain Assessment And Patients' History Of Substance Abuse, Valerie A. Esposito Kubanick

Dissertations

Patients experience physical pain for a myriad of reasons. The patients' expression of pain is often difficult to quantify and treat based on individuality of the patients and the viewpoint of the nurses. Therefore, the treatment of pain can become discounted or marginalized, especially in patients who use alcohol or drugs. The use of opioids is the gold standard for pain management, but current administering trends are to use less, or to use non-opioid treatments for fear of patient dependency. There is also an opioid epidemic and patients are sometimes categorized into this unfortunate situation as a precaution. Nevertheless, pain …

Finding Focus: Authentic Inquiry And Composition In The Third Space, Noah Brewer

Dissertations

This research seeks to better understand the attitudes and dispositions of advanced-level English Language Arts students toward the activities of academic research and writing, and to explore the ways that critical pedagogies focused on authentic inquiry and composition interact with these attitudes. The project draws upon research in student motivation, sociocultural definitions of literacy, and theories of hybrid identity in order to discover the potential impact of engaging students in critical reflection on their own meaning-making practices, and of curricular and pedagogical choices aimed at making the lessons of the classroom more relevant to the demands of real-world literacy practices …

A Phenomenographical Study Of One School’S Efforts To Improve Student Reading Skills And Parent Literacy Support, Karey L. Williams

Dissertations

Providing early literacy training for children is a vital part of establishing the foundation for the learning they will do for the rest of their lives, so it is important that we do the right work from the start. Unfortunately, too many children are still reading below grade level by third grade, and instead of reading to learn new materials, they are still trying to learn to read. At Van Buren Elementary School, there are many challenges for students and teachers. The school’s Free and Reduced lunch rate is over 86%, the students receiving English to Speakers of Other Languages …

Thoughts, Conflicts, And Feelings Of Ela Teachers’ Experiences During The Covid-19 Pandemic, Matthew Osborn

Dissertations

The COVID-19 pandemic introduced many complications and challenges for educators. There is a need to document and describe teacher experiences during this time to determine common themes that may inform future educational practice. This study utilized narrative inquiry to examine the lived experiences of five secondary ELA teachers during the different phases of the COVID-19 pandemic. Three themes concerning how teachers perceived their students, work demands, and self were identified through several rounds of coding and thematic analysis. The findings and conclusions of this study contribute to developing a shared understanding of what happened in secondary education during the various …

Promoting Civic Engagement And Knowledge Amongst Middle School Adolescents Through Simulation Based Teaching Models, Karrie Palmer

Dissertations

Public schools, and education in general, were founded on the principles of preparing young people to participate in civic life as active and informed citizens. Yet, civic competency scores are consistently low and demonstrate that students are not prepared for the civic engagement required of them when they leave school. The purpose of this quasi-experimental mixed methods study is to determine if participation in simulations and utilizing experiential learning theory while teaching the government standards will lead to a greater understanding of civics, and a positive improvement in students’ beliefs and values regarding civic engagement beyond the classroom. While the …

Thinking Outside The Box: Exploring The Instructional Conversations Model Beyond English Language Learners Into Gifted Learners, Terri Thornton

Dissertations

Gifted students, characterized by exceptional intellectual abilities and unique learning needs, often find themselves navigating an educational landscape that may not fully cater to their specific requirements. Traditional teaching methods may fall short of engaging and challenging these students to realize their full potential. This dissertation delves into the efficacy of instructional conversations as an innovative pedagogical approach tailored to the distinctive learning profiles of gifted students. Through a comprehensive examination of relevant literature, theoretical frameworks, and empirical evidence, this study seeks to illuminate the impact of instructional conversations on the academic, social, and emotional development of gifted learners.

The …

Teacher Initiated Collaboration In Community: A Case Study Considering Communities Of Practice At A Title I Middle School, Katherine Stewart

Dissertations

This qualitative case study investigates how faculty members in a Title I middle school engage in collaborative practices to enhance professional growth without formal professional learning. Framed within a descriptive lens (Merriam, 1998) and informed by Brown and Duguid's Community of Practice (CoP) framework (1991), the study addresses two research questions: (1) How do teachers collaborate to improve their practice outside formal professional learning? (2) In what ways do these methods reflect the elements of CoP: working, learning, and innovating? Through data analysis, the study reveals that teachers predominantly collaborate on student behavior and classroom management, with curriculum being a …

Inclusivity Within The Digital Age, Jarvis Denmark

Dissertations

This qualitative study takes a phenomenograpichal interest in the experiences of students in a school district that responded to the Covid-19 pandemic by using digital tools for instruction and to support a culturally relevant learning experience. Previous research focuses on teacher beliefs and the benefits of multiliteracies as they intersect with Culturally Relevant Pedagogy, but few studies have analyzed the experiences of students who are the prime beneficiaries of culturally relevant instructional practices. The thick description in this study was aimed at optimizing student voice, especially the voices of students of color. Also, the aim of the research was to …

Teachers' Perceptions Of Technology Professional Development And Implementation In An Urban Middle School: A Case Study, Valeria Williams

Dissertations

This qualitative case study focused on understanding teachers’ perceptions of technology-based professional development sessions and the impact of technology requirements on their decisions to remain in or exit the teaching profession. The study involved seven middle school teachers with varying teaching experience and technology backgrounds. Participants shared their insights through journals, interviews, and document notes, which were then organized into themes reflecting their responses to the research questions.

The findings revealed key themes such as the structure and availability of professional learning sessions, facilitators’ positive impact, teachers’ emotions during and after training, optional learning strategies, and how these factors influence …

Implementing A Clinical Practice Guideline To Reduce Antibiotic Use In Asymptomatic Bacteriuria, Connie Sue Clum

Dissertations

Antibiotic use in asymptomatic bacteriuria (ASB) may not be necessary. At the project site, there was no systematic process to manage ordering antibiotics and urine cultures without first diagnosing a urinary tract infection, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if implementing an antimicrobial stewardship program utilizing the Infectious Disease Society of America (IDSA) Clinical Practice Guidelines for the Management of Asymptomatic Bacteriuria would impact urine cultures ordering and antibiotic use among adult patients admitted to the general medical service. The project was piloted over 12 weeks in an urban hospital …