Digital Commons Network^™

The Effects Of Mindfulness On Depression In Dialysis Patients, Nakeia Saddler

Dissertations

Abstract

Problem: Depression is a prevailing global health issue and a typical complication of dialysis patients. This quality improvement project's purpose was to evaluate mindfulness on depression in dialysis patients, aged 18-93, who are on dialysis and participated in a mindfulness program over three months.

Methods: A descriptive, prospective, and retrospective design was used to assess depression pre- and post-implementation of a mindfulness telephone line over three months. A convenience sample of twenty adults aged 18-83 who use this hemodialysis center on Monday, Wednesday, and Friday was utilized. The Iowa Model is the framework selected to guide the implementation of …

The Ethics Of Advance Care Planning, Ciaran Folliard Rhys

Dissertations

The COVID-19 pandemic subjected millions of Americans to alienated deaths in institutional settings. Given that the default response to health crises is to go to the Emergency Department, isolation protocol limited the care and support ill and potentially dying people could receive at the bedside. Crisis standards of care also cut off meaningful discussions of end of life care preferences. Communication barriers regarding end of life care existed well before the pandemic, however. This dissertation proposes a new approach to the concept of Advance Care Planning (ACP), or the process of deciding what kinds of care one would prefer in …

Enshrining Memory: The Production Of An American Catholic Past, Emily Arledge

Dissertations

American Catholics throughout the nineteenth and twentieth centuries advocated for a canonized American. To promote a candidate, organizers of canonization causes collected objects related to the person’s life and curated exhibits to educate Catholics about the candidate. American shrines became intertwined with creating museums or heritage tourism sites for Catholics to encounter their faith and learn about their place within the nation’s history. This dissertation argues that shrines create an American Catholic public memory by interpreting the lives of saints and potential saints through the American past, situating themselves into a national story, and reproducing a saint’s memory for future …

Peer Culture Of Block Play In An Early Childhood Classroom, Missi Jacobson

Dissertations

This is an ethnographic study of peer culture in the block play area of an early childhood classroom. Researchers have continued to position block play as an essential activity in early childhood classrooms. William Corsaro’s (1985, 1990, 1992, 2003, 2020) work on peer culture in young children and theory of interpretive reproduction is the framework that guided the methods and theoretical lens of this study. I was a participant-observer, using an “atypical adult” technique, in the block play area in a 4-5-year-old classroom with 22 children during a full school year. The children navigated how to build and play socially …

Cancer Survivor Empowerment Through Patient-Reported Outcomes, Mary Patricia Johnston

Dissertations

Background: Conventional approaches for assessing and managing symptoms in cancer survivors are unlikely to be effective in cancer survivorship care because clinician-driven assessment limits the voice of the cancer survivor while the burden and complexity of cancer care increases. Yet, cancer survivors are not prepared for the shift from clinician-driven assessment and management of symptoms to cancer survivor self-report of symptoms and self-management of their own care. There are gaps in clinician assessment, and no studies describe how patient empowerment may facilitate the cancer survivor’s ability to assume the responsibilities of monitoring, reporting, and managing symptoms as the cancer survivor …

Warmth And Support: The Importance Of Parenting Behaviors On Child Symptoms Among Mexican Immigrant Families, Yvita Bustos

Dissertations

This dissertation seeks to expand research regarding warmth and support among low-income, Latino immigrant families, specifically families of Mexican-origin, and how these parenting behaviors impact child internalizing symptoms and externalizing behaviors. The first study titled, “Effects of Familism, Parenting, and Family Cohesion on Child Internalizing Symptoms among Mexican Immigrant Families” explored how familism may promote warmth and support, in addition to family cohesion, and how these factors may impact child internalizing symptoms during middle childhood among Mexican immigrant families. The second study, titled “Stress and Child Internalizing Symptoms: Examining the Moderating Role of Latino Fathers' Warmth and Support using Mixed …

Parenting And Psychosocial Functioning In Youth With Spina Bifida: Making Connections With Other Cns-Related Chronic Health Conditions, Adrien M. Winning

Dissertations

Parenting practices have been linked to psychosocial outcomes in children who have chronic health conditions that affect the central nervous system (CNS), such as spina bifida (SB). However, there remains a need for (1) more evidence-based assessments that capture parenting in SB, (2) additional research focused on parenting in early childhood in SB, as this is a critical developmental period that has been understudied, and (3) systematic reviews that synthesize parenting research across CNS-related conditions to guide future work. This dissertation includes three papers that aim to address each of these gaps in the current literature. Specifically, the first study …

"To This You Were Called": Discipleship, Suffering, And Social Identity In First Peter, Shane Patrick Gormley

Dissertations

At the center of First Peter’s rhetoric stands an exhortation to “follow” in Christ’s footsteps (2:21). Several scholars have suggested (sometimes off-handedly or in a singular footnote) that this specific exhortation utilizes the technical language of “discipleship,” but only to support a particular piece of the letter’s paraenesis (2:18–25). I contend that such a suggestion, while a helpful place to start, does not go far enough. With this study, I propose that we may read First Peter comprehensively as a summons to discipleship in accord with ancient understandings of education, exemplified in the multifaceted system of Hellenistic paideia. I argue …

Lung Resident Memory B Cells Maintain Allergic Ige Responses In The Respiratory Tract, Alexander James Nelson

Dissertations

Immunoglobulin E (IgE) is the primary cause of allergic asthma. Allergen-specific IgE can be detected in the airway of allergic asthma patients even in the absence of circulating IgE, suggesting that IgE can be synthesized locally in the respiratory tract. However, the source of IgE-producing B cells, as well as how IgE responses arise and persist at mucosal sites are not fully understood. To address these questions, we modeled allergic asthma in mice by repeated intranasal administration of ragweed pollen and ovalbumin (OVA). We found that allergen exposure induced the production of local IgE in the airway and formation of …

Dramatic Storytelling Develops Emergent Literacy In Efl: Evidence From The Uae Kindergartens, Ghada Yahya Alkilani

Dissertations

There is increasing importance of the English language for educational excellence and career success in the UAE. The early years is a sensitive period for language acquisition, and preschool age is the best time to learn English as a foreign language (EFL). Stories are a main vehicle used in early childhood education (ECE) to engage children in language learning. Although previous studies have found dramatic storytelling to be particularly effective in developing children’s emergent literacy in English as a native language, little is known about the effect of dramatic storytelling on developing young children’s emergent literacy in EFL. Also, there …

English Language Learners And Their Access To Postsecondary Education: Examining Their Achievements And College Readiness Through Educators’ Experiences And Perspectives, Anna Kalinowska

Dissertations

The purpose of this qualitative study was to bring awareness to the issue of English learners (ELs) being unprepared for college and to study the beliefs and perceptions of educators regarding the factors that contribute to the creation of an achievement gap between EL students and traditional students. The study involved an analysis of trends in the perceptions of school counselors, teachers, and administrators regarding EL students being ready to attend college. Data were collected from nine participants from three public high schools in Pinellas County using Zoom and email interviews and then analyzed. Four main themes emerged from the …

Factors Affecting The Success And Persistence Of Pre-Nursing Students, Leslie A. Jennings

Dissertations

This article-based dissertation consists of two manuscripts related to factors affecting the success and persistence of pre-nursing students. The first manuscript was a matched cohort study that compared selected academic variables between two groups of pre-nursing students admitted to a pre-licensure baccalaureate nursing program via two different routes. The purpose of this study was to determine if there were any differences in academic performance between these two groups of students in the first semester of a formal nursing program. Analyses of the data revealed a difference in semester grade point average (GPA), but no significant differences in the RN Fundamentals …

A Delphi Study Of Effective Strategies For Addressing The Most Significant Challenges To Creating Gender-Balanced High School Career Technical Education (Cte) Pathways, Jon Black

Dissertations

Purpose: The purpose of this Delphi study was to identify what expert high school Career Technical Education (CTE) administrators see as challenges to creating gender-balanced classes across all high school CTE pathways, to rate the significance of the identified challenges according to the experts, and to describe the most effective strategies for addressing the five most significant challenges identified in creating balanced CTE enrollment across all high school pathways. Methodology: This study used a three-round Delphi method to collect data from expert high school CTE administrators. In Round 1, the expert panel was asked to identify challenges to creating gender-balanced …

The Concept Of Home Care Nursing Workload: Analysis And Significance, Barbara L. Mildon

Dissertations

The concept of home care nursing workload has not been widely studied and no evidence was found that an analysis of the concept had been undertaken. Consequently, there was a knowledge gap regarding the definition and attributes for the concept of home care nursing workload as it is currently experienced. To address that gap, a descriptive, three-phase, mixed methods (quantitative and qualitative) study was conducted.

With A Little Help At Home: The Impact Of Romantic Partner Support On Daily Burnout And Workplace Incivility, Matthew Aplin-Houtz

Dissertations

With rude and discourteous encounters in the workplace becoming more common, Workplace incivility (WI) is at an all-time high. As such, workers experience levels of burnout from these negative social interactions. The literature concedes that the results of these interactions lead to mounting burnout, causing negative physical and emotional outcomes at the individual and organizational levels. Considering that the literature also supports that employees have the potential to recover from burnout symptoms through rest, obtaining the perception of control of their circumstances, and cognitive reframing, the time and activities a worker spends at home carry the potential for minimizing burnout …

Assessment Of The Cultural Competence, Dementia Attitude, And Alzheimer's Disease Knowledge Among Tertiary Healthcare Providers, Jo Ann Pelaez-Fisher

Dissertations

Alzheimer's disease has made a significant impact on healthcare delivery in the acute care facilities. Tertiary healthcare providers are challenged by the needs of patients diagnosed with Alzheimer's disease while ensuring safe delivery of technical and specialized care in a fast-paced setting. There have been extensive research on informal caregivers and the consequences of providing care to patients with Alzheimer's disease. Few studies have queried tertiary healthcare providers and the influence of culture, attitude, or knowledge on Alzheimer's disease care. No study to date has investigated the elements of high quality Alzheimer's disease care which include cultural competence, positive attitudes, …

Impact Of Delirium Observation Screening Scale On Identifying Delirium In Hospice Patients, Elsie E. Glasu-Atunuwa

Dissertations

Delirium in the elderly can impact health outcomes, making it essential for healthcare workers to identify and manage delirium early. At the project site, there was no evidence based approach to the early identification of delirium. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the translation of Neefjes et al.'s research using the Delirium Observation Screening Scale (DOSS) would impact the identification of delirium with provider notification among adult patients in a hospice facility in South Texas over four weeks. Virginia Henderson's need theory and Kurt Lewin's change theory provided the theoretical foundations for the …

A Focused Ethnographic Study Of Nurses' Role In The Early Mobilization Program In The Pediatric Intensive Care Unit, Chelsea E. Noone

Dissertations

Early Mobilization (EM) in Pediatric Intensive Care Units (PICU) is safe and feasible, but there are issues preventing the adoption of EM into clinical practice. The objective of this study was to describe the patient safety concerns and how nurses develop strategies to safely deliver EM to their patients. The second objective was to explore, describe and analyze nurses' perceptions of barriers and facilitators to performing EM, and to identify strategies nurses perceive would assist them to overcome barriers and increase adoption of EM within the PICU. This focused ethnographic study included 15 in-depth interviews with 10 PICU nurses. Data …

Pneumococcal Vaccination In Adult Patients With Chronic Obstructive Pulmonary Disease, Samjhana Thapa

Dissertations

Problem: Patients with Chronic Obstructive Pulmonary Disease (COPD) are at risk for exacerbations due to pneumonia which could lead to unwanted outcomes. Despite the existence of evidence regarding phone call reminder usage as a communication strategy about vaccinations as an effective preventive measure that can minimize the likelihood of contracting pneumonia. In a primary care facility in Kentucky, phone call reminders are not being used to promote vaccinations.

Method: This quality improvement (QI) pilot project used a descriptive, comparative, and retrospective design with the aim to increase the pneumococcal vaccination rate by 10% over 3 months by implementing a phone …

Cultural Competence In Nursing School Curricula, Mayra P. Toney

Dissertations

The purpose of this study was to determine the benefit of both classroom instruction and an immersive clinical experience for the development of cultural competence skills among student nurses. The 3-D Model for Culturally Congruent Care was the framework used for this quantitative descriptive correlational study. The premise of the model is to draw upon the knowledge that culturally competent care derives from the healthcare provider and client level, an essential factor to the delivery of culturally competent healthcare. A convenience sample of 74 student nurses from two separate cohorts enrolled in a diploma-based program were asked to complete the …

Learning Science: Physical And Life Sciences In Curricula Across U.S. Schools Of Nursing, Valerie C. Sauda

Dissertations

Nursing educators are being challenged to provide curriculum that meets the changing healthcare environment and demand for creative, innovative nurses to assist in transforming healthcare into the future (Benner, Sutphen, Leonard, & Day, 2010; Institute Of Medicine, 2011). The liberal education provided within a baccalaureate of science in nursing (BSN) degree program provides a diversity of courses within the curriculum, including courses in the natural, physical, mathematical, and social sciences (American Association of Colleges of Nursing [AACN], 2008). Although nursing programs have included science courses in curriculum since the early 1900s (Nutting & Dock, 1907), there is lack of nursing …

Exploring Relationships Between Psychological Capital And Perceived Stress Among Newly Graduated Nurses, Rita J. Jarvis-Isaac

Dissertations

Stress among the newly graduated nurses has been linked to physical and emotional distress, high turnover rates, and the quality of patient care. Psychological capital is a positive state of mind that consists of four components (hope, efficacy, resilience, and optimism). Higher levels of psychological capital have been linked to improvements in the work environment, and the psychological and emotional state of nurses. Despite the extensive work of researchers exploring psychological capital among nurses, its relationship to stress among new graduate nurses has not been well studied. The purpose of this quantitative, correlational study was to explore the relationship between …

It Is What It Is...Enduring The Never-Ending: The Lived Experiences Of Parenting Adult Children With Developmental/Intellectual Disabilities, Siri Gurunam Kaur Khalsa

Dissertations

The parental home is the predominant place of residence for adults with developmental disabilities/ intellectual disabilities (DD/ID) (Heller et al., 2007). More than 75% of the adult population with DD/ID, living in the US, continue to have their basic needs provided by parents (Williamson & Perkins, 2014). This is based on the estimated statistic of 1.0 to 1.58% of the entire U.S. adult population has a developmental disability (Anderson et al., 2019; Fox et al., 2015). About 2.9 million adults with DD/ID live with a parent 55 years (Byun et al, 2006), with more than 25% of these parents older …

Lived Experiences Of Clinical Research Nurses: Competence And Expectations, Janine A. Kampelman

Dissertations

Currently, no specific nurse-credentialing certification exists in clinical research leading nurses to avoid certification or to obtain a certification below their current role and educational scope of practice. Although essential to the field, the clinical research nurse (CRN) is practicing with informal educational training and without formal scopes or standards of practice guiding her or his work in a clinical research setting. Knowing how clinical research nurses learn to perform clinical research practices will help identify experiences which enhance professional development leading to competence. Conceivably, learning experiences from this study can be used to formalize education for clinical research nurses …

Why We Work: Exploring The Relationships Between Work Rewards, Burnout, And Intention To Leave For Professional Nurses, Jacqueline Christianson

Dissertations

Nurse burnout leads to attrition from hospital nursing positions and the nursing profession prior to typical retirement age. Yet some nurses choose to stay despite burnout. Previous research indicates that nurses stay due to the rewards they receive from work but the relationships between different types of work rewards, work-related burnout, and intention to leave are poorly described. The ability to implement or execute altruistic behaviors may also represent an under-recognized work reward. Thus, the purpose of this study is to investigate the relationships between work rewards, work-related burnout, and intention to leave nursing positions and the nursing profession and …

A Quantitative Study Of Perceived Fitness And Nutrition Levels Of Secondary Educators In Relation To Their Overall Job Satisfaction Program At A Private Midwestern University, Jessica Arico

Dissertations

The profession of education traditionally embodies an idea of educating children on math, science, social studies, and English along with other elective course areas. In recent decades, however, the burnout rates and mental health of educators have become a subject of media attention and the basis for many new professional development programs. The one element wholly ignored in this space is the physiological wellbeing of educators and the impact physical health has on mental health and job satisfaction. This study set out to provide a baseline for beginning the discussion and future research on the physiological impact on educators and …

If You Don’T Live By The Sea, You Won’T Talk About Sailing: An Interpretative Phenomenological Approach Of The Polish Immigrant Experience In Chicago And The Acculturation Of Racial Beliefs, Monica Zabinski

Dissertations

There has been a steady increase in research and focus on defining and understanding racism and the role it plays in the ongoing inequality and inequity between individuals of White descent and individuals who are Black, indigenous, or people of color (BIPOC). However, little research has focused on what changes with racial beliefs when individuals immigrate between various countries where racism, discrimination, and racial beliefs may appear differently. Our objective was to increase our understanding of how the acculturation process may impact or change racial beliefs over time. Our research sought participants of Polish descent in the Chicagoland area and …

Predicting Nurse Faculty Intent To Stay: A Quantitative Study Of Contributing Factors And Their Influence, Erica Frost

Dissertations

The United States faces a shortage of nursing faculty members, impacting the nation's ability to meet the demand for more nurses in the workforce. The purpose of this study was to identify factors that predicted nurse faculty members' intent to stay in academe. Dozens of factors were identified in the literature and grouped using Herzberg's (1966) motivation-hygiene theory of job satisfaction. An online questionnaire was administered to 402 full-time prelicensure baccalaureate nursing faculty in the United States. The survey measured personal, job, and organizational factors including demographics, emotional intelligence, resilience, educational preparation, self-efficacy, mentoring and orientation, interpersonal relationships, and satisfaction …

Trauma Mediating The Severity Of Depressive Symptoms In Veterans With Ptsd, Meghan Curtin

Dissertations

Trauma serves as a risk factor for developing both posttraumatic stress disorder (PTSD) and depression. The purpose of this study was to examine trauma type as a mediator in the relationship between gender and severity of depressive symptoms among veterans with PTSD. The literature shows trauma type plays a role in developing PTSD and depressive symptoms. The first hypothesis was that female veterans who met the diagnostic criteria for PTSD would report higher levels of depressive symptoms than their male counterparts. The second hypothesis was that this gender difference would be partly mediated by levels of interpersonal trauma experience. Self-report …

Apoe Risk Disclosure: A Review Of Positive And Negative Outcome, Stacey Rowcliffe

Dissertations

Two of this century’s most significant healthcare challenges are Alzheimer’s disease and mild cognitive impairment, with 40 million people suffering from the diseases. In fact, a conservative estimate projects that both conditions will double every 20 years until 2050. Alzheimer’s disease involves memory impairment, disorientation, confusion, and various problematic behaviors. Presently, no prevention method or cure has been discovered for Alzheimer’s. Mild cognitive impairment typically includes problems with memory, language, thinking, and judgment beyond those typical of one’s age. Usually, these symptoms do not interfere with daily activities but do not improve and have been linked with a risk of …