Digital Commons Network^™

Liberating Bioethics Through Agape: A Feminist Perspective From The Periphery, Kimberly Vargas Barreto

Dissertations

Despite the vast number of cultures and peoples that reside in the West, ethical action in bioethics is determined through the perspective of la Totalidad, which does not include the Other or individuals from the periphery. In my dissertation, I argue that the universalization of U.S. clinical bioethics (la bioética estadounidense) and the coloniality of knowledge that extends from it are, at its core, imperialistic in nature and result in the exclusion of patients with intersectional identities. While clinical bioethics was first conceived as a critical tool for medicine, the acceptance of principlism as the central theory in the field …

Exploring External Engagement In Higher Education Through Defining Partnerships, Colleen Reaney

Dissertations

This research study has been designed to be an evergreen project to help higher education institutions define their external partnerships. The action research model has been used to create and test a model of external engagement, which was later redefined as the Reaney Model of External Engagement with the intent for continuous improvement. Further modification of this research study will need to be tested to strengthen the Reaney Model of External Engagement core while considering external factors that create challenges within the higher education space. Challenges that may arise to help higher education institutions clearly define external partnerships may include, …

Gender Diversity In U.S. Adolescents: An Exploration Of Multidimensional Survey Measures Of Gender And Their Associations With Health And Social Outcomes Using A National Sample Of Adolescent-Parent Dyads, Christopher Hansen

Dissertations

The measurement of gender is an evolving area of survey research. Extant research has assessed different approaches for measuring gender identity and expression among adults; however, comparatively less research has evaluated their use among adolescents who are developing their gender identity and expression. This dissertation uses data from a nationally representative survey of U.S. teens and their parents to evaluate multidimensional measures of gender in adolescents. Three research questions represent separate empirical chapters of the dissertation. The first research question examines the measurement of femininity and masculinity in adolescents based on a comparison of different survey scales. The second research …

The Impact Of Risk And Trust On Confrontations Of Sexism: The Role Of Goals, Emily H. Budde

Dissertations

Sexism is still persistent in the United States (Swim et al., 2001), especially in the workplace (Fitzgerald, 1993; Loy & Stewart, 1984), leading to many negative outcomes for women. Unfortunately, there is an assumption in America that targets of bias will confront the perpetrator in the moment. However, this is often not the case leading to a disconnect in society at the cost of the target (Gutek & O’Connor, 1995). Looking at targets’ decision-making process and the factors that influence it can provide more context for why targets respond the way they do. I tested whether behaviors following bias (i.e., …

The Role Of Affect In Regulating The Influence Of Belief Superiority On Open-Minded Cognition And Information Selection Bias, Whinda Yustisia

Dissertations

Previous studies show that people high in belief superiority tend to hold higher attitude confidence and certainty, increasing information selection bias. However, it remained unclear why and when such an effect occurred. Two studies were conducted to address these questions. Study 1 aimed to examine the effect of belief superiority on information selection bias and its potential mediator: situation-specific open-minded cognition (SOMC). In line with the logic of earned dogmatism hypothesis, I posit that belief superiority induces a sense of entitlement to be close-minded, consequently leading to information selection bias. In study 2, I examined the role of affect (happy/sad) …

Synthetic Assembly Of Antibacterial Agents And Metal Chelating Ligands, Zachary Joseph Liveris

Dissertations

The exploitation of chemical synthesis exemplifies the notion of bridging both innovation and curiosity for the strategic assembly of sophisticated molecular infrastructures. By exerting this continuously evolving and versatile tool, synthesis has been applied in the development and influence of a myriad of ligands, biological probes, and persists to direct pharmaceutical innovation and modern medicine alike. Since pathogenic multidrug-resistant (MDR) microbial strains remain to be a persistent threat to both clinical healthcare and society, the need to develop selective and efficacious antibacterial agents that can impede microbe pathogenicity and regulate cellular mortality is paramount. In contrast to pharmaceutical development, organic …

Factors Influencing Purpose In Life In Middle-Aged And Older Adults, Kelly Bergstrom

Dissertations

Purpose in life is an important dimension of psychological well-being with associated health benefits. The current study used a path analysis model to examine how perceived cognitive control, health locus of control- self, engagement in physical activity, and engagement in challenging cognitive activities relate to purpose in life longitudinally. Multimorbidity status was also examined as a potential moderator of paths in the model. Participants were middle-aged and older adults who participated in the Midlife in the United States (MIDUS) longitudinal national study (n = 2,481). After controlling for relevant covariates, engagement in physical activity, engagement in challenging cognitive activities, …

High Risk Medication Regimens And Medication Related Predictors Of Hospital Readmission In Elderly Home Care Patients, Mary T. Dierich

Dissertations

Adverse drug events are a primary cause of hospitalization in the elderly. Nearly 70% of the $177.4 billion dollars spent on drug related morbidity and mortality in the U.S. is due to hospitalizations. Polypharmacy, inappropriate medications or medication regimen complexity have all been implicated as precursors to adverse drug events and as indicators of high risk medication regimens. Understanding the relationship between medication regimens and readmission is important when evaluating potential errors in administration, risk-benefit ratios, and readmission risk. However, due to definitional and measurement issues, the high risk medication regimen remains an elusive concept. This study characterizes medication regimens, …

Humanizing History: Empowering Educators To Navigate Difficult History Through Museum-Led Professional Development, Andrea Miskewicz

Dissertations

As museums increasingly serve as educational hubs, this research examines how teachers' participation in such programs contributes to their perceived efficacy for teaching topics of difficult history. Employing a mixed-methods approach, the study utilizes a survey with quantitative and qualitative measures to evaluate changes in teacher self-efficacy before and after a museum-led intervention. With a pre and posttest design, this study provides deeper insights into participants' experiences and challenges. Preliminary findings suggest museum-led professional development has a significant positive impact on teachers’ perceived self-efficacy, highlighting the resources and opportunities museums have available and the importance of humanizing history in social …

Using Evidenced-Based Practice To Increase Knowledge And Awareness Of Sexually Transmitted Infections, Amanda M. Brickey

Dissertations

The purpose of this quality improvement (QI) project is to increase the knowledge and intent to change practice through education on the importance in assessing sexual health history in patients at a federally qualified health center (FQHC) in Western Washington State by providing continuing education to primary care providers.

Neonatal Intensive Care Nurses' Perceptions Of Nurse Leader Behaviors And Their Impact On The Workplace Environment, Meggan R. Mcculley

Dissertations

Nursing leadership is a crucial component in today's healthcare organizations as nurses make up the largest profession in healthcare overall. Nurse leaders have the ability to affect the environment of the nurses' workplace in both positive and negative ways, thus impacting their Quality of Nurse Work Life (QNWL). QNWL is an indicator of nurse satisfaction within their workplace, and the ability of the nurse to make meaningful contributions to their home units and the organization. The purpose of this qualitative, interpretative phenomenological analysis (IPA) study was to describe what it meant to experience nursing leadership from the perspective of Level …

Remote Vibration Based Monitoring Of Bridge Scour, Alan Kazemian

Dissertations

The gradual erosion of the sediment around a bridge foundation is called Scour. This erosion is caused by water flow and increases during times of high-water flow such as flooding. The scour leaves the bridges structurally unsound over time and jeopardizes the safety of the structure. Approximately 60 percent of bridge failures in the United States are caused by scour. A variety of types of devices have been used to detect scour. Most of these devices only observe the scour and not the structural integrity of the bridge. The typical approach has relied on visual inspections of the bridges after …

Settler Colonial Determinants Of Indigenous Health: Relationship Between Indigenous Women's Level Of Allostatic Load And High Blood Pressure During Pregnancy; A Secondary Analysis Of The Strong Heart Study, Nicole A. Thomas

Dissertations

There is a dearth of comprehensive literature relevant to the relationship between settler colonialism and health outcomes of Indigenous peoples residing in the United States (U.S.). Critical analysis of settler colonial determinants of Indigenous health will help to further shape discourse, research priorities, and policy relevant to Indigenous population health and disease distribution. This thesis will bring awareness to settler colonialism, propose relationships between settler colonialism and health outcomes, and identify specific settler colonial determinants of Indigenous health to help guide development and use of nursing theory. This dissertation argues that the structure of settler colonialism threatens and implicates the …

The Cultivation And Integration Of Cultural Humility And Cultural Competence In Lgbtiq+ Client Work: A Constructivist Grounded Theory Approach, Gon Ratanashevorn

Dissertations

Previous researchers have highlighted the lack of consistency and standards in LGBTIQ+ cultural competence trainings which may cause negative therapy experiences for LGBTIQ+ clients. This research empirically explored counselors’ (n = 12) process of the cultivation and integration of LGBTIQ+ cultural competence and cultural humility to inform training which leads to better services for LGBTIQ+ clients through constructivist grounded theory method. The theory of the life-long cultivation and integration of LGBTIQ+CC and cultural humility emerged with five categories: (1) motivation to do right by queer clients, (2) cultivating the right soil for queer folks, (3) walking the walk to …

Certified Registered Nurse Anesthetists' (Crna) Perceived Ease And Usefulness Of Video Laryngoscopes For Endotracheal Intubation Of Surgical Patients With Difficult Airways, Uwe G. Klemm

Dissertations

Anesthesia providers frequently encounter patients with difficult airways. The inability to effectively ventilate and oxygenate a patient due to failed endotracheal intubation increases patient morbidity and mortality (Detsky et al., 2019; Joffe et al., 2019). Video laryngoscopes appear to provide benefits by improving airway visualization and first-attempt endotracheal intubation success and decreasing the rate of failed endotracheal intubation attempts (Lewis et al., 2017; Pieters et al., 2017; Vargas et al., 2021). This research study examined the perceived usefulness and ease of use of video laryngoscope technology by CRNAs for initial endotracheal intubation when confronted with a difficult airway. The study …

Caring Behaviors Of Nursing Students And Their Attitudes Toward Older Adults, Jacquelyn D. Lambert-Davis

Dissertations

Caring is an emotion. It is a feeling of compassion and an understanding of the difficulties of others. Research indicates that caring behaviors and attitudes are an important part of the knowledge base for nursing students. Caring behaviors and attitudes are an important part of the knowledge base for nursing students in order to provide competent care for older adults. This descriptive cross-sectional study reports findings of caring attitudes and behaviors of nursing students using the Caring Dimensions Inventory (CDI). The purpose of this study was to examine the self reported attitudes and caring behaviors of nursing students toward older …

Development And Evaluation Of A Nurse Practitioner Directed Early Palliative Care Initiative And Its Impact On Goal-Concordant Care At A Cancer Center, Ashley V. Weinmann

Dissertations

Seriously ill patients often experience discordant care. Delivering high-quality healthcare requires effective communication to support goal-concordant care.

Pancreatic cancer has a 5-year survival rate of 12% with a high symptom burden. Pancreatic cancer patients often have unmet needs that lead to increased psychological, spiritual, social, and physical needs. Early integration of palliative care can provide high-quality communication and goal-concordant care. A retrospective analysis of MDACC's pancreatic patients found that 34% were referred to palliative care.

Instructor Characteristics That Increase Self-Efficacy In Nursing Students, Kaycee J. Jacobson

Dissertations

With the current nursing shortage, finding ways to increase nursing retention in graduate nurses can help ease the shortage. Self-efficacy is a factor that contributes to an individual's well-being and can affect their professional accomplishments. The purpose of this study, guided by Bandura's theory of self-efficacy, was to identify instructor characteristics that may impact student perceived self-efficacy in the clinical setting. Bandura identified self-efficacy as a factor that contributes to an individual's well-being as a whole and can affect their professional accomplishments. A sample of 19 nursing students who were enrolled in a clinical course were recruited and completed the …

Estimating And Applying Parameters Necessary To Plan Cluster Randomized Trials (Crts) And Multisite Cluster Randomized Trials (Mscrts), Dea Mulolli

Dissertations

Cluster randomized trials (CRTs) are commonly used to study the effectiveness of educational interventions. During the design phase of a study, it is critical for researchers to ensure their studies are adequately powered to detect meaningful treatment effects, including both main and moderator effects. Designing CRTs with adequate power to detect main and moderator effects requires accurate estimates of design parameters. This research aims to advance the literature on design parameters for power analyses, specifically focusing on empirical estimates of intraclass correlations (ICCs). The work consists of three research papers that examine the role of including the teacher level in …

The Role Of Evaluation Terms In The Quality Of Final Evaluation Reports In International Development Cooperation: A Multi-Phase Mixed Methods Study, Fanny J. Hernandez De Alvarez

Dissertations

In international development cooperation there is constant discussion about how to improve evaluation practices. Too little is known about where and which factors influence the quality of evaluation reports. Arguably, one influential factor is the quality of the terms of reference (TORs), which, in many sectors, are referred to as Requests for Proposals (RFPs). This study examines the role of the quality of TORs in positively affecting the design and conduct of evaluations, as well as the overall quality of final evaluation reports. This study also examines other factors that may contribute to the quality of final evaluation reports.

The …

The Synthesis, Characterization, And Application Of Polysaccharide-Based Additive To Improve Wet And Dry Strength And High-Barrier Properties Of Paper Products, Cornellius Marcello

Dissertations

Paper products play an essential role in our daily lives owing to their low cost, environment-friendly character, renewability, and recyclability. Paper manufacturers have been using petroleum-based strength additives (cPAM, GPAM, PAE) to meet the perceived needs of customers. On the other hand, paper produced from cellulose is hydrophilic and porous, leading to shallow water and grease resistance, causing paper manufacturers to use many kinds of coating materials such as poly-fluoroalkyl substances (PFAS) and synthetic plastic to improve water resistance, especially for food packaging paper products like cups, plates, food boxes, and packaging. However, PFAS are identified as likely carcinogenic to …

Infusing Values Into Written Exposure Therapy: A Comparison Study, Maegan Campbell

Dissertations

Written Exposure Therapy is a brief, efficacious intervention for the treatment of PTSD symptoms. The WET protocol calls for the infusion of values into therapeutic work, however, does not detail how to incorporate these values work into the highly scripted treatment. This study compared the standard WET protocol with WET infused with values. The study examined differences across the two conditions on seven variables (PTSD scores, depression scores, value importance and consistency, quality of life, psychological flexibility, customer satisfaction, and therapeutic alliance). The sample was largely homogenous in gender, ethnicity, sexuality, and reported index trauma. The sample was largely white …

An Experimental Study Of Supervised Machine Learning Techniques For Minor Class Prediction Utilizing Kernel Density Estimation: Factors Impacting Model Performance, Abdullah Mana Alfarwan

Dissertations

This dissertation examined classification outcome differences among four popular individual supervised machine learning (ISML) models (logistic regression, decision tree, support vector machine, and multilayer perceptron) when predicting minor class membership within imbalanced datasets. The study context and the theoretical population sampled focus on one aspect of the larger problem of student retention and dropout prediction in higher education (HE): identification.

This study differs from current literature by implementing an experimental design approach with simulated student data that closely mirrors HE situational and student data. Specifically, this study tested the predictive ability of the four ISML classification models (CLS) under experimentally …

Alternative Adjacency Matrices And Spatial Analysis, Jaeseong Hwang

Dissertations

Spatial analysis is essential for comprehending the spatial distribution of diseases and various phenomena across geographic regions. This study investigates the utilization of alternative adjacency matrices in spatial analysis, with a specific focus on implementing Poisson regression models. This study intricately explores the methodology behind constructing alternative weight matrices, specifying weight matrices, and comparing the performance of Poisson models using five different weight matrices.

The popular Poisson model model is described, and five different definitions of weight matrices are defined, which are the following: binary weight matrix, inverse distance weight matrix using Euclidean distance, Graph distance matrix, Path matrix, and …

Brief Treatment For Ptsd: Promoting Trauma Recovery With A Five-Session Cognitive Processing Therapy Protocol, Sanela Kalakovic

Dissertations

Cognitive Processing Therapy (CPT) is a first-line treatment for trauma. CPT is traditionally administered over 12 sessions. This open clinical trial examined the feasibility and efficacy of a 5-session CPT protocol. The abbreviated protocol moves more quickly to the proposed therapeutic mechanism of action, cognitive restructuring, to alter unhelpful traumarelated thoughts and beliefs. The goal is to maintain efficacy while making therapy more efficient and thereby reducing barriers to trauma treatment. Using a repeated measures open clinical trial design (with embedded multiple baselines), 67 adults (M age = 43 years, 90% female, 79% White) with clinically significant post-traumatic stress disorder …

Using Video Prompting To Teach Daily Living Skills To Young Adults With Disabilities, Melissa Anne Rajter

Dissertations

Young adults with disabilities may experience difficulties with the daily living skill of meal preparation. Such skills are significant for independent living, employment, and overall quality of life. Previous research has identified video prompting daily living skills as an effective practice that supports independent living. Furthermore, research on young adults with disabilities and video prompting daily living skills has shown an increase in the percentage of correct responses for meal preparation, compared to no use of video prompting. The purpose of the present study was to teach and assess three cooking recipes as a daily living skill for seven young …

Drug Use And Harm Reduction: Community Readiness As Pathway To Well-Being And Reintegration, Lauretta Ekanem Omale

Dissertations

Drug abuse negatively impacts the life and well-being of those who use drugs; this harm often extends to their loved ones, communities, and society. One presumptive set of psychological explanations for drug abuse is an addictive personality, a psychological susceptibility resulting from challenging family relationships, inadequate reinforcement, the absence of healthy role models, conflicting parental expectations, and a lack of love and respect. Harm reduction is a public health approach that focuses on minimizing the harmful effects of drugs and reducing judgment. It aims to meet people where they are in life and provide judgment-free, empathetic, supportive, and needed medical …

Cooperative Pathways: Insights From Teacher Experiences On Improving Union And District Cooperation, Whitney Fink

Dissertations

This study involved an evaluation of teacher experiences within their districts, schools, and unions across the United States. The primary research question was: How are teachers currently experiencing the relationship between their unions, districts, and administrators and what opportunities exist to improve cooperation and shared ownership between those groups? The study used a mixed methods approach by gathering quantitative data in the form of a survey and qualitative data through open-ended responses on the survey as well as interviews with seven teachers. The results formed a general understanding of the current state of teacher experiences that was then applied to …

Persistence Of Female Faculty In Stem, Andrea Constantinou

Dissertations

The lack of women entering certain STEM fields impacts female representation in research faculty, teacher faculty, and leadership positions in higher education. Through a narrative inquiry methodology utilizing the theoretical paradigms of self-determination theory and relational autonomy, this study extended understanding of the factors that motivate persistence for women in certain STEM fields. While prior research focused on understanding the barriers to retention, this study sought to identify the factors motivating retention for women in certain STEM fields. The results of this study contribute to understanding the motivating factors that influence a woman’s persistence in STEM. The data gathered from …

Black Students Matter: A Phenomenological Approach To Exploring Sense Of Belonging Among Black Students Attending A Hispanic-Serving Institution, Alison K. Chandler

Dissertations

As the number of Black college students who have enrolled in federally designated Hispanic-serving institutions (HSIs) has risen, it has become necessary to examine how their sense of belonging has been fostered, particularly given the educational disparities and equity gaps in retention, persistence, and graduation rates. Furthermore, the focus on initiatives geared towards Latinx students may contribute to feelings of inadequacy among Black students, which is compounded by racialized experiences that have occurred in educational settings both prior to and during college. This phenomenological study explored the experiences of nine Black undergraduate students at a private four-year HSI in the …