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The Influence Of Contextual Characteristics, Individual Characteristics, And Health Behaviors On Patient Satisfaction For African American Men Treated For Prostate Cancer In North Carolina, Angelo D. Moore

Dissertations

Patient satisfaction is an outcome of health services utilization; however, health services utilization can be predicated by contextual characteristics, individual characteristics, and health behaviors (Andersen, 2008). Since prostate cancer is one of the medical conditions that disproportionately affects the mortality of African American men (AAM) in North Carolina, it is imperative to evaluate the factors or combination of factors that influence patient satisfaction for AAM diagnosed and treated for prostate cancer.

A modified version of Andersen's Behavioral Model for Health Services Use was used to guide this study (Andersen, 2008). The model has four broad domains: contextual characteristics, individual characteristics, …

Synthesis And Evaluation Of Biologically Active Phosphorous Heterocycles And Lipid A Antagonist Compounds, Saroj Kafle

Dissertations

Cyclophostin and cyclipostins are naturally occurring organophosphates with common structural core units and different phosphate ester substituents. Cyclophostin is a cyclic phosphate triester with a chiral center at phosphorous and C-3a carbon atom while the cyclipostins have characteristic alkyl substituents with varying chain lengths at the phosphate center. Long-chain substituted monocyclic phosphate (2b) and phosphonate (2a) analogs of cyclophostin and cyclipostin are promising inhibitors against serine hydrolases acetylcholinesterase with an IC₅₀ in the nanomolar range.

Biologically active β-lactones and lactams owe their activity, in part, to ring strain. The ring opening of β-lactones and lactams …

Facilitators And Barriers To Evidence-Based Cancer Pain Management, Linda H. Eaton

Dissertations

Evidence-based pain management (EBPM) is essential in relieving cancer pain. This dissertation explores nurse-level and organization-level factors for adopting, implementing, and sustaining EBPM practices. A descriptive cross-sectional mixed methods design involving two inpatient oncology units was used for this study.

Implementation Of Established Guidelines To Determine The Correlation Of Antipsychotic Use And Fall Rate Occurrence Amongst Inpatient Long-Term Care Residents, Cynthia L. Hardy

Dissertations

The use of psychotropic medications may impact fall rates among senior adults. Despite evidence-based approaches to minimize psychotropic medications use, the project site had a gap in implementing one leading to high fall rates. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of the Center for Assisted Living Guidelines for Reducing the Use of Antipsychotic Medications in Nursing Homes would impact fall rates when compared to current practice among geriatric patients in a long-term care facility in rural New Mexico over four weeks. Neuman's Systems Model provided the theoretical underpinnings for this project.

Community College Executive Leaders And Emotional Intelligence: A Phenomenological Study Exploring How Community College Executive Leaders Utilize Emotional Intelligence (Ei) To Lead Their Organizations, Seblewongel Ayalew

Dissertations

Purpose: This phenomenological research aimed to identify and describe the lived practices of California community college executive leaders who lead their institutions using Emotional Intelligence (EI) through the lens of Goleman’s four EI domains.

Methodology: This study used phenomenological research that identified and explained California community college executive leaders’ lived practices associated with the leaders using EI in the workplace to determine their EI skills and emotional awareness. The community college executive leaders participated in interviews in formal and informal settings to identify and describe their lived experiences.

Findings: Examination of the qualitative data from 15 community college executive leaders …

Exemplary Senior Navy Female Leadership: A Study Of How Navy Female Leaders Use The Grit Characteristics Courage, Conscientiousness, Long-Term Goals, Resilience, And Excellence Versus Perfection To Create Extraordinary Results Within Their Organizations, Cache' Hapner

Dissertations

Purpose: The purpose of this phenomenological study was to identify and describe how exemplary senior Navy female leaders used five principles associated with grit (courage, conscientiousness, long-term goals, resilience, and excellence versus perfection) to accomplish extraordinary results in their organizations.

Methodology: This qualitative study used a phenomenological method to describe how eight senior Navy female leaders use five characteristics of grit to accomplish extraordinary results in their organizations. Respondents were purposively chosen. The researcher collected data through interviews, transcripts, and artifacts that were triangulated and coded for themes using NVivo software.

Findings: Exemplary senior Navy female leaders use …

Emergency Obstetric Simulation Drills As A Strategy To Execute A Multidisciplinary Protocol With Emphasis On Safety Culture Evaluation, Team Synergy And Team Competency: A Dnp Project, Malinda Forsythe Carmouche

Dissertations

The aim of this Doctor of Nursing Practice Project was to implement emergency obstetric simulation to defend against patient safety risk linked to healthcare professional team dynamics in the care of obstetric patients as recommended by the Institute of Medicine (IOM), The Joint Commission (TJC) and the Quality and Safety Education for Nurses Initiative (QSEN). Team training is evidenced to reduce the mismanagement of emergency obstetric events by coaching providers in delivery of safe, effective and coordinated care during crises. The setting for this project was a hospital specializing in care of women and newborns. Hospitals, as the employers of …

The Infinite Mindset: A Phenomenological Study Of Exemplary Student Affairs Leaders, Kevin Giang

Dissertations

Purpose: The purpose of this phenomenological study was to explore and describe how exemplary leaders in the field of student affairs perceive the practices of Simon Sinek’s Infinite Mindset Framework are embedded within their organizations to inspire the achievement of extraordinary results. A further purpose of this study was to understand the organizational supports and barriers these exemplary leaders perceive affect the development of an infinite mindset.

Methodology: Interviews were used to explore and describe how exemplary student affairs leaders perceive the five practices of Sinek’s Infinite Mindset are embedded within their organizations. The study seeks to explore and make …

Where Have All The Surgical Nurses Gone? Staffing Shortages In Surgical Departments Post Covid-19 Shutdowns, Phoenix Neal

Dissertations

March 2020 changed the healthcare field entirely. When the COVID-19 pandemic swept through the United States in early 2020, it was recommended that surgical departments nationwide shutdown altogether or at least decrease their workloads to exclusively emergent procedures. This step was taken both to save surgical equipment for more critical patients and to offload those staff members from surgical departments to more critical areas in the hospital systems.

This exploratory study was completed to investigate the impact of COVID-19 surgical department shutdowns on current surgical staffing. This research explored different factors such as health insurance availability, childcare availability, shift change, …

The Lived Experiences Of Icu, Med-Surg, And Er Nurses In The United States Attempting To Breastfeed During The Covid-19 Pandemic, Amy Seay

Dissertations

Breastfeeding is important to promote the health of both mothers and babies (Centers for Disease Control and Prevention [CDC], 2021). Many mothers experience workplace barriers and stress which negatively impact breastfeeding duration (McCardel & Padilla, 2020; Nagel et al., 2022). However, a gap in the literature exists surrounding specific barriers and the impact of stress on U.S. nurses who breastfeed. Specifically, workplace challenges and stress among nurses resulting from the COVID-19 pandemic lack exploration.

This interpretive phenomenological study explored the lived experiences of ICU, Med-Surg, and ER nurses who attempted to breastfeed during the COVID-19 pandemic. Roy’s adaptation model was …

Nursing Faculty Perceptions Of Stress, Coping, And Intent To Leave The Profession In The Ongoing Covid-19 Pandemic: A Quantitative Study, Lynlee Morgan

Dissertations

The COVID-19 pandemic impacted all of society to varying degrees; this impact was especially true in higher education due to an overnight transition to distance learning and incessant pivots to meet new guidelines and overcome obstacles. Nursing faculty were significantly impacted due to the responsibility of producing safe, qualified, competent practitioners to provide care in the clinical setting. The limitations in or exclusions from clinical experiences combined with the fact that faculty were managing personal concerns and had never encountered these unprecedented conditions exacerbated the challenge of preparing new nurses. This study was critical due to the faculty role and …

Flourishing In A Non-Traditional Workplace Using Technology-Assisted Imagery, Wendi Lord

Dissertations

There is a new, non-traditional workplace where employees collaborate digitally from various remote locations (Scully-Russ & Torraco, 2020). Despite the transition from office to remote workspaces, professionals still value happiness and dream of flourishing (VanderWeele, 2021). Researchers identified six distinct but correlated dimensions of flourishing including emotional health, physical health, meaning and purpose, character strengths, social connectedness, and financial security (Weziak-Bialowolska et al., 2021). The new workplace is forcing organizations to revamp traditional methods that facilitate well-being as in-person methods become less viable (Scully-Russ & Torraco, 2020). Fortunately, mobile applications effectively deliver training and interventions (Collins et al., 2020). Whether …

Mental Health Impacts On Personnel Responding To An Active Shooter Incident Within A Large Public Service Utility Company, Michael Weber

Dissertations

This study explores the long-term mental health impacts experienced by individuals who were both impacted by an active shooter event within their own organization and participated in the response operation to said event. Through purposive sampling, a population of 278 individuals from a large privately-owned public utility company, with greater than 20,000 employees, were provided a cross-sectional survey to assess for the presence and severity of indicated PTSD. This assessment was conducted using the Short Post-Traumatic Stress Disorder Rating Interview (SPRINT) survey tool. A total of 118 participants completed the survey, the results of which determined that PTSD occurred in …

A Mixed-Methods Investigation Of How Student Goal-Setting For Improved Learner Behaviors Affects Intermediate Elementary Academic Achievement, Meghan Mcnulty

Dissertations

Education in the United States has changed significantly since its onset. Due to these changes, there is an increased need for social-emotional skills for success in school and in life. The study centered on how focusing intermediate elementary school students on improving their behavior could influence their academic achievement. Though there is much literature on social-emotional skills, self-efficacy, student agency, goal-setting, and academic achievement, few researchers have conducted studies to connect these concepts. In this study, students assessed their current behavioral skills using the mySAEBRS (Illuminate Education, n.d.). Using the results, students set improvement goals in one of three behavioral …

The Relationship Among Emotional Intelligence, Coping Strategies, And Occupational Burnout For Child Protective Service Workers, Yvette Longoria

Dissertations

There are low retention rates of child protective service caseworkers and this impacts the quality of care of the families served. The purpose of this study was to examine the relationship between emotional intelligence, coping strategies and occupational burnout for CPS caseworkers. In addition, examining the relationship between education type, education level, and caseload size as it relates to emotional intelligence, coping strategies, and occupational burnout among child protective caseworkers. The theoretical framework utilized was the Transactional Theory of Stress and Coping. A convenience sampling was used to collect participants employed as FBSS or CVS caseworkers at Texas Department of …

Felicidad Aplataná: How Dominican Migrants Living In The Nordic Countries Make Sense Of Their Happiness, Ivanna Lajara

Dissertations

As globalization evolves and the number of migrants and cross-cultural interactions among world citizens increases, understanding various aspects of immigrants’ experiences, including their happiness and subjective well-being will become fundamental to organizations, governments, and societies. However, there are substantial cross-cultural differences in how people understand their happiness, make sense of experiences that influence happiness, and how large-scale social trends, such as globalization, relate to the individual migration perspectives (Uchida and Ogihara, 2012). Research affirms culture as a key factor influencing happiness (Ye et al., 2015) and living in a foreign country may not only impact one’s perspective on life, but …

Assessing And Characterizing Marijuana Use Disorders (Dsm-5) — National Survey On Drug Use And Health, United States, 2020, Alejandro Azofeifa-Ujueta

Dissertations

Despite that marijuana (cannabis) is still considered, under federal law, an illegal Schedule I drug, marijuana is the most commonly used illicit substance in the United States. National trend data has shown that the prevalence of marijuana use has increased over time, particularly among those aged 18 years and older. Some individuals can use marijuana without harm; however, long-term and heavy marijuana users may experience health consequences, including marijuana use disorders (addiction). For the last 20 years, existing national and statelevel epidemiological, surveillance, and research data have analyzed marijuana use disorders (MUD) using previous diagnostic criteria (DSM-IV). There is limited …

Development Of Modeling Tools To Determine The Effects Of Customer Diversification On Customer Lifetime Value Volatility In Higher Education, Oscar Neal

Dissertations

As societies become increasingly global the competition for customers continues to increase. In competitive markets, it is important to identify a process to acquire and retain the most profitable customers. To discriminate customers, it is important to understand the value different customers bring to an organization. Much research has been done modeling customer value using customer lifetime value, however, there is limited research on the effect current customer diversity has on future customer lifetime value of future customer portfolios.

In this dissertation, a Lifetime Value Model considering the interaction between customer diversity, revenue management, and customer lifetime value in an …

Exposure To Videos Of Police Brutality Against Black Americans And Posttraumatic Stress Symptoms Among U.S. Adults, Ingrid Rauk

Dissertations

The purpose of this study was to examine in a diverse sample of U.S. adults the relationship between exposure to videos of police brutality against Black Americans and posttraumatic stress symptoms. Exposure to videos of police brutality against Black Americans is believed to have emotional and psychological effects on the viewer and may be considered an indirect (i.e., vicarious) form of exposure to trauma (Alang et al., 2017; Bor et al., 2018; Bryant-Davis et al., 2017). Prior research has established a positive association between experiences of racial discrimination and trauma symptoms (Kirkins et al., 2018). Previous research on psychological reactions …

Implementation Of Team-Based Learning In The Pre-Clerkship Medical Curriculum: Investigating Essential Elements, Jade Woodcock

Dissertations

Team-based learning (TBL) has been used in undergraduate medical education over the past 20 years. Available evidence suggests that there is a problem with how the core design elements are implemented. It is also unclear the extent to which faculty and students believe TBL supports the goals of undergraduate medical education (UME). The purpose of this research is to identify the essential elements of TBL, how those elements have been used by medical educators over the past 10 years, and identify if faculty and student believe TBL supports the goals of undergraduate medical education at a single medical school where …

Use Of Reddit For Social Science Research: A Review Of Current Use, Exploration Of Potential Sampling Error, And Practical Demonstration Using Reddit To Study Post-Pandemic Teacher Resignation, Caryn Davidson

Dissertations

This dissertation is comprised of three separate studies related to using the social media platform Reddit for social science research. The first paper provides an overview of current social science research that uses Reddit. The second paper explores the impact of sampling choices and potential sources of error when selecting Reddit data to study. The third paper maps the topics of a sample of posts tagged with the #Resignation flair in the r/Teachers subreddit from three months across school year 2021-2022 including reasons why teachers are leaving the post-pandemic classroom.

The practice of using Reddit for social science research is …

Design, Simulation, Modeling, And Implementation Of Triboelectric Nanogenerator (Teng) Sensors For Automotive Applications, Sam Ali

Dissertations

Triboelectricity is a promising technique for energy harvesting in which mechanical energy converts to electricity for powering small electronic devices. This method of energy harvesting serves as an alternative to traditional battery power sources and can significantly benefit low-power sensing applications by generating unlimited electrical energy. This study focuses on the development of flexible triboelectric nanogenerators (TENG) and energy harvesting devices for various applications in the automotive industry.

The study is organized into four projects. In the first project, various polymeric materials were used to investigate the performance of different TENGs. Four designs (D1, D2, D3, and D4) of flexible …

Experiences Of Female Muslim International Graduate Students With Children In The U.S.: Strategies To Cope With Academics And Family Life, Nizoramo M. Haitova

Dissertations

The literature on adult students, and in particular, graduate students with children, reveals that female students often struggle to balance their studies and home life due to juggling multiple roles. To date, research on student mothers has primarily focused on domestic students, with few studies examining the experiences of international student mothers, and even fewer studying Muslim international student mothers. The purpose of this study was to understand the lived experiences of female Muslim international graduate students with children in the U.S., as well as to explore the coping strategies they employ in both academia and family life. Thus, the …

Student Experience And Learning In A Course-Based Undergraduate Research Experience, Allison Witucki

Dissertations

Scientific research is advocated as an important experience for undergraduate STEM majors. Involving undergraduates in research early on in their educational careers can potentially prevent attrition and encourages students to pursue post-graduate education and careers within the field. However, research opportunities for undergraduates can be difficult to obtain. Many students may not realize that research opportunities exist, or there is limited availability for undergraduates to work in a faculty member’s research laboratory. Luckily, an educational model for involving scientific research in a course, also known as a Course-based Undergraduate Research Experience (CURE), can provide more widespread opportunities for students to …

Advanced Materials For High Performance Lithium-Sulfur Batteries, Jian Yang

Dissertations

With the advantages of high capacity and low cost, lithium-sulfur batteries (LSBs) have been considered as one of the most promising candidates for next-generation batteries. However, the wide adoption of LSBs to the commercial markets is limited due to the fast capacity decay and low utilization of sulfur. To address these issues, advanced cathodes with high electronic conductivity and strong affinity to elemental sulfur and lithium polysulfides, which are intermediate products during the charge/discharge process, have been developed in this program. Carbon aerogels (RFCs) with controllable porous architectures have been fabricated through adjusting the process parameters and used as the …

Reflections On A Promise: Student Experiences At A Two-Year Promise Institution And Their Educational Aspirations, Danielle Lemmerman

Dissertations

College students and their families have to shoulder more of the burden in college costs due to rising tuition. To deter students from adding to the national student loan debt, promise programs have been launched to eliminate cost as a barrier to postsecondary education. Programs vary in design and may cover partial tuition, full tuition, or both tuition and fees. Currently, there is a dearth of research on the experiences low-income students have attending a promise eligible institution, especially at the community college level. This qualitative case study explores the ways in which low-income undergraduate students describe their experiences at …

Effect Of Fandom On Sports Gambling, Drake Deitch

Dissertations

The goal in this study was to investigate the relationship between fandom and betting. The hypothesis was that sports fans who gambled on their favorite teams would be more likely to make irrational decisions based more closely on emotional attachment than logical thinking. A total of 191 fans of the Chicago Bears (n = 80), Green Bay Packers (n = 57), and Minnesota Vikings (n = 54) were recruited for the study. Participants completed a survey that assessed their knowledge of and love for the three teams. Results indicated fans were far more likely to bet on their team regardless …

Covid-19, Olfactory Functioning, And Depressive Symptoms, Kevin Davis Psy.D.

Dissertations

The focus in this study was to investigate whether people who continue to experience a disordered sense of smell after recovering from COVID-19 are more likely to have higher levels of depressive symptoms. Data collection involved two questionnaires: the Patient Health Questionnaire-9 (PHQ-9) to assess depressive symptoms and the Assessment of Self-Reported Olfactory Functioning and Olfaction-Related Quality of Life (ASOF) to assess olfactory functioning. Additionally, general survey questions were asked to evaluate physical and mental health outcomes related to COVID-19. Results showed individuals who did not subjectively return to their baseline sense of smell after recovering from COVID-19 had lower …

Stories Of Me: Disability Identity Development In Persons With Adhd, Andrea R. Johnson

Dissertations

Theoretically, developing a strong sense of ADHD identity, adolescents can combat anxiety and stigma. Combatting anxiety and stigma can support student’s postsecondary success. How can teachers help? The study aims to explore the narratives of disability identity from the adult reflective perspective to identify potential recommendations for teachers. This mixed-methods study collected data through two semi-structured interviews of adults with ADHD, a focus group, and survey data from social media communities. The stories were analyzed for evidence of a sense of identity, pride, and self-esteem. The emerging themes provided recommendations for educators which included the need to foster relationships (teachers …

Single-Case Pilot Study For Longitudinal Analysis Of Referential Failures And Sentiment In Schizophrenic Speech From Client-Centered Psychotherapy Recordings, Travis A. Musich

Dissertations

Though computational linguistic analyses have revealed the presence of distinctly characteristic language features in schizophrenic disordered speech, the relative stability of these language features in longitudinal samples is still unknown. This longitudinal pilot study analyzed schizophrenic disordered speech data from the archival therapy audio recordings of one patient spanning 23 years. End-to-end Neural Coreference Resolution software was used to analyze transcribed speech data from three therapy sessions to identify ambiguous pronouns, referred to as referential failures, which were reviewed and confirmed by multiple raters. Speech samples were analyzed using Google Cloud Natural Language API software for sentiment variables (i.e., score, …