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A Phenomenological Study On The Informal Learning Experiences Of Female Mid-Level Administrators, Kathryn L. Curameng

Dissertations

Purpose: The purpose of this phenomenological study is to identify and describe the informal leadership development experiences of female mid-level administrators in private nonprofit higher education.

Methodology: This phenomenological study identifies and describes the informal leadership development experiences of female mid-level administrators in private nonprofit higher education institutions in California. Respondents were selected based on specific criteria and recommendations of a sponsor. The researcher collected data through semi-structured interviews and observations of participants.

Findings: Examination of the qualitative data from interviews with 16 female mid-level administrators working in private nonprofit higher education yielded nine major findings. These included 2 unexpected …

Student Nurses' Perception Of Preceptors' Authentic Leadership Effect On Self-Efficacy, Venise D. Bryan

Dissertations

The study examined the relationship between final year nursing students' perceptions of preceptor authentic leadership and self-efficacy. Nursing students are required to engage in a preceptorship experience at the end of their nursing education for socialisation into the profession and learning consolidation to facilitate optimum transition from student to nurse. Unfortunately, preceptorship has been identified as the most stressful experience that nursing students engage in and poor relations with clinical staff and low competence beliefs to nurse have led to attrition after graduation. To date, a limited number of studies have examined preceptors' leadership style, particularly authentic leadership and student …

Simulation Usage As A Partial Replacement Of Traditional Clinical: A Study Of Administrator And Faculty Perceptions In Practical Nursing Programs In Pennsylvania, Cynthia A. Cornelius

Dissertations

There has been a significant amount of research regarding simulation use in nursing education; however, there is limited research available regarding the replacement of traditional clinical with simulated clinical. This research included a mixed-method design formulated to determine Pennsylvania Practical Nursing Programs' current simulation usage and Pennsylvania Practical Nursing Directors', Assistant Administrators', and Faculty Members' perceptions regarding replacing a portion of traditional clinical with simulated clinical. An 18-item electronic questionnaire was delivered to 309 potential respondents via the Qualtrics electronic survey distribution system, with 191 responding.

The Influence Of Knowledge And Value On Nursing Students' Quality Of Supportive Feedback To Peers, Joni L. Tornwall

Dissertations

Peer review in nursing is an expectation of every registered nurse in the workplace, and it is essential to accountability and self-regulation of practice in the nursing discipline. However, the literature reveals that professional nurses and nursing students feel peer review is not their responsibility. Research has shown that they state they do not have time to do it, and they feel unprepared for and anxious about the process of providing good feedback to peers. Academic nursing programs should be teaching future nurses to participate in peer review and recognize its value to professional nursing practice. Training in peer review …

Women's Lives After An Induced Abortion: A Phenomenological Study Of The Long-Term Post Abortion Experience, Rosanna Formanek Hess

Dissertations

Most previous research investigations on the post abortion experience studied women up to two years post abortion. The findings of many of these short-term studies indicate that 5-20% of women have severe psychiatric distress two years after the abortion. Little is known about the long-term effects of an abortion in women who experienced the event.

The purpose of this study was to explore the abortion experience in women who had a legal, elective, first trimester, induced abortion > 5 years before the interview. The main objective of the study was to learn how each woman was affected by the abortion and …

Influence Of Leadership Styles On Expatriate Nurses' Professional Integration In The Uae, Emmah Ncube

Dissertations

Transnational nurse migration has evoked a growing interest in the phenomenon of professional integration of expatriate nurses into their host societies. Despite research connecting employee and organizational outcomes such as job satisfaction and organizational citizenship behavior to the quality of leadership styles, there remains a lack of research linking professional integration of expatriate nurses to nurse leadership styles in the UAE. The purpose of this grounded theory study was to develop a theory that would explain how nurse leadership styles and behaviors impacted the professional integration of expatriate nurses into the multicultural work environment of the UAE. The research questions …

Faculty Caring Behaviors: A Quantitative Examination From The Ethnically Diverse Student's Perspective, Donna M. Hedges

Dissertations

The increase in patient ethnic diversity in the health care environment has not been mirrored by an increase in ethnic diversity within the nursing profession. There is a need for increased focus on the retention of ethnically diverse nursing students in order to meet the needs of an ethnically diverse patient population. The quality of caring demonstrated by faculty in the faculty - student relationship can have significant influence on the student's successful completion of the nursing program. Faculty understanding of how ethnically diverse students perceive caring faculty behaviors may assist faculty to mitigate attrition of these students. The purpose …

Impact Of Telecommuter Status, Manager Leadership Style, Structural Empowerment And Job Satisfaction On Managed Care Nurses' Level Of Engagement, Jessica Varghese

Dissertations

The work environment impacts nurses' level of work engagement. Nurses are working outside of traditional hospital settings and moving into industries such as the managed care arena. This impacts the way work is experienced as many practices such as telecommuting are more prevalent in the managed care setting. The purpose of this study is to understand the effects of telecommuter status, manager leadership style, structural empowerment, and job satisfaction, on nurses' level of engagement in the managed care workplace setting..

Influence Of Learning Style And Learning Flexibility On Clinical Judgment Of Prelicensure Nursing Students Within A Human Patient Computer Simulation Environment, Elizabeth Sharon Robison

Dissertations

Nursing education is experiencing a transition in how students are exposed to clinical situations. Technology, specifically human patient computer simulation, is replacing human exposure in clinical education (Nehring, 2010b). Kaakinen and Arwood (2009) discuss the need to apply learning theories to instructional designs involving simulation for successful learner-centered outcomes. Developing effective teaching strategies using technology to support enhancing student performance outcomes requires a paradigm shift from traditional, clinical-based models.

The purpose of this study was to begin to close research gaps and support development of evidence-based practice in implementing simulation by examining prelicensure nursing students' learning styles and flexibilities relative …

Transition Experiences Of Novice Mid-Level Academic Nurse Leaders From Educators To Administrators, Joana Velasquez

Dissertations

The shortage of academic nurse leaders (ANLs) is imminent and creates a crisis for the nursing profession. Nurse educators commonly assume leadership roles with minimal preparation and training. However, few research studies have explored the transition of nursing faculty to ANLs. Consequently, several aspects of transitioning from educator to administrator have remained unknown. The purpose of this generic qualitative research was to explore the experiences of novice mid-level ANLs who transitioned from educators to academic administrators, identify the facilitators and barriers to the transition process, and describe the indicators of a successful role transition. The primary research question that guided …

South Asian Low Sodium Study (Salt): A Multi-Method Approach, Salima Hemani

Dissertations

Hypertension (HTN) is prevalent in South Asian Canadians (SAC), and dietary sodium is the primary contributing factor. The overall goal of the South Asian Low-sodium sTudy (SALT) is to describe contextual factors and determine the feasibility of implementing a six-week low sodium community-based dietary intervention to improve outcomes in SAC with stage one HTN.

SALT is a multi-method study consisting of a pilot randomized controlled trial (RCT) and a cross-sectional survey. Following ethics approval, participants with stage one HTN were randomized to a usual care group or an intervention group. Participants in the usual care group received the HTN Canada …

The Relationship Between Staff Nurses' Perceptions Of Nurse Manager Caring Behaviors And Their Perception Of Exposure To Workplace Bullying Within Multiple Healthcare Settings, Lynda D. Olender

Dissertations

This study examined the relationship between staff nurses' perception of nurse manager caring behaviors and their perceived exposure to workplace bullying within multiple healthcare settings. It was based on the theoretical position that caring promotes reciprocal caring and healing for each other and for the larger universe as informed by Watson's theory of human caring (1979, 2006, 2008). Results indicated a statistically significant, negative, linear relationship between the CFS-CM and the NAQ-R (r = -.534, p < .001), meaning that as staff nurses' perceptions of their nurse manager caring increased, their perception of exposure to negative acts (meeting the definition of workplace bullying) significantly decreased. The sample consisted of primarily older, more experienced, staff nurses who worked 10 years or longer within their work environment. Data analysis also revealed that staff nurses who were females and those who worked in Medical/Surgical settings were significantly more likely to perceive their managers as caring (p < .05 respectively) and that a high workload significantly influenced the staff nurses perception of exposure to workplace bullying (p < .05). In view of the predicted nursing shortages as baby-boomer nurses retire at the same time the demand for health care is rising (AACN, 2009), these findings highlight the importance of caring leadership for the health and availability of nurses at the bedside, and may lead to shifting work priorities for nurse managers. Study findings may also foster the design and implementation of a caring curriculum and caring competencies applicable for the nurse managers' role either within nursing academic or clinical settings.

Lived Experiences And Insight On Development Of Emotional Intelligence In Professional Nursing Practice, Jennifer L. Jessen

Dissertations

The purpose of this qualitative, experiential narrative study was to examine how emotional intelligence is applied in clinical nursing practice and how a nurse develops those skills in professional practice using a qualitative, experiential narrative design. The selected research participant was asked to verify her emotional quotient (EQ) score with the MSCEIT emotional intelligence test and participate in repeated interviews detailing the major events, patients, coworkers, mentors, and support systems in her life from her first experiences in healthcare to the present. Evidence of emotional intelligence (EI) was identified in her stories and applied to the Salovey and Mayer model …

Red, White, Blue & Black: A Phenomenological Analysis Of The African American Officer Experience Of Mentorship In The California Army National Guard, Larry B. Rankin Ii

Dissertations

Purpose: The purpose of this interpretive phenomenological analysis is to explore the perception of mentorship through the experiences of African American Officers (in the ranks of O-4 and above), as it relates to their retention in the California Army National Guard.

Methodology: For this study, a qualitative design was used to conduct research to identify and describe the perception of mentorship through the experiences of African American Officers. The sample was composed of five African-American officers (rank O-4 and above) still serving in the California Army National Guard.

Findings: Analysis of the data collected from 10 semi structured interview questions …

The Impact Of School-Based Intervention For Overweight And Obese 9-13-Year-Olds On Anthropometry, Nutrition Knowledge, Attitudes, Selfefficacy And Dietary Behaviors, Sara Zuarub

Dissertations

Childhood obesity has emerged as a significant public health concern in the United Arab Emirates (UAE). The study evaluated the effects of school-based nutrition education on knowledge, attitude, dietary practices, self-efficacy, and anthropometric measurements of overweight and obese school children aged 9-13 years. Additionally, the parents' perceptions on factors contributing to childhood obesity were examined. A 6-month intervention program based on Social Cognitive Theory (SCT) was undertaken by children from 36 public schools located in Dubai and Sharjah emirates, UAE. The overweight/obese school children (n = 403) were classified into three categories, including two intervention groups (1 and 2) and …

A Salutogenic Framework To Understand Disparity In Breast Cancer Screening Behavior In African American Women, Regina Conway-Phillips

Dissertations

African American women (AAW) have a higher breast cancer mortality rate and a lower survival rate than any other racial or ethnic group. Research has demonstrated that limited access to care reduces mammography screening for AAW. Despite barriers, some AAW do access mammography and engage in breast cancer screening behaviors. The salutogenic theory of health focuses on factors that support well-being and increase positive health behaviors. Given this perspective, salutogenesis offers a novel framework to understand personal factors that allow some AAW to surmount barriers and to engage in health behaviors. Sense of coherence (SOC) is central to salutogenesis. Individuals …

Adherence To Antihypertensive Medications Among African Americans Adults, Obiageli Obah-Mbanefo

Dissertations

Purpose: To describe adherence to antihypertensive medications among African Americans adults aged 35 to 65 years in south Los Angeles.

Study Aims: Aim 1: Describe patient sociodemographic factors (age, gender, education, insurance, employment, living arrangement and income), clinical factors (history of current depressive symptoms, comorbidities, comorbidity Charlson score and number of comorbidities), health literacy level, and medication adherence to hypertension (HTN) medications. Aim 2: Describe the relationships between sociodemographic factors, clinical factors, health literacy level, and medication adherence. Aim 3: Compare medication adherence between patients with high health literacy level, low possible health literacy, and low health literacy level.

Background: …

Emotional Intelligence And Empathy Of Nursing Students In An Immersive Capstone Clinical Course, Michelle L. Finch

Dissertations

Today's baccalaureate nursing students need to be prepared to care for patients in an ever-changing, high acuity environment. Many programs offer a capstone immersive clinical experience. However, the benefits of this experience have not been fully explored, and the effect on patient care is unknown.

The purpose of the study was to determine if there was a change in levels of Emotional Intelligence (EI) and empathy in senior students who completed a capstone immersive clinical experience in the final semester of a baccalaureate nursing program.

Sepsis Early Recognition And Response: Education And Simulation To Increase Knowledge And Confidence In Associate Degree Nursing Students, Susan G. Bryant

Dissertations

Sepsis kills more than 250,000 people every year in the United States. Immediate treatment is crucial for best patient outcomes but sepsis can be challenging to identify. Nurses may miss signs of sepsis and delay life-saving treatment. The purpose of this quality improvement project was to determine whether an instructional presentation on introduction to sepsis followed by a high fidelity sepsis simulation scenario would improve knowledge and confidence in early recognition of and response to signs of sepsis for final semester associate degree nursing (ADN) students. Tanner's Clinical Judgment Model was used as the theoretical framework for this project. The …

Impact Of Authentic Leadership On Team Psychological Safety As Mediated By Relationship Quality, Mechelle J. Plasse

Dissertations

Leadership is a dynamic process with a far-reaching impact. Leadership is the process of guiding a group of individuals towards the achievement of a common goal. Healthcare leaderships looks to guide staff towards the common goal of positive patient outcomes. The literature has demonstrated that staff outcomes related to the health of their work environment can impact patient outcomes. A contributor to the health of the work environment is the relational tone of the unit; this tone is partly shaped by the skill and philosophy of the leader. Relational dynamics can influence several processes, including psychological safety which is a …

An Analysis Of Cultural Values, Religiosity And Family Member's Caregiving On The Positive Appraisal Of Caring For The Elderly, Fayron R. Epps

Dissertations

The stress and burden experienced by the family caregiver during the caregiving experience has been widely researched and established among the literature. Limited research exists on the impact of cultural values, religiosity and family caregiving on the caregiver's positive appraisal of caring for a dependent elderly family member. Therefore, the purpose of this study was to examine the influence of cultural values and religiosity on the positive appraisal of caregiving among African American, Hispanic and Caucasian caregivers for dependent elderly family members. A predictive correlational study design was employed to examine the relationship amongst variables for 69 African-American, Hispanic and …

Leading Change: Generating Cultural Responsiveness And Competence In Nursing, Kerstin G. Hudgins

Dissertations

Culturally responsive teachings prepare students to support social justice, diversity, equity, and inclusion (DEI) in and beyond the classroom. Rising reports of culturally insensitive care and the reported challenges that nurses experience when caring for culturally diverse patients warrant the advancement of the intercultural readiness of nursing students. The study investigated the cultural content taught, encompassing LGBTQ+ health education, at the School of Nursing at a historically black college and university (HBCU) in the Southeastern United States. The participant selection involved purposeful sampling of various stakeholders engaged in interviews and focus groups, including faculty, nursing students, and nurse managers with …

Self-Management By Adolescents And Young Adults Following A Stem Cell Transplant, Caroline F. Morrison

Dissertations

A grounded theory study was conducted to better understand the process AYA use to manage their care following a SCT. Specific aims included: 1) to explore self-management facilitators, barriers, processes and behaviors within individual, family, community and healthcare system domains using the pediatric self-management framework to develop initial interview guides; 2) to describe how AYA manage their care regimen post HSCT; and 3) to describe rates of oral medication adherence for AYA post HSCT and how they relate to patterns of self-management.

Living As A Dying Child: A Gadamerian Analysis Of The Poetry Of Mattie J. T. Stepanek, Corinne A. Settecase-Wu

Dissertations

Yearly, approximately 500,000 children live with life-limiting conditions in the United States; 50,000 die. Yet, details regarding children's days of living as dying are unknown. The aim of this qualitative hermeneutic study is to gain understanding of the phenomenon of living as a dying child. A Gadamerian-inspired approach was implemented to underpin the study, and to analyze poetic text to address the research question: What is it to be living as a dying child? The text sample included 499 poems written by Mattie J. T. Stepanek, a dying child. The Settecase-Wu Conceptual Guide was developed and implemented to ensure …

Quasi-Experimental Study With The Undergraduate Nursing Program Using Simulation Learning To Reduce Medication Errors, Georgette R. Lohrman

Dissertations

Medication errors in the nursing practice are not only costly but may harm or kill a patient. The problem addressed in this study is the relationship that exists between the lack of medication administration skills taught to students in an undergraduate nursing program. The purpose of this quantitative quasi-experimental study with a two-group pretest-posttest design was to examine if the addition of medication-simulated learning was associated with improved medication administration knowledge compared to a traditional Pharmacology classroom setting.

Temporal Sequence And Relationships Between Sleep Disorders, Mental Disorders And Traumatic Brain Injury In Deployed Military Members, Pamela Herbig Wall

Dissertations

U.S. military members are often forward deployed to austere environments where they are exposed to environmental, mental, and physiological stressors that can negatively affect their wellbeing and readiness for service. These service members are at high risk for developing sleep disorders, mental disorders, and traumatic brain injury (TBI) that may produce functional disability and further erode mission readiness. While there is ample evidence on distinct relationships between these three clusters of disorders, relatively few studies examine all three in a military and/or veteran population. Health care providers in the United States Military need information about these complex interactions in order …

Compassion Fatigue Among Family Caregivers Of Individuals With End-State Heart Failure, Lisa A. Cross

Dissertations

The purpose of this study was to examine the relation between family caregiver demographic characteristics and compassion fatigue for caregivers who were caring for family members with end-stage heart failure. Specifically, the study examined the relation of compassion satisfaction, social desirability, and the relationship between the family caregiver and nursing provider on compassion fatigue. The research was conducted during the COVID-19 pandemic and examined the family caregiver perception of the effect of COVID-19 on caregiving routines.

Nursing Faculty Experiences With Interactive Learning In The Associate Degree Nursing Classroom, Katheryn M. Csonka

Dissertations

The purpose of this basic qualitative study was to explore associate degree nurse faculty perceptions and experiences with the use of interactive learning in their classroom. Interactive learning is an approach to teaching and learning that promotes student learning with an active process. The implementation and continued use of interactive learning can be difficult for nurse educators who may be influenced by their previous perceptions and experience with use. There is a plethora of knowledge on the benefits of interactive learning with students, yet there is a gap in literature specific to nursing faculty experiences in the nursing classroom..

Developing Clinical Judgment Through The Implementation Of Information And Communication Technology, Such As The Electronic Health Record (Ehr), Sherri Carter

Dissertations

Graduate nurses are expected to enter a technology-rich workforce with an understanding of the electronic health record (EHR) and how it is used to guide patient care. Limited access to EHRs in clinical settings may result in students entering professional practice with limited ability to understand the full potential of the EHR. Over a seven-week term, students enrolled in the Patient-Centered Care I course, during the 2018 Spring I term, participated in high-fidelity simulation and seminar activities that included an educational electronic healthcare record (EEHR). These activities were integrated into the course to guide students when making clinical decisions regarding …

Impact Of High-Fidelity Simulation On Confidence Level Of Nursing Students In The Care Of Covid-19 Patients, Faith A. Paine

Dissertations

The COVID-19 pandemic impacted the education of nursing students across the world. Nursing students were unable to care for patients with COVID-19 at the beginning and potentially throughout nursing school depending on the facility and nursing school restrictions. It was not known how the participation in a high-fidelity simulation will impact the confidence level of nursing students in the care of patients with COVID-19. A mixed methods phenomenological qualitative and survey design was utilized to determine the confidence level of nursing students after participation in a high-fidelity simulation of a patient diagnosed with COVID-19.