Digital Commons Network^™

Fear Of Cancer Recurrence Among Survivors Of Adult Cancers, Jacqueline P. Galica

Dissertations

Fear of Cancer Recurrence (FCR) is a common concern for which cancer survivors want professional help to cope. Understanding the prevalence, predictors and mediators of FCR is important to facilitate the identification of those at-risk for clinically-significant FCR in order to expediently refer them into appropriate interventions. To clarify the empirical gaps which would be useful in this regard, the objectives of this study were: 1) to assess the prevalence of FCR; 2) to examine the relationships among predictors of FCR; and 3) examine the relationships among mediators of FCR.

Men In Nursing: Internalized Sex-Role Stereotypes And Their Relationship To Role Strain And Self-Esteem, Stanley Melton Harris

Dissertations

Sex-role stereotyping is limiting to both men and women. While it can manifest in any occupation, it is more prevalent in occupations viewed by society as nontraditional. Nursing is a female-dominated profession; therefore, men who choose nursing are more likely to experience sex-role stereotyping. Gender-based expectations may contribute, in turn, to role strain and altered self-esteem in male registered nurses. In this study, 56 male registered nurses residing in 5 southeastern states completed a Likert-type survey related to sex-role stereotyping, role strain, and self-esteem. Participants responded on a scale ranging from "Strongly Agree" to "Strongly Disagree." Study results suggest that …

The Pontem Path: A Case Study Of A Catholic Bridge Program Focusing On College Readiness, Sean Green

Dissertations

The Department of Education’s 2018 report on the “Condition of Education” indicated nearly 60% of all children under the age of 18 had parents without a bachelor’s degree. When the statistics were broken down by race, the numbers were far higher. For Black children, that number was 74%; for Hispanic children, that number was 79%; for Pacific islander, it was 78%; and for American Indian/Alaska native, it was 80%. This gap in education has had a tremendous economic impact on families, reverberating through generations. According to Georgetown’s 2015 study on the economics of college majors, a college graduate makes $1 …

Teacher Sensemaking In Times Of Crisis: A Case Study Of The Teaching Of High School Ethnic Studies Classes During The Covid-19 Pandemic And Black Lives Matter Protests, Kay Flewelling

Dissertations

This is a study about secondary ethnic studies classes within the COVID-19 pandemic. In 2020, a novel coronavirus caused dramatic changes in society, and social protests erupted in the United States in response to violence against people of color. This period of dual crises created a collective period of turbulence for educators in the United States as schooling moved to emergency virtual environments. Though the impact of this time is not yet understood, early indicators suggest that existing educational inequalities for students of color will be exacerbated. This study explored ethnic studies teacher sensemaking to understand how teachers adapted their …

The Experience Of Returning From A Wilderness Expedition, Helen Mueller Wedin

Dissertations

The purpose of this descriptive phenomenological study was to explore the experience of women returning from the Arctic territory of Nunavut. Such women transitioned from a secluded, communal, Canadian wilderness journey of approximately 7 weeks duration, to a Western lifestyle of advanced technology, high-paced, individualistic living. Preliminary inquiry of expedition returnees pointed to a significant number of participants detailing moderate or higher levels of anxiety, paralleling similar findings of cross-cultural sojourners who reported experiencing a kind of 'reverse culture shock' upon coming home. Psychological distress related to transition between foreign environments and home cultures, has been associated with potential health …

The Relationship Between Utilization Of The Elsevier Online Remediation Tool And The Hesi Exit Exam For Student Nurses Preparing For The Nclex-Rn, Judith A. Egan

Dissertations

Nursing schools are operating at full capacity in order to address an impending shortage of registered nurses that may exceed 500,000 by the year 2025. This pressure on scarce resources elevates the importance of NCLEX-RN preparedness for nursing faculty, nursing students, and the public at large. Additionally, the ability to successfully prepare students to sit for the NCLEX-RN exam can affect the reputation of nursing programs throughout the United States. Nursing schools frequently utilize commercially prepared standardized exams to assess student readiness and identify students in need of remediation. The HESI E2 Exit Exam distributed by Elsevier is one such …

Shattering Your Own Glass Ceiling: The Self-Sabotaging Behaviors Of Secondary Female Principals And Strategies Used To Overcome Them, Ashley Sandor

Dissertations

Purpose: The purpose of this explanatory mixed methods study was to identify and describe self-sabotaging behaviors experienced by female secondary principals and to explore the impact these behaviors have on their career development. A secondary purpose of this study was to identify strategies used to overcome self-sabotaging behaviors.

Methodology: An explanatory mixed methods design was used to uncover the perspectives of 10 female secondary principals in Northern California who have experienced career impacting self-sabotaging behaviors and to examine strategies that exemplary female secondary principals use to overcome their internal barriers. The quantitative phase included a 51-item online survey about self-sabotaging …

Writing Instruction For Multilingual Learners, Leticia Kiwan

Dissertations

Purpose: The purpose of the study was to explore and describe the benefit of three key elements of instructional writing strategies: structured writing, visual learning, and collaborative tasks to assist Title 1 middle school site administrators and teachers in assessing the impact of the instructional writing strategies for multilingual learners to achieve reclassification to Fluent English Proficient.

Methodology: The qualitative case study included a thorough analysis of one-on-one interviews with seven teachers and seven administrators with more than three years of experience in a middle school from the Sacramento area.

Findings: Examination of the data indicated the following findings: (1) …

Parental Involvement And The Academic Achievement Of Third And Fourth Grade Students During The 2014-2015 And 2015-2016 School Years, Rise’ D. Black

Dissertations

The purpose of this research was to find out if parental involvement in the study school helped to increase student academic achievement. Previous studies have shown that when parents are involved in the educational process of children, parents can expect a gain in academic achievement. This mixed method study examined the relationship between parental involvement and academic gains in reading at one suburban public school. The researcher examined how often parents met with teachers at their child’s school, conversations parents had with teachers about what they were learning in school, how often parents were involved with a parent group, how …

The Experience Of Non-Spousal Close Intimate Relationships For Women With Breast Cancer: A Journey Of Support, Erin B. Dooley

Dissertations

An estimated 331,530 women will be diagnosed with breast cancer in 2019 ("American Cancer Society," 2019, p. 10). The purpose of this qualitative, phenomenological, descriptive study was to explore the lived experience of non-spousal close/intimate relationships of women with breast cancer. There are very few studies in the literature examining relationships between women with cancer other than those of partner or spouse. This study's participants consisted of six women, ages 32 to 68. Analysis of these data identified themes reflected along their breast cancer trajectory (1) The journey starts (2) Mid-journey passage, and (3) Journeys end/coming home, as well as …

The Relationship Between Selected Variables And The National Council Licensure Examination For Registered Nurses: A Comparative Analysis Of Pass/Fail Performance For Traditional And Second-Degree Baccalaureate Students, Nadine Cozzo Englert

Dissertations

This retrospective study was conducted to examine the relationship between selected variables and performance on the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Data were collected from one hundred twenty graduates of a baccalaureate program; graduates completed either the traditional four-year track or an accelerated second-degree track. Variables included scores earned on seven standardized HESI tests, grades earned in fourteen nursing courses, and grade point averages calculated at six points throughout the curriculum. Relationships between NCLEX-RN performance and student age, gender, and ethnicity were also examined. A between-subjects comparative analysis based on pass/fail performance revealed students who passed the …

Understanding Quality Of Life In Adolescents Living With Advanced Cancer, Cynthia J. Bell

Dissertations

The purpose of this study is to advance theoretical understanding of how an adolescent with incurable cancer prepares for end-of-life (EOL). A theoretical model was developed to link awareness, acceptance, and willingness to take action to EOL preparedness (knowledge about EOL, acknowledgement of grief and emotion, identification of the meaning of death and spirituality, and conceptualization of personal plan) and communication about EOL preferences and priorities; and to determine impact on quality of life (QOL).

Effects Of Exercise On Physiologic And Psychologic Outcomes In Patients With End Stage Renal Disease On Hemodialysis: A Quasi-Experimental Study In Lebanon, Ghada Ballout Dunbar

Dissertations

End stage renal disease (ESRD) is a public health problem that is expected to continue to rise and has overwhelming effects on individuals' psychological, physical, and emotional wellbeing. Treatment options include hemodialysis (HD), which is a lifesaving procedure for patients suffering from ESRD where a dialysis machine and a dialyzer are used to clean and purify the blood as their kidneys are not functioning normally. This patient population will suffer from muscle atrophy and weakness due to inactive lifestyle and lack of physical activity. They also question their existence, are extremely stressed, and are afraid of death.

Rural Pregnant Women’S Experiences With Substance Use Disorder: A Qualitative Study, Cami Weber

Dissertations

Rural pregnant women with substance use disorder (SUD) are an understudied vulnerable population that often experiences poor pregnancy outcomes (Higgins et al., 2019; Jumah, 2016; Kramlich et al., 2018; Shaw et al., 2015). Despite the high prevalence and high burden associated with SUD, rural women are less likely than non-pregnant women to seek addiction treatment and complete an outpatient treatment program during pregnancy (Shaw et al., 2015). This study aimed to give voice to rural Missouri women with SUD. The research questions explored the life experiences and motivations for seeking treatment using a qualitative, descriptive research design with grounded theory …

Global Nursing Service Learning For Short-Term Student Experiences: Investigating The Interpretation Of Healthcare Needs As A Predeterminent For Site Selection, Deborah Lyn Carter

Dissertations

As a response to the increased global demand of healthcare, global nursing service learning programs are growing within institutions of higher education. The rise and increase of these programs call for additional research into the practices being used to ensure culturally appropriate, realistic, and sustainable nursing care. The care, however, needs to remain within the nursing scope of practice while also meeting the expected needs of the host community. The purpose of this study is to begin the initial research of how sites from higher education institutions involving student nursing teams are selected, specifically looking at the understanding of the …

Effects Of Simulated Clinical Experiences On Empathy, Self-Confidence, And Satisfaction In Nursing Students, Dawn L. Riess

Dissertations

Empathetic communication enhances the nurse-patient relationship and improves patient outcomes and needs to be taught and evaluated during simulated clinical experiences. Experience in healthcare education has shown students' empathy levels decrease over time. The purpose of this quasi-experimental pretest posttest, study was to compare nursing students' empathy levels, self-confidence, and satisfaction with simulation between the use of the high-fidelity manikin simulator (HFMS) and a standardized patient (SP) used during their simulated clinical experience. Kolb's experiential learning theory was used to guide the study through the four phases specific to simulation and learning. Convenience sampling was used to recruit 135 nursing …

Through The Looking Glass: The Lived Experiences Of Deaf People Communicating With Nurses, The Meaning Of Health, And Attitudes Toward Nurses, Kathleen Lenore Gilchrist

Dissertations

Approximately three million deaf people in the United States represent a significant portion of our population whose health care may be compromised from ambiguous communication. Written and spoken English is commonly used by nurses to convey health information, although American Sign Language (ASL) is the Deaf community's primary language. When a deaf person enters the hospital, communication is tenuous because of illness, unfamiliar environment, and medical terminology. The purpose of this research was to describe and interpret prevocationally deaf people's experiences communicating with nurses, the meaning of health, and their attitudes toward nurses.

Undergraduate Nursing Faculty's Lived Experience Of Authentic Leadership In Nursing Education, Krystal M. Diedrichsen

Dissertations

Current nursing practice is encountering challenges with retention, burnout, and staff satisfaction. Nurses are caring for patients who are more critically ill; expected to do more with less; and experiencing increased demands of their time due to nursing staff shortages. Research has shown how Authentic Leadership (AL) can positively impact nursing practice. However, there is a significant research gap of faculty lived experiences with or without the application of AL and its overall impact on nursing education. The purpose of this study was to explore the lived experiences of undergraduate nursing faculty and current use of AL in nursing education. …

Examining The Relationship Among Civic Attitudes, Civic Engagement Behaviors, And A Sense Of Community In A Sample Of Nurses, Catherine Rewakowski

Dissertations

Nurses are called to advocate for those they serve, and civic engagement is a way to advocate for health-related issues. However, there is sparse evidence of frequency and types of civic activities in which professional nurses engage. A review of literature found that sense of community and civic attitudes are constructs shown to influence civic participation but are not well-studied among professional nurses. The purpose of this study is to gain an understanding of civic engagement among nurses by examining civic engagement activities and factors that influence engagement.

The Relationship Between Nursing Students' Test-Taking Motivation And The Exit Examination Score, Lorraine Coalmer

Dissertations

A primary objective of nursing students and nursing programs includes first-time success on the NCLEX-RN®. As the nursing shortage continues, it is essential to have qualified nursing graduates pass the NCLEX-RN ®. One approach some nursing programs have chosen to implement regarding augmenting nursing students' probability of success on the NCLEX-RN® includes the administration of an exit examination. This exit examination is tailored to mimic the NCLEX-RN® blueprint; thereby this examination may reveal the nursing students' readiness for the NCLEX-RN®.

The purpose of this study was to determine if there was a relationship between nursing student test-taking motivation and exit …

A Cross-Sectional Study To Determine Barriers In The Educational Advancement Of The Licensed Practical Nurse To The Registered Nurse In The State Of North Carolina, Douglas M. Turner

Dissertations

The purpose of this study was to identify barriers that prevent practical nurses in the state of North Carolina from pursuing registered nurse education. A cross-sectional sample of 128 practical nurses completed a modified version of the ";Learning Interests and Experiences of Adult Americans"; (Cross,1981; Powell 1989). A convenience sample of experts in the field of nursing, nursing administration, and nursing education were interviewed to triangulate the data. Logistic regression was used for data analysis.

Two barriers were identified that prevent practical nurses from advancing to registered nurse education in the state of North Carolina: Strict attendance requirements and required …

Nurse Educators' Perceptions About The Culture Of Nursing And How They Bring Students Into That Culture: A Focused Ethnography, Susan M. Strouse

Dissertations

The purpose of this study was to discover nurse educators' perceptions about the culture of nursing and how they bring students into that culture.

The Effects Of High-Stakes Ati Remediation And Testing Practices Including The Ati Content Mastery Series And Ati Pn Comprehensive Predictor, Elaine Hernandez Hunter

Dissertations

The purpose of this retrospective, descriptive study was to determine if any differences existed in students' test scores on the Assessment Technologies Institute (ATI) PB tests: Fundamentals, Pharmacology, Medical Surgical and the Comprehensive Predictor before and after implementing a high-stakes remediation and testing policy. The ATI computer-based standardized tests are widely used in nursing programs as a program assessment tool. Also, ATI tests provide correlational evidence of first-time NCLEX-RN passage. The ATI Remediation and tests are commonly added to nursing programs progression plans. In recent years nursing programs have applied high-stakes ATI Remediation to the ATI tests in response to …

Exemplary Practices Which Support Achievement Gaps In Reading And Writing For Hispanic Ell Learners In Title I Twenty-First Century Elementary Schools, Melinda Gonzalez

Dissertations

Purpose: The purpose of this phenomenological study was to identify and describe strategies used by public school 3rd, 4th, and 5th-grade teachers to support English language learners in Title I public schools.

Methodology: This phenomenological study identified and described 14 teachers' 3rd, 4th, and 5th-grade perceptions on effective strategies to support English language learners in reading and writing. Respondents were purposively chosen based on specific criteria and recommendations of an expert panel of experts and data was coded using NVIVO.

Findings: The expert panel members identified multiple strategies to support English language learners. Strategies include (a) Question higher level of …

Healing Touch And Health-Related Quality Of Life In Women With Breast Cancer Receiving Radiation Therapy, Lisa L. Schnepper

Dissertations

Complementary and alternative medicine (CAM) therapies are increasing in popularity in the United States, as demonstrated by an upsurge in utilization. As early as 1940, the National Institutes of Health identified the need to explore alternative therapies for cancer. Finally, in 1998, the National Cancer Institute developed the Office of Cancer Complementary and Alternative Medicine to promote evaluation of complementary and alternative therapies. The purpose of this study was to evaluate the efficacy of Healing Touch to improve Health-related Quality of Life (HRQOL) as measured by the Functional Assessment of Cancer Therapy-Breast (FACT-B) among women with early stage breast cancer …

Female Coping With Cardiac Rehabilitation After A Cardiac Event: A Qualitative Study, Patricia B. Quigley

Dissertations

Coronary heart disease is the leading cause of death in American women. Cardiac rehabilitation can reduce cardiac risk, but women underutilize cardiac rehabilitation. Research has not described how women who do participate cope with integrating cardiac rehabilitation into their lives. The purpose of this research study was to explore women's coping with a Phase II (12-week) cardiac rehabilitation program by analyzing interview data for common elements and other ways of coping. A secondary purpose was to explore to what extent the women's descriptions in their interviews corresponded with Lazarus' theoretical concepts of appraisal and coping.

Evaluation Of A Community-Based Nurse Residency Program, Clara R. Owings

Dissertations

A secondary data analysis study was conducted to determine if newly graduated nurses benefitted from participation in a 1-year University Health System Consortium/American Association of Colleges of Nursing (UHC/AACN) nurse residency program in a community hospital. The sample included data collected from 121 newly graduated nurses who completed the Casey-Fink Graduate survey at the start of program, 6 months into the program, and again at the end of the year-long program. Data included in the study span 3 years from 2012 to 2015. Participation in a community-based nurse residency provided several benefits to newly graduated nurses. There were statistically significant …

The Lived Experience Of Observant Jewish Nursing Students: A Phenomenological Study, Toby Bressler

Dissertations

With expanding cultural diversity in the United States (U.S. Department of Health and Human Services, 2009), it is essential to increase the diversity of the nursing profession to match the patients who are being cared for in our healthcare system (IOM, 2003; Sullivan Commission, 2004). Despite improvements to the demographic composition of the nursing workforce in recent decades, the nursing workforce has remained predominantly homogeneous and to meet the current and future health needs of the public while providing culturally relevant care, the nursing workforce needs to increase its diversity (IOM, 2010). This demographic shift creates a social imperative that …

Taking Responsibility: Toward An Understanding Of Morality In Practice. An Ethnographic Investigation Of The Social Construction Of Responsibility In The Dialectical Behavior Therapy, Pamela K. Bjorklund

Dissertations

Although the nursing literature overflows with references to the myriad things for which nurses and patients are de facto responsible, nurses have never explicitly examined the social construction of responsibility in any clinical context. This ethnographic investigation of a unique, 10-bed residential treatment facility for women diagnosed with borderline personality disorder (BPD) sought to identify, describe, and understand the social processes by which a particular mental health treatment community constructed responsibility. Consistent with feminist naturalism and informed by the feminist moral philosophy of Margaret Urban Walker (1998), this study utilized the naturalistic field methodology of Schatzman and Strauss (1973) and …

The Lived Experience In The Clinical Setting Of Nursing Students With Disabilities, Amy Luckowski

Dissertations

With the implementation of the 504 Rehabilitation Act, the American with Disabilities Act of 1990 (ADA), and the ADA Amendments Act of 2008 (ADAAA), more students with disabilities are being admitted into universities and into nursing programs. The purpose of this qualitative study was to explore the experiences in the clinical setting of nursing students with disabilities. Moustakas's psychological phenomenology was utilized to describe the meaning of the student's experiences. A purposeful sample of 13 junior and senior baccalaureate nursing students with disabilities from two northeastern baccalaureate nursing programs who had at least one semester of clinical experience were interviewed …