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Processes Used By Nursing Faculty When Working With Underperforming Students In The Clinical Area: A Theoretical Model Derived From Grounded Theory, Marianne Craven

Dissertations

Clinical nursing faculty members often work with students who underperform in the clinical area. Underperforming students are those who exhibit deficits in nursing knowledge, the application of nursing knowledge, psychomotor skills, motivation, and/or interpersonal skills. The outcomes of faculty work with underperforming students have implications for patient safety and the nursing workforce, yet little is known about how faculty work with underperforming students. The purpose of this project was to develop a theoretical framework that describes how clinical faculty work with underperforming students in the clinical area.

Ready Or Not: Examining The Efficacy Of The Academic Preparation Of Bsn Students And Readiness To Enter Practice, Kathleen Anne Diatta

Dissertations

The concept of critical thinking (CT) has perplexed employers and researchers in the field of nursing for decades. The nursing profession is under intense pressure to hire clinicians who exhibit CT skills. A review of the literature has shown that the divide between bedside clinicians and nursing faculty has led to the separation of academic educators from clinical practices. As a result, new graduates come into the clinical setting inadequately prepared to meet the clinical demands of today's hospitalized patients. The purpose of this study was to explore the experience of new graduate nurses from a Baccalaureate program and their …

Family Nurse Practitioners' Use Of Mhealth Apps For Health Promotion With Patients, Rebecca Coyle Mueller

Dissertations

Due to the significant prevalence of chronic illnesses in the United States, engaging patients in health promotion activities is imperative. mHealth apps have the ability to complement the family nurse practitioner's (FNP) prescribed care plan, and offer a user friendly, convenient method to promote healthy behaviors and lessen the prevalence of chronic disease. The purpose of this descriptive, quantitative study was to describe FNPs' intent to use and use of mHealth apps for health promotion with their patients using the Unified Theory of Acceptance and Use of Technology (UTAUT), and to determine the types and frequencies of apps recommended by …

Normalization And Family Functioning In Families With A Child Who Is Technology Dependent, Valerie Boebel Toly

Dissertations

The purpose of this study was to examine the relationship between child/maternal factors (child's functional status, level of technology dependence, mother's depressive symptoms, length of caregiving duration, amount of home health care nursing hours, race, family income and age of the child) and (a) family functioning, as well as (b) normalization in families with a child who is technology dependent. Additionally, this study examined whether there are differences in family functioning, normalization and mother's depressive symptoms based upon the child's level of technology dependence (mechanical ventilation, intravenous nutrition/medication, respiratory/nutritional support). A descriptive, correlational design was used in this cross-sectional study.

The State Of Missed Nursing Care In A Telemetry Nursing Unit: A Descriptive Case Study, Ann Marie Svolos

Dissertations

Missed nursing care in the acute hospital setting is care left undone. Omitted, missing and even rationed care, are not new concepts in nursing practice. However, in 2006 Dr. Beatrice Kalisch formally identified the type of care that is regularly missed in acute general hospital units and the reasons missed nursing care occurs. Missed nursing care is a problem for nursing and healthcare because it may lead to negative patient and staff outcomes which may result in harm. The purpose of the research was to understand missed nursing care from a telemetry nurse's perspective to learn how it continues to …

Workplace Bullying: Exploring The Prevalence, Impact, And Consequences To Nurses, Peggy Ann Berry

Dissertations

Most novice nurses will experience workplace bullying (WPB) behaviors within 1-2 years of licensure. This exposure adversely affects work productivity. The purposes of this study were to (1) explore factors that resulted in the adoption of WPB behaviors; (2) determine the differences in perceived stress, anxiety state, and posttraumatic stress symptoms based on bullying exposure frequencies and select nurse characteristics; and (3) explore strategies to manage or stop WPB behaviors.

Resilience In Helping Healthcare Workers Deal With Hiv Supply Shortages In Nigeria: Quantitative Descriptive Study, Ediri Y. Okiti

Dissertations

A quantitative descriptive study was conducted to measure whether HIV medical supply shortages relate to the resiliency levels of healthcare workers in Nigeria who care for HIV patients. Data were collected using the Resilience Scale (RS) from nurses and doctors caring for HIV and AIDS patients, in addition to reviewing archival supply requisitions and supplies received records for a ten-month period from January to October 2014 in eight hospitals in the Delta State of Nigeria. Univariate analysis was used to evaluate the data on the resiliency level of nurses and doctors and the rate of the medical supply shortages. Bivariate …

Transgender Education In Nursing: A Qualitative Study Investigating Faculty Beliefs, Vanessa A. Pomarico-Denino

Dissertations

Lesbian, gay, bisexual and transgender (LGBT) is an acronym that groups together four populations under one umbrella term. Each of these populations has their own distinct and unique health care needs. Transgender persons may present their gender differently than what is considered the societal norm. As a result, they are more prone to discrimination, harassment and acts of violence than other marginalized populations. Prior experiences with health care professionals may cause transgender persons to avoid seeking health care when needed. As more persons identify as transgender, the need to educate health care providers on the appropriate and sensitive care of …

Black Parents Matter, Too: Identifying And Overcoming The Barriers To School Participation For African American Parents, Alycia Benson

Dissertations

Purpose: The purpose of this phenomenological study was to determine how African American parents of school age children identify and describe the factors that need to be present for African American parents to become engaged in their children’s’ local school and in their children’s education.

Methodology: This qualitative study identified and interviewed 12 African American parents from four school districts in Riverside County in Southern California in order to determine their barriers to school participation. Respondents were chosen using purposeful, convenience and snowball sampling based on specific criteria. The researcher collected data and determined themes in order to report findings …

Benzodiazepine Reduction Program In A Psychiatric Mental Health Setting, Tracy Pacini

Dissertations

Benzodiazepine Reduction Program in a Psychiatric Mental Health Setting

The purpose of this pilot project was to reduce side effects and adverse effects of long-term benzodiazepines (BZDs) use in a non-profit community health center. This was a quality improvement project. The evidence-based practice (EBP) framework identified for the project was from the Institute for Healthcare Improvement (IHI) Plan-Do-Study-Act (PDSA) framework to decrease BZD use in a non-profit community health center. This model is focused on four stages: 1) gathering a proactive healthcare team to examine and identify solutions to reduce BZD usage, 2) testing the pilot program that the team …

Obesity And Overweight Among Black American Adolescent Females: The Role Of Social Influences In Everyday Dietary Practices, Megan R. Winkler

Dissertations

Obesity and overweight disproportionately impact Black American adolescent females-placing them at a lifetime of elevated physical health risks. Despite this burden, the literature that explores the contributors to obesity and overweight among Black American adolescent females remains limited and unclear. This dissertation aims to develop knowledge related to obesity and overweight in Black American adolescent females, by appraising the current understanding of factors that contribute to their obesity and overweight, and explicating the everyday social influences on dietary practices. The primary study conducted for this dissertation used a mixed method, multiple case study design to examine the mother, daughter, and …

A Mixed Methods Study Of The Symptom Experience Following Endovascular Treatment For Lower Extremity Peripheral Arterial Disease, Serena Greenhaw Gramling

Dissertations

Peripheral arterial disease (PAD) is one of the most understudied and undertreated diseases affecting three to ten percent of the general population. Patients with lower extremity PAD must manage multiple symptoms including pain in the hips, thighs, and calves during rest and physical activity. However, evidence is limited about patients' experience, especially following treatment. The purpose of this mixed methods study was to explore the symptom experience of individuals with peripheral arterial disease following endovascular treatment including perceptions of treatment benefit and concerns.

An Analytical Guide To Gonzalo Vidal’S Suite De La Postguerra [Post-War Suite], Jairo Garcia Valencia

Dissertations

ABSTRACT

Although Gonzalo Vidal (1863-1946) is arguably one of the most influential Colombian composers, sadly his music has been forgotten and remains unknown. Unfortunately, little is known about his work as a pianist, composer, teacher, capellmeister, conductor, and even as a writer of prose. Even though Vidal has a vast catalogue of works, the majority of which is piano music, his fame is limited to being known as the composer of the anthem of the department of Antioquia.

The purpose of this document is to focus on Vidal’s last piano compositions, which were a set entitled Suite de la Postguerra …

Shining A Light: Compassion Fatigue In Psychiatric Nursing And Nursing Students, Kathryn M. Chachula

Dissertations

Low levels of compassion satisfaction (CS) and high levels of compassion fatigue (CF), comprised of burnout (BO) and secondary traumatic stress (STS), have been identified as a serious concern among students within health science disciplines.

To conduct a cross-sectional survey to determine what factors are related to the development of BO and STS within a pre-licensure health studies student population of undergraduate nursing and psychiatric nursing disciplines, groups that have seldom been studied.

Humanizing The Inhumane: The Meaning Of The American Indian Patient-Cancer Care Nurse Relationship, Natalie M. Pool

Dissertations

This study described the unique relationships that develop while providing cancer care to AI populations and the underlying meaning that nurses ascribed to these experiences. Methods: This was an interpretive phenomenological study with multiple data collections and analysis. Nine cancer care nurses with a minimum of three years of experience working with AI patients participated by engaging in 2-3 exploratory, open-ended, reflective interviews over a period of nine months. Thematic reduction was completed to explicate the fundamental structures of this particular relationship. I then engaged in extensive reflective writing resulting in a linguistic transformation illuminating the essential meaning for nurses …

Evaluation Of A School Nurse-Led Intervention For Children With Severe Obesity In New York City Schools, Krista Schroeder

Dissertations

Severe childhood obesity, the fastest growing subcategory of childhood obesity, affects 4-6% of youth. Children from racial/ethnic minority groups and low income households are disproportionately affected. Severe obesity increases risk for metabolic syndrome, cardiovascular disease, non-alcoholic fatty liver disease, musculoskeletal problems, poor health-related quality of life, bullying, low self-worth, absenteeism, and adult obesity. One method of addressing childhood obesity is through school-based interventions. School nurses may be well-suited to lead obesity interventions because of their healthcare expertise, long-term relationships with students and families, and availability to students without financial burden.

The Lived Experience Of Nurse Practitioners In Independent Practice, Annmarie Waite

Dissertations

The purpose of this qualitative phenomenological study was to explore the lived experience of Nurse Practitioners in independent practice. The aim was to give NPs a voice to express their individual experience, provide an inductive description of the lived experience, and gain understanding of the essence of being an independent practitioner. Philosophical Underpinning: This qualitative study was guided by the hermeneutic phenomenological approach of Max van Manen (1990).

Invisible Influence: Exploring Nurses' Interactions With Industry In Clinical Practice, Quinn H. Grundy

Dissertations

The purpose of this multi-sited, ethnographic study was to explore whether and how registered nurses (RNs) interact with medically-related industry in clinical practice.

African American Elementary School Principals' Perspectives Of The African American Student Achievement Gap, Lisa Broomfield

Dissertations

Purpose: The purpose of this phenomenological study was to identify and describe the strategies implemented by African American elementary school principals in Riverside County, California to close the achievement gap that exists for African American students using the CASEL SEL core competencies: (a) self-management, (b) self-awareness, (c) social awareness, (d) relationship skills, and (e) responsible decision making.

Methodology: A qualitative research design was chosen for this phenomenological study. A phenomenological study was used to study the lived experiences of TK-6 African American Principals. This technique involves the use of interviews, “directed toward understanding their perspectives on their everyday lived experience …

The Influence Of Nurse Manager Leadership Style Factors On The Perception Of Staff Nurse Structural Empowerment, Work Engagement, And Intent To Stay, Jennifer Moody Manning

Dissertations

Healthcare is facing many challenges which impact all practice settings. Both nurse managers and staff nurses play critical roles in overcoming the challenges faced in healthcare today. Staff nurses are intimately involved in providing care to their patients but not always involved in the decisions impacting care delivery (Health Resources and Services Administration (HRSA), 2010; Institute of Medicine (IOM), 2010). Evidence has shown when staff nurses are not engaged and empowered in their work they are more likely to become dissatisfied in their job resulting in increased turnover and adverse patient outcomes (Hauck, Griffin & Fitzpatrick, 2011; Jenaro, Flores, Orgaz …

Implementing The Richmond Agitation-Sedation Scale To Assess Delirium In A Pediatric Icu, Leigh Paridy

Dissertations

Purpose: The purpose of this quality improvement project was to establish early identification of delirium in the intensive care setting to reduce the impact of long-term patient outcomes. Description of project: A retrospective-prospective medical chart review was completed. The retrospective chart review looked at fifty-two patients admitted to the pediatric intensive care unit (PICU) between October 1, 2020 and December 1, 2020 for patient demographics and State Behavior Scale (SBS) and the Cornell Assessment for Pediatric Delirium (CAPD) charting compliance especially with children with developmental delay and those with a high susceptibility to delirium. The prospective chart review looked at …

Senior Nursing Students' Knowledge, Attitudes, And Perceived Competency About Older Adults, Deborah Denise Brabham

Dissertations

Nurses entering the workforce may have limited education in gerontological nursing. Therefore, many nurses are unprepared to provide quality care to older adults. An unprepared nursing workforce could negatively influence older adults' health outcomes and care experience.

To determine differences in senior nursing students' knowledge, attitudes, and perceived competency about older adults based on enrollment in a bachelor of science in nursing degree (BSN), associate's degree nursing (ADN), and practical nursing (PN) program that offers geriatric content in curricula.

Giving Up Their Place In The Walls: The Lived Experience Of Community College Nursing Faculty Who Leave The Profession Of Teaching, Cherry A. Karl

Dissertations

Community college nursing faculty members are essential to the continuation and growth of the profession of nursing. Every loss of a nursing faculty member represents an even greater loss to the practice of nursing within the health care system. Previous research has documented the serious and inter-related shortage of both nursing professionals and nursing faculty. This phenomenological study explores the underlying themes leading to the decisions made by nursing educators to leave the practice of teaching, and presents strategies for preserving and strengthening the position of nursing faculty within the community college. The guiding question for this inquiry is: "What …

The Self-Directed Goal Theory Experiment: A Mixed Methods Study Of Personal Development Goal-Setting Programs And Self-Efficacy, Tara N. Strickland

Dissertations

Andragogy is not dead; it may be simply lying dormant until its essential component, self-directed learning, revives it again. The fact is that self-directed learning can be formal or informal. This mixed methods study explored the informal side of self-directed learning, concentrating on self-help (a popularized form of personal development goalsetting). Despite a thriving self-help market, several personal development goal-setting programs focus more on goal achievement, little on goal planning, and even less on the individual. A comparative analysis of autonomous, guided, and self-directed personal goal-setting programs determined if self-directedness maximizes self-efficacy. Additionally, the researcher’s original Self-Directed Goal Theory and …

Violation Of Personal And Professional Nursing Values: Six Case Studies Of Nurses Who Have Left Nursing, Robert James Muster

Dissertations

Registered Nurses (RNs) comprise the largest group of health care providers in the US. The shortage of RNs is expected to worsen to 29% by 2020. Many nurses depart practice prior to retirement. Previous research has linked professional turnover to various aspects of job satisfaction.

This study sought to understand and describe the decision to leave nursing.

Coping Strategies, Social Support, And Self-Care Among Young Women With Pelvic Inflammatory Disease, Jessica L. Tillman

Dissertations

Pelvic inflammatory disease (PID), a spectrum of inflammatory disorders of the female upper genital tract, is a serious complication of sexually transmitted infections (STIs) that may lead to chronic pelvic pain, ectopic pregnancy, and tubal infertility. Although PID treatment is critical for the preservation of fertility and health-related quality of life, many young women diagnosed with PID do not fully adhere to treatment recommendations. Interventions focused on clinician practices, patient education, and behavioral modeling have generated limited improvements in outpatient PID treatment adherence among young women, thereby suggesting the influence of other determinants, such as psychosocial factors. Coping and social …

A Quality Improvement Project To Assess Anxiety Of Family Members Who Receive Standard Communication During The Intraoperative Period, Ashlie E. Sinclair

Dissertations

Introduction: The waiting period for surgical patients' family members can be stressful, causing increased frustration and fear. Most patients and families do not regularly experience the surgical environment in the same way that the operating room (OR) staff do, making this area unfamiliar. If there are inconsistent and insufficient information provided to the family, anxiety levels may increase. It is essential that staff attend to family members' needs while the patient is in surgery. The evidence is overwhelming that structured patient status updates to family members and varying waiting room techniques are critical in decreasing their anxiety.

Methods: This quality …

The Experiences Of Cancer Nurses' Existential Care In Response To The Threat Of Patients' Mortality Within The Culture Of Care, Doris Yuet Lan Leung

Dissertations

Patients are living longer with many types of cancer; however, often they face sudden possibilities of dying, not only due to their advancing illness but due to complications of their treatment. Consequently, they can express substantial existential distress. Nurses' close proximity to patients puts them in an ideal place to assess and engage with patients' existential distress; yet this kind of research has been scarce. The purpose of this doctoral thesis was to explore nurses' experiences of being with patients facing the threat of mortality.

The Meaning Of Informal Bmt Caregiving, Loretta A. Williams

Dissertations

The aims of this qualitative descriptive exploratory study were to (1) describe informal caregiver commitment in informal caregiving; (2) describe caregiver expectations in informal caregiving; (3) describe caregiver role negotiation in informal caregiving, (4) identify other important caregiver energy sources; and (5) refine the conceptual model of Informal Caregiving Dynamics based on the study results.

The Meaning Of Immigrant Women's Experience Of Childbirth For The First Time In A United States Hospital, Carole A. Lorup

Dissertations

The increasing population of immigrants in the United States is largely comprised of immigrant women, whose first contact with the health care system is often to seek maternity care. The literature suggests that immigrant women frequently do not receive the same quality of care and satisfactory experiences from maternity care as their native population counterparts. This study described the experience of maternity care from the perspective of immigrant mothers who gave birth in the United States for the first time. A purposive sample of mothers, who were born outside of the United States, and who have given birth to a …