Digital Commons Network^™

Psychological Empowerment And Job Crafting Among Registered Nurses Working In Public Health In Ontario, Canada, Rebecca Ruth Harbridge

Dissertations

In this study, the relationship between psychological empowerment (PE), an intangible sense of feeling powerful from within, and job crafting (JC), proactively adjusting one's job by changing its core job characteristics, was examined among Ontario registered nurses (RNs) working in public health. Past research suggests PE and JC are associated with motivation and engagement. Yet, there are few PE studies and no JC studies in public health. There are also no studies that examine the PE and JC relationship of nurses in any health care setting.

The Lived Experience Of Latina Women Giving Birth In The United States, Ana-Maria Gallo

Dissertations

As the Latino community continues to grow in the United States, it is essential that cultural considerations be addressed, particularly in health care. Cultural assessment is of the utmost importance when trying to understand the phenomena of childbirth. Childbirth is one of the most significant events in a woman's life. It is complicated when giving birth in a country other than one's own. Therefore, it is crucial to comprehend and appreciate how culture influences the birth experience. Nurses play an essential role in assisting women of diverse cultures to fulfill their expectations regarding traditions, beliefs, and practices regarding childbirth. The …

Perceptions Toward A Restraint-Free Practice: A Case Study, Suzanne Barnum Goetz

Dissertations

The importance of reducing the use of psychiatric-mental health mechanical restraints has been the focus of clinical nursing practice. A hospital with two psychiatric-mental health units has demonstrated a sustained success related to reducing mechanical restraints. In this qualitative case study, nurses were interviewed to understand how the reduction of mechanical restraints on the psychiatric-mental health units impacts the practice culture and the perception of the psychiatric nurses toward a mechanical restraint-free practice. This study provided new knowledge related to evidence from the psychiatric-mental health nursing practice, themes of barriers, and facilitators toward a restraint-free practice. The participants describe the …

Coping With Addiction: A Case Study Exploring The Needs Of Struggling Substance Abuse Addicts, Shelly Wims

Dissertations

The purpose of this qualitative case study was to explore the current State Targeted Response (STR) Program in a Midwest recovery program that addressed increases in opioid abuse and barriers to recovery. The study sought to answer how substance abuse counselors detected and addressed potential barriers, if any, to addiction recovery; whether substance abuse counselors sought any need for improvements within the STR to reduce relapse; how counselors addressed the social aspects of addiction; whether counselors addressed the factors influencing addiction relapse; and whether counselors collected feedback from clients concerning their perception of the effectiveness of treatment in preventing addiction …

Newly Graduated Registered Nurses' Perceptions About And Use Of Principles Of Palliative Care In Acute Care Settings: An Interpretive Phenomenology Study, Latrina T. Geyer

Dissertations

The terms serious or life-threatening illness now included in current palliative care literature indicate the broadened scope of palliative care. However, the change in defining terminology has not consistently translated to a broadened understanding or advanced clinical practice for many healthcare professionals in acute care settings. The purpose of this research study was to discover NGRNs' perceptions, meanings, and use of principles of PC for seriously ill patients in acute care settings. The research question for this study was: What are NGRNs' lived experiences of providing PC for seriously ill patients in acute care settings?

Impact Of Water, Hygiene And Sanitation On Medication Adherence Intention Among Hiv Positive Women Enrolled In Option B+ Treatment Regimen In Zambia, Jerry John Yao Nutor

Dissertations

Mother-to-child transmission (MTCT) of HIV is a major problem in sub-Saharan Africa despite increasing availability of free and subsidized antiretroviral treatment (ART); MTCT can be significantly reduced provided pregnant and breastfeeding mothers adhere to prescribed regimens. Access to potable water and adequate sanitation is a major problem in low-resource countries including Zambia, located in sub-Saharan Africa. This study investigated the influence of water hygiene and sanitation (WASH) on ART adherence intention among HIV positive women enrolled in Option B+ regimen, the current World Health Organization recommendation for low resource countries.

Climate Control: Does Caring Really Matter?, Wendy A. Dubose

Dissertations

In an attempt to address healthcare disparities, nursing programs have been charged with increasing success rates of minority students to increase diversity within the profession. Despite an upsurge in enrollment numbers of minority students in nursing programs, attrition rates are higher for minority students as compared to majority students. Persistence is paramount for minority students to overcome barriers encountered while pursuing an education in nursing. Perceptions of faculty caring behaviors may heighten nursing students' academic self-efficacy.

Detection Of Breast Cancer In African American Women Using Walk-In Mammography, Munachi Nwosu

Dissertations

Abstract

Problem: Breast cancer is a life-threatening condition, in which the prognosis could potentially worsen with a delay in the detection and commencement of treatment. Scheduling patients for mammograms continues to allow for long wait times that exist in screening mammography. Lower rates of participation in scheduled screening mammograms contributes to the increased rate of advanced breast cancer diagnosis that exit in African American women and threatens their health outcomes. The purpose of this project was to implement walk-in mammography to increase participation for early breast cancer detection.

Methods: An observational descriptive design with a retrospective chart review. A PDSA …

Speaking Up Or Remaining Silent: Understanding The Influences On Nurses When Patients Are At Risk, Jennifer Boice Rainer

Dissertations

Objective: The purpose of this study was to understand speaking up behavior among RNs.

Background: Speaking up is the use of one's voice to share information or alert those in authority of one's concerns about patients, and is primarily influenced by organizational culture, personal culture, and workforce generation. Failure to speak up can lead to moral distress; speaking up can lead to moral courage.

Methods: A cross-sectional electronic survey was distributed to several thousand RNs resulting in 303 surveys providing usable data.

Results: We found that organizational culture was a strong predictor of speaking-up behaviors, and that speaking up partially …

Weaving Empathy Into Simulation Pedagogy: Nursing Simulation Faculty Barriers And Strategies To Cultivating Empathy In Nursing Simulation Pedagogy, Tamara Holland

Dissertations

The purpose of this interpretive phenomenological study was to develop a deeper understanding of the strategies and barriers to weaving empathy into simulation pedagogy so stakeholders and educators may be able to develop a blueprint for improving simulation pedagogy and improving empathy levels of nursing students. The conceptual framework that guided this research was the National League of Nursing Jeffries simulation theory (Jeffries, 2016). This investigation used an interpretive phenomenological design consistent with principles originally identified by Heidegger (1927/1962) and a modified hermeneutic analysis further developed by Diekelmann, Allen, and Tanner (1989).

Health Related Quality Of Life In Adolescent And Young Adult Retinoblastoma Survivors, Paula Jean Belson

Dissertations

Retinoblastoma (RB) is the most common malignant intraocular tumor occurring in childhood. While survival rates in the United States (U.S.) are high, children are left with the impact of treatment including enucleation, visual impairment or blindness as well as an increased risk of secondary cancer in those with the heritable form. Little is known about the influence of these factors on the health-related quality of life (HRQOL) in RB survivors.

Educational Intervention To Enhance Staff Knowledge And Increase Awareness Regarding Risk Assessment And Personal Protective Equipment Selection To Reduce Blood And Body Fluid Exposures, Teresa Smoot

Dissertations

Accidental occupational blood borne pathogen exposures pose a great occupational risk for healthcare workers, worldwide. After an occupational exposure, there is a potential risk for transmission of blood borne infections such as human immunodeficiency virus (HIV), hepatitis B and hepatitis C, to health care workers. Blood and body fluid exposures reported in an academic healthcare facility in Northeast Florida have been trending upward since 2015. The literature shows accidental blood borne pathogen exposures were greater among healthcare workers with little or no training in exposure prevention.

Neuroimaging In Headache Patients: The Sensitivity Of Computerized Tomography (Ct) In Missed Stroke Diagnosis, Elizabeth C. Heetderks-Fong

Dissertations

Stroke is the leading cause of disability in the US, costing $34 billion a year and affecting 800,000 patients. Early detection and treatment is the best way to improve outcomes. Yet, 12.5% of strokes are discharged from the ED within the prior 30 days, with headache the most common diagnosis. Neuroimaging, ideally, would catch an impending stroke, but head CT has variable sensitivity based on onset of symptoms and there are both Federal and provider-led (including Choosing Wisely and the American College of Radiology Appropriateness Criteria (ACR-AC) initiatives to reduce overuse of imaging.

This study examined variation in ED treatment …

An Evidence-Based Evaluation Tool To Assist Healthcare Providers In Their Assessment Of Effective Mhealth Applications For The Management Of Chronic Health Conditions, Sara Belle Donevant

Dissertations

Mobile health (mHealth) apps are considered a viable option to improve chronic disease management. Healthcare providers are now recommending mHealth apps for patient use to assist in managing chronic diseases. However, healthcare providers may have difficulty locating effective, evidence-based mHealth apps for patients as there are currently over 325,000 available health apps (Research2Guidance, 2017). Limited evaluation tools are available to assist healthcare providers in this process. Therefore, our goal was to develop an online mHealth evaluation tool to assist healthcare providers in the selection of evidence-based mHealth apps.

After creating a comprehensive pool of mHealth features, healthcare providers provided feedback …

Career And Technical Education Students Advancing To Higher Education Through Faculty Mentoring, Joneane P. Davis

Dissertations

Purpose: The purpose of this phenomenological study was to identify and describe the career technical education (CTE) mentoring experiences of adult learners who completed an allied health certification and subsequently went on to pursue higher education such as a bachelor’s degree, from the lens of Zachary’s four phase mentoring model.

Methodology: Semi-structured interviews were conducted with adult former CTE learners who advanced to higher education. Through purposeful sampling, 10 participants were selected to participate in the interviews. The interviews were recorded and the recordings transcribed. The data were coded and analyzed for common themes.

Findings: The data …

Barriers, Enablers, And Strategies Influencing Female Leaders' Career Advancement In The Nuclear Industry, Anesa Davis

Dissertations

Women entering science, technology, engineering, and math (STEM) occupations increased by 19% between 1970 and 2019, but at 74% of the STEM workforce, men still dominate the field (Martinez & Christnacht, 2021). In the nuclear industry, this disparity is most apparent with few women holding leadership roles within nuclear organizations (Kovaleski, 2014; Gaspar & Dubertrand, 2019). While research suggests that companies with women leaders in the manager level through the board level excel in organizational performance (Catalyst, 2007), a problem exists for women when trying to promote to leadership positions, especially to the C-suite in STEM fields (Warner, 2014).

Findings …

Exploratory Study Of Factors That Predict Underrepresented Minority Student Persistence In An Intervention Program, Cres'sena S. Thomas

Dissertations

This study explores factors that predict persistence for underrepresented minority students participating in an intervention program that branches off into a Living Learning Community. This research is significant due to the growing change of student demographics across college campuses and the need for institutions to understand how they can assist in student persistence. The study was conducted as a quantitative study and responses from study participants were analyzed using SPSS. The findings concluded that cumulative GPA was the only significant factor in predicting persistence for this student population. There are some noteworthy mentions from the study regarding the Living Learning …

The Impact Of Social Networking Sites On Online Boundaries And Relationship Satisfaction, Jay Ingram

Dissertations

The purpose of this study is to increase understanding of how the use of social networking and online boundaries affects relationship satisfaction. Because the literature has not yet addressed how social networking intrusion affects couples, this study draws on previous research of face-to-face boundary setting. An instrument was developed specifically for this study to measure the extent of intrusion of social networking use from factors of romantic jealousy, partner surveillance, and relationship conflict. Previous research found these factors to have a negative impact on relationship satisfaction in face-to-face situations.

Three hundred thirty-one participants completed the Relationship Assessment Scale, the Social …

Examining The Relationship Between Perceptions Of Service Quality, Student Satisfaction, And Intention To Persist At Higher Education Institutions, Denise Hardesty

Dissertations

The importance of customer service quality in business industries has long been understood and studied, but to a lesser extent in higher education. The usage and application of the term customer service in higher education has been debated by those in academia. Using a correlational research design, this quantitative, descriptive study was conducted at a two-year community college and a four-year public university. A modified version of the Perceived Service Quality (PSQ) instrument was used to survey full-time, undergraduate students at each institution to examine perceptions of service quality and whether those perceptions impact a student’s decision to return the …

Building Bridges Not Walls: An Exploratory Study Of Student Involvement And African American Student Retention At Community Colleges, Brittney Rasjan Hernandez-Stevenson

Dissertations

African American students are attending college and working toward earning credentials, yet this population is persisting at lower rates compared to their White counterparts. The purpose of this study is to explore the impact that student involvement has on African American student persistence and retention at community colleges. A Sequential Explanatory mixed methods design was conducted with quantitative data from 743 African American KCTCS community college students that completed the 2019 Community College Survey of Student Engagement (CCSSE) and qualitative data from 11 focus group interview participants. An ordinal logistic regression was used to analyze the data and the quantitative …

Should We Wear A Mask? Household Assessment Of Mask Wearing For Covid-19 In Ya’An, China, Leonard Peterson

Dissertations

In late 2019 and 2020, the novel SARS-CoV-2 virus spread worldwide and resulted in the COVID-19 pandemic, the second deadliest pandemic in modern history since the 1918 influenza pandemic. Since the virus was novel, no therapeutics and vaccines existed. Effective implementation of non-pharmaceutical interventions was essential to reducing the transmission of the disease until the discovery of effective therapeutics and vaccines. This study explores the influence of the facilitating protective action attribute on adopting mask-wearing as a protective action in Ya’an, Sichuan Province, China. The study found that perceptions of mask effectiveness to reduce the probability of contracting and spreading …

Sirencide: The Impact Of Acute Stress On Emergency Vehicle Crashes, Dustin Lambert

Dissertations

Emergency services provide an invaluable service to communities and cities around the world. Research has shown these professionals encounter significant acute psychological stress throughout their work shifts. Acute stress has been shown to impact human performance in various realms, from increased risk-taking to cognitive decline. While the actual work varies between firefighters, law enforcement, and emergency medical services, a shared commonality is the operation of emergency vehicles. Emergency vehicle crashes are recognized as a serious issue by FEMA. The current work aimed to measure the impact of acute stress on emergency responders as measured by fatal emergency vehicle crashes in …

Infrastructure Risk Reduction: The Case Of Drinking Water Emergencies, Mark Paine

Dissertations

Public water systems are an integral part of community infrastructure. Drinking water contamination or service disruptions have the potential to cause economic losses, limit fire suppression capability, and result in human illnesses. Until 2016, the United States federal government had not issued a disaster declaration due to contaminated water. The first federal drinking water disaster declaration due to contaminated water serves as a sentinel event demonstrating the need to increase focus on public water systems during all phases of emergency management: mitigation, preparation, response, and recovery. Previous studies evaluating risks to vulnerable populations associated with drinking water primarily utilized qualitative …

Estimation Of Odds Ratio In 2 X 2 Contingency Tables With Small Cell Counts, Guohao Zhu

Dissertations

This study is focusing on properties of estimators of odds ratio or its logarithm in case of 2x2 tables with small counts. The odds ratio represents the odds that an outcome of interest will occur given a particular exposure, compared to the odds of the outcome occurring in the absence of that exposure. Both parameters are often used to quantify the strength of association of two binary variables and are common measurements reported in case-control, cohort, and cross-sectional studies.

Because of their wide applicability, both parameters, odds ratio, and its logarithm, have been intensively studied in the literature. However, most …

The Utility Of The Test Of Everyday Attention For Children (Tea-Ch) For Attention-Related Referrals, Ewelina Lakomy

Dissertations

The Test of Everyday Attention for Children (TEA-Ch) is a commonly used, UK-normed test to assess diverse attentional capacities in children and adolescents. Currently, there is insufficient evidence for the diagnostic utility of the TEA-Ch with ADHD in a U.S. population. The focus in this study was to investigate the relationship between the TEA-Ch scores test authors found to be most sensitive to ADHD in UK samples as well as the relationship of TEA-Ch scores to other measures typically used in the diagnosis of ADHD, including rating scales. Archival and prospective analyses of 121 subjects with mixed-clinical/ADHD diagnoses (ages 6–16; …

Two For The Price Of One! A Study Of Persistence Of Adult Education Students Pursuing A High School Equivalency Credentiial And A Study Of The Researcher's Experience Conducting That Study., Jacqueline Lynch

Dissertations

This two-in-one study was an exploration of persistence. The quantitative study explored the relationship between the self-efficacy and persistence of adult learners pursuing a high school equivalency credential. Bandura’s theory of self-efficacy and Lewin’s Force Field Analysis offered an effective framework for considering this relationship. The findings of this study were statistically insignificant due to the low response rate.

The second study, a qualitative study, was added to understand my experience trying to gather data during the quantitative study and to explore the implications of data collection, sharing, and use in the adult education field. Resource Dependence Theory (RDT) and …

Self-Management Experiences Of Community-Dwelling Adults With Chronic Obstructive Pulmonary Disease, Wendy S. Bauer

Dissertations

Chronic Obstructive Pulmonary Disease (COPD) is an incurable lung illness causing significant individual and public health burden. Individuals with COPD often experience high symptom burden, unpredictable exacerbations, numerous comorbid conditions, and frequent health care utilization. Self-management can improve health outcomes and reduce health care costs; however, many individuals with COPD struggle with effective self-management. Improving the self-management of individuals with COPD and the delivery of self-management support from health care providers is crucial to reducing the individual and societal costs of the illness.

The purpose of this study was to explore the self-management experiences of community-dwelling adults living with COPD …

Examining Media Dependency And Parasocial Relationship On Protective Action Behaviors During Covid-19, Amy Hyman

Dissertations

The COVID-19 pandemic illuminated the significant role that mass media plays in disseminating messages to the public during disasters and public health crises. Information disseminated during a disaster influences individuals’ decision-making process regarding protective actions, or mitigation behaviors. This study examined the relationship between media dependency theory, parasocial relationship, and media effects (cognitive, affective and behavioral) during the COVID-19 pandemic. A quantitative approach was used with a convenience sample. The sample focused on residents in the state of Arkansas and specific generational cohorts. The results found that the generational cohorts had different media preferences during the height of …

The Willingness And Ability Of First Responders To Report For Duty During Disasters: A Case Study Of Local Law Enforcement Officers, William Peak

Dissertations

Role abandonment of employees is a vulnerability of first responder organizations that can be exposed when disasters occur. Organizational vulnerabilities created by role abandonment of first responders can be reduced by understanding the willingness and ability of employees to report for duty during disasters. To gain a better understanding of law enforcement organizational vulnerability to disasters, this study utilizes an online survey disseminated to police officers (n = 314) working for a police department along the Gulf Coast to determine their willingness and ability to report for duty and examines the barriers and facilitators impacting their decision to report …

The Influence Of Social Capital On Risk Attitude Toward Covid-19 Amongst Traditional Undergraduates, Jordan Titera

Dissertations

This dissertation assesses the influence of the three types of social capital (bonding, bridging, and linking) on the risk attitude of traditional undergraduate students (under 25 years old who enroll directly from high school, attend full-time, and do not have major life and work responsibilities). The research is motivated by three research questions: (1) What is the risk attitude of traditional undergraduate students surveyed about COVID-19 (addicted, seeking, tolerant, averse, paranoid); (2) What are the social capital characteristics for traditional undergraduate respondents surveyed; and (3) What influence does social capital have on the risk attitude of traditional undergraduate students regarding …