Digital Commons Network^™

Contemplative Pedagogy: A Grounded Theory Of The Integration Of Contemplative Practices And Perspectives Within Counselor Training, Clarissa B. Cigrand

Dissertations

While there is a growing evidence on the value of contemplative practice within counselor preparation (Christopher & Maris, 2010; Leppma & Young, 2016; McCollum & Gehart, 2010), research to date has focused on studying specific contemplative practices and their benefits to clients and CITs rather than guidelines of implementation. As a field, we are lacking information on how contemplative practice informs pedagogical strategies and approaches. Scant research exists on how contemplative practices and perspectives inform the roles of counselor educators, their way of being in the classroom, and how they situate contemplative practices and perspectives into student learning. This dissertation …

The Effect Of Visual Disruption On Stability After Anterior Cruciate Ligament Reconstruction, Nathan John Robey

Dissertations

The overall purpose of this dissertation was to investigate the influence of visual disruption on measures of postural stability, specifically in anterior cruciate ligament reconstruction (ACLR) individuals. Each of the two studies included in this dissertation evaluated postural stability, with the first study evaluating static postural stability and the second study evaluating dynamic postural stability. For the first study, 26 individuals (ACLR group n = 13; control group n =13) were asked to complete both double- and single-limb stances on embedded force platforms while visual information was disrupted using stroboscopic eyewear. Postural stability was assessed using traditional center of pressure …

Preliminary Examination Of Methods For Identifying The Function Of Stealing, Brandon Ellis Mccord

Dissertations

Because low rate, covert responses are hard to observe and measure (e.g., Azrin & Wesolowski, 1974; Henderson, 1981; Jeffery, 1969; Reid & Patterson, 1976; Seymour & Epston, 1989), well-controlled behavior analytic investigations of stealing have been rare. In fact, systematic investigations to experimentally determine stealing functions have been limited to two studies targeting food (Lambert et al., 2019; Simmons, Akers, & Fisher, 2019). The dearth of studies examining stealing functions, partly attributable to low rate and covertness, may be forestalling additional intervention studies. Given the likely futility of unsystematic attempts to observe naturally occurring instances of an infrequent, clandestine response, …

Employees Support As A Determinant Of Merger Success: Exploring The Organizational Context And Its Interventions During Post-Merger Integration, Abdulla Humaid Saif Aljarwan Alshamsi

Dissertations

Mergers is an extreme form of organizational change, which usually has an adverse impact on the merging organizations employees’ wellbeing. In literature it was argued that organizational integration after merger, which is referred to as Post-Merger Integration (PMI) is usually resisted by employees, which is considered as a major contributor to the high failure rates of mergers. It was further argued that employees’ resistance toward integration is attributed to stress, uncertainty, ambiguity and lack of clarity on the changes that merger and integration initiate. Therefore, PMI activities were assumed to psychologically traumatize employees and jeopardize their sense of belonging, attachment, …

An Evaluation Of The Trauma-Informed Approach Implemented At A Title I Elementary School, Aleli Vazquez

Dissertations

An Evaluation of the Trauma-Informed Approach Implemented at a Title I Elementary School assesses the merits of the implementation of an intervention to support the social emotional ability and stability of students within elementary schools; called the Trauma Informed Approach. Many children attending elementary schools bring diverse and complex experiences to the classroom setting. Students with multiple adverse childhood experiences attend the educational system. Many students have a more difficult time concentrating and succeeding due to anxiety and lack of physiological needs being met. These needs must be met to secure positive learning gains for these students.

For data gathering …

Impact Of Tier 2 Intervention Program On Student Achievement And Self-Efficacy, Barbara L. Georges

Dissertations

To address the challenges of drop-out rate and achievement gap, high schools have begun to implement intervention programs. Schools bear responsibility in addressing factors such as poor academic performance, lack of course credit, and low motivation to encourage post-secondary success. Intervention programs show promise in mitigating these factors despite variation due to lack of state or federal requirements. The most common frameworks used to address the skill gaps and deficiencies that prevent graduation are Response to Intervention (RtI) or Multi-Tiered Systems of Support (MTSS). The purpose of this study was to determine the impact of academic interventions on student achievement …

African American Women Attaining And Maintaining The Position Of Superintendent, Twyla Harris

Dissertations

ABSTRACT

There is an underrepresentation of African American women in the position of school district superintendent. The purpose of this research was to uncover the barriers and challenges African American women face both as aspiring and sitting superintendents. To gain a lived experience perspective on the problem, five African American women superintendents were interviewed. The primary research question was: How have African American female superintendents attained and successfully held the superintendent position? Using narrative inquiry, interviews were recorded, transcribed, and coded for the discovery of common themes. Findings include the value of networking for mentoring and support, accepting and bearing …

Dispositions Of Emotional Intelligence In School Principals, Efrain Martinez

Dissertations

School principals address problems that extend way beyond the classroom. This qualitative study is about dispositions of emotional intelligence in school principals. The participants interviewed were novice school principals or principal coaches. The results showed that principals tend to address the needs of others more than their own. Strategies are shared on how to improve emotional intelligence. Additionally, the study provides recommendations that school districts can implement to ensure the success of school principals.

Utilization Of Asthma Guidelines In Primary Care, Kate R. Miller

Dissertations

Background: Chronic lower respiratory disease, including asthma, is the fourth leading cause of death in the U.S. Financially, asthma accounts for approximately 54 billion dollars in healthcare spending annually. The National Heart Lung and Blood Institute [NHLBI] established guidelines to reduce impairment and to reduce future asthma attacks.

Purpose: This Quality Improvement (QI) pilot implemented the Asthma Control Test (ACT) and the Asthma Action Plan (AAP) per NHLBI guidelines. This project aimed to increase provider use of the ACT and AAP to 50% in patients with a diagnosis of asthma over one month.

Methods: A convenience sample of six adult …

Demystifying First-Time Mothers’ Postpartum Mental Health: A Phenomenological Study Of The Transition To Becoming A Mother, Megan Dooley Hussmann

Dissertations

Becoming a mother is a significant life event that can greatly impact maternal mental health. Understanding maternal mental health is an important interdisciplinary goal because it could lead to mother’s receiving better care and support from both mental health and medical professionals. Seven first-time mothers with a baby under the age of one were interviewed for a phenomenological qualitative study, which investigated first-time mothers’ postpartum mental health experiences. This study was guided by two research questions: How do new mothers experience their postpartum mental health in comparison to how they experienced their mental health before having their baby, and how …

Community Health Nurse Educators And Disaster Nursing Education, Jody Spiess

Dissertations

Abstract

The world is struggling with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic and the need for disaster nursing education has never been more clear. Recently, the American Nurses Association reported that of the over 32,000 nurses surveyed; only 11% felt well prepared to care for a COVID-19 patient (ANA, 2020). Community health nurse educators are tasked with educating future nurses on disasters, yet, little is known about this population’s perceived competence in disaster preparedness. The purpose of this study is to describe community health nurse educators' perceived competence in disaster preparedness.

The study is a descriptive, correlational …

Tailoring Violence Prevention Programming To A Critical Care Area, Jaime Campbell

Dissertations

Abstract

Problem: Rising rates of violence in health care environments signal a need for health care workers, specifically frontline nurses, to be trained in effective de-escalation management skills. Since January 2017, there has been an increase in the number of patients categorized as aggressive with more violent patient events taking place at a selected midwestern hospital facility in the critical care department, particularly the intensive care and transitional care units.

Methods: Using a pre-post design, this project compared nurses’ verbal de-escalation skills using the English Modified De-escalating Aggressive Behaviour Scale (EMDABS) to determine effectiveness of de-escalation strategies in simulated scenarios …

Improvement In Primary Care Identification Of Trauma Symptoms Of Foster Care Children, Crystal Lucas

Dissertations

Introduction: Exposure to adverse childhood events (ACEs) is common in foster children. Primary care providers are ideally positioned to advocate for foster care children through early identification and treatment of trauma-related symptoms and diagnoses during routine well-child assessments.

Purpose: This quality improvement project sought to institute a standardized trauma assessment instrument, the Childhood Behavioral Checklist (CBCL), to determine if there was an increase in the identification of trauma-related symptoms and diagnoses along with an increase in the rate of referral to mental health care (MHC).

Method: This quality improvement project used a descriptive, observational design to complete retrospective and prospective …

Sustainability Of An Outpatient Antibiotic Stewardship Program, Kristin Smith

Dissertations

Abstract

Problem: Antibiotic stewardship is an effort to evaluate and improve the use of antibiotics by providers and patients. Antibiotic stewardship programs (ASPs) promote the appropriate use of antibiotics. There is increasing evidence that supports the use of antibiotic stewardship programs in reducing antibiotic prescribing rates while continuing to maintain safe patient care. Research supports approaches with multiple interventions and ongoing commitment to antibiotic stewardship. However, information regarding long-term sustainability of antibiotic stewardship programs is lacking. The purpose of this quality assurance project was to assess long-term sustainability of a previously implemented ASP promoting appropriate prescribing of antibiotics for the …

Missed Appointment Rates And The Implication On Primary Care Practice, Kelly Martin

Dissertations

Problem: Missed appointments cost primary care facilities money and resources through lack of utilization. When patients fail to attend their scheduled appointment the providers are non-productive when they could be seeing other patients that are potentially moved to other days, sending patients to other providers, or worse sending patients to the prompt care or the Emergency Department for care. The missed appointment rate at Office A Primary Care is approximately ten percent, while Office B has a nearly 11% missed appointment rate. Both facilities make reminder calls to patients the day before their appointments to remind them of their appointment …

Screening And Referring For Postpartum Depression In Pediatric Primary Care, Melissa Harkins

Dissertations

Problem

Postpartum depression (PPD) can lead to increased risk of child abuse, delays in infant development, and increased medical costs (Earls et al., 2019). The American Academy of Pediatrics (AAP) recommends all mothers of infants 0-6 months be screened for PPD during well-child visits. Despite these recommendations, many pediatric offices have no PPD screening process.

Methods

This quality improvement project utilized a standardized tool to screen mothers of infants 0-6 months for PPD during their infants’ well-child visits. Mothers who screened positive for PPD were offered referrals to treatment resources and given the opportunity to participate in two follow-up telephone …

Comorbidity And Quality Of Life Of Hiv-Positive Adults Living In Supportive Housing, Rose Sharp

Dissertations

Problem: Life expectancy for people living with HIV significantly increased with widespread use of antiretroviral therapy, resulting in population increases in comorbidity prevalence. The increased burden of living with both HIV and comorbidities lowers health-related quality of life (HRQoL).

Methods: Using a descriptive, correlational, cross-sectional design, a convenience sample of HIV-positive adults was selected from seven supportive housing communities. Comorbidities were assessed using a modified Self-Administered Comorbidity Questionnaire, and HRQoL using the Patient-Reported Outcome Measurement Information System Scale v1.2 – Global Health.

Results: A sample of 17 (N = 17) adults reported a mean of 4.2 (SD = …

Effect Of Standardized Nurse Teaching On Patient Experience Using Cahps®, Julie Hake

Dissertations

Abstract

Purpose: This quality improvement (QI) project aimed to determine if a standardized nurse teaching approach improved patient understanding of diagnosis and treatment as it relates to women diagnosed with a pelvic floor disorder (PFD) after receiving a standardized nurse education (SNE) session in an urban tertiary care Urogynecology practice.

Methods: Females aged 18 and older with a newly diagnosed PFD and prescribed PFPT for the first time who agreed to receive the SNE and complete the CAHPS® survey were included in the project. Patient perception of PFPT was assessed via phone interview utilizing the Consumer Assessment of Healthcare …

Implementing A Three-Minute Foot Exam For Diabetic Patients In Primary Care, Emilee Laster

Dissertations

Problem- One in four U.S. Veterans have Diabetes Mellitus, and one in four U.S. Veterans with diabetes will develop a diabetic foot complication. There is currently no protocol for healthcare providers to perform foot screenings on diabetic patients at each visit. Utilizing a foot screening at each visit for high risk diabetic patients may help to recognize problems sooner, making treatment easier and less aggressive.

Methods- This quality improvement initiative was a retrospective and prospective record review before and after evidence based three-minute foot exams were implemented. A convenience sample of 50 patient medical records were reviewed to collect demographical, …

A Mixed-Methods Investigation Of Recidivism Among Ex-Offenders In Missouri, Norman James Vick

Dissertations

Ex-offenders return home to family and friends every day in the United States of America; seeking to reintegrate with family and society. Ex-offenders recidivate as well due to numerous reasons and fail at reintegration with family and society. The purpose of the investigation was to learn if substance abuse treatment and obtaining an education in the form of a General Equivalency Diploma (GED) would help the ex-offender avoid further recidivating The investigator was also interested in learning if trust played a vital role in gaining a GED and completion of substance abuse treatment with reintegration of the family for the …

Applications Of Nanoporous Gold To Drug Release And Glycoscience, Dharmendra Neupane

Dissertations

Nanoporous gold (NPG) is a versatile material because of its three-dimensional nanoscale network, facile surface functionalization, biocompatibility, and potential usage in biotechnology applications. The field of glycoscience is growing in significance as the importance of glycans in human health and disease becomes more fully understood at the molecular level. NPG can be applied to several needs in the field of glycoscience. Our lab has applied NPG to applications in glycoscience including the capture and release of glycoproteins, and the detection of glycoprotein interactions by using either electrochemical methods or localized surface plasmon spectroscopy (LSPR). The capture of glycoproteins onto high …

Social Support Following Pregnancy Loss And Its Implications For Women’S Experiences Of Posttraumatic Growth, Agata Freedle

Dissertations

The available literature suggests that social support can contribute to individuals’ positive psychological changes following a traumatic event. However, the effects of the social milieu following pregnancy loss on women’s post-loss adjustment continues to be vastly unexplored. This dissertation explores a gap in the literature surrounding the relationship of interpersonal and intrapersonal social factors on women’s posttraumatic growth (PTG) after miscarriage or stillbirth via three studies. Specifically, the following factors were investigated in relation to PTG: 1) Adult attachment and women’s experiences of dyadic coping; 2) self-disclosure, positive social reactions and deliberate rumination; 3) empathy and prosocial behaviors. Women who …

Peace At Last Or Just A Piece Of Paper? Assessing The Utilization Of Civil Protection Orders And Reported Violations, Jennifer Medel

Dissertations

Over the past 50 years, attention to domestic violence as a social problem has grown substantially. With this heightened interest, remedies available to survivors have evolved in both scope and access. One popular avenue of help-seeking concerns civil protection orders (POs), which attempt to prevent subsequent abuse by setting conditions that regulate future interaction between abusers and survivors. Abusers, unfortunately, often violate POs with estimates of cases with violations ranging from 40 to 60%. Relatively little research, however, has examined the nature and determinants of PO violations using court records.

This dissertation addresses these little-studied issues by exploring variations in …

Uncertainty In The Context Of End-Of-Life Communication In Heart Failure, Caleb Pardue

Dissertations

End-of-life communication between patients, their family members, and healthcare providers is essential to quality care at the end-of-life. Advance care planning is increasingly utilized to facilitate end-of-life communication, but heart failure patients in particular face numerous challenges to achieving adequate end-of-life communication. Extant literature has highlighted the inherent uncertainty in heart failure as a barrier to end-of-life communication as well as the role of time perspective on the experience of heart failure patients, but little empirical research has been conducted to examine the impact of these constructs. The sample included 168 participants with heart failure who were recruited online through …

A Quantitative Assessment Of The Effectiveness Of A Global Online Professional Development Course To Enhance 21st Century Skills In Stem Instructional Design, Chris Link

Dissertations

Science, technology, engineering and mathematics (STEM) disciplines are becoming increasingly important in the 21st century workforce, but there is currently a shortage of STEM professionals around the world. Even when students graduate with STEM degrees, many lack basic interpersonal skills such as communication and problem solving that would position them for success in the marketplace. The New York Academy of Science developed the STEM Education Framework to help ensure that STEM curricula teach the Essential Skills that students need in order to thrive in the modern workplace. In order for educators to proficiently utilize the STEM Education Framework, they must …

Hope, Acculturation, And English Language Proficiency In The Career Decision Self-Efficacy Of East Asian International Students, Yang Ai

Dissertations

The present study explored the predictive abilities of hope, acculturation to American culture, acculturation to the home culture, and English language proficiency to career decision self-efficacy for East Asian international students in the United States who are originally from China, South Korea, and Japan. A total of 167 international students from China, South Korea, or Japan participated in this study. This study used a correlational design to measure the relationship between four predictor variables, including hope, acculturation to American culture, acculturation to the home culture, and English language proficiency and an outcome variable, career decision self-efficacy, among East Asian international …

Diet Behaviors, Physical Activity, And Sociodemographic Factors In A Sample Of Racially Diverse Adults: A Secondary Analysis Of Nhanes (2017-2018) Data, Fatemeh Choupani

Dissertations

Background: The prevalence of obesity is increasing among adults in the United States and is related to a high risk to health. Obesity has been linked to lifestyle behaviors such as diet behaviors and physical activity.

Purpose: This study aimed to determine if an association exits between foods prepared outside of the home, walking or biking, vigorous/moderate recreational activities, sociodemographic factors and the outcomes, body mass index, percentage of body fat, and waist circumference.

Method: A secondary analysis was conducted using data from 3942 adults from the U.S. aged 20 years, as recorded in the National Health …

Elitnauristet Yuutllu Calillgutkut Elitnaurluki Elitnaurat: Yup’Ik Peoples And Public-School Principals In Southwestern Alaska, A Quantitative Survey Of Cultural Values, Anthony Graham

Dissertations

This dissertation explores the alignment between local school principals’ values and ideas about what should be taught in their public schools and the values of the local Yup’ik communities in which those principals serve. A review of scholarly literature served as a basis for identifying Yup’ik values and a survey which measured principals’ beliefs about the importance and priority of those values was used to collect a variety of data. Findings showed both differences and similarities between principals’ priorities and Yup’ik values and was clear that the similarities and differences were predominantly related to the number of years of a …

Guided Pathway Elements From The California Community College Counselor Perspective, Tiffany Welter

Dissertations

Purpose: The purpose of this qualitative multicase study was to describe what California community college counselors consider important elements of guided pathways that increase student success. Additionally, this study will explore how counselors describe the challenges of guided pathways. Lastly, this study identified counselor recommendations for improving guided pathways to increase student success.

Methodology: This qualitative study used a multiple-case study to explore what important guided pathway features California community colleges offer students from the counselor’s perspective. Semi-structured interviews were held with 12 counselors from six California community colleges that have implemented guided pathways on their campuses to capture rich …

Do User-Generated Ratings Affect Hotel Valuations? – An Analysis Of The Chicago Hotel Market, Shailesh Patel

Dissertations

Today’s travelers are increasingly relying on aggregated online opinions to make purchase decisions. One of the sectors most impacted by these online reviews is the hospitality industry, where consumer review websites such as TripAdvisor, Expedia, and Bookings.com play a critical role in influencing consumer's choice of hotel and the price they will pay for the room. Recently, there have been studies investigating the various aspects of user-generated online reviews and ratings. The purpose of this paper is to investigate the impact of user-generated ratings on hotel valuations. Our paper does this using regression analysis to study the impact of TripAdvisor …