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Nutritional Management Of The Extremely Low Birth Weight Infant: An Evidence Based Clinical Practice Guideline, Dana Lunde

Dissertations

Premature birth has risen steadily over the last decade resulting in an increased number of infants needing neonatal intensive care. The demand for neonatal intensive care has lead to many improvements in the delivery of such care with an increase in the survival of the smallest and most premature infants. However, most of these infants are being discharged from neonatal intensive care units (NICU) with severe extrauterine growth restriction (EUGR). Extremely low birth weight (ELBW) infants born at 23-27 weeks gestation and who have a weight of less than 1,000 grams are at the highest risk for EUGR because of …

Minorities In Nursing: The Experience Of Incivility In Nursing Education, Tammy Williams

Dissertations

The aim of this phenomenological study was to explore the lived experiences of minority nursing students with nursing faculty's incivility. Six students of varied ethnicity participated in the study. The guiding theoretical framework for the study included Roy's adaptation model and Clark's conceptual model for fostering civility in nursing education. Data were collected through semi-structured interviews. Colaizzi's (1978) phenomenological method for qualitative research was used to guide the data analysis of the student's experiences with faculty incivility. Seven themes emerged related to nursing faculty uncivil behaviors including: learning environment, unfair treatment, student faculty relationships, demeaning/belittling, emotional impact, adaptive behaviors, and …

Automated Medication Dispensing Cabinet And Medication Errors, Marie Walsh

Dissertations

The number of deaths due to medical errors in hospitals ranges from 44,000 to 98,000 yearly. More than 7,000 of these deaths have taken place due to medication errors. This project evaluated the implementation of an automated medication dispensing cabinet or PYXIS machine in a 25-bed upper Midwestern critical access hospital. Lewin's stage theory of organizational change and Roger's diffusion of innovations theory supported the project. Nursing staff members were asked to complete an anonymous, qualitative survey approximately 1 month after the implementation of the PYXIS and again 1 year later. Questions were focused on the device and its use …

An Outcome Evaluation Of An Evidenced-Based Leadership Framework On Nursing Retention In A Tertiary Medical Center, Robbie G. Rabe

Dissertations

An evidence-based leadership (EBL) framework is an intervention designed to facilitate organizational changes such as the reduction of nursing turnover and the improvement of nursing job enjoyment. This project provides an overview of the effect of nursing turnover on an organization, presents the components of the EBL framework, and provides an evaluation of the influence of EBL on nursing turnover and job enjoyment. The EBL framework provided a method for reducing variance in leadership skill and behavior by outlining specific methods necessary to reduce inconsistency. The project objective was to determine if the implementation of an EBL framework for 820 …

Fatigue And Co-Occurring Symptoms In Women With Irritable Bowel Syndrome, Claire Jungyoun Han

Dissertations

The aims of this dissertation study were: [First part of the dissertation study] 1. To explore the relationships among fatigue and co-occurring symptoms (i.e., abdominal pain, depression and anxiety). (1-a) the relationships between abdominal pain and fatigue; and (1-b) whether psychological distress (i.e., depression and anxiety) mediates the effect of abdominal pain on fatigue, across-women and within-woman; and [Second part of the dissertation study] 2. To determine (2-a) if latent classes (i.e. subgroups) of women with IBS could be identified based on the symptom cluster severity of fatigue, abdominal pain, depression and anxiety, (2-b) if these latent classes differed on …

Someone Like Me: The Impact Of Engagement On High Achieving First Generation Community College Students In California’S Central Valley, Emily Berg

Dissertations

Purpose: The purpose of this comparative phenomenological study was to describe how the impact of engagement factors between high achieving Central Valley, California first generation community college students enrolled in college honors programs and high achieving Central Valley first generation community college students who are not enrolled in college honors programs compares with regard to engagement factors of interaction with faculty, interaction with student peers, time on the college campus, participation in oral and written reports, the application of critical thinking skills, and other student identified factors related to disruption in their lives on their academic achievement in college.

Methodology: …

The Experience Of Early Mobility After One Week Of Hospital-Acquired Deconditioning, Lila S. Moersch

Dissertations

Abstract

Older adults who are hospitalized spend most of their time in bed. Prolonged bed rest and immobility in older adults may result in deconditioning of the muscles, leading to a loss of muscle mass and strength. The loss of muscle mass results in weakness and reduced physiological functioning post-hospital discharge. Immobility is especially problematic in older adults who naturally lose muscle mass and strength due to the aging process. Older adults who experience weakness post-hospital discharge face challenges with mobility. The purpose of this study was to describe the early mobility experiences of adults who are 60 years old …

Help Seeking For Mental Health Problems In Mental Health Counselors: Prevalence, Barriers, And Predictors, Carol A. Miller

Dissertations

This study surveyed a sample of 255 mental health counselors in the United States and used descriptive statistics, chi-square tests, one-way ANOVA, and logistic regression analysis to investigate the prevalence of mental health problems and help seeking, the perceived barriers to, and predictors of help seeking for mental health problems among mental health counselors. In this sample, 62.6% (n = 159) reported they had experienced a mental health problem during the time since licensure. Of those, 13.2% (n = 21) reported they had not received treatment. “Handling the problem on my own” was the most cited barrier to help seeking, …

Evaluation Of The Genetic And Structural Variations Of Camel Hemoglobin, Amanat Ali

Dissertations

The single-humped Arabian camel (Camelus dromedarius) thrives in the hot arid Arabian desert. Many unique adaptations permit it to accomplish this. Camel erythrocytes or red blood cells (RBCs) have a peculiar elliptical shape and are amenable to large variations in physical conditions resulting from dehydration and rehydration cycles. The oxygen transport protein hemoglobin is found abundantly in RBCs and is also believed to behave differently in camels. While several physiological and biochemical studies have been performed on camel hemoglobin, very little is known about genetic and structural adaptions in this protein. The camel genome harbors several unique variations …

Examination Of Cranial Electrotherapy Stimulation (Ces) On Depressive And Anxiety Symptoms Of Caregivers: A Double Blind Experimental Study, Reginald Gerard Jefferson

Dissertations

The caregiver population has recently been recognized in society as a population highly susceptible to problems related to increased anxiety, burden, and abnormal psychological well-being. This experimental pretest post-test 2-group double-blind study was designed to measure the efficacy of cranial electrotherapy stimulation (CES) on anxiety and depressive symptoms of caregivers. Changes in anxiety and depressive symptoms were identified using pre- and posttest measures of State-Trait Anxiety Inventory and Beck Depression Inventory. Caregivers were assigned a pre-coded CES device. Neither the researcher nor the caregiver knew whether a device was active or sham until the completion of the entire study. This …

Building Integrated Photovoltaics: Barriers And Drivers In The United Arab Emirates, Daniel Efurosibina Attoye

Dissertations

Buildings consume about 40% of the total annual energy produced globally; however, under the extreme hot climate of the United Arab Emirates (UAE) this reaches almost 80%. From an architectural perspective, this study focuses on Building Integrated Photovoltaics (BIPV) as a multi-functional, innovative solar technology that provides on-site renewable energy. Researchers affirm that BIPV has the potential to convert the building from a consumer of energy, to a producer of renewable energy while advancing net-zero targets, and maintaining building aesthetics, functionality, and structural stability. Along with other technical and economic benefits, BIPV can also contribute towards advancing the global energy …

The Impact Of The Proposed Mathematics Enrichment Program On The Uae Students’ Mathematical Literacy In Light Of The Pisa Framework, Hanan Shaher Almarashdi

Dissertations

Mathematical literacy is an important skill that students must possess, as it helps students understand and use mathematics in the real world. The main aim of this dissertation is to investigate the impact of a proposed mathematical enrichment program developed based on the Programme for International Student Assessment (PISA) framework. This assessment is particularly important because it is on the National Agenda as the UAE aspires to be among the top 20 countries in the world in PISA by 2021. An explanatory mixed method design was adopted to achieve the purpose of this study. Subjects included were 102 grade 10 …

Development And Validation Of A Food Frequency Questionnaire For The Adult Emirati Population For Use In Epidemiological Studies, Najoua El Mesmoudi

Dissertations

No abstract provided.

Applications Of Land Surface Temperature From Satellite Remote Sensing Over The United Arab Emirates (Uae), Abduldaem Saeed Farea Qasem Alqasemi

Dissertations

In cities worldwide, increasing urbanization causes major land use and land cover changes on the surface of the Earth. It has been identified as being one of the most important anthropogenic effects on the climate. As a result, rapid population growth and the rise in industrialization in the United Arab Emirates (UAE) may have created substantial environmental stress and consequence for life quality. Remote sensing-based Land Surface Temperature (LST) is significantly essential for different studies. Satellite images obtained by the Moderate Resolution Imaging Spectroradiometer (MODIS) are used to retrieve LST. This research consists of an introduction and five components of …

Noncognitive Factors: Deaf And Hard Of Hearing Graduates’ Perceived Influence On College Readiness, Cindi Swenson

Dissertations

Purpose: The purpose of this phenomenological study was to explore and describe how deaf and hard of hearing college graduates perceive the extent to which Farrington’s (2012) five noncognitive factors influenced their ability to successfully complete a four-year college degree.

Methodology: This phenomenological study identified and described the extent to which noncognitive factors influenced deaf and hard of hearing college graduates’ ability to successfully attain their college degree. Eight participants were selected through purposeful sampling based on criteria including being a resident in California and graduating with a four-year college degree between 2017 and 2020. The researcher conducted semi-structured interviews …

The Impact Of Medicare Insurance Plans Upon Healthcare Services Utilization Considering Patients' Characteristics And Their Access To Medical Care, Steven Stout

Dissertations

The annual average cost of healthcare for services utilization by a Medicare beneficiary is projected to grow from about $10,000 to over $16,000 by 2023. As an ongoing initiative to address this trend, the federal government contracts with private insurance companies and other entities, called Medicare Advantage Organizations (MAOs), to develop and administer alternative health insurance plans designed to contain service utilization and costs. One feature of some Medicare Advantage plans is the presence of risk-bearing contracts with primary care physician organizations that voluntarily accept financial responsibility for the overall cost of care for patients attributed to them. In this …

Searching For A “Home”: Examining The Experiences Of Confucian Asian College Students With Third Culture Kid Backgrounds, Yuima Mizutani

Dissertations

Third culture kids (TCKs) spend their childhood and adolescence outside of their home countries. Because of their unique backgrounds, TCKs and adult TCKs face challenges including identity development, low self-esteem, lack of connection with their home countries, posttraumatic stress disorder, depression, adjustment disorder, and others. Although the number of TCKs is increasing due to globalization, this population has been understudied. Moreover, most existing research has focused on TCKs in Western countries. Few researchers have studied Confucian Asian adult TCKs; that is, adult TCKs from China, Hong Kong, Singapore, Japan, South Korea, Taiwan, and others. Confucian Asian countries have collectivistic cultures …

Racial Battle Fatigue And Black Male Higher Education Administrators, Joshua Walehwa

Dissertations

Racial Battle Fatigue was first coined by Dr. William A. Smith as a theory describing the burnout of African Americans in higher education institutions. While much of the current research focuses on the faculty and student experiences, in various formats, this provides an autoethnography capturing the various phases of a Black Male higher education administrators experience with experiencing and coping through Racial Battle Fatigue. The belief behind this approach focuses on the value of storytelling and autoethnography in particular in research, the interconnected nature of life experiences that impact professional life as well as the reverse, and a call to …

Nursing Students' Perceptions Regarding Faculty Feedback, Deborah Hartzog Chatham

Dissertations

Higher education researchers in a variety of disciplines have explored instructor and student perceptions of what constitutes feedback that is useful and timely. Researchers agree that students desire feedback but are often not sure of how to interpret or use faculty comments. Students vary in an understanding of what constitutes feedback. Nursing researchers have conducted fewer studies to determine student concerns regarding faculty feedback. Nursing faculty differ in perceptions of what constitutes effective feedback. Nursing faculty use various forms of feedback, such as written comments, audio recordings, and automatically generated feedback. These variations suggest nursing faculty do not always know …

Brain-Based Learning Principles Applied To The Teaching Of Basic Cardiac Code To Associate Degree Nursing Students Using The Human Patient Simulator, Jean Marie Wortock

Dissertations

Neurobiology research has enhanced our knowledge about the brain, and subsequently learning. This perspective is revolutionizing education. New teaching strategies are being developed with learning as the focus. Nurse educators can utilize these strategies to optimize student learning, especially in stressful situations. Few situations are as stressful for health care providers as when a patient goes into cardiac arrest. Improved critical thinking and code proficiency are needed to effectuate better patient outcomes. Skills learned through simulation increase critical thinking both in classroom and laboratory settings and can, ultimately, be transferred to patient situations. This study examined different strategies for increasing …

Academic Success Factors Influencing Linguistically Diverse And Native English Speaking Associate Degree Nursing Students, Josie L. Veal

Dissertations

To address the healthcare needs of vulnerable populations, nursing educators should evaluate educational preparedness and identify which factors influence a successive academic trajectory in nursing school. A prospective design was used to determine the relationships and differences among the anatomy and physiology course grade, self-efficacy, linguistic diversity, language acculturation, and components of the National League for Nursing pre-admission exam for registered nurses and first semester nursing course grades of linguistically diverse and native English speaking associate degree nursing students. A relationship exists between the PAX-RN composite score, anatomy mean grade, language diversity, and general self-efficacy score, the Nursing Pharmacology and …

Purposeful Simulation Role Assignment, Erica Fay Alexander

Dissertations

In order to efficiently use simulation resources, nursing students are often assigned various simulation roles. A double-blind, randomized control trial was conducted to explore the impact of purposeful simulation role assignment, using preferred learning styles, on prelicensure nursing students' clinical reasoning. A convenience sample of pre-licensure nursing students from a mid-western college of nursing were assigned with either the experimental or control group. Participants in the experimental group were assigned simulation roles that were congruent with their preferred learning style. Participants in the control group were assigned simulation roles that were not congruent with their preferred learning styles. The participants' …

Study Of The Incorporation Of Sustainability Topics Into The Accounting Curriculum At Missouri Four-Year Colleges And Universities, Kimberly Ulrich

Dissertations

Businesses around the world voluntarily utilize corporate sustainability reporting to display non-financial information along with their financial results to satisfy the curiosity of their stakeholders. The United Nations played a key role in the evolution of sustainability over time and development of reporting standards. Eventually governments may require thorough coverage of financial and non-financial information in one comprehensive integrated report. To meet this demand, the accounting curriculum must include sustainability reporting topics for accounting students. Leading research and this dissertation demonstrated a holistic approach was best. The most successful higher education institutions incorporated sustainability practices throughout their institutions in addition …

Design Thinking As A Common Language Between Higher Education And Employers, Johnna Denning-Smith

Dissertations

This qualitative study explores student skill preparedness for the work force through semi-structured interviews and focus groups with current college students, faculty members, and employers. Responses from study participants were transcribed, coded, and thematically organized into the following four categories of skills that employers seek in recent college graduates: critical thinking skills, resiliency, workplace skills, and discipline specific skills. The findings include participant perceptions of the importance of these skills and whether higher education effectively prepares recent graduates for the workforce. As part of this discussion, design thinking is presented as a bridge between these groups and as a solution …

Comparison Study: Trauma-Focused Cognitive Behavioral Therapy And Acceptance And Commitment Therapy For Trauma, Colleen Marie Kirsch Hiltz White

Dissertations

There is a need for more evidenced based treatments for adolescents with trauma related disorders. Currently, Trauma Focused Cognitive Behavioral Therapy (TF CBT) is the gold standard, but clients and clinician need the ability to choose between effective treatments. This study completed a direct comparison between six weeks of treatment in Acceptance and Commitment Therapy for Trauma and TF CBT via telehealth during the COVID-19 pandemic. Treatments were measured using the Clinician Administered PTSD Scale and the Child PTSD Symptom Scale. Both treatments were found to be effective in reducing trauma related symptoms in two 12-year-old females.

Empowering Nurses Of Minority In The Face Of Incivility And Bullying: Through The Lens Of Phenomenology, Corrine Floyd

Dissertations

Abstract

Up to 85% of nurses have reported exposure to incivility in the workplace (Hunt & Marini, 2012). The often-subtle nature of incivility toward nurses in a minority population may partially explain why it remains a problem. Healthcare organizations realize the need for civility to counter the high turnover rate, staff shortages, and low job satisfaction reported by nurses, but lack understanding of how nurses of a minority population perceive incivility and bullying. This study aimed to answer the research question how do nurses with minority representation experience incivility and bullying versus empowerment in the workplace? A descriptive phenomenological design …

Predictors Of Positive Outcomes In Treating Individuals Diagnosed With Idd And Comorbid Psychiatric Disorders, Jacob Omondi Wasonga

Dissertations

The purpose of this research was to evaluate the use of a new treatment protocol, the systemic treatment plan (STP) by identifying the predictors of positive treatment outcomes for individuals diagnosed with intellectual and developmental disabilities (IDD) and comorbid mental health conditions. This study examined the relationship between challenging behaviors, psychiatric conditions, and positive treatment outcomes for individuals with IDD and co-occurring disorders, particularly those individuals whose treatment was driven by the STP. A linear regression analysis was conducted to determine which challenging behaviors and psychiatric disorders best predict positive outcomes in systemically engaged treatment. The results from this study …

Racial/Ethnic Identity Modeling: An Exploration Of The Effects Of Bilingualism On Racial/Ethnic Identity Expression And Self-Esteem In Multiple-Race Black/African American Adults, Tritia Miyako Finley

Dissertations

The psychological well-being and racial/ethnic identity expression of bilingual multiple-race individuals mixed with Black/African American and another minority racial/ethnic category are largely underrepresented topics in current scholarly literature despite their growing population in the United States. In the current study, the sociohistorical and political processes of colonialism and coloniality were discussed to provide context for the critical examination of familial foreign language ability (FLA), self-esteem (SE), and Black/African American racial/ethnic identity (BRI) expression among multiple-race Black/African American adults (N = 204). Using structural equation modeling, results indicated that higher levels of FLA were related to higher levels of SE. …

Mindfulness And Social Emotional Learning: The Lived Experience Of Students Learning English As A Second Language, Lara Catherine Donnelly

Dissertations

In a phenomenological case study, the author sought to gain an awareness of the lived experiences of 4th and 5th grade ESL students, their parents, and their teachers who participated in the MindUp mindfulness curriculum. The author was interested in the relationship between the mindfulness curriculum and SEL based on the perspective of all three participant groups. Qualitative interviews were conducted with 3 students, at least one parent of each of those three students, and the two classroom teachers who conducted the MindUp lessons. Five main themes developed from coding of the raw data: (1) positive impact on students; (2) …

Recognition Of Gender Microaggressions In The Workplace: The Case Of Predisposition And Propensity To Recognize, Alicia Ako-Brew

Dissertations

This study examined the individual factors that affect the recognition of gender microaggressions in the workplace. A total of 220 subjects participated in this study. Specifically, this study revealed how social dominance orientation, ambivalent sexism and gender discrimination perceptions toward women affect a third-party observer’s recognition of gender microaggressions perpetrated against women. In addition, this study examined the effect of role congruence on the propensity to recognize gender microaggressions. Role congruence stems from role congruity theory which posits that a woman in a leadership or masculine role will receive positive or negative evaluations based on the degree to which she …