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The Relationship Among Perfectionism, Perceived Stress, And Coping In Baccalaureate Nursing Students, Amanda Finley

Dissertations

Perfectionism in nursing students is an understudied problem that may affect student and workforce success. Perfectionism has been linked to increased stress and less effective coping styles, as well as depression, anxiety and other psychological alterations. However, it has rarely been studied in nursing students. Studying perfectionism in this population is important because it may increase the likelihood that new nurses will struggle with the stress of practice and it could be a significant factor in early career attrition. The purpose of this descriptive, correlational study was to gain a better understanding of the incidence of perfectionism in a nursing …

Assessing A Cognitive Model Of Trauma-Related Sleep Disturbance, Rebecca Chesher

Dissertations

Sleep disturbance is a symptom of many mental health disorders that may negatively affect cognition and mood. Trauma-related sleep disturbance is a core reaction of traumatic stress and PTSD, similar to symptoms experienced by individuals with insomnia or other sleep-wake disorders. Although the cause and symptom progression of trauma-related sleep disturbance may be very different, research and clinical practice assess and treat it with measures and interventions designed for general insomnia. Using a cognitive model of insomnia modified for trauma-related sleep disturbance, the current study assessed the relations between select trauma and sleep variables within the proposed constructs of: 1) …

Lived Experiences Of Nursing Autonomy: A Phenomenological Exploration, Rebekah Dubrosky

Dissertations

The purpose of this phenomenological study was to explore the meaning that acute care, bedside nurses' assign to their autonomous actions. A feminist critique of the nursing work environment was applied using standpoint theory. This was balanced and supplemented by a post-modern critique using Foucault's method of assessing power and knowledge in relation to the discipline of a profession. This study was designed to explore how issues of gender, knowledge, and power affected participants' interpretations of their autonomous actions. This study used a qualitative, phenomenological approach with an emergent design. Purposive sampling was used to find registered nurses currently working …

Risk Perception, Safe Work Behavior, And Work-Related Musculoskeletal Disorders Among Critical Care Nurses, Soo Jeong Lee

Dissertations

Work-related musculoskeletal disorders (WRMSDs) are a major occupational health problem among nurses. Existing interventions have not totally eliminated the risk for WRMSDs. Safe work behavior and risk perception may play an important role in modifying this risk.

The aims of the study were to identify factors influencing safe work behaviors related to patient handling and risk perceptions about risk of musculoskeletal injury among critical care nurses; and examine the relationship between safe work behavior and risk perception.

Predictors Of Hiv/Aids Related Stigma And Discrimination Among Anglophone Caribbean Women, Kimberly A. Hires

Dissertations

The effects of the Human Immunodeficiency Virus (HIV) global epidemic continue to emerge decades after the first wave of infection. One key aspect of the HIV epidemic that is significantly impacted by culture and knowledge of HIV transmission is stigma, specifically HIV/AIDS related stigma and discrimination (HASD). The Caribbean region has the second highest HIV prevalence rate in the world. In 2011, there were approximately 13,000 new infections and 10,000 AIDS related deaths among adults and children in the Caribbean. Three Anglophone nations significantly impacted by the HIV epidemic are Guyana, Trinidad and Tobago and Jamaica. HASD has been identified …

Chronicling Resident And Staff Outcomes Throughout The Implementation Of A Professional Nursing Practice Model In One Midwest Continuing Care Retirement Community: A Longitudinal Analysis, Kimberly Michele Bergen-Jackson

Dissertations

This research used a case study approach to chronicle the process of seeking the American Nurse Credentialing Center's Pathway to Excellence in Long-Term Care designation in one Midwest community. The PTE-LTC practice standards framework guided the implementation of professional nursing practice which focused on a positive practice environment, shared decision-making, accountability for resident care, and the leadership development of nursing staff. These practice standards are outlined in the study and incorporated the major components necessary to implement Professional Nursing Practice and Shared Governance in long-term care. The components of the designation process over a five-year period were documented and compared …

Examining Health-Related Decision Making Patterns Of African Americans With Coronary Heart Disease: A Hermeneutic Phenomenological Study, Tiffany Ann Love

Dissertations

The purpose of this study was to explore the themes that affected the day-to-day health-related decision making of African Americans managing coronary heart disease (CHD). Understanding the lived experience of African Americans with CHD can offer health care providers additional strategies to improve disease management. A hermeneutic phenomenological approach was utilized to explore: (1) what is the lived experience of managing CHD among older African Americans? (2) What is the essence of health-related decision making among older African Americans living with CHD? Two audio taped 30 to 60 minute open ended in-depth interviews per participant.

A Randomized Controlled Trial Of An Individualized Preoperative Education Intervention For Symptom Management Following Total Knee Arthroplasty, Rosemary Ann Wilson

Dissertations

Total knee arthroplasty (TKA) is a common surgical procedure for the treatment of patients with pain and immobility as a result of osteoarthritis or rheumatoid arthritis. Pain-related interference, pain and nausea are recovery-limiting in these patients in the immediate postoperative period. Preoperative educational interventions that include pain communication and management information have been shown to decrease pain in joint replacement patients (McDonald & Molony, 2004). This randomized controlled trial compared usual preoperative education to an individually delivered preoperative education program.

Development Of A Church-Based Educational Program To Increase Prostate Cancer Screening For Black Men 40 And Older, Dawn Marie Silvera-Ndure

Dissertations

Prostate cancer is the most common cancer among men in the United States and is one of the leading causes of cancer death among men of all races. However, African-American men are at particularly high risk. These men are diagnosed more often with prostate cancer, are diagnosed later, and are more than twice as likely to die from prostate cancer than are Caucasian men. A strategy to address this inequity was to develop a community based program that would reach this at risk population. The goal of the project was to develop an evidence-based, theory-supported education and referral program to …

Culture Change And Quality Of Life In Elderly Persons Living In Long Term Care, Carol S. Jones

Dissertations

Quality of life in long term care (LTC) is a concern for many stakeholders. The elders who are living in LTC facilities, their families, the staff, and government and policy makers are all interested in providing quality care and quality of life to those persons living within the facility. Culture change is one way for LTC facilities to begin to give decision making to the residents, and to increase quality of life of these elders. There are different culture change models that embrace the concept of person-centered care. No matter which model is chosen, the essence of the change is …

Remote Hospitals And Hospital Value Based Purchasing, Nicole Adams

Dissertations

The purpose of this study is to identify remote hospitals and then assess their performance in the first three years of the Hospital Value Based Purchasing program. A definition for remote hospital was created using clinical outcome literature and travel time. The hospitals were then identified as those hospitals more than 60 minutes driving time from the next nearest hospital by using geographic information systems software (n = 127). The remote hospitals' payment adjustments and raw quality scores were be compared with non-remote hospitals. Remote hospitals have done well in the first three years improving their payments over time. However, …

Relationships Of Professional Nurse Characteristics And Nurse Staffing To Adverse Patient Outcomes, Monica A. Redekopp

Dissertations

Despite major changes in the health care environment, limited research has been conducted to guide the changing roles of nurses or to examine the impact of professional nurse characteristics on patient outcomes. The purpose of this study was to examine the relationships between professional nurse characteristics of years of experience, educational level, and professional certification; nurse staffing variables; and adverse patient outcomes of falls, falls with injury, hospital acquired pneumonia, and hospital acquired pressure ulcers. Donabedian's Structure-Process-Outcome framework (Donabedian, 1980) and the Nursing Role Effectiveness Model (Irvine, Sidani, & Hass, 1998) were adapted to guide an examination of the relationship …

Bedside Nurse Recognition Of Delirium In The Medical-Surgical Setting, Bridget Ann Denzik

Dissertations

Delirium in adults aged 65 and older is a common occurrence in the acute care setting and is often unrecognized by bedside nurses. Delirium can trigger a negative cascade of events resulting in an increase in morbidity and mortality, functional decline, longer length of stay, and high rates of post hospital institutionalization and has a significant socioeconomic impact. The purpose of this quality improvement project was to establish a solid foundation using scholarly literature to support the development of a delirium prevention, recognition, and treatment program in the medical-surgical acute care setting applying the program logic framework. The goal was …

A Task Analytic Model Of Tenderness In Emotion-Focused Therapy For Couples: The Discovery Phase, Corie Mcnally

Dissertations

The focus in the present study was to develop a refined model of tenderness events in emotion-focused couples therapy. The model was created in the discovery phase of a task analytic research study through a rational-empirical method. The study was designed to combine empirical and rational data on the expression of tenderness and the display of a tenderness expression within the context of therapy. The rational model was derived from a review of the literature on emotions, couples therapy, and tenderness as an emotion. Empirical data were observed and recorded through reviews of videotapes and transcripts obtained during the York …

A Case Study On The Impact That The Meet & Teach Program Has On Youth Through Experiential Learning, Evan Brown

Dissertations

Millions of students continue to struggle academically throughout K-12, which can harm student access and retention in higher education. Also, with arts continually being removed throughout the K-12 education curricula, students have a lack of support toward enhancing their hidden talents and skillsets. This study describes the impact that the Meet & Teach program had on youth through experiential learning in relation to developing and enhancing their skillset in media arts. The two research questions that guide this study are: (a) How does the Meet & Teach program support skill development for higher education through experiential learning? (b) In what …

Factors Affecting Comprehensibility Of The Globally Harmonized System Of Chemicals In The United States, Susan Miller

Dissertations

In this study, the researcher explored to what extent factors affect workers’ comprehension of chemical hazards in the workplace when utilizing the new Global Harmonization System (GHS) of chemical labels and Safety Data Sheets (SDSs), required by the Occupational Safety and Health Administration’s (OSHA) Hazard Communication Standard (HCS). The sample consisted of 422 participants that worked with chemicals as part of their previous or current work-related duties in the United States (U.S) and received chemical safety training. These participants were part of a convenience sample and were recruited utilizing Survey Monkey to collect responses. The participants were asked qualifying questions …

Discover Influential Mental Workload Attributes Impacting Learners Performance In Third-Level Education, Amisha Mehta

Dissertations

Human Mental Workload is an intervening variable and a fundamental concept in the discipline of Ergonomics. It is deduced from variations in performance. High or low mental workload leads to hampering of performance. Mental workload in an educational setting has been extensively researched. It is applied in instructional design but it is obscure as to which factors are majorly driving mental workload in learners. This dissertation investigates the importance of the features used in the the NASA-Task Load Index mental workload assessment instrument and their impact on the performance of learners as assessed by multiple-choice tests conducted in classrooms of …

First-Time Practicum Students' Lived Experiences Of Case Presentations In Group Supervision: A Phenomenological Study, Jason Blakely Fischer

Dissertations

Although best practices of group supervision advise that supervisory methods match the developmental level of supervisees, research has shown that novices typically receive group supervision in the same manner as more experienced trainees. The prevalent use of case presentations in group supervision regardless of learners' level of clinical experience suggests contemporary practicum courses may be overlooking beginning students' unique, developmental characteristics and needs. Fifteen counseling students enrolled in CACREP-accredited master's degree programs across the United States were interviewed for a phenomenological study exploring their experiences of case presentations in practicum. Synchronous interviews conducted over video conferencing examined participants' emotional experiences …

Culturally Responsive Teaching And Learning For Success, Fred A. Hunter

Dissertations

The enduring gap between White and Black student achievement has challenged our educational systems for decades. This study evaluates an instructional pedagogy that values and embraces students’ culture and experiences. Participants in this study include one teacher trained to implement culturally relevant instruction, her middle school students, and teacher leaders at the school where I served as principal during the time of the study.

The results of this study reveal the positive impact that a culturally relevant teacher yields for students and teacher. Students receiving an affirming instructional pedagogy benefit from improved academic outcomes. Teachers embracing this method of teaching …

Relationships Between Professional Development And Attitudes, Knowledge, And Skills In Play Therapy Among Counselors, Cynthia Ann Anderson

Dissertations

Most counselors receive inadequate training in play therapy, through university counselor education programs, to counsel children using the method, which leaves novice counselors searching for workshops, institutes, conferences, or self-training to effectively meet the mental health needs of children with play therapy. In this first-of-its-kind study, the researcher investigated relationships between professional development and play therapy among working counselors and measured attitudes, knowledge and skills, and types of training in play therapy. A nonrandom sample of counselors were recruited from relevant online sources in this quantitative study. Attitudes, knowledge, and skills were measured by the self-reported Revised Play Therapy Attitude-Knowledge-Skills …

Donor Families’ Experiences From Initial Loss Forward: An Interpretative Phenomenological Analysis, Linda Sue Meeker

Dissertations

The purpose of this study was to examine the lives of those who have consented to organ donation at the time of an unexpected death of a loved one. The qualitative data illuminated participants’ experiences as members of donor families as they shared their observations and experiences from the initial loss forward. The participants in this study included eight women and one man who were the primary next-of-kin and the individual who provided consent to donate the organs. The results indicated that there are steps in the care of these families that could be improved, allowing for better care of …

Building A Resilient Workforce: Programming For Commercial Content Moderation Staff, Miriah E. Steiger

Dissertations

Commercial content moderators (CCM) review and remove controversial content from social media platforms, leading to potentially adverse mental health effects through secondary trauma exposure. Due to the problematic nature of their work, a U.S. based company hired mental health clinicians to design and instruct a resiliency program, developed based upon the psychological resilience literature. Regrettably, there is scarce peer-reviewed literature providing guidelines for best practices in program development or evaluations specific to this population to evaluate the program’s effectiveness. Therefore, this study investigated whether the resiliency program provided to CCM workers predicted resilience and well-being outcomes by use of the …

Examining Relations Among Positive And Negative Metrics Of Psychological Flexibility And Positive And Negative Outcomes Of Exposure To Trauma, Dustin A. Seidler

Dissertations

PTSD is a mental health condition that affects many people over the course of their life (National Comorbidity Survey, 2005), including veterans (Litz & Schlenger, 2009). However, many do not experience clinical levels of distress and some experience posttraumatic growth (PTG) resulting from such an event (Tedeschi, Park, & Calhoun, 1998). The Psychological Flexibility Model, of which Acceptance and Commitment Therapy (ACT; Hayes, Strosahl, & Wilson, 1999) is based, may help explain these phenomena. The purpose of this study was to examine these relationships utilizing a measure simultaneously assessing psychological flexibility and inflexibility. It was hypothesized that psychologically inflexible behaviors …

A Qualitative Understanding Of Gender-Responsive Youth Programming Within The Girls Rock Camp Alliance, Seyi Amosu

Dissertations

This study documented the gender-responsive youth programing strategies within Girls Rock camps using grounded theory methodology. Experiencing gender oppression is a stressor that creates an increased risk for mental and physical health concerns for gender-marginalized people. The risks for mental illnesses, because of gender-based oppression, is compounded when an individual holds additional marginalized statuses (e.g., age, race, ethnicity, social class, sexual orientation, ability status, etc.; APA, 2007). Gender bias has also been shown to negatively impact young people’s self-esteem, academic achievement, and vocational aspirations (Kamsler, 1992). Given this negative impact of gender bias, it is important to address gender related …

Getting Ahead Of The Game: A Preventative Assessment Plan For Intercollegiate Athletics, Kristiana Marie Feeser

Dissertations

While we know much about the psychology of sport, little gets translated onto the playing field. Typically, there is only consultation when a problem arises or when performance falls short. The purpose of this study was mainly exploratory in order to gather data on three factors of mental health, find any associations between those factors, and to predict any risk factors using demographic variables. Three validated measurement tools were used to measure burnout (Athlete Burnout Questionnaire; Raedeke & Smith, 2004), depression (Beck Depression Inventory-II; Beck et al., 1996), and transition readiness (British Athletes Lifestyle Assessment Needs in Career and Education; …

Clarity Precedes Competence: The Impact Of A Revised Classroom Teacher Evaluation Instrument On Teaching And Learning, Kyra Schafte

Dissertations

This study is a program evaluation to determine the impact of evaluators’ use of the revised Classroom Teacher Evaluation Instrument on instructional practice in a mid-sized, public school district serving approximately 43,000 Pre-Kindergarten through twelfth-grade students. The primary research question explored in this program evaluation is what theory of action for the evaluation system will establish reliable effectiveness measures to gauge teacher quality in the school district under study. Employing a mixed-methods approach, with data gathered from a principal survey, focus group transcriptions, and instructional practice and student achievement data, this study informed and improved current practices surrounding observation and …

Accurately Diagnosing Autism Spectrum Disorder Among A Comorbid Population, Michelle Okolita

Dissertations

Two of the most common neurodevelopmental disorders, attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), are diagnosed in early childhood. The two disorders share similar impairments across domains, are highly comorbid, and have many overlapping symptoms. Studies have shown that among this comorbid population, children receive an ASD diagnosis a few years after their initial ADHD diagnosis, which leads to many negative consequences, including a delay in treatment. The focus in this study was on the early indicators of ASD that are present prior to the age of 3 years in order to educate others on these symptoms. In an …

The Relationship Among Children Born With A Congenital Heart Defect, Effects Of General Anesthesia, And Special Academic Needs, Lorilynn Bowie

Dissertations

Abstract

I initiated this study due to experience in the public education system in one state in the United States. I noted a lack of understanding among educators on how to meet the educational needs of children born with a congenital heart defect (CHD) who had undergone general anesthesia related to their CHD. A lack of communication between the medical sector and the educational world led to extensive delays in children receiving the educational support they needed to be successful academically. There were two primary exploratory questions that drove my study: 1.) Is there a relationship between children born with …

Exploring Gender Differences Between Bipolar Disorder And Borderline Personality Disorder In Responses On The Personality Assessment Inventory (Pai), Stephanie M. Green

Dissertations

Bipolar disorder and borderline personality disorder are two diagnoses that are often difficult to differentiate. Current literature supports this challenge and reveals a high rate of misdiagnosis between the two, as well as a high prevalence of borderline personality disorder diagnoses in women. Diagnostic accuracy remains a vital skill for clinicians to effectively address the needs of clients, and diagnostic assessment tools are often used to aid in this endeavor. The focus in this study was to explore gender discrepancies in responses across the main features of borderline personality disorder (i.e., affective instability, identity problems, negative relationships, and self-harm) and …

The Evaluation Of The Jostens Renaissance Incentive Program And The Impact It Has On Students At A Southwest Florida High School, Saneik Buchanan

Dissertations

As state requirements for academic achievement continue to become more rigorous, school administrators and counselors strive to create positive school environments. Therefore, administrators and counselors must find creative incentive programs tailored to meet the needs of respective school settings, such as the Jostens Renaissance incentive program. The purpose of this study was to examine the efficacy of the Jostens Renaissance education incentive program at one Title I high school in Southwest Florida by studying the relationship among students’ GPAs, attendance, and disciplinary issues before participation in the program. The evaluation was a quantitative, quasi-experimental design that utilized pre-existing data of …