Digital Commons Network^™

Leadership Approaches Federal Government Civilian Employees Perceive Most Effective For Enhancing Employee Morale And Productivity, Darryl E. Powe Sr

Dissertations

Purpose: The purpose of this descriptive qualitative study was to identify and describe the leadership approaches (transformational, transactional, and laissez-faire) federal government employees perceive as most and least effective to enhance employee morale and productivity.

Methodology: Fifteen U.S. Army civilian employees from 5 paygrades were selected based on specific criteria and organized using the stratified random sampling method. The full-range leadership model provided the theoretical framework for the study and was used to design interview questions that focused on the aforementioned leadership approaches. Data were collected and coded from interviews and artifacts, and aided the identification of key themes and …

Congruency Between Parents' Actual And Desired Participation In The Care Of Their Hospitalized Child, Daria Katherine Romaniuk

Dissertations

Parents' participation in the care of their hospitalized child is an integral part of pediatric nursing practice and is considered to be beneficial for children and parents. However, parents may not discuss their participation with nurses and instead base their activities on their perceptions of nurses' assumptions and expectations regarding parents' participation in care. Nurses may assume a gate keeping role regarding parents' participation, deciding what parents will do and then monitoring these activities. Nurses' heavy workloads may preclude the teaching necessary for parents to participate in certain aspects of care. As a result, parents' actual participation in care may …

Quality Of Life Of Parental Caregivers Of Children (1-36 Months) With A Tracheostomy, Rachel Abraham Joseph

Dissertations

Children's health and well-being are invariably related to the health and well-being of their parents or caregivers. Many parents undertake home care of children with a tracheostomy who require highly complex and technology driven care that would have been formerly assumed by health care providers. Parents accept multiple responsibilities- that of an advocate, case manager, parent, nurse, and much more. A cross sectional descriptive study using survey method was conducted to gather data on stress, coping and quality of life in parents of children with a tracheostomy aged one month to 36 months.

Exploring Incivility Among Nursing And Health Science Students: A Descriptive Study, Diane Louise Smith

Dissertations

Incivility has infiltrated our institutions of higher learning as well as the world of nursing. All too familiar in nursing is the phrase ";eating their young,"; which aptly describes how nurses treat other nurses, even though they should be nurturing and caring professionals. The investigator explored nursing and health science students' perceptions of student and faculty uncivil behaviors within the academic environment, seeking the levels and frequency of the problem. Bandura's social learning theory presents a sound theoretical framework for this dissertation. The research methodology consisted of a quantitative descriptive approach. The Incivility in Higher Education-Revised (IHE-R) Survey was used …

Southern, Rural African American Women's Hypertension Perceptions, Cassandra D. Ford

Dissertations

Cardiovascular disease is a leading cause of adult deaths in the United States, and hypertension is a major contributing factor to the development of cardiovascular disease. Epidemiologic research reveals that cardiovascular disease and hypertension are prevalent in southern, rural areas. Vital statistics clearly document the disproportionately high prevalence of hypertension in African American women in the rural south. Therefore, in attempt to learn more about this phenomenon, the present study sought to ascertain and describe the perceptions of hypertensive, southern, rural African American women on their personal and environmental factors affecting their hypertension and how it is controlled and treated. …

An Educational Intervention To Develop Characteristics Of Transformational Leadership In Novice Nurse Managers, Mary Catherine Goetter

Dissertations

To support the development of characteristics of transformational leadership (TFL) in novice nurse managers/administrators (NNM) through use of a Journal Club as an educational intervention based on theories of educational psychology and nursing's unique patterns of knowing.

Does an educational intervention of a Journal Club increase NNM perceived knowledge of characteristics of transformational leadership? Does an educational intervention of a Journal Club increase NNM perceived ability of self to lead? How do NNM describe the effect of the intervention on their leadership knowledge and ability?

Awareness Of Increased Risk For Heart Disease And Cardiovascular Risk Factors In Women With Systemic Lupus Erythematosus, Patricia Catherine Weinstein

Dissertations

Women with systemic lupus erythematosus (SLE) develop cardiovascular disease (CVD) earlier and at a more accelerated rate compared to women without SLE. Many women with SLE are unaware of their increased risk despite years spent in the health care system, thus giving the atherogenic process time to accrue damage. Research has not explained fully why women with SLE are unaware of their increased risk for CVD or why awareness does not correspond to risk reducing behaviors. Stage theories of behavior like the Precaution Adoption Process Model (PAPM) propose that health behavior change proceeds through qualitatively different stages, and people at …

The Experience Of Faculty Transitioning From Traditional To Non-Traditional Methods In The Community College Classroom, Christina Calentine

Dissertations

There is documented success with the use of active learning strategies in community college classrooms, yet instructors lack the necessary skills and incentives to develop these strategies. While faculty members may have an expertise in a particular discipline they often lack the necessary skills to recognize the specific academic needs of a student and respond and/or adapt to those needs. Many specialized degrees do not include pedagogical training as part of the required curriculum but community colleges are typified by diversity in student backgrounds and learning styles. This has led to increased attention to the implementation of a diverse array …

Teaching Perspectives Of Faculty Members At Arab Universities: Andragogy And Islamic Humanism, Layla Goushey

Dissertations

Cultural differences exist between Western perspectives on humanistic teaching methods and methods developed during the past 100 years in the Arab region based on English and French colonialist systems. Political structures and economic challenges in the region uphold the rigid societal and security structures that limit faculty governance and academic freedom, which impacts teaching and learning perspectives. This study utilized basic qualitative design methods based in constructivist grounded theory. Questionnaires, surveys, and email interviews that invited open-ended, explanatory, and descriptive answers were central to this work. Taking an observer’s approach to this study, I analyzed survey responses of Arab university …

Self-Management And Self-Management Support On Functional Ablement In Chronic Low Back Pain, Jennifer Kawi

Dissertations

The pervasiveness of chronic low back pain and its subsequent disability are alarming in today's healthcare. Although literature is beginning to explicate the impact of self-management (SM) and self-management support (SMS) in other chronic illnesses, there remains limited understanding on whether SM and SMS influence functional ablement in chronic low back pain patients. This study examined whether SM and SMS significantly influenced functional ablement after controlling for mental state and demographic characteristics, examined whether SM mediated the SMS-functional ablement relationship, and described patient perceptions of their SM, SMS, and functional ablement. The adapted Chronic Care Model guided this study. A …

An Evaluation Of The Molecular Species Of Ca125 Across The Three Phases Of The Menstrual Cycle, Monica Rose Mclemore

Dissertations

CA125, a tumor-associated antigen, is primarily used to monitor epithelial ovarian cancer. However, CA125 alone lacks the sensitivity and specificity necessary for population-based screening in healthy women. Barriers to the development of a screening assay includes the low incidence of the disease, large inter-individual variability in CA125 levels, fluctuations in levels during the phases of the menstrual cycle (i.e., menses, follicular, luteal), ethnicity, menopausal status, and other benign conditions. Evaluation of the molecular species of serum CA125 is a vital step in understanding the underlying biology of CA125. The specific aims of this study, in a sample of healthy women …

A Focused Ethnography: Nursing Students' Perceptions Of Cultural Competence And Social Justice, Wanda Elizabeth Thuma-Mcdermond

Dissertations

Disparities in health care suggest a need for greater social justice in national and international health care systems. Nurses are uniquely involved with disparities since the nursing profession has emphasized social justice not only as a moral value but also as the foundation for social action. Social justice, however, may be difficult to conceptualize, especially for nursing students. Since cultural competence has been identified as an important aspect for decreasing disparities, it may be a vehicle or tool students could use for the social action necessary for social justice. A focused ethnographic design was selected for this study because of …

Contentment In "Songs Of The Gorilla Nation: My Journey Through Autism": A Humanbecoming Hermeneutic Study, Susan Agnes Bonis

Dissertations

Contentment is a universally lived experience that is inexplicably intertwined with health and quality of life. The aims of this humanbecoming hermeneutic study were to identify the essence of the experience of contentment, to contribute to knowledge about humanbecoming, and to contribute to the knowledge base of nursing. The source of data collection was the text of Songs of the Gorilla Nation: My Journey through Autism. Through a hermeneutic process of discoursing with penetrating engagement, interpreting with quiescent beholding, and understanding with inspiring envisaging the structure of the lived experience of contentment was illuminated in the text. The finding is …

Nurses' Information Processing Related To Surveillance As An Intervention In The Care Of Stroke Patients, Lori Rhudy

Dissertations

The purpose of this study was to explore the nursing intervention of surveillance from an information processing framework. Research questions addressed how surveillance was expressed by nurses during the care of stroke patients and the relationship of cues identified to the focus of care.

System Usage: A Shared Mental Model Perspective, Rooji Sugathan

Dissertations

The failure rate of Information Systems (IS) projects is high and has been high for many years. Failed IS projects leave organizations with systems that have very low usage and a negative rate of return on their investment. System use is a key measure of IS success. User participation and involvement (UPI) during application development and configuration are key factors that influence system use. However, empirical studies have shown mixed results for the influence of UPI on system use.

This study explores the extent to which shared mental model (SMM) of a project team influences the impact of UPI on …

Buccal Pulse Oximetry: Accuracy And Precision, Patricia N. Meza

Dissertations

Clinicians assess multiple biomarkers and patient signs/symptoms in clinical settings such as intensive care units, operating rooms, emergency departments, and patient transport. Pulse oximetry monitoring remains a standard. There are instances in which traditional pulse oximetry monitoring sites, such as the fingers, toes or earlobes, fail or access is infeasible. In these instances, clinicians seek alternative monitoring sites, such as the buccal area. Unstable patients may also challenge ability to acquire a pulse oximetry signal, possibly preventing reliable pulse oximetry values. Compared to fingers or toes, the buccal area is not as susceptible to local vasoconstriction effects. Therefore, the buccal …

Hypertension Therapeutic Goal Attainment In Patients With Dual Diagnoses Of Hypertension And Diabetes, Susan Marie Harris

Dissertations

The purpose of this study was to evaluate the adequacy of blood pressure control and utilization patterns of antihypertensive agents among patients with dual diagnoses of hypertension and Diabetes Mellitus type 2 seen in a primary care clinic during the calendar year 2008.

The Effect Of A Work-Place Based Education Program On Moral Distress, Nancy Miller Powell

Dissertations

The primary purpose of this study was to determine if registered nurses (RNs) who attended a workplace-based educational program would have decreased intensity, frequency, and total moral distress, compared to nurses who did not attend the program. This educational program was operationalized using a framework published by the American Association of Critical Care Nurses' program entitled The 4A's to Rise Above Moral Distress (2005). Moral distress is an insidious problem affecting many registered nurses, directly and or indirectly, with potentially harmful consequences. A review of the literature revealed that the consequences of moral distress produce a significant negative effect on …

Exploring The Subconcepts Of The Wittman-Price Theory Of Emancipated Decision-Making In Women's Health Care Using Infant Feeding Method As The Clinical Exemplar, Ruth Ann Wittmann-Price

Dissertations

The Wittmann-Price Theory of Emancipated Decision-making (EDM) was derived from the philosophical underpinnings of Critical Social, Freire's Emancipatory Education and Feminist Theory. The theory describes a process of reaching a more positive state of being, a state of freedom in choice, by first acknowledging the effective experience of oppression in women's healthcare. This oppression produces a dilemma in decision-making by socially sanctioning one alternative as superior over all other alternatives. The theory proposed that five subconcepts must be present when using the decision-making process. These are empowerment, a flexible environment, personal knowledge, reflection, and social norms. This study used three …

Parent Education Needs Of Infants With Complex Life-Threatening Illnesses, Jennifer Marie Wells

Dissertations

Infant morbidity and mortality continues to be a significant problem in the U. S. Preterm birth and/or low birth weight and congenital anomalies are primary causes of infant morbidity and mortality. Analysis of an existing study was done on data from a prospective longitudinal, case based, mixed-methods research study to examine learning needs of parents in the Neonatal Intensive Care Unit (NICU) whose infants were born with complex cardiac anomalies or born extremely premature. The principles of Knowles' Theory of Adult Learning were used to frame the study and findings. Systematic review of the parent and provider interview transcripts from …

Contributions Of Patient Characteristics And Organizational Factors To Patient Outcomes Of Diabetes Care In Hualien, Taiwan, Shu-Chuan Chang

Dissertations

This cross-sectional study measured quality of diabetes care and explored the contributions of patient and organizational factors to patient outcomes of diabetes care in Hualien, Taiwan. Donabedian's structure-process-outcome framework was applied to examine the system of health care in Hualien County with respect to the quality and outcomes related to patients with diabetes.

Surviving On The Margin Of A Profession: Experiences Of Black Nurses, Josephine Bassey Etowa

Dissertations

This study used grounded theory method to explicate Black nurses' worklife experiences within the health care system in Nova Scotia. The aim of this research was to develop substantive theory of this phenomenon. The data were collected using informal interviews, observations, field notes and group meetings. Theoretical sampling was used to enhance maximum variation within the sample.

Factors Influencing Family Caregiver Burden At A Taiwanese Hospital, Pi-Ming Yeh

Dissertations

In Taiwan, most of the hospitalized patients have their relatives with them 24 hours a day. New family caregivers are usually poorly prepared to take on their role, and little literature demonstrates that nurses assess the burden of family caregivers in the hospital. The purpose of this study was to examine cancer patients' dependency, caregivers' factors, and family support that predict outcomes of family caregiver burden, including impact on health, schedule, and finances in the hospitals in Taiwan. A multivariate descriptive design was used.

The Effects Of Rocking Chair Motion On Postoperative Ileus Duration, Subjective Pain, Pain Medication Use And Time To Discharge Following Abdominal Surgery, Robert Lee Massey

Dissertations

Rocking motion may be useful in resolving postoperative ileus (POI) in cancer patients who have undergone abdominal surgery. Operations of the abdomen result in gastrointestinal dysmotility, to some extent, in all patients because abdominal surgical procedures to remove abdominal tumors require large abdominal incisions, extensive dissection, and manipulation of the bowel that initiates a surgical induced stress response commonly known as, postoperative ileus. In this study, the effects of a rocking chair motion as a moderator of the surgical stress response and mediator of the gas and distention effects of POI in abdominal surgery cancer patients compared to standard care …

Non-Traditional Church Involvement As A Life-Course Turning Point: Qualitative Interviews With Religious Offenders, William Hunter Holt

Dissertations

This research project conducted and then analyzed qualitative interviews from former and current addicts and criminal offenders who are voluntarily participating in the Christian faith at the same non-traditional, Protestant church. An abridged case study of this church is also provided for background and context. Life-course theory and grounded theory are utilized.

Both the offenders and this church were chosen in an attempt to better understand how the offenders’ involvement at this house of worship, along with their faith in general, have impacted them. Obtaining the perspectives of the offender is essential for three reasons. First, qualitative research conducted in …

Support Programming For Children On The Autism Spectrum: An Evaluation Of Current Programming And Components Offered By A Postsecondary Autism Program, Lisa Michelle Elkins

Dissertations

The purpose of this research was to determine how stakeholders value the current components of a Postsecondary Autism Program (PSAP). The evaluation assessed the efficacy of the program’s six components and the improvements needed to ensure the desired outcomes were being achieved. A mixed-methods approach using both surveys and focus groups was used to obtain data. The surveys were administered to students who were currently enrolled in the PSAP program and parents of students who were currently enrolled. A focus group format using six questions was administered to the five full-time staff of the PSAP program. The results of the …

Governors And Public Higher Education: A Multiple Case Study Of Governors Bill Haslam And Paul Patton, Shannon W. Gilkey

Dissertations

Governors can impose tremendous influence on public policy. In their attempt to address issues that their states face, and in order to sustain and improve the present and long-term health of its citizenry, some governors invest significant resources to shape the direction of their state’s postsecondary system of education. This study examined the critical elements that led two different governors to enact large-scale impact on state postsecondary education by investigating three research questions through a qualitative multiple-instrument case study: (a) How do governors’ vision for their state intersect with their view of postsecondary education as a key policy priority area …

Team Creation Methods In Practice: Understanding The Potential Effects Of Nonverbal Communication In The Leadership Of Team Formation, Troy Allen Robertson

Dissertations

Teams require leadership, even if they are self-managed. The group of individuals who make up a team must be gathered in some form or another. For self managed teams to function successfully, the first step is the process of creating the team. Many aspects may factor into the creation process. Often time is of the essence and methods to quickly assess and form teams show merit. First impressions in general are based largely on nonverbal communication. The focus of this mixed-methods concurrent embedded study is to analyze the potential effects of nonverbal communication on influencing team creation. A group of …

Intersex Experiences, Activists’ Perspectives, And Counseling Implications, Cynthia J. Mulit

Dissertations

ABSTRACT

Intersex people are born with sex development differences; for example, atypical genitals. The intersex community is the only sexual minority population subjected to medical treatments in infancy designed to make their bodies conform to cultural expectations for male and female bodies. Intersex activism to stop the medicalized treatments began in the late 1990s. No other qualitative study has focused on the experiences of intersex activists. Four leading activists were interviewed in depth regarding their personal, activist, and counseling experiences. Data were collected through semistructured interviews and analyzed using interpretative phenomenological analysis. A 3-stage intersex identity development model was formulated …

A Qualitative Study Investigating The Common Or Shared Experiences Of Saudi And American Parents Of Students With Autism In The Iep-Process, Alwiah Abdullah Alsaggaf

Dissertations

Nationally, research on special education has emphasized the importance of involving parents in the individual educational plan (IEP) process (Al-Herz, 2008; Angel, Stoner, & Shelden, 2009; Hebel & Persitz, 2014; Hobbs & Silla, 2008; Hui-Chen & Mason, 2008). The IEP is a blueprint for special education and related special education services in the United States and other countries (Alquraini, 2013; Hebel & Persitz, 2014; Martin et al., 2006; Tal, 2009; Yell, Katsiyannis, Ennis, & Losinki, 2013). Development and implementation of effective educational programs for students with autism spectrum disorder (ASD) involve collaboration with parents (Hebel & Persitz, 2014). However, the …