Digital Commons Network^™

Identifying Depression In Primary Care: An Evidence-Based Intervention, Mary Alice Peters

Dissertations

Identifying depression in primary care is an urgent concern locally and nationally. Due to lack of screening or inquiry by primary care providers, as well as an insufficient number of mental health professionals, depression remains under-detected. This problem has been identified locally as a result of a 2014 population health survey in Huron County, Ohio. The population reported multiple reasons for not seeking out a program or service within the county to address symptoms of depression, anxiety, or emotional problems. The 2016 recommendation by The United States Preventative Services Task Force is to screen the general public as long as …

A Biodegradable Piezoelectric Composite Scaffold Containing Zinc Oxide For Cartilage Repair Applications, Ateka Mohd Arabi Khader

Dissertations

Osteoarthritis (OA) affects 27 million adults in the United States. OA causes degeneration of articular cartilage and subchondral bone. Articular cartilage has limited ability to regenerate and repair. Bone and cartilage tissues have known piezoelectric properties, which means they can generate electrical activity in response to mechanical deformation. Using a biomimetic approach, zinc oxide (ZnO), which has known piezoelectric properties, is fabricated into a flexible three-dimensional fibrous scaffold by embedding ZnO nanoparticles into slow degrading polycaprolactone (PCL). Zinc ions can be released from the fibrous scaffold over time, which also may be beneficial for cell function since zinc has well-known …

Micronized Dry Drug Powder-Loaded Polymer Films For Delivery Of Poorly Water Soluble Drugs, Lu Zhang

Dissertations

Polymer strip films have been recently established as a robust platform for delivery of poorly water-soluble drugs via slurry casting, in particular using stable drug nanosuspensions. In this dissertation, a simpler, economically feasible, and robust method to directly incorporate dry micronized poorly water-soluble drug is introduced. As a major novelty, simultaneous surface modification using hydrophilic silica along with micronization is done using fluid energy mill (FEM) in order to reduce the hydrophobicity and agglomeration of poorly water-solube drug powder. When micronized coated drug powders are used, films exhibit improved appearance (thickness uniformity, visible lumps), better drug content uniformity (relative standard …

Anti-Black School Policy Making: A Critical Policy Analysis Of The Wellston/Normandy Merger, Eric Higgins

Dissertations

This study explores the closing of Wellston School District as an act of contempt and oppression. This study looks at the history of the Wellston community and also examines many micro-aggressive acts of oppression. Also, examined and discussed will be the impact of economic disenfranchisement, demographic change, historical memory, and school funding and accountability. This study uncovered a counter-narrative that helps to usurp the prevailing master narrative and rhetoric surrounding the closing and subsequent merger of the Wellston School District with the Normandy School District.

This historical analysis will rely heavily upon the use of CRT to undergird the conceptual …

School Accountability And Equal Opportunity In Missouri, Bradley Ross

Dissertations

In Missouri, the Missouri School Improvement Plan, generation 5 (MSIP-5) attempts to boil down assessment, attendance, college and career readiness, and graduation rates into a single score (out of 100). Within MSIP-5, Black and Hispanic students are lumped into a super subgroup with English language learners, students in poverty, and students with disabilities. The aggregate of test scores for all in these groups provide the indicators for school success.

There are two concerns. First, the indicator for subgroup achievement is worth only one-fourth of the points that overall student achievement. In addition, while the highest levels of achievement require the …

The Effect Of Mantram Repetition On Qol In Low-Income, Urban Dwelling Older Adults, Marissa Katerina Mackiewicz

Dissertations

Background: Quality of life is an important concept of increasing significance for the healthcare in the United States, especially when taken in perspective of the aging population. Low-income, urban dwelling older adults are challenged in a number of ways that may negatively impact their QOL. This unique group is prone to report lower QOL, therefore, interventions targeted to improve QOL are timely. The purpose of this study was to describe the effect of mantram repetition (MR) on QOL in a sample of low-income, urban dwelling older adults.

Methods: A quasi-experimental pre-posttest study was conducted using a sample population of low-income …

Examining The Relationships Between Ethnicity, Palliative Care And Readmissions In The Heart Failure Population, Deanna Johnston

Dissertations

Specific Aim: The aim of this dissertation is to analyze the relationships between ethnicity, palliative care consultation and readmissions in the heart failure population at a community hospital that serves a large diverse population.

Background: Hospitals struggle with preventing readmissions. There are many interventions that can be implemented to help prevent readmissions, and Palliative Care (PC) is one of those interventions. PC has many benefits including symptom management, improved communication through the healthcare continuum, understanding of illness and treatment options, and can be provided in conjunction with curative treatments. Heart failure is one of the most common readmission diagnoses. …

The Association Of Kangaroo Mother Care, Energy Conservation, And Bonding In Preterm Neonates, Dorothy Forde

Dissertations

Purpose:To examine the association of kangaroo mother care (KMC) on energy utilization and bonding as evidenced by reduced biochemical markers of adenosine triphosphate (ATP) degradation, hypoxanthine (Hx), xanthine (Xa), and uric acid (UA), and (allantoin), a measure of oxidative stress in preterm infants 24-36 weeks gestation. A secondary objective was to compare specific physiological parameters using bedside monitoring and perfusion and oxygenation of the gut using near-infrared spectroscopy (NIRS) during 1 hour of KMC compared to incubator care.

Study design: A randomized controlled trial (RCT) examining the effects of 1-hour of KMC or 1-hour incubator care on urinary markers …

Identification Of Nurse-Controlled Predictors Of Pain In Patients Undergoing A Total Hip Or Total Knee Arthroplasty, Melodie Ruth Daniels

Dissertations

Objectives: The purpose of this study was to examine relationships among nursing interventions and pain status during hospitalization in orthopedic surgical patients receiving total hip or knee arthroplasty in one of four community hospitals in San Diego, California.

Background: The epidemic of opioid-related adverse events creates a need for opioid sparing approaches to pain management. Pain management practices have been studied in relation to medicine; however, the relationship between pain and opioid sparing, nurse-specific interventions is not clear.

Methods: The retrospective descriptive study examined Electronic Health Record (EHR) data of patients (N = 1657) discharged after a total hip …

Priapism Among Male Adolescents With Sickle Cell Disease, Prince Ocansey

Dissertations

The purpose of this qualitative phenomenological study was to describe the lived experience of priapism among male adolescents with sickle cell disease (SCD). A painful genetic disorder with no cure, SCD severely impacts the lives of patients, as well as their families and friends. Priapism is one of the complications of SCD and involves persistent and painful penile erections. The review of literature established a gap in researchers’ understanding of the lived experience of priapism among male adolescents with SCD. This study aimed to bridge that gap.

Using a convenience sampling method, 7 adolescent males between the ages of 16 …

Oxygen Consumption In Sepsis, Julie Graham

Dissertations

Background: Sepsis is a life-threatening condition that can lead to septic shock and death. With over 300,000 annual cases (AHRQ, 2011) costing a staggering $1.5 billion (Health Care Utilization Project Brief #185), the importance of sepsis is becoming clear. However, some basic biological mechanisms are poorly understood. Study Purpose: This study investigated the relationships between select demographics, resting energy expenditure (REE), serum lactate, SOFA score mortality index, oxygen consumption [by way of measuring net oxygen consumed, (V02) and net carbon dioxide produced (VC02)], and sepsis. Specific Aims: Aims were to describe 1) patient demographics, serum lactate, SOFA score mortality index, …

A Quantitative Correlational Study Between Transformational Leadership Behavior And Job Satisfaction Among California Card Room Casino Employees, Lydell H. Hall

Dissertations

Purpose: This study had two purposes. The first purpose was to determine if there is a correlation between transformational leadership behavior exhibited by the leadership team and job satisfaction among California card room casino employees. The second purpose of this study was to determine if there is a correlation between transformational, transactional, or laissez-faire leadership styles exhibited by the leadership team and job satisfaction among California card room casino employees.

Methodology: This quantitative, non-experimental, correlational study involved utilizing two Likert-type scale survey instruments to measure leadership styles and employee job satisfaction. Data was collected from 127 card room casino employees …

Formerly Incarcerated Adults In Higher Education: A Life-History Study Of A Restorative Approach To Prisoner Reentry, Robert Michael Ehnow

Dissertations

The U.S. is the world’s “leading jailer” with both the highest incarceration rate and the largest number of prisoners. Each year more than 700,000 inmates are released from prison and re-enter their communities. The majority of released prisoners lack the necessary education, work experience, and life skills to successfully reintegrate back into society.

One alternative to the retributive model of justice used in the United States is a restorative justice strategy. A restorative approach to prisoner reintegration seeks to re-establish community support and acceptance for criminal offenders in order to allow them to become beneficial members of society. The literature …

A Whole New World: Students With Disabilities Transition To Postsecondary Education, Warren Whitaker

Dissertations

Since the inception of the Americans with Disabilities Act (ADA) of 1990, there has been a steady increase in the enrollment of students with disabilities in higher education. With the postsecondary transition in educational supports from the Individuals with Disabilities in Education Act (IDEA) in high school to ADA in college, there has been a lack of research related to the experiences of these students with disabilities while they are in college. Considering the changes in disability experience resulting from education policy changes from high school (IDEA) to college (ADA/Section 504), the purpose of this study was to examine the …

Tracing The Change Process: Fostering And Sustaining Student Affairs Cultures Of Assessment, Margaret Leary

Dissertations

Student affairs professionals have long been strong contributors to college student learning and development and supporters of the perspective that holistic postsecondary learning is critical for not only the individual but society as well. With more attention focused on the value of this learning, student affairs has taken steps to foster and establish cultures of assessment by creating positions for individuals to coordinate assessment efforts across the division – a student affairs assessment leader. Most of the literature focusing on student affairs is informed by valuable practitioner experience and can be strengthened by empirical study. This explanatory single case study …

Bullies And Allies Near The Playground: Mothers' Experiences Of Aggression In Their Children's Schools, Mara Vicente Robinson

Dissertations

Despite an increasing understanding of the importance of both parent-involvement and aggression among women, there appears to be little understanding of how these two areas influence each other; specifically, the lack of literature examining the extent to which female guardians experienced aggression from other female guardians and the effect it had on their involvement in their children’s schools. In an effort to investigate the extent to which aggression was prevalent among female guardians, the factors that influenced the aggression, and the effects of that aggression on women’s involvement in their children’s education, a convergent parallel mixed methods design was used …

Career Decision-Making Of Higher Education Professionals Of Philippine Descent: The Untold Stories Of An Asian Pacific Islander Community, Grace Abenoja Bagunu

Dissertations

Using a critical race theory (CRT) framework and a narrative and phenomenological methodology, this study explored the career decision-making of professionals of Philippine descent along the higher education career pipeline in the United States. The stories of these professionals create a counter-narrative to the stereotypes of Asian and Pacific Islanders (APIs) in higher education. The career pipeline in higher education has remained relatively homogeneous, especially at executive levels of administration. Statistics show that APIs make up less than 1% of all college presidents, of that 1%, less than a handful identify as Filipinx.

This statistic alone does not completely tell …

The Academic And Social-Emotional Effects Of Classroom Service Dogs/Specialized Therapy Dogs With Handlers On Student Learning And Behavior In K-12 Special Education Students In Emotional/Behavioral Disordered Placements As Perceived By Their Teachers, Sharon Kalkoske

Dissertations

Purpose: The purpose of this phenomenological study is to determine and describe the academic and social-emotional effects of classroom service dogs/specialized therapy dogs with handlers on student learning and behavior in K-12 special education students in Emotionally/Behaviorally Disturbed (EBD) placements as perceived by their teachers.

Methodology: This study utilized qualitative data from semistructured, open-ended interview questions to analyze the research questions regarding the perceptions of teachers and educators on service dogs/specialized therapy dogs with handlers on student learning and behavior in K-12 special education students in EBD placements. The population for this study included educators working in special education classrooms …

An Examination Of Generational Factors On Faculty Engagement In Shared Governance In The Northern California Community College System, Gina Lord

Dissertations

Purpose: The purpose of this phenomenological study was to identify and describe the factors that motivated northern California community college faculty of the Baby Boomer, Gen X, and Millennial generations to become engaged in shared governance and campus-wide committees, and to determine what differences existed between the generations.

Methodology: This research used a qualitative methodology and applied a phenomenological approach. The data for this study was gathered by conducting in-depth, semi-structured interviews with 16 fulltime faculty members from the Solano, Marin, and Sonoma County community college districts.

Findings: The findings from this study identified factors that motivated faculty to engage …

Faculty Burnout And Disempowerment In Nurse Educators And Their Relationship To Creativity In Teaching, Bridget M. Drafahl

Dissertations

In an effort to ensure creativity and critical thinking are woven into the nursing curriculum and taught on a professional level, a healthy work environment, void of burnout and feelings of disempowerment, must be present to support faculty and inspire creative thinking and learning. Associate degree faculty who were members of the National Association of Associate Degree Nurses were studied during an exploration of a presumed association between creativity and the perceived feelings of burnout and disempowerment experienced in the work environment. This descriptive, quantitative research surveyed faculty aged 20-51+ years. The majority of participants held a master's degree and …

African American Women Baccalaureate Success: A Reflective Look At Pre-Collegiate Years Influencing Transition, Persistence, And Degree Attainment, Leilah K. Kirkendoll

Dissertations

African American women are graduating from college at rates higher than their Asian/Pacific Islander, Latino, Native American and even their African American male peers. This level of college persistence and success is occurring amid the challenges they face and share with their peers of the same schools, neighborhoods and society. Similar to many of their peers, these young women experience under-resourced schools and limited college preparation. In addition, they have unique school challenges including experiences with negative stereotypes and harsh discipline policies. African American women also face societal challenges through experiences with trauma, foster care and disproportionate early parenting, to …

Nursing Students Perceptions Of Their Role In The Learning Process, Tracy Linn Booth

Dissertations

Nurse educators have identified oversaturated curriculum as a factor influencing adequate preparation of nursing students for beginning practice. The dynamic nature of healthcare contributed to content laden curriculum. As advances in knowledge, science, and technology emerged, nurse educators' added content to nursing education curriculum in an effort to prepare students sufficiently with the knowledge and skills needed as a new nurse. To address the issue of content saturation, the current trend in nursing education is to move from a traditional curriculum to a concept-based curriculum. The concept-based curriculum approach emphasizes student centered learning; student centered learning employs teaching strategies that …

Cardiovascular Risk Among Patients With Drug-Resistant Tuberculosis And Hiv In South Africa, Erin Rachel Whitehouse

Dissertations

South Africa has the highest incidence of drug resistant-tuberculosis (DR-TB) in sub-Saharan Africa and outcomes are poor. Only 54% of patients successfully complete treatment. The prevalence of HIV co-infection and cardiovascular (CVD) risk factors is also increasing. The purpose of this study was to describe cardiovascular risk in DR-TB patients with and without HIV co-infection and the impact of this risk on 6-month DR-TB negative treatment outcomes among patients co-infected with HIV.

The Leadership Role Of Management Accountants As It Contributes To Innovation And Entrepreneurship In Start-Up Businesses In Southern California, Paula Edwards

Dissertations

Purpose: The purpose of this qualitative study was to understand and describe the leadership role of managerial accountants as it contributes to innovation in start-up businesses in Southern California.

Methodology: The methodology used to understand and describe the leadership role of managerial accountants as it contributes to the innovation and entrepreneurship in start-up businesses in Southern California was a qualitative study. The study participants included 12 entrepreneurs who had started a business in the last five years, had utilized a management accountant on a part-time, full-time or consultant basis and are located in the San Diego, Orange, or Los …

Nursing Incivility And The Culture Of Safety In An Acute Care Facility, Gina M. Galosi

Dissertations

Background: Nursing incivility is a problem for the profession of nursing and interferes with the establishment of a culture of safety, placing patient safety at risk. Elements associated with incivility, Jean Watson's nursing Theory of Caring, and transformational leadership contributed to the project's theoretical framework. The aim of this DNP project was to increase the knowledge of nurses regarding incivility, improve respectful communication, and provide support to enforce the expectation of a culture of safety

Methods: A survey of the modified culture of safety (MCSS) with intent to stay and the nursing incivility scale (NIS) was administered prior to a …

Examining Nurse Satisfaction With A Bedside Handover Report Process, Imelda C. Principe

Dissertations

Nurses' job satisfaction affects work performance at the point of care in hospitals. The incoming nurses who are able to receive a comprehensive patient report at shift change are more prepared in comparison to incoming nurses who are not able to receive a comprehensive patient report to provide care that is safe. The purpose of this project, guided by the theory of organization change, was to explore whether the use of a bedside handover process impacts nurses' satisfaction in an adult postoperative orthopedic and spine unit.

Treatment-Related Decisional Conflict, Quality Of Life, And Comorbid Illness In Older Adults With Cancer, Jeannette M. Kates

Dissertations

As the aging population the nation increases, cancer diagnoses in this age group will also increase. The many chronic medical conditions associated with older adults will be confounded by a diagnosis of cancer. Older adults with cancer are at risk for physical, psychological, and functional decline as a result of not only the cancer, but also the cancer treatment. This study utilized a cross-sectional, descriptive, correlational study design to explore the relationships between and among treatment-related decisional conflict, quality of life and comorbidity in older adults with cancer.

The Effectiveness Of Screening For Comorbid Depression Among Outpatients With Chronic Diseases In Maryland, Linda H. Allibalogun

Dissertations

Depression is a pervasive mental health disorder worldwide. Although being diagnosed with chronic illness exacerbates susceptibility to depression, detection and subsequent treatment of comorbid depression in primary care settings remain suboptimal because patients with chronic medical disorders are not commonly screened for depression. There is a need to initiate proactive measures by implementing routine screening in primary care settings. The plan-do-study-act (PDSA) model guided an intervention to establish a depression screening practice. This study aimed to determine if the implementation of evidence-based screening for depression using the Patient Health Questionnaire-9 (PHQ-9) tool could increase diagnosis of comorbid depression among patients …

Factors Which Influence Adult African Americans' Asthma Self-Management, James Daniel Holland

Dissertations

There are approximately 22.2 million Americans' who are living with asthma and of those 18.4 million are adults. African Americans' are more likely to be diagnosed with asthma compared to Caucasians, and experience more asthma attacks. In this study, the Social Cognitive Theory was used to examine the relationships among personal characteristics, environmental factors, asthma self-efficacy, self-management behaviors, and quality of life (QOL) in African American adults with asthma.
A correlational design was used.

Sustaining A Career In Community And Technical College Leadership By Coping With Job Stress Through Emotional Intelligence, Claire Korschinowski

Dissertations

Purpose: The purpose of this study was to describe and explore the use of emotional intelligence for coping with organizational role stress as perceived by senior-level leaders serving as college presidents, vice presidents and deans in the Washington State community and technical college system. A second purpose of this study was to describe the differences in perceptions amongst senior-level leader’s use of emotional intelligence as a stress coping strategy.

Methodology: For this qualitative phenomenological study, data were collected through in-depth semi-structured interviews from 15 senior-level leaders. Participants identified a variety of ways emotional intelligence factors into coping with organizational …