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Implementation Of A Daily Checklist To Improve Patient Safety And Quality Of Care In A Pediatric Intensive Care Unit, Catherine Reese

Dissertations

Background

Multiple industries have demonstrated checklists to be of great value in reducing errors of omission and improving communication. In healthcare, checklists have been shown to ensure patients receive evidence-based, safe care. In a fast paced environment of a critical care unit, adverse events are common and can have significant consequences on patient outcome. Safety guardrails are necessary to minimize naturally occurring human error. Safety checklists help support best practices to standardize care and support processes to improve outcome.

Objectives

To develop and implement a daily safety checklist in a pediatric intensive care unit (PICU) to enhance clinical care and …

Leaky Pipeline And Sacrificial Lambs: Gender, Political Parties, And Descriptive And Substantive Representation Of Women In South Korea, 1988 – 2016, Young-Im Lee

Dissertations

This study examines women’s political representation in pre-election (candidate nomination), election, and post-election (legislative activities) stages in South Korea. First, I examined factors contributing to electing women to the National Assembly in the eight national legislative elections since democratization in 1987. I conducted statistical analysis to examine how a candidate’s political experience, major party nomination, incumbency, and districts’ party loyalty affect the candidate’s electoral victory and how each influences women and men differently. I also interviewed candidates, candidate aspirants, elected legislators, legislative staffers, scholars and activists on their personal experiences with major party nomination and election campaigns.

Second, I analyzed …

What’S In It For Me? The Impact To Social Exchange Dynamics Of Hispanic Males Serving As Mentors In Formal Youth Programs, Annica Meza Dawe

Dissertations

Purpose: The U.S. Hispanic population is on the rise and will continue to be an important thread in the fabric of American society as a whole. However, in the midst of this burgeoning group lies its male subpopulation which faces its own unique challenges. One outlet that has demonstrated success for minorities is mentoring. Mentoring can provide Hispanic males with numerous benefits in a social exchange paradigm. Unfortunately the majority of mentoring research has focused solely on the perspective of the protégé, thus leaving mentor perceptions, particularly those of Hispanic males, unexplored. The purpose of this qualitative phenomenological study sought …

Parasitism Of Free-Ranging Neotropical Primates: Examining Parasite-Host And Parasite-Parasite Relationships, Gideon A. Erkenswick

Dissertations

Parasites are infectious agents that require resources from host organisms to complete all or part of their lifecycles. It is customary for wild animals to acquire and maintain multiple parasitic infections during their lifetime. The effects of parasites on hosts vary across demographic and environmental variables, and in relation to each other. Moreover, the propensity for a host animal to acquire an infection can be influenced by other host species in the area that are susceptible to the same parasites. This dissertation describes and explores the natural parasite assemblage of a free-ranging community of nonhuman primates in the Peruvian Amazon …

Exploring The Use Of Technology To Support Literacy Of Sixth Grade Students With Reading Disabilities, Jaime R. Inman

Dissertations

University of Missouri-St. Louis

College of Education

Ed.D. Learning Community of Practice

Curriculum and Instruction

Exploring the Use of Technology to Support Literacy of Sixth Grade Students with Reading Disabilities

Jaime R. Ball-Inman

Abstract

The degree to which the utilization of technology supports the academic achievement of sixth grade students with reading disabilities was examined using a quantitative research design. The data analysis involved the results from the Educational Technology Assessment Program to measure achievement. The Standardized Test for the Assessment of Reading (STAR) provided 2015-2016 scores regarding academic accomplishment of middle school students with reading disabilities. The central research …

Factors That Build And Sustain A Relationship Of Trust Between School District Superintendents And Principals, Donna Kellogg

Dissertations

Purpose:The purpose of this study was to identify and describe the factors that facilitate the building and sustaining of a trusting relationship between experienced superintendents and principals. An additional purpose of this study was to determine what similarities and differences exist between superintendents and principals perceptions of the factors that build and sustain a trusting relationship. Methodology: This was a qualitative phenomenological comparative design to first determine the lived experiences of 16 total participants, eight superintendents and eight principals from both San Bernardino and Riverside Counties. Face-to-Face interviews were conducted and responses from the total of 16 questions …

The Untold Stories Of Former Teen Mothers Who Have Achieved A Master’S Degree Or Higher, Tanya M. Benitez

Dissertations

Purpose: The purpose of this study was to shed light on former teen mothers who have “beaten the odds” by achieving a master’s degree or higher. It sought to reveal and understand what the external and internal factors are which lead to these women pursing higher education.

Methodology: The methodology of this study is a case study which explored these factors through the personal stories of former teen mothers. The study revealed the commonalities among these women.

Findings: The findings of the study determined Data collection and analysis resulted in four findings in the lived story of the 13 selected …

Transformational Leadership: An Urban Leaders' Autoethnography, Joyce M. Roberts

Dissertations

My story of lived experiences is told through a transformational leadership lens whereby the leader is charged with identifying the need for change, creating the vision to guide the change through inspiration and executing the change in tandem with committed members of the group. An autoethnography is a style of autobiographical writing that explores an individual's unique life experiences in a natural setting. The researchers' lived experiences are scholarly and justifiable interpretations supported by multiple sources of evidence and artifacts.

Student Engagement In Nursing School: A Secondary Analysis Of The National Survey Of Student Engagement Data, Karen Zafuta Johnson

Dissertations

Student engagement has received considerable attention in higher education research because of the link between increased student knowledge, greater student satisfaction with educational experience, and increased student retention and persistence. The National Survey of Student Engagement (NSSE) has been used since 2000 to assess engagement in undergraduate college students. NSSE results have been used to gain an understanding about levels of academic engagement for freshman and senior college students. Institutions use NSSE results to make changes in policies and practices to improve undergraduate education.

This comparative descriptive study examined levels of undergraduate nursing students' engagement during college by conducting a …

Towards An Informatics Competent Nursing Profession: Validation Of The Self-Assessment Of Nursing Informatics Competency Scale (Sanics) Before And After Online Informatics Training, Judi Allyn Godsey

Dissertations

Nurses should be involved in healthcare initiatives that incorporate informatics as an essential tool for improving health outcomes (IOM, 2010). However, nurses frequently report lack of competency to perform the most basic computer functions, outside of those required within their work environment (Hwang, 2011). Without educational or training interventions, nurses are limited in their ability to effectively use information technology in practice (Greiner, 2003). This study explored the psychometric performance of the Self-Assessment of Nursing Informatics Competencies Scale (SANICS) when used to measure informatics competency in a population of entry-level nursing students.

Exploring Nurse's Feelings On Floating: A Phenomenological Study, Marie-Paule M. Lafontant

Dissertations

The purpose of the current study was to explore nurses' lived experiences floating in an acute health care facility within a large southern city of the United States. Husserl's transcendental approach assisted in capturing the essence of floating as a lived phenomenon occurring in the nurses' natural work environment.

Supervised Release Sentences Of Child Pornography Offenders In U.S. District Courts: An Examination Of Disparity, Niquita Marie Loftis

Dissertations

The statutory supervised release sentencing range for child pornography offenders convicted in U.S. District Courts is five years to life. However, the guideline policy statement contained in the Federal Sentencing Guidelines recommends lifetime supervision for all child pornography offenders. U.S. Sentencing Commission (USSC) data for fiscal year 2012 indicate that only approximately 33% of child pornography offenders were sentenced to lifetime supervision. This variation suggests the possibility of unwarranted supervised release sentencing disparities. The dissertation explores this possibility by examining the effects of individual-level legal and extralegal factors and district-level contextual factors on supervised release sentences for child pornography offenders. …

Increasing Resilience In Adolescent Nursing Students, Teresa Maggard Stephens

Dissertations

Nursing students not only face the same developmental challenges as other college students, but also experience unique stressors that contribute to increased risk for negative outcomes. The intimate nature of patient care, the exposure to workplace adversity, death and dying, and the chaotic nature of healthcare can have cumulative negative effects on students' health and well-being. Increased resilience could prove useful in helping students confidently face challenges and successfully move forward. The lack of empirical evidence regarding resilience-enhancing interventions with nursing students supports the need for examining the effectiveness of an educational intervention to increase resilience in adolescent baccalaureate nursing …

Biophysical Studies Of Hairpin Polyamides With Broad-Spectrum Activity Against High-Risk Human Papillomaviruses, Carlos H. Castaneda

Dissertations

Human papillomavirus is a small dsDNA virus that infects mucosal and cutaneous epithelial tissues. Persistent infection with high-risk HPV is the main etiological agent in the development of cervical cancer worldwide. Although prophylactic vaccines against HPV are available, these preventative measures are type-specific and are ineffective against existing infections. Thus, there is a pressing need for antiviral drugs with a broad-spectrum activity against HPV to eradicate existing infections, no matter the subtype.

Our group and collaborators have synthesized an extensive library of novel N-methylpyrrole/N-methylimidazole (Py/Im) hairpin polyamides (PAs) with broad-spectrum activities against three prevalent oncogenic-HPV types (HPV16, …

A Qualitative Case Study: Examining The Social And Cultural Impact Of Sisters Club, Andrea L. Barrale

Dissertations

Adolescent girls face social and identity issues as they transition into adulthood and after-school programs are one venue that allows adults to help students deal with the difficulties encountered. This is a qualitative case study focused on the impact the SISTERS Club, an after-school program, had on a diverse group of middle school female students over the course of a five year period, from 2001 to 2006. This study described the impact on identity development, multicultural relationships, and the long-term impact of the after-school program on the female adolescents interviewed.

I investigated the racial, social, and cultural barriers that impacted …

A Delphi Study: Identifying Practices Used To Build Cohesive Teams In A Virtual Setting, Barbara Thiss

Dissertations

The purpose of this Delphi study was to identify practices used to build cohesive teams in a virtual setting and to determine whether the practices were task-oriented or social-oriented. Organizations are challenged to remain competitive in a rapidly changing climate. Leaders in business, education, manufacturing, healthcare and nonprofit organizations look for answers to the economic, environmental, competitive and technological issues they face. Greater utilization of teams in organizations provides a better response to competitive forces, mines greater efficiencies from existing resources, and offers an ability to produce better results. Carron, Widmeyer and Brawley’s (1985) study on cohesion found a significant …

Right Hemisphere Capacities For Word-Finding: Bilateral Modulation Of Event-Related Potentials In Healthy Adults And Adults With Aphasia, Amanda C. Alton

Dissertations

Language tasks are typically lateralized to the language dominant left hemisphere in healthy right-handed adults. Additionally, lesions in left frontotemporal areas typically result in a variety of language impairments called aphasia. Interestingly, increased activation in right cerebral regions homologous to left side lesions has been observed in patients with aphasia during word-finding tasks. The neural mechanism and the impact on word-finding remain unclear. There are two competing theories concerning compensatory right hemisphere activation. One view is that the right hemisphere plays a supportive role, taking over functions of the damaged left hemisphere. The other perspective is that rightward laterality is …

Under-Representation In Autism: An Examination Of Educational Evaluation Practices For Black Students, Erika L. Ayanaw

Dissertations

Black students are negatively affected by disproportionality in school discipline practices, special education identification, and over-restrictive special education placement. Critical race theory is an operative framework that can be applied to increase understanding of such disproportionality (Blanchett, 2011). Through the use of qualitative retrospective chart review methods, this research investigated the under-representation of Black students with Autism in the context of educational evaluations, and from the Ordinariness and Social Construction Tenets of CRT. Analysis of 12 reports, six of Black students and six of White students, resulted in several findings: (1) Between group differences were present in terms of parental …

I Warned You! Applicant Reactions To Different Types Of Warnings Against Faking On Personality Tests: An Organizational Justice, Trust And Affect-Based Perspective, Vanessa M. Lammers

Dissertations

Abstract

Despite their widespread use in employee selection procedures, personality measures are susceptible to applicant faking. Explicit warnings, often included in test instructions to deter faking behavior, inform applicants that items are included on the test to detect faking, and that those caught faking, will be removed from the applicant pool (i.e., invalidation warnings). The current research examined the effectiveness of another warning type informing applicants that faking is not in their best interest, as it is likely to get them into a job for which they are a poor fit (i.e., job fit warnings). Results for Study 1 supported …

Meaning-Centered Leadership: How Exemplary Technology Leaders Create Organizational Meaning, Ed Jackson

Dissertations

ABSTRACT Meaning-Centered Leadership: How Exemplary Technology Leaders Create Organizational Meaning by Ed Jackson Purpose: The purpose of this mixed-methods case study was to identify and describe the behaviors that exemplary technology leaders use to create personal and organizational meaning for themselves and their followers through character, vision, relationships, wisdom, and inspiration. It was also the purpose of this research to identify how followers perceive that the behaviors related to character, vision, relationships, wisdom, and inspiration help to create personal and organizational meaning. Methodology: This research looked at leadership through the lens of meaning making. Current leadership trends, which are driven …

Beauty Is Beneficial: An Examination Of Candidate Facial Attractiveness, Gender, Qualification, And Customer Visibility On Online Recruitment Intentions, Breanna R. Wexler

Dissertations

The present study examined the effects of information included in candidates’ online networking profiles on recruiters’ perceptions and ratings of their likelihood of inviting the candidate for a job interview. Specifically, this study used a status generalization theory perspective to examine the weighting of information related to candidate physical attractiveness, gender, and qualification to predict perceived expectations for intellectual competence, likability, and social skills. These expectations then predicted whether the candidate should be recommended for a job interview. While participants relied almost exclusively on qualification information when making judgments of intellectual competence, candidates placed increased weight on attractiveness when rating …

Exemplary Leadership: A Mixed-Methods Case Study Discovering How Female Chief Executive Officers Create Meaning, Stephanie A. Herrera

Dissertations

Purpose: The purpose of this thematic, mixed-methods case study was to identify and describe the behaviors that exemplary female chief executive officers (CEOs) use to create personal and organizational meaning for themselves and their followers through meaning-making domains: character, vision, relationships, wisdom, and inspiration. Additionally, it was the purpose of this study to determine the degree of importance to which followers perceived behaviors within the meaning-making domains.

Methodology: The exploratory mixed-methods case study was selected to gather insight into the behaviors of four female chief executive officers through interviews. Twelve of their employees were asked to complete an online survey. …

Experiences Of Former Participants In Teen Advocates For Sexual Health (Tash), Celeste Nicholas

Dissertations

This qualitative study explores the experiences of former participants in a Planned Parenthood youth development and sex education program, Teen Advocates for Sexual Health (TASH). Phenomenologically-based interviews centered the question, “What did it mean to participate in TASH?” Chapter 1 introduces the study context and synthesizes foundational literature from the fields of sex education, public health, critical pedagogy, civic engagement, youth development, and youth organizing. Chapters 2-4 each contain complete manuscripts, representing three complementary analytic approaches to a common data set and inviting multiple audiences. Chapter 2 addresses sex educators in describing TASH’s “rights-based” sex education model. Research questions included: …

Meaning Makers: A Mixed-Methods Case Study Of Exemplary Chief Executive Officers Of Engineering Technology Organizations And The Behaviors They Use To Create Personal And Organizational Meaning, Sandra Kay Hodge

Dissertations

Purpose: The purpose of this thematic, mixed-methods case study was to identify and describe the behaviors used by exemplary chief executive officers of engineering technology organizations to create personal and organizational meaning for themselves and their followers through the five variables of character, inspiration, relationships, vision, and wisdom. Additionally, followers were surveyed to determine the degree to which they perceive the behaviors related to character, inspiration, relationships, vision, and wisdom help to create personal and organizational meaning.

Methodology: Exemplary chief executive officers of engineering technology organizations were interviewed to determine their perception of which behaviors they utilize to employ character, …

Development And Evaluation Of Machine Learning Algorithms For Biomedical Applications, Turki Talal Turki

Dissertations

Gene network inference and drug response prediction are two important problems in computational biomedicine. The former helps scientists better understand the functional elements and regulatory circuits of cells. The latter helps a physician gain full understanding of the effective treatment on patients. Both problems have been widely studied, though current solutions are far from perfect. More research is needed to improve the accuracy of existing approaches.

This dissertation develops machine learning and data mining algorithms, and applies these algorithms to solve the two important biomedical problems. Specifically, to tackle the gene network inference problem, the dissertation proposes (i) new techniques …

Nonprofit Board Of Director Training: The Experiences Of Chief Executive Officers In Western Kentucky, Matthew L. Hunt

Dissertations

This reality-oriented inquiry investigates chief executive officers’ experiences of board training within 501(c)(3) nonprofit acute care hospitals. This study provides an insight into the practices, barriers, and drivers of board training. Katz’s (1955) skillsbased leadership model serves as the theoretical framework for this study. The model suggests leadership skills are not innate but can be developed through training. This qualitative study includes nine in-depth interviews with chief executive officers to acquire a rich description of the phenomenon of interest throughout nine 501(c)(3) nonprofit acute care hospitals.

A constant-comparative analysis and inductive analysis are employed to develop six themes related to …

An Analysis Of Technical Leadership In Radiology Technology, Andrew Stephen Kester

Dissertations

The purpose of this study is to determine whether administrators and supervisors in the field of radiology technology receive leadership training as part of their job and whether there is a significant difference for those who do not receive training. If no training is received, does promotion to a leadership position based on technical proficiency or longevity relate to successful leadership characteristics? Currently, no leadership courses are offered in undergraduate or graduate degrees focused on Radiology Technology. Radiologic technologists are required to choose between advanced degrees in imaging to become more technically proficient or advanced degrees in management or business …

The Influence Of Culture On The Use Of Healthcare Services By Refugees In Southcentral Kentucky: A Mixed Study, Chika N. Ejike

Dissertations

The world as a global village has become a ubiquitous trope in the popular discourse, and Bowling Green, Kentucky, with its substantial immigrant population, may be considered an exemplar of this idealized community. It has become an ideal location for research regarding the challenges faced by immigrants. Due to the diverse cultural identities of the refugee/immigrant population, it is particularly well suited for studies into complex culturally dependent healthcare utilization patterns.

The central research question for the study was as follows: What are the healthcare-seeking behavioral patterns (as influenced by culture) among refugees at their nearest healthcare facilities? This mixed …

The Goal-Driven, Resilient, And Influential Teens Program In Kentucky High Schools: The Impact On Social And Emotional Learning And Influencing Factors, Brant Von Goble

Dissertations

In order to assess the effects of the Goal-driven, Resilient, and Influential Teens (GRIT) program on social and emotional learning and academic performance in high schools throughout Kentucky, data from several sources were compiled and analyzed. These sources included results from the Student Engagement and Performance (STEP) survey, an instrument developed by the Rock Solid Evaluation Team at Western Kentucky University and administered yearly to high school students and teachers, and school-level academic and socioeconomic data from the Kentucky Department of Education. Additional data on fidelity of GRIT program implementation were obtained from FranklinCovey, the GRIT program’s developer and publisher. …

Early Childhood Educators' Perspectives Of Play In Preschool Classrooms, Michelle Lois Edwards

Dissertations

This study examines early childhood educators’ perceptions of play as a developmentally appropriate practice in preschool classrooms. Through selective sampling, 10 preschool teachers were chosen. These teachers were identified because of their experience, education, and the lead they take on various projects, as well as the author’s personal knowledge of their work ethic and dedication to the education profession. The teachers were interviewed using an extempore, semi-structured configuration about their beliefs relating to play, how they implement play in their classrooms, and their viewpoint on hurdles to play. They identified the supports required to implement play as a developmentally appropriate …