Digital Commons Network^™

Who Cares? The Role Of Nursing Assistants In The Labor Process Of Hospital Nursing, Grace Eileen Scrimgeour

Dissertations

This research, using the feminist methodology of "reading up the power structure," is the first study of hospital-based Certified Nursing Assistants (CNAs). Through interviews with 21 CNAs in a large, independent, urban hospital in the Midwest, the study examines how two major institutions have impacted the labor process of CNAs and the division of labor between CNAs and RNs. These include historical changes in nurses' priorities in pursuing professional status, and the reconfiguration of healthcare provision in the United States. The removal of LPNs from hospital nursing creates a clear division of labor between RNs and auxiliaries since, unlike LPNs, …

Somos Familia: Family As An Organizing Trope In 20th-21st Century Latina/O Literature, Victoria Anne Bolf

Dissertations

This dissertation examines various ways that family has been employed as a model of both oppression and liberation in Latina/o literature. Working from an interdisciplinary standpoint at the crossroads of literary and cultural studies, women’s, gender, and sexuality studies, Chicano/a studies, and Latino/a studies, this project seeks to uncover how representations of familia in U.S. Latino/a literary texts accomplish their discursive work, as well as complicating conventional formulations of kinship and family.

I examine Down These Mean Streets by Piri Thomas, in Chapter One, in terms of queer family and the counter-domestic logic of “the streets.” In Chapter Two, I …

Predictors And Profiles Of Antiretroviral Therapy Adherence Among African-American Adolescents And Young Adult Males Behaviorally-Infected With Hiv: A Classification Tree Analysis Approach, Israel Moses Gross

Dissertations

Adherence to antiretroviral therapy is crucial for thwarting disease progression and reducing secondary transmission, yet HIV+ youth struggle with adherence. The highest rates of new HIV infections occur in young African American men (YAAM), thus understanding reasons for non-adherence in this group is critical. Reasons for non-adherence can be complex and multifactorial, and innovative methods of exploration are needed for advancing prevention and treatment efforts. A sample of 387 HIV+ YAAM who reported currently taking HIV medications were selected from a cross-sectional assessment of 2,226 HIV+ youth from sites within the Adolescent Trials Network for HIV/AIDS Interventions (ATN) from 2009-2012 …

Latino Students In Suburban High Schools: An Examination Of School Malleable Predictors Of High School Graduation, Kira Jean Hicks

Dissertations

Despite recent gains, Latino students drop out of high schools in the United States at a higher rate than their peers and at a significant cost. As more Latino students move to the suburbs, it is important for suburban high schools to meet their needs and solidify their path to graduation. Practices that appear to be promising in keeping students on track to graduate have been developed and studied in urban education settings and need to be validated with other populations and settings. The purpose of this study was to investigate the indicators that are predictive of on time graduation …

Mother-Infant Relationships In The Nicu: A Multiple Case Study Approach, Ilona Helin

Dissertations

Parent-child relationships consist of both external and internal components. The external component is the behavioral interaction between mother and child, while the internal components are expectations each member of the dyad has for the both the relationship and of the other partner. These expectations are called internal working models (IWMs) and are blueprints that have been developed from an individual’s childhood experience of sensitive or insensitive parenting. A mother’s IWMs influence how she perceives her child, her relationship with her child and herself as a mother, the sensitivity of her caregiving, and ultimately her child’s IWM of him or her …

Speculation: The Future(S) Of A Global Education Market, Kaine Osburn

Dissertations

This dissertation establishes a structural understanding of what is necessary to imagine in material terms the future of how education will be financed and how education knowledge will be circulated on a global scale. Making explicit a governmentality perspective for examining neoliberal constructions of education policy and practice first, this dissertation applies that perspective to understanding the trajectory of World Bank policies on financing and governing education over the last twenty years. While the first three chapters draw on existing conceptual and policy work, the chapters combine aspects of them in new ways which reveal a clear understanding of an …

The Role Of Cultural Climate, Racial Identity, And Mentoring Relationships On African American College Success, Kia-Rai Michelle Prewitt

Dissertations

African American undergraduate students face numerous challenges in higher education including adjusting to college-level work, a new environment, increased responsibilities, building new relationships, and experiences with discrimination. The dissertation study examined whether cultural climate, racial identity, and mentoring relationships predicted academic success for African American undergraduate sophomores attending four-year colleges and universities. The researcher analyzed these constructs using data from the 2012 national data set of the Multi-Institutional Study of Leadership (MSL) survey, an instrument containing over 400 items and scales measuring student demographic information, pre-college knowledge and experiences, college experiences, and educational outcomes. Results of a hierarchical multiple regression …

Brushing It Off? Applying The Theory Of Planned Behavior To Dental Visit Behavior, Rebecca Starkel

Dissertations

During the last decade, utilization of dental care services has decreased among working age adults. Given the importance of dental visits in the maintenance oral health, and the link between oral and overall health, this trend is disturbing. In order to better understand the reasons behind this downward trend, the current study uses the Theory of Planned Behavior to identify the most influential factors in one’s decision to visit the dentist, modified to include three additional components: affect, habit, and oral health knowledge. Two surveys were conducted to measure the following components as they relate to the dental visit: attitudes, …

The Trauma Thesis: Medical And Literary Representations Of Psychological Trauma In The Twentieth Century, Sarah Louise Eilefson

Dissertations

The historian Samuel Hynes has observed that World War I was not only the greatest military and political event of its time but also the greatest imaginative event. Soldiers and civilians struggled to comprehend the war’s devastation and the changes it produced while medical practitioners and artists examined the war as a site of extraordinary trauma. My project explores two of the many archives of trauma: the medical discourse through which trauma was defined; and representations of trauma in a variety of English language novels from the early and mid-twentieth century. I begin with a historical survey of the medical …

Factors Impacting Student Outcomes In Multicultural Counseling Courses, Kathleen Kordesh

Dissertations

This study explored how complex factors related to student characteristics (e.g., demographics, levels of racism) and instructor characteristics (e.g., demographics, level of multicultural competence, teaching strategies) are related to student outcomes in multicultural counseling courses (e.g., levels of racism and levels of multicultural competence at the end of the semester). Data collection yielded a sample of 21 students and six instructors. Findings suggest that instructors are a significant factor in how much students develop with regards to gaining multicultural knowledge, but not in how much students develop with regards to gaining multicultural awareness. Multivariate analysis of student responses suggest that …

Dbt And Bereavement: A Multiple Baseline Design, Marissa Marshak

Dissertations

This is an interpretive, single-subject design study, which followed a non-concurrent multiple baseline design to understand the processes of bereavement treatment. The study comprised six groups (n=29) enrolled in the General Adult Loss Groups after the loss of a family member. The researcher used mixed methodologies to understand the bereavement process, group work process, and DBT process. The objective was to evaluate whether the timing of implementing DBT, or DBT at all, improved coping outcomes. Two groups served as control groups, and the remaining four groups received a 5-weeklong 45-minute voluntary modified intervention of DBT at staggered intervention start points. …

Social Justice And Ecological Responsibility: A Moral Case For International Collaborative Action On Environmental Degradation And Climate-Induced Displacement, James Stephen Mastaler

Dissertations

The contemporary ecological crisis, manifest in human-induced climate change, is a powerful form of structural violence against the poorest communities on the planet. As such, my research resides at the nexus of structural poverty, gender disparity, ecological degradation, and climate-induced displacement. The social justice implications emerging from this nexus require responsible moral deliberation and discernment over the international community's role in minimizing the human tragedies accompanying forced displacement and migration. While asserting the interconnectedness and dependency of all life upon mutual flourishing, responsible decision-making expands the range of felt moral concern to include ecological flourishing. Social justice is only possible …

Easing My Burden: A Grounded Theory Study Of Kidney Transplant Recipients' Experience With Their Transplant Coordinators, Gwen E. Mcnatt

Dissertations

Organ transplantation holds the promise of new life or better life for thousands of Americans every year. Transplantation involves a process that stretches over time beginning at referral, moving to transplantation and long term care. The transplant coordinator is considered an integral part of this care. Transplant coordinators are considered so important to the care of these patients that transplant centers are required to have at least one transplant coordinator by federal regulations.

The role of the transplant coordinator, however, is not well defined. Although many of the role dimensions attributed to transplant coordinators are consistent with nursing practice, the …

Censorship And Intolerance In Medieval England, Richard Obenauf

Dissertations

Censorship is difficult to prove conclusively in the Middle Ages because manuscript culture is susceptible to the destruction of evidence, namely by burning works deemed unacceptable. Moreover, medieval authors were subject to many forms of intolerance which shaped their literary decisions. This dissertation proposes that the roots of formal print censorship in England are to be found in earlier forms of intolerance which sought to enforce conformity and that censorship is not distinct from intolerance, but rather is another form of intolerance. I draw on political writings by Peter Abelard, John of Salisbury, and William of Ockham to establish a …

Mandated Reporting: An Examination Of Training And Practice Of School Psychologists, Katie Nicole Bradshaw Sears

Dissertations

This study sought to explore the training opportunities, knowledge, confidence in intervening, reporting behaviors, and types of supervision received and given in the areas of child maltreatment and mandated reporting by practicing school psychologists. Little is known about school psychologists' knowledge of child maltreatment and specific mandates about reporting suspicions of abuse or how to appropriately respond to disclosures of abuse (Arbolino et al., 2008). Given school psychologists' unique role in schools working directly with children, it is not uncommon for school psychologists to either suspect maltreatment is occurring or to hear a disclosure of maltreatment directly from a student. …

Amyloid Precursor Protein (App) Regulates G0/G1 Transition And Cell Growth, Anna Sobol

Dissertations

Non-small cell lung cancer (NSCLC) originates in the epithelia of the lung and persists as the leading cause of cancer-related death in the United States. Many studies have shown that hypoxia is prevalent in NSCLC tissue and negatively influences treatment outcome.

In previous studies, we investigated the efficacy of gamma-secretase inhibitor (GSI) treatment in an orthotopic mouse NSCLC model. Analysis of hypoxic areas of tumors from GSI treated animals showed reappearance of 4E-BP1 phosphorylation at threonine 37/46 residues (T37/46). 4E-BP1 phosphorylation is primarily mediated by mechanistic target of rapamycin complex 1 (mTORC-1), a major cell integrator of growth factors stimulation, …

A Multi-Method Analysis Of Body Mass Index, Physical Activity, And Executive Functions Among Urban Minority Girls, Amanda K. Ward

Dissertations

Recent evidence suggests that the summer months represent an especially vulnerable time of year for weight gain, inactivity, and cognitive decline, particularly among adolescent girls. To explore these issues, this study examined the relations between changes in physical activity (PA), body mass index (BMI), and executive functions (EFs) among a sample of sixty-eight, 10-to 14-year-old girls participating in a four-week, community-based summer camp. Objectively measured PA data (i.e., accelerometer), BMI measurements, and EF neuropsychological assessments were conducted prior to the first week of camp and during the last week of camp. Results revealed that girls increased in all measurements of …

The Expression Pattern Of Death Associated Protein Kinase1 In Normal Dorsal Root Ganglion Neurons And Following Peripheral Nerve Injury, Maryam Sulaiman Mohammed Al Saadi

Dissertations

Death-associated protein kinase1 (DAPK1) is a calcium/calmodulin (Ca2+/CaM) regulated serine/threonine kinase. An increasing body of evidence supports the significance of DAPK1 protein in cancer and CNS diseases. The role of DAPK in peripheral nerve regeneration and neuropathic pain remains completely unexplored. The aim of this study is to investigate the expression pattern of DAPK1 along with key proand anti-apoptotic cell signaling molecules (p53, Bax, Akt, ERK5, p38) and to verify the possibilities of DAPK1-NMDA NR2B relationship in dorsal root ganglion neurons (DRG) after 2 hours, 7 days and 14 days following a sciatic nerve injury. Gene expression analysis and immunohistochemistry …

California Community Colleges Child Development Laboratory Schools, Shari Yates

Dissertations

Community colleges in California are the primary source for preparing the early childhood care and education (ECE) workforce. The California child development lab school mission is to prepare ECE practitioners, provide a laboratory where college students can study and research child development/education, and offer a service to children and families. There are many benefits that are derived from laboratory schools but many community college lab schools have been reduced and/or closed over the past three years. The purposes of this Delphi study were (a) to examine the most pressing issues, problems and barriers facing California community colleges child development labs …

Implementation Of Sleep Problem Screening In A Pediatric Primary Care Office, Jennifer Erin O'Donnell

Dissertations

Sleep problems, a major problem for children and their parents, are the most common complaint brought to pediatric clinicians (advanced practice nurses and other healthcare providers) attention but are often ignored and underdiagnosed in the pediatric population (Faruqui, Khubchandani, Price, Bolyard, & Reddy, 2011). “Sufficient amounts of good quality sleep are necessary for healthy development in childhood” (Bordeleau, Bernier, & Carrier, 2012, p. 254). Inadequate sleep in children has been linked to numerous adverse outcomes psychologically as well as physically (Owens, Jones, & Nash, 2011). The American Academy of Pediatrics (AAP), issued recommendations in 2002 stating screening for snoring, one …

Impact Of The Serotonin Transporter Polymorphism On Emotion Identification In Healthy Older Adults, Staci Erin Scott

Dissertations

Older adults exhibit reduced accuracy and efficiency for identifying facial emotion expressions yet it is unclear how genetic or cognitive variables influence these findings. This study examined the impact of serotonin transporter polymorphism 5-HTTLPR on patterns of explicit emotion identification accuracy and reaction time (RT) in healthy older adults. The impact of 5-HTTLPR on measures of processing speed, attention, and executive function as well as correlations between cognitive measures and emotion identification measures were also examined. Methods: Forty-one individuals over the age of 50 were genotyped for bi-allelic and tri-allelic variants of 5-HTTLPR and administered an emotion recognition paradigm and …

Women In Kazakhstan: A Multifaceted Approach To Female Political Representation, Ashley Gaile Benedict

Dissertations

This investigation focuses on two competing theories (historical institutionalism and social constructivism) and their explanatory value in regards to female political representation in Kazakhstan. Historical Institutionalism maintains that current institutional dynamics are constrained by past institutional formations, even when these past institutions are no longer relevant. Social Constructivism challenges this theory by upholding that institutions are culturally situated and a reflection of shared ideas rather than material forces as argued by historical institutionalism. Based on Hanna Pitkin’s (1967) four dimensions of representation (formal, descriptive, substantive, and symbolic), I examine how Kazakhstan’s Soviet past and its creation of a Kazakh ethnic-national …

Proprioception And Developmental Motor Training: A New Treatment For Chronic-Phase Stroke Patients

Dissertations

With stroke occurrence increasing, along with survival rate, it is imperative to find ways of treating the chronic-phase of stroke. The purpose of this study was to determine if either or both of two interventions, or their combination, could improve functional performance in patients at least four years post-stroke. One intervention was resistance strength training while the other consisted of neurodevelopmental activities that parallel those used with developing children. Six participants, four male and two female, ranging in age from 23 to 60 (M age 44.5), were randomly assigned to one of the interventions. Participants ranged in stroke types and …

Onsite Integrative Clinics: Acupuncture, Positive Patient Outcomes, And Frequency Of Provider Office Visits, Sherry Shoemaker Phd

Dissertations

Purpose and Aims. There is limited information about outcomes of care, resource utilization, and associated costs for patients who receive acupuncture in integrative health settings. The purpose of this study was to address this gap through the following aims: To examine: (1) changes in patient pain levels pre/post acupuncture treatments; (2) relationships between receiving acupuncture treatments (number of treatments, length of time, select demographic factors, (age, gender), pain level pre and post acupuncture treatments; (3) relationships between number of treatments, length of time, age, gender, pain level (pre/post acupuncture treatments) and provider visits (pre/post acupuncture treatments); and (4) relationship between …

Network Flexibility For Recourse Considerations In Bi-Criteria Facility Location, Jeremy North

Dissertations

What is the best set of facility location decisions for the establishment of a logistics network when it is uncertain how a company’s distribution strategy will evolve? What is the best configuration of a distribution network that will most likely have to be altered in the future? Today’s business environment is turbulent, and operating conditions for firms can take a turn for the worse at any moment. This fact can and often does influence companies to occasionally expand or contract their distribution networks. For most companies operating in this chaotic business environment, there is a continuous struggle between staying cost …

Exploring A Diabetic Registry For Cardiovascular Risk Factors, Mary C. Anziano Phd

Dissertations

Background: Cardiovascular disease is the leading cause of death in the United States. There were over 18 million people diagnosed with diabetes in 2002. These disease processes together combine for significant health burden on society (American Diabetes Association, 2008). The purpose of the study was to describe the relationship between select demographics, and clinical characteristics to determine risk factors for cardiovascular disease in a diabetic population. Methods: A retrospective descriptive study was conducted using a diabetic registry database containing patients diagnosed with diabetes from January 1, 2011 to December 31, 2012. Study variables included age, gender, socio-economic status, glycosylated hemoglobin …

Teacher Leadership: Developing The Ability Of Teachers To Move Forward Independently—A Delphi Study Of Selected Secondary Teachers In Riverside County, California, Marilyn M. Saucedo

Dissertations

Purpose: The purpose of this study was to identify the key learning opportunities necessary to build teacher leadership, the most difficult barriers to overcome, and the most important facilitators as identified by teacher experts. This study also sought to determine the best approaches to implementation of identified learning opportunities, the most effective approaches for overcoming identified barriers, and the most effective approaches for implementing facilitators that support teacher leaders.

Methodology: Consistent with a Delphi method, the instruments used within this study collected perceptual data from an expert panel of high school teachers from Riverside County, California, through an electronic format …

The Case Of Reintegration Of Women Post Incarceration, Deana Raley Noble Phd

Dissertations

Women released from prison or jail face particular obstacles and challenges on reentry to the community, many of which are related to their childhood and to gender roles as women and mothers. This study relates the lived experience of one woman's successful transition to economic and mainstream societal reintegration and family reconnection after release from prison and the insights gained by the researcher. Case study methodology congruent with Miller's Relational-Cultural Theory philosophical framework was utilized in this in-depth, single case design and represents a unique case. The overall purpose of this descriptive and explanatory research was to explore precursors to …

Development Of Workforce Skills: Student Perceptions Of Mentoring In First Robotics, Katie Joan Veal Wallace

Dissertations

In today’s global economy, new workforce competencies are needed for success at both individual and societal levels. The new workforce skills extend beyond basic reading, writing, and arithmetic to include higher order processes such as critical thinking and problem solving. Technical job opportunities have grown by approximately 17%, yet the United States continues to decline in science, technology, engineering and mathematics (STEM) disciplines. Further, U.S. students earn average or below average test scores when compared to other developed countries. Researchers cite the need to incorporate the learning of workplace skills into secondary education curriculum, and advocates call for new teaching …

Pre-Service Teachers: A Study Of Self-Theories Of Intelligence And Attitudes About Web 2.0, Lee Ann Smith

Dissertations

This study examined the relationship of pre-service teachers’ self-theories of intelligence (mindset) and their attitudes about Web 2.0. The research questions evaluate: (a) Whether a significant correlation exists between pre-service teachers’ mindsets and attitudes about Web 2.0 (social media), and (b) Whether significant differences exist between demographic groups (e.g., age, certification area, gender) and their attitudes about Web 2.0 (social media). Results of the study indicate that a weak correlation between pre-service teachers’ perceived mindsets and perceived attitudes about Web 2.0 was statistically significant. In addition, significant differences were found based upon certification area, gender, and age with the sample’s …