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Acculturation And Attitudinal Disposition Of People From India Living In The United States Toward Mental Health Services, Santhosh Jose Adhikarathil

Dissertations

Acculturation experience and attitudes toward seeking mental health services among Asian Indian Americans, an ethnic minority group, are predominantly underrepresented in current literature despite their increasing number in the United States. The purpose of this study was to assess the acculturation experience of Asian Indian Americans and their attitude toward seeking mental health services, and to explore the relationship between acculturation levels and attitudes toward seeking mental health services. I used a quantitative research design to conduct this study. I employed an online survey through Qualtrics. The participants (n = 568) constituted a probability sample recruited from Indian-based Christian churches …

The Effect Of A Self-Guided Simulation Tool On Anxiety Related To Clincal Practice Among Baccalaureate Nursing Students During Their First Clinical Rotation, Karen M. Vargas

Dissertations

Research has demonstrated that anxiety can have a detrimental effect on learning and performance. Of great concern is the impact of anxiety on nursing students. By extension, additional research has shown that nursing students experience extremely high levels of anxiety, higher than many students in other programs. Specifically, nursing students have moderate to severe levels of anxiety due to many aspects of the educational program, but particularly when beginning clinical practice. Anxiety when beginning clinical practice among nursing students can cause negative outcomes in learning and performance. That is, when nursing students experience severe anxiety, they may experience the inability …

Experiences Of Incivility And Ageism In Currently Enrolled Rn To Bs Nursing Students And Their Intent To Quit, Kimberly A. Balko

Dissertations

Student registered nurses face barriers to successful completion of a bachelor's of science degree program when faced with memories of incivility within their basic nursing program and their current experiences of incivility and ageism in the classroom, as well as in the workplace. This incivility, along with generational differences, adds to the growing concerns of nurses' intent to quit their employers or the profession, which adds to the current and future nursing shortage. The incorporation of multigenerational education for nurses could enhance generational awareness including ageism, communication skills, conflict resolution, coaching, and mentoring to guide employed RNs and nursing students …

An Exploration Of The Influence Of Nursing Education Culture On The Integration Of Nursing Informatics Competencies Into A Collaborative Nursing Program Curriculum, Stephanie Atthill

Dissertations

Information communication technologies are becoming a customary part of the way in which nurses provide care. Consequently, it makes good sense to ensure that nursing informatics competencies are integrated into nursing curricula to prepare graduates for practice. However, few schools of nursing within Canada have fully integrated nursing informatics competencies into their curricula. Nursing education culture appears to influence decision-making, and the development of organizational priorities. Nonetheless, there are no known studies examining how nursing education culture impacts nursing informatics curriculum development endeavours. Therefore, this study aimed to address the following research questions: 1) In what ways does a nursing …

The Effect Of Learning Styles, Critical Thinking Disposition, And Critical Thinking On Clinical Judgment In Senior Baccalaureate Nursing Students During Human Patient Simulation, Kiyan Mccormick

Dissertations

Simulated learning experiences using high-fidelity human patient simulators (HPS) are increasingly being integrated into baccalaureate nursing programs. Thus, the purpose of this study was to examine relationships among learning style, critical thinking disposition, critical thinking, and clinical judgment during high-fidelity human patient simulation (HPS) in pre-licensure senior baccalaureate nursing students. Participant characteristics such as age, gender, cumulative grade-point average (GPA), and prior simulation experience were examined. The study also sought to determine predictors that may influence clinical judgment during the HPS simulation experience. A predictive correlational research design was employed to examine relationships among variables conceptualized from the NLN/Jeffries Simulation …

Nursing Faculty Members' Intentional Use Of Strategies That Promote Civility In The Bsn Classroom, Linda-Jo Pallotto-Russo

Dissertations

The purpose of this case study was to gain an understanding of nursing faculty members' intentional use of three research-based strategies that have been shown to promote civility in the BSN classroom. Specifically, Ajzen's (1985) Theory of Planned Behavior (TPB) was used to analyze nursing faculty members' reports of their attitudes, normative beliefs, and control beliefs about the use of three research-based strategies that have been shown to promote civility in their classroom. Azjen theorized that individuals base their behaviors on intention and intentions are based on the individuals' attitudes toward the behavior, their perceptions of how others wanted them …

The Effect Of Attitudinal Dynamics Of Inpatient Nurses On The Use Of A Mobile Electronic Health Record, Mark Ambler

Dissertations

The implementations and ongoing use of mobile information systems could enhance nursing workflows at the point of care. However, when a system is not perceived as easy to use or useful, the frequency of its use is decreased. This non-experimental quantitative study conducted a survey of inpatient bedside nurses and nurse leaders to determine how their perceptions and attitudes affected the use of mobile technology. Statistically significant positive correlations were found when the participants were asked if the mobile system gave them greater control over their work. A statistically significant relationship was found between bedside nurses and nurse leaders, where …

Student Nurse Perspectives On The Impact Of Longitudinal Home Visits To People With Dementia And Their Carers, Wendy J. Grosvenor

Dissertations

Multiple deficits have been identified in dementia education by UK policy makers and, from September 2015, the Department of Health mandated that undergraduate healthcare curricula included dementia. Here I explore one particular novel approach, the Time for Dementia Programme, which had at its core longitudinal learning from people with dementia and their carers.

The study aimed to evaluate the impact of visits to the homes of people with dementia and their carers as part of the Time for Dementia Programme. To do this it explored adult nursing students' perceptions of their professional learning and practice and career destination.

Influences Of Perceived Environment, Partner Support, And Attitudinal Familism On Physical Activity Among Mexican American Women, Neomie C. Congello

Dissertations

Healthy lifestyle behaviors such as engaging in physical activity (PA) may reduce the risk for cardiovascular disease (CVD), the number one cause of mortality among Mexican American women (MAW). Research findings show that MAW have low levels of leisure time PA and vary in the amount of overall PA. The influence of partner support has received little attention in studies examining predictors of PA. This cross sectional study investigated factors influencing PA among MAW aged 19 to 64 years old (mean = 39.4, SD = 11.1) who may be at increased risk for CVD based on hypertension, diabetes and obesity …

A Delphi Study On The Use Of Simulation In Undergraduate Nursing Education, Diana L. Bailey

Dissertations

The lack of traditional clinical sites for nursing students has prompted a surge in simulation as an innovative teaching strategy in undergraduate nursing education. The International Nursing Association for Clinical Simulation and Learning (INASCL) developed the INACSL Standards of Best Practice: SimulationSM to direct schools of nursing in implementing high-quality simulations. As simulated experiences replace traditional clinical experiences, it is imperative that simulated experiences replicate real-life patient scenarios. The purpose of this Delphi study was to establish consensus on the use of the INACSL Standards of Best Practice: Simulation in undergraduate nursing education. The conceptual frameworks guiding this study were …

The Relationship Between The Neighborhood Environment, Health Behaviors And Health Outcomes Among Urban Hispanics In New York City, Manuel C. Co Jr.

Dissertations

Hispanics account for more than half of the total United States (US) population growth between 2000 and 2010. To gain a comprehensive understanding of a predominantly Hispanic urban community in Northern Manhattan, the aims of this cross-sectional observational study were: (1) to characterize the actual and perceived neighborhood food environment in Northern Manhattan, (2) to understand the relationship between the actual and perceived neighborhood food environment, sociodemographic characteristics and the likelihood of consuming five or more servings of fruits and vegetables per day, and (3) to describe the contribution of participants' sociodemographic characteristics and health behavior to their health outcomes.

Attitudes, Subjective Norms, And Perceived Behavioral Control Of Perianesthesia Nurses' Intentions To Engage In Mindful Self-Care, Brenda K. Sanya

Dissertations

The purpose of this study was to examine the relationships among attitudes, subjective norms, perceived behavioral control, and intentions to engage in mindful self-care among nurses working in the peri-anesthesia setting. The study utilized cross-sectional design and was guided by the Theory of Planned Behavior.

Screening, Brief Intervention, And Referral To Treatment For Pregnant Women, Rebekah Feeney

Dissertations

Abstract

Background: In the United States, 10-20% of pregnant women reported using drugs during pregnancy. Current recommendations are to screen for drug use in all patients and provide a brief intervention and referral to treatment. The purpose of this quality improvement project was to evaluate the impact of implementing a standardized screening, brief intervention, and referral to treatment (SBIRT) protocol for first-trimester pregnant patients who are seen in the obstetrical department.

Methods: The Tobacco, Alcohol, Prescription Medication, and Other Substance Use (TAPS) screening tool was administered to first-trimester pregnant women, 13-45 years of age, seen in the obstetrical department from …

Screening For Depression Post Acute Coronary Syndrome, Alyssa Graham

Dissertations

Background: Acute coronary syndrome (ACS) and depression have profound impacts on patient outcomes. Patients who experience ACS are at increased risk of developing depression, which is associated with an increased risk of death and recurrent cardiac events. The evidence following ACS events promotes routine depression screening. The purpose of this project was to identify early depression in patients 65-99 years of age who had a recent diagnosis of ACS during their hospitalization.

Methods: This quality improvement (QI) project was a prospective descriptive observational design implementing a depression screening protocol to evaluate post-ACS referrals within 7-14 days of screening from February …

An Insider's Perspective To Mentoring Novice Math And Science Teachers In A University Mentoring Program: A Self-Study, Krishna R. Millsapp

Dissertations

Novice teachers benefit from individualized and cohort mentoring to help them successfully navigate student teaching and the first years of independent teaching. However, schools are experiencing a rise in attrition rates post-pandemic, especially in math and science. Mentoring, goal setting, and community-building are deemed important for retaining novices and providing them with individualized support as they navigate instructional challenges and professional responsibilities. This self-study investigates the experiences of a mentor while leading a new Professional Development & Mentoring Program for math and science novices. Educative mentoring and Hegarty’s Reflective framework helped guide the reflections of the mentor as mentoring strategies …

Examining The Adjustment And Coping Trajectories In Healthy Siblings Of Children With Life-Threatening Conditions, Joanne Tay

Dissertations

Siblings of children with life-threatening conditions are often referred to as "forgotten" mourners as focus tends to be on the ill child and parents. With limited knowledge about siblings' experience, it is challenging to provide appropriate supports.

The purpose of this dissertation was to examine and expand current evidence about siblings' experiences to guide research and clinical practice.

Service-Learning's Impact On The Development Of Undergraduate Nursing Students' Soft Skills, Cheryl A. Passel

Dissertations

This mixed-methods study through a constructivist lens, focused the actions, thoughts, and perspectives of undergraduate nursing students who participated in one nursing course with a service-learning component. The four-fold purpose of this study was to answer the following questions: (1) As a teaching strategy, how does one undergraduate nursing course with a service-learning component enhance the development of soft nursing skills? (2) How were empathy and self-awareness evident in the students who participated in this study? (3) What did these students do, say, and feel that gave evidence of any development of soft skills? (4) How did the soft skills …

The Lived Experience Of Faculy Support With Generation Z Pre-Licensure Baccalaureate Nursing Students, Amy Shearer

Dissertations

Baccalaureate nursing education requires a high level of academic performance for both acceptance and completion of the program. Nursing students often identify faculty as a source of support to persevere through this rigorous educational program. In 2013, a new generation of students entered nursing education: Generation Z. It is unclear as to how the unique characteristic of Generation Z will align or differ with Millennial nursing students regarding their need for faculty support. Husserl's descriptive phenomenological method was used to explore pre-licensure baccalaureate Generation Z nursing student experiences of faculty support.

Clinical Nurse Experts' Experience Of Transitioning To The Novice Nurse Educator Role, Crystal Toll

Dissertations

Clinical nurse experts are often recruited into educator roles based solely on clinical expertise. Without support and mentorship, clinical nurse experts struggled with transitioning into the educator role. The purpose of this study was to understand the experience of new nurse educators' transition from a clinical nurse expert to novice nurse educator and to examine the perceptions of supports and barriers. Transitional theory provided the conceptual framework and informed the development of the interview protocol. The research questions focused on the experience of transitioning from expert to novice and on identifying supports and barriers that influenced transition. Using a case …

Nurse Faculty Perceptions Of Role Stress And Faculty-To-Faculty Incivility, Anne K. Kleinhesselink

Dissertations

The purpose of this study was to determine the relationship between nurse faculty perceptions of role stress and faculty-to-faculty incivility using the stressor-emotion model of counterproductive work behaviors. A convenience sample of 79 nurse faculty from 39 undergraduate nursing programs in Iowa responded to an online survey. The survey consisted of two instruments: Workplace Incivility Civility Scale and Role Strain Scale. Findings revealed 76 participants perceived incivility as a problem and identified stress (n = 64) and demanding workloads (n = 54) as contributing factors. Pearson correlation results revealed a positive relationship between experienced incivility and nurse faculty …

Exploring Home Health Nurse Decision Making: Development And Implementation Of The Visit Plan, Elliane Irani

Dissertations

Demand for home health services is increasing due to the growing aging population, increasing rates of chronic conditions, and advances in health care that support the provision of many health-related services in patients' homes. Home health agencies must adapt care delivery procedures to meet the needs of diverse and complex patients in order to keep them in their homes for as long as possible. However, it is unknown how home health nurses decide on visit patterns and implement their visit plans within the dynamic and unpredictable home health setting. This qualitative descriptive study was guided by an adapted nurse decision-making …

Hotspotting In Home Health: The Impact Of Interprofessional Student-Team Home Visits On Health Outcomes Of Super-Utilizers Of The Health Care System, Jennifer T. Alderman

Dissertations

The purpose of this study was to examine the impact of interprofessional student-team home visits on the health outcomes of super-utilizers of the health care system. The cost of health care continues to increase at an unsustainable pace. Innovative educational approaches integrated with existing models of care are an example of a potential strategy aimed at reducing costs and improving outcomes. The model implemented in this study is referred to as hotspotting, an emerging term that describes an intervention during which super-utilizers are the focus of the intervention. Teams of interprofessional health professions students performed home visits on these patients …

Abriendo Caminos: A Case Study Of An Online Bilingüe Msw Program, Celeste Natividad Sanchez

Dissertations

Latine students are underrepresented in social work education. This case study focuses on the Online Bilingual MSW (OBMSW) Program, the first bilingual (Spanish and English) and online MSW program in the mainland United States. The purpose of this study was to explore and have a greater understanding of how the OBMSW program is providing an alternative educational pathway specifically for Latine students. Purposeful sampling was used to identify seven interview participants who have had direct involvement in the creation, design, and/or implementation of the OBMSW program. A document review of program documents was also conducted. Data were analyzed using the …

Bipoc Counseling And Health Service Psychology Graduate Students’ Experience Of Racism And Sense Of Belonging: A Conditional Mediation Analysis Of Coping And Social Support, Erica Pinney

Dissertations

This study sought to understand the relationship between experiences of racism within academic settings and sense of belonging to the field of Counseling/Health Service Psychology (C/HSP) for BIPOC graduate students. Further, this study sought to understand the potential mediating role of engagement coping in this relationship, as well as the conditional effect of high, neutral, or low perception of race-related social support from faculty/peers. Two-hundred forty-nine BIPOC C/HSP students responded to survey questions measuring frequency of racial/ethnic microaggressions, sense of belonging to C/HSP, engagement styles of coping with racism (Education/Advocacy and Resistance), and perception of availability of racism-related social support …

In Pursuit Of Racial Equity: The Role Of Women Presidents And Senior Leadership Teams In Higher Education, Lisa Castillo Richmond

Dissertations

Colleges and universities are of the place and time in which they exist, reflecting the prevailing racial, income, and wealth inequities across society. As a result, the history of higher education in the United States tells both a story of opportunity and advancement, as well as one of exclusion, separation, and inequality. The expansion of access over time has also been accompanied by racial and socioeconomic stratification by institution type and disparities in college completion rates (Carnevale & Strohl, 2013; Fry, 2013). Today, issues of racial and socioeconomic equity continue to pose significant barriers for students. Additionally, women remain stubbornly …

Experiences Of School Climate Among Sexual Minority Students Of Color, Brandon Westerman

Dissertations

Since the 1980’s educational research regarding sexual minority students has continued to expand. Researchers have found that school climate can have a profound impact on sexual minority students’ outcomes, including their mental health and academic success. However, much of the research on the effects of school climate upon sexual minority students consists of studies that are predominantly composed of White participants, or the researchers do not address other aspects of participant identity. Based on the concept of intersectionality, it is known that an individual’s experiences are shaped by all their identities, not just a singular one. The purpose of this …

Early Childhood Foundations Of Adolescents' Critical Consciousness In Under-Resourced And Minoritized Communities: The Roles Of Prosocial Behavior And Cognitive Self-Regulation In Middle Childhood, Zahra F. Naqi-Hasnain

Dissertations

As Black and Latino teens from under-resourced backgrounds remain vulnerable to oppressive forces, critical consciousness has emerged as a developmental asset that involves understanding, reflecting upon, and acting against inequitable social structures. However, scholars have yet to determine how critical consciousness may fit into a developmental framework, leaving unanswered questions regarding the roots of adolescents’ critical consciousness. By integrating sociopolitical and developmental frameworks, this dissertation empirically examined how early environmental factors and individual competencies set the stage for critical consciousness during adolescence, via prosocial and self-regulatory skills during middle childhood. Longitudinal data were drawn from the Chicago School Readiness Project …

Identifying And Characterizing Cognitive Profiles In Midlife Females: A Latent Profile Analysis, Hannah Hagy

Dissertations

Females are at two-thirds greater risk of developing Alzheimer’s disease (AD) than males. Due to this notable sex difference in cognitive aging and disease burden, there has been an increased focus on understanding the critical role of the menopausal transition (decline in fertility during midlife) as it relates to cognitive functioning across midlife. Thus, the present cross-sectional study used a sample of midlife females at different stages in the menopausal transition (N=202; Age 40-60 years) as part of a larger, multimodal design study, to elucidate distinct cognitive profiles while accounting for education, which were then characterized by other demographic factors, …

Generations After Us (Undergoing Stress): An Exploration Of Interpersonal Violence And Loss On Psychosocial Functioning At The Parent, Child, And Family Level, Kaleigh Valencia Wilkins

Dissertations

Previous studies propose that interpersonal violence and loss, parenting, and attachment each individually contribute to child and family distress. The following studies aimed to further explore these effects across and within various generational groupings. The first study explored exposure to community violence at the parent level and at the child level in an attempt to understand how such stress impacts parents’ perceptions of family functioning in African-American and Latine families. Findings suggested that family functioning is weakened the most when both a parent and adolescent are exposed and when just a parent was exposed. The second study examined differences in …

Napping, Sleep, And Affect In Adolescents: A Daily Diary And Actigraphy Study, Elizabeth Rea

Dissertations

Adolescents in the United States do not typically attain enough quality sleep at night due to a combination of biological maturation and academic and social commitments, leading to poor cognitive, mental, and physical health outcomes. Naps may compensate for inadequate sleep; however, little is known about how napping affects nocturnal sleep and mood over time among adolescents who are poor sleepers. The present study used daily diary and actigraphy data collected over 15 days in a sample of evening-chronotype, poor sleeping adolescents (n=99; Mage=15.85 (SD=0.99); 44% Male, 55% Female; 46% White, 30% Black, 12% More than one race, 8% Other, …