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The Effectiveness Of A Promotora-Led Intervention For Mexican Americans With Type 2 Diabetes, Josefina Lujan

Dissertations

The purpose of this randomized control repeated measures trial was to determine the effectiveness of a self-management intervention led by community lay workers called promotoras on the health outcomes of Mexican Americans with type 2 diabetes living in a major city on the Texas - Mexico border. The specific aims of this study, in relation to the intervention group participants, were to: (1) decrease the glycosylated hemoglobin (A1c) blood levels at the six-month assessment, (2) increase diabetes knowledge at the three and six-month assessments, and (3) strengthen the participants' beliefs in their ability to manage diabetes at the three and …

The Experience Of African Students Studying Nursing In The United States In Relation To Their Use Of Critical Thinking, Donald L. Tyson

Dissertations

This qualitative study explores the critical thinking experiences of African nursing students enrolled in several universities in the U.S. Using a semi-structured interview approach, twelve African students discussed their experiences using and learning a western critical thinking approach, as well as described their educational experiences in Africa. Three major frameworks guided the study including van Manen's interpretive hermeneutical approach to qualitative research, the conceptual models of critical thinking described by Scheffer and Rubenfeld's (2000) nursing consensus statement and Barnett's (1997) description of criticality, and the African concept of Ubuntu.

The Experience Of Viewing Self In The Mirror After A Mastectomy, Wyona M. Freysteinson

Dissertations

The purpose of this study was to talk with women who have had a mastectomy in order to discern the experience of viewing self in a mirror post-operatively. More specifically, the study sought to describe the experience from both a structural and a phenomenological perspective. The question guiding the study was: What is the experience of viewing self in the mirror after a mastectomy? Twelve women, who had a mastectomy 3-12 months prior to participation in the study, discussed their experiences of viewing self in mirror in audio-taped conversational interviews. A structural analysis was performed on each transcript, followed by …

The Cultivation And Practice Of Spiritual Care Expertise In An Inpatient Palliative Care Setting, Gail E. Simmons Pittroff

Dissertations

Caregivers involved in palliative care seek to understand problems and challenges at end of life through research to determine the best care for patients and their families. Spiritual care is a key component of quality end of life care, yet there is a paucity of research on spiritual care in inpatient settings at end of life in nursing literature. The purpose of this study was to examine the personhood and spiritual care practices of inpatient palliative nurse consultants. This study describes expert nurse's experience of delivering spiritual care for patients and families at end of life in inpatient palliative care …

International Trade In Health Services: Assessing The Patterns Of Trade In Global Healthcare Delivery, Tawnya Bosko

Dissertations

This dissertation will contribute to the research on international trade in health services through the analyses of three distinct but related topics within international trade in health services. We recognize that different countries have varying health system structures and that advances in transportation and communication have enabled individuals to seek care outside of their home country, allowed countries to invest in foreign health systems and created a market whereby US health systems are promoting their services abroad. However, we don’t know which factors influence individuals, countries and institutions in seeking services and trade partners in the healthcare sector. This dissertation …

The Roles Of Educational Leaders And Other Factors That Contribute To Successful Programs For English Learners, Abdulmohsen Ibrahim Alsliman

Dissertations

Public schools in the United States have experienced a rise in the number of English language learners (ELLs). (National Center for Education Statistics [NCES], 2018). The ELLs across different states including Colorado schools underperform academically when compared to their peers (NCES, 2018). To close the achievement gap, it is important to understand how to create and sustain successful ELL programs at the elementary level. Therefore, the purpose of this non-experimental survey research was to identify the possible factors contributing to the success of ELL programs in elementary schools in the same school district and to explore the role administrators and …

Mathematical Literacy: A Case Study Of Pre-Service Teachers, Maria Gabriela Lopez Jaramillo

Dissertations

This study addresses the question of whether or not pre-service teachers are ready and prepared to use and teach the highly-specialized language of each discipline. The disciplinary languages present teaching and learning challenges due to their lack of parallels in the daily language (Shanahan & Shanahan, 2008). Additionally, the languages of the disciplines are rarely taught and are commonly acquired through an isolated representation of words without a situated meaning within the theory (Gee, 2002). The knowledge of the particular ways of reading, writing, listening to, and talking in the content areas provides opportunities for students’ apprenticeship within the disciplines …

The Effects Of Disability Labeling On Teachers’ Referrals Of Twice-Exceptional Children To Gifted Programs In Saudi Arabia, Amra Abdulrahman Mohammad

Dissertations

The issue of biases associated with labeling students as gifted or as having a disability presents a significant challenge to educational professionals with regard to identification and the provision of services. In the presence of labels indicating giftedness, disability, and twice exceptionality, research consistently demonstrated biases on the part of parents, teachers, and even other students. These biases could prevent students from receiving the services they need to achieve their fullest potential (Bianco & Leech, 2010). The current study systematically replicated a study by Bianco and Leech (2010) and examined the influence of disability labels on teachers’ decisions to refer …

Implementing Social And Emotional Learning In Rural Colorado Schools: A Quantitative Study Of The Impact Of Impetuses And Challenges, Jimmie Robert Charles Phillips

Dissertations

The purpose of this study was to identify the circumstances of rural Colorado schools that impact SEL implementation. The research also sought to determine the relationship between impetus for implementation and levels of achieved implementation as well as the relationship between implementation challenges and achieved levels of implementation. A survey of 113 school leaders provided data about these relationships. The findings supported current literature about the difficulties of implementing SEL and about rural school challenges in general. The results indicate that leaders who observed best practices in SEL at the building-wide and classroom level also rated themselves as having higher …

Health Care Access And Utilization By U.S. Farmworkers, Genesis Bojorquez

Dissertations

Background: Agriculture industry has the highest fatality rate among all United States industries. Farmworkers experience high rates of occupational injury, illness, and mortality, yet have limited access to health care. Implementation of the Patient Protection and Affordable Care Act (ACA) of 2010 increased health care accessibility and broadened farmworker eligibility for health insurance, yet no study has measured the impact of the ACA upon U.S. farmworkers.

Purpose: The purpose of this research was to examine health care access and health care services utilization among U.S. farmworkers following the implementation of the ACA in 2010.

Specific Aims:

1. Apply the …

The Role Of Emotional Intelligence On Occupational Stress And Longevity As Perceived By Special Education Teachers Who Teach Students In Special Day Classes With Moderate To Severe Disabilities, Chukwuka Bandele

Dissertations

Purpose: The purpose of this qualitative phenomenological study was to describe the perceived occupational stressors experienced by moderate to severe teachers of special day class (SDC) in Riverside and San Bernardino counties and how these stressors affect teacher longevity. An additional purpose of this study was to discover the perceptions of moderate to severe teachers of SDC setting on the importance of (EI) characteristics-self-awareness, self-management, social awareness and relationship management on their management of occupational stressors and longevity in the teaching profession.

Methodology: The study used a qualitative phenomenological research design to explore the occupational stressors of special education …

Emotional Intelligence: An Essential Ingredient For Principals To Successfully Implement The Big Picture Learning 10 Distinguishers, Amos Nugent Iii

Dissertations

Purpose. The purpose of this mixed methods descriptive case study was to explore and describe the importance of self-awareness, self-management, social awareness, and relationship management EI characteristics as perceived by principals when implementing the 10 learning distinguishers of Big Picture Learning (BPL) schools’ conceptual framework in order to support the academic success of ninth- to 12th-grade students attending BPL alternative education schools in the Southwestern United States.

Methodology. This mixed methods research design used qualitative and quantitative data to analyze the research questions regarding the importance of EI characteristics when supporting student academic success according to alternative education principals. The …

Academic Field Influence On Acquisition Of Global Awareness In Undergraduate Study Abroad Students, Tim Schmalz

Dissertations

Very little comprehensive research has been done thus far examining the effects of academic discipline on study abroad outcomes. This study investigated potential differences between global awareness scores across different academic disciplines for students that participated in study abroad during their undergraduate academic programs. Five hundred and eight-five current and past university students took a short survey modified from a Chieffo & Griffiths 2004 study. Overall global awareness scores, as well as scores for four sub-characteristics: intercultural awareness, personal growth & development, awareness of global interdependence, and functional knowledge of world geography & languages – were compared across student majors …

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

Dissertations

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

Student Perceptions Regarding The Use Of Purposive English In A Spanish As A Foreign Language Classroom, Kacey Booth

Dissertations

In modern American society, diversity is both challenged and celebrated, and inclusion is imperative. This ideology begins in the classroom. Oftentimes, this celebration of diversity, more specifically linguistic diversity, is most visible in Teaching English to Speakers of Other Languages (TESOL) classes and similar bilingual educational programs. In TESOL programs, students’ international identities are highlighted and students are often instructed using multilingual educational resources to scaffold their acquisition of English. Historically, foreign language teaching also utilized dual-language instructional methodologies. Such archaic teaching methodologies have since been replaced by more modern and immersive sociopsycholinguistic approaches such as Communicative Language Teaching. Such …

Racial Identity Among Native American Adults In The Southwestern United States, Deidre P. Begay

Dissertations

There is growing interest in the empirical psychological study of Native Americans. Nonetheless, currently there are few empirical investigations examining Native American identity from a racial perspective. One study, completed in 2011 by Gonzalez and Bennett, modified the Multidimensional Inventory of Black Identity to adapt to Native American individuals and used an Exploratory Factor Analysis that resulted in a four factor model of Native American identity called the Native Identity Scale (Gonzalez & Bennett, 2011). The purpose of this study was to examine the reliability of the Native Identity Scale when used with a sample from self-identified Native American adults …

Language – Liberation – Leadership The Identity Reconstruction And Lived Experiences Of Subaltern (Non-Elite) Learners Of English In Pakistan, Aamir Hasan

Dissertations

English enjoys an unassailable position of dominance in the world today, especially as the language of leadership. In most of the developing world, fluency in English is a must for meaningful employment and leadership opportunities. Yet English is the preserve of a tiny elite class, who use it as a first language. For the vast majority, the prospects for learning English are bleak. However, some individuals not hailing from the elite classes acquire the language through personal effort and perseverance. Yet, researchers have not studied this population.

The purpose of this study was to understand the lived experiences of non-elite …

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

Dissertations

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

The Pre-Instructional And Reading Comprehension Strategies Special Education Teachers Use To Engage And Instruct Elementary Student Readers With Asd, Murfet Alnemr

Dissertations

Lyon (1998) called reading “critical to a child’s overall well-being.” Given the ubiquity of text in their lives today, reading skills can help students lead productive, meaningful lives. But what about elementary student readers with ASD? Senokossoff (2016) argued that “in addition to the social and emotional difficulties that children with ASD experience, many also struggle with reading comprehension.” Research indicates that students with ASD can face deficits associated with self-regulation and sensory overload—associated with visual, hearing, and touch —and this can threaten learning and comprehension (Bogdashina, 2003). Thus, it could be argued that pre-instruction strategies focused on visual, hearing, …

Cross Language Information Transfer Between Modern Standard Arabic And Its Dialects – A Framework For Automatic Speech Recognition System Language Model, Tiba Zaki Abdulhameed

Dissertations

Significant advances have been made with Modern Standard Arabic (MSA) Automatic Speech Recognition (ASR) applications. Yet, dialectal conversation ASR is still trailing behind due to limited language resources. As is the case in most cultures, the formal Modern Standard Arabic language is not used in daily life. Instead, varieties of regional dialects are spoken, which creates a dire need to address dialect ASR systems. Processing MSA language naturally poses considerable challenges that are passed on to the processing of its derived dialects. In dialects, many words have gradually morphed from MSA pronunciations and at many times have different usages. Also, …

Activated Carbon Nanofibers From Renewable (Lignin) And Waste Resources (Recycled Pet) And Their Adsorption Capacity Of Refractory Sulfur Compounds From Fossil Fuels, Efstratios Svinterikos

Dissertations

Dementia is a condition in which higher mental functions are disrupted. It currently affects an estimated 57 million people throughout the world. Dementia diagnosis is difficult since neither anatomical indicator nor functional testing are currently sufficiently sensitive or specific. There remains a long list of outstanding issues that must be addressed. First, multimodal diagnosis has yet to be introduced into the early stages of dementia screening. Second, there is no accurate instrument for predicting the progression of pre-dementia. Third, non-invasive testing cannot be used to provide differential diagnoses. By creating ML models of normal and accelerated brain aging, we intend …

Factors Influencing Latino/Hispanic Caregivers' Perception Of The Experience Of Caring For A Relative With Alzheimer's Disease, Lyda Consuelo Arevalo-Flechas

Dissertations

CONTEXT: The role that culture and language has on a person's perception of the caregiving experience has not been explored. Neither have appropriate instruments been developed to explore the concept of burden that are culturally sensitive and linguistically congruent. Furthermore, there is not a Spanish word that is equivalent to the English word burden. AIMS: 1. To describe the perceptions of the caregiving experience of bilingual (Spanish-English) and monolingual (Spanish) Latino/Hispanic family caregivers of patients with Alzheimer's disease (AD). 2. To describe the culturally and linguistically relevant expressions and terminology used by bilingual and monolingual Latino/Hispanic AD family caregivers to …

How Do Student Nurses Of English Language Learner Populations Experience Nclex-Rn Style Questions?, Shawne Manies

Dissertations

The purpose of this qualitative study was to explore how student nurses of English Language Learner (ELL) populations experienced National Council Licensure Examination for Registered Nurses (NCLEX-RN) style questions. Evidence has suggested difficulty in improving the nation’s diversified nursing workforce, resulting in concerns over minority nurse representation. Student nurses of ELL populations are more likely than non-English language learner student nurses to be out of sequence or released from a nursing program. The extant literature has shown that this population of students struggle with NCLEX-RN style questions and that they have significantly lower pass rates than their English-speaking counterparts. Literature …

A Meta-Synthesis Of The American And The European Standards For The Accreditation Of Counseling Training Programs, Natalia Zapolsky

Dissertations

The purpose of this qualitative study was to explore how the European Standards for the accreditation of counseling training programs compare to CACREP standards and to each other. The differences and commonalities between standards have been defined through a meta-synthesis of integrated findings from a large body of inter-related qualitative studies and reinterpretation of the synthesized data.

This qualitative meta-synthesis research was intended to contribute to the process of counseling globalization by exploring the unique cultural features and aspects of the European and the U.S. accrediting systems for counseling training programs. This research revealed 1) the commonly recognized areas that …

An Examination Of Social Support And The Academic Performance Of Saudi Arabian Students In The United States, Yaser Abdulrahman Alghamdi

Dissertations

Saudi Arabia is among the top 10 countries from which students have enrolled in U.S. universities. The scarcity of research about Saudi students in the USA was the inspiration for this study. Previous researchers have examined Saudi students’ challenges and adjustment issues in the USA, but the topic of social support and academic performance remained lacking. The purpose of this study was to examine the relationship between perceived social support (PSS) and academic performance among Saudi international students in USA. This study was a cross-sectional quantitative survey design with a sample of 384 Saudi students enrolled in USA universities and …

واقع النحو العربي في ضوء محاولات تجديده في العصر الحديث, مأمون سليمان محمد الغنام

Dissertations

الشكوى من صعوبةِ قواعدِ اللغة العربية قديمة وحديثة، ولكنَّها زادت في العصر الحديث، على نحوٍ يجعلُ من مادة النَّحو مادةً عسيرةَ الفهم صعبةَ التحصيل؛ ولهذا سعت كثيرٌ من محاولات تجديد النَّحو إلى تذليلِ صعوباتِه وتجاوزِ عقباته قديماً وحديثاً، ولكنَّ هذه المحاولات كثُرت في العصرِ الحديث كثرةً مبالغا فيها، وتنوعت مناهجها بين داعٍ إلى إعادةِ تقديمِ قواعد النَّحو بأساليبَ حديثة، مع ضرورةِ التخفُّفِ من القواعدِ غيرِ المستخدمِ ة بالحذف والاختصا ر، وبين محاولات دعت إلى تغييرِ منهجِ النحوِ نفسه، واستبدال مناهج لغوية حديثة به، و بين محاولاتٍ دعتْ إلى هدمِ النَّحو العرب ي، واتخاذ اللهجاتِ بديلاً عنه في شتى شوؤن الحياة. …

Barriers To Accepting Special Education By Slavic Parents Of Children With Special Needs In The Sacramento County, Tatyana Kisel

Dissertations

Purpose: The purpose of this qualitative phenomenological study was to investigate the experiences of Slavic parents of children with Special Educational Needs (SEN) and their perceptions of special education. The researcher’s goal was to determine whether parents’ cultural beliefs and customs affected their willingness to participate in the IEP and testing process and what supports and barriers they had along the way.

Methodology: This is a qualitative phenomenological study. In-depth, face-to-face interviews with 15 participants allowed collecting the rich data, which was analyzed using coding and thematic analysis. In particular, the study explored the lived experience of parents with special …

The Lived Experience Of Non-Degreed Learners From A Time Modified Traditional Baccalaureate In Nursing Program, Stephanie S. Deboor

Dissertations

The purpose of this phenomenological inquiry was to describe, interpret, and gain a deeper understanding of how non-degreed, traditional baccalaureate nursing students experience education in a Time Modified Traditional Program of study.

Cultural Competence And Racist Attitudes Of Direct Patient Care Registered Nurses In A Midwestern State, Linda Kay Hardy

Dissertations

Racism has been implicated as one of the causes of health disparities in non-White population groups in the United States. The purpose of this study was to explore and describe cultural competence and racist attitudes of direct patient care registered nurses (DPC RNs) in a Midwestern state. The researcher hypothesized that racist attitudes impacted cultural competence, compromised the nurse-patient interaction, and potentially led to less than optimal patient outcomes. Critical Social Theory and Leininger's Theory of Culture Care Diversity and Universality served as the framework for this quantitative, descriptive correlational dissertation research. Cultural competence was measured with the Cultural Competence …

The Paradox Of Respect And Risk: Six Lakota Adolescents Speak, Mary J. Isaacson

Dissertations

Adolescence is a time of turbulence as young people stretch parental boundaries, seeking where they fit in society. For many American Indian adolescents this time involves the initiation of dangerous high-risk behaviors. Potential causes posed for this are: loss of identity, loss of cultural values and traditions, lack of positive role modeling and feelings of hopelessness. Survey research has been the predominant method of data collection. Very few studies of Native American youth use storytelling, even though stories are a part of many Indian cultures. The primary purpose of this study was to describe the phenomena of respect and risk …