Digital Commons Network^™

Factor Structure And Construct Validity Of A Hospital Survey On Patient Safety Culture Survey Using Exploratory Factor Analysis, Maureen Falcone

Dissertations

Abstract

Objective: The purpose is to explore the underlying factor structure of the Hospital Survey on Patient Safety Culture Survey (HSOPS^®), to evaluate correlations between the factors, and to extend past work by further estimating its construct validity in a large sample.

Methods: A secondary data analysis using EFA and the AHRQ HSOPS^® database (December 2017 to October 2020), from nurses who shared their perceptions about hospital cultures of safety in the reporting of adverse events. Data were collected from 191,977 hospital nurse respondents in 320 U.S. hospitals.

Results: EFA obtained six factors with an eigenvalue >1 …

Exploring Psychological And Situational Factors That Influence Female College Students' Participation In Oral Sex, Margaret Bergeron

Dissertations

Although sexually transmitted infections (STI) are not officially reported via the route of transmission, the CDC (2016) reports that individuals who provide fellatio have the highest risk of oral transmission of a STI. Therefore, females who engage in fellatio are at risk for acquiring a STI. The majority of research studies on young adult heterosexual female sexual activities primarily focus on vaginal sex and the associated risks of pregnancy and sexually transmitted infections. Limited research exists on the oral sex behaviors of female college students and their understanding of the risk for contracting an STI through fellatio. The purpose of …

Sexual Minority Thriving: Bouncing Beyond Adversity, Debra Crawford

Dissertations

Sexual minority individuals continue to face prejudice and discrimination due to their sexual minority identity. However, despite these negative experiences, many sexual minority individuals display resilience and thrive. Most of the literature on sexual minorities focuses on negative aspects of identifying as a sexual minority, rather than the positive qualities that these individuals possess that allow them to persevere. In a sample of 303 sexual minorities, this dissertation contained two studies. Study one investigated if posttraumatic growth mediated the relationship between resilience and thriving and if identity pride and existential anxiety moderated the relationship between resilience and thriving in a …

Advanced Nursing Education: Critical Factors That Influence Diploma And Associate Degree Nurses To Advance, Rose L. Mcghie-Anderson

Dissertations

Advanced nursing education needs to be pursued along the continuum of the nursing career path. This education process is indispensable to the role of the nurse as educator, manager, nurse leader, and researcher who will effect policy changes and assume leadership roles as revolutionary thinkers in addition to implementing paradigmatic shifts.

This grounded theory study sought to unearth the critical factors that motivate nurses to advance academically. The study aimed to gain an understanding of the social processes associated with the decision of diploma and associate degree nurses to advance their nursing education.

Determinants Of Police Department Change: An Institutional Theory Approach, Colby Dolly

Dissertations

This research examines the change in police practices after the death of Michael Brown in Ferguson, Missouri, in 2014. Immediately after his death and throughout the following years, police departments in St. Louis County faced immense pressure to change. The pressure originated from numerous fronts, including the media, local community groups, and politicians. This research evaluates the change in policing using institutional theory with data from surveys and interviews of police chiefs. The findings indicate changes in policies after 2014. The most significant change occurred in departments strongly influenced by the mimetic dimension of institutional theory. The research adds to …

The Effect Of Using The Adaptive Crawler™ On The Development Of Infants With Spina Bifida, Age 6-12 Months, Margaret E. Williams

Dissertations

During the timeframe of crawling, age 6--12 months, infants typically interact independently with their environment and their parents in order to perform certain developmental tasks. However, many infants with spina bifida are unable to crawl, as would typically developing infants. The inability to crawl may place these infants at a distinct disadvantage during this developmental timeframe. As a result of the developmental disadvantage, the parent-infant relationship may be negatively affected. For this study, the Adaptive Crawler™ assistive technology infant mobility device was designed, and a prototype created, to promote independent mobility and exploration of their environment by infants with spina …

Transitional Care Interventions As Implemented By Faith Community Nurses, Deborah J. Ziebarth

Dissertations

Hospitals are seeking innovative and efficient methods of decreasing avoidable readmissions. Despite the volume of nursing literature exploring the use of advanced practices nurses in providing transitional care, only one study mentions the use of a faith community nurse. The faith community nurse operates in the community and has the skills to provide transitional care. The purpose of this study was to describe transitional care as implemented by faith community nurses using a standardized nursing language: the Nursing Intervention Classification (NIC). A mixed method descriptive design was selected to facilitate a thorough exploration of the interventions implemented by faith community …

An Examination Of Summer Melt For Trio Talent Search And Upward Bound Alumni, Jasmine D. Clay, Jasmine C. Lewis

Dissertations

College access programs provide middle and high school students with essential skills to prepare them for a successful transition to postsecondary education. TRIO Talent Search (TS) and Upward Bound (UB) are federally funded programs established to strengthen the likelihood that students from underserved groups will graduate high school and pursue higher education. Both programs offer support to low-income and first-generation students to ensure equitable access to higher education. While these programs offer a holistic approach to student development, including personal and professional support, some students from underserved groups experience challenges during the summer months that prevent them from enrolling in …

Perceived Learning Needs Of High School Teachers Regarding Suicide Prevention, Miranda L. Bevilacqua

Dissertations

Suicide is the second leading cause of death among youth in Canada. Though school-aged youth are surrounded by teachers, mentors, and school mental health nurses (SMHN), little is known about what teachers want to know regarding suicide and whether the teachers have the knowledge to recognize youth at risk. The purpose of this generic exploratory qualitative study, guided by the health belief model, was to explore the perceived learning needs of high school teachers in northwestern Ontario (NWO) regarding suicide prevention. The data collection process involved semistructured virtual interviews with 14 high school teachers in NWO recruited via social media. …

Breadwinner Mothers Of School-Aged Children During Covid-19: An Interpretative Phenomenological Analysis, Rebecca D. Miller

Dissertations

Working mothers have long faced myriad challenges to optimal work-life balance, with evidence of negative consequences to their physical and mental wellbeing. During the COVID-19 pandemic, working mothers reported unprecedented difficulties, though inquiry into breadwinner mothers’ experiences remained lacking. This research focused specifically on the experiences of breadwinner mothers of elementary school-aged children who navigated remote working and remote schooling during the COVID-19 pandemic. A diverse sample of 12 breadwinner mothers across the United States completed semi-structured interviews focusing on the impact of the pandemic on their daily lives, as well as how they understood their experiences in light of …

Which Attributes Separate Top-Performing Outside Salespeople From The Rest?, Paul Niemann

Dissertations

For decades, sales organizations have faced the ongoing challenge of attaining the maximum sales results from their salespeople. Whether a salesperson has plenty of skill but lacks the will to reach their potential or has the will to become a top salesperson but lacks the necessary skills to reach their potential, the failure of sales organizations to obtain maximum results from their salespeople is a problem. Some salespeople have plenty of skill but lack the will to reach their potential, while others have the will to become a top salesperson but have not yet acquired the necessary skills to reach …

Breastfeeding Intention And Initiation Among Rural, Low-Income Native Americans And African American Adolescent Mothers In North Carolina: Testing The Theory Of Planned Behavior, Cynthia H. Herndon

Dissertations

Infant feeding practices can greatly impact a child's life with far reaching implications based upon decisions a mother makes for her newborn. Breastfeeding is the preferred method of infant feeding because of its association with health benefits to both the mother and child. The prevalence of breastfeeding among rural, low income, disadvantaged groups to include Native American (NA) and African American (AA) adolescent mothers is low. NAs and AAs bear a disproportionate burden of illness and health risks compared to other races and ethnic groups in the United States. Breastfeeding is a targeted public health strategy to improve the health …

Modifiable Cardiovascular Risk Factors In The Early Adolescent Period, Julia A. Greenawalt

Dissertations

The purpose of this study is to describe patterns and relationships among the modifiable cardiovascular risk factors of smoking behavior, overweight, physical inactivity and poor dietary behaviors within a ninth grade population. Four modifiable cardiovascular risk factors; smoking behavior, overweight, physical inactivity and poor dietary behavior were analyzed from the 2003 Youth Risk Behavior Surveillance System (YRBS) to explore associations in early adolescents, a critical developmental time frame. The specific aims of this study were to: 1) conduct a factor analysis of questions selected from the 2003 YRBS to represent the constructs of smoking behavior, physical inactivity and poor dietary …

Addressing Racial Trauma In Counseling: Perspectives And Lessons From The Field, Claire Martin

Dissertations

Racism has permeated all aspects of American life (Bell, 1992) and many Black communities suffer racial trauma as a result. Mental health professionals have an ethical responsibility to develop strategies to serve the needs of diverse communities. The purpose of this qualitative study was to explore the experiences of Black mental health professionals who serve individuals experiencing racial trauma. Using Critical Race Theory as a theoretical framework and qualitative Thematic Analysis as a methodology, twenty-three (23) Black mental health professionals were asked the following questions: (1) What are the experiences of Black mental health professionals working with clients who have …

A Mixed Methods Study Of How High School Principals Build Trust With Staff Using Weisman’S Five Domains Of Trust Model, Danielle Clark

Dissertations

Purpose. The purpose of this mixed method case study was to identify and describe how high school principals establish trust with teachers using the five domains of connection, concern, candor, competence, and consistency (TVI, 2010). In addition, it was the purpose of this study to determine the high school principals’ perceived degree of importance of the five domains for building trust.

Methodology. This mixed methods research design used quantitative and qualitative data to analyze the research questions related to trust between high school principals and their staff. The study combined surveys and in-person interviews. The quantitative data were gathered via …

The Knowledge And Attitudes Of Oncology Nurses On Advance Directives, Bailey Nettles

Dissertations

Advances in healthcare technology has changed how healthcare professionals care for patients, increasing the importance of Advance Directives (ADs). ADs are legal documents describing patient end-of-life care wishes. Despite the usefulness of ADs, particularly in oncology settings, most patients do not have one.

This qualitative content analysis study examined knowledge and attitudes of ADs among oncology nurses to obtain a better understanding of ADs. Literature on ADs and nurses is dominated by quantitative research. This study addresses knowledge gaps best filled by qualitative methods.

Ten experienced oncology nurses answered eleven open-ended questions using online video conference interviews. The eleven questions …

An Investigative Analysis On Female Presence And Highly Ranked Positions In Professional Kitchens In Ireland, Roann Byrne

Dissertations

This study aims to gain an understanding of the state of the cheffing industry currently, to analyse whether there is a lack of women within the industry particularly in positions of high power. This research intends to understand the causes for the lack and showcase possible solutions and recommendations for this. It exists as a role of advocacy; hoping to inspire more people into the career of cheffing, and to retain women within it. It aspires to challenge and thus forth change the narratives that have pushed many people, particularly women, out of this work for so long. This research …

Evaluating Hospital Community Benefit And Community Health Improvement Requirements, Shelly Johnson

Dissertations

The Internal Revenue Service's (IRS) hospital community benefit standard aims to improve the community's health, it is a test the IRS uses to determine whether a hospital is organized and operated for the charitable purpose of promoting health. Participation in this program is required of all not-for-profit hospitals in the US, who spend billions of dollars annually in community benefit in place of taxes. Hospitals must annually submit IRS form 990 Schedule H and are required to report costs associated with their provision of community benefit spending. In addition, a hospital must conduct community health needs assessment (CHNA) and implementation …

A Mixed-Method Study On The Online Learner Readiness Questionnaire Instrument At A Midwest University, Sky Toland

Dissertations

Online learning readiness is a field of study that has emerged and become increasingly relevant over the past two decades. Several instruments have been developed and used to measure readiness for online learning in college students. The Online Learner Readiness Questionnaire, or OLRQ, sought to measure student readiness for online asynchronous learning through a 30-question instrument. The OLRQ generated feedback for students, based on their answers; this feedback was designed to address both strengths and areas of deficiency, giving specific guidance on how to strengthen these areas. Literature in this field typically fell under the larger umbrella of online and …

Developing A Model To Measure Public Sector Knowledge Management Performance Using The Analytic Network Process, Hussein N. Chalabi

Dissertations

Knowledge Management (KM) is a relatively a nascent field under the discipline of public administration. Specifically, KM performance measurement in the public sector is one of the areas that, to some extent, received less attention from scholars. This study aims to develop a model to measure KM performance in the public sector. The model of this dissertation is derived from system theories, where KM is depicted as a system consisting of intertwined and interacting elements. The proposed model is hypothesized to measure KM through evaluating knowledge resources, knowledge processes, and environmental factors identified as a prerequisite to the success of …

Encouraging Activism In Secondary English: Reading And Writing For Social Justice, Elisabeth Spinner

Dissertations

This dissertation presents researched backed, social justice oriented teaching strategies secondary English teachers can implement to encourage their students to think critically and take action on issues that matter to them. Foundational to this research is critical inquiry which encourages students to not read or listen to information passively, but rather to investigate, critique, explore, and ask questions of what they are reading. This approach is necessary when encouraging students to dispel myths and stereotypes, understand questions of rights and justice, and find the right way to be involved. The English classroom is an ideal place for students to do …

Holism, Philanthropy, And Community Self-Determination: A Case Study Of Urban Sustainability Logics In Kalamazoo, Robert Roznowski

Dissertations

The social, economic, and ecological crises of contemporary cities have compelled some communities to pursue urban sustainability agendas. In the United States, municipal governments and local actors engage with a myriad of urban sustainability discourses and “logics” that shape urban sustainability agendas. The literature suggests that urban sustainability discourses and logics are shifting in ways that are more “selective” or exclusive of spaces, issues, and people. This study investigates the urban sustainability logics taking shape in Kalamazoo, Michigan. Most existing research focuses on large cities with well-established urban sustainability agendas. In contrast, this case study focuses on the urban sustainability …

Generation Status, Ethnic Identity, Colonial Mentality, And Enculturation In Filipino Americans, Kamille Patricia Urmaza La Rosa

Dissertations

Filipino Americans’ psychological experiences pertaining to their generation status, ethnic identity, enculturation, and colonial mentality are rarely studied in counseling psychology due to inconsistent disaggregation of Asian American and Pacific Islander (AA&PI) data (Agbayani-Siewert, 2004; Espiritu, 2003; Nadal et al., 2010; Okamura, 2013). Literature suggests that the study of these constructs related to their mental health can guide more culturally informed care for this historically excluded population (David & Nadal, 2013; Nadal, 2020). The current study used an exploratory design to test six research hypotheses and accomplish the following: examine relationships between the constructs, investigate intergenerational differences, validate a measure …

An Examination Of The Relationship Between Acculturation, Islamic Religious Practice, And Academic Performance Among Saudi Arabian Students In The United States, Marzook A. Aldhafeeri

Dissertations

Recent data have indicated that universities in the United States (U.S.) host as many as 21,933 students from Saudi Arabia, making Saudi Arabia one of the top four countries for international students attending U.S. universities. Several research studies have indicated that religiosity and acculturation influence student’s performance. However, there is a scarcity of studies that assessed the relationships among acculturation, religious practices, and the academic performances among Saudi Arabian students in the U.S. The purpose of this study was to examine the relationship among acculturation, religiosity, and academic performance among Saudi Arabian students in the United States. This study was …

Collaboration Among Parents Of African-American Students And A Church Sponsored Tutoring Program, Latiya Evette Kirby-Curlin

Dissertations

This study examines the lived experiences of African-American parents with children who attend a church-sponsored tutoring program. While this study focuses on the African- American parents' perspectives and lived experiences, the study provides an insight into the barriers that impact the implementation and success of the program, challenges of parental involvement, and promotes a higher level of academic achievement in education. This study provides information about lessening the barriers and the way in which parent involvement plays an essential part in a child's education. This qualitative study consisted of nine semi-structured interviews that focused on capturing information as well as …

White Racial Identity Development And The Tenure Process Of African American And Black Community College Faculty, Royce M. Carpenter

Dissertations

Diversity of student racial and ethnic identities are increasing at predominantly white community colleges. The faculty is not diversifying at the same rate as the student population. The majority of faculty and administrators identify as White. The purpose of this study was to explore how White Racial Identity of White faculty and administrators impacted the tenure process of African American and Black faculty. I used narrative inquiry as the methodology. Interviews were chosen to center the voices and experiences of African American and Black tenured faculty. One Midwest institution was the focus of the study. Based on the data findings, …

Understanding The Relationship Between Black Chicago Youth And Chicago Drill Music Culture, Dan'iel Tamirra Kendricks

Dissertations

Chicago is most noted as a beautiful, Midwestern city, set to the backdrop of Lake Michigan, with skyscrapers and the bustling energy of the downtown Magnificent Mile. The “Tale of Two Cities,” Chicago is a city full of hope, opportunity, and potential for some, but a city plagued with poverty, violence, disinvestment, and hopelessness for others. There has been a significant increase in the awareness of the violence happening across Chicago. The emergence of social media has provided a direct and unfiltered view of the reality of violence the city has faced on an ongoing basis. Crimes such as shootings, …

Factors Affecting Nurses' Intention To Leave Their Primary Nursing Position, Scott P. Kaye

Dissertations

The United States is facing an imminent nurse staffing crisis. An aging workforce, an increasing elder population, and new staffing legislation have added to existing difficulties in retaining nurses. Retaining nurses is a priority in emergency departments, one of the few specialty departments that exceed the national average turnover rate, with an average of 95% of the nursing staff leaving their positions every five years.

This dissertation used dual-factor theory, dimensions of nursing surveillance, and intersectionality as theoretical frameworks; employed secondary analysis of the National Sample Survey of Registered Nurses (2018) dataset; and utilized hierarchical regression Modeling to examine the …

The Mitigation Of In-Group And Outgroup Biases: Understanding The Perceptions Of Educators On The Contact Approach Theory, Brigitte Blazys

Dissertations

The contact approach theory was introduced in the 1950s, by Allport, as a method to mitigate biases. Since then, many DEI practitioners in the United States have formed alliances to create a social justice movement to combat racism, prejudice, and biases in our society. Nevertheless, little research has been conducted in the contact approach theory as these biases, initially observed as in-group and outgroup biases, originate in the early years of life. To begin to fill this gap in the literature, the purpose of this study was to better understand and identify to what extent, if any, prekindergarten through third …

Constructing The Process Of Healthcare Decision-Making By Adolescent Athletes Post Sport-Related Concussion, Jeanette Faith Green

Dissertations

Sport-related concussion (SRC) is associated with short- and long-term health consequences. Current recommendations require immediate removal of an athlete suspected of injury, relying symptom self-reporting. Many SRC are unreported resulting in continued play despite symptoms, a risk for subsequent injury. The purpose of this dissertation was to explore influential factors and pivotal decision points within the process of health decision-making (DM) of adolescent athletes post-SRC. Twelve semistructured interviews were conducted with predominantly white high school athletes. Grounded theory methodology was used to examine salient concepts within athletes' DM process. Data were coded and analyzed using dimensional analysis with explanatory model …