Digital Commons Network^™

Resuscitation Quality Improvement Mortality Rates, Jordan Priest

Dissertations

This paper explores and answers the question: What is the impact of Resuscitation Quality Improvement on survival at discharge rates after suffering an IHCA when compared to every two-year BLS/ACLS training? Articles are explored that identify positive patients’ outcomes when resuscitation training is repetitively learned. The design consists of a BLS/ACLS and RQI evaluation of quarterly survival to discharge rates prior to the initiation of the new RQI program and after the initiation of the new RQI program. The setting of the study is the east region of a midwestern faith-based health care system, that includes four hospitals in one …

The Impact Of Advisory Programs On Student Achievement, Attendance, And Behavior, Joshua Colby Flora

Dissertations

The impact of advisory programs on student achievement, attendance, and behavior was explored in this study. The study was conducted to contribute to existing research and to gain insight as to whether or not advisory programs promote positive academic outcomes in schools. Four schools with advisory programs and four schools with academic homerooms participated in the study. Each school provided student achievement, attendance, and behavior data from the 2015‒2016, 2016‒2017, 2017‒2018, and 2018‒ 2019 school years. In addition, advisory teachers responded to a survey regarding outcomes of advisory and their perceptions of advisory programs. The data were analyzed using an …

Guided Online Coaching For Teachers Of Emergent Bilinguals In A Tesol Practicum Course During Covid-19, Dawn Thieman

Dissertations

Guided online coaching for teachers of emergent bilinguals (EBLs) is a job-embedded professional development model established from the educational policies and practices described in the No Child Left Behind Act and Every Student Succeeds Act. Having effective teachers who ensure an equitable, creative, and linguistically and culturally relevant education for all EBLs is of paramount importance in the ever-changing demography of schools in the United States. The guided online coaching for teachers of EBLs offers a collaborative, facilitative, dialogic, and reflective coaching process for positively influencing teacher transformation, thus providing a creative language teaching pedagogy for EBLs. The purpose of …

Heterosexual Parents Who Move Toward Acceptance Of Their Gay Sons, Brady Sullivan

Dissertations

Rejection of gay men by parents is a frequent occurrence. Rhoades et al. (2018) found 49% of a sample of 657 sexual minority children had experienced parental rejection due to their LGBTQ+ identity. However, the current body of literature does not discuss those heterosexual parents who initially reject their sexual minority children and then return to a place of acceptance. Within the framework of attachment theory, this dissertation used a basic qualitative approach, influenced by Grounded Theory methods, to investigate the experience of heterosexual parents who move toward acceptance of their gay son. Fifteen, white, heterosexual parents, ranging from ages …

Designed For The Camera: Irish Interior Makeover Television 1996–2014, Neville Knott

Dissertations

This thesis examines how television makeover programmes, broadcast in Ireland between 1996 and 2014, mediate the professional practice of interior design. It argues that the programme-makers, in seeking to engage viewers, used a series of strategies—notably the suppression of professional and educational knowledge about interior design—to convey an image of staged coherence that was arrived at unproblematically. In that process, it will be argued, interior design knowledge got lost, and entertainment triumphed. Focusing on these strategies, the thesis considers how the production process used interior design, nonetheless, to attract an audience and generate ratings, focusing on the relationship between amateurs …

Use Of Strategies For The Relief Of Symptoms Of Insomnia, Marianne Homsey

Dissertations

Insomnia is a condition that leads to health problems and raises health care costs. The purposes of this Web-based, quantitative, descriptive, correlational study were to identify frequency of use and success of strategies to alleviate sleep problems, to determine if there is a relationship among strategies chosen, and to examine any patterns that emerged based on these preferences.

Effects Of Instructional Technology Integration Strategies In Orientation Programs On Nurse Retention In Magnet And Non-Magnet Hospitals, Sharon D. Hancharik

Dissertations

This applied dissertation study was designed to learn if the increased use of instructional technology integration strategies in nursing orientation programs resulted in an increased retention of new nurses. The study attempted to uncover the current retention rate and use of technology at the participating hospitals. The data obtained from Magnet and non-Magnet hospitals was compared.

Positive Psychology Effects On Middle School Physical Education Grades, Attendance, And Discipline, Randolph Christopher Helms

Dissertations

The present study explored the effect of instructing middle school students in sixth, seventh, and eighth grades in positive psychology lessons, as compared to control classes that did not receive this positive psychology instruction. This study used quantitative procedures to determine the implementation of this curriculum on lowering student absence rate, discipline referrals, increasing student physical education grades over a trimester, improving overall grade point average, and increasing student well-being. Additionally, the study analyzed the EPOCH survey pre- and post-data on a research question regarding the well-being attitudes/perceptions of these middle school students who received positive psychology instruction in their …

Teachers’ Perceptions Of The Impact Of Educational Reforms Implemented By Abu Dhabi Education Council On Teacher Efficacy In Al Ain Public Schools, Cherry Jean Recio

Dissertations

Teachers’ self- efficacy has been considered as one of the main contributors to quality teaching and job performance of teachers. Teachers’ self- efficacy may be influenced by factors such as educational reforms. The aim of this dissertation is to investigate teachers’ perceptions on whether educational reforms implemented by ADEC from 2005-2017 contributed to their self-efficacy and influenced their abilities to carry out their teaching jobs. The second aim of this dissertation is to investigate whether teachers’ perceptions of their self-efficacy differ in relationship to ADEC reforms based on a number of demographic factors such as gender, cycle, years of teaching …

Factors Facilitating Or Hampering Change Implementation: A Case Study On High Performing And Low Performing Cycle Iii Schools In Al Ain, Fatima Salem Al Kaabi

Dissertations

This is a qualitative multiple case study of four secondary schools’ administrators’ and teachers’ perceptions of factors facilitating and factors hampering change implementation. The sample consisted of four secondary schools in Al Ain city. Selected schools included two high performing schools and two low performing schools, according to the national inspection program reports. The four selected schools included two male schools and two female schools. Data collection methods included repeated, face-to-face semi-structured interviews and focus group interviews with selected teachers and administrators, and an open-ended survey for all staff in these schools. Data analysis revealed that the views of participants …

Family Nurse Practitioners' Use Of Mhealth Apps For Health Promotion With Patients, Rebecca Coyle Mueller

Dissertations

Due to the significant prevalence of chronic illnesses in the United States, engaging patients in health promotion activities is imperative. mHealth apps have the ability to complement the family nurse practitioner's (FNP) prescribed care plan, and offer a user friendly, convenient method to promote healthy behaviors and lessen the prevalence of chronic disease. The purpose of this descriptive, quantitative study was to describe FNPs' intent to use and use of mHealth apps for health promotion with their patients using the Unified Theory of Acceptance and Use of Technology (UTAUT), and to determine the types and frequencies of apps recommended by …

Normalization And Family Functioning In Families With A Child Who Is Technology Dependent, Valerie Boebel Toly

Dissertations

The purpose of this study was to examine the relationship between child/maternal factors (child's functional status, level of technology dependence, mother's depressive symptoms, length of caregiving duration, amount of home health care nursing hours, race, family income and age of the child) and (a) family functioning, as well as (b) normalization in families with a child who is technology dependent. Additionally, this study examined whether there are differences in family functioning, normalization and mother's depressive symptoms based upon the child's level of technology dependence (mechanical ventilation, intravenous nutrition/medication, respiratory/nutritional support). A descriptive, correlational design was used in this cross-sectional study.

A Mixed Methods Study Of The Symptom Experience Following Endovascular Treatment For Lower Extremity Peripheral Arterial Disease, Serena Greenhaw Gramling

Dissertations

Peripheral arterial disease (PAD) is one of the most understudied and undertreated diseases affecting three to ten percent of the general population. Patients with lower extremity PAD must manage multiple symptoms including pain in the hips, thighs, and calves during rest and physical activity. However, evidence is limited about patients' experience, especially following treatment. The purpose of this mixed methods study was to explore the symptom experience of individuals with peripheral arterial disease following endovascular treatment including perceptions of treatment benefit and concerns.

The Lived Experience Of Nurse Practitioners In Independent Practice, Annmarie Waite

Dissertations

The purpose of this qualitative phenomenological study was to explore the lived experience of Nurse Practitioners in independent practice. The aim was to give NPs a voice to express their individual experience, provide an inductive description of the lived experience, and gain understanding of the essence of being an independent practitioner. Philosophical Underpinning: This qualitative study was guided by the hermeneutic phenomenological approach of Max van Manen (1990).

The Self-Directed Goal Theory Experiment: A Mixed Methods Study Of Personal Development Goal-Setting Programs And Self-Efficacy, Tara N. Strickland

Dissertations

Andragogy is not dead; it may be simply lying dormant until its essential component, self-directed learning, revives it again. The fact is that self-directed learning can be formal or informal. This mixed methods study explored the informal side of self-directed learning, concentrating on self-help (a popularized form of personal development goalsetting). Despite a thriving self-help market, several personal development goal-setting programs focus more on goal achievement, little on goal planning, and even less on the individual. A comparative analysis of autonomous, guided, and self-directed personal goal-setting programs determined if self-directedness maximizes self-efficacy. Additionally, the researcher’s original Self-Directed Goal Theory and …

Violation Of Personal And Professional Nursing Values: Six Case Studies Of Nurses Who Have Left Nursing, Robert James Muster

Dissertations

Registered Nurses (RNs) comprise the largest group of health care providers in the US. The shortage of RNs is expected to worsen to 29% by 2020. Many nurses depart practice prior to retirement. Previous research has linked professional turnover to various aspects of job satisfaction.

This study sought to understand and describe the decision to leave nursing.

Human 5’-Tailed Mirtrons Are Processed By Rnasep, Mohammad Farid Zia

Dissertations

Approximately a thousand microRNAs (miRNAs) are documented from human cells. A third appear to transit non-canonical pathways that typically bypass processing by Drosha, the dedicated nuclear miRNA producing enzyme. The largest class of non-canonical miRNAs are mirtrons which eschew Drosha to mature through spliceosome activity. While mirtrons are found in several configurations, the vast majority of human mirtron species are 5’-tailed. For these mirtrons, a 3’ splice site defines the 3’ end of their hairpin precursor while a “tail” of variable length separates the 5’ base of the hairpin from the nearest splice site. How this tail is removed is …

Detection Of Breast Cancer In African American Women Using Walk-In Mammography, Munachi Nwosu

Dissertations

Abstract

Problem: Breast cancer is a life-threatening condition, in which the prognosis could potentially worsen with a delay in the detection and commencement of treatment. Scheduling patients for mammograms continues to allow for long wait times that exist in screening mammography. Lower rates of participation in scheduled screening mammograms contributes to the increased rate of advanced breast cancer diagnosis that exit in African American women and threatens their health outcomes. The purpose of this project was to implement walk-in mammography to increase participation for early breast cancer detection.

Methods: An observational descriptive design with a retrospective chart review. A PDSA …

Neuroimaging In Headache Patients: The Sensitivity Of Computerized Tomography (Ct) In Missed Stroke Diagnosis, Elizabeth C. Heetderks-Fong

Dissertations

Stroke is the leading cause of disability in the US, costing $34 billion a year and affecting 800,000 patients. Early detection and treatment is the best way to improve outcomes. Yet, 12.5% of strokes are discharged from the ED within the prior 30 days, with headache the most common diagnosis. Neuroimaging, ideally, would catch an impending stroke, but head CT has variable sensitivity based on onset of symptoms and there are both Federal and provider-led (including Choosing Wisely and the American College of Radiology Appropriateness Criteria (ACR-AC) initiatives to reduce overuse of imaging.

This study examined variation in ED treatment …

An Evidence-Based Evaluation Tool To Assist Healthcare Providers In Their Assessment Of Effective Mhealth Applications For The Management Of Chronic Health Conditions, Sara Belle Donevant

Dissertations

Mobile health (mHealth) apps are considered a viable option to improve chronic disease management. Healthcare providers are now recommending mHealth apps for patient use to assist in managing chronic diseases. However, healthcare providers may have difficulty locating effective, evidence-based mHealth apps for patients as there are currently over 325,000 available health apps (Research2Guidance, 2017). Limited evaluation tools are available to assist healthcare providers in this process. Therefore, our goal was to develop an online mHealth evaluation tool to assist healthcare providers in the selection of evidence-based mHealth apps.

After creating a comprehensive pool of mHealth features, healthcare providers provided feedback …

The Impact Of Social Networking Sites On Online Boundaries And Relationship Satisfaction, Jay Ingram

Dissertations

The purpose of this study is to increase understanding of how the use of social networking and online boundaries affects relationship satisfaction. Because the literature has not yet addressed how social networking intrusion affects couples, this study draws on previous research of face-to-face boundary setting. An instrument was developed specifically for this study to measure the extent of intrusion of social networking use from factors of romantic jealousy, partner surveillance, and relationship conflict. Previous research found these factors to have a negative impact on relationship satisfaction in face-to-face situations.

Three hundred thirty-one participants completed the Relationship Assessment Scale, the Social …

Examining The Relationship Between Perceptions Of Service Quality, Student Satisfaction, And Intention To Persist At Higher Education Institutions, Denise Hardesty

Dissertations

The importance of customer service quality in business industries has long been understood and studied, but to a lesser extent in higher education. The usage and application of the term customer service in higher education has been debated by those in academia. Using a correlational research design, this quantitative, descriptive study was conducted at a two-year community college and a four-year public university. A modified version of the Perceived Service Quality (PSQ) instrument was used to survey full-time, undergraduate students at each institution to examine perceptions of service quality and whether those perceptions impact a student’s decision to return the …

Should We Wear A Mask? Household Assessment Of Mask Wearing For Covid-19 In Ya’An, China, Leonard Peterson

Dissertations

In late 2019 and 2020, the novel SARS-CoV-2 virus spread worldwide and resulted in the COVID-19 pandemic, the second deadliest pandemic in modern history since the 1918 influenza pandemic. Since the virus was novel, no therapeutics and vaccines existed. Effective implementation of non-pharmaceutical interventions was essential to reducing the transmission of the disease until the discovery of effective therapeutics and vaccines. This study explores the influence of the facilitating protective action attribute on adopting mask-wearing as a protective action in Ya’an, Sichuan Province, China. The study found that perceptions of mask effectiveness to reduce the probability of contracting and spreading …

Examining Media Dependency And Parasocial Relationship On Protective Action Behaviors During Covid-19, Amy Hyman

Dissertations

The COVID-19 pandemic illuminated the significant role that mass media plays in disseminating messages to the public during disasters and public health crises. Information disseminated during a disaster influences individuals’ decision-making process regarding protective actions, or mitigation behaviors. This study examined the relationship between media dependency theory, parasocial relationship, and media effects (cognitive, affective and behavioral) during the COVID-19 pandemic. A quantitative approach was used with a convenience sample. The sample focused on residents in the state of Arkansas and specific generational cohorts. The results found that the generational cohorts had different media preferences during the height of …

Determinants Of Residents’ Shadow Evacuation Intention During A Hurricane In The Rio Grande Valley, Texas, Manpreet Jaiswal

Dissertations

Studies on hurricane evacuation behaviour focus primarily on why individuals do not evacuate when they are instructed to, while few examine the reasons why individuals choose to evacuate under conditions that would not require them to, termed shadow evacuation. Such behaviour might delay the timely evacuation of more at-risk coastal residents. To better understand the reasons for shadow evacuation, this study analyzes data from a household evacuation behavioural survey administered between 2012-2013 to 479 households in Cameron, Hidalgo, and Willacy Counties, Texas, known as the Rio Grande Valley. This area features a number of Colonia neighborhoods with high rates …

The Influence Of Social Capital On Risk Attitude Toward Covid-19 Amongst Traditional Undergraduates, Jordan Titera

Dissertations

This dissertation assesses the influence of the three types of social capital (bonding, bridging, and linking) on the risk attitude of traditional undergraduate students (under 25 years old who enroll directly from high school, attend full-time, and do not have major life and work responsibilities). The research is motivated by three research questions: (1) What is the risk attitude of traditional undergraduate students surveyed about COVID-19 (addicted, seeking, tolerant, averse, paranoid); (2) What are the social capital characteristics for traditional undergraduate respondents surveyed; and (3) What influence does social capital have on the risk attitude of traditional undergraduate students regarding …

The Impact Of Vicarious Racial Discrimination On African Americans Via Social Media, Asia Wardlaw

Dissertations

Much psychological research has examined the impact of racial discrimination upon those who have personally experienced it. Such research emphasizes personal encounters with racial bias and ethnic discrimination can cause victims considerable mental and emotional injury, manifested as race-based traumatic stress. Far less research has examined the effects of vicarious racism on those who witness it, including those who witness it via online media. Given the growing and significant amount of social media coverage in the United States of America containing images of unarmed African Americans who have been killed in perceived racially motivated encounters, this is a valuable area …

Telework Intensity, Work-Family Conflict, And Work-Family Balance, During The Covid-19 Pandemic, Timir Jayesh Bharucha

Dissertations

The COVID-19 pandemic has led to increased popularity, application, and utilization of telework. To vastly reduce the spread of COVID-19, governmental agencies worldwide have implemented lockdowns and emphasized businesses and corporations should implement telework wherever possible (Anderson & Kelliher, 2020; Belzunegui- Eraso & Erro-Garces, 2020; Buomprisco et al., 2021; Chong et al., 2020; Contreras et al., 2020; Mouratidis & Papagiannakis, 2021; Nguyen, 2021; Oz & Crooks, 2020; Raišienė et al., 2020; Tavares et al., 2020). States of emergency can disturb employees’ workflow and lead to financial difficulties; thus, telework presents an option to reduce that disruption. In such unprecedented times, …

Soliton Based All-Optical Data Processing In Waveguides, Amaria Javed

Dissertations

The growing demand for higher data processing speed and capacity motivates the replacement of the current electronic data processing by optical data processing in analogy with the successful replacement of electronic data communication by optical data communication. In a quest to achieve comprehensive optical data processing we aim at using solitons in waveguide arrays to perform all-optical data processing operations. Solitons are special nonlinear waves appreciated for their ability to conserve their shape and velocity before and after scattering. They are observed naturally in diverse fields of science, namely, nonlinear physics, mathematics, hydrodynamics, biophysics, and quantum field theory, etc. with …

A Mixed-Methods Investigation Of First-Year Learning Communities In A Private, Midwestern University, Elaine M. Ragland

Dissertations

In the 2017-2018 academic year, the School of Humanities of a private, Midwestern university began a pilot program of two first-year learning communities in the Fall, with an additional learning community in the Spring. Each learning community consisted of three theme-linked courses, for a total of nine courses over two semesters. As the study unfolded, the first and the third of the learning communities lived up to expectations of the faculty and administrators as communities of increased engagement and academic success. The second community struggled with engagement and both students and faculty felt that their theme-linked group failed to demonstrate …