Digital Commons Network^™

Development Of A Toolkit For Implementation And Evaluation Of The "Hug Your Baby" Program In A Non-Profit Community Setting, Kati Elizabeth Hughes

Dissertations

The use of an implementation Toolkit to reliably translate evidenced based programs into community health provides stability and reliability to the organizations that utilize them. This is important in the realm of implementation science, as reliability improves the chance of continued program sustainability. The HUG Workshop Toolkit provides community outreach organization with the needed materials to implement the HUG Your Baby program in the community. The toolkit developed increased organization volunteer's confidence to teach the HUG Your Baby programin the community and increased parental attendance in an evidenced based parenting program. The use of an implementation Toolkit to reliably …

Coaches’ Perceptions On The Sustainability Of Select Nonrevenue, Olympic Ncaa Sports As Viewed Through Stakeholder Theory, Dean M. Ekeren

Dissertations

In recent years, increasing revenues to the top NCAA athletic programs has accelerated an athletic “arms race” among universities, where coach salaries escalate, new facilities are built, existing facilities undergo massive renovations, and amenities and services are added for athletes, all to attract top recruits and new donors. Although sponsors and broadcast deals provide huge sources of revenue to these institutions, the majority of athletic departments rely on subsidies from the university to meet the increasing demands required to remain competitively relevant. Many stakeholder groups of intercollegiate athletics are becoming increasingly concerned that the financial pressures associated with sustaining the …

A Study Of Preschool Teachers’ Incorporation Of Nutrition And Physical Activity In Their Classrooms, Brandi Schumacher

Dissertations

Young children in the United States spend a considerable amount of time in preschool settings. Preschool teachers have an opportunity to incorporate nutrition and physical activity into their interactions with these children in order to positively influence the health of the children. This qualitative, case study explored how teachers at a Reggio Emilia inspired preschool integrate nutrition and physical activity into their teaching. The research questions that guided this study included, “In what ways do preschool teachers in a Reggio Emilia inspired preschool in the Midwest incorporate nutrition and physical activity in their classrooms?” and “What influences if and how …

The Influence Of Participation In Socially Engaging Or Complex Physical Activities On Executive Function Among Older Adults, Lyndsie M. Koon

Dissertations

The preservation of cognitive function is of particular importance for the maintenance of independence and functional autonomy for older adults (Hertzog, Kramer, Wilson, & Lindenberger, 2008). Physical activity is a behavioral intervention that contributes to mental and physical health; it has also been found to promote cognitive function across a lifespan. Cognitive processes that assist with goal-directed behavior to successfully complete everyday tasks known as executive functions are susceptible to physical activity participation especially among youth, adolescent, and older adult populations. Various aspects of the physical activity context might help mediate improvements to executive function including the task complexity of …

Fan Motives For Identifying With Professional Tennis Players, Alex Yakon Rondon-Azcarate

Dissertations

The purpose of this study was to examine motivations used by tennis fans in identifying with professional tennis players and thereby developing fan loyalty and support. No prior work has focused on fan motivations toward individual players in an individual sport. This non-experimental study design used an online survey technique to solicit responses from adult tennis fans through a variety of tennis organizations, tennis clubs, tennis training facilities, and tennis websites and blogs. Surveys responses were solicited from January through February 2017. Of the original 460 total respondents, 28% (n = 101) reported having no favorite professional tennis player and …

Physical Education Teacher Education Student Teaching Placement Procedures, Leann Elizabeth Kesselring

Dissertations

The student teaching experience is widely regarded as the most formative aspect of a teacher preparation program. This practicum is the final opportunity to occupationally socialize a teacher candidate with the attitudes and values of the teacher preparation program. Knowing this, careful selection of student teaching placements is imperative. However, little research has been conducted regarding placement procedures in general teacher education, and even less in physical education teacher education (PETE). The purpose of this paper was to explore placement procedures of PETE teacher candidates in CAEP accredited programs at state classified universities/colleges within the United States. The research was …

Defining Deliberate Practice In Supervised Dietetics Education, Kevin D. Haubrick

Dissertations

Deliberate practice serves as a potential framework to understand what activities, attributes, and characteristics make an individual an expert in their chosen field or profession. Historically, deliberate practice activities included those that were highly structured with purposeful goals, frequent repetition, and active feedback with immediate remediation. Deliberate practice has never been defined within the context of supervised dietetics education; therefore, the purpose of this research was to develop a valid and reliable instrument to define deliberate practice in supervised dietetics practice, based on the opinions of practitioners and educators in dietetics and allied health professions. Segment one of the research …

Study Of Rickettsia Parkeri Colonization And Proliferation In The Tick Host Amblyomma Maculatum (Acari: Ixodidae), Khemraj Budachetri

Dissertations

Amblyomma maculatum (Gulf coast tick) ticks are prevalent across the Atlantic to Gulf Coast region of United States. These ticks are recognized vectors of Rickettsia parkeri, a spotted fever group of Rickettsia (SFGR) known to cause American boutonneuse fever associated with fever and eschar rashes localized to the site of bites. We hypothesized that Rickettsia parkeri colonization and proliferation in the tick vector involve pathogen-symbiont dynamics and tick-pathogen interactions, which influence rickettsial transmission to the victims after tick bites. The rickettsial infection is maintained across the tick life cycle for many generations due to transovarial and transstadial transmission of …

Comparative Assessment Of Agricultural Literacy In Selected K-5 Classrooms Employing Agriculture In The Classroom Methodologies: A Solomon Four-Group Analysis, Mary Margaret Fischer

Dissertations

The significance of agriculture to future generations is unparalleled. The United Nations projects the global population to swell to 9.75 billion people by 2050, and to proliferate to 11.2 billion by 2100. The non-agricultural population has little to no understanding or comprehension of the complexities of sustaining a viable agricultural system. Agricultural literacy is an area often unseen and rarely discussed outside specific agricultural disciplines. Society does not view agriculture as being important, yet it is important that society be properly educated on issues in order to reach well-informed decisions and render prudent choices that impact the world around them. …

Women And Work-Life Balance: A Narrative Inquiry Of Working Single Mothers Balancing Family And Work, Casheena Atari Stephens

Dissertations

The purpose of this study was to explore working single mothers’ work-life balance in order to better understand how employers can assist them. Role theory, role conflict theory, and spillover theory were utilized to examine how working single mothers experience work-life balance and how they perceive it. In this study, the researcher sought to discover, analyze, and report work-life balance experiences of working single mothers through extended narrative accounts, which answer the following research questions: 1. In what ways do working single mothers strive to attain work-life balance? 2. What challenges do working single mothers encounter that affect their ability …

A Mixed-Methods Study: Self-Efficacy And Barriers To Participation In Workplace Wellness Programs, Massiel Perez-Calhoon

Dissertations

America needs a healthy workforce to sustain the country. The scourge of obesity continues to plague Americans despite government initiatives such as the Affordable Care Act and wellness programs in the workplace to combat this epidemic. However, despite initiatives to make America healthy, barriers continued to impede the nation’s health. Lack of awareness and sensitivity to what motivates individual participants versus group participants built formidable barriers to accessing all workplace employees equitably. The purpose of this study was twofold. First, the intent of this study was to explore the relationship between self-efficacy and the impact on participation and engagement when …

Inside The Va: How Workplace Training Evaluation Impacts Employee Performance, Timica Emerson

Dissertations

Employee performance and patient satisfaction are strong indicators of the current state of a healthcare organization. Workplace training programs are used to teach employees the knowledge and skills necessary to effectively perform on the job. Instructor-led, online, blended and independent learning events are produced to address learning needs and to improve staff performance. These training programs are necessary for preparing staff to meet the demands of daily work expectations. The learning approaches should encourage trainees to apply what they learn to their work assignments.

When programs are not evaluated consistently and methodically by the participating employees, their sustainability is uncertain. …

White And African American Elementary Aged Student Perspectives Of School Climate And The Relationship To Academic Achievement, Jeremy Spoor, Rachel Turney

Dissertations

The achievement gap between White and African American students on the Missouri Assessment Program (MAP) is an educational phenomenon that has been around for generations and yet to be fully understood or eliminated. This study investigated the difference in school climate perceptions between African American and Caucasian (sic) students on a district climate survey and the possible connections to the achievement gap on the MAP tests. The 2015-2016 student perceived school climate survey data from a mid-sized Midwestern urban school district was disaggregated and analyzed to identify specific differences in perception of school climate among the study groups.

MAP test …

Post-Intensive Care Syndrome: Comparison Of Educational Interventions To Educate Parents Of Children Hospitalized In The Pediatric Intensive Care Unit At St. Louis Children’S Hospital, Stephanie A. Esses

Dissertations

Background: Family members of children hospitalized in the pediatric intensive care unit (PICU) can develop cognitive, psychological, and physical manifestations of post-intensive care syndrome (PICS). Targeted education to help parents/caregivers recognize the signs and symptoms of PICS may result in better awareness of the syndrome and greater willingness to seek and receive support during their child’s PICU admission.

Objective: to evaluate three targeted PICS educational interventions to increase PICS awareness among parents/caregivers in the St. Louis Children’s Hospital (SLCH) PICU.

Results: A total of 62 parents/caregivers received one of three educational interventions: informational brochures (n=22), scripted informational conversation (n=20), or …

Improving New Graduate Critical Care Nurse Practitioner Knowledge And Retention Using A Dedicated Orientation And Mentoring Program, Katherine Huffer

Dissertations

Abstract

Background: There has been a significant amount of research into the many challenges that nurse practitioners (NPs) face as they transition from school to practice, however, there is limited research on how to improve this transition. Regardless of the setting in which the NPs are working, novices NPs alike report feelings of being unprepared and experiencing high levels of stress, anxiety, fear, and frustration. New research suggests that a comprehensive NP orientation and residency programs may provide a way to integrate the new NPs into their practice environment successfully.

Method: Kern’s Six Step Approach to Curriculum Development for Medical …

Implementation Of A Daily Checklist To Improve Patient Safety And Quality Of Care In A Pediatric Intensive Care Unit, Catherine Reese

Dissertations

Background

Multiple industries have demonstrated checklists to be of great value in reducing errors of omission and improving communication. In healthcare, checklists have been shown to ensure patients receive evidence-based, safe care. In a fast paced environment of a critical care unit, adverse events are common and can have significant consequences on patient outcome. Safety guardrails are necessary to minimize naturally occurring human error. Safety checklists help support best practices to standardize care and support processes to improve outcome.

Objectives

To develop and implement a daily safety checklist in a pediatric intensive care unit (PICU) to enhance clinical care and …

The Influence Of Culture On The Use Of Healthcare Services By Refugees In Southcentral Kentucky: A Mixed Study, Chika N. Ejike

Dissertations

The world as a global village has become a ubiquitous trope in the popular discourse, and Bowling Green, Kentucky, with its substantial immigrant population, may be considered an exemplar of this idealized community. It has become an ideal location for research regarding the challenges faced by immigrants. Due to the diverse cultural identities of the refugee/immigrant population, it is particularly well suited for studies into complex culturally dependent healthcare utilization patterns.

The central research question for the study was as follows: What are the healthcare-seeking behavioral patterns (as influenced by culture) among refugees at their nearest healthcare facilities? This mixed …

Expanding A Path Analytic Model Of Quality Management To Include The Management Of Safety, Bruce J. Ladewski

Dissertations

The Occupational Health and Safety Administration (OSHA) reports that every year 4.1 million American workers are seriously injured from workplace accidents at an annual direct and indirect cost estimated at hundreds of billions (OSHA, 2012). At the public level, actions to reduce the workplace deaths, injuries, and associated costs in the form legislation. At the private level, actions taken include implementing behavior based safety programs focused on various ways of encouraging employee behaviors to reduce reported injuries. The most recent move to drive down worker injuries focuses on the implementation of management systems by adopting principles used to prevent product …

Total Wellness Of Turkish International Students In The U.S. : Perceptions And Inherent Growth Tendencies, Mehmet Avci

Dissertations

The international student population in the United States has increased exponentially over the past decade. Students are coming from many countries including Turkey who often face stressors proper of migration such as cultural uprooting, family disruption and identity challenges that might influence their wellness while in America. The total impact that this academic adventure has on Turkish’s international students is not well known as there is a dearth of scientific data addressing their total wellness and specially their psychological wellbeing from a holistic perspective. This research study examined the perceived total wellness of Turkish students living in the USA. Survey …

Assessing A Punching Bag Feedback Performance Device, Neil Deochand

Dissertations

Physical exercise has been integrated into treatment efforts in reversing the number of overweight and obese individuals. Furthermore, exercise extends mortality, enhances general quality of life, and it is a protective health factor for preventing the progression some mental health disorders. Electronic athletic training equipment easily allows monitoring of real-time physical activity, and enables tracking of progress made toward individualized performance goals. There are limitations to only using visual feedback (e.g., visual depictions of heart rate, speed, distance traveled, or calories burned etc.) to track and improve exercise and athletic performance, especially for some sports, such as boxing. This issue …

The Influence Of Training Procedures On Generalization Performance In Scent-Detection Rats, Erin Watkins

Dissertations

The global illicit trade in tobacco products leads to an overall increase in the availability of tobacco, and this increase in tobacco availability and consumption undermines effective health, safety, and taxation policies in place to protect current and future populations. Dogs working at ports and customs have been trained to detect tobacco products and research has shown rats can detect tobacco-soaked filters (Mahoney et al., 2014). Cigarette smoking is the most common form of tobacco use, and cigarettes are the most commonly trafficked product in the illicit tobacco trade. In the current study, rats were trained to respond to filter …

Dominican College Students’ Experiences Of Distress, Help-Seeking And Stigma, Laura Alicia Pacheco Del Castillo

Dissertations

The Dominican Republic has a population of over 10 million, from which an estimated 20% fall within the age range of 10 to 19 years old (OECD, 2012). The provision of education, particularly for Dominican youth, has been established as a long-term social and economic priority at the government level (OECD, 2012; Pimentel, 2002). Nevertheless, research suggests that education and health management in the Dominican Republic have been historically inadequate and insufficient (Schumacher, 2010; Vargas-Lundius, 1991). Further research is warranted to better understand Dominican students’ mental health experiences as they attempt to succeed in formal learning environments (Schumacher, 2010).

Furthermore, …

The Effectiveness Of Combined Appointments And Influenza Immunization Rates In A Rural Wic Population, Lisa L. Sitler

Dissertations

Purpose: The purpose of this descriptive retrospective study was to examine predictors and barriers to influenza immunizations receipt in a low-income WIC population.

Method: A quality improvement project was conducted in October 2010 in which 129 caregivers of children having WIC appointments were randomly assigned to receive (a) influenza immunizations at the time of the WIC visit or (b) educational materials and a later immunization. Caregivers completed a survey about their perceptions of influenza immunizations. Tanahashi’s access to care model (1978) was used to identify predictors (acceptability, accessibility, availability, and effectiveness) of influenza immunizations.

Analysis: In analysis …

Bridging The Gap Between Schools And Families Through Teacher Home Visits, Melissa Ann Lucas

Dissertations

Across the country, people believe education in America is in crisis, and the implications are frightening as historians have described the decline of public education as a threat to the nation’s economy and military (Williams, 2012). This study involved examination of research on teacher home visit programs. Data were collected through a mixed methodology of focus groups, an interview, and parent and student surveys. Once data were collected, they were coded and examined to discover different themes regarding teacher home visits. The themes included the following: building relationships, diversity and safety, parent involvement, and impact on the future of students. …

Information Literacy Competencies Of Registered Nurses At Magnet Hospitals, Kimberly Dawn Belcik

Dissertations

More patients are turning to the Internet as as source of health information. Nurses occupy the frontline of healthcare and must have information literacy (IL) competencies to guide themselves and their patients to the correct and appropriate health information on the Internet. Within magnet hospitals, which are exemplars for excellent nursing practice, there is an increased emphasis on evidence based practice and research, which requires IL. Exploring IL at magnet hospitals was reasonable considering such competence is promoted. Previous research indicates that nurses lack IL competencies which are necessary to inform their patients and impact healthcare but many studies rely …

Alternative To Exclusionary Discipline: Perceptions Of The Effectiveness Of Positive Behavior Interventions And Supports (Pbis)—A Delphi Study Of Riverside County School Districts’ Directors Of Student Services, James D. Pike

Dissertations

Purpose: The first purpose of this Delphi study was to identify the degree to which Riverside County directors of student services or administrators who oversee student discipline perceive that positive behavioral interventions and supports (PBIS) components reduce exclusionary discipline and promote a positive school culture. The second purpose of this study was to identify key facilitators and barriers to PBIS implementation within the school districts of the experts who participated in this study.

Methodology: Using the Delphi method, the first questionnaire allowed participants to give broad-based responses from which themes were derived to be coded, stratified, and then presented through …

An Examination Of Poverty: A Case Study Of One Rural Missouri School Attempting To Meet The Needs Of All Students, Amy Michelle Ross

Dissertations

The purpose of this study was to determine if poverty impacts average daily attendance, discipline infractions, or dropout rates of students in today’s society. The study included an in-depth analysis of homelessness, the influence it plays when educating children across the country, and the barriers schools face when dealing with families who live in poverty. According to Blad (2014a), enrollment of homeless students and those who qualify for free and reduced price meals are at record highs in the United States. Over half of the students in Missouri schools qualify for free and reduced price meals (Rapheal, 2014). The effects …

Reading Achievement: A Study Of Perceptions Of First-Grade Teachers And The Relationship Between Attendance And Reading Achievement, Mykie C. Nash

Dissertations

This mixed-methods study included an in-depth look at the perceptions of first-grade teachers in southwest Missouri to gain insight into the knowledge, understanding, and perceptions of teachers when considering reading achievement and how it relates to Reading Recovery, student engagement, professional development, and socioeconomic status. A second piece to the study included a quantitative examination of the correlation between reading achievement and attendance. Focus groups were formed and an 11-question interview was conducted to gather insight into the perceptions of first-grade teachers across five different counties. Additionally, reading data and attendance from 249 students in those schools were used to …

Healthcare Use Self-Efficacy In Adults Who Are Homeless, Jared Ian Israel

Dissertations

The physical and mental health care needs of homeless adults are extensive. However, these needs regularly go unmet. Healthcare use behavior is complex and involves a range of obstacles. As such, self-efficacy, an individual’s belief in his or her ability to perform a given behavior, appears to be a relevant factor in healthcare use. While current theory supports this notion and research has confirmed the role of self-efficacy in health behavior generally, a validated measure of healthcare use self-efficacy has not previously existed. The aim of this study was to develop and validate the Healthcare Use Self-Efficacy List (HUSEL) in …

Combating Childhood Obesity With Provider Education: A Quantitative Study, Trina Marie Larery

Dissertations

The study included an educational program to providers and nurse practitioner students in order to evaluate whether an increase in knowledge and accuracy occurred based on knowledge of evidenced-based responses to specific indicators of childhood overweight and obesity. It assessed the providers' knowledge and sought to evaluate if increased knowledge occurred after an educational program presentation. Following the educational program, a follow-up survey was distributed via email to assess the providers self-reported perceived practice change six weeks after the education.