Digital Commons Network^™

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

Dissertations

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

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

Dissertations

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

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

Dissertations

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

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

Dissertations

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

Screening For Depression Post Acute Coronary Syndrome, Alyssa Graham

Dissertations

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

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

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

Dissertations

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

Tensions Between Catholic Identity And Academic Achievement: Roles Of Catholic School Leaders In Southeastern Nigeria, Augustina Ngozi Mbata

Dissertations

Despite the series of documents by the sacred ecumenical council and replete research enumerating the two-dimensional focus of Catholic schools: faith and academics and its collaborative nature, Nigerian (southeast) Catholic primary and secondary schools are continually experiencing activities of disharmony between Catholic identity and students' academic achievements. To better understand the nature of disharmony and its causes from the perspectives of leaders, teachers, and parents, this study examines the major challenges that face the representation and teaching of Catholic identity and the students’ academic achievement in the Catholic schools of southeastern Nigeria. While the purpose is critical to the student’s …

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

Dissertations

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

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

Dissertations

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

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

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

Dissertations

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

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

Dissertations

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

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

Dissertations

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

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

Dissertations

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

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

Dissertations

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

Examining How Adolescents From Underrepresented And Minoritzed Backgrounds View And Navigate Their Racial Ethnic Identity: Exploring The Impact Of Dominant Narratives And Counternarratives On Racial Ethnic Identity, Jesus Eduardo Ramos

Dissertations

This study delves into the impact of dominant narratives on the perceptions of Racial Ethnic Identity (REI) among adolescents from underrepresented, minoritized backgrounds and assesses the effects of counternarrative interventions. It explores how racially oppressive messages in education and media shape self-perception and examines the potential of counternarratives in challenging stereotypes, promoting critical thinking, and advancing social justice. Utilizing a qualitative cross-case study design, the research involved 8 participants aged 12-14 who identified as Hispanic/Latino or Black/African. Data collection methods included demographic questionnaires, semi-structured pre- and post-intervention interviews, and reflection logs. The analysis employed constant comparison techniques and data triangulation …

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

Dissertations

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

Multiracial Congregations: Transformative Or Status Quo?, Michelle Dodson

Dissertations

This dissertation aims to begin to clarify whether Protestant, multiracial churches are in fact challenging racism and, if so, how. To this end, my study turns its attention to social engagement. What role, if any, do these churches play in their larger social contexts? Are they socially engaged in ways that challenge racial injustice? Do they foster this type of social engagement in those who attend? These are some of the questions this study begins to answer. This is an ethnographic study of four congregations in Chicago, IL. Through a careful study of each congregation’s racial discourse and their understanding …

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

Dissertations

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

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

Dissertations

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

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

Dissertations

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

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

Dissertations

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

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

Dissertations

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

Resiliency And Positive Childhood Experiences: Implications For Black Youths' Mental And Behavioral Health And School Engagement, Sharnequa Nashay Hunter

Dissertations

Two independent studies were conducted to examine the buffering impact of positive childhood experiences on Black youths’ mental and behavioral health and school engagement outcomes. The purpose of Study 1 was to investigate the potential moderating effects of positive childhood experiences on the relationship between adverse childhood experiences and the occurrence of mental or behavioral health conditions (anxiety, depression, ADHD/ADD, and/or a behavioral/conduct problem) and school engagement, using secondary data from the 2020 National Survey of Children’s Health, a survey completed by primary caregivers. The study sample included 2,201 Black youth ages 6-17 across the United States. Logistic regression and …

Understanding Stress, Strengths, And Strategies To Support Immigrant Youth: A Bundled Dissertation, Sarah Jolie

Dissertations

In the study of child development and mental health of Latine and immigrant and refugee youth, it is necessary to understand their cultural experiences and stress experiences in the U.S. The present project aims to address culture, stress, and the development of internalizing outcomes among Latine, immigrant, and refugee youth across two important stages of development: middle childhood and adolescence. The first study provides a comprehensive review of Latine children’s immigration experiences, the effects of exposure to multiple stressors, cultural factors, and intervention implications. The second study provides a focused examination of the impact of two culturally relevant stressors among …

Warm Bodies, Strong Attachments, And The Search For Better Bonds: The Politics Of Human-Animal Entanglements In U.S. Fiction And Media, John Charles Hawkins

Dissertations

This dissertation describes human-animal relationships as sites of political longing and meaningful failure in the context of twentieth and twenty-first U.S. fiction and media. I locate three tendencies of imagination prevalent in writing about bonds between humans and other animals: collaboration in regional modernity, refamiliarization in consumer capitalism, and transformation in rationalist patriarchy. These expressions of desire for a different way of relating, I argue, open important windows into the places where current power structures generate suffering and distress. I also emphasize the compelling but imperfect nature of these expressions. The texts and images in this dissertation offer attempts to …

“I Really Like The Idea Of Being The Source Of Change”: The Perspectives Of Black And Latine Youth Experiencing Low Income About How Personal Change Occurs In Out-Of-School Group Programs, Kevin Miller

Dissertations

Structured out-of-school programs (OSPs) can be contexts in which youth can be producers of their own positive change (Eccles & Gootman, 2002). However, despite a considerable body of research documenting the benefits of participating in OSPs, there is a lack of knowledge about how youth of color in low-income communities define positive personal change in OSP settings. As a result, many OSPs and interventions designed for youth of color rely on adult practitioners’ or researchers’ perspectives of the change process, which may weaken program impact and fail to holistically meet youths’ developmental needs. This study uses a critical realist scientific …

A Womanist Narrative Ethics Of Survival: An Exploration In African American Meaning Making, Lashaunda Janeice Reese

Dissertations

This project creates a womanist narrative ethics of survival framework using literary analysis, sociological and theological comparisons, and reflections on moral dilemmas in fiction and history. Steeped in the African American woman’s experiential perspective, this framework provides an alternative viewpoint through which to examine and analyze ethical issues arising in the context of marginalized bodies. Integrating the Christian faith, the history of chattel slavery in the United States, and the expanding field of African American literature and literary theory, this work posits that fiction provides a rich platform to work through thick moral dilemmas, affording a concrete ethical framework to …

Asian Americans’ Experiences Of Covid-Related Discrimination: Collective Identity, Critical Consciousness, And Intergroup Solidarity, Han Na Lee

Dissertations

The outbreak of the coronavirus disease (COVID-19) has stirred fear and panic with a surge of anti-Asian hate in the United States. Racial discrimination was exacerbated by labeling COVID19 as “the Chinese virus” and blaming Asians and Asian Americans as the source of the virus. Within the exacerbated xenophobic and racist rhetoric since the COVID outbreak in 2019, racial discrimination was amplified towards anyone who phenotypically presented as “Asian.” It is unclear how various Asian ethnic individuals identify with their Asian American identity while experiencing the intensified discrimination. Specifically, experiencing COVID-related racism and group-based rejection may increase or decrease Asian …

Child-Parent Psychotherapy In Child Welfare, Michelle Saulnier

Dissertations

Objective: Child-Parent Psychotherapy (CPP) is a therapeutic model that works within the caregiver relationship with children 0 – 6 years old who have experienced trauma or maltreatment. This study utilized a mixed methods design to evaluate how CPP was implemented within a child welfare waiver project in one Midwestern city. This study also looks at various factors impacts on CPP service delivery outcomes and examines how CPP impacts child welfare outcomes within the context of a larger evaluation. Methods: A sequential mixed methods design was completed with descriptive, and correlation statistical analysis completed. In addition, person-time fixed level analysis was …

Development And Benchmark Of Polarizable Models For Ions, Luke Landry

Dissertations

Metalloproteins are ubiquitous in biology, playing crucial roles in diverse processes. Meanwhile, molecular simulations have become an important tool in scientific research. To accurately simulate metalloprotein systems, accounting for polarization and charge transfer effects is required. The fluctuating charge (FQ) model can effectively simulate the charge transfer effect, but the existing models often lack specificity for metalloproteins. In our research, a tailored FQ model for zinc-containing metalloproteins, leveraging the extended charge equilibration (EQeq) scheme, was introduced. CM5 charges were used as the target in our model parameterization, which offers advantages over RESP/CHELPG charges. Most notably, CM5 charges hold independence over …