Digital Commons Network^™

Using Ultrasound-Guided Peripheral Intravenous Access In Difficult Intravenous Access Patients, Diana Hampton

Dissertations

Inserting a peripheral intravenous catheter (PIVC) can be challenging on the first attempt. At the project site there was no systematic process to impact failed first-attempt success for PIVC access, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if the implementation of the Emergency Nurses Association's (ENA) Clinical Practice Guideline: Difficult Intravenous Access would impact the number of patients identified as difficult intravenous access (DIVA) and first-attempt success for peripheral intravenous access. The project was piloted over 12 weeks in a community living center in a Veterans Administration facility in the southern …

The Influence Of Mentoring On Goal Attainment And Role Satisfaction For Registered Nurses In Acute Care Facilities, Christine B. Smith

Dissertations

Mentoring has been suggested as a means to assist with role transition, career planning, and retention in the profession by providing opportunities for personal and professional growth lead to satisfaction. Satisfaction is especially crucial for the retention of Registered Nurses in a time when the profession has been experiencing a critical shortage. This quantitative study examined the influence of mentoring for RNs who have been employed in acute care facilities for the first time for less than 2 years. Using Bouquillon's mentoring instrument and based in the frameworks of King and Kram, the study suggests mentoring is occurring among new …

Exploring The Relationship Among Clinical Judgment, Academic Resiliency, Student Predictors, And Exam Remediation In Prelicensure Nuring Students Preparing For Next Generation National Council Licensure Examination [For] Registered Nurses, James F. Oberlander

Dissertations

As the field of nursing becomes increasingly more complex, nursing students are psychologically challenged as they progress through a program of study, prepare for the licensure examination, and enter professional practice. Identifying factors that influence student outcomes is necessary for faculty to effectively guide students toward successful completion of nursing school and passing the National Council Licensure Exam for Registered Nurses (NCLEX-RN). Along with academic and nonacademic demographic variables, the main objective of this exploratory, quantitative research study was to investigate the relationship between clinical judgement, academic resiliency, exam remediation, and NCLEX-RN first attempt pass rates.

The Contribution Of Physical Activity To Sleep Parameters In Pregnancy Within The Context Of Prepregnant Body Mass Index, Priscilla M. Nodine

Dissertations

Sleep disturbances are common among pregnant women and pregnant women with obesity are especially prone to problems sleeping. Disturbed sleep is independently associated with the inflammatory process and adverse pregnancy outcomes. Safe treatment options to enhance sleep during pregnancy are needed. The primary aim of the study was to test Pender's Health Promotion Model (HPM) by evaluating the contribution of physical activity (PA) to sleep parameters in pregnant women, particularly within the context of prepregnant body mass index (BMI).

Qualitative Study: Storytelling For Complex Concepts And Critical Thinking. Nurse Educators' Experience, Carine A. Mcdonald

Dissertations

Current patient acuity necessitates nurses' need to think critically and problem-solve in care facilities. The nurse educators' perspectives on how storytelling impacts students' critical thinking and conceptual learning are crucial. This study explored nurse educators' experiences who employed storytelling teaching strategies in the classroom for critical thinking skills and learning complex concepts. The research question was, "What are the experiences of nurse educators as they use instructional storytelling in the classroom for complex concepts and critical thinking?" Three associated sub-questions were: "How do nurse educators describe the process of incorporating storytelling in their classrooms?" "What challenges are described by nurse …

Using Personal Power To Overcome Self-Sabotage, Kelli Jakubik

Dissertations

Purpose: The purpose of this sequential, explanatory mixed methods study was to identify and describe personal power tactics that California female school superintendents employ to overcome the four identified self-sabotaging behaviors from the self-sabotaging framework adapted from Lerner (2012) and Ryder and Briles (2003). Methodology: This sequential, explanatory mixed methods study identified and described the power tactics that eight female superintendents in a Southern California public school used to overcome the top four self-sabotaging behaviors: thinking too small, fear and worrying, holding back, and not taking time for reflection. Purposeful and convenience sampling was used to identify the participants. The …

Licensed Nurse/Certified Nurse Aide Collaboration In The Nursing Home, Cynthia Beynon

Dissertations

The purpose of this dissertation was to explore how collaboration is perceived and experienced by the licensed nurse (LN) and the certified nurse aide (CNA) in the nursing home (NH) setting. Understanding perspectives and patterns in the process of LN/CNA collaboration is critical in the quest to secure safe, quality care delivery for NH residents.

Evidence Based Practice Among Primary Care Nurse Practitioners, Stephen Van Roper

Dissertations

This study describes primary care nurse practitioner (PCNP) beliefs in, knowledge, implementation and utilization of evidence based practice (EBP). Research questions answered are:

1. What are the levels of belief, implementation, knowledge and utilization of EBP among PCNPs?

2. Is there a relationship with PCNP demographics (personal, professional, and practice), belief, knowledge, implementation and utilization of EBP?

3. Do PCNP demographics (personal, professional, and practice) and scores on belief, knowledge and implementation influence EBP utilization?

Phenomenological Study On Adaptive Leadership During Times Of Great Change And Opportunity As Perceived By California Public School Superintendents In Los Angeles County School Districts, Darrin Deknikker

Dissertations

Purpose: The purpose of this phenomenological study was to identify and describe strategies used by superintendents of California public school districts in Los Angeles County to build an adaptive capacity based on the five key characteristics of adaptive leadership by Heifetz et al. (2009).

Methodology: This phenomenological study explored the lived experiences of superintendents serving in public school districts in Los Angeles County. Purposeful, convenience sampling was used to identify 10 participants who met the study’s criteria. The semi-structured, open-ended interview protocol was developed by a thematic research team of nine peer researchers and three faculty advisors. Data collected from …

Life After Emancipation: A Phenomenological Study Of Emancipated Foster Youth And Their Lived Experiences, Felecia Gray

Dissertations

Purpose: The purpose of the current phenomenological study was to identify and describe the perceptions of emancipated foster youth (EFY) regarding the factors that have impacted their successful transition into adulthood. The secondary purpose of this study was to describe the measures EFY considers essential for a successful transition from foster care to independent living.

Methodology: This qualitative study identified and described the lived experiences of 12 emancipated foster youth from Los Angeles County, California. Respondents were purposively chosen based on specific criteria. Data were collected, and themes were formed with regard to five characteristics of the emerging adulthood theoretical …

Implementing Clinical Practice Guideline To Impact Postpartum Hemorrhage Among Immediate Postpartum Mothers, Teresa C. Okolo

Dissertations

Postpartum hemorrhage (PPH) can lead to untoward conditions in mothers following childbirth. At the project site there was no accurate method for measuring blood loss, resulting in the early identification of PPH, so an evidence-based solution was sought. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of the California Maternal Quality Care Collaborative (CMQCC) Quantitative Blood Loss (QBL) Clinical Practice Guideline (CPG) would impact blood loss within two hours post-delivery among mothers with a vaginal or cesarean delivery in an urban hospital in New York over four weeks. Kristen Swanson's theory of caring …

A Design Thinking Mixed Methods Study On Learned Empathy Through Multicultural Education, Samanantha Webb

Dissertations

The dissertation in practice focused on addressing the issue of inadequate diversity, equity, and inclusion (DEI) competencies among teachers in a Title I school. The problem of practice emerged within the context of an increasingly diverse educational landscape, necessitating educators to possess robust DEI skills. The proposed solution was a professional development (PD) program, crafted using a design thinking approach, which included an asynchronous learning module supplemented by a book study. The comprehensive PD program was aimed at enhancing the teachers' understanding and application of DEI principles, making the prototype relevant to the demands of multicultural education in today’s diverse …

A Design-Based, Mixed Methodology Study On Neurodiversity-Affirming Practices Among Speech-Language Pathologists In A Midwestern School District, Sarah E. Schmid

Dissertations

As autism diagnosis increased (Maenner et al., 2023; Wright, 2017), autistic individuals increasingly advocated for services aligned with a neurodiversity perspective (Jordan, 2010; Leadbitter et al., 2021). Using a human centric, design-based approach, the researcher identified a lack of alignment between the emerging preferences of the autistic community and the services speech-language pathologists (SLPs) in a large, suburban special education school district felt competent in providing. Some SLPs in the district reported a lack of knowledge and training about the neurodiversity movement and felt further training on the topic was needed. Once the knowledge gap was identified, the researcher worked …

Professional Counselor's Experience Of Providing Clinical Services While Experiencing Adversity, Cambria Jovanna Mcdonald

Dissertations

The purpose of this study was to understand the lived experience of professional counselors who provided clinical services while undergoing personal adversity. Despite the common belief that counselors are more equipped to handle personal adversity, counselors experience adversity alike others. Interpretative phenomenological analysis was the methodology implemented. Participants in this study consisted of six licensed professional counselors working at various clinical sites who continued to provide counseling services while experiencing an adverse event. Adverse events included the death of a loved one, marital concerns, family crises, divorce, infertility issues, and complex parenting situations. Findings revealed that all participants reported a …

Developing An Instrument To Measure Group Dynamics Awareness: A Mixed Methods Study, John Weng

Dissertations

In a world that is increasingly volatile, uncertain, complex, and ambiguous, adaptive leaders are needed more than ever. Based on group relations programs developed by the Tavistock Institute, a pedagogy known as case-in-point has recently been brought to prominence and incorporated into leadership development programs. These methods claim to develop systems thinking and individuals’ leadership capacity with little prior empirical research.

This mixed methods exploratory study explored individual awareness of group dynamics, a key outcome in case-in-point programs, and adaptive leadership theory. The goal was to create an instrument to measure awareness of group dynamics: the Group Dynamics Awareness Questionnaire …

Verbal Abuse, Violence Prevention Climate, And Psychological Safety Among Pediatric Nurses, Donna Bigani

Dissertations

Purpose: The purpose of this study was to describe the relationships among demographic characteristics, verbal abuse, violence prevention climate, and team psychological safety.

Specific Aims: Specific aims were to describe: (1) demographic characteristics, verbal abuse, violence prevention climate, and the perception of team psychological safety by pediatric nurses; (2) relationships among select demographic characteristics, verbal abuse, violence prevention climate, and team psychological safety; and (3) the variance in team psychological safety accounted for by select demographic characteristics, verbal abuse, and violence prevention climate.

Background: Psychological safety is a key element for nursing practice and healthcare teams. Patient and employee safety …

Exploring The Relationships Between Health Literacy And Hba1c In A Rural Border Region, Stephen Jaime

Dissertations

Aims/Objectives: The purpose of this study was to describe the relationships between select sociodemographic and clinical characteristics, individual health literacy levels, and hemoglobin A1c (HbA1c) levels among Hispanic patients with diabetes living in a rural border region.

Background: The frequency of complications from diabetes can increase as HbA1c levels rise, causing the person with diabetes to be at greater risk for blindness, amputation, or renal failure. Unfortunately, people of Hispanic background are at higher risk of developing diabetes compared to non-Hispanic Whites. Many people living in rural towns that border Mexico are of Hispanic background, increasing their risk of developing …

An Exploration Of The Relationship Between Servant Leadership Characteristics Of Nurse Leaders And The Perception Of Empowerment Among Their Followers, Holly H. Hall

Dissertations

There is a demand for nursing leadership to create a healthy work environment for nursing practice, which is crucial for maintaining an adequate workforce (Shirey, 2006). Rother and Lavizzo-Mourey (2009) predicted that by 2025 the nursing shortage may reach as high as 500,000 U.S. nursing vacancies. The purpose of this study was to examine the relationship between servant leadership (SL) characteristics of nurse leaders and the perceptions of empowerment among their followers. Servant leadership has emerged as an effective leadership style that prioritizes developing the full potential of followers (Liden, 2013). Current research suggests an empirical link exists between servant …

The Effects Of Resilience And Optimism In Maternal Role Attainment After Six To Twelve Months Postpartum In Women Hospitalized For Pregnancy Complications, Marianne Allen

Dissertations

Each year in the US, approximately 1,200,000 pregnant women are hospitalized on bed rest with the intent to improve pregnancy outcomes. However, antepartum bed rest is not benign and may contribute to physical debilitation, postpartum depression (PPD), impaired maternal role attainment (MRA), and altered maternal-infant attachment. There are gaps in the literature about the effects of resilience, optimism, and PPD on MRA and the effects of resilience and optimism on PPD at six to 12 months postpartum. Although the effects of resilience and optimism have been studied in general adult populations, few studies have considered resilience and optimism as protectors …

Counseling And Mental Health Awareness In Higher Education Institutions: A Phenomenological Exploration Of Mental Health And How It Affects Degree Completion Among Black Undergraduate College Women, Shaquina D. White, Desirae N. Williams

Dissertations

The purpose of this qualitative study was to explore Black undergraduate women’s lived experiences with mental health management and pursuance of degree completion. This study used a phenomenological approach, guided by the following research questions: 1) What barriers are Black undergraduate college women facing regarding their accessibility to counseling services on their campus? and 2) How do Black undergraduate college women with mental health issues effectively manage stressful situations while pursuing and completing a college degree? The current literature that examined Black women’s utilization of counseling is limited, especially among Black women enrolled in college. This study aimed to fill …

Assessing The Impact Of A Pre-High-Fidelity Simulation Orientation On Associate Degree Nursing (Adn) Students' Simulation-Related Anxiousness, Diana C. Galvez

Dissertations

High-fidelity simulation has been utilized in healthcare education for many years. This modality allows students to comprehend complex concepts and be able to create meaningful links between nursing, medical diagnosis, and concepts learned in the classroom. Nursing students that are exposed to a simulation experience that produces stress, anxiousness, and fear can demonstrate a decrease in learning, level of retaining information, self-efficacy, competence, academic performance, learner proficiency, learner confidence, as well as anxiety and frustration when acclimating to new simulation environment. The purpose of this study is to assess the impact of a pre-high-fidelity simulation orientation session on Associate Degree …

Personal Power Tactics African American Female Superintendents Employ To Overcome Four Identified Self-Sabotaging Behaviors, Angela Brantley

Dissertations

Purpose: The purpose of this sequential explanatory mixed-method study was to identify and describe personal power tactics that African American female superintendents employ to overcome the four identified self-sabotaging behaviors from the Self Sabotaging Framework adapted from Lerner (2012), Ryder and Briles (2003).

Methodology: This study identified and described the lived experiences of seven female African American superintendents across the United States. This research design encompassed a sequential data collection method using an electronic survey instrument, followed by one-on-one interviews. Based on the quantitative and qualitative data, the researcher was able to triangulate data using the trends, categories, and patterns …

The Contribution Of Mindfulness Practice To Supporting Children And Their Families’ Challenges Among School Social Workers: A Qualitative Multicase Study Of School Social Workers In California, Catalina Andrade

Dissertations

Purpose: The purpose of this qualitative multicase study was to describe the challenges school social workers experience when supporting students and their families in their schools. Additionally, the purpose of this study was to understand how school social workers use mindfulness practices to help them respond to the challenges of working with the students and their families in their school based on Lesser’s mindfulness model (2019): love the work, do the work, don’t be an expert, connect to your pain, connect to the pain of others, depend on others, and keep making it simpler. Methodology: In this multicase study, the …

Use Of Outcome-Present State Test Model Of Clinical Reasoning With Filipino Nursing Students, Susy A. Jael

Dissertations

Clinical reasoning is a nursing competency necessary to make the best decision to deliver safe and effective care. A review of the literature shows a link between hazardous errors in patient care and poor clinical reasoning among nurses, and suggests that more study be given to best way to teach clinical reasoning. It is crucial that nurses today and of the future possess the clinical reasoning skills to provide increasingly complex patient care. This study tested the effect of the Outcome-Present State Test (OPT) Model of Clinical Reasoning on Filipino junior nursing students' clinical reasoning scores on the Health Sciences …

“A Real Man . . .”: Deconstructing Machismo Heteronormative Standards With K–12 Latino Male Educators Through Dialogic Spaces, Mario Echeverria

Dissertations

In a K–12 educational landscape where 75% of educators are white women, recruitment of Latino male educators is crucial for diversification, yet these educators represent just 2% of the teaching workforce in the United States (NCES, 2020). These educators grapple with a layered sense of identity as they navigate expectations of hegemonic masculinity and machismo norms that dictate their roles as disciplinarians and saviors, especially for young boys of color (Brockenbrough, 2018; Lara & Fránquiz, 2015; Martino & Kehler, 2006; Mills et al., 2004; Singh, 2021). Unfortunately, Latino male educators leave the profession at twice the rate of their Latina …

What Matters Most: A Phenomenological Study On The Experiences Of Engagement And Inclusion Of Online Part-Time Faculty In Christian Higher Education, Eleisha Garland

Dissertations

Higher education institutions significantly rely on part-time faculty members to meet course demands. The growth of part-time faculty has grown over 250% since the 1970s. Part-time faculty are now seen as the majority over tenured and tenure-track faculty. Due to the changes in higher education and the crucial role online part-time faculty play in higher education institutions, online bachelor-level program deans must learn to support and engage these faculty members more effectively. The leadership problem identified for this study is that online bachelor-level program deans are being challenged to deliver the support needed to online part-time faculty members to ensure …

Development Of Methods To Quantify The Affective Response To Food Product Consumption Based On Kansei Engineering And Their Application In New Product Development, Dietmar Weiss

Dissertations

Consumer research, crucial to the success of new products, relies traditionally on rational judgements and opinions, which may not reflect the real reasons for consumer choice. The goal of this research was to apply and further develop the concepts of Kansei engineering to quantify an emotional response to product use. In addition to the application of the traditional Kansei engineering methods, three innovations were introduced. Firstly, the use of images instead of words to define the emotional space and further limit the interference of cognitive processes in the outcome. Secondly, the application of orthogonal arrays in product designs. Thirdly, the …

A Case Study Of Technology Integration At A Community College During A Disruption Of Learning Due To A Global Pandemic, Cara Suzanne Barth-Fagan

Dissertations

This paper discusses the challenges and opportunities of remote learning during the COVID-19 pandemic. It highlights the financial stress, digital divide, and inequalities in educational opportunities that arose during this period. However, it also acknowledges the advantages of remote learning, such as flexible scheduling, individualized learning, and global collaboration. The study design used was qualitative, aiming to identify the perceived levels of student engagement and support between faculty and students, and the perceived levels of success of completing a blended learning course in an online, hybrid, or hyflex format during a global pandemic. The paper concludes by emphasizing the importance …

The Structural Basis Of Inflammation : Computational Characterization Of Molecular Mechanisms, Sara W. Jackson

Dissertations

Computational tools are useful in the interpretation and analysis of experimental data. In the world of structural biophysics, computational tools go a bit further: they can simulate atomic motions and molecular interactions based on experimentally-determined biomolecule structures, therein describing natural phenomena, and inspiring the formulation of new hypotheses. In this work, computational structural biology tools are used to answer questions about molecules of inflammatory importance. Quantum chemistry computational tools are used to determine the electronic structure of sesamin, a component of many diets which may be a modulator of an enzyme involved in the metabolism of inflammation mediators. Virtual docking …

An Examination Of The Predictors Of Vocational Calling In First-Generation College Students, Rodney Palmer

Dissertations

Problem

Several studies have examined the prediction of calling in college students, but no known study has focused primarily on the development of vocational calling among the vulnerable population of first-generation college students who have a higher drop-out rate than their peers. Examining the composition of vocational calling in first-generation college students, will assist faculty and student development personnel in better understanding the factors that predict a sense of calling for these students, which will improve their overall performance. This study will examine to what extent a sense of vocational calling is predicted by student mentoring, social support, faith/spirituality, civic …