Digital Commons Network^™

Cultural Microaggressions In Multinational Organizations: Organizational Inclusivity And Employee Coping Strategies, Regina Mcwilliams

Dissertations

Cultural microaggressions are especially problematic in multinational organizations because of the sheer and vast diversity of employees, customers, and partners across numerous countries and continents. These subtly discriminatory remarks or actions often lead to negative consequences that can cost companies immeasurable revenue and profit losses, customer and employee attrition, and brand reputational damage. This study aims to understand the impact of cultural microaggressions on job outcomes and the moderating effects of inclusivity practices and employee coping strategies. We draw upon the minority stress model and use quantitative methods to determine the relationship between cultural microaggressions and various job outcomes. Findings …

The Effect Of Moral Distress On Nursing Retention In The Acute Care Setting, Cynthia L. Cummings

Dissertations

This descriptive study explored the relationship between moral distress, professional stress and intent to stay in the hospital setting. The study involved 234 nursing participants and was conducted via an online survey over a 90 day period. The survey tool consisted of 51 items taken from known moral distress, professional stress and intent to stay tools. The items were divided into frequency and intensity of occurrence. Various statistical measures were utilized to conclude that moral distress and professional stress factors were significant (p

The results confirmed that there was a correlation between moral distress and professional stress with regard to …

المستقبل القانوني لتكنولوجيا التطبيب عن بعد, إيمان محمد الكلباني

Dissertations

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The Legal Future Of Telemedicine Technology

Over the past few years, the field of information and communication technologies (ICT) has experienced remarkable advancements that have brought about significant revolutions in various aspects of public life. One notable area that has been greatly influenced by these advancements is telemedicine. Telemedicine has had a profound impact on interpersonal relationships and the supply of medical services in both developed areas and remote. What sets telemedicine apart from traditional hospital healthcare is its ability to bridge the gap between doctors and patients without the need for physical proximity. However, the implementation of telemedicine …

Assessing Preschool Children In Uae: Development Of The Preschool Autism Checklist (Pac) For Teachers, Omniah Gharib Alqahtani

Dissertations

This study aims to develop a new assessment tool for teachers to recognize and evaluate early signs of autism spectrum disorders (ASD) in preschool children in the UAE. The study also discussed the cultural characteristics of the Gulf region and their impact on ASD. The available ASD instruments may be unclear in language and difficult to understand for regular teachers. However, a Preschool Autism Checklist (PAC) has been developed that is specifically tailored to the sociocultural norms of the Arab Gulf Countries. The ASD symptoms were taken from the DSM-5 (APA, 2013) as a reference source, while ASD scales incorporated …

Mixed-Method Study Of Relationship Satisfaction Among African American Males With Or Without History Of Childhood Sexual Abuse, Sandra Webster Brown

Dissertations

Relationship satisfaction among African American males is an important and feasible topic and underrepresented among scholarly literature. The purpose of this study was to explore relationship satisfaction and experiences among African American males who may be impacted by history of childhood sexual abuse. The study was guided by the theoretical frameworks of family systems theory. Using a concurrent mixed-methods triangulation design, the researcher collected data quantitatively and qualitatively from an online survey. Data were collected from 43 African American males recruited from Black organizations in the United States. The qualitative data collected by written narratives from the men were used …

A Comparative Analysis Of Demographic And Academic Characteristics And Nclex-Rn Passing Among Urban And Rural Campus Students In A Midwest Associate Degree Nursing Program, Kathleen J. Nacos-Burds

Dissertations

A retrospective study was initiated to determine: (1) the predictive relationship between demographic and academic variables and NCLEX-RN success; and (2) if there were significant differences between urban and rural nursing students that could account for an increased percentage of rural NCLEX-RN failures. A convenience sample was comprised of 398 graduates in 2005-2008, of an associate degree nursing program in the Midwest. Student age group, campus enrolled, Anatomy and Physiology GPA, number of practical nursing terms attempted, Practical Nursing GPA, and the number of associate degree nursing terms attempted were analyzed for predictive value of first-attempt NCLEX-RN success.

Not All Best Practices Result In Best Performances: Two Empirical Studies Of Online Accounting Education, Mark Sanders

Dissertations

Exploring the impact of specific pedagogical strategies in online accounting education on student learning outcomes is central to this research. This two-study dissertation focuses on the influence of course delivery methods on student performance and the mediating function of accounting efficacy. A diverse sample of accounting and business students was quantitatively analyzed to determine the relationship between course structure, classroom justice, students’ motivation and their accounting efficacy, applicability of learned material, and final grades. Even though certain teaching practices were advantageous, the combination of these practices did not always lead to improved student performance, according to the findings. Significant determinants …

Student Retention Through Decision Making And Withdrawal: The Importance Of Course Scheduling In Higher Education, Danielle Faucett

Dissertations

Student retention is a fundamental issue in higher education, with student decision-making and withdrawal at the forefront of examining that issue. Previous research has shown that personal factors are not easily addressed, but institutional factors, such as the course scheduling process, can be modified. This research study examined how the course schedule can influence degree-seeking students at a state-funded, 4-year institution by exploring the correlation between class standing and the importance of how courses are scheduled, the correlation between class standing and the ability to register for a required course, and what factors predict a student’s decision to withdraw from …

The Influence Of Attachment Styles And Mental Health Symptoms On Marital Satisfaction Among Deployed Us Army Soldiers, Leo Mora

Dissertations

Since 2002, changes in the frequency, duration, and nature of military campaigns overseas have piqued efforts to understand the effects of deployment on the mental health of DoD service members, especially married Army soldiers. However, few studies have examined the influence of attachment styles on the emotional health of combat veterans and the wartime impact they have also imparted to their spouses. Thus, in the context of military deployments, this study examines how secure/insecure attachment styles, posttraumatic stress (PTS), and depressive symptoms significantly influence married soldiers and their perceptions of marital satisfaction. In addition, this study also examines pre-existent, internalized, …

A Narrative Analysis Of Spiritual Coping In Individuals With Terminal Heart Failure, Clayton C. Clark

Dissertations

Approximately 6 million Americans have heart failure with treatment costs estimated at $30.7 billion annually. Those in late stages of the disease experience profound physical, emotional, and spiritual suffering. Spiritual wellbeing has been linked to quality of life as well as mental and physical health in patients with heart failure. While holistic nursing care promotes spiritual coping, barriers exist. Currently, nursing lacks theory to explain spiritual coping processes in patients with heart failure, which leaves nurses ill-equipped to promote spiritual wellbeing in providing care to patients. In this study, I employed open-ended interviewing and narrative analysis techniques to gain a …

Beyond Prognosis Communication: Exploring The Existential Dimensions Of Palliative Care Conversations With Adults With Advanced Cancer, Elise C. Tarbi

Dissertations

Communication about prognosis is integral to effective palliative care. However, prognosis communication often entails considering mortality, which can trigger existential questions. We understand very little about how existential experience is communicated in palliative care conversations. To fill this gap, this dissertation addresses the following aims: (1) Clarify the concept of the existential experience within the context of adults with advanced cancer (Chapter 2); (2) Describe how patients, families, and clinicians communicate about existential experience in palliative care conversations (Chapter 3); and (3) Explore the intersection between prognosis communication and existential dimensions of conversation (Chapter 4).

Understanding The Unique Needs, Experiences And Strategies Used By Icu Nurses To Be Resilient During The Covid-19 Pandemic, Teenu Xavier

Dissertations

The COVID-19 pandemic presented numerous challenges for nurses working in intensive care units (ICUs), leading to a significant impact on their mental and psychological well-being. Despite these challenges, resilience is recognized as a protective factor for ICU nurses that can enhance the well-being of healthcare professionals and enable them to cope effectively with stressors and challenges. But there is a gap in the literature about the experiences, unique needs, and resilience strategies used by ICU nurses in the United States (U.S.).

The purpose of this dissertation research was to complete three interrelated projects in order to gain a better understanding …

The Caregiver Of The Child With Cerebral Palsy: The Unnoticed Victim, Taylor Tusinski

Dissertations

The purpose of this study was to better understand the overall quality of life (QoL) in the primary caregiver who provides care to the child or adolescent, aged 0-17 with mild, moderate, or severe Cerebral Palsy (CP). This study aligned with a nonexperimental or observational design and examined the severity level of CP and the QoL in the mother and/or father.

For research question 1, regression results indicated that the overall model did not significantly predict the mother’s and father’s QoL [R² = .000, R² _adj = -.012, F(1,80) = .003, p = .957]. Regression results indicated that …

Perceptions Of Teaching Effectiveness Of Part-Time And Full-Time Clinical Nursing Faculty Of Bsn Education, Kimberly L. De Santis

Dissertations

The United States faces a critical shortage of full-time registered nurses, which is directly affected by the shortage of nurse educators. Many schools of nursing are already seeing the impact as qualified program applicants are being turned away due to the lack of qualified educators available to teach them. The trend has become to employ increasing numbers of part-time faculty who have a clinical focus in their education. There is much debate about the clinical teaching effectiveness of part-time faculty. One way to assess quality of education is to assess teacher effectiveness. The purpose of this quantitative, descriptive, study was …

Σπλαγχνιζομαι And The Characterization Of The Markan Jesus, Jonathan W. Bryant

Dissertations

Amid scholarly studies both of the miracle stories of the Markan Jesus and of the characterization of the Markan Jesus, little attention has been given to the role of Jesus’s emotions as portrayed in those accounts—though references to Jesus’ emotions appear quite frequently in the Gospel of Mark. This dissertation seeks to fill this lacuna through a detailed analysis of the portrayal of Jesus’s compassion (σπλαγχνίζομαι) in the Markan miracle stories. I first examine the accounts of other miracle workers from ancient Greco-Roman and Jewish literature to discover how emotions feature in the depictions of miracle workers likely known in …

A Critical Examination Of Clinical Teaching In Undergraduate Nurse Education, Lisa Mckenna

Dissertations

Clinical education is an integral part of undergraduate nurse education. Whilst extensive research has explored roles of clinical teachers and clinical teaching, largely through perceptions of their effectiveness, little is known from clinical teachers about how they perceive their work, factors that shape their work, and what clinical teachers themselves shape. It is the development of clinical teaching both from historical and current perspectives that formed the basis for this unique study which adds new understandings to existing knowledge around this important area of nurse education.

The Effects Of Mindfulness On Depression In Dialysis Patients, Nakeia Saddler

Dissertations

Abstract

Problem: Depression is a prevailing global health issue and a typical complication of dialysis patients. This quality improvement project's purpose was to evaluate mindfulness on depression in dialysis patients, aged 18-93, who are on dialysis and participated in a mindfulness program over three months.

Methods: A descriptive, prospective, and retrospective design was used to assess depression pre- and post-implementation of a mindfulness telephone line over three months. A convenience sample of twenty adults aged 18-83 who use this hemodialysis center on Monday, Wednesday, and Friday was utilized. The Iowa Model is the framework selected to guide the implementation of …

Using Natural Language Processing To Evaluate Electronic Health Records Of Patients With Ovarian Cancer For Documentation Of Goals Of Care, Hillarie Elizabeth Joehl

Dissertations

Growing evidence supports the benefits of serious illness communication including goals of care (GOC) discussions and documentation in the electronic health record (EHR). Patients who discuss end-of-life (EOL) care with their clinicians are more likely to have positive outcomes including better-reported quality of life, less distress, and a higher likelihood of receiving care consistent with their preferences. Limited research suggests only a small fraction of ovarian cancer patients have such discussions with their clinicians. Using a novel natural language processing (NLP) methodology, this retrospective and descriptive study explores EHRs for patients with ovarian cancer to characterize documentation of GOC. Using …

Creative Disobedience: Dorothee Sölle's Political Theology And Ethics For U.S. Christian Contexts, Dannis Matteson

Dissertations

This dissertation adapts Dorothee Sölle’s concept of creative disobedience to account for those histories of obedience to structures of domination and to foster moral agency that disrupts and dismantles structures of domination. The first two chapters contextualize and summarize Dorothee Sölle’s critique of obedience and her warning against the way in which the obedient social character yields a “Christofascist” society. Chapter II considers the extent to which Christofascism already exists in US society today through Andrew L. Whitehead and Samuel L. Perry’s study of the political and cultural prevalence of Christian nationalism. Chapter III contextualizes Dorothee Sölle’s theoretical critique of …

The Importance Of Caregivers, Family, And Context For Child Welfare Involved Youth And A National Child Sample: A Structural Equation Modeling Perspective, Nathan Michael Lutz

Dissertations

This bundled, three-study dissertation examines how the relationships that children have with adult family members impact mental health outcomes, including internalizing symptoms and externalizing behaviors. The first study examines the moderating effect of relationship satisfaction on the relationship between kin involvement and child psychopathology. The second study uses data from the 2017 National Survey of Children's Health (NSCH), examining the mediating effect of the parent-child relationship on the associations across various systems in which children are embedded and mental health diagnoses. The third paper examined the interactions between both family strengths and caregiver involvement with the parent child relationship and …

The Value Of Engagement: Examining The Relationship Between Lgbtq+ Student Involvement & Alumni Engagement, Jonathan J. Okstad

Dissertations

With the shifting dynamics within higher education, there is a stronger reliance and need for financial support in order to aid the institution’s growth and financial health. One particular segment of their donor base that institutions will need to cultivate in order to respond to these dynamics is among their alumni. Simultaneously, while many institutions have made significant advancements for resources, services, and inclusion of lesbian, gay, bisexual, transgender, and/or queer/questioning (LGBTQ+) people, barriers to their academic, economic, social, and mental health still exist. Using student involvement, queer identity development, and identity-based alumni engagement theoretical models as guides, this study …

The Ethics Of Advance Care Planning, Ciaran Folliard Rhys

Dissertations

The COVID-19 pandemic subjected millions of Americans to alienated deaths in institutional settings. Given that the default response to health crises is to go to the Emergency Department, isolation protocol limited the care and support ill and potentially dying people could receive at the bedside. Crisis standards of care also cut off meaningful discussions of end of life care preferences. Communication barriers regarding end of life care existed well before the pandemic, however. This dissertation proposes a new approach to the concept of Advance Care Planning (ACP), or the process of deciding what kinds of care one would prefer in …

The Effectiveness Of A Camp-Based Intervention To Promote Health-Related And Social Functioning In First Time Campers With Spina Bifida, Elicia C. Wartman

Dissertations

Objective: Previous research suggests that tailored summer camp programs for youth with specific medical conditions, such as spina bifida (SB), may help campers improve independence and medical self-management skills. The evidence-based Independence Intervention at Camp Independence is geared towards enhancing the medical self-management skills and social skills of youth with SB, with the goal of improving their independence (O'Mahar et al., 2010). The present study aimed to evaluate the impact of the Independence Intervention at Camp Independence on first-time and veteran campers. This study aimed to (1) explore similarities and differences in first-time and veteran campers on demographics, health-related self-management …

Examining The Bidirectional Associations Between Parenting And Adolescent Coping In The Context Of Exposure To Community Violence, Jenny Phan

Dissertations

Coping refers to all the strategies and processes that an individual uses to eliminate, reduce or tolerate stress (Lazarus & Folkman, 1984; Rosario et al., 2003). Within the general coping literature, research has observed that use of approach-oriented coping strategies is associated with positive psychosocial outcomes, and avoidant-oriented coping strategies is associated with negative psychosocial outcomes (e.g., Compas et al., 2001; Wadsworth & Compas, 2002). However, most of these studies have focused exclusively or predominantly on middle-class White participants (e.g., Compas et al., 2001; Wadsworth & Compas, 2002) which may limit the generalizability of these findings to other groups. Further, …

Institutional Experiences Of Justice-Involved Adolescents: Profiles, Predictors, And Post-Release Associations, Elizabeth Sargent

Dissertations

Experiences within juvenile justice placements have long been a topic of concern amongst researchers and policy makers, with institutional violence exposure and harsh treatment being two such reasons for concern. The majority of adolescents who enter the justice system already have extensive violence exposure, which can continue while they are detained through victimization and witnessed violence. One’s adjustment to justice settings is influenced by characteristics and experiences prior to placement, and institutional experiences may also have influences on mental health and behavior after release. In the current study, reports from justice-involved adolescents were used to 1) identify profiles of institutional …

Identifying Factors Affecting Saudi Nurses’ Intentions To Report Medication Errors In Arar Hospitals, Ohoud Aldughmi

Dissertations

Background: Medication errors are the most common safety issues in Saudi Arabia. To avoid medication errors, Saudi hospitals need to identify the causes of errors by encouraging reporting errors. Most Saudi nurses do not report errors because of the blaming culture. Therefore, Saudi nurses need a psychological safe environment that encourages nurses to admit and report errors. Even if establishing a good error reporting system is helpful, Saudi health organizations need to discover nurses' perceptions, attitudes, norms, behaviors, and intentions regarding medication error reporting. Purpose: The purpose of this study was to identify the factors affecting the intention of Saudi …

Pandemic Pedagogies: Fatalistic Or Black Feminist?, Sydney Marie Simone Curtis

Dissertations

The research question I pursued is: “How do Black feminist instructors who identify as spiritual define and embody pandemic pedagogy?” Pandemic pedagogy is a term used to describe the experiences of teachers and students at HEIs and K-12 schools as they navigate teaching and learning during the ongoing COVID-19 pandemic (Schwartzman, 2020). I identified two general approaches in the current literature on pandemic pedagogies in postsecondary education: “fatalistic” approaches that bemoan the challenges faced by teachers and students during the pandemic, and “responsive” approaches that describe attempted solutions to these challenges, without addressing root causes. Conversely, “transformative” pandemic pedagogies are …

A Descriptive Exploration Of Quality And Opportunities In Outdoor Urban Play Spaces: The Case Of Chicago Public Schools, Katherine Anne Varey

Dissertations

This study investigated the quality of children’s play spaces, both green and built, in and surrounding urban public schools in Chicago. Given children’s declining access to nature and the outdoors, especially in urban areas, the aim of the study was to both assess the current potential for high-quality outdoor experiences, as well as to uncover additional, low-cost, and low-burden opportunities that may exist for enhancing outdoor experiences. Based on a selected sample of 60 Chicago Public Schools, this mixed methods study employed quantitative ratings of play space and neighborhood quality, geographic information systems (GIS) mapping techniques to show distribution of …

Environments Of War: The Pacific Northwest And The Waging Of World War Ii, Katherine L. Macica

Dissertations

The Pacific Northwest served an essential role in America’s “Arsenal of Democracy.” Weapons and material produced in the Northwest proved essential to the Allied victory in World War II. These weapons served as agents of destruction abroad, but became agents of transformation for the places in which they were produced. This dissertation examines four of the most important resources and industries in Oregon and Washington to emerge or expand as a result of the war: hydroelectric power, forest products, shipbuilding, and aircraft manufacture. The wartime development of these industries profoundly reshaped the physical and economic landscape of the Pacific Northwest, …

Cancer Survivor Empowerment Through Patient-Reported Outcomes, Mary Patricia Johnston

Dissertations

Background: Conventional approaches for assessing and managing symptoms in cancer survivors are unlikely to be effective in cancer survivorship care because clinician-driven assessment limits the voice of the cancer survivor while the burden and complexity of cancer care increases. Yet, cancer survivors are not prepared for the shift from clinician-driven assessment and management of symptoms to cancer survivor self-report of symptoms and self-management of their own care. There are gaps in clinician assessment, and no studies describe how patient empowerment may facilitate the cancer survivor’s ability to assume the responsibilities of monitoring, reporting, and managing symptoms as the cancer survivor …