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Warmth And Support: The Importance Of Parenting Behaviors On Child Symptoms Among Mexican Immigrant Families, Yvita Bustos

Dissertations

This dissertation seeks to expand research regarding warmth and support among low-income, Latino immigrant families, specifically families of Mexican-origin, and how these parenting behaviors impact child internalizing symptoms and externalizing behaviors. The first study titled, “Effects of Familism, Parenting, and Family Cohesion on Child Internalizing Symptoms among Mexican Immigrant Families” explored how familism may promote warmth and support, in addition to family cohesion, and how these factors may impact child internalizing symptoms during middle childhood among Mexican immigrant families. The second study, titled “Stress and Child Internalizing Symptoms: Examining the Moderating Role of Latino Fathers' Warmth and Support using Mixed …

Parenting And Psychosocial Functioning In Youth With Spina Bifida: Making Connections With Other Cns-Related Chronic Health Conditions, Adrien M. Winning

Dissertations

Parenting practices have been linked to psychosocial outcomes in children who have chronic health conditions that affect the central nervous system (CNS), such as spina bifida (SB). However, there remains a need for (1) more evidence-based assessments that capture parenting in SB, (2) additional research focused on parenting in early childhood in SB, as this is a critical developmental period that has been understudied, and (3) systematic reviews that synthesize parenting research across CNS-related conditions to guide future work. This dissertation includes three papers that aim to address each of these gaps in the current literature. Specifically, the first study …

"To This You Were Called": Discipleship, Suffering, And Social Identity In First Peter, Shane Patrick Gormley

Dissertations

At the center of First Peter’s rhetoric stands an exhortation to “follow” in Christ’s footsteps (2:21). Several scholars have suggested (sometimes off-handedly or in a singular footnote) that this specific exhortation utilizes the technical language of “discipleship,” but only to support a particular piece of the letter’s paraenesis (2:18–25). I contend that such a suggestion, while a helpful place to start, does not go far enough. With this study, I propose that we may read First Peter comprehensively as a summons to discipleship in accord with ancient understandings of education, exemplified in the multifaceted system of Hellenistic paideia. I argue …

How Exemplary Female Executive Leaders In Higher Education Use Five Principles Of Grit—Courage, Conscientiousness, Long-Term Goals, Resilience, And Excellence Versus Perfection—To Accomplish Extraordinary Results In Their Organizations, Julie Pettitt

Dissertations

Purpose: The purpose of this phenomenological study was to identify and describe how exemplary female leaders who hold executive roles in higher education use five principles associated with grit (courage, conscientiousness, long-term goals, resilience, and excellence versus perfection) to accomplish extraordinary results in their organizations. It challenges the notion that academic credentials and intelligence alone drive leadership success, emphasizing the role of grit in extraordinary leadership. This study delves into the barriers women encounter in reaching executive roles, their strategies for overcoming challenges, and how they leverage gritty qualities to facilitate and sustain transformative change. Methodology: A phenomenological design was …

Disaster Movies And The Perception Of Human Behavior Myths In Disasters, John Carr

Dissertations

This study explored if disaster movies change the perceptions viewers hold regarding human behavior in disasters, and if so, whether these effects are observable six weeks after watching the disaster movie. The study documented the anticipation of disaster myths in human behavior for 121 respondents, providing data that can better inform the discussion of disaster myths and realities. The study found changes to anticipation of disaster myths in human behavior and realities across multiple categories, with statistically significant results related to the factor of Looting Myth. Limitations for this study include a small sample size, and the external influence of …

Administrator Perspectives On Teacher Recruitment And Retention During A Pandemic, Matthew Aaron Carr

Dissertations

The global COVID-19 pandemic fundamentally changed education across the United States leaving a shortage of highly qualified teachers to fill positions in classrooms (Nguyen et al., 2022; Schmitt & deCourcy, 2022). This research study utilized the theoretical framework of the Four-Capital Theoretical Model of Teacher Retention and Attrition (Mason & Matas, 2015). This qualitative study utilized open-ended survey questions and follow-up interviews to elicit the impacts of the COVID-19 pandemic and to determine effective strategies to the recruitment and retention of high-quality teachers. Sixty-two public school administrators shared their perspectives through the survey, while eight administrators participated in follow-up interviews. …

Using Industry Sector Entropy To Predict Economic Community Disaster Resilience: Real-World Verification From The Covid-19 Pandemic, Thomas Brindle

Dissertations

The COVID-19 pandemic has presented an opportunity for disaster science researchers to gain insight into the underlying nature of community resilience through comparing the socioeconomic effects of government action to a common threat across urban population centers of varying economic compositions. For example, the negative effects of the COVID-19 pandemic on employment related to public health mitigation efforts in the leisure and hospitality sector of Las Vegas, NV, during the onset of the pandemic were well publicized. In comparison, other population centers of similar size but with different economic sector composition varied in the degree to which employment were affected, …

Critical Care Registered Nurses' Perceptions Of Nurse-To-Nurse Incivility And Professional Comportment, Kenneth J. Oja

Dissertations

This cross-sectional descriptive study was designed to examine critical care registered nurses' perceptions of nurse-to-nurse incivility and professional comportment, and the extent to which education, nurses' age, nursing degree, and years of nursing experience is related to their perceptions on these topics. Professional comportment is comprised of nurses' mutual respect, harmony in beliefs and actions, commitment, and collaboration. Yet, it was unknown whether a relationship existed between a civil or uncivil environment in the nursing profession and nurses' professional comportment. Correlational analyses were conducted to explore the relationship between perceptions of nurse-nurse incivility and professional comportment, and the relationships between …

Factors Affecting The Success And Persistence Of Pre-Nursing Students, Leslie A. Jennings

Dissertations

This article-based dissertation consists of two manuscripts related to factors affecting the success and persistence of pre-nursing students. The first manuscript was a matched cohort study that compared selected academic variables between two groups of pre-nursing students admitted to a pre-licensure baccalaureate nursing program via two different routes. The purpose of this study was to determine if there were any differences in academic performance between these two groups of students in the first semester of a formal nursing program. Analyses of the data revealed a difference in semester grade point average (GPA), but no significant differences in the RN Fundamentals …

A Delphi Study Of Effective Strategies For Addressing The Most Significant Challenges To Creating Gender-Balanced High School Career Technical Education (Cte) Pathways, Jon Black

Dissertations

Purpose: The purpose of this Delphi study was to identify what expert high school Career Technical Education (CTE) administrators see as challenges to creating gender-balanced classes across all high school CTE pathways, to rate the significance of the identified challenges according to the experts, and to describe the most effective strategies for addressing the five most significant challenges identified in creating balanced CTE enrollment across all high school pathways. Methodology: This study used a three-round Delphi method to collect data from expert high school CTE administrators. In Round 1, the expert panel was asked to identify challenges to creating gender-balanced …

The Concept Of Home Care Nursing Workload: Analysis And Significance, Barbara L. Mildon

Dissertations

The concept of home care nursing workload has not been widely studied and no evidence was found that an analysis of the concept had been undertaken. Consequently, there was a knowledge gap regarding the definition and attributes for the concept of home care nursing workload as it is currently experienced. To address that gap, a descriptive, three-phase, mixed methods (quantitative and qualitative) study was conducted.

With A Little Help At Home: The Impact Of Romantic Partner Support On Daily Burnout And Workplace Incivility, Matthew Aplin-Houtz

Dissertations

With rude and discourteous encounters in the workplace becoming more common, Workplace incivility (WI) is at an all-time high. As such, workers experience levels of burnout from these negative social interactions. The literature concedes that the results of these interactions lead to mounting burnout, causing negative physical and emotional outcomes at the individual and organizational levels. Considering that the literature also supports that employees have the potential to recover from burnout symptoms through rest, obtaining the perception of control of their circumstances, and cognitive reframing, the time and activities a worker spends at home carry the potential for minimizing burnout …

Assessment Of The Cultural Competence, Dementia Attitude, And Alzheimer's Disease Knowledge Among Tertiary Healthcare Providers, Jo Ann Pelaez-Fisher

Dissertations

Alzheimer's disease has made a significant impact on healthcare delivery in the acute care facilities. Tertiary healthcare providers are challenged by the needs of patients diagnosed with Alzheimer's disease while ensuring safe delivery of technical and specialized care in a fast-paced setting. There have been extensive research on informal caregivers and the consequences of providing care to patients with Alzheimer's disease. Few studies have queried tertiary healthcare providers and the influence of culture, attitude, or knowledge on Alzheimer's disease care. No study to date has investigated the elements of high quality Alzheimer's disease care which include cultural competence, positive attitudes, …

Impact Of Delirium Observation Screening Scale On Identifying Delirium In Hospice Patients, Elsie E. Glasu-Atunuwa

Dissertations

Delirium in the elderly can impact health outcomes, making it essential for healthcare workers to identify and manage delirium early. At the project site, there was no evidence based approach to the early identification of delirium. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the translation of Neefjes et al.'s research using the Delirium Observation Screening Scale (DOSS) would impact the identification of delirium with provider notification among adult patients in a hospice facility in South Texas over four weeks. Virginia Henderson's need theory and Kurt Lewin's change theory provided the theoretical foundations for the …

A Focused Ethnographic Study Of Nurses' Role In The Early Mobilization Program In The Pediatric Intensive Care Unit, Chelsea E. Noone

Dissertations

Early Mobilization (EM) in Pediatric Intensive Care Units (PICU) is safe and feasible, but there are issues preventing the adoption of EM into clinical practice. The objective of this study was to describe the patient safety concerns and how nurses develop strategies to safely deliver EM to their patients. The second objective was to explore, describe and analyze nurses' perceptions of barriers and facilitators to performing EM, and to identify strategies nurses perceive would assist them to overcome barriers and increase adoption of EM within the PICU. This focused ethnographic study included 15 in-depth interviews with 10 PICU nurses. Data …

Cultural Competence In Nursing School Curricula, Mayra P. Toney

Dissertations

The purpose of this study was to determine the benefit of both classroom instruction and an immersive clinical experience for the development of cultural competence skills among student nurses. The 3-D Model for Culturally Congruent Care was the framework used for this quantitative descriptive correlational study. The premise of the model is to draw upon the knowledge that culturally competent care derives from the healthcare provider and client level, an essential factor to the delivery of culturally competent healthcare. A convenience sample of 74 student nurses from two separate cohorts enrolled in a diploma-based program were asked to complete the …

Learning Science: Physical And Life Sciences In Curricula Across U.S. Schools Of Nursing, Valerie C. Sauda

Dissertations

Nursing educators are being challenged to provide curriculum that meets the changing healthcare environment and demand for creative, innovative nurses to assist in transforming healthcare into the future (Benner, Sutphen, Leonard, & Day, 2010; Institute Of Medicine, 2011). The liberal education provided within a baccalaureate of science in nursing (BSN) degree program provides a diversity of courses within the curriculum, including courses in the natural, physical, mathematical, and social sciences (American Association of Colleges of Nursing [AACN], 2008). Although nursing programs have included science courses in curriculum since the early 1900s (Nutting & Dock, 1907), there is lack of nursing …

Exploring Relationships Between Psychological Capital And Perceived Stress Among Newly Graduated Nurses, Rita J. Jarvis-Isaac

Dissertations

Stress among the newly graduated nurses has been linked to physical and emotional distress, high turnover rates, and the quality of patient care. Psychological capital is a positive state of mind that consists of four components (hope, efficacy, resilience, and optimism). Higher levels of psychological capital have been linked to improvements in the work environment, and the psychological and emotional state of nurses. Despite the extensive work of researchers exploring psychological capital among nurses, its relationship to stress among new graduate nurses has not been well studied. The purpose of this quantitative, correlational study was to explore the relationship between …

Healthcare Needs And Factors Related To Non-Use/Underutilization Of Veterans Healthcare Administration (Vha) Health Services Entitlements By Post 9/11 Women Veterans, Teresa A. Parsons

Dissertations

Women are the fastest growing population in the Department of Veteran Affairs (VA), but only in recent history. U.S. military shift to an All-Volunteer Force (AVF) in 1973 resulted in a dramatic spike in women serving in the military. During the transition from active military to Veteran status, Veterans are eligible to apply to the Department of Veterans Affairs (VA) for benefits, including healthcare. In 2020, the VA estimated that over two million Women Veterans (WV) were living. The VA estimates the percentage of WV will rise to over 18% of all Veterans by 2046. In a report to Congress …

It Is What It Is...Enduring The Never-Ending: The Lived Experiences Of Parenting Adult Children With Developmental/Intellectual Disabilities, Siri Gurunam Kaur Khalsa

Dissertations

The parental home is the predominant place of residence for adults with developmental disabilities/ intellectual disabilities (DD/ID) (Heller et al., 2007). More than 75% of the adult population with DD/ID, living in the US, continue to have their basic needs provided by parents (Williamson & Perkins, 2014). This is based on the estimated statistic of 1.0 to 1.58% of the entire U.S. adult population has a developmental disability (Anderson et al., 2019; Fox et al., 2015). About 2.9 million adults with DD/ID live with a parent 55 years (Byun et al, 2006), with more than 25% of these parents older …

The Lived Experience Of Older Nepalese Women With Urinary Incontinence, Somi Panday

Dissertations

Urinary incontinence (UI) poses a significant challenge for women across different cultures, as their diverse perceptions of UI impact their decision-making and choices, which are influenced by personal beliefs and preferences. Although research on women's experiences with urinary incontinence has shown substantial progress, encompassing various cultural contexts, more studies are still needed to examine cultural factors and employ the framework of transcultural nursing theory. Additionally, limited research has explored the experiences of older women with urinary incontinence in Nepal. This descriptive phenomenological study aims to explore the lived experience of older Nepalese women dealing with urinary incontinence. By applying the …

Feasibility Of A Telehealth-Delivered Breathing Intervention For Patients With Idiopathic Pulmonary Fibrosis, Aubree Carlson

Dissertations

Idiopathic pulmonary fibrosis (IPF) is a debilitating chronic lung disease that affects approximately 100,000 individuals in the United States (US), with 30,000 to 40,000 new cases diagnosed each year. Dyspnea is experienced by 90% of patients with IPF and is correlated with reduced quality of life, anxiety, depression, and decreased survival time in this patient population. Breathing management techniques such as pursed lip and diaphragmatic breathing can reduce perceived dyspnea, however this symptom management strategy is not readily taught to patients outside of inpatient hospital settings and pulmonary rehabilitation programs, the latter of which only being accessed by 3% of …

The Nursing Process And Allegations Of Malpractice Against Perinatal Registered Nurses In Florida, Genifer Jones Johnson

Dissertations

The nursing process as a foundation of professional nursing practice organizes care around the components of assessment, diagnosis, planning, implementation, and evaluation as required for professional registered nurses by the Florida Nurse Practice Act. Nurses who fail to comply with the Nurse Practice Act risk poor outcomes for their clients, disciplinary action from the State regulatory body, and legal action from the clients. This study was an examination of litigation claims against professional registered nurses in Florida who practice perinatal nursing seeking to identify and categorize allegations of negligence within the components of the nursing process. The expectation of this …

The Magnet Journey: Understanding The Role Of Unit Culture In Evidence-Based Practice Adoption, Kim Schippits

Dissertations

The purpose of this exploratory study was to identify salient cognitive beliefs and cultural assumptions that affect the emergence and maintenance of evidence-based practice (EBP) in the hospital setting.

Stroke Survivors' And Informal Caregivers' Perceptions Of Depressive Symptoms After Stroke: A Mixed-Methods Sequential Explanatory Study, Tanya L. Breckenridge-Trotter

Dissertations

Poststroke depression (PSD) is a frequently occurring complication of stroke that affects up to 30% of all stroke survivors in the first 24 months after stroke. PSD has been correlated with increases in hospital length of stay and hospital costs, increased physical morbidity and mortality, the risk for recurrent stroke at one year, decreased functional outcome, decreased cognitive function, and decreased quality of life post stroke. Estimates are >50% stroke survivors with depressive symptoms are left untreated due to lack of recognition. Moreover, depression in family caregivers of stroke survivors may negatively influence stroke recovery and stroke survivor quality of …

Lived Experiences Of Clinical Research Nurses: Competence And Expectations, Janine A. Kampelman

Dissertations

Currently, no specific nurse-credentialing certification exists in clinical research leading nurses to avoid certification or to obtain a certification below their current role and educational scope of practice. Although essential to the field, the clinical research nurse (CRN) is practicing with informal educational training and without formal scopes or standards of practice guiding her or his work in a clinical research setting. Knowing how clinical research nurses learn to perform clinical research practices will help identify experiences which enhance professional development leading to competence. Conceivably, learning experiences from this study can be used to formalize education for clinical research nurses …

The Perceived Level Of Self-Efficacy Of Direct Care Staff Who Complete Person-Centered Care Dementia Training In Long-Term Care Setting, Tammy B. Retalic

Dissertations

Education that enables direct care workers to provide person-centered care approaches to older adults with dementia is necessary to optimize quality of life and reduce unnecessary antipsychotic medication use in long-term care settings. A quasi-experimental repeated measure project design evaluated the effectiveness of a dementia training program (one of several interventions implemented to reduce antipsychotic medication rates) by measuring the perceived level of self-efficacy before the training, immediately after the training and four to six weeks after completing the training.

Exploring Nurse Faculty Decisions Related To Virtual Simulation During A Global Pandemic: A Quantitative Descriptive Study, Karen Braccialarghe

Dissertations

This research evaluates academic nurse faculty' decisions while implementing virtual simulation as a teaching method before and during the COVID-19 pandemic. Secondary purposes of this study were to explore nurse faculty perceptions of the effectiveness of virtual simulation, the barriers and challenges faced while implementing virtual simulation, and perceived effectiveness of student learning outcomes during the COVID-19 pandemic while utilizing virtual simulation. A survey, the Virtual Simulation Implementation Evaluation Tool (Braccialarghe, 2021) was developed by the researcher to answer the research questions. The tool was sent to nine simulation experts to rate content validity.

A convenience sample of nurse faculty …

Why We Work: Exploring The Relationships Between Work Rewards, Burnout, And Intention To Leave For Professional Nurses, Jacqueline Christianson

Dissertations

Nurse burnout leads to attrition from hospital nursing positions and the nursing profession prior to typical retirement age. Yet some nurses choose to stay despite burnout. Previous research indicates that nurses stay due to the rewards they receive from work but the relationships between different types of work rewards, work-related burnout, and intention to leave are poorly described. The ability to implement or execute altruistic behaviors may also represent an under-recognized work reward. Thus, the purpose of this study is to investigate the relationships between work rewards, work-related burnout, and intention to leave nursing positions and the nursing profession and …

Effect Of An Rn-Facilitated Post Discharge Phone Call Hf Self-Management Strategy, Vivia O. Haye

Dissertations

Heart Failure (HF) is associated with substantial financial challenges resulting in exorbitant yearly costs, and frequent readmits to the emergency department. Post-discharge HF self-management is crucial to improve client outcomes. The purpose of this quantitative, quasi-experimental, project was to examine whether the implementation of an RN-facilitated post-discharge phone call that focused on HF self-management strategies reduced return emergency department (ED) visits within 72 hours in an urban South Florida hospital. Orem's self-care theory and the Meleis transition model were used for their success in managing chronic illnesses such as HF. Both examined if an RN facilitated post-discharge telephone call that …