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A Grounded Theory Study Of Nurse Advocacy In Health Policy, Marilyn Longo Dollinger

Dissertations

The purpose of this study is to explore how effectively nurses function as advocates in the federal health policy process, understanding their perspectives, their strategies, and tactics. This study examined how nurses in legislative and administrative positions advance health policy or regulatory issues that are important to health care or the nursing profession. Although nurses have a long history of social and political activism, little is known about their effectiveness in achieving favorable policy outcomes. The researcher interviewed 11 registered nurses who had experience as staff in government offices, committees, or federal agencies to learn what processes, tactics, and strategies …

Experiencing Narrative Pedagogy, Wendy S. Bowles

Dissertations

The role of the nurse has changed dramatically in the past twenty years with increasing complexity of patient care and a rapidly changing health care environment. In addition to the challenges noted regarding patient care, problems with increasing medical errors were noted in the literature specific to graduates in their first year as a nurse. Research in particular to nursing education provides a way for nurse educators to become more astute at addressing problems pervading the role of the new nursing graduate. Narrative Pedagogy was identified as a research-based nursing pedagogy and has been researched and enacted for more than …

Social Work Junior Faculty Perceptions Of Their Doctoral Level Teaching Preparation, Marissa Hardwrict

Dissertations

Each year, hundreds of students graduate with a terminal degree. Many have aspirations to teach at a college or university. This includes graduates of social work programs. However, little information is known about the experiences of teaching readiness of social work Ph.D. graduates. The purpose of this study was to examine the experiences of social work junior faculty and their perceptions of readiness to teach. Literature reporting on the curriculum in Social Work Ph.D. Programs are linked to students being developed and heavily engulfed in research activities (Acquavita & Tice, 2015; Dinerman et al., 1999; Reneau, 2011). Since many programs …

Surfing Without Water: College Students Who Experience Homelessness, Melissa Scheer, Deidra C. Thomas-Murray

Dissertations

This study explores the educational experiences and needs of college students experiencing homelessness from the St. Louis metropolitan area. Research has shown that youth experiencing homelessness have difficulties entering college, remaining in college, and graduating from college (School House Connections, 2020). Difficulty accessing services and support coupled with prejudice, discrimination, and lack of knowledge can be detrimental to the homeless students’ academic performance (Svokos, 2015). The purpose of this study is to investigate issues of homelessness in higher education as experienced by independent college students identified as homeless in high school and explore the types of support universities offer via …

Cognitive Ecology Of Color Vision In Orchid Bees, Andreia Queiroz Santos A Figueiredo

Dissertations

Animals interact with their environment and acquire information from it. Information can be processed by their sensory systems and influence behavior, often mediated through mechanisms of decision-making and learning. Animal pollinators acquire information from flowers and use this information to make decisions about the flowers they visit. My research aimed to understand the role of color vision in a tropical pollinator, the orchid bee Euglossa dilemma. Chapter 1 is a review exploring pollination through the lens of prepared learning. Prepared learning proposes that animals learn some associations better than others due to an evolved match with the environment. I …

The Formation Of Proxy Force And External State Relationships: Prospect Theory And Proxy Force Decision Making, Brandon Temple

Dissertations

Proxy war is a common tactic employed by great powers as a safer alternative to direct conflict, especially in the era of nuclear weapons. While proxy war is common, there is a lack of research on the formation of proxy-external state relationships. Previous research has typically examined the phenomena of proxy war through the perspective of the external state power, leaving a gap in the literature. This dissertation fills that gap by assessing the conditions under which armed groups enter into proxy relationships with external states. Using prospect theory as a framework for understanding more clearly armed group decision making …

Evaluation Of Lifestyle Modification Program For Polycystic Ovary Syndrome In Infertile Women, Kelly Batton

Dissertations

Abstract

Problem: Polycystic Ovary Syndrome (PCOS) affects a large proportion of the female population worldwide. PCOS can have a wide variety of health implications for the woman including difficulty achieving pregnancy.

Methods: A retrospective chart review of 368 patient records were assessed for inclusion criteria yielding 163 patients with PCOS suffering from infertility. Demographic and health data were gathered for each patient to provide a baseline comparison between the first two quarters of 2019 and the first two quarters of 2020.

Results: The results of the study were mixed. Patients who lost weight did have a higher positive pregnancy rate. …

Equitable Obstetrical Care For The Lesbian, Gay, Bisexual, And Transgender Community, Chinazo E. Echezona-Johnson

Dissertations

Research has indicated that Lesbian, Gay, Bisexual and Transgender (LGBT) patients are not always satisfied with their health-care experiences due to the limited training received by the nursing professionals caring for them. The purpose of this study, using critical-theory principles, was to examine how the LGBT population was represented and portrayed in mainstream obstetrical-nursing courses, curricula, textbook, and syllabi. The guiding research question was based on the exploration of how nursing schools in a metropolitan city incorporate LGBT health-care topics in their obstetrical-nursing education. A qualitative, intrinsic case study research method was employed. A purposeful, criterion sample of faculty at …

White Voters And Minority Animus In The Era Of Trump, Zachary Schwartz

Dissertations

Overt and blatant racism of the type that was once used to justify Jim Crow laws and other forms of de facto segregation against Blacks has largely been forced into the margins of society. However, the reduction of overt racism that casts whites as biologically superior to Blacks can be easily confused with a reduction of racism in totality. The election and continued popularity of Donald Trump demonstrates that the conversation on race in the United States needs much more analysis. On multiple occasions during his campaign and presidency, Trump made inflammatory remarks on race and immigration, and yet suffered …

Understanding Exposure To Pharmacogenetically Actionable Opioids In Primary Care, Mitchell R. Knisely

Dissertations

Pharmacogenetic testing has the potential to improve pain management through addressing wide interindividual variations in responses to pharmacogenetically actionable opioids, ultimately decreasing costly adverse drug effects and improving responses to these medications. A recent review of pharmacogenomics in the nursing literature highlighted the need for nurses to more fully embrace the burgeoning field of pharmacogenomics in nursing research, clinical practice, and education. Despite the promise of pharmacogenetic testing, significant challenges exist for evaluating outcomes related to its implementation, including oversimplification of medication exposure, the complexity of patients' clinical profiles, and the characteristics of healthcare contexts in which medications are prescribed. …

Experiencing Narrative Pedagogy: Conversations With Nurse Educators, Ruth A. Stoltzfus

Dissertations

The increasingly complex nature of health care requires nursing graduates, upon completion of their formal education, to be fully capable of providing safe and competent patient care. Accrediting bodies for schools of nursing have challenged nursing education to develop and implement innovative, research-based pedagogies that engage students in learning. Narrative Pedagogy is an innovative approach to teaching and learning developed by Nancy Diekelmann after many years of researching nursing education using Heideggerian hermeneutic phenomenology.

Plus 50 Students And Their Experiences With Technology In Undergraduate Classes, Jamillah L. Boyd, Nykea T. Watts-Edwards

Dissertations

As adult learners over 50 continue to pursue higher education, postsecondary institutions should have resources and services available to support this demographic. Previous research often combines Plus 50 students with all nontraditional students 24 years and older, making it difficult to understand the unique needs and learning experiences of older adult students in the academic environment. The use of technology for curriculum has increased significantly over the years and may present challenges for Plus 50 learners as they are introduced to it and learn to navigate it. The purpose of this study was to explore the experiences of Plus 50 …

Teacher Efficacy, Burnout, And Retention: An Examination Of Instructional Coaching And The Implications As Measured By The Maslach Burnout Inventory, Patricia Jeanette Rodriguez

Dissertations

Instructional coaching is implemented by school districts for the professional development of staff (Knight, 2007). The purpose of this quantitative study was to gain information regarding the effectiveness of an instructional coaching program to limit teacher burnout and increase teacher retention. Non-tenured teachers from two rural school districts were surveyed using the Maslach Burnout Inventory to determine levels of burnout in teachers who participated in an instructional coaching program versus teachers in a school district that did not offer instructional coaching. Retention data gathered from district administrators were analyzed to determine how instructional coaching impacts teacher retention. A purposive sample …

Expanding Boards: A Study Of The Experience Of Former National Student Nurses' Association Board Of Directors Members From 2010-2020, Kenya D. Williams

Dissertations

This qualitative study was designed to examine how student nurses experience and understand their role as National Student Nurses' Association (NSNA) Board of Directors members and how that experience shapes their career trajectories as registered nurses (RNs). More specifically, this study's research objectives were to describe and discuss (a) the professional culture and value of board governance education to the nursing profession, and (b) the importance of board governance education for nursing curriculums. Seventeen nurses who served in different capacities as NSNA Board of Directors while they were student nurses were interviewed individually regarding their experience. NVIVO qualitative data analysis …

The Lived Professional Experiences And Potential Impact Of Generation Z Registered Nurses, Sarah E. Abalos

Dissertations

The profession of nursing is evolving as a result of the changes in the characteristics of practicing nurses. There are currently five generations of nurses in practice: Silent Generation, Baby Boomer, Generation X, Generation Y, and Generation Z. Each generation of nurses possess unique characteristics as a result of the time frame in which they were born and matured, and their differing worldviews are influencing how they view and practice nursing. Although there is a significant amount of research documenting how the different generations of nurses have influenced the profession, Generation Z has yet to be studied over time because …

The Impact Of Advisory Programs On Student Achievement, Attendance, And Behavior, Joshua Colby Flora

Dissertations

The impact of advisory programs on student achievement, attendance, and behavior was explored in this study. The study was conducted to contribute to existing research and to gain insight as to whether or not advisory programs promote positive academic outcomes in schools. Four schools with advisory programs and four schools with academic homerooms participated in the study. Each school provided student achievement, attendance, and behavior data from the 2015‒2016, 2016‒2017, 2017‒2018, and 2018‒ 2019 school years. In addition, advisory teachers responded to a survey regarding outcomes of advisory and their perceptions of advisory programs. The data were analyzed using an …

Effect Of Implementation Of Simulation On Critical Thinking Skills In Undergraduate Baccalaureate Nursing Students, Joanne M. Knoesel

Dissertations

The purpose of this quasi-experimental study was to evaluate the effect of simulation implementation on nursing students' critical thinking skills, as measured by Health Education Systems Incorporated (HESI) exit exam critical thinking sub-scores from cohorts of baccalaureate nursing graduates, in an undergraduate nursing education program. Benner's (1984), model From Novice to Expert, provides a theoretical framework for identifying knowledge acquisition and level of clinical expertise based on skill competency, knowledge, and experience, and underpins this study.

A Quantitative Exploration Of Strategies To Reduce Fatigue Among Nurses, Karen R. Cochran

Dissertations

The work environment of nurses places them at high risk of fatigue. The literature suggests a high prevalence of fatigue exists among nurses. Fatigue leads to reduced cognitive and physical abilities increasing the risk for personal injury and patient care errors. Nurse fatigue should be mitigated in an effort to improve safety and quality in healthcare organizations. The purpose of this study was to describe nurses' self- perceptions of fatigue and to examine nurses' willingness to engage in specific fatigue countermeasures within the workplace. Data were collected through an anonymous Qualtrics survey. A sample of 279 nurses completed the survey. …

Heterosexual Parents Who Move Toward Acceptance Of Their Gay Sons, Brady Sullivan

Dissertations

Rejection of gay men by parents is a frequent occurrence. Rhoades et al. (2018) found 49% of a sample of 657 sexual minority children had experienced parental rejection due to their LGBTQ+ identity. However, the current body of literature does not discuss those heterosexual parents who initially reject their sexual minority children and then return to a place of acceptance. Within the framework of attachment theory, this dissertation used a basic qualitative approach, influenced by Grounded Theory methods, to investigate the experience of heterosexual parents who move toward acceptance of their gay son. Fifteen, white, heterosexual parents, ranging from ages …

Designed For The Camera: Irish Interior Makeover Television 1996–2014, Neville Knott

Dissertations

This thesis examines how television makeover programmes, broadcast in Ireland between 1996 and 2014, mediate the professional practice of interior design. It argues that the programme-makers, in seeking to engage viewers, used a series of strategies—notably the suppression of professional and educational knowledge about interior design—to convey an image of staged coherence that was arrived at unproblematically. In that process, it will be argued, interior design knowledge got lost, and entertainment triumphed. Focusing on these strategies, the thesis considers how the production process used interior design, nonetheless, to attract an audience and generate ratings, focusing on the relationship between amateurs …

Professors’ Perceptions Of Academic Entitlement And Student Consumerism, Charles Kelley

Dissertations

This study was designed to solicit data from higher education professors concerning academic entitlement and student consumerism to contribute to existing research. Previous research concerning these two topics focused on students and the students’ responses. A mixed-methods strategy was utilized to discover professors’ experiences and perceptions with the topics of academic entitlement and or student consumerism. Charmaz’s (2014) constructivist interpretation of Glaser and Strauss’ grounded theory (2017) served as the theoretical framework for this research study. An exploratory sequential design was utilized, beginning with open-ended qualitative interviews. The data mined from the qualitative interviews in conjunction with the three research …

Physical And Emotional Health Among Caregivers Of Heart Failure Patients, Suzanne D. Chubinski

Dissertations

Caregiving has been associated with negative psychological and physical consequences for years (Molloy, Johnston, & Witham, 2005). Some research indicates that caregivers with higher perceived control may experience fewer negative consequences of caregiving (Wallhagen, 1993). Little is known about caregivers of heart failure patients.

The primary purpose of this study was to test a conceptual model of caregiver outcomes among caregivers of heart failure patients. Testing of the model determined which of the demographic and biological factors of the caregiver (age, gender, anxiety, depressive symptoms, and comorbidity), the patient (NYHA class), caregiver burden (task time and task difficulty), and perceived …

Use Of Strategies For The Relief Of Symptoms Of Insomnia, Marianne Homsey

Dissertations

Insomnia is a condition that leads to health problems and raises health care costs. The purposes of this Web-based, quantitative, descriptive, correlational study were to identify frequency of use and success of strategies to alleviate sleep problems, to determine if there is a relationship among strategies chosen, and to examine any patterns that emerged based on these preferences.

Help For Osteoarthritis Pain In African American Elders (Hope): Patterns, Predictors, And Preferences Of Osteoarthritis And Chronic Joint Pain Self-Management, Staja Quinae Booker

Dissertations

Chronic joint (CJ) pain is the foremost osteoarthritis (OA) symptom that affects older African Americans' (AAs) functional ability. Every effort should be made to reduce the development of high-impact chronic pain. One way to effectively do this is for older AAs to consistently engage in self-management utilizing the recommended OA treatments. Recommended behaviors include land-based exercise, water-based exercise, strength (muscle and endurance) training and stretching, self-management education, analgesic medications, thermal (warm/cool) modalities, and use of assistive and/or orthotic devices. However, evidence suggests these core behaviors of chronic pain self-management are not optimally utilized in older AAs.

A Mixed-Methods Case Study On Debt Mitigation And Students’ Institutional Perceptions, Dawn S. Medley

Dissertations

The purpose of this mixed-methods study was to examine the role of a debt mitigation program as an incentive for adult student reengagement and to ascertain students’ perceptions of the institution after reenrolling in college via the program. The debt mitigation program was the first in the nation to forgive past-due student institutional debt, allowing students to return to the classroom (Pavlik, 2021). More overt student connection supports were designed to engage adult returners in addition to the debt forgiveness component (Itzkowitz, 2018). By dismissing student debt, designing outreach, and creating specific supports, the program was designed to demonstrate institutional …

An Examination Of Freshman Non-Nursing Students' Attitude Toward Nursing As A Career Choice For Males In The Southeastern United States, Tiffany Gordon Cox

Dissertations

The nursing shortage is predicted to continue into the year of 2030. Governmental and nongovernmental healthcare stakeholders have recognized a key factor in decreasing the shortage is to increase the recruitment and retention of males in nursing. The United States has a workforce comprising 3.5 million nurses. Yet, males represent only 9% of the working nurses in the United States. To decrease the nursing shortage, males must be a part of the equation. Male patients typically feel more comfortable discussing certain conditions, especially those related to sexual and reproductive health with other men than with women. Male nurses add to …

The Effect Of An Unfolding Case Study On Critical Thinking, Knowledge Acquisition, And Handoff Communication In Baccalaureate Nursing Students, Antionella M. Upshaw

Dissertations

Miscommunication during handoffs at time of transition for the older adult patient often results in hospital readmissions, penalties and nursing malpractice. Handoff communication (HOC) is a necessary and critical factor in patient safety; therefore, it is imperative that nurses be educated and trained in how to communicate essential geriatric patient data, minimize errors and ensure continuity of care. Nursing researchers report that HOC is a critical responsibility and varies in educational methods creating a latent patient safety risk. The unfolding case study (UCS) is increasingly being used to promote critical thinking and improve communication but lack of evidence to guide …

An Examination Of Faith Community Nursing Interventions In The Promotion Of Successful Aging, Lina B. Hixson

Dissertations

Faith Community Nursing is a specialty nursing practice providing ongoing supportive health care to community dwellers of all ages. Practicing within the context of a community of faith, these nurses focus on health promotion and disease prevention using their expertise to combine spiritual and physical dimensions of care. As the population of Americans continues to age at a rapid rate, the number of older adults is expected to more than double by the year 2060. Many older individuals live with one or more chronic diseases, however living with a chronic disease does not always require inpatient or home care services. …

A Model Of Factors Contributing To Perceived Abilities For Health-Promoting Self-Care Of Community-Dwelling Thai Older Adults, Porntip P. Malathum

Dissertations

The purpose of this descriptive correlational study was to examine factors contributing to perceived abilities for health-promoting self-care of community-dwelling Thai older adults. An integration of selected concepts from Orem's (1995) self-care theory and Bandura's (1997) self-efficacy theory is established to generate a conceptual model for this study. The study variables included age, education, perceived family support, perceived friend support, chronic health problems, functional ability, perceived health status, and perceived abilities for health-promoting self-care.

A Phenomenological Replication Study On The Unique Challenges Experienced By Veterans Diagnosed With Posttraumatic Stress Disorder (Ptsd) While Attending A California State University (Csu) In Riverside, San Diego, San Bernardino, Or Orange County, Ralph Martinez

Dissertations

The purpose of this qualitative phenomenological replication study was to understand the unique challenges experienced by veterans diagnosed with Posttraumatic Stress Disorder (PTSD) while attending a California State University (CSU) in Riverside, San Diego, San Bernardino, or Orange County. Furthermore, it was the intent of this study to explore the current and prospective services veteran students believe were helpful or would be helpful in promoting positive academic outcomes.

A phenomenological approach was utilized in the development of this qualitative research study to explore the lived experiences of veteran students diagnosed with PTSD attending a California State University (CSU) in Riverside, …