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Managing Ambiguity: Nurses Caring For The Mother Of A Stillborn Baby, Natasha J. Nurse-Clarke

Dissertations

The aim of this study was to describe and conceptualize the experiences and processes involved when labor and delivery nurses provide care to women experiencing a stillbirth.

Young Adult Nurse Work-Related Well-Being, Contemporary Practice Worldview, Resilience, And Co-Worker Support During The Covid-19 Pandemic, Chloe Olivia Rose Littzen-Brown

Dissertations

The purpose of this mixed-methods study was to describe and examine the type and significance of factors significantly related to young adult nurse work-related well-being.

Measurement And Regulation Of Workplace Violence In Healthcare Setting, Rachel Odes

Dissertations

Workplace violence in healthcare settings has been recognized globally as a major barrier to the provision of safe and effective health care services. In California, the Workplace Violence Prevention in Health Care standard (Title 8, Section 3342) requires hospitals to develop violence prevention plans and report incidents where force was used against workers to the California Occupational Safety and Health Administration (CalOSHA) through the web-based Workplace Violent Incident Reporting System for Hospitals (WVIRS).

Weight Status Among Prescription Opioid Users With Chronic Pain, Teresa Louise Bigand

Dissertations

Greater than 70% of the United States (US) adult population is overweight as defined by body mass index (BMI) greater than 25 kg/m2. Adults who are overweight are more likely to report chronic pain than those with recommended weight status. Additionally, higher BMI is correlated with poorer pain outcomes. Patients with chronic pain and overweight status report difficulty self-managing pain and weight and are commonly prescribed opioid medications to treat pain. Long-term use of prescription opioids is associated with negative health outcomes, especially among adults with overweight status. Adults with chronic pain report many health symptoms that hinder pain and …

Simultaneous Experiences Of Type 2 Diabetes And Symptoms Of Depression And/Or Anxiety Among Latina Women 60 And Older, Adrienne S. Martinez-Hollingsworth

Dissertations

Latina older adult women disproportionately suffer from type 2 diabetes (diabetes) and symptoms of depression and/or anxiety. These disease states are associated with serious declines in health outcomes and a three-fold reduction in treatment compliance. Few studies have examined this phenomenon exclusively among Latina older adult women or have captured the impact of intersectional identity on their experiences, values or problem-solving methods related to self-management.

The purpose of this study was to examine how Latina women, 60 and over, emotionally experience both diabetes and interactions with care providers during help-seeking and care engagement.

Development And Evaluation Of A Sepsis Simulation With Undergraduate Nursing Students, Kelly Martinez

Dissertations

This study evaluated if undergraduate nursing students in their final academic year can appropriately recognize and respond to a patient displaying signs of deterioration in a response to rescue simulation. Participants were senior level baccalaureate nursing students in a Northeast university. The student nurses' ability to recognize and respond to patient deterioration due to sepsis according to the Surviving Sepsis Campaign (SSC) definitions were examined. Participating students reviewed preparation materials and resource components followed by a simulation-based learning experience which followed the International Nursing Association for Clinical Simulation and Learning (INACSL) Standards of Best Practice: SimulationSM. The simulation experience was …

Autonomic Nervous System Reactivity In Early Childhood: Developmental Patterns And Sociodemographic Predictors, Michelle Stephens

Dissertations

Cardiac autonomic nervous system (ANS) measurements, respiratory sinus arrhythmia (RSA) and preejection period (PEP), are valid and reliable indicators of children's sensitivity to stressors in their environment; however, there are few studies of RSA and PEP measures in children younger than three years of age and no known studies of children at 18-months of age. This was a cohort study of racially- and ethnically-diverse, low-income children studied from birth through five years of age. At 18-months (n = 134) and 36-months (n = 102) of age, children completed a developmentally challenging protocol that simultaneously assessed their RSA and PEP under …

Evaluating The Impact Of Innovative Teaching Strategies To Improve Nursing Students' Perceptions Of Competence And Confidence In Providing Spiritual And Emotional Care, Palmira A. Good

Dissertations

Nurses are expected to respond to the spiritual and emotional needs of patients with compassionate care. Patients yearn for a connection with their nurse that assures them they are safe and will be provided with holistic care. A healing environment can be established for the patient by providing spiritual and emotional care. Many practicing nurses state they are uncomfortable addressing the spiritual and emotional needs of their patients. A gap exists between what is taught to nursing students and the expectations of nurses in the clinical setting. Students' perceptions of their confidence and competence in providing spiritual care to patients …

Preventing Healthcare Workplace Violence Through Legislation, Erika Cunningham-Regis

Dissertations

Workplace violence against nursing professionals is an unacknowledged crisis. The repercussions of workplace violence are harmful to the nursing profession, as well as the healthcare industry. Unfortunately, there has been a dearth of protective mechanisms and standardized prevention plans. Only through mandated legislation will sustainable change be achieved for nurses. The United States House of Representatives bill number 1309, under Workplace Violence Prevention for Health Care and Social Service Workers Act was developed to provide a concise prevention plan to healthcare facilities across the nation. The bill died in Congress, but through continued advocacy efforts, it can be reintroduced for …

Exemplary Leadership During Turbulent Times: A Study Of Wartime Navy Submarine Commanders From 2001 To 2009, Rodney Lee Perryman

Dissertations

Purpose: The purpose of this phenomenological study was to describe behaviors that exemplary Navy submarine commanders practice to lead their command through turbulent times using the leadership attributes of personal temperament, concern for the collective interest, resilience, and moral purpose.

Methodology: This phenomenological study explored the specific leadership behaviors of personal temperament, concern for the collective interest, resilience, and moral purpose that occur during turbulent times by analyzing in-depth interviews with exemplary United States Navy Submarine Commanding Officers. The study sample for this research is ten Groton, Connecticut area United States Navy submarine commanding officers who have at least fifteen …

Examining Nursing Faculty Credentials And Nclex-Rn Pass Rates In Pre-Licensure Nursing Programs, Tiffany N. Cole

Dissertations

The healthcare industry has registered nurses from various academic and clinical backgrounds. With nurses accounting for a significant number of healthcare professionals, there is a continued need for nursing students to be successful on the National Council Licensure Examination (NCLEX). One role of nursing faculty members is to promote student success on the NCLEX. Nursing faculty members may have varied educational backgrounds, with the most common being master's and doctoral degrees. There is a gap in nursing education literature regarding if specific faculty credentials are predictive of NCLEX-RN® pass rates in pre-licensure nursing programs. A cross-sectional correlational retrospective quantitative study …

An Exploration Of Perceived Learning Activities And Assignments Preferred By Millennial Nursing Students In An Online Rn-Bsn Nursing Program, Holly R. Farley

Dissertations

The purpose of this qualitative exploratory single case study was to explore millennial nursing student preferences of activities and assignments that may facilitate learning (preferred) as well as perceptions of those that may hinder learning (not preferred). This qualitative exploratory single case study sought to understand the perceived preferences of millennial online registered nurse to Bachelor of Science in nursing (RN-BSN) students for online activities and assignments. Three questions were posed: How do millennial nursing students develop preferences for learning activities and assignments in online RN-BSN programs? How and why do millennial nursing students believe certain learning activities and assignments …

Incorporating Social Determinants Of Health In Associate Degree Nursing Education, Lisa J. Bagdan

Dissertations

The purpose of this study is to integrate assessment of SDH using a Patient Centered Assessment Method (PCAM) during patient care transitions into associate degree nursing education. It will evaluate student learning, suitability, and application of the PCAM assessment tools use in associate degree nursing education.

A Mixed Methods Analysis Of The Relationship Between Independent Study Teachers’ Emotional Intelligence And At-Risk Students Academic Success, Stephanie Niemeyer

Dissertations

Purpose: The purpose of this sequential explanatory mixed methods study was to determine the relationship between independent study charter schoolteachers’ emotional intelligence (EQ) scores, as measured by the Schutte Self-Report Emotional Intelligence Test (SSEIT), and the number of credits earned in a learning period by their students. An additional purpose was to describe how independent study high school teachers perceive their ability to model the EQ attributes of self-awareness, self-regulation, internal motivation, empathy, and social skill (Goleman, 2006) influences student credit completion.

Methodology: This study used a mixed methods approach to collect quantitative and qualitative data from highly qualified independent …

Reducing Acute Care Hospital Setting Inpatient Falls With Implementation Of Hourly Rounding: A Quality Improvement Project, Courtney Delaparte

Dissertations

Falls in the acute care setting can lead to serious patient injuries. Despite continued efforts to reduce falls, falls are still a common occurrence. One strategy that has been identified as promoting patient safety, including the prevention of falls, is that of hourly rounding. This quality improvement project implemented hourly rounding utilizing the AHRQ's 3B: Scheduled Rounding Protocol on a 48-bed telemetry unit to study the effects on fall reduction. Comparison of fall rates prior to the implementation of hourly rounding to that after hourly rounding was incorporated into practice, showed a reduction; however, the reduction of fall rates was …

Body Image Distress And Post Mastectomy Women, Ashley Ceithaml

Dissertations

Body image and breast cancer are closely associated in women who undergo unilateral or bilateral mastectomies. The literature has shown that even if women undergo reconstruction, they still experience adverse side effects with surgery or body image disturbances that may persist for years, affecting their quality of life. It is important for providers to recognize patients experiencing issues with body image distress and be able to provide appropriate care.

The purpose of this quality improvement project is to evaluate body image scores in women who have undergone breast cancer mastectomy within the past five years and educate those who admit …

Mothers' Perceptions Of Ability In Children With Intellectual Disability And Mother-Child Connectedness, Nikhita Moolayil

Dissertations

The mother-child relationship is important in the development of children, especially for children with intellectual disabilities who may have specific needs. Understanding the nuances, such as the closeness of the mother-child relationship for children with intellectual disabilities, is often overlooked even though more than 3 million children under 18 were reported to have an intellectual disability in 2019. Still, very few studies have focused on the relationship between mothers with children with an intellectual disability. With the rise in services provided due to developmental disabilities in children, there was a need to examine mothers’ perceptions of the ability level in …

Gender Differences In The Clinical Presentation Of Borderline Personality Disorder: A Review, Kimberly Glover

Dissertations

Borderline personality disorder is diagnosed in women three times more than men and represents a significant gender disparity amid considerable stigmatization compared to other psychological disorders. Empirical studies have investigated the gender prevalence for borderline personality disorder and further determined that findings may be due to differences in how borderline personality disorder clinically manifests in men and women. Common areas of investigation have included developmental features, diagnostic symptomology, psychiatric comorbidities, and the level of functional impairment for individuals with borderline personality disorder. An analysis of existing data was indicative of shortcomings in methods that include small samples of men, a …

Generations Of Pain: A Transgenerational Examination Of Trauma, Parenting Styles, And Attachment Of Black Women, Latoya Hampton

Dissertations

Historically, Black women have experienced horrendous acts of violence throughout the centuries and generations. The transmission of transgenerational trauma has impacted this community’s mental health, physical well-being, educational performance, and interpersonal interactions. Prior research has focused on general trauma and its effect on Black women; however, this review sought to explore transgenerational trauma and the implications of attachment and parenting styles of Black women. Previous studies have examined the majority population’s attachment, trauma, and parenting styles consecutively, though not simultaneously. With limitations found in the research of diverse populations, it is imperative that clinicians are culturally competent to implement effective …

An Exploration Of Parental And Health Professional Perceptions Of Transition For Chronically Ill Students, Iris Robinson

Dissertations

When a young person is diagnosed with a chronic illness, it impacts every phase of the person’s life. During the stages of childhood and adolescence, school is the central socialization site for the student’s developmental and personal identity. That is why it is difficult to replace school as one of the maturing spaces for young people’s transition to adulthood. Chronic illness interrupts the normative life process for an extended period or permanently.

Engaged parents, legal and social advocacy, innovative medical research, public policy, educational workshops, and finally, the consortium of family, health, medical, educational and community support have been advocates …

A Grounded Theory Analysis Of Black African International Students’ Racial Identity Development, Maame Coleman

Dissertations

This study was designed to explore how Black African international students develop an understanding of their racial identity within the U.S. context. Although there has been considerable previous theoretical and empirical work examining the process of racial identity development (e.g. Cross, 1971; Sellers et al.1998), which has provided foundation for how we continue to understand how U.S. racial minorities develop their racial identities. However, there is a paucity of research on the racial identity development process of non-U.S. born Black people (Hocoy, 1999; Asante, 2012). Even less is known about the role that intersectionality of other identities plays in the …

Use Of Live And Robotic Assistance Animals For Psychological And Cognitive Health In Military Populations, Rachelle M. Cross

Dissertations

This literature review addresses the use of live and robotic animal-assisted therapy for psychological and cognitive health in military populations. More specifically, this literature review aims to address the benefits and limitations of the use of live animal-assisted therapy, complementary and alternative techniques (i.e., Combat and Emotional Stress Control Dogs and social robots) for military personnel, and possible attitudinal barriers regarding active duty and veteran soldiers, while utilizing literature conducted with the civilian population to augment. A systematic review of peer-reviewed quantitative and qualitative publications and book chapters was utilized to accomplish this. Results of the literature review indicated that …

Secondary Traumatic Stress In Intimate Partners And Children Of Service Members, Amber Foreman

Dissertations

This literature review addresses secondary traumatic stress (STS) in intimate partners and children of service members. More specifically, this literature review aims to explore if intimate partners and children of military service members are at risk for developing secondary traumatic stress. Secondly, this review aims to explore if there are specific risk factors associated with the development of secondary traumatic stress in intimate partners and children of service members. Finally, this review examines if there are other stressors and outcomes for intimate partners and children of service members. A systematic review of peer-reviewed research was explored to accomplish addressing the …

Safe And Brave Spaces: What Comprises A Fruitful Multicultural Supervision Learning Environment?, Monica Becerra

Dissertations

Researchers continue to emphasize the important role supervisors have in creating a safe space for supervisees to effectively navigate and engage in honest multicultural conversations while also addressing potential biases (e.g., Ancis & Marshall, 2010). However, much of the literature on multicultural supervision provides limited guidance on what characteristics define a safe space. The purpose of this study was to examine accounts of counseling psychology graduate students to learn about their understanding and definitions of safe space and brave space within multicultural supervision, using grounded theory methodology (Corbin & Strauss, 2015). Specifically, the purpose of the study was threefold: (a) …

A Behavior Genetic Study Of Activity Levels And Internalizing Problems Across Childhood, Matthew Jamnik

Dissertations

This study used a twin and triplet sample to investigate the influence of preschoolers’ physical activity levels and internalizing problems on subsequent health outcomes (body-mass index, internalizing behavior problems, household health behaviors) in middle childhood. The potential influence of stressors salient in childhood (household chaos, socioeconomic status, stressful life events) on the hypothesized relationship between physical activity and internalizing on health was also explored. A specific focus was placed on examining the underlying genetic and environmental influences of children’s physical activity levels, as assessed by both temperamental (parent-reported) activity levels and observed (in-lab) motor behavior, using a behavioral genetic approach. …

Exploring, Understanding, Then Designing: Twitter Users’ Sharing Behavior For Minor Safety Incidents, Mashael Yousef Almoqbel

Dissertations

Social media has become an integral part of human lives. Social media users resort to these platforms for various reasons. Users of these platforms spend a lot of time creating, reading, and sharing content, therefore, providing a wealth of available information for everyone to use. The research community has taken advantage of this and produced many publications that allow us to better understand human behavior. An important subject that is sometimes discussed and shared on social media is public safety. In the past, Twitter users have used the platform to share incidents, share information about incidents, victims and perpetrators, and …

Gradient Free Sign Activation Zero One Loss Neural Networks For Adversarially Robust Classification, Yunzhe Xue

Dissertations

The zero-one loss function is less sensitive to outliers than convex surrogate losses such as hinge and cross-entropy. However, as a non-convex function, it has a large number of local minima, andits undifferentiable attribute makes it impossible to use backpropagation, a method widely used in training current state-of-the-art neural networks. When zero-one loss is applied to deep neural networks, the entire training process becomes challenging. On the other hand, a massive non-unique solution probably also brings different decision boundaries when optimizing zero-one loss, making it possible to fight against transferable adversarial examples, which is a common weakness in deep learning …

Solar Flares As Observed In The Low Frequency Microwave Gyrosynchrotron Emission, Shaheda Begum Shaik

Dissertations

Solar flares involve the sudden catastrophic release of magnetic energy stored in the Sun’s corona. This dissertation focuses on investigating the low frequency, optically-thick gyrosynchrotron emission during solar flares for its spatial and spectral dynamics, characteristics, and role in the flare process.

The first part of this dissertation first addresses the spectral dynamics and characteristics of the source morphology. The high-resolution spectra of a set of microwave bursts observed by the Expanded Owens Valley Solar Array (EOVSA) during its commissioning phase in the 2.5-18 GHz frequency range with 1-s time resolution are presented here. Out of the 12 events analyzed …

Towards Adversarial Robustness With 01 Lossmodels, And Novel Convolutional Neural Netsystems For Ultrasound Images, Meiyan Xie

Dissertations

This dissertation investigates adversarial robustness with 01 loss models and a novel convolutional neural net systems for vascular ultrasound images.

In the first part, the dissertation presents stochastic coordinate descent for 01 loss and its sensitivity to adversarial attacks. The study here suggests that 01 loss may be more resilient to adversarial attacks than the hinge loss and further work is required.

In the second part, this dissertation proposes sign activation network with a novel gradient-free stochastic coordinate descent algorithm and its ensembling model. The study here finds that the ensembling model gives a high minimum distortion (as measured by …

Essays On Health Care Quality: Timeliness, Equity, And Efficiency, Abubakar-Sadiq Bouda Abdulai

Dissertations

According to the National Academy of Medicine (NAM) (formerly called the Institute of Medicine), a quality health care system embodies six attributes: timeliness, equity, safety, efficiency, effectiveness, and patient-centeredness. Timeliness is to avoid unnecessary delays in care delivery for patients and caregivers; equity is to ensure that the quality of care that patients receive does not vary based on their personal characteristics; safety is to ensure that the care that is intended to help patients does not harm them; efficiency is to avoid waste and optimize resource allocation to improve care delivery; effective care is one that relies on sound …