Digital Commons Network^™

Identifying Motivation Toward Healthy Behavior In Overweight And Obese Pregnant Women, Heather Lynn Watson

Dissertations

Excessive weight gain in overweight and obese pregnant women may result in long-term maternal and child health implications. Current interventions reflect minimal effectiveness toward achievement of appropriate weight gain in this population. Although not specific to examination of motivation towards dietary and exercise behaviors in pregnant overweight and obese women, the literature supports that motivation represents a factor impacting diet and exercise health behavior modification. This study examined the predictive value of basic psychological needs (autonomy, competence, relatedness), healthcare climate, attitude toward weight gain, and BMI on motivation towards healthy dietary and exercise behaviors and the mediation effect of healthcare …

Exercise To Reduce Chemotherapy-Induced Peripheral Nephropathy: A Pilot Rct, Grace A. Kanzawa-Lee

Dissertations

Oxaliplatin-induced peripheral neuropathy (OIPN) occurs in 85-95% of patients receiving FOLFOX or FOLFIRINOX, oxaliplatin-based chemotherapy for invasive gastrointestinal (GI) cancers. Persistent OIPN can impair long-term quality of life (QOL). No OIPN cures are known. Aerobic physical activity (PA) may reduce OIPN by enhancing circulation and re-distributing neurotoxic oxaliplatin away from vulnerable neurons. However, no trials have evaluated solely aerobic exercise for OIPN. This dissertation reports the results of a 1) literature review on exercise for chemotherapy-induced peripheral neuropathy, and 2) pilot randomized controlled trial (RCT) of brisk walking for OIPN in FOLFOX/FOLFIRINOX-receiving GI cancer survivors. The "MI-Walk Intervention" - an …

Effects Of Evidence-Based Relaxation Techniques On Nurse-Patient Communication, Deborah Samuel

Dissertations

Occupational stress in nursing leads to poor patient and staff satisfaction making it essential to address stress among nursing staff and improving patient satisfaction. The purpose of this quantitative quasi-experimental quality improvement (QI) project was to determine to what degree evidence-based relaxation techniques, including music, deep-breathing, progressive muscle relaxation and guided imagery, using the transactional model would reduce stress levels among nursing staff and improve nurse-patient communication on a medical-surgical unit in a community hospital. Lazarus and Folkman's theory of stress and coping best explains stress levels and the need for alternate solutions. Data to evaluate stress levels was collected …

Nurses' Attitudes And Perceptions Regarding Their Role In Incorporating Prayer In Practice, Sonia H. Wisdom

Dissertations

The nurses' role in praying is not clearly defined. Scientific evidence to guide nurses praying in practice is lacking resulting in inconsistencies as nurses develop individualized strategies from personal frameworks in meeting the patient's spiritual needs. This descriptive study was conducted with a self-selected sample of 2,688 registered nurses licensed with the Florida Board of Nursing to explore nurses' attitudes and perceptions to their role in praying in practice. The four reliable subscales extracted by factor analysis were attitudes to prayer, role perception, relevant activities, and challenges in praying. All subscales showed that nurses hold positive perspectives and support their …

Baccalaureate Nursing Students' Attitudes Toward End Of Life Care: The Impact Of Simulation-Based Learning, Kristin M. Sagedy

Dissertations

All nurses may be obliged to care for patients at the end of life. Baccalaureate nursing education should prepare nurses to provide this care, but best practice for end of life care education has not been established. Nurses are not adequately prepared to care for dying patients and grieving families. This research study explored the effectiveness of low-fidelity simulation-based learning (SBL) activities on improving baccalaureate nursing students' attitudes toward end of life care. Junior-level baccalaureate nursing students participated in this quasi-experimental study. A standardized tool assessed students' attitudes toward end of life care before and after the SBL activities. While …

Identifying Transfer Of Care Gaps: Electronic Health Record Capture Of Perioperative Handoff Communications, Sharon Giarrizzo-Wilson

Dissertations

Transitions in patient care are held together by interdisciplinary handoff communications intended to coordinate the patient's ongoing care requirements. Patients with complexity in care encumber the transfer of care process requiring a higher level of care coordination between the interdisciplinary team (Coleman, 2003; Naylor et al., 2004). While the literature is abundant on the characteristics and quality of handoff communications, it is limited on the requirements of what data is necessary for ongoing care following transfer communications (Galatzan & Carrington, 2018).

Preliminary Efficacy Of A Nurse Led Brief Intervention Quasi-Experimental Pilot Study For Individuals Presenting To The Emergency Department With Risk For Alcohol Use Disorder, Felipe Gutierrez

Dissertations

The purpose of this study was to assess preliminary efficacy of screening for alcohol use and brief interventions (BIs) on patients who present to the emergency department (ED) at-risk for alcohol use disorder (AUD) utilizing established nurse navigators. This is the first study to assess the initial efficacy of a BI to reduce alcohol use in at-risk patients utilizing nurse navigators in the ED who were not bedside nurses.

The Long-Term Multidimensional Impact Of Persistent Multisite Pain On Physical And Psychological Disability, And Mortality In Community-Dwelling Older Adults, Saurja Thapa

Dissertations

Persistent multisite pain is highly prevalent, affecting 25-43% of community-dwelling older adults. Although existing evidence suggests that persistent multisite pain is associated with physical and psychological disability, studies use a cross-sectional assessment approach that overlooks pain duration or persistence. This study aimed to estimate the persistence of multisite pain and the proportion of incident multisite pain and examine the association between persistent multisite pain and physical (ADL and IADL) and psychological disability (depression and anxiety) at 18 months and six years. Also, the association between baseline persistent multisite pain and mortality was assessed.

Effectiveness Of The Nurse-Practitioner-Driven Enteral Nutrition Protocol, Jho Mary Tangcora

Dissertations

The delay in initiating enteral feeding (EF) in the critical care unit is known to cause malnutrition which may lead to poor patient outcomes. The purpose of this quasi-experimental quantitative project was to determine if the nurse practitioner (NP)-driven enteral nutrition protocol recommended by the Society of Critical Care Medicine (SCCM) and the American Society for Parenteral and Enteral Nutrition (ASPEN) will psychologically empower the NP toward reducing the delay on initiating EF and lowering the length of stay (LOS) of adult patients an intensive care unit in urban California over four weeks. This project utilized the theoretical foundation of …

Espoused Versus Operationalized Organizational Values: A Case Study Of Values Integration, Erik Dees

Dissertations

At the start of the 21^st century, corporate America found itself confronted by a series of scandals about powerful business leaders unethically exploiting the system and their own organizations. Among the most familiar of these scandals is the one involving the former energy and commodities services corporation, Enron. Illegal accounting practices in that organization resulted both in the dissolution of that organization and in passage of the 2002 Sarbanes-Oxley Act, which placed greater demands on corporate accounting practices.

Enron’s maleficence deeply affected its more than 20,000 employees through job loss and the evaporation of retirement benefits. Enron leaders’ widely …

Compassion Satisfaction, Burnout, And Intent To Stay Among Nurse Leaders, Lisa D. Surby

Dissertations

Nurses in leadership roles have a substantial influence on the quality of the work environment and on safety, quality, and patient outcomes. However, compassion satisfaction (CS) and burnout (BO) have historically been understudied, and evidence is lacking regarding the existence of a relationship between CS, BO, and intent to stay among nurse leaders. The purpose of this cross-sectional descriptive study, guided by Stamm's theory of CS and compassion fatigue (CF), was to determine if there was a relationship between CS and BO and intent to stay among nurse leaders. An anonymous online survey was conducted using the Professional Quality of …

Teachers Attitudes Regarding Adverse Childhood Experiences, Trauma-Informed Educational Practices, And Student Resiliency, Alyson Reynolds Kohl

Dissertations

Purpose: The purpose of this convergent parallel design mixed methods case study was to determine how training on Adverse Childhood Experiences and Trauma-Informed Educational Practice affected the attitudes of teachers, in Shasta County’s Enterprise Elementary School District (EESD), regarding students who had experienced Adverse Childhood Experiences (ACE). A further purpose of this study was to understand if teachers in EESD perceived training in ACE and Trauma-Informed Educational Practices (TIEP) was effective in changing their classroom practices to support the resiliency of students who had experienced ACEs.

Methodology: The methods for this research included: an online survey, The Attitudes Regarding Trauma-Informed …

Clinical Factors That Influence Nurse Responsiveness In Activating Rapid Response Services, James Tormey

Dissertations

This study advances the understanding of essential clinical knowledge skillsets that nurses need to identify and respond to early signs of patient deterioration. The identification of critical thinking and assessment skills that nurses require may support professional practice through improved nursing education curriculum or additions of necessary critical care skillsets. The purpose of this study, which was framed by Benner's novice-to-expert model, was to identify and measure critical thinking skills that influence a nurse's ability to detect deterioration in patients and call the rapid response system (RRS). The research questions addressed the relationship between a nurse's clinical or reasoning skill …

Investigation Of A Checklist To Reduce Medication Errors Among Pre-Licensure Baccalaureate Nursing Students, Mary Agoglia

Dissertations

This experimental pilot study was aimed at the development of a quality standard to facilitate medication administration error detection, prevention, and reporting among pre-licensure baccalaureate nursing students. Based on both the literature review and peer review, sequential steps of the medication administration process were identified, bundled, and anchored in the mnemonic, C-MATCH-REASON, to form a new inquiry-based paper checklist that pairs clinical reasoning with rule adherence. The Checklist (independent variable), for nursing student utilization, was accompanied by an error tracking instrument (Observation Form) for nursing faculty (raters) to measure medication errors committed, recovered, and reported. Reason's (1990) error theory was …

The Perceived Absence Of African American Women In Leadership Positions In Public Four-Year Predominantly White Institutions Of Higher Education In Mississippi, Tonya Neely

Dissertations

There is a perceived absence of African American women in leadership positions in predominantly White institutions of higher education. This research study explored the experiences of African American women in leadership positions at predominantly White institutions of higher education in Mississippi. The themes that emerged from the published literature that were explored in this research study were barriers, mentorship, leadership, and copying strategies. A mixed methods research approach was used to complete this research study using semi-structured interviews and an online Qualtrics survey to capture the experiences of the study participants. The results of this research study support the narrative …

Identification Of Cultural Differences And Their Effects On International Relations: A Novel Approach, Stephen W. Jones

Dissertations

International Relations suffers from underspecified treatments of culture that risk reifying, essentializing, or ignoring the effects of cultural differences in the conduct of relationships between states. Following a review of the development of the culture concept, this interpretivist, epistemologically critical realist, dissertation introduces intercultural adaptive frameshifting from the intercultural communication literature. To assess whether culture has effect within an epistemic community, four frameworks are evaluated within a non-IR field (global Christian reasoning). Speech act theory is used to assess meaningful affect through illocutionary and/or perlocutionary divergence based on cultural difference.

Following the findings that such cultural differences do in fact …

The Application Of Motivational Design To Office Hours Conducted Within Fully Online Courses, Mark P. Ferguson

Dissertations

This study investigated the effectiveness of office hours conducted within online classes and created a framework for instructors to use when adapting office hours, office hours structures, and office hours procedures for online educational environments. A mixed-method approach using a sequential explanatory design was used to first gather quantitative information concerning student perception and use of office hour within online classes and student interaction preferences within online classes. This information was then used to in the development of a framework base the ARCS Model of Motivational Design and Social Information Processing Theory for instructors to use when planning and implementing …

Mobbing And Job Satisfaction Among Registered Nurses In Mississippi, Brenda Collins

Dissertations

The incidences of mobbing or workplace bullying are a common occurrence among nurses. The practice has been associated with overwhelming and long-standing comprising emotional, psychosomatic, and psychosocial distress. Mobbing (workplace bullying) impacts the target, those close to them, and the organization in which they work. The experience of mobbing produces affective reactions in the target. Affective experiences on the job can impact job satisfaction within organizations. Job satisfaction plays an essential role in sustaining an adequate nursing workforce. Subsequently, some nurses become frustrated and opt for resigning or early retirement when they are no longer satisfied with the culture or …

Gender And Cross-Cultural Invariance Of Attitudes Toward Statistics Among Non-Stem Undergraduate Students, Mihili Edirisooriya

Dissertations

Because of the wide usage of statistics in almost every field, many universities have incorporated statistics into their undergraduate and graduate curricula. Students taking statistics have often reported negative experiences and an aversion to statistics. Non-STEM students have often reported negative attitudes toward statistics (Chew & Dillon, 2014; Keeley et al., 2008). Researchers have used qualitative and quantitative approaches to measure attitudes toward statistics. The Survey of Attitudes Toward Statistics-36 (SATS-36) scale has been the most widely accepted measure to investigate attitudes toward statistics. Any psychometrically sound measurement instrument requires invariance across groups in its usage. Otherwise, measurement biases could …

Estimating School-Level Effects Of Mandatory Student Grade Retention Policies Using Latent Growth Curve Modeling, Matthew Koziol

Dissertations

Mandatory grade retention for poor-performing readers has been a disputed practice for decades. Since the early-2000s, state-level mandatory grade retention policies have proliferated. In 18 states and Washington, D.C. mandatory grade retention exists for students in the third grade who fail an end-of-year standardized reading exam. These policies are based on research that suggests students who do not read by the third-grade are at much greater risk of dropping out of school prior to receiving a high-school degree. Mandatory grade retention policies use a gatekeeper mechanism at the end of the third grade to ensure that students who are not …

The Asymmetric Effect Of Sentiment On Equity Returns, Mishal Ahmed

Dissertations

In the first chapter titled “The Asymmetric Effect of Sentiment on U.S. Equity Returns”, we test the asymmetric impact of investor sentiment, proxied by the Baker-Wurgler (2007) investor sentiment index, on expected stock returns in the U.S. We regress sentiment on market and economy-wide fundamentals, use the residuals as a measure of excess sentiment and estimate long-horizon return regressions using positive and negative components of excess sentiment as predictors. We hypothesize that excessive optimism leads investors to make significant portfolio changes whereas excessive pessimism makes investors more cautious about investing, due to loss aversion. Primary results confirm our hypothesis with …

Non-Affirmation As A Moderator Between Social Support And Quality Of Life For Transgender Populations, Michael Evitts

Dissertations

This research builds upon scholarship exploring the quality of life of transgender populations. Knowledge on quality-of-life (QOL) for transgender populations has been limited due to the fact that most studies have focused on gender affirming medical procedures as interventions (Nobili et al., 2018). Other protective factors, such as social support, have been identified in the literature but have been defined in broad terms. The purpose of the study was to better understand additional factors that promote QOL and psychological well-being, specifically social support. It is unclear how non-affirmation of gender identity affects the protective effects of social support for QOL. …

Exploring Generational Difference Of Acculturation, Ethnic Identity And Racial Identity In Liberian Immigrants And Their Children Living In The United States, Breezie J. Gibson

Dissertations

Prior literature on immigrants has focused on the impact of acculturation for groups such as Asians and Hispanic or Latinx immigrants (Orjiako & So, 2014; Sall, 2019). Compared to these two groups, the literature on Black immigrants’ experience of acculturation is scarce. In addition to the minimum visibility of Black immigrants in the acculturation literature, there is also limited knowledge relating to differences in the ethnic identity and racial identity of Black immigrants because these immigrants are often grouped monolithically with minimum attention to their diverse countries of origin. Understanding the influence of acculturation, ethnicity, and race is important because …

Racial Identity, Masculinity, And Academic Help-Seeking Behaviors In African American Male College Students, Walter T. Malone

Dissertations

The purpose of this study was to examine the influence of Black racial identity attitudes, as measured by the Cross Racial Identity Scale (CRIS), and masculine norms, as measured by the Conformity to Masculinity Norms Index -46 (CMNI-46), in relation to men's academic helpseeking behavior. Participants were 120 African American undergraduate males at a historically White university in the Midwest region of the United States. Four hypotheses were designed to help guide the measure's influences on two academic help-seeking variables, avoidance and perceived benefits. The first and second hypotheses both focused on the effects of Black college men's racial attitudes. …

Preclinical Behavioral Assessment Of Chronic, Intermittent Low-Dose Psilocybin In Rodent Models Of Depression And Anxiety, Harmony I. Risca

Dissertations

Recent studies have demonstrated the clinical efficacy of psychedelic-assisted psychotherapy for treatment-resistant depression and anxiety. Amidst the overall success of recent clinical trials using a single high dose of psilocybin, anecdotal reports indicate anxiolytic and antidepressant effects following a repeated low dose regimen. As therapeutic outcomes are often tightly intertwined with the individual’s subjective experience, animal models are used as objective measures to investigate the underlying mechanisms responsible for the putative antidepressant/anxiolytic effects of psychedelics. Three rodent models predictive of anxiolytic or antidepressant effects were used to evaluate effects of chronic intermittent low dose (CILD) psilocybin treatment; the Light/Dark conflict …

Understanding The Unique Role Of The Special Education Teacher And The Essence Of The Special Education Teacher’S Life In The Inclusive Setting, Evelyn C. Phillips

Dissertations

The drive for inclusive practices has required the special education teacher to become an integral part of the general education setting. Yet as the nation recovers from the ubiquitous COVID-19 virus, many schools are challenged to provide a learning environment that is conducive to all students while balancing the need to provide safety and an appropriate education. As schools find their way to a new normal, this study examines the unique role of the special education teacher engaged in inclusive practices. Using a phenomenological approach combined with the constant comparative method, this study explores what meaning special education teachers ascribe …

Contingent Reinforcement And Instructed Generalization In A Laboratory Analog Of Functional Analytic Psychotherapy: A Mixed Within-Group, Between-Group Design, Rebecca Rausch

Dissertations

Functional Analytic Psychotherapy emphasizes using social interactions in the therapeutic relationship to enhance interpersonal outcomes. The proposed mechanism of action in FAP is reinforcement provided by the therapist responding contingently to client improvements as they occur in session. The result is a stronger therapeutic relationship and improved social relating in daily life. Generalization is expected due to functional similarities inherent in interpersonal interactions and explicit attempts to link in-session learning to clients’ life via verbal descriptions and homework. The present study was a laboratory-based analog of the proposed processes occurring in FAP.

Using a modified fast friends’ procedure (FFP) and …

An Examination Of Types Of Health Insurance And The Reported Prevalence Of Autism In The United States, Jennifer L. Thompson

Dissertations

The prevalence of Autism Spectrum Disorders continues to rise despite barriers of changes to diagnostic criteria and lack of insurance coverage. Increases in prevalence affect costs associated with a disorder since cost of health care services are often estimated based on utilization of services. This can also affect an individual’s ability to access to health care services. To equitably distribute autism services to individuals an accurate estimation of the true prevalence of autism is needed.

Access to health care can be influenced by the type of insurance coverage a person holds. Other factors, such as socio-economic status, ethnicity, location of …

Young Adults With Disabilities Acquire Vocational Skills With Video Modeling, Carly Schroeder-Mackay

Dissertations

Students with disabilities often require substantial support to acquire the skills needed to secure work experience and paid employment. Special education transition programs have an obligation to utilize evidence-based practices to facilitate the acquisition of such skills. In the present project, three studies were conducted to examine the effects of video modeling on the acquisition, maintenance, and generalization of job-related tasks taught in a classroom setting to young adults with developmental disabilities. In Study 1, a multiple baseline across behaviors experimental design with four participants was used to assess the effects of video prompts on the percentage of correctly completed …

To Write Or Type? A Comparison Of Flashcard Creation Methods On College Students’ Exam Scores, Sally Weigandt

Dissertations

College students frequently use flashcard-based study methods to prepare for exams and other course-related activities (Kornell & Bjork, 2007; Kornell & Bjork, 2008; Hartwig & Dunlosky, 2012, Wissman et al., 2012). Despite the popularity of flashcards, there has been little research evaluating the various methods used by students to create the flashcards and how those methods effect learning outcomes (Sage et al., 2016; Sage et al., 2019). The rise in popularity of web-based flashcard applications such as Quizlet (https://www.quizlet.com) and Cram (https://www.cram.com), combined with an increase in online learning, has produced a need for formal evaluation of handwriting versus typing …