Evaluation Of Sleep Hygiene Checklist For Delirium In An Intensive Care Unit, Ying Wei

Dissertations

Abstract

Problem: Delirium is a severe complication brought on by sleep deprivation that could increase mortality and prolong intensive care unit (ICU) stays in critically ill patients. This project aimed to develop and implement a sleep hygiene checklist to decrease the incidence of delirium in a Medical Intensive Care Unit (MICU).

Methods: This study used a pre-post design to compare the incidence of delirium pre-and post-implementation of the sleep hygiene checklist. Forty-four patients and thirty-six patients were recruited for the pre-and post-intervention groups, respectively.

Results: The result of this study demonstrated use of a sleep hygiene checklist could decrease the …

The Effects Of High Dose Intravenous Vitamin C In Cancer Patients, Bankole Aluko

Dissertations

Problem: Currently used standard treatments (Chemotherapy, radiation) in cancer patients are generally accompanied with side effects, which may include pain, nausea, vomiting, fatigue, and chemotherapy-induced peripheral neuropathy (CIPN) during and after completion of treatments. High dose IV C may improve the anti-cancer action of chemotherapeutic agents by reducing side effects of fatigue, pain, nausea and vomiting and boosting immune cell functioning, and inhibiting angiogenesis (Mikirova, Casciari, & Hunninghake, 2019).The purpose of this quality improvement project was to explore whether high dose intravenous vitamin C (IV C) prevented major side effects that frequently occur with standard treatments in cancer patients and …

Take 10 Program Effects On Fifth Grade Academic Achievement, Emily Janes

Dissertations

Problem Less than one-fourth of children reach their recommended 60-minutes of daily physical activity. Inactivity can result in poor academic performance; whereas physical activity stimulates brain functions responsible for regulating comprehension and attention, release of brain chemicals to improve learning, and enhances neurogenesis resulting in better cognition. The purpose of this quality improvement project was to evaluate the Take 10 exercise program in a rural, Midwestern elementary school fifth grade classroom.

Methods An observational, descriptive design with a purposeful sample of fifth-grade students in a rural elementary school. Grades in math, science, and reading were examined the semester before (quarter …

The Development Of Science Identity In Undergraduate Stem Majors: A Case Study Of Urban High School Students, Charles Mcwilliams, Benjamin Nims, Kathleen Dwyer

Dissertations

The STEM fields, science, technology, engineering, and mathematics, face a significant challenge: the underrepresentation of women and minority racial groups entering STEM degree programs and careers. Addressing this STEM gap requires more than quality curriculum and educational supports; there is a need to understand the social psychological processes that influence students’ perceptions, motivation, and interest in STEM. The concept of science identity has been posed as a research perspective to understand participation and persistence in STEM. Enacting a science identity may include describing oneself as a scientist, having a high sense of self-efficacy to do scientific work, displaying an interest …

Improving Clinician Adherence Rates To Aims Testing On Individuals Taking Long-Term Antipsychotics, Shavaun Johnson

Dissertations

Abstract

Problem: Tardive dyskinesia is a common problem that creates challenges in the lives of those affected by it. The Abnormal Involuntary Movement Scale records the occurrence of tardive dyskinesia in patients receiving neuroleptic medication. With this scale, clinicians can detect tardive dyskinesia and its severity over time. The aim of this study is to learn the current rate of adherence for clinicians at the organization and to create and implement an intervention that will increase that rate in an effort to improve patient outcomes and quality of life.

Methods: This quality improvement project will use a descriptive cohort …

Intimate Partner Violence Screening In Adolescent And Young Adult Females, Emily Myers

Dissertations

Abstract

Problem Adolescents and young adult females are at risk for experiencing intimate partner violence (IPV). Females aged 16- to 24-years of age experience IPV three times more likely than males. Universal screening for adolescent IPV is considered a gold standard for adolescent anticipatory guidance. The purpose of this quality improvement initiative was to evaluate the impact of an adolescent IPV screening instrument in an urban, Midwestern shelter for pregnant adolescent and young adult females.

Methods An observational, descriptive design. All adolescent and young adult females presenting for intake evaluation were screened for IPV using the Healthy Relationship Quiz over …

Compassion Fatigue And The Emergency Department, Alexandra Myers

Dissertations

Problem The emergency department (ED) is a high-stress environment. Nurses exposed to this stress for prolonged periods are subject to compassion fatigue (CF). The purpose of this quality improvement project was to identify and reduce the level of CF in ED nurses by implementing Real Time Transformative Response^© (RTR). RTR^© is a technique that uses combinations of neurofeedback response awareness, biofield therapy intervention, and clearing of unwanted energy.

Method A purposeful sample of ED nurses working at a moderately-sized, suburban, Midwestern hospital ED who were scheduled to work 24-hours or more per week completed a Professional Quality of …

Degree Completion Of Underrepresented Minorities Majoring In Mathematics As A Function Of Undergraduate Student Programs, Marnice Anthony

Dissertations

Abstract

Students with disabilities, minorities, and women are underrepresented in the critical demand courses of study in Science, Technology, Engineering, and Mathematics (STEM) undergraduate college enrollment. Institutions of higher education in the United States of America are challenged with a continuous need for undergraduate students to choose and earn a STEM degree. The 2019 annual report of Women, Minorities, and Persons with Disabilities in Science and Engineering indicated these groups continue to be disproportionately underrepresented relative to the U.S. population. In 2014, the U.S. Department of Education reported that upon graduation students studying mathematics in college have higher employment rates …

The Lived Experiences Of Male Partners Of Women Who Have Previously Been Diagnosed With Postpartum Depression, Judy Kaye Smith

Dissertations

This qualitative, descriptive phenomenological study was conducted to determine the actual lived experiences of male partners of women who have previously been diagnosed with postpartum depression. The study also explored the knowledge level of male partners with regard to the phenomenon of postpartum depression. While experiences were varied, three common themes emerged of being vulnerable, being helpless, and coping with two to four sub-themes identified under each one. The seven men who participated demonstrated gaps in the knowledge with regard to the phenomenon of postpartum depression.

Social Patterns And Pathways Of Hiv Care Among Hiv-Positive Transgender Women, Dana D. Hines

Dissertations

Transgender women have the highest HIV prevalence rates of all gender and sexual minorities, yet are less likely to enter and be retained in HIV care. As a result, they are at high risk for HIV-related morbidity and mortality. This study aimed to describe the illness career of transgender women living with HIV and to describe how interactions with health care providers and important others influenced their illness trajectory.

Path Dependence In Geographic Crime Patterns, Theodore Lentz

Dissertations

This dissertation argues that status quo bias in crime location choice has substantial effects on geographic crime patterns. Offenders often re-select prior crime locations when they commit crimes. Mainstream theories argue this is because such locations are objectively more suitable for crime and thereby attract offending behavior at higher rates. I contend that locational suitability is only one consideration and that offenders may re-select a location that has been established as a status quo option, despite availability of more optimal alternatives. When individuals re-select prior crime locations, crimes will increasingly concentrate and create hotspots that are stable over time and …

The Role Of Professional Nursing In The Origin Of The Newborns' And Mothers' Health Protection Act Of 1996 From A Feminist Perspective, 1981-1996, Jan-Louise Leonard

Dissertations

This social historiography tells the story of the origin of the Newborns' and Mothers' Health Protection Act of 1996. In the 1980s when the federal government reduced allocations to states' Medicaid programs as a cost saving measure, hospitals, initiated early discharge of patients to save costs. Given four million births annually, childbirth is the most frequent reason for hospitalization in the United States. Hospitals discharged Medicaid insured mothers and newborns very early at twenty-four hours for a normal birth and seventy-two hours for a cesarean. Other insurers adopted similar managed care strategies in the early 1990s. By 1995, unionized nurses …

Psychometric Properties Of The College Athlete Psychological Screening Tool: Validation Of The Depression And Anxiety Subscales, Joseph C. Case

Dissertations

The aim of the present study was to gain a better understanding of the descriptive psychometric properties of the College Athlete Psychological Screening (CAPS) measure. The CAPS is a newly developed assessment screening measure designed to assess 14 common problem areas for college athletes. For the present investigation, 395 participants completed the 108-item CAPS measure. To establish criterion validity, participants also completed the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI). The present study had three research questions. Question one discussed the descriptive psychodynamic properties (Cronbach’s alpha, means, and standard deviations) of the 14 CAPS subscales. Question two …

The Russian Research Center At Harvard Versus Cambridge Analytica: Influencing The Public In A Cold War, Robert Joshua Howard

Dissertations

No abstract provided.

College Choice Decisions: An Analysis Of University Honors Students, Thomas Tyler Clark

Dissertations

The purpose of this research was to analyze the importance of various institutional attributes in the college-choice process of honors students. The study surveyed honors students (N = 279) currently enrolled in an honors college at one university. Students rated 51 items on the degree of importance in their college decision. An exploratory factor analysis was used to determine the underlying factors in the college-choice process.

The results indicated that cost was the most important issue students considered when determining an institution to attend. Cost of attendance and financial assistance offered were followed by quality of course instruction, safety on …

A Phenomenology Study Of Possible External And Internal Factors Relating T Women’S Under-Representation In Leadership In Large Chinese Media Organizations In Beijing City, Xiaoxue Xiang

Dissertations

The purpose of this study is to gain a better understanding of possible factors that contribute to the underrepresentation of women in leadership positions in Chinese media through their lived experience. The 10 participants in this study were from large media organizations in Beijing. The results of this study indicate Balancing work and family and Chinese traditional culture can be considered as the external possible factors of the barriers women leaders encountered in Beijing large media organizations; the negative influence of traditional culture on Chinese women, which refers to women’s low self-evaluation and negative self-awareness, can be taken as the …

The Relationship Between Organizational Trauma-Informed Care And Secondary Trauma Symptoms In Staff Members Of Kentucky Domestic Violence Programs, Mary Ellen Foley

Dissertations

This study evaluated secondary traumatic stress (STS) levels in 89 employees from Kentucky’s 15 regional domestic crisis programs to determine whether certain demographic variables predicted STS levels (as measured by the Secondary Traumatic Stress Scale©) and whether employee perception of organizational trauma-informed care practices (as measured by the Ticometer©) reduced levels of STS. Results of a multiple regression analysis indicated that personal trauma history severity did significantly impact STS levels. In this way, the current study rejected the null hypothesis. Results also indicated that the more the employee perceived the organization to adopt and execute trauma-informed care practices, the lower …

Student Perceptions Of School And Teachers In The Classroom, Sonji Jones-Manson

Dissertations

Much of the existing education research on student outcomes has focused on gaining a better understanding of student cognition and behavior, considering affect primarily as the role of a mediator or moderator to cognitive or behavioral outcomes. Student satisfaction with school is an affective outcome that is shaped by their relationships with their teachers. Though research on affect as an outcome has increased, it has not been well-understood and often ignored in models of understanding student outcomes. This qualitative study adds to the body of research on student affect as an outcome by collecting data from current high school students …

Clinical Trainees' Experience Of Burnout And Its Relationship To Supervision, Amanda Weaver

Dissertations

Burnout is a phenomenon that has recently gotten a lot of attention in research and media, but there is still a need to understand burnout among clinical trainees. Burnout is characterized by emotional exhaustion, a sense of cynicism, and a reduced sense of personal accomplishment. This qualitative study attempted to understand clinical trainees’ experience of burnout, the factors they believed were contributing factors to their burnout, and how supervision impacted this experience. The participants included six trainees who were enrolled in a clinical or counseling doctorate program, have experienced or are currently experiencing burnout, and had at least six months …

Cultural Homelessness, Self-Esteem, And Skin Color Satisfaction Among Latinxs, Josephine M. Almanzar

Dissertations

This study explored feelings of cultural homelessness, self-esteem, and skin color satisfaction among Latinxs. A close interest was placed in examining responses of participants who identified as racially Black or Afro-Latinx. Through an electronic survey, the study aimed to answer the four research questions: (1) Is there a correlation between cultural homelessness, self-esteem, and skin color satisfaction; (2) Do participants of different self-perceived skin colors differ in self-esteem, cultural homelessness, and skin color satisfaction; (3) Does age moderate the relationship between self-perceived skin color and self-esteem; and (4) Does age moderate the relationship between self-perceived skin color and cultural homelessness. …

Culturally Relevant Pedagogy And First-Generation Latinx Student Sense Of Belonging, Rachel Abel

Dissertations

This qualitative research study assessed the impact of culturally relevant pedagogy on first-generation Latinx student sense of belonging at an emerging Hispanic serving institution (HSI). This study adds to current literature around culturally relevant pedagogy, which focused on the close, meaningful relationships between faculty and students in the classroom (Ladson-Billings, Gay, Wlodkowski, & Ginsberg, Stembridge, et al.). The link to sense of belonging (Hurtado & Carter, 1997) demonstrated the importance of academic and non-academic setting connections that led to other social and academic outcomes, which include student satisfaction, motivation to study, and perseverance in completion of a post-secondary. A transformative …

Study Of Preservice Teachers’ Preparation For Di: Investigating Data For Secondary Teacher Candidates In One Research University, Matthew Trp Dittrich

Dissertations

This dissertation, A Study of Preservice Teachers’ Preparation for DI: Investigating Data for Secondary Teacher Candidates in One Research University, was a mixed methods study of secondary data that analyzed the results of undergraduate and graduate teacher candidate scores on the three different instruments, which were used by a midwestern university in their teacher preparation program for state teacher certification. The purpose of this study was to examine if graduate preservice teacher candidates and undergraduate preservice teacher candidates were equally prepared in the area of differentiated instruction. The study also included an examination of preservice training among these teacher candidates. …

Experiences Of Graduate Level Students Of Color With Race In Psychology Diversity Courses, Lakesha Winley

Dissertations

The ethnoracial makeup of individuals entering fields of study such as psychology continues to change but the experiences of graduate level students of color in these programs is a phenomenon that has received little attention. When attempting to understand these experiences specific to racial content, the literature is almost nonexistent. This qualitative inquiry was designed in an attempt to understand, assess, and depict the experiences of students of color related to experiences of racial content in their American Psychological Association (APA) accredited graduate level diversity/multicultural psychology courses. The focus was on their reactions (e.g., emotional, physical, somatic) to class discourse, …

Psychotherapy Model For The Training Of Counselors In India, Vini Kalra

Dissertations

Common mental disorders in India are on the rise and are adding to the national burden of mental health care on a day-to-day basis. The demand for treatment of mental illnesses has risen considerably, though there is a shortage of mental health professionals who can deliver counseling services. The Indian government has made efforts to improve the scalability of services by training lay health counselors to diagnose and conduct brief counseling with the mentally ill and those involved with their care. Despite efforts to scale up services, the treatment gap still exists, as mental health services are not uniformly distributed. …

Community Violence, Protective Factors, And Resilience: Gender Differences In African American Youth, Kimberly Nelson-Arrington

Dissertations

African American youth are exposed to community violence in varying degrees. Over the last few decades, much research has focused on the negative implications of such exposure. While it is helpful to explore the detrimental effects of community violence on this population, the factors that promote resilience, leading to favorable outcomes, should be explored with just as much fervency. The present study sought to explore the protective factors that contribute to resilience in African American youth exposed to community violence. While resilience is a multidimensional construct, this study focused on the participants’ psychological outlook, namely their sense of hopefulness and …

Exploring The Impact Of Insecure Attachment Styles In Couple Adjustment Through The Lens Of Cluster B Pathology, Laura Bonnemort

Dissertations

The current body of research literature appears to lack adequate studies focused on individuals who possess an insecure attachment, potential cluster B personality pathology, and who are engaged in couple discord. The following clinical research project explored how insecure attachments impact the trajectory of both cluster B pathology and adult couples’ relationship discord. Studies reviewed included adults diagnosed with mood disorders, personality pathology, and those engaged in couples therapy due to dissatisfaction and discord. Developing an insecure attachment in childhood appears to place adults at risk for higher rates of personality pathology and risky romantic relationships fraught with discord. Evidence-based …

Military Sexual Trauma In Veterans: Consequences, Treatment, And Therapeutic Implications, Chelsey Siville

Dissertations

Amongst Veterans served within the Veterans Affairs healthcare system, approximately 1 in 50 men and 1 in 3 women have experienced military sexual trauma (MST). While every individual is different, a common characteristic or identity amongst those who have served is that of a warrior – someone perceived as strong and ready to defend both their country and fellow soldier. Experiencing military sexual trauma can create a painful and discrepant identity as well as impact almost all domains of functioning. Unfortunately, trauma is an all too common occurrence in the lives of many service members and the multifinality of trauma …

Psychophysiological Recovery After Acute Myocardial Infarction, Lynne M. Buchanan

Dissertations

This research describes the physiological and cognitive/affective responses of twenty-one physiologically stable adult males within five days of acute myocardial infarction (AMI). The relationships between physiological and cognitive/affective variables were explored focusing on them as manifestations of autonomic nervous system (ANS) imbalance. Physiologic responses of heart rate variability (HRV) and complex ventricular arrhythmias (CVA) were measured using Space Lab ambulatory monitors. The R to R interval data was used to calculate four non-invasive indicators of ANS imbalance: Kleiger global standard deviation (GSD), Magid number, SDANN index and BB50A index. A severity rating of CVA was calculated using Lown's grading criteria …

Improving Transitional Care In Rural Health Using A Standardized Discharge Time-Out Process, Lori Koethe

Dissertations

The process for transitioning patients from hospital to home is complex and fraught with opportunity for error. Increasingly, hospitals are tasked with regulatory, safety, and public expectation burdens to ensure that safe, effective transitions from hospital are well-planned, well-communicated and collaborative.

Transitional care processes are well documented in large, academic medical centers. Little evidence exists within the rural healthcare community. We sought to determine if the implementation of a discharge time-out could improve patient satisfaction and identify and correct errors prior to discharge.

Finding Support: Evaluating The Use Of A Virtual Dnp Final Project Peer Support Community In A Limited-Residency Program, Pamela Simon-Card

Dissertations

The high number of doctoral students leaving their studies before completion of their degree is a concern of both students and educational institutions. Identification of barriers to DNP student persistence is needed, along with the development of strategies to address them.

The primary aim of the project is to determine the effect of a virtual DNP Final Project Peer Support Community with Final Project Resources Toolkit on students' perception of connectedness, peer community and perceived stress regarding their DNP final project experience in a limited residency program.