Digital Commons Network^™

Improving Resource Access And Implementation For Informal Cancer Caregivers In A Clinic At An Outpatient Cancer Center, Marie Milton

Dissertations

Cancer caregivers are at risk for distress from lack in caregiver support. Caregivers were not screened for distress in a cancer clinic and ineffective caregiver support was identified.

Purpose: To improve resource access and implementation in caregiver support and thereby reduce caregiver distress levels.

Participation In Sporting Activities As A Mechanism For Enhancing Science Instruction, Erin Roades

Dissertations

ABSTRACT

After students have taken years of science classes, they still believe science content is disconnected to the “real” world or to their lives. Teaching without attention to relevance results in decreased motivation for learning and negative attitudes toward science. An instructional method incorporating physical, sport-related activities was used to develop relevance and enhance achievement in science compared to typical/traditional science instructional methods. In the typical method, science lessons consisted of front-loading science content through direct instruction followed by a laboratory activity to confirm lesson content. The experimental teaching strategy used was “Relevance Integration for Teaching Science using Sports Exploration” …

Optimism And Emotional Well-Being In Women With Breast Cancer: The Role Of Mediators, Ellyn E. Matthews

Dissertations

Diagnosis and treatment of breast cancer in women, with an estimated incidence of 182,800 new cases in the United States in 2000, is associated with psychological difficulties and diminished emotional well-being. The role of personal and social resources in maintaining emotional well-being is not adequately understood in women with breast cancer. The purpose of this research was to examine the relationships among the variables of optimism, emotional well-being, perceived social support, problem-focused coping, self-transcendence, and symptom distress. Optimism, or the tendency to believe that one will generally experience positive outcomes, is believed to influence emotional well-being. In addition, social support, …

Moderating Effects Of Cognitive Adaptability On Expressive Writing Outcomes Among Persons Infected With Human Immunodeficiency Virus, Lois J. Wagner

Dissertations

This study explored the effects of expressive writing on psychological well-being, health status, and adherence among persons with human immunodeficiency virus (HIV) infection. It further explored the moderating effects of cognitive adaptability on these outcomes. Thirty-seven participants were randomized to write weekly for 20 minutes on each of four days, either about stressful/traumatic life experiences (experimental) or trivial, non-emotional topics (control). Dependent measures obtained at baseline were repeated one month after writing. Higher cognitive adaptability (dispositional optimism coupled with perceived competence) was associated with improvements in positive affect, global sense of meaning, HIV-cognitive adaptability, HIV-quality of life, and HIV physical …

Investigations Into Economic Class And Retention Rates Of Nursing Students, Angela D. Martindale

Dissertations

This quasi-experimental, quantitative design based on a grand theory developed for this study explores whether a course designed to allow students to investigate their own environment will affect retention rates of nursing students. A convenience sample of 11 participants were recruited to take the course and data from 185 students was provided for the control group. The course was taken over the Summer and the retention was measured at the beginning of the Fall semester (R1), the end of the Fall semester (R2) and then at the beginning of the Spring semester (R3). The study demonstrated that there was a …

Health Status And Psychological Well-Being In Elderly Women: The Self-System As Mediator, Susan M. Heidrich

Dissertations

The purpose of this research was to explain how elderly women manage to maintain high levels of psychological well-being despite losses associated with aging, especially loss of health, and to examine this process in young-old and old-old women. Two hundred and forty three community-dwelling elderly women completed surveys regarding demographic characteristics, their health status, and psychological functioning. The self-system was proposed as a mediator of the relationship between health status and psychological well-being, and a model was examined in which health status had a direct path to psychological well-being and an indirect path through the self-system. Three theoretical perspectives on …

Psychological Factors Related To Physical Activity In Adult Congenital Heart Disease, Tyler Pendleton

Dissertations

Adults with congenital heart disease (ACHD) are a new and growing medical population. While medical interventions previously focused on reducing rates of infant mortality, current research suggests increased risk of premature mortality in ACHD may be partially due to acquired cardiovascular disease. One lifestyle intervention to reduce acquired cardiovascular risk is physical activity. Physical activity has been supported in the research as a safe, efficacious, and tolerable intervention for many ACHD; however, most patients do not engage in recommended levels of physical activity. The purpose of this study was to investigate psychological factors related to physical activity in ACHD. Participants …

Adolescent Victims' Experiences With Cyberbullying: A Grounded Theory Study, Melvina Sue Brandau

Dissertations

The purpose of this study was to construct a Grounded Theory that explains the processes involved in cyberbullying from the perspectives of those who have been victimized. A Constructivist Grounded Theory approach was used to explain the processes that occur as cyberbullying begins, unfolds, and ends, as well as to determine the methods that adolescent victims use to cope, and the context in which cyberbullying occurs.

Primary Care-Non-Profit Partnerships: Improving Ptsd Screening And Treatment Access For Veteran Patients, Nickolai Detert

Dissertations

Approximately 50% of 22 million American military veterans use civilian healthcare in addition to, or in lieu of, the Department of Veteran's Affairs health facilities. Studies find that theses veterans may have unidentified mental health needs and lack access to appropriate mental health services. Barriers to adequate mental health care include: (a) undisclosed veteran status; (b) stigma; (c) lack of cultural competency in civilian healthcare; and (d) an overall shortage of mental health services. With veteran post-traumatic stress disorder rates as high as 23%, we conducted a quality improvement project to improve veteran identification, mental health needs assessment, and access …

Self-Care Management Of African American Men With Type 2 Diabetes, Kevin Konstantinos

Dissertations

African American men are disproportionately affected by type 2 diabetes and have a 3 times higher rate of 3 serious complications of diabetes, including blindness, amputations, and end-stage renal disease, compared to other groups. The purpose of this project was to address the gap-in-practice disparity that exists in care of African American men with diabetes by providing one-on-one self-care management education in an outpatient clinic setting. The behavior change theories that supported the project intervention were Orem's self-care theory and Bandura's self-efficacy theory. Employing a quasi-experimental design, 33 participants between the ages of 40 and 65 were divided into an …

Postpartum Hemorrhage Evidence-Based Registered Nurse Staff Education Project, Jessica Powell

Dissertations

Despite medical technology and research advances postpartum hemorrhages (PPH) continue to be a leading cause of morbidity and mortality for pregnant women, even in developed countries. One possible explanation for PPHs continuing to be a leading cause of maternal death is inconsistent recognition and timely treatment of women experiencing a PPH. This doctor of nursing practice project attempts to improve labor and delivery nurse knowledge through an educational intervention which will contribute to rapid identification and treatment of PPH. Knowledge change was demonstrated though change in pretest and posttest scores. The educational information and process was guided by adult learning …

Relationships Among Self-Management Ability, Cognitive Function, And Sleep Quality In Advanced Heart Failure Intensive Care Unit Patients, Elizabeth Ann Edmiston

Dissertations

As the amount of people with heart failure and treatment complexity increases, many hospitals are implementing Advanced Heart Failure Intensive Care Unit (AHFICU). The success of this new model of care depends on understanding unique characteristics of patients including factors related to self-manage ability, cognitive function, and sleep quality. Nursing interventions can be implemented to meet the needs of this population. Therefore, the purpose of this study is to understand the relationships among sleep quality, cognitive function, and self-management ability at discharge in patients in AHFICU.

Neurobiological Mechanisms Of Cognitive Processing Therapy For Post-Traumatic Stress Disorder: A Brain Network Approach, Tessa Vuper

Dissertations

Psychotherapy research is increasingly targeting both psychological and neurobiological mechanisms of therapeutic change. This trend is evident in and applicable to post-traumatic stress disorder (PTSD) treatment research given the high nonresponse rate of individuals with PTSD who undergo cognitive-behavioral therapy (CBT). A review of the literature investigating neurobiological mechanisms of CBT in PTSD reveals inconsistent results that fail to fully support dual process or learning models of CBT effects in the brain. However, network-based models of psychopathology provide a new framework from which to understand both mental disorder symptoms and therapeutic mechanisms. The current study investigated a) whether brain networks …

Using A Video Modeling Treatment Package To Teach Imitation To Children With Autism, Sofia F. Peters

Dissertations

Imitation is a critical skill that allows individuals to learn through less restrictive prompting methods and may allow access to less restrictive learning environments, such as typical classrooms, where instruction is often delivered by modeling. Many individuals with autism learn to imitate with interventions that utilize live models and least-to-most prompting strategies; but, for some, these methods are not successful or efficient. While video modeling has been used to teach a variety of skills to individuals with autism, there is limited research using video modeling to teach imitation. This study investigated the effectiveness of using a video modeling treatment package …

Training Practitioners On The Effects Of Psychotropic Medication Via A Web-Based Platform, Anita Li

Dissertations

Many individuals diagnosed with autism spectrum disorders (ASD) receive multiple therapeutic services in an attempt to supplement behavioral therapy. These services include pharmacological interventions. Two drugs, risperidone (Risperdal) and aripiprazole (Abilify), are FDA-approved to treat “irritability” in children with ASD. Research shows that the effects of risperidone and aripiprazole on irritability varies greatly across treated individuals. Therefore, individualized monitoring and evaluation must be conducted to provide the physician with data to determine if the medication is resulting in desired changes and effects. Certified behavior analysts are trained in data collection and experience high levels of contact with individuals diagnosed with …

Politically And Historically Bound: Examining Whiteness And Intersectionality Among Self-Identified Feminists, Olivia M. Mclaughlin

Dissertations

This dissertation examined the perspectives and beliefs of 23 self-identified feminists who are White. Specifically, it explored whether—and if so, to what extent—Whites have adopted intersectionality. Intersectional feminism refers to the activism and scholarship that recognizes the multi-dimensional nature of power and privilege and stands in contrast to the white-centered feminism that has dominated most feminist spaces since the suffrage movement. Since Kimberlé Crenshaw’s seminal article where the concept of intersectionality was formally introduced to the academy, feminist scholars have characterized the most recent wave of feminism as the intersectional wave. This third, intersectional wave of feminist movement is believed …

Collateral Consequences: The Experiences Of Black Women With Incarcerated Loved Ones, Keiondra Jné Grace

Dissertations

A wealth of research exists that considers the causes of mass incarceration, particularly how it has shaped crime narratives and the life courses of Black men and Black women that experience imprisonment. Scholars have also explored the collateral consequences of incarceration for families and communities in general, but mentioning that Black families and communities in particular are disproportionately impacted by mass incarceration. Despite the documented impact of incarceration on families, and the acknowledgement of the toll mass incarceration has on Black communities—the social cost of mass incarceration in the lives of Black women whom have not experienced incarcerated is yet …

A Comparative Study Of Teacher Efficacy Based On Their Years Of Service, Aaron Robert Thomas

Dissertations

Efficacy is thought to be one of the most influential factors in student achievement however, there appears to be little research on how efficacy and years of service are related. Research which does investigate this area mainly focused on preservice and teachers who are starting their careers. This mixed-methods study was designed to determine if there was a correlation between years of service and collective and self-efficacy as well as gain insights into teachers’ perceptions of both collective and self-efficacy. Results of the study found self-efficacy followed an arc pattern, starting out low then rising to its peak for teachers …

Block Versus Traditional Scheduling In High School: Teacher And Student Attitudes, Martin James Spence

Dissertations

The focus of this study was to identify the preferred schedule type (block or traditional) for students and teachers in high schools. Additionally, the purpose of the study was to explore why high schools should assess how time is used during the school day. Survey responses about time management practices of students and teachers at one high school were reported, and implications for how to construct a schedule based on the survey responses were explored. Students and teachers with experience in block and traditional scheduling formats were surveyed for the study. Participants received an online survey and were asked to …

Choosing To Be A Teacher: Understanding The Career Choice Of Academically Excellent University Students Who Had Graduated From High Performing High Schools In The Dominican Republic, Marcela Maria Fuster De Hernàndez

Dissertations

Teachers’ salaries in the Dominican Republic (DR) have become competitive, but there is a noticeable tendency for high performing students from high performing high-schools to avoid selecting teaching as a career (Figueroa & Montes de Oca, 2014). Such students often have choices to enter higher paying and status careers. Yet, some such students are now studying to become teachers, and this research captures their voices around this career choice. This topic is important given the need to improve the academic profile of future teachers who can help improve the Dominican ratings on various international measures.

This study involved 13 semi-structured …

Social-Ecological And Protective Factor Approach To Managing Parental Incarceration, Jacquelyn Harris

Dissertations

Mass imprisonment does not only impact the incarcerated individual; it also affects approximately five million children in the United States. Researchers identified and compare the impact of parental incarceration on child development. They acknowledged the protective factors across the lifecycle from a social-ecological perspective and specifically related to parental incarceration. The comprehensive literature review inspired an innovative model, the social-ecological and protective factor approach to managing parental incarceration. The primary goal of this model is to combat the detrimental effects of parental incarceration by identifying protective factors across the lifecycle and throughout the microsystem, mesosystem, and exosystem. This model is …

The Relationship Between Neuropsychological Functioning, Biomarker Av-1451, And Subjective Memory Impairment In A Cognitively Normal Sample, Amberrose Reale-Caldwell

Dissertations

Mild cognitive impairment (MCI) is often a prodromal stage for Alzheimer’s disease (AD) development, with those diagnosed with MCI at increased risk for developing AD. The present study aimed to provide data to support a prodromal stage of MCI via analysis utilizing the neuropsychological domain of memory, subjective memory impairment (SMI), and the PET tau biomarker, AV-1451. It was hypothesized that individuals with SMI would differ significantly from participants without SMI (nSMI) on measures of memory and level of tau binding in the entorhinal cortices and the hippocampi. It was further hypothesized that differences in memory would be mediated by …

Women's Experiences Of Internalized Sexism, Syeda Rahmani

Dissertations

This study involved exploring the lived experiences of women with sexism and its internalization. Ten women participated in the study to share their experiences through personal narratives. The study was qualitative in nature and results yielded coded phenomenological themes related to the experiences of sexism and how it can become internalized. The study’s results are divided into themes and subthemes and supported by direct quotes from the participants. Themes included development & socialization across a range of environments, gender expectations, family of origin, intergenerational sexism, relationship conflict, sexism at work, career expectations, loss of income, intersectional experience of discrimination, appearance …

Exploration Of Factors That Influence The Use Of Psychological Testing In The Treatment And Evaluation Of Children: Development Of A Clinical Decision-Making Model, Joy Bui

Dissertations

Mental health disorders are on the rise among children. Within the field of clinical psychology, psychological testing is considered a professional competency and a formative diagnostic tool. Simultaneously, testing can help clarify differential diagnosis, guide treatment for both medical and mental health conditions, and provide accurate monitoring of treatment over time. Although there is substantial evidence supporting the use of testing in practice, there is limited scientific data linking these same benefits to the assessment process. One explanation for this is that studying psychological assessments is a challenging task, given the complexities of the process. Subsequently, many have described conducting …

An Interoperative Phenomenological Analysis Of Hindu Psychologists And The Impact Of Hinduism On Their Clinical Work, Kinjal Panchal

Dissertations

This study was an exploration of spirituality, cultural upbringing, and deeply rooted Eastern philosophy and their conscious and unconscious impact on the way Hindu psychologists practice in the field. The purpose was to take into consideration the four major theories of Hinduism and to assess whether psychologists of Hindu origin integrated them into their clinical work. The study used qualitative methods, specifically interpretative phenomenological analysis, as the main strategy of inquiry for data collection and analysis. The goal was to broaden the understanding of how spiritual beliefs can inform a psychologist’s clinical approach and lead to a better understanding of …

Differences In Characteristics Of Criminal Behavior Between Solo And Team Serial Killers, Matthew Woster

Dissertations

Criminal Profiling and classification of serial killers has been an expanding area of research for decades. Recent research has called into question the accuracy and utility of these systems, and calls for further research and development. This study aims to use the Serial Killer Database (SKDB) to examine and classify differences in criminal behavior between serial killers who act alone versus those who act in pairs, groups, or teams. The specific aim of this study is to examine whether there are significant differences between Solo Serial Killers and Team Serial Killers in the Number of Victims, Length of Career, Method …

Academic Disciplinary Differences In The Perceived Value Of The Community Of Practice Model, Alyssa Marie Hill

Dissertations

Through a multi-layered review of United States University, a gap in professional development for adjunct faculty was identified. To ensure that students’ are best supported in the online classroom, ensuring that faculty are provided with training around pedagogical and instructional skills aligned with the University mission is essential. The perceived value of the Community of Practice model was assessed to address the gap in faculty development through a mixed-methods convergent design study. The quantitative data and qualitative data were merged under the unidirectional framework for convergent design integration, and presented in a narrative discussion format. Themes which emerged included knowledge …

Relationships Between Ethnicity, Attitudes Toward Institutional Authority, And Hope In The African American Community, Garnadette Stuckey

Dissertations

Abstract

A set of two mixed method studies were conducted to examine attitudes toward institutional authority and to understand how the presence of societal authority and oppression can impact individual and community capacity for hope and full freedom. Researchers have discussed concepts such as attitudes to authority, suggesting that some individuals are naturally more resistant to authority (Rigby, 1985). However, in the United States, racial disparities are great, particularly when the “authority” is a police officer in an urban community and the individual is African American. In African American communities in the U.S., interactions with authority figures begin in childhood. …

Competency-Based Education Through The Lens Of Personalized Learning In A Large Public High School, Marcus J. Belin

Dissertations

When students end the chapter of high school, the question education must ask is, “What does it take for a student to walk across the stage and receive their high school diploma?” Is it a transcript full of passing letters ranging from A–D or is it a known belief that students do not have gaps in their knowledge and can apply their knowledge in real-world situations? This study identifies the problem and the basis of research in the program evaluation. It also focuses on identifying a policy that best supports competency-based education (CBE). Lastly, the study …

What Role Does The African American Church Play When Meeting The Mental Health Needs Of Its African American Parishioners?, Lisa Sutton

Dissertations

Abstract

This study will focus on understanding the role played by the church in meeting the mental health needs of its African American parishioners. The goal is to understand the ways that African American communities hold faith, position themselves within the church, and the outside world, with a specific focus on issues of trust, which have emerged based on historical and structural violence that has debilitated the health of our community. The study examines attitudes and perceptions of church leadership and members around their caring for parishioners with mental health issues. The hope is that the data will help construct …