Digital Commons Network^™

The Lived Experience Of Patients With Clostridioides Difficile, Andrea Scherschel

Dissertations

Background: Clostridioides difficile (C. difficile) is the most common healthcare-acquired gastrointestinal infection in the United States. While there is a plethora of information on the treatment and diagnosis of C. difficile infection (CDI) in the literature, there is a paucity of research findings describing the lived experience of a person with the disease.

Objective: This study described the lived experience of patients who have had one or more CDIs.

Lines of Inquiry: There were two lines of inquiry for this study: (1) Describe the lived experience of having a CDI, and (2) determine if photo-elicitation as a research modality enhanced …

Anxiety And Agitation In Adult Patients Admitted To An Emergency Room During The Covid-19 Pandemic, Doris L. Asombrado

Dissertations

Purpose: The purpose of this retrospective correlational study was to identify the relationship between COVID-19 status and the prevalence of anxiety-agitation with select sociodemographic and clinical characteristics in adults admitted to the ED during the pandemic (03/01/2020 through 12/31/2020).

Background: COVID-19 infections combined with the WHO and CDC recommendations to mitigate spread have had deleterious psychosocial and economic outcomes with the risk of subsequent COVID-19 related mental illness. Studies indicate one in three adults experience anxiety or depression.

Methods: This retrospective correlational study reviewed 2,572 psychiatric admissions from a Southern California ED during the pandemic from March 1, 2020 through …

Nurse Practitioner's Perspectives On Human Trafficking In The Emergency Department; A Narrative Inquiry, Ann Gerhart

Dissertations

Background: Human trafficking (HT) is a global and domestic concern that impacts individuals, families, and communities. Over the last ten years, HT has become a significant public health concern intersecting with the health care community in various settings. HT abuse and oppression have both short- and long-term health consequences. Approximately 50 to 88% of trafficked individuals visit a health care provider, and 63% of those visits are evaluated in the emergency department (ED). Nurse practitioners (NPs) working in the ED interact with HT individuals but have not been represented in recent research scholarship.

Purpose: The purpose of this qualitative …

Academic Nursing Administrators' Experiences With Social Distancing During Covid-19: A Qualitative Study, Vineta Mitchell

Dissertations

The COVID-19 pandemic brought about many unpredictable challenges requiring flexible and adaptable solutions for higher education, especially in nursing academia. The COVID-19 pandemic challenged nursing academia, including academic nursing administrators (ANAs), to keep staff and students safe while mitigating the spread of the disease. The ongoing outbreak of COVID-19 and the global healthcare crisis of this generation led to the need for social distancing. As the number of deaths increased from the coronavirus, radical changes were adopted in the United States, including social distancing. The COVID-19 pandemic complicated the practical aspects of the practicum in nursing education as they questioned …

Social Determinants Of Health And Health Confidence, Laura Truman

Dissertations

Purpose/Aims: The purpose of this study was to investigate the relationship among social determinants of health (SDOH), select sociodemographics, and health confidence level in adults receiving care at an urgent care center.

Background/Rationale: To improve overall health and reduce health inequities during a global pandemic and unprecedented rates of inflation, the relevancy and urgency of identifying how patient-level SDOH impact health confidence level are even greater. Extant research indicates a relationship between the number of unmet social needs and low health confidence. Low health confidence predicts poor involvement in self-care and is associated with an increased use of costly health …

Relationship Between Social Support And Stress In Accelerated Nursing Students, Karen L. Bravo

Dissertations

Nursing program attrition rates and retention rates in the first year of professional practice are excessive due to stress. Investigating through this quantitative, correlative research study is due to the lack of information related to accelerated students and stress. Theories framing this study, the Transactional Model of Stress and Coping, and Triadic Reciprocal Determinism Theory, posit that the environment, whether internal or external, affects stress reactions. The research questions included relationships of Significant Other Support, Family Support, and Friend Support to Perceived Stress Score in a two-part online survey of 116 United States participants.

The Influence Of Childhood Familial Dysfunction On Emotional Well-Being And Substance Use Behaviors In Young Adults, Margaret Bullerjahn

Dissertations

Problematic substance use in young adulthood can lead to a variety of societal and individual consequences; therefore, it is important to understand risk factors contributing to its development. Although several individual and environmental factors can contribute to the development of substance misuse, the relationship between family dysfunction and emotional functioning in the prediction of substance use has been relatively understudied within this developmental period. The current study aimed to further understand how childhood family dysfunction, emotion regulation, and emotion reactivity aid in the development of young adult substance misuse. 405 young adults were surveyed about their childhood family experiences, current …

Nursing Students' Intention To Work With The Elderly After Graduation: A Qualitative Study, Terri Murabito

Dissertations

America's population is aging. More than one in five Americans will be over 65 by 2030. These numbers are expected to challenge existing healthcare systems. The recruitment and retention of qualified, competent registered nurses (RNs) to care for this vulnerable population have become urgent. However, undergraduate baccalaureate nurses consistently report geriatric nursing as the least preferred clinical area to in work after graduation. To understand how graduating nurses discern their career intentions, a basic qualitative study was undertaken using Ajzen's theory of planned behavior as an underlying theoretical framework. The purpose of the study was to understand and interpret nursing …

The Experience Of "Doing Well" In Older Nursing Home Residents: Bringing The Past To The Present, Ronald J. Walent

Dissertations

Though discussions of well-being and quality of life for older adults in American nursing homes have flourished over the past decade, relatively few studies have explored these notions from the perspective of older residents themselves. The purpose of this research is to understand experiences and perceptions of "doing well" in older nursing home residents.

Improving The Use Of Advance Care Planning In Assisted Living Facilities, Johnpaul King

Dissertations

Ensuring patients receive care in the fashion they so choose at the end of life should be considered and addressed upon any admission process. The project site noted many unnecessary, repeated emergency room (ER) visits for residents so an evidence-based solution was sought. The purpose of this quantitative, quality improvement project was to determine if the implementation of the Carolina Caring Hospice Agency ACP (CCHAACP) toolkit would impact ACP implementation and reduce ER visits among residents in an assisted living facility (ALF) in Western North Carolina over four weeks. Orem's selfcare theory was the framework of the project. Data was …

Saudi Adults In Vaso-Occlusive Crisis Accessing Healthcare For Pain Management: A Phenomenological Inquiry, Jawhrah Alqahtani

Dissertations

Vaso-occlusive crises (VOCs) require frequent utilization of healthcare services by adults with sickle cell disease (SCD). This increases the likelihood of poor care and healthcare disparities. The experiences of SCD patients attempting to access pain management have rarely been examined. An evaluation of these experiences may ease the lifelong suffering of Saudi Arabians affected by SCD.

This study explored the lived experience of Saudi Arabian adults when accessing the healthcare system for pain management in VOC.

Diabetes-Related Distress Experienced By Saudi Adults With Type Two Diabetes Mellitus, Ibtesam Alqahtani

Dissertations

Living with a chronic condition such as diabetes mellitus (DM) and adhering to its complex treatment regimen strongly affect patients' psychological well-being as well as their physical health. Diabetes-related distress (DRD) is a common issue, affecting 40% of DM cases, but it often goes unnoticed and untreated. Despite the high prevalence of DM in the Saudi population, DRD has received little research attention.

This study explored the lived experience of DRD among Saudi adults with type 2 diabetes mellitus (T2DM) in the Kingdom of Saudi Arabia.

Utilizing New Technologies To Measure Therapy Effectiveness For Mental And Physical Health, Jonathan Ossie

Dissertations

Mental health is quickly becoming a major policy concern, with recent data reporting increasing and disproportionately worse mental health outcomes, including anxiety, depression, increased substance abuse, and elevated suicidal ideation. One specific population that is especially high risk for these issues is the military community because military conflict, deployment stressors, and combat exposure contribute to the risk of mental health problems.

Although several pharmacological approaches have been employed to combat this epidemic, their efficacy is mixed at best, which has led to novel nonpharmacological approaches. One such approach is Operation Surf, a nonprofit that provides nature-based programs advocating the restorative …

Becoming Restorative: Discomfort, Praxis, And Ecstasy At The Intersections Of Restorative Practices And Teacher Identity Development, Gwynn Alexander

Dissertations

Restorative justice is inclusive of a philosophy and set of practices that have challenged long-standing paradigms that perpetuate harm in schools. Through this lens, schools are recognized as interconnected communities where the well-being and dignity of all members must be valued. While the restorative movement has demonstrated great promise in cultivating the aims of justice, educators have encountered significant hurdles in their efforts toward transformation. A substantial challenge educators face is to identify effective means through which to disrupt persistent pedagogies of violence in primary and secondary education. This dissertation proposed a pedagogy of transcendence, a framework inclusive of restorative …

The Development Of The Holistic Pastoral Wellbeing Assessment: A Mixed Methods Study, Timothy Captain

Dissertations

Some pastors are clearly in crisis. Research has indicated that clergy struggle to cope with the stressors of their profession. While pastoral work is overtly spiritual in nature, day-to-day tasks include interactions with God, themselves, congregants, and the world at large. Without multi-dimensional tools to consider their wellbeing, specifically assessments that reflect their worldview and role, pastors may remain unaware of dangerously low levels of wellbeing until they reach a place of crisis. Therefore, in this mixed methods study, the Holistic Pastoral Wellbeing Assessment (HPWA) was developed and tested to offer a validated, useful tool for pastors and those who …

Racism Without Race: The Racialization Of Middle Eastern And North African Students At U.S. Colleges, Hannah Mesouani

Dissertations

Although a growing body of literature covers the experiences of international students at U.S. colleges, the stories of those who do not fit into the U.S. racial schema remain untold. This study examined how Middle Eastern and North African (MENA) students understood their racial identities given the United States’ tense history with Islam and the MENA world. Using foundational texts on critical race theory, current scholarship on Arab Americans and foreign-born students, and facets of the Ethnic Identity Scale (EIS), this study examined the experiences of MENA students who study amid a national backdrop of xenophobia and racialized Islamophobia. This …

The Journeys Of Women In Local Elected Office: From Community Engagement To Making Meaningful Contributions, Andrea Marr

Dissertations

Women remain underrepresented across every level of elected office in the United States. More than 30 years after the supposed “Year of the Woman,” women hold less than 30% of the elected positions in local, state, and federal office. In the past, researchers attributed the paucity of women in office to structural barriers, including sexism in the electorate, fundraising difficulties, and discrimination by party gate keepers. A growing body of research, however, attributes the dearth of female politicians to a lack of political ambition among women and to gender socialization that prevents women from seeing themselves as political leaders.

The …

Talking Back To The Elpac: Resilient Resistance And (Re)Imagining Through Ypart, Zulema Reynoso

Dissertations

Policies that label and track students based on language and race dismiss the voices and lived experiences of English learners (ELs) through forced fits and ideologies that devalue multiple languaging and ways of knowing. This qualitative study explores how an educator and 20 seventh-grade bi/multilingual Latinx students labeled long-term English learners (LTELs) reimagined how language is perceived, taught, and assessed across traditional schooling contexts and language policy landscapes. Drawing from LatCrit theory, Latina/Chicana feminisms, and dimensions of youth participatory action research (YPAR), this study centered both LTELs as jóvenes educados (dignified youth) and a conceptualized taller (studio space) to affirm …

Resistencia Indocumentada: Exploring The Lived Experiences Of Higher Education Undocumented Students In The San Diego-Tijuana Border Region, Adan Escobedo Sanchez

Dissertations

Undocumented students face myriad obstacles while attending higher education institutions that would deter them from completing their academic journeys. Furthermore, they are placed with a dual narrative that labels them as either dangerous or exceptional. This study explored the lived experiences of undocumented students in college in the San Diego-Tijuana border region to consider what factors have led to resilience and resistance in their academic journey. By understanding these factors, the research aimed to tackle the dual narrative that burdens undocumented students from the illegality as a master status they possess.

This study used narrative inquiry and a literature review …

Special Education: Inclusion And Exclusion In The K-12 U.S. Educational System, Erik Brault

Dissertations

The U.S. Department of Education defines students with disabilities as those having a physical or mental impairment that substantially limits one or more life activities. Previous research has found that students with disabilities placed in inclusive environments perform better academically and socially compared to students with disabilities who are placed in segregated environments. Yet, we know that inclusion in K-12 general education classrooms across the country is not consistently implemented.

The purpose of this study was to better understand the effects, if any, of general education high school teachers’ personal and professional experiences and knowledge on their attitudes toward educating …

Queering Healthcare Equity: Exploring How Two Community Health Centers That Specialize In Lgbtq Healthcare Frame Cultural Competence, Tommy Royston

Dissertations

Despite increased advocacy and funding, significant inequities in healthcare access, quality of care, and health outcomes have continued to persist for lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ) communities. Intersecting marginalized identities such as race, gender, and disability compound health inequities faced by LGBTQ folx. These inequities are not random; rather, they result from deeply embedded homophobia, transphobia, ableism, and racism that pervade the U.S. healthcare system. An exploratory comparative case study was completed using qualitative data collection methods (i.e., key informant interviews, focus groups, and document analysis) to investigate how two California-based Federally Qualified Health Centers (FQHCs) that specialize in …

Audacious Corazón: A Nuanced Art Of Care, Dianne Bermudez Torres

Dissertations

Historically, the concept of care in higher education has focused on academic achievements, neglecting the significance of building meaningful relationships between faculty and students that engage both affective and cognitive dimensions (Noddings, 1994). Teaching with the heart, or corazón, embodies care in teaching. Employed in this study was a mixed-methods, exploratory case study approach that explored the intricate art of care and how faculty foster bilingual authorization credential teacher candidates to evolve into culturally responsive educators. Pearson et al.’s (2021) cariño pedagogy serves as a model that empowers faculty’s humanizing agency. Additionally, the study also reflected on the concept of …

Equalizing Postsecondary Transition For At-Promise Youth Receiving Special Education Services: A Chance To Succeed, Karla R. Sanchez

Dissertations

Postsecondary transition can be difficult for At-Promise Youth Receiving Special Education Services (APYRSES). Special educators supporting postsecondary transition often manifest traditional and institutionalized forms of oppressive education while dismissing collective values and beliefs.

This qualitative case study examined the beliefs and attitudes shared by three special education teachers after being introduced to a justice-focused, humanizing intervention to facilitate postsecondary transition for APYRSES. The conceptualized intervention was grounded in liberatory educational frameworks and drew from critical, culturally affirming, sustaining, and humanizing theories that foster cultural reciprocity, self-determination skills, and antiracist social–emotional justice learning to afford opportunities for APYRSES to succeed. The …

Analysis Of One Secondary School's Support Systems For Aspiring First-Generation Latinx College Students: A Case Study, Tiffany Cunningham

Dissertations

U.S. Census Bureau Report (2020c) showed Hispanic students constituted 18.5% of the U.S. population, 36% attended higher education and only 14% completed postsecondary education. Research has shown Hispanic, specifically Latinx, students faced barriers in accessing higher education’s hidden curriculum, compounded by deficit beliefs about their language, culture, and lack of family involvement (Kiyama, 2018; C. Martinez & Mendoza, 2020). Additionally, first-generation college students require college readiness skills, including specialized knowledge about college and measurable and immeasurable skills shown to support student success in college (Chlup et al., 2018; Duncheon, 2021; Morley et al., 2021). Despite secondary school supports like college …

Safeguarding From Scrutiny: Toward A Critical Consciousness Of Organizational Culture In Humanitarian Ngos, Andrew Henck

Dissertations

Humanitarian nongovernmental organizations (HNGOs) face a moment of reckoning brought on by decades of operational complexity and conceptual tensions between self-espoused values and external pressures as social change movements like #MeToo and Black Lives Matter demand organizational accountability. Humanitarian aid is being questioned systematically as most HNGOs continue reconciling with their colonialist origin stories from the Global North. Alongside a shrinking British foreign aid budget, and mounting pressures for proving value for money, HNGOs face a record number of natural disasters, energy crises, armed conflicts, and other major emergencies to respond to across the globe.

As the British aid sector …

How Exemplary Chief Nurse Executives Utilize The Six Domains Of Conflict Transformational Strategies To Establish Common Ground And Produce Breakthrough Results, Michael Thompson

Dissertations

Purpose: The purpose of this phenomenological method study was to identify and describe strategies that exemplary chief nurse executive leaders use to identify and establish common grounds to produce breakthrough results in healthcare by using the six domains of transformational conflict strategies: collaboration, communication, emotional intelligence, ethical behaviors, problem solving, and shared interest.

Methodology: As a part of the thematic phenomenological study, the research identified and described the lived experiences of eight exemplary chief nurse executive leaders in health care who used conflict transformational strategies to find common ground to produce breakthrough results. The target population for the study included …

How Exemplary Elementary School Principals Establish Common Ground And Produce Breakthrough Results By Using The Six Domains Of Conflict Transformational Strategies, Monica Berro

Dissertations

Purpose: The purpose of this phenomenological conceptual replication study was to discover and describe how exemplary elementary school principals establish common ground and produce breakthrough results by using the six domains of conflict transformational strategies: collaboration, communication, emotional intelligence, ethical behavior, problem solving, and shared interest.

Methodology: This qualitative phenomenological conceptual replication study discovered and described the lived experiences of eight exemplary elementary school principals on how they used the six domains of conflict transformational strategies with their stakeholders to produce breakthrough results. Participants led public elementary schools in Los Angeles and Orange counties in California. Data were collected using …

Covid-19 Pandemic: Lived Experiences Of Teachers Supporting Students’ Socialemotional Learning Needs Upon Returning To Face-To-Face Instruction, Valerie Cover

Dissertations

Purpose: The purpose of this qualitative phenomenological study was to explore the lived experiences of San Bernardino County elementary school teachers in supporting students' social-emotional learning needs upon returning to face-to-face instruction after the COVID-19 pandemic.

Methodology: This phenomenological study identified and described San Bernardino County elementary school teachers' experiences supporting students' social-emotional needs upon returning to face-to-face instruction after the COVID-19 pandemic. Participants were purposively chosen based on specific criteria of working in a public kindergarten through sixth grade setting within San Bernardino County. The participants answered 15 semi-structured questions. The transcribed data collected by the researcher during the …

Nursing Education In Complementary Alternative Modalities: A Case Study, Deborah Bird

Dissertations

Purpose: The purpose of this embedded case study was to describe the preparation for and utilization of complimentary alternative modality (CAM) interventions by an experienced Doctor of Nursing Practice (DNP) prepared nurse practitioner (NP) working in an outpatient setting.

Background: Given the widespread use of CAM by the American public and the potential complications involved in combining CAM and standard medical care, a lack of educational preparation in CAM interventions by NPs delivering primary care in outpatient health care settings represents both a potential risk and a missed opportunity to provide holistic patient care. Such a lack of knowledge also …

Virtual Learning To Enhance Non-Technical Nursing Skills: A Basic Qualitative Study, Nicole Murtagh

Dissertations

Nurse educators are currently facing restraints of limited space, time, availability, conflicting schedules, and increased demands on in-person learning experiences. Due to these restraints, the COVID-19 pandemic, and the rapid technological increase, nursing educators have been tasked with incorporating virtual learning opportunities into traditionally in-person programs. There is a gap in the literature on the faculty experiences of teaching non-technical skills in a virtual environment. This basic qualitative study aimed to explore the experiences of nursing faculty in the state who have incorporated education activities into their virtual learning classroom to improve nursing students' non-technical skills.