Digital Commons Network^™

Interprofessional Role Clarification Among Licensed Health Care Practitioners In Rural And Smaller Community Hospitals, Dianne E. Allen

Dissertations

Enhancement of healthcare systems has increased the demand for healthcare practitioners (HCPs) to share client care by functioning in a variety of roles within interprofessional teams. When these roles are integrated into team practice, the outcome can be collaborative sharing of client care responsibilities but without sharing, team members can experience uncertainty as to what their contributions should be. Understanding this shift in practice begins with role clarification, whereby HCPs have self-awareness about their own roles, and then gain an understanding of the roles of others in their collaborative practitioner groupings. Interprofessional role clarification (IPRC) is thought to be necessary …

A Quantitative Study Of Moral Distress In Vha Nurses, Mary E. Kelly

Dissertations

Ethical issues continue to be an important aspect in the practice of professional nursing. The complexities of nursing practice begin in nursing school and continue throughout a nurse's career. Advances in health-care technology, emphasis on cost-effectiveness, and higher acuity level patients in hospitals lead to ethical conflicts and a phenomenon known as moral distress. Moral distress constitutes a serious problem in nursing practice. Studies regarding moral distress correlate the phenomenon to nurse turnover, intent to leave, burnout, job dissatisfaction, and stress. Moral distress differs from experiencing an ethical dilemma in that moral distress is the inability to do what one …

When Nurse-Teachers Become Ill: A Narrative Inquiry Into The Personal Illness Experiences Of Three Nurse-Teachers, Jasna K. Schwind

Dissertations

In this inquiry I explore how a personal serious illness of three nurse-teachers impacts their teaching and nursing practice. My interest in illness stories emerges in response to my own experience of becoming a patient thirteen years ago. As a result of this circumstance I became curious to learn how other nurse-teachers may experience personal illness events. To help me think about my puzzle I chose Connelly and Clandinin's narrative inquiry, where narrative is both the method and the phenomenon of study. In this research my two co-participants and I talk about what it is like for a person, who …

The Effects Of Lecture Capture Design On Student Performance In An Online, Asynchronous Nonmajors Biology Course, Melissa Ann Gutierrez

Dissertations

Lecture capture technology, the ability to provide multimedia recordings of instructional content, has become an essential technology for online learning. One of the ways online courses have tried to appeal to the digital lifestyle of today’s students is providing different lecture capture styles, such as audio (podcasts), video, or interactive videos, due to the popularity of mobile media players providing anytime and anywhere learning. Although lecture capture technology provides educators with a diverse set of tools on how content is delivered, studies have shown mixed results on the impact of lecture capture styles on learning.

For this study, the main …

Predicting Attrition Among Human Anatomy And Physiology I Students In Community Colleges, Benjimen Sessums

Dissertations

Anatomy and Physiology (A&P) courses are offered at almost every postsecondary educational institution in the United States enrolling over 450,000 students each year across the United States with an overall attrition rate between 30-40%. Approximately 150,000 of these students will not be successful the first time they attempt A&P. This constitutes one of the highest attrition rates of all undergraduate degree courses with this size of yearly enrollment.

A&P courses often serve as gateway course required for the continuation and completion of several biological degree fields. Many health-related professional programs such as nursing, paramedicine, and other allied health vocations require …

A Study On Vivian Fine’S Chamber Concerto For Cello And Six Instruments, Andrea Beltran Landers

Dissertations

The music of American composer Vivian Fine (1913-2000) has fallen into obscurity despite its high quality. Her musical career has led her from being a child-prodigy at the piano to being a part of the elite inner circle of avant-garde composers in New York in the early 1930s, and ultimately to a faculty position at Bennington College in the 1960s. Due to the stability and job security that the academic world brought to Fine, she was able to dedicate most of her time to composition. The Chamber Concerto for Cello and Six Instruments belongs to this fruitful period in her …

Faculty Perception Of The Impact Of Covid-19: A Descriptive Case Study Analysis, Traci Pooler

Dissertations

The purpose of this study was to get an understanding of college faculty experiences and perceptions of student learning outcomes during forced virtual instruction in the spring 2020 semester. The study was limited to faculty who taught at one of the 18 member institutions of the Association of Kentucky Colleges and Universities (AIKCU). Factors such as the discipline being taught were considered. Other factors considered were faculty experience with virtual instruction, the availability of technology for faculty and students, and the support provided to students and faculty amid the transition to virtual instruction. The survey reviewed responses from each AIKCU …

Agreement Of Psychiatric Diagnoses Within And Between Groups Of Mental Health Clinicians From Different Disciplines, Wade Mcguire

Dissertations

The development of therapy as a treatment option for mental health problems has led to the creation of different disciplines. Each discipline has developed its own conceptualization of classification and treatment of mental health problems. These conceptualizations have led to different areas of focus for each of the disciplines, specifically counseling, psychology, and social work. The purpose of this study is to investigate whether these areas of focus influence how each discipline diagnoses. For this study, data was collected by having clinicians provide diagnoses for three fictitious clients. The vignettes for the clients were taken from a psychopathology textbook to …

The Effects Of Personalized Learning On Student Achievement, Keile Phillips

Dissertations

Although many studies have been conducted on personalized learning strategies, teacher attitudes and perceptions, and student engagement, few studies have focused on personalized learning and its impact on student achievement when compared to the traditional classroom. The purpose of this study was to determine if personalized learning increased student achievement in three school districts by analyzing student assessments for three consecutive school years. The study utilized data from three school districts located in Western Kentucky for the 2016-2017, 2017-2018, and 2018-2019 school years. The data were collected from Renaissance Learning for math and reading. In addition to examining the students’ …

Concurrent Study Of The Impact Of An Institutionalized Diversity Plan On The Perceived Sense Of Academic Achievement, Sense Of Belonging, And Program Completion Among African American Students In A Midwest Community College, Tyianna Thompson

Dissertations

This dissertation explored how an institutionalized diversity plan impacts perceived academic achievement, sense of belonging, and program completion among African American students. The concurrent mixed-methods methodology followed a single case study design to explore the impact of an institutionalized diversity plan in a Midwest community college. Both quantitative and qualitative data were gathered and analyzed. The results of this study revealed that although diversity and inclusion programs are somewhat effective in higher education, more needs to be done to satisfy the needs of minority students in higher education. According to the findings of this study, most students felt a sense …

An Improvement Science Approach To Understanding Adaptive Leadership As A Tool For Diabetes Educators To Teach Patient Self-Efficacy, Allie Carter

Dissertations

Background: Worldwide diabetes is estimated at 415 million, and that number is expected to increase to 642 million by 2040 (Roberts et al., 2017). Certified Diabetes Care and Educational Specialists (CDCES) and other health care providers strive to teach patients with diabetes skills that assist them in developing and maintaining self-efficacy. Current education methods are not always enough to help a patient navigate effects of their diabetes. Using the adaptive leadership principles can provide educators an interventional practice that facilitates patient self-management. This study explores the effectiveness of adaptive leadership when applied to the diabetes education delivery and confirms the …

"Can These Bones Live?": The Relationship Between Transformational Leadership And Church Revitalization, Gerald Gifford

Dissertations

This study examined the relationship between Transformational Leadership Theory and church revitalization. The researcher attempted to answer two questions. (1) To what extent do pastors who led Kentucky Baptist Convention churches through a successful revitalization exhibit the characteristics of Transformational Leadership? (2) What, according to the pastors, were the primary causes of the revitalization? The MLQ survey by Mind Garden, Inc. was used to investigate the first question by comparing a target sample with a comparative group who did not lead a revitalization. Scoring on the MLQ confirmed that those in the target sample were transformational leaders. The comparative group, …

Administrative Leaders' Viewpoints About The Significance Of Art Education In Schools, Jennifer Luckett

Dissertations

The value of art education and people’s perspective of its value have been subjects of research throughout the years. Art programs are usually the first to be eliminated when there are budget cuts in the public-school systems. This study examines policy, history, and teachers’, parents’, and students’ viewpoints of the value of art education. It also analyzes the researched value that an art education provides. As there is little to no research on administrative leaders’ viewpoints, this research study utilized Q-methodology to determine administrators’ viewpoints on their personal value of art education. The main goal of this research was to …

Examining The Relationship Between Psychological Well-Being And Academic Performance Among First-Year College Students In A U.S. Mid-South University, Ya-Hsin Hsiao

Dissertations

This study examined the relationship between psychological well-being and college students. In addition, I looked at how COVID-19 impacted their psychological well-being. I used Ryff and Keyes’ (1995) 18-item Scale of Psychological Well-Being (SPWB-18) to measure participants' psychological well-being. Other demographic information such as race, gender, first-generation college student status, college readiness, and Pell Grant eligibility were collected from the WKU’s Institutes of Research.

Data were analyzed using multiple regressions that controlled for the effects of ethnicity, gender, first-generation status, and socioeconomic status. Moreover, the impact of COVID-19 on psychological well-being was evaluated and reported. In this dataset, the internal …

Using Transformative Leadership To Understand White Male Community College Presidents And Their Efforts To Improve Outcomes For All Students, Ruthanne Keenan Orihuela

Dissertations

This critical constructivist study was grounded in the belief that there is an urgent need to address attainment gaps between White students and students of color at community colleges, that equity-minded leadership is needed to address these gaps, and that the call for transformative leadership must be answered not solely by leaders with minoritized identities alone but also by leaders with privileged social identities who comprise the majority of community college presidents. The intent of this study was to examine the ways in which White male community college presidents come to understand their privilege and navigate their roles as leaders …

Technology Integration In School-Based Physical Activity, Taemin Ha

Dissertations

The purpose of this study was to understand the current practice of technology use for physical activity promotion in K-12 schools in the United States by conducting two studies. Using a quantitative research design, study one aimed to identify the current practice of technology use in school-based physical activity promotion. Study two investigated what attributes contribute to the use of technology in schools for physical activity facilitation and promotion. A sequential explanatory mixed-methods study design was used for study two, and Rogers’ (2003) diffusion of innovations theory served this study as a theoretical framework. A total of 367 registered Active …

The Intersection Of Queer And Atheist Identities: A Critical Inquiry, Jennifer Geiman

Dissertations

The purposes of this study were to explore the lived experiences of queer atheists, to examine how they were impacted by various oppressive systems, and how to assess their needs might be better met by counseling psychologists and other mental health clinicians. The two research questions of focus were: Q1 What are the lived experiences of individuals who hold intersecting queer and atheist identities? Q2 How might individuals who hold intersecting queer and atheist identities be better served by counseling psychologists? While extant literature on the experiences of queer people and how to support them clinically has grown in the …

The Lived Experience Of Registered Nurses And Registered Midwives In St. Kitts And Nevis, Raiden Alexandra Gaul

Dissertations

At the beginning of the 20th century, St. Kitts and Nevis had one of the highest infant mortality rates in the Caribbean. However, unlike some Caribbean nations with similar historical and socioeconomic factors that continue to suffer from significant health disparities, St. Kitts and Nevis implemented strategic health reforms that have led to dramatic improvements in maternal and neonatal health outcomes. One of the strategic reforms designed to address these poor health outcomes was to mandate that all registered nurses in St. Kitts and Nevis pursue certification in the post-basic midwifery program. The purpose of this study was to examine …

Women In Educational Leadership: An Embodied Narrative Inquiry, Pauline Avis

Dissertations

To meaningfully capture the lived experiences of women educational leaders working in American public schools, this study utilized the qualitative traditional research design and employed an embodied narrative inquiry to explore the primary research question: How do women educational leaders story their gendered experience of employment in the workplace? The purpose of this study was to describe and explore how female educational leaders in American public schools perceive the impact that gender identity construction has had on their ability to pursue successfully, attain, and retain educational leadership roles. Through a feminist semiotics theoretical lens, this study offers an examination of …

Understanding Trauma Through A Behavior Analytic Lens: A Comparative Case Study, Kevin D. Bland

Dissertations

Although other therapeutic approaches across human service disciplines have acknowledged the importance of understanding the impacts of trauma, the field of behavior analysis has seen less frequent discussions. To address this growing need, the purpose of this study was to explore how three participant board certified behavior analysts (BCBAs): (a) define trauma-informed behavior analysts (TIBA), (b) use TIBA to guide their decisions for identifying appropriate interventions, (c) determine appropriate evidence-based interventions for students with a history of trauma, and (d) obtained their training to confidently implement TIBA in their practices. Using a comparative case study, the participants provided information about …

Evaluating The Impact Of A Certificate In College Teaching Program On Graduate Students’ Pedagogical Metacognition And Teaching Knowledge, Audrey Jannine Tocco

Dissertations

Graduate student professional development initiatives aim to prepare future faculty for college-level teaching. One such program is the Certificate in College Teaching (CCT). CCT programs provide graduate students with foundational knowledge and authentic teaching experiences to prepare them to design and deliver instruction at the college level. Participants report positive perceptions of these programs during and after completion, but evidence of concrete program outcomes is limited. Two potential outcomes of graduate student professional development are the use of pedagogical metacognition (reflection on and action upon teaching) and knowledge of teaching and learning (identification of research-based teaching strategies and application to …

The Experiences Of Black Diplomat Families In United States Sponsored American International Schools, Teneshia A. Taylor

Dissertations

This qualitative narrative study captured the stories of the schooling experiences of Black American diplomat families who attended sponsored American international schools overseas. The purpose of this study was to examine the racialized experiences of Black American diplomat families whose children attend or attended United States sponsored American international schools (SAIS) overseas compared to Black middle-class racialized schooling experiences in the United States. Through interviewing, counterstories were captured from a total of twelve participants consisting of seven parents and five students. In this study, the data revealed Black diplomat students and their parents experienced similar, consistent racialization in United States …

An Examination Of Musical Pitch/Color Correspondence In Music, Arts, And Non-Arts Students And Adults, Luciano Silvestri Jr.

Dissertations

Chromesthesia is the involuntary combination of a visual color response to a musical stimulus. Previous research has associated the presence of absolute pitch with color responses to musical pitch; however, recent studies indicated that color associations were also made amongst those who did not possess absolute pitch. Eighty-four participants to various extent and of varying ages representing backgrounds in music and in arts (as well as those with neither background) took part in a series of experiments to determine if a color/music pitch connection was prevalent in their responses. Additionally, participants were tested individually regarding the presence of consistent visual …

A Comparison Of Registered Nurses’ Motivation And Knowledge Levels Between Gamified And Traditional Courses, Amanda Crim Rossley

Dissertations

Registered nurses (RNs) working in today’s healthcare environment must consistently learn new knowledge and skills, keep abreast of practice changes, and implement strategies to improve patient outcomes. However, healthcare organizations face significant challenges as they attempt to facilitate efficient training. Nursing professional development practitioners miss opportunities to leverage learner motivation, which drives investment, knowledge retention, and practice application. Gamification, which strategically embeds game elements and mechanics into an educational design to boost motivation, offers a potential solution. It aims to increase learner engagement by presenting learners with challenges, tracking their progress, and offering feedback, ultimately leading to knowledge retention and …

Let’S Take This Outside: Utilizing Outdoor Classrooms As A Response To The Coronavirus-19 Pandemic, Cortney Leigh Lamb

Dissertations

The worldwide school closures due to the Coronavirus (COVID)-19 pandemic that began in the spring of 2020 caused a disruption to educational systems (Bao et al., 2020; Engzell et al., 2021; Masonbrink & Hurley, 2020; Munir, 2021; United Nations International Children’s Emergency Fund, 2020). The pandemic created a dilemma in which school leaders around the world and in the United States had to make challenging decisions about how to open schools in the fall of 2020 and how to best educate students (Honein et al., 2021). The majority of school leaders choose to reopen schools in the fall of 2020 …

Meeting Free Appropriate Public Education And Least Restrictive Environment Requirements For Students With Disabilities During The Coronavirus-19 Pandemic: Implications For Special Education Directors, Vanessa Lee Giddings

Dissertations

The Individuals with Disabilities Education Act (IDEA, 2004) addresses educational access in a brick-and-mortar setting but does not specifically address how to meet the parameters of free appropriate public education (FAPE) and least restrictive environment (LRE) in an online or virtual setting. An increased desire by students with disabilities and their parents to select online learning, coupled with the Coronavirus (COVID)-19 global pandemic, prompted many school districts to pivot to remote learning for an extended period and disrupted the traditional educational system (Molnar et al., 2021). This phenomenological research study elevated the lived experiences of special education directors during the …

A Mixed Methods Study On Urban Educators’ Feelings Of Preparedness To Implement Practices That Impact Social And Emotional Learning In A Mid-Pandemic Environment, Emily Dittmer

Dissertations

The purpose of the mixed methods study was to evaluate urban educators’ perceptions of their preparedness to implement social and emotional learning strategies in their classrooms/workspaces as well as to understand what the educators’ experiences were as their students returned to a five day a week school schedule after a year and a half of disruptions due to the COVID-19 pandemic. Those involved in the study included educators from four K-8 public charter schools located in an urban Midwestern environment. Quantitative data was obtained through the administration of two identical surveys that were completed by volunteer participants at two different …

An Examination Of Support Provided To Students Attending Two Performing Colorado High Schools With A Significant Percentage Of Students Experiencing Poverty, Rebecca Albert Vollrath

Dissertations

Students living in poverty are noted to experience a variety of barriers, which include literacy gaps (Buckingham et al., 2013), lower reading achievement entering high school (Reardon et al., 2013), lower graduation rates (National Center for Education Statistics, 2016), higher incidences of learning disabilities and behavior problems (Morgan et al., 2009), and other negative psychological and educational outcomes that could affect academic achievement (Mistry et al., 2009). The aforementioned items have created barriers to learning and achievement while high school leadership across the United States have worked to support all students at school. Colorado high schools generally have used Multi-Tiered …

An Exploration Of The Pathway From Childhood Neglect To School Bullying Victimization, Natalie D. Johnson

Dissertations

The objective of the current study was to explore the association between two widely prevalent sources of trauma occurring early in life, child neglect and bullying victimization (BV), via adult recollections of maltreatment experiences. One hundred and twenty participants, recruited from a mid-sized university in the Rocky Mountain region of the United States, were ultimately included in the sample. Of the total sample, 30 participants (25%) endorsed a history of moderate to severe neglect in childhood and 62 participants (52%) endorsed experiencing at least one form of BV in school. Childhood maltreatment, including various forms of neglect and abuse, was …

Interruptions And The Novice Emergency Nurse: A Focused Ethnography, Lisa Ann Winchester

Dissertations

The emergency department is a unique, unstudied, chaotic environment where novice emergency nurses are frequently interrupted. Novice emergency nurses’ impressions, values, beliefs, and attitudes attributed to interruptions were unknown. No prior research has explored the phenomenon of interruptions for the novice emergency nurse. A qualitative, focused ethnographic study was undertaken to understand novice emergency nurses’ impressions, values, beliefs, and attitudes about interruptions within the emergency department. Eleven nurses participated in semi-structured interviews via Zoom. Braun and Clarke’s (2006) six phases of thematic analysis revealed three main themes (Values, Beliefs, and Attitudes) and 11 subthemes. Novice emergency nurses learn within a …