Digital Commons Network^™

Spiritual Experiences Of Young People With Cognitive Impairments Within Christian Communities Of Faith, Lea Danihelova

Dissertations

This study was initiated with the primary objective of delving deep into the spiritual experiences of individuals living with cognitive impairments. The research was centered on seven young adults with cognitive impairment who were members of the Christian communities of faith and resided in Bratislava, the capital of Slovakia. The study focused on giving voice to these young people since there were no studies about the spirituality of people with cognitive impairment done in central Europe. The hermeneutic phenomenological approach was chosen as the research method due to its capacity for facilitating personal interactions, thus enabling a comprehensive understanding of …

Analysis Of Trauma Screening As A Potential Predictor Of Congregate Care Placement As A Key Factor In Caseworker Decision Making, Amy Louise Perricone

Dissertations

The placement of foster care children into congregate care (CC) facilities has been debated regarding whether CC can provide safety and healing, or if it is harmful and retraumatizing to children. In recent years CC has come under scrutiny due to high per diem costs and increasing reports of abuse and even death of children. In response, the federal Families First Prevention Services Act (FFPSA) was enacted in 2018 with a goal of reducing the number of children in CC. Since then, efforts have been implemented nationwide to achieve this goal. This study explored the value of statewide trauma screening …

An Analogue Study Of Expected Working Alliance And Hope With Victims Of Military Sexual Trauma Among Civilian And Military-Oriented Therapists, Alishia D. Salyer

Dissertations

Victims of military sexual trauma (MST) face unique challenges as they pursue mental health treatment and supportive care. Understanding what factors impact potential treatment outcomes is critical in aiding in their recovery (Castro et al., 2015; Kroviak, 2020). Although a substantial amount of research has been conducted to evaluate prevalence and client factors associated with treating victims of MST (Teit et al., 2015; Turchik & Wilson, 2010), little is known about therapists’ factors including therapists’ expectations working with such clients. The purpose of this study was to examine the relationships between therapist type (military-affiliated versus civilian), therapist gender, client gender, …

Antiracist School Counseling Pedagogy: A Quasi-Experimental Multiple Regression Analysis, Star L. Zetocha

Dissertations

America’s K-12 schools, which were initially created exclusively for White children, are racialized institutions (Spring, 2019). School counseling ethics now obligate school counselors to engage in antiracist praxis in schools, yet school counselors-in-training (SCITs) are not typically provided with explicit training in antiracism, which allows them to enter the field with colorblind racial attitudes that inhibit them from recognizing and confronting racism in schools (Gibson & Fripp, 2022). The purpose of this research was to examine the relationship between colorblind racial attitudes and antiracist behaviors of school counselors in-training who had and had not taken an antiracist school counseling course. …

Stressors, Academic Performance, And Learned Resourcefulness In Baccalaureate Nursing Students, Anne-Marie Goff

Dissertations

Despite extensive research establishing that stress affects problem-solving ability and coping, and leads to decreased learning, academic performance, and retention in nursing students, a paucity of research explores specific factors that could enhance these learning processes and outcomes. This explanatory correlational study examines the mediating effect of learned resourcefulness, the ability to regulate emotions and cognitions, on the relationships of stressors—both personal and academic—to academic performance in baccalaureate nursing students. Gadzella's Student-life Stress Inventory (SSI) and Rosenbaum's Self-Control Scale (SCS), a measure of learned resourcefulness, were administered to 53 junior level baccalaureate nursing students (92.5% female; 84.9% Caucasian; 9.4% African-American …

Targeting Loneliness In Older Adults With Weekly Socialization, Tanja Johnson

Dissertations

Problem: Loneliness related to social isolation among the older adult population has become an increasing health concern with few interventions available for the general population. Loneliness has been directly associated with depression, poorer physical health outcomes, and overall quality of life.

Methods: The purpose of this study is to evaluate loneliness in the older adult population residing in a senior living community in an urban area in Missouri. Weekly one-on-one socialization, ranging from 45-60 minutes, will be implemented over 6 weeks, with pre and post-intervention screening for loneliness with the 28-item Visit-A-Bit (VAB) screening tool. Approval was received by both …

Risk And Protective Factors To Well-Being In Foster Care Youth Prescribed Psychotropic Medication In A Wraparound Program Of Care, Ann Reali Stratton

Dissertations

Background: Youth in foster care are prescribed psychotropic medications at higher rates and are more likely to experience disruptions to their medical care. Wraparound models of care have been shown to improve outcomes for youths on psychotropic medications, however, these methods have proved difficult to replicate in the foster care population. Government policies have called for better oversight in the foster care population and in response programs have been implemented, however, there remains little research for these programs. Objective: This research will evaluate the characteristics of foster care youth as they enter a Wraparound model of care and the predictive …

Not All Best Practices Result In Best Performances: Two Empirical Studies Of Online Accounting Education, Mark Sanders

Dissertations

Exploring the impact of specific pedagogical strategies in online accounting education on student learning outcomes is central to this research. This two-study dissertation focuses on the influence of course delivery methods on student performance and the mediating function of accounting efficacy. A diverse sample of accounting and business students was quantitatively analyzed to determine the relationship between course structure, classroom justice, students’ motivation and their accounting efficacy, applicability of learned material, and final grades. Even though certain teaching practices were advantageous, the combination of these practices did not always lead to improved student performance, according to the findings. Significant determinants …

A Narrative Analysis Of Spiritual Coping In Individuals With Terminal Heart Failure, Clayton C. Clark

Dissertations

Approximately 6 million Americans have heart failure with treatment costs estimated at $30.7 billion annually. Those in late stages of the disease experience profound physical, emotional, and spiritual suffering. Spiritual wellbeing has been linked to quality of life as well as mental and physical health in patients with heart failure. While holistic nursing care promotes spiritual coping, barriers exist. Currently, nursing lacks theory to explain spiritual coping processes in patients with heart failure, which leaves nurses ill-equipped to promote spiritual wellbeing in providing care to patients. In this study, I employed open-ended interviewing and narrative analysis techniques to gain a …

The Effects Of Mindfulness On Depression In Dialysis Patients, Nakeia Saddler

Dissertations

Abstract

Problem: Depression is a prevailing global health issue and a typical complication of dialysis patients. This quality improvement project's purpose was to evaluate mindfulness on depression in dialysis patients, aged 18-93, who are on dialysis and participated in a mindfulness program over three months.

Methods: A descriptive, prospective, and retrospective design was used to assess depression pre- and post-implementation of a mindfulness telephone line over three months. A convenience sample of twenty adults aged 18-83 who use this hemodialysis center on Monday, Wednesday, and Friday was utilized. The Iowa Model is the framework selected to guide the implementation of …

The Way To Well-Being Through Safety, Trust And Freedom: A Youth-Driven Framework For Older Youth In Child Welfare, Bridget Marie Colacchio

Dissertations

The current study looks at the experience of well-being among young people who experienced foster care in the United States. The objective of the project was to seek a comprehensive understanding of the phenomenon of well-being from the perspective of those with most direct knowledge of it: youth in care themselves. Chapter 1 includes an overview of the social, historical, policy, and clinical landscape underpinning the study, starting with a summary of the current state of the child welfare system in the United States. This includes a look at two key contextual factors – structural racism and neoliberalism – that …

Barriers And Facilitators To Library Social Work Practice In The United States: A Mixed-Methods Study, Margaret Ann Paauw

Dissertations

Background and Purpose: Library social work is an emerging field where libraries and social workers partner to meet the psychosocial needs of library patrons. With libraries being situated as the last truly public spaces, they are positioned as centers of communities and have called upon the field of social work to assist in navigating the changing landscape of their patrons. Library social work has been around for over ten years, yet research has struggled to keep up with practice. This study was the first nationwide study on library social work from the perspective of the people who are doing the …

A Focused Ethnographic Study Of Nurses' Role In The Early Mobilization Program In The Pediatric Intensive Care Unit, Chelsea E. Noone

Dissertations

Early Mobilization (EM) in Pediatric Intensive Care Units (PICU) is safe and feasible, but there are issues preventing the adoption of EM into clinical practice. The objective of this study was to describe the patient safety concerns and how nurses develop strategies to safely deliver EM to their patients. The second objective was to explore, describe and analyze nurses' perceptions of barriers and facilitators to performing EM, and to identify strategies nurses perceive would assist them to overcome barriers and increase adoption of EM within the PICU. This focused ethnographic study included 15 in-depth interviews with 10 PICU nurses. Data …

Cultural Competence In Nursing School Curricula, Mayra P. Toney

Dissertations

The purpose of this study was to determine the benefit of both classroom instruction and an immersive clinical experience for the development of cultural competence skills among student nurses. The 3-D Model for Culturally Congruent Care was the framework used for this quantitative descriptive correlational study. The premise of the model is to draw upon the knowledge that culturally competent care derives from the healthcare provider and client level, an essential factor to the delivery of culturally competent healthcare. A convenience sample of 74 student nurses from two separate cohorts enrolled in a diploma-based program were asked to complete the …

Differences In Internalized Weight Stigma And The Treatment Of Clients In Larger Bodies Among Mental Health And Medical Professionals, Alexis Dosal

Dissertations

Weight is a complex interaction of several factors, including genetics, environment, adverse childhood experiences, culture, physiology, and emotional circumstances (Hale, 2019). By solely considering the categories of food consumption and individual activity, the belief of personal responsibility and controllability is perpetuated, which may lead to intentional or unintentional harm within interpersonal interactions and throughout medical services (Nutter et al., 2020). Weight bias refers to “stereotypes, negative attitudes, and discriminatory behavior toward individuals with larger bodies” (Nutter et al., 2020). Weight bias can be displayed as discomfort around those in larger bodies, holding beliefs that fat people are lazy or unattractive, …

Supervisory Impact On Counselor-In-Training Wellness, Erin Brumfield Grima

Dissertations

Counselors being able to engage in self-care practices to establish and maintain their wellness is a well-documented need. The risks of neglecting self-care are also well documented, yet counselors struggle to engage in consistent self-care practices (Baker & Gabriel, 2021; Posluns & Gall, 2020). When demand for counselors is constant (Bureau of Labor Statistics, U.S. Department of Labor, 2020) an examination of how to impact counselor wellness through supervision discussion of self-care is needed. The purpose of the study was to examine supervision discussion of self-care, support of mastery of counselors-in-training’s emotions and any resulting impact on counselor wellness. Data …

Experiences And Perceptions Of Rural Postpartum Women With Substance Use Disorders Inclusive Of Opioids Regarding Their Care, Debra L. Kramlich

Dissertations

Perinatal opioid use and neonatal withdrawal continue to rise rapidly in the face of the growing epidemic of opioid addiction in the United States, with rural areas more severely impacted. Despite several decades of research and development of practice guidelines, maternal and neonatal outcomes have not improved substantially. This focused ethnography aimed to address that gap by exploring rural women's experiences and perceptions of care to inform development of efficacious, holistic models of care to improve outcomes for these women and their children. Participant observations, oral accounts and formal interviews, and artifact review (i.e., health records, any print and electronic …

Childhood Trauma History And Vicarious Traumatization In Early Career Mental Health Professionals: The Roles Of Supervisory Working Alliance And Shame, Kady Marie Barthelemy

Dissertations

Vicarious traumatization (VT) in the context of early career mental health professionals (MHPs) with personal trauma histories has been examined in the literature on a limited basis, particularly regarding the role that supervisory working alliance and shame could contribute to the effects of VT. Research questions asked: (a) Among early career MHPs who have a personal childhood trauma history, does shame mediate the relationship between personal childhood trauma history and VT? and (b) Among early career MHPs who have a personal childhood trauma history, does supervisory working alliance moderate the relationship between personal childhood trauma history and VT? These questions …

Investigation Of The Philosophical Foundations And Use Of Culturally Responsive Evaluation, Ouen Hunter

Dissertations

This three-study dissertation investigated the various aspects of culturally responsive evaluation (CRE) from the perspectives of scholars and practitioners.

The first study investigated CRE scholars’ philosophical stance on CRE through one-on-one interviews. The 14 scholars shared how their lived experiences motivated them to write about CRE. They noted the flexibility of CRE as a complement to other evaluation approaches. The interviewees reported several essential qualities of CRE practitioners. This study highlights the scholars’ commitment to serving marginalized communities as their ontological superordinate theme.

The second study investigated how practitioners applied the CRE lens in their practice. This study confirmed the …

The Effects Of Stepped Care On Burnout For University Counseling Center Clinicians, Madison Estrada

Dissertations

The ability of university counseling centers (UCCs) to meet the increased demand for service by students is becoming an increasing concern. While UCCs are seeing more students than ever, this increased demand has not been met with an increase in resources. As such, UCC clinicians are at a greater risk for developing burnout. However, according to the Demand – Control – Support Model, this risk could be reduced if UCC staff were afforded higher degrees of control over the resources they do have and received adequate support and acknowledgement for the work they accomplish. Through surveying 339 UCC clinicians in …

Technology In Nursing Classrooms: A Qualitative Phenomenological Interpretative Study, Ose G. Martinez

Dissertations

Nursing students have to learn how to critically think and pass a licensure examination to practice their profession. Current students seem to be bored by lecture strategies most commonly applied by seasoned nurse educators. A gap in the literature regarding lived experiences of seasoned nursing faculty members applying technological applications when teaching nursing topics. The purpose of this phenomenological interpretative study was to understand the lived experiences of seasoned nursing educators using technology in nursing classrooms. Seventeen seasoned nurse educators participated in semistructured interviews. The interviews were transcribed and analyzed with the NVIVO 11™ software. During the interpretative analysis, eight …

Allied Health Faculty Members’ Perspective On Interprofessional Collaborative Practice: A Hermeneutic Phenomenological Study, Prajakta Khare-Ranade, Margaret Newsham Beckley, Mary Geders Falcetti

Dissertations

A framework for interprofessional collaborative practice (IPCP) was developed by the World Health Organization (WHO) (WHO, 2010) in response to the need to address the complicated conditions that exist in today’s health systems. Much of the focus of today’s health service delivery is predicated on the social determinants of health (Barzansky et al., 2019), which refer to the environmental conditions associated with where people are born, live, go to school, work, play, age, and worship that have an impact on health, function, quality of life, and risks (Healthy People 2030, n.d.). IPCP is thought to be the only approach effective …

Nicu Culture Of Care For Infants With Neonatal Abstinence Syndrome: A Focused Ethnography, Monica M. Nelson

Dissertations

The purpose of this ethnographic study was to describe the culture of care and nonpharmacological nursing interventions performed by NICU nurses for infants with NAS.

Implementing Trauma-Informed Care Curriculum In A Doctoral Nursing Program, Mary D. Brown

Dissertations

Purpose: Trauma is highly prevalent with 70% of individuals encountering at least one traumatic event during their lifetime and approximately 30% experiencing four or more events (Wheeler & Phillips, 2021). Despite the dramatic impact of trauma, there is minimal literature to assist nurses in caring for patients with a trauma history. The purpose of this project was to evaluate the implementation of a virtual, asynchronous trauma-informed care (TIC) educational program for Doctor of Nursing Practice (DNP) students at a midsized, Midwestern public university using knowledge, attitudes, and competency scores as outcome measures.

Methods: This program evaluation (PE) project was an …

Improving Postpartum Depression Screening Practices In The Postpartum Setting, Courtney Lynn Cole

Dissertations

Abstract

Problem: Postpartum Depression (PPD) is frequently undetected in women due to barriers that limit effective recognition and diagnosis. Depression screenings and treatment referrals improve outcomes in the immediate postpartum period. Follow-up methods for positive depression screens are often missed by postpartum care teams.

Methods: A descriptive, observational design was used for this quality improvement project. A formalized depression screening protocol was created to help guide nursing staff on a Postpartum Unit when detecting a positive depression screen. Convenience sampling was utilized and the sample included patients aged 18-45. Data collected throughout this quality improvement project included Edinburgh Postnatal Depression …

Evaluation Of A Substance Abuse Screening Tool In The Pediatric Emergency Room, Jody Sims

Dissertations

Abstract

Background: Substance abuse among adolescents is one of the most serious social health problems in the United States. The prevalence of alcohol use in adolescents is as high as 80%, while opioid overdose deaths among adolescents have risen by greater than 50% in the last 10 years. Alcohol, tobacco, and other substance use has also increased among youth and is not being properly evaluated in the pediatric hospital setting. The purpose of this project was to evaluate the use of a substance abuse screening tool with SBIRT trained staff in the pediatric emergency room setting.

Methods: The CRAFFT substance …

The Impact Of Offense Type, Race, And Disclosure On Perceptions Of Employability: Can Bias Towards Hiring A Person With A Criminal History Be Mitigated?, Rheanna Lee Standridge

Dissertations

Individuals with a prior criminal history experience many barriers in the reintegration process, including their ability to gain stable employment. Finding employment for this population is especially important in reducing potential of recidivism. However, research has demonstrated that returning residents experience negative attitudes from employers which are exacerbated by pre-existing stereotypes. Because returning residents are often stereotyped, research suggests that the fear of finding employment is confounded by how they disclose their criminal history to hiring managers. Further, previous research suggests that hiring decisions are impacted by not only offender status, but also by their offense type and race. Although …

Foster Parent Knowledge And The Need For Information - Sharing Technology, Amy Lynne Averbuch

Dissertations

In 2023, the United States child welfare system suffers from disorganization, role ambiguity, and deficient transparency. With 12 contempt of court strikes for the system’s Director in 2022, it is clear why child welfare actors are unable to successfully perform. Foster parents, a key stakeholder in the proper care of children, report being unable to successfully perform because they are raising children with significant needs and trauma while having to locate and navigate child welfare system laws, policies, and procedures on their own. The purpose of this research project was to 1 ) identify whether foster parents know who is …

A Grounded Theory Study Of The Grief Process In Women Who Experienced Perinatal Loss Prior To 1980, Tina L. Saunders

Dissertations

Approximately one million women suffer from perinatal loss (PL) in the United States annually. Societal and provider knowledge and attitudes about the psychological effects of PL and the need for care and support have improved significantly since the 1980s. Anecdotal evidence indicates that experiencing PL still affects women decades later; however, its impact on their grief process and long-lasting effects has not been researched. These narratives are vital to informing support and care. The purpose of this study was to develop a theoretical framework describing grief processes and long-lasting effects on women experiencing PL before 1980.

Home And Community-Based Service Utilization Patterns For Seniors With Alzheimer's Disease And Related Dementias, Margaret E. Saari

Dissertations

Half a million Canadians are living with Alzheimer's disease and related dementias. Approximately half these individuals live in the community, supported by informal caregivers. In this population, utilization of formal services is low and patterns of utilization are not well understood. Previous studies examining predictors of service use have examined services in isolation however, often multiple services are utilized, with little coordination between services.

The purpose of this study was to provide a better understanding of the community-based services utilized concurrently by seniors with dementia and their caregivers.