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An Interpretive Phenomenological Study Of Women’S Struggles, Hopes And Reasons For Participation In Professional Power-Based Community Organizing In Chicago, Mary Dungy-Akenji

Dissertations

Mary K. L. DungyLoyola University Chicago AN INTERPRETIVE PHENOMENOLOGICAL STUDY OF WOMEN’S STRUGGLES, HOPES AND REASONS FOR PARTICIPATION IN PROFESSIONAL POWER-BASED COMMUNITY ORGANIZING IN CHICAGO Professional power-based community organizing is a practice of grassroots change in which paid organizers guide community members as they band together to make demands on elite groups to redistribute resources (Bobo et. al, 2001; Sites et al., 2007). Conflict-based tactics may be utilized to demand structural improvements from key stakeholders, usually towards progressive political ends that build towards a more just society (Bobo et. al 2001; Wilkinson & D’Angelo, 2019). Community organizing has some roots …

The Souls Of Black Folks In The Twenty-First Century: Self-Efficacy, Grit, And Their Development In Low-Income Urban Black Youth, Amzie Moore

Dissertations

Self-efficacy and grit have shown to be internal resources for African American youth, particularly urban low-income youth living in high crime and high poverty communities. This dissertation is a quasi-experimental, longitudinal, and mix method study, which evaluated a cross-age peer mentoring program. This evaluation was to examine if youth mentors’ attendance in the program for one year predicted increases in their self-efficacy and grit. The results of the study revealed that age significantly interacted with youth attendance, predicting increases in self-efficacy. Findings from the qualitative analyses illustrated that the peer-mentoring program strengthened culturally-relevant self-efficacy and grit among youth mentors.

Dependent Censoring In Survival Analysis, Zhongcheng Lin

Dissertations

This dissertation mainly consists of two parts. In the first part, some properties of bivariate Archimedean Copulas formed by two time-to-event random variables are discussed under the setting of left censoring, where these two variables are subject to one left-censored independent variable respectively. Some distributional results for their joint cdf under different censoring patterns are presented. Those results are expected to be useful in both model fitting and checking procedures for Archimedean copula models with bivariate left-censored data. As an application of the theoretical results that are obtained, a moment estimator of the dependence parameter in Archimedean copula models is …

New Nurses' Experiences In The Lateral Violence Zone: A Grounded Theory, Mary Lillian Hanks

Dissertations

The impact of lateral violence on nurses and the nursing profession contribute to the nursing shortage and has negative effects on patient care (Vessey, DeMarco, Gaffney, & Budin, 2009). According to the Center for American Nurses (CENTER, 2008), lateral violence and bullying are an everyday occurrence among health care professionals. Nurses must gain real world experiences to deliver quality, safe, and effective patient care (Benner, Surphen, Leonard, & Day, 2010). Unfortunately, there are experienced nurses who are unable or unwilling to help novice nurses transition into their new role. Impaired relationships among nurses can lead to absenteeism, medical errors, and …

Simulated Presence Use For Quality Of Life Maintenance And Reduction Of Symptoms Of Distress In Persons Living With Dementia In Long-Term Care, Erin E. Bush

Dissertations

Nursing home residents with dementia often have an array of neuropsychiatric symptoms, including dementia-related agitation. It is theorized that many of these agitation symptoms occur due to unmet psychosocial needs that could be met by the presence of a caring nursing staff member, family member, or friend.

The purpose of this study was to determine whether live simulated presence improves dementia-related agitation when offered, identify barriers and facilitators to simulated presence between caregivers and residents of long-term care during the COVID-19 pandemic, and to determine if live simulated presence by a caregiver delivered one-on-one improved quality of life in long-term …

Developing A Therapeutic Alliance In Counseling African American Women Experiencing Domestic Violence, Andrea Kenney

Dissertations

African American women victims of domestic violence (DV) present with unique experiences, requiring counselors to possess multicultural competencies that can cultivate an alliance in which this cultural group feels comfort and trust in the therapeutic process. While there is an awareness of the complexities in counseling African American women who experience DV, gaps in research reveal a need for counselors to improve cultural competency and gain a contextual understanding of the factors that influence this population’s help-seeking behaviors. The purpose of this research was to examine counselors’ experiences with and understanding of multicultural competence in developing a therapeutic alliance with …

An Intergenerational Photo Exploration Of Self Care Actions In Self-Identifying Strong Black Women, Vanessa Patrice Goodar

Dissertations

The current study sought to expand upon the Giscombé Superwoman Schema (2010) specifically exploring the role of vulnerability resistance and help obligation as potential barriers to changing comprehensive self-care health commitments in self-identifying Strong Black Women (SBW). The Superwoman Schema characteristics of vulnerability resistance and help obligation along with socio-economic factors of income, religious affiliation and marital status were assessed in the project using a visual-ethnography approach to Photo Voice methods and five intergenerational focus groups of SBW's born between 1946 and 2002. The collective self-care knowledge of these eighteen participants was analyzed using a participatory action research discussion framework …

The Experience Of Nursing Care For Female Medicaid Recipients, Sara K. Kaylor

Dissertations

This phenomenological study is guided by a feminist-informed critical theory for the purpose of exploring the experiences of nursing care for female Medicaid recipients. The goals of this research were to understand how nurses' attitudes and behaviors towards female Medicaid recipients influence the ways in which these patients receive and act upon their health care, and to consider what those understandings suggest for nursing education. Semi-structured interviews with female Medicaid recipients were conducted to understand their experiences of nursing care, and a focus group interview with nurse educators was conducted to consider what those understandings suggest for nursing education.

Current …

Social Work Junior Faculty Perceptions Of Their Doctoral Level Teaching Preparation, Marissa Hardwrict

Dissertations

Each year, hundreds of students graduate with a terminal degree. Many have aspirations to teach at a college or university. This includes graduates of social work programs. However, little information is known about the experiences of teaching readiness of social work Ph.D. graduates. The purpose of this study was to examine the experiences of social work junior faculty and their perceptions of readiness to teach. Literature reporting on the curriculum in Social Work Ph.D. Programs are linked to students being developed and heavily engulfed in research activities (Acquavita & Tice, 2015; Dinerman et al., 1999; Reneau, 2011). Since many programs …

Surfing Without Water: College Students Who Experience Homelessness, Melissa Scheer, Deidra C. Thomas-Murray

Dissertations

This study explores the educational experiences and needs of college students experiencing homelessness from the St. Louis metropolitan area. Research has shown that youth experiencing homelessness have difficulties entering college, remaining in college, and graduating from college (School House Connections, 2020). Difficulty accessing services and support coupled with prejudice, discrimination, and lack of knowledge can be detrimental to the homeless students’ academic performance (Svokos, 2015). The purpose of this study is to investigate issues of homelessness in higher education as experienced by independent college students identified as homeless in high school and explore the types of support universities offer via …

A Comparison Of First And Continuing-Generation Student Success And Engagement In An Online General Education English Course, Maya Scruggs Hicks, Tchule S. Moore

Dissertations

Online learning has become a significant part of the strategic plan to increase enrollment and college access (Crawley, 2012). Allen & Seaman (2013) noted that more than 65% of U.S. higher education institutions believe that online education is necessary to sustain and continue progress toward their strategic planning goals to increase enrollment. The purpose of this convergent mixed-methods study was to examine the difference between first-generation and continuing-generation undergraduate student engagement and success in a 100% online Jr. Level English course at a university located in the Midwest region. The researchers conducted independent samples (two-tailed) t-tests, one-way ANOVA, and one-way …

Collaborative Online Education: A Case Study Of An Ed.D. Program, Han Rong, Yang Zhang, Rongjing Cao, Jinge Xu

Dissertations

This dissertation discusses collaborative teaching and learning models of online courses. Four research questions guide the study: How do instructors design online courses to facilitate instruction using collaborative teaching and learning models? When instructors co-teach online, how do they utilize collaborative teaching and learning models? How do students build online learning communities from collaborative teaching and learning models? and How do instructors and students evaluate online collaborative teaching and learning models? We conducted a case study of an Ed.D. cohort of Chinese students in the College of Education of the University of Missouri-St. Louis (UMSL). We employed a qualitative approach …

An Examination Of Freshman Non-Nursing Students' Attitude Toward Nursing As A Career Choice For Males In The Southeastern United States, Tiffany Gordon Cox

Dissertations

The nursing shortage is predicted to continue into the year of 2030. Governmental and nongovernmental healthcare stakeholders have recognized a key factor in decreasing the shortage is to increase the recruitment and retention of males in nursing. The United States has a workforce comprising 3.5 million nurses. Yet, males represent only 9% of the working nurses in the United States. To decrease the nursing shortage, males must be a part of the equation. Male patients typically feel more comfortable discussing certain conditions, especially those related to sexual and reproductive health with other men than with women. Male nurses add to …

Clinical Case Conceptualization Skill Development And Counseling Pedagogy: A Constructivist Grounded Theory Study, Andrea Cox

Dissertations

Clinical case conceptualization has been identified as an invaluable and indispensable skill within the literature of the mental health professions and by the Council for Counseling and Related Educational Programs (CACREP, the counseling profession’s professional accreditation body). Despite its known importance, there is a dearth of literature focused on understanding the experiences students have related to counselor education pedagogy and the development of clinical case conceptualization skills. This project utilized a constructivist grounded theory (CGT) qualitative research design and analysis to explore the clinical case conceptualization learning experiences had by Counselors-In-Training (CITs) enrolled in CACREP aligned or CACREP accredited master-level …

How Domestic Violence Counselors With Personal Histories Of Trauma Experience Their Clients Who Were Victims Of Domestic Violence: A Heuristic Study, Janis Edralin

Dissertations

The heuristic inquiry-based phenomenological approach values focusing on a question or problem that has been a personal challenge in one’s quest to understand oneself and the phenomenon. Previous research has shown that counselors with a personal history of trauma who provide services to victims with a similar history report a range of negative consequences. The researcher utilized a heuristic research design to answer the following question: How do domestic violence counselors who have personal histories of trauma experience their clients who were victims of domestic violence? The methodology involved interviewing eight counselors, from whom four themes were identified: awareness of …

Transgender Education In Nursing: A Qualitative Study Investigating Faculty Beliefs, Vanessa A. Pomarico-Denino

Dissertations

Lesbian, gay, bisexual and transgender (LGBT) is an acronym that groups together four populations under one umbrella term. Each of these populations has their own distinct and unique health care needs. Transgender persons may present their gender differently than what is considered the societal norm. As a result, they are more prone to discrimination, harassment and acts of violence than other marginalized populations. Prior experiences with health care professionals may cause transgender persons to avoid seeking health care when needed. As more persons identify as transgender, the need to educate health care providers on the appropriate and sensitive care of …

Shining A Light: Compassion Fatigue In Psychiatric Nursing And Nursing Students, Kathryn M. Chachula

Dissertations

Low levels of compassion satisfaction (CS) and high levels of compassion fatigue (CF), comprised of burnout (BO) and secondary traumatic stress (STS), have been identified as a serious concern among students within health science disciplines.

To conduct a cross-sectional survey to determine what factors are related to the development of BO and STS within a pre-licensure health studies student population of undergraduate nursing and psychiatric nursing disciplines, groups that have seldom been studied.

Newly Graduated Registered Nurses' Perceptions About And Use Of Principles Of Palliative Care In Acute Care Settings: An Interpretive Phenomenology Study, Latrina T. Geyer

Dissertations

The terms serious or life-threatening illness now included in current palliative care literature indicate the broadened scope of palliative care. However, the change in defining terminology has not consistently translated to a broadened understanding or advanced clinical practice for many healthcare professionals in acute care settings. The purpose of this research study was to discover NGRNs' perceptions, meanings, and use of principles of PC for seriously ill patients in acute care settings. The research question for this study was: What are NGRNs' lived experiences of providing PC for seriously ill patients in acute care settings?

Detection Of Breast Cancer In African American Women Using Walk-In Mammography, Munachi Nwosu

Dissertations

Abstract

Problem: Breast cancer is a life-threatening condition, in which the prognosis could potentially worsen with a delay in the detection and commencement of treatment. Scheduling patients for mammograms continues to allow for long wait times that exist in screening mammography. Lower rates of participation in scheduled screening mammograms contributes to the increased rate of advanced breast cancer diagnosis that exit in African American women and threatens their health outcomes. The purpose of this project was to implement walk-in mammography to increase participation for early breast cancer detection.

Methods: An observational descriptive design with a retrospective chart review. A PDSA …

Weaving Empathy Into Simulation Pedagogy: Nursing Simulation Faculty Barriers And Strategies To Cultivating Empathy In Nursing Simulation Pedagogy, Tamara Holland

Dissertations

The purpose of this interpretive phenomenological study was to develop a deeper understanding of the strategies and barriers to weaving empathy into simulation pedagogy so stakeholders and educators may be able to develop a blueprint for improving simulation pedagogy and improving empathy levels of nursing students. The conceptual framework that guided this research was the National League of Nursing Jeffries simulation theory (Jeffries, 2016). This investigation used an interpretive phenomenological design consistent with principles originally identified by Heidegger (1927/1962) and a modified hermeneutic analysis further developed by Diekelmann, Allen, and Tanner (1989).

The Lived Experience Of Becoming A Professional Nurse For Associate Degree Nursing Graduates: A Phenomenological Study, Jean L. Hershey

Dissertations

This qualitative study used a hermeneutic phenomenological design to investigate the lived experience of becoming a professional nurse for associate degree nursing graduates. The study looked specifically at the process of acquiring a professional identity for associate degree nursing graduates. The theoretical frameworks of structural functionalism and reference group theory provided the lens which guided the study. Structural functionalism is a sociological perspective describing how groups reproduce themselves by creating members whose behaviors and values correspond to the established group norms. A reference group is the social group which an individual uses to define attitudes, beliefs, and values which the …

Evaluating Loneliness In An Older Adult Population, Kelli Rowland

Dissertations

Problem: Loneliness and social isolation are severe burdens on global public health and can impair overall health outcomes. Unfortunately, both loneliness and social isolation are prevalent in the older adult population. The purpose of this quality improvement project was to evaluate loneliness in older adults enrolled in a weekly socialization program and its impact on loneliness.

Methods: A descriptive cohort design was utilized to analyze surveys completed three months apart. A convenience sample was used with older adults already enrolled in a weekly socialization program. The Iowa Model of Evidence-Based Practice was applied to evaluate and promote quality …

Preventing Healthcare Workplace Violence Through Legislation, Erika Cunningham-Regis

Dissertations

Workplace violence against nursing professionals is an unacknowledged crisis. The repercussions of workplace violence are harmful to the nursing profession, as well as the healthcare industry. Unfortunately, there has been a dearth of protective mechanisms and standardized prevention plans. Only through mandated legislation will sustainable change be achieved for nurses. The United States House of Representatives bill number 1309, under Workplace Violence Prevention for Health Care and Social Service Workers Act was developed to provide a concise prevention plan to healthcare facilities across the nation. The bill died in Congress, but through continued advocacy efforts, it can be reintroduced for …

Life Is Complicated: The Urgent Call To Support Student Wellbeing Through Social Emotional Learning, Taya Kinzie

Dissertations

Abstract:

Students face increased mental health challenges, including depression, anxiety, trauma, racial trauma, and suicide risk, in addition to opportunity gaps. Despite educators’ work to support students through mental health services and despite the existence of social emotional learning (SEL) programs within the school environment, the impact on student learning and long-term post high school outcomes can feel overwhelming. There is also a perception that the responsibility for SEL belongs only to social workers, psychologists and counselors. The primary research question is; how does embedding of SEL practices vary within instructional, non-instructional, and leadership roles? The related questions are: to …

An Explanatory Sequential Study Of Cadet Commitment At The United States Air Force Academy, Justin Pendry

Dissertations

Character and leadership are the essence of the United States Air Force Academy (USAFA). USAFA’s mission is to develop leaders of character responsible for defending this nation. Our country has the most lethal Air Force this world has ever known. The men and women entrusted with protecting its citizens must be committed to the highest standards of ethical leadership. To accomplish this, USAFA provides a robust education and training program with extensive opportunities for cadet development. However, achieving USAFA’s vision of creating the nation’s best leaders of character relies upon cadet trust in the process and commitment to their development …

A Description Of Cultural Humility As Perceived By Nursing Faculty In Baccalaureate Nursing Education, Linda Webster

Dissertations

In diverse populations, health inequities can exist, thereby contributing to health disparities. A lack of knowledge regarding unfamiliar cultural patterns and practices by health care providers can contribute to miscommunication and mistrust. The willingness to adopt the practices of self-awareness and self-reflection with critique is cultural humility. This concept may help to reduce health inequities and suboptimal health outcomes when a mutual respect for culture and diversity is present.

A foundational, qualitative descriptive study was proposed to investigate cultural humility as perceived by nursing faculty. The purpose of this study was to describe the concept of cultural humility from the …

Cultural Practices, Knowledge, And Beliefs Of Newborn Care And Health-Seeking In Rural Zambia, Julie M. Buser

Dissertations

Decreasing newborn morbidity and mortality remains a serious global health challenge. For this reason, interventions like maternity waiting homes (MWHs) and the Saving Mothers, Giving Life (SMGL) initiative may improve maternal-newborn newborn health and delivery outcomes. The overarching goal of this dissertation was to explore and describe the cultural practices, knowledge, and beliefs of essential newborn care and health-seeking in the context of MWHs and the SMGL initiative in rural Zambia. Guided by the Ecological Systems Theory, this goal was met through three studies with the following aims: (1) Describe knowledge and beliefs of newborn care and illness from the …

Identifying Factors Influencing Pediatric Professionals' Self-Reported Collaborative Practice Behaviors, Susan Kilroy

Dissertations

The aim of this study was to: (1) determine the impact of interprofessional American Heart Association (AHA) resuscitation courses on health care professionals' self- reported collaborative practice behaviors (CPBs); (2) identify differences between the three professions of nursing, medicine, and respiratory therapy on self-reported CPBs; and, (3) describe which specific CPBs were most strongly associated with health care professionals' perceptions of interprofessional teams and enhanced patient care in clinical practice.

The Role Of Counseling Trainee Adversity, Attachment Style, And Trauma-Informed Principles In Clinical Supervision, Nicole Hurless

Dissertations

Current supervision literature suggests that supervisees with insecure attachment styles may perceive a poorer relationship with their supervisor and feel less satisfied with supervision. Studies across disciplines indicate a relationship between traumatic and/or adverse experiences and insecure attachment; however, this association has not been studied within the context of supervision. This dissertation explores a structural equation model assessing the associations between student’s adverse experiences, insecure attachment, and quality of the supervision relationship. It was hypothesized that greater prevalence of adverse experiences would negatively relate to supervision relationship quality, and this relationship would be mediated by insecure attachment. The results of …

Lived Experiences Of Or Nurses Working Off Peak Hours, Tashma E. Watson

Dissertations

Nursing plays a vital role in the care and safety of patients. Compared to other health care disciplines, nursing spends the greatest amount of time at the bedside. As health care continues to evolve, nursing will be an active participant in effecting the delivery of patient care. However, there is a paucity of research focused specifically on experiences of nurses caring for patients in the OR. Recent research explores the phenomenon of the "weekend effect." This phenomenon suggests variations in patient outcomes on weekends and nights (off-peak hours) compared to weekdays. The purpose of this hermeneutic phenomenological study was to …