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Native Hawaiian Caregivers' Cultural Perspectives Of Pediatric Asthma Management, Donna-Marie Palakiko

Dissertations

Asthma remains the leading cause of chronic respiratory illness among Native Hawaiian children 0 to 17 years in Hawai'i. The National Asthma Education and Prevention Program (NAEPP) established asthma management guidelines which includes medical assessment and monitoring, education in partnership with the caregiver, control of environmental triggers, and medication adherence (National Asthma Education Prevention Program [NAEPP], 2007).
However, these guidelines do not consider the worldview, health beliefs, and cultural practices of caregiver, child, and family.

The purpose of this study was to describe how Native Hawaiian caregivers manage pediatric asthma, to understand which strategies are considered cultural practices, and to …

Team Dynamics And Learning Behavior In Hospitals: A Study Of Error Reporting By Nurses, Lindsay Thompson Munn

Dissertations

Error reporting is the primary way that hospitals identify errors and near misses, and it is essential for organizational learning and improvement to occur. However, it is widely recognized that errors in hospitals are significantly underreported. As a result, there are numerous lost opportunities for health care organizations to learn from errors and improve the care delivered to patients.

The purpose of this study was to use the model of work-team learning as the theoretical foundation to examine the error reporting behaviors of nurses. The study examined the team factors of safety climate, leader inclusiveness, and psychological safety and their …

Female African American Deans’ Rise To Success: Navigating And Conquering Self-Sabotaging Behaviors By Taking Back Their Power, Davina Bailey

Dissertations

Purpose: The purpose of this explanatory mixed-method study was to identify and describe self-sabotaging behaviors experienced by female African American Deans in higher education and to explore the impact these behaviors had on their career development. A secondary purpose of this study was to identify strategies employed by female African American Deans in higher education to overcome self-sabotaging behaviors.

Methodology: This sequential explanatory mixed-method study explored the lived experiences of nine female African American deans who acknowledged they had experienced self-sabotaging behaviors throughout their careers. The researcher distributed an electronic Likert scale survey to the participants to identify the most …

How Could Venture Capitalists Improve Their Performance At Fund Management Level Via Better Allocating Their Financial And Human Capitals - A Cross-Fund Approach, Fei Han

Dissertations

Venture capitalists’ performance has been studied at the levels of portfolio company and fund. But no similar study at the fund management entity level has been documented. This study fills in the gap to examine the drivers of the venture capitalists’ performance at the fund management entity level. This study uses the capital allocation theory to develop five hypotheses on its performance. Each of them embodies an aspect of the feature of capital allocation in the venture capital investment process. With an expanded concept of capital for capital allocation, this study examines the allocation of both the financial capital and …

Bisexual+ Women Of Color And Microaffirmations, Zori Paul

Dissertations

In the last decade, there has been an interest in exploring affirming identity factors for bisexual+ (bisexual, pansexual, queer, fluid, etc.) individuals that would promote positive mental wellbeing. However, there is a dearth in the current research that focuses on bisexual+ women of color and affirming factors unique to their intersecting racial/ethnic, sexual, and gender identities. By understanding what potential affirming factors, including bisexual microaffirmations, protect bisexual+ women of color from binegativity (bisexual specific discrimination), mental health professionals can provide and advocate for bisexual+ specific affirming care. This dissertation contains three studies: the first study explores how the experiences of …

Advanced Nursing Education: Critical Factors That Influence Diploma And Associate Degree Nurses To Advance, Rose L. Mcghie-Anderson

Dissertations

Advanced nursing education needs to be pursued along the continuum of the nursing career path. This education process is indispensable to the role of the nurse as educator, manager, nurse leader, and researcher who will effect policy changes and assume leadership roles as revolutionary thinkers in addition to implementing paradigmatic shifts.

This grounded theory study sought to unearth the critical factors that motivate nurses to advance academically. The study aimed to gain an understanding of the social processes associated with the decision of diploma and associate degree nurses to advance their nursing education.

Determinants Of Police Department Change: An Institutional Theory Approach, Colby Dolly

Dissertations

This research examines the change in police practices after the death of Michael Brown in Ferguson, Missouri, in 2014. Immediately after his death and throughout the following years, police departments in St. Louis County faced immense pressure to change. The pressure originated from numerous fronts, including the media, local community groups, and politicians. This research evaluates the change in policing using institutional theory with data from surveys and interviews of police chiefs. The findings indicate changes in policies after 2014. The most significant change occurred in departments strongly influenced by the mimetic dimension of institutional theory. The research adds to …

The Relationship Between Nursing Unit Culture And The Use Of Evidence-Based Practice Among Nurses In Hospitals, Jin Jun

Dissertations

Evidence-based practice (EBP) has been the gold standard for clinical practice. However, the use of EBP by healthcare providers, including nurses, has remained at suboptimal rates. Though researchers have examined various factors that influence nurses' use of EBP, studies of more complex organizational factors are limited. Nursing unit culture, which encompasses unique shared values, beliefs, and assumptions, may be one of the driving forces in determining nurses' behavior, leading to variation in the use of EBP. The purpose of this study was to examine the association between nursing unit culture and the use of EBP among nurses in hospitals under …

From The Battlefield To The Classroom: An Exploration Of Post-9/11 Female Combat Veterans Who Completed Graduate School After Military Service, Arthur Littler Iii

Dissertations

Since 2011, approximately 200,000 service members transitioned from military service to the civilian sector each year (U.S. Department of Veterans Affairs, 2016). , 2014). According to the U.S. Bureau of Labor Statistics’ 2018 Employment Situation of Veterans Summary report, 8.9% of veterans were disadvantaged as they have little to no higher education. Without a financial support system to fall back on, transitioning veterans face the inevitable issue of homelessness. Research by Tsai, Hoff, and Harpaz- Rotem (2017) found the rate of homelessness among veterans has increased over the past decade with female veterans more likely than their male counterparts to …

The Wheels On The Bus Go Round And Round: Rethinking The St. Louis Busing Program, Tango Walker, Ketosha Harris

Dissertations

This autoethnography shares our personal experiences and counter-narratives in the St. Louis busing program. Through our mission we expound on experiences and real-life situations as seen through our lens as a student and a mother in the St. Louis busing program. Critical race theory (CRT) was used as an essential framework allowing us to focus on the following four tenets: counter-stories, permanence of racism, whiteness as property, interest convergence. (Anderson, et al., 2017). Critical race theory (CRT) is the framework in social sciences that examines society and culture as it relates to categorization of race, law and power (Lynn & …

Breadwinner Mothers Of School-Aged Children During Covid-19: An Interpretative Phenomenological Analysis, Rebecca D. Miller

Dissertations

Working mothers have long faced myriad challenges to optimal work-life balance, with evidence of negative consequences to their physical and mental wellbeing. During the COVID-19 pandemic, working mothers reported unprecedented difficulties, though inquiry into breadwinner mothers’ experiences remained lacking. This research focused specifically on the experiences of breadwinner mothers of elementary school-aged children who navigated remote working and remote schooling during the COVID-19 pandemic. A diverse sample of 12 breadwinner mothers across the United States completed semi-structured interviews focusing on the impact of the pandemic on their daily lives, as well as how they understood their experiences in light of …

A Case Study In Resiliency: How A University Survived A Pandemic, Mary Ellen Stewart

Dissertations

This case study was conducted to investigate how the COVID-19 pandemic affected the campus of a small private university in central Mississippi, where traditionally, relational community and interaction were key contributors to campus culture. Through document analysis, individual interviews with campus leaders, and focus groups consisting of members of key departments, the role of resiliency was examined during the early days of the COVID-19 pandemic. Emerging from the data were the four thematic categories of leadership, campus culture, engagement and interaction, and challenges. Key components in each category revealed the significance of resiliency of university leaders, faculty, and staff as …

A Phenomenological Study To Describe How Hispanic Entrepreneur Women Use Mark Crowley’S Four Principles To Accomplish Extraordinary Results, Elizabeth Vargas

Dissertations

Purpose: The purpose of this phenomenological study was to describe how exemplary Hispanic entrepreneur women lead from the heart using Crowley’s four principles (building a highly engaged team, connecting on a personal level, maximizing employee potential, and valuing and honoring achievements) to accomplish extraordinary results in their organizations.

Methodology: A qualitative phenomenological research approach was used in this study to illuminate the lived experiences of exemplary Hispanic entrepreneur women. A sample of eight Hispanic entrepreneur women from the target population in Southern California was chosen. The sample of eight Hispanic entrepreneur women was chosen using predetermined criteria. Each participant was …

Black Women Vice Presidents Of Student Affairs At Community Colleges Leadership Pathways And Barriers, Danielle Sims Brooks

Dissertations

This study explored the lived experiences of five Black women Vice Presidents of Student Affairs (VPSAs) at community colleges through narrative inquiry to get a better understanding of the strategies Black women deploy to be successful as well as the challenges and barriers they must navigate. Data was analyzed from a purposeful sample of five Black women VPSAs to get a better understanding of the experiences of Black women executive leaders in higher education. Participants shared many similarities in their educational and professional backgrounds in higher education by their experiences with leading and developing essential areas in student affairs. Findings …

The Influence Of Integrated Behavioral Health Primary Care Setting On The Utilization Of Mental Health Services And Depression Treatment Response Among Men, Tendai Masiriri

Dissertations

The 2010-2013 National Health Interview Survey showed that nearly 9% of men had daily feelings of anxiety or depression, yet less than 41% sought help for their symptoms (Blumberg et al., 2016). Men are more reluctant than women to seek help (Angst et al., 2002; Brownhill et al., 2005). The failure to seek help among men is associated with multiple factors related to stigma and gender, yet male suicide rates are approximately 3-5 times higher than their female counterparts. However, they have a higher likelihood of seeking help from a medical provider rather than a mental health provider. If men …

Encouraging Activism In Secondary English: Reading And Writing For Social Justice, Elisabeth Spinner

Dissertations

This dissertation presents researched backed, social justice oriented teaching strategies secondary English teachers can implement to encourage their students to think critically and take action on issues that matter to them. Foundational to this research is critical inquiry which encourages students to not read or listen to information passively, but rather to investigate, critique, explore, and ask questions of what they are reading. This approach is necessary when encouraging students to dispel myths and stereotypes, understand questions of rights and justice, and find the right way to be involved. The English classroom is an ideal place for students to do …

Holism, Philanthropy, And Community Self-Determination: A Case Study Of Urban Sustainability Logics In Kalamazoo, Robert Roznowski

Dissertations

The social, economic, and ecological crises of contemporary cities have compelled some communities to pursue urban sustainability agendas. In the United States, municipal governments and local actors engage with a myriad of urban sustainability discourses and “logics” that shape urban sustainability agendas. The literature suggests that urban sustainability discourses and logics are shifting in ways that are more “selective” or exclusive of spaces, issues, and people. This study investigates the urban sustainability logics taking shape in Kalamazoo, Michigan. Most existing research focuses on large cities with well-established urban sustainability agendas. In contrast, this case study focuses on the urban sustainability …

Latina's Experiences Of Shared Parenting In The Context Of Intimate Partner Violence: A Phenomenological Study, Pisinee Dangwung

Dissertations

This dissertation presented a hermeneutic phenomenological study conducted with 12 Latina mothers who were survivors of intimate partner violence (IPV) considering or in a process of shared parenting with their former abusive partner. The purpose of this study was to explore the essence of shared parenting experiences among participants in the IPV context and examine how attachment style, adverse childhood experiences, and cultural values impacted their shared parenting decisions and processes. The study was guided by the theoretical frameworks of symbolic interactionism, intersectional feminism, and attachment. Findings indicated adverse childhood experiences and cultural values affected participants’ shared parenting decisions and …

Understanding The Benefits Of Latino Giving Circles: An Emancipatory Research Study, Adriana Loson-Ceballos

Dissertations

This dissertation shows how Latino giving circle members understand their philanthropy and how participation affects their well-being, civic engagement, and philanthropic activities by focusing on giving circles’ composition, members’ goals, and perceived benefits. I used an emancipatory research paradigm with Latino-focused critical race theory, LatCrit, to study the Latino Giving Circle Network (LGCN). A survey was used for data collection, and research platicas were employed in the survey’s analysis; both were selected and designed centering Latinos to overcome challenges in researching Latinos.

Demographic findings reveal a range of Latino experiences. Sixty-six percent reported Mexican ancestry, compared to 83% of California …

Facilitating Student Learning In The Acute Care Setting: Nursing Faculty Perspectives, Elizabeth A. Flott

Dissertations

Nursing education programs are experiencing many trends impacting the preparation of students including a nursing faculty shortage and a lack of quality clinical sites. In addition, literature is finding new nurse graduates unprepared when entering practice, lacking the required critical thinking, delegation, and prioritization skills necessary to provide safe care. Due to these findings, national nursing organizations and leaders are urging nursing education programs to implement solutions and reverse these trends to ensure students are prepared for demands of the current healthcare system.

To improve the structure of clinical education in this country, gaining faculty perspectives regarding experiences while facilitating …

Qualitative Analysis Of Older Adults' Experiences With Sepsis, Rebecca D. Hancock

Dissertations

Atypical symptoms, multiple co-morbidities and a lack of public awareness make it difficult for older adults to know when to seek help for sepsis. Diagnosis delays contribute to older adults' higher sepsis mortality rates. This research describes patients' and caregivers' experiences with the symptom appraisal process, self-management strategies, provider-nurse-patient interactions, and barriers when seeking sepsis care.

Variables That Influence Student Nurse Progression During Sophomore Year In A Traditional Bsn Program, Connie Mcfadden-Chase

Dissertations

The purpose of this dissertation was to discover variables that influence student progression during the sophomore year in a traditional bachelor of science in nursing program. Research exists to identify factors that will predict the retention of students or will contribute to students' success. Tinto's model on student retention was the framework for this study with constructivist grounded theory as the methodology to unravel the data and discover new meanings. The results of the study align with Tinto's model and illustrates the importance of faculty and peer relationships in conjunction with guidance in navigating the particularities of nursing coursework and …

The Critical Factors Influencing The Attitudes And Behaviors Of Nurses Caring For Patients With Substance Use Disorders, Suzan Blacher

Dissertations

Nursing is known to be an ethical and caring practice discipline, yet there is some evidence that nurses may have negative attitudes and behaviors towards persons with substance use disorders. Few nurses realize these undesirable attitudes and behaviors negatively impact the very patients they are caring for (Can & Tanriverdi, 2015). These attitudes and behaviors are also considered unprofessional and may place nurses in violation of the Nursing Code of Ethics (American Nurses Association, 2015).

The purpose of this qualitative constructivist grounded theory study is to develop a middle-range theory explicating the process of nurses caring for Substance Use Disorder …

How Intensive Care Unit Nurses Conceive Of Personal And Professional Risk When Exercising Clinical Autonomy, William Albert Randall

Dissertations

Nurses are often encouraged to work to their fullest potential, including exercising clinical autonomy--a factor known to decrease morbidity and mortality. Nonetheless, nurses endure historical, societal, and professional barriers to be respected and independent. In the intensive care unit (ICU), critically ill, often unstable patients require nurses to respond quickly and adapt to each unique situation, which may mean migrating outside of formal rules, norms, and policies, or "rule-bending." However, as inherent subordinates of hospital administrators and physicians, rule-bending, no matter how well-intended, necessary, or benign, often cause nurses to function in a grey zone of vulnerability and risk.

I …

Exploring Mentoring Relationships Among Novice Nurse Faculty: A Grounded Theory, Katie Ruth Busby

Dissertations

The growing and aging population has created an increased demand for health care, resulting in a need for hundreds of thousands more nurses across the United States. As a result, additional nurse faculty are needed to teach the next generation of nurses. However, nurses who enter the faculty role in academia often come from various professional backgrounds with different educational preparation that may not equate to success with the tripartite faculty role of teaching, scholarship, and service. As a way to retain and develop novice faculty, mentoring relationships and programs are promoted as an intervention for career and psychosocial development …

The Experiences And Expressions Of Compassion Among Critical Care Nurses, Mark S. Walker

Dissertations

Compassion is a core attribute of nursing practice and is associated with improved patient satisfaction and outcomes. For the last several decades, nurse researchers have been focused on the concept of compassion fatigue. Only recently has compassion appeared in nursing literature. Therefore, the purpose of this study was to explore the experiences and expressions of compassion among critical care nurses.

This dissertation includes a literature review of compassion within nursing education and practice, how it is currently defined, and a review of the empirical data. Next, two interpretative phenomenological qualitative studies were conducted. One study explored the experiences of compassion …

Comparing Top Industry Demands For Talent To General Studies Curriculum For Competitive Job Acquisition, Gregory Sansone

Dissertations

University General Studies degrees are rapidly increasing in enrollment, driven by an increased focus on college completion. Yet, non-traditional, non-science, technology, engineering, and math (STEM) degrees are perceived as less competitive in the job market upon graduation. This study finds that students predominantly acquire skills in three areas, analysis, critical thinking, and communication, regardless of courses taken. Variability in salary suggests that the degree was not a factor in the graduates’ ability for wage earning. Through a combination of skills outcomes for external job postings, natural language processing on course syllabi outcomes, General Studies graduates’ course records, and a survey …

The Color Of Conduct: A S.I.S.T.A.'S Tale Of Race, Housing, And Higher Education, Natasha Gibson-Winston

Dissertations

S.I.S.T.A., suffering in silence to be acknowledged, is an acronym that symbolizes the hidden voices of Black women in higher education and abroad. This study examined the experiences of a graduate student woman of color impacted by university housing policies and practices as a judicial student conduct officer at a historically white institution. Using autoethnography as a methodology, grounded in critical race theory (CRT) as a theoretical framework, this qualitative study aims to highlight the ways Black women can and have been harmed in predominantly white spaces and processes within higher education. The application of the aforementioned frameworks found the …

Experiences Of Self-Reported Bullying In Minority Nurses Within Acute Care Hospital Workplace Settings, Ekta A. Srinivasa

Dissertations

The Workplace Bullying Institute (WBI) defines workplace bullying (WPB) as the repeated mistreatment of a person(s) in the work environment by one or more perpetrator(s) that is detrimental to the health of the targeted individual(s). WPB is considered a universal phenomenon prevalent throughout the world and the United States across a variety of professionals and non-professionals with severe consequences to individuals, groups, and organizational morale. Thirty-five percent of all the known workforce in the United States, across all genders, races, and ethnicities are bullied at work. Racial/Ethnic minority female nurses, as a significant subset of nurses, may be bullied at …

Life Histories Of Blackqueer Adults: Why And How They Support Blackqueer Youth, Javania Michelle Webb

Dissertations

To set the tone for this qualitative study and the enriched data discovered, bell hooks (2001) says, “if we love each other and embrace our diverse sexualities, we create an environment where there is no sexuality that cannot speak its name” (p. 207). This critical narrative analysis portrays the reasons why BlackQueer adults choose to mentor and embolden BlackQueer youth. Life History methodology brought their experiences to life. Lesbian, Gay, and Gender Nonconforming (LGGNC) youth learn to conceal certain attributes associated with being Queer. They are compelled to consider and give context to their family, K-12 school personnel, and community …