Digital Commons Network^™

Measurement And Regulation Of Workplace Violence In Healthcare Setting, Rachel Odes

Dissertations

Workplace violence in healthcare settings has been recognized globally as a major barrier to the provision of safe and effective health care services. In California, the Workplace Violence Prevention in Health Care standard (Title 8, Section 3342) requires hospitals to develop violence prevention plans and report incidents where force was used against workers to the California Occupational Safety and Health Administration (CalOSHA) through the web-based Workplace Violent Incident Reporting System for Hospitals (WVIRS).

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 …

Stress, Anxiety, And Depression: Role Of Campus Connectedness, Social Support, And Coping Among Nepalese Nursing Students, Priscilla Samson

Dissertations

High levels of stress, anxiety, and depression (SAD) can adversely influence physical health, psychological well-being, and academic and clinical performance of nursing students. Numerous studies have identified the factors associated with SAD; however, a paucity of empirical research addresses the relationship of SAD with campus connectedness (CC), perceived social support (PSS), and coping. The purpose of this quantitative cross-sectional study, guided by Lazarus and Folkman's theory of stress, coping, and adaptation, was to determine the prevalence of SAD and examine its relationship with CC, PSS, and coping among undergraduate nursing students of Nepal. Survey research was conducted using depression anxiety …

Using Visual Storytelling To Design Solutions-Based Approaches To Homelessness, Peggy Peattie

Dissertations

Despite millions of dollars spent over several decades on assistance programs, the nation’s homeless population has increased for the last four years in a row. The number of people reporting as homeless for the first time doubled in San Diego between June 2019 and June 2020. Trying to impose a one-size-fits-all model of care on a population comprised of unique individuals has resulted in many homeless opting for the street rather than subjugating themselves to rules they feel do not treat them with respect and dignity. Yet, the perspectives of homeless individuals are excluded from decision-making dialogue around policies and …

Night Shift Nurses' Perceptions On Fatigue Management Approaches: A Qualitative Case Study, Consuelo Nelson

Dissertations

The purpose of this study is to identify and understand the effects of working night shift to acquire insight into environmental, formative, and institutional constituents that may influence the development and utility of fatigue risk management approaches for nurses in acute care hospitals.

The Student Voice: Experiences Of First-Generation, Adult, Latino Male Tutees Learning Within A Peer Tutoring Environment, Shawn M. Carney

Dissertations

Purpose: The purpose of this qualitative, single-site case study was to identify and describe the lived experiences of first-generation, adult, Latino male tutees utilizing peer tutoring services within the Solano Community College (SCC) learning assistance center (LAC), concerning readiness, challenge, support, and balance as they applied to motivation to learn and personal academic growth.

Methodology: Fifteen participants were selected through a purposeful sampling process, and data were collected and analyzed through semi-structured, open-ended interviews to develop common themes with tabulated results presented via frequency tables.

Findings: First-generation, Latino, male tutees (1) sought tutors who were confident in the subject matter, …

The Marginalization Of Social Studies In Missouri: An Analysis Of Elementary Instructional Time And High School Standardized Assessment Scores, Stephanie Lovette

Dissertations

Social studies education plays a vital role in an evolving American society. Through social studies, students are equipped with skills to become active and informed citizens in a democracy (National Council for Social Studies, 2017a). With the implementation of the No Child Left (NCLB) Act in 2001, educational reforms have increasingly emphasized student performance in mathematics, communication arts, and science (Libresco, 2015). As a result, instructional time has been drastically shifted to these subjects (Heafner & Fitchett, 2015). This mixed-methods study was conducted to explore the impact of NCLB and subsequent federal education policies on the marginalization of social studies …

Guided Reflective Writing And Student Clinical Judgment Development: A Descriptive Study Of Nursing Student And Faculty Perspectives, Tanya L. Smith

Dissertations

Literature supports guided reflection and clinical judgment development as key components to enhancing students' knowledge and preparation for complex nursing care. Faculty are challenged to prepare new nurses to enter the complex health care arena and often note problems in helping students transition classroom learning to clinical application. The National Council of State Boards of Nursing (NCSBN) recognizes and supports teaching clinical judgment in nursing curricula to better prepare nursing students for professional practice (2018).

Identifying Transfer Of Care Gaps: Electronic Health Record Capture Of Perioperative Handoff Communications, Sharon Giarrizzo-Wilson

Dissertations

Transitions in patient care are held together by interdisciplinary handoff communications intended to coordinate the patient's ongoing care requirements. Patients with complexity in care encumber the transfer of care process requiring a higher level of care coordination between the interdisciplinary team (Coleman, 2003; Naylor et al., 2004). While the literature is abundant on the characteristics and quality of handoff communications, it is limited on the requirements of what data is necessary for ongoing care following transfer communications (Galatzan & Carrington, 2018).

Clinical Factors That Influence Nurse Responsiveness In Activating Rapid Response Services, James Tormey

Dissertations

This study advances the understanding of essential clinical knowledge skillsets that nurses need to identify and respond to early signs of patient deterioration. The identification of critical thinking and assessment skills that nurses require may support professional practice through improved nursing education curriculum or additions of necessary critical care skillsets. The purpose of this study, which was framed by Benner's novice-to-expert model, was to identify and measure critical thinking skills that influence a nurse's ability to detect deterioration in patients and call the rapid response system (RRS). The research questions addressed the relationship between a nurse's clinical or reasoning skill …

Identification Of Cultural Differences And Their Effects On International Relations: A Novel Approach, Stephen W. Jones

Dissertations

International Relations suffers from underspecified treatments of culture that risk reifying, essentializing, or ignoring the effects of cultural differences in the conduct of relationships between states. Following a review of the development of the culture concept, this interpretivist, epistemologically critical realist, dissertation introduces intercultural adaptive frameshifting from the intercultural communication literature. To assess whether culture has effect within an epistemic community, four frameworks are evaluated within a non-IR field (global Christian reasoning). Speech act theory is used to assess meaningful affect through illocutionary and/or perlocutionary divergence based on cultural difference.

Following the findings that such cultural differences do in fact …

Honor And Duty: The Collegiate Education Of A Yeoman Farmer’S Son In Antebellum Mississippi, David Taylor

Dissertations

This endeavor reviews the mindsets and ideologies emerging from the South in the era known as "King Cotton," a time which predated the American Civil War and in which cotton was the primary export of the South. It is historically relevant to Higher Education in that it views this mindset through the eyes of young, white, single males and in particular, one male, a student of Mississippi College in Clinton, Mississippi. This description will focus on the years from 1850 to 1860 and this male population. This in no way degrades or neglects the contribution or inclusion of women in …

Estimating School-Level Effects Of Mandatory Student Grade Retention Policies Using Latent Growth Curve Modeling, Matthew Koziol

Dissertations

Mandatory grade retention for poor-performing readers has been a disputed practice for decades. Since the early-2000s, state-level mandatory grade retention policies have proliferated. In 18 states and Washington, D.C. mandatory grade retention exists for students in the third grade who fail an end-of-year standardized reading exam. These policies are based on research that suggests students who do not read by the third-grade are at much greater risk of dropping out of school prior to receiving a high-school degree. Mandatory grade retention policies use a gatekeeper mechanism at the end of the third grade to ensure that students who are not …

Compassion For Self-Identity: An Evaluation Of A Compassion-Based Intervention For Stigmatized Sexual Identities, Du T. Nguyen

Dissertations

Sexual minority persons often experience notable negative mental and physical health disparities when compared to their heterosexual counterparts. According to the minority stress framework, it is posited that these discrepancies are due to additional, group-specific stressors that they experience beyond stress felt by the general population. One such minority stress variable that has received considerable attention is sexual stigma. Not only has sexual stigmatization been found to be related to negative mental and physical health outcomes, it has also previously been found to hinder adaptive emotion regulation.

Due to the minority stress felt by sexual minority persons, there is a …

Investigating The Relationship Between Departmental Support Structures, Self-Efficacy And Intention To Persist: An Examination Of Students' Experience In 19 Physics Graduate Programs Across The United States, Diana Sachmpazidi

Dissertations

Science, Technology, Engineering, and Mathematics (STEM) graduate programs experience consistently high attrition rates. Moreover, persistent disparities exist in racial and gender representation. Women and People of Color are significantly underrepresented and have higher attrition rates than men and white and Asian American students. To date, little work is done to understand graduate student attrition or persistence. There is also a lack of information regarding the causes of demographic disparities in attrition. Most past studies in this context have focused on students' attributes, undergraduate preparation, and mentoring relationships. Moreover, student self-efficacy is a contributing factor for undergraduate student retention. Yet, there …

Journey To The Professoriate: Exploring The Career Development Of African American Male Faculty In Counselor Education, Lacretisha Danielle Mcdole

Dissertations

Much of the existing literature on African American faculty in counselor education and supervision programs focuses on the challenges that confront them as racial minorities (Bradley & Holcomb-McCoy, 2004; Holcomb-McCoy & Addison-Bradley, 2005; Thompson, 2008; Turner & Myers, 2000). Findings from recent research studies have offered ways to support and guide African American faculty in combating racial discrimination and oppression within the academy (Jones-Boyd, 2016; Robinson, 2018). However, there are gaps in the literature about the personal and environmental factors that shape African Americans’ decisions to pursue the professoriate in counselor education and supervision, and factors that contribute to their …

It’S Elementary: The Curricular Decision-Making And Instructional Practices Of Black Male Elementary Teachers., Ashlea Jean Campbell

Dissertations

This study explored the curricular decision-making and instructional practices of four Black male elementary teachers in a large suburban school district. In order to capture the intersection of their racial and gender identity with their educational practices, the researcher utilized educational connoisseurship and criticism, a methodology that examines the nuances that exist in the curricular and pedagogical choices of teachers. Critical race theory provided a framework for addressing the nuance that exists while also challenging dominant ideology regarding Black male elementary teachers. In addition to interviews and observations, this study provided space for participants to contribute directly to the data …

Exploring Generational Difference Of Acculturation, Ethnic Identity And Racial Identity In Liberian Immigrants And Their Children Living In The United States, Breezie J. Gibson

Dissertations

Prior literature on immigrants has focused on the impact of acculturation for groups such as Asians and Hispanic or Latinx immigrants (Orjiako & So, 2014; Sall, 2019). Compared to these two groups, the literature on Black immigrants’ experience of acculturation is scarce. In addition to the minimum visibility of Black immigrants in the acculturation literature, there is also limited knowledge relating to differences in the ethnic identity and racial identity of Black immigrants because these immigrants are often grouped monolithically with minimum attention to their diverse countries of origin. Understanding the influence of acculturation, ethnicity, and race is important because …

"Not In My Town": A Community's Response To Water And Soil Pollution, Karolina Staros

Dissertations

At the core of this dissertation is the acknowledgment that social movements are complex networks of people who face many obstacles in their efforts to achieve social change. One critique of social movements is that their goals and mission are limited to short term ideas and not long-term, systemic transformation. The lack of long term, systemic change can be observed when social movement groups mobilize for the same cause over and over again with what appears to be little progress over a period of time. The exact blueprint for a social movement’s success does not exist, but it is posited …

The Criteria For Developing A Tk-12 Ethnic Studies Model Curriculum, Taunya Marie Jaco

Dissertations

Over the past five decades, educators have been working to develop authentic Ethnic Studies courses that can be implemented in both higher education and K-12 schools. Ethnic Studies has been documented to be effective in growth in several metrics used to assess student "achievement." Despite its results, there is much debate as to whether or not Ethnic Studies should be a high school graduation requirement in California K-12 schools. This study explores key policies on Ethnic Studies in California, particularly the legislative mandate to develop a K-12 Ethnic Studies model curriculum. Through an exploratory documentary film study, this dissertation investigates …

The Impact Of The Absent African American Father: Findings And Implications, Tambra Cross

Dissertations

This study focused on the difficulties and challenges experienced by sons who had absent fathers. The purpose of this qualitative study was to explore the lived experiences of sons who grew up with absent fathers and the effects on them as adults at home, in school, in their neighborhoods, and their decision-making processes. The sample consisted of eight men who grew up with absent fathers. Data were collected using face-to-face, structured and semi-structured interviews. Results indicated that participants' lived experiences of home life were characterized by financial and emotional hardships resulting from not having a father's earnings and care. The …

Becoming A Teacher: A Case Study On Student Teacher Professional Identity Construction During The Education Practicum In A Normal University In China, Jingxin Cheng, Xiaodi Li, Ming Yi

Dissertations

Previous studies have presented a clear link between teachers’ professional identity construction and teacher effectiveness and have considered the teacher professional identity as a pivotal factor to teachers’ effectiveness, decision-making about their career, commitment to the profession, as well as engagement in professional development (Beijaard et al., 2004; Day et al., 2005; Lasky, 2005; H. Y. Wang, 2020). Positive experiences in terms of teacher professional identity construction during education practicum holds potential to promote student teachers’ professional commitment, specifically, their belief in the value of the teaching profession (Hong, 2010; M. R. Zhao, 2013). This case study examined teacher professional …

An Empirical Analysis Of Factors Affecting Autonomous Truck Adoption, Christopher Mondy

Dissertations

Autonomous vehicles have the potential to revolutionize the transportation industry. The segment of truck transportation is no exception. Autonomous vehicles have the potential to improve trucking safety, to increase shipping velocity, and to decrease costs. Additionally, autonomous trucks could be an important tool to help alleviate the ongoing driver shortage that the trucking industry is contending with.

Autonomous truck adoption is not guaranteed. Transportation equipment decisions are market-based, and autonomous trucks must present a compelling business case to transportation professionals. As such, it is imperative to understand the decision-making factors that drive transportation solution adoption, and how autonomous trucks could …

Thriving In Student Affairs Professionals: An Exploration Of Supporting Constructs, Shawn Brodie, Phillip Campbell, Gretchen Day Fricke, Kawanna Leggett, Norris Manning

Dissertations

Student affairs professionals provide vital services to college students while also facing various challenges that impact their ability to thrive at work. This study examined overall thriving, its constructs and a set of predictors that impact thriving in student affairs professionals. Seligman’s (PERMA) theory of thriving provided the conceptual foundation for this study. Understanding the constructs that support thriving for student affairs professionals will help institutional leaders and professional organizations develop work environments and strategies that promote thriving. A global pandemic occurred during the time of this research, allowing exploration of how COVID-19 impacted thriving. This study also included variables …

Religious Leadership: Agents Of Social Change, Jacqueline Carter

Dissertations

Historically, churches in the United States acquired respect as institutions that cultivated spiritual maturity and advocated for social equality in Black communities. Religious leaders represent the voice of reason for communities facing complex social problems, then and today. How educational attainment influences religious leaders’ social action strategies and decisions to engage or disengage in social activism is under explored. Additionally, it is unclear what strategies religious leaders use for social advocacy in their communities. Using andragogy and social cognitive theory as theoretical frameworks, the purpose of this phenomenological study was to explore the educational experiences of religious leaders to understand …

Bladder Management Post Epidural Anesthesia: Impact On The Second Stage Of Labor, Megan Hedgcorth

Dissertations

Abstract

Problem

Currently, no national practice guidelines or organizations suggest the use of continuous bladder catheterization during labor for women receiving epidural anesthesia (DeSevo & Semeraro, 2010). Despite there being no national practice guidelines supporting the use of continuous bladder catheterization, many labor and delivery units still utilize this method for bladder drainage following epidural anesthesia in labor. The purpose of this project is to evaluate if the type of bladder management post-epidural anesthesia affects the length of the second stage of labor and the mode of delivery after implementation of new intermittent catheterization pilot.

Methods

This quality improvement project …

The Effects Of Race, Ethnicity, Education, Marital Status, And Family Size On Hysterectomy Rates, Zula Price

Dissertations

Decreasing disparities in hysterectomy rates have been a goal of the United States Department of Health and Human Services as a method of improving women's health. In the United States, hysterectomy rates remain high, particularly among Black women in contrast to other racial and ethnic groups (Qi et al., 2013). This study, using a descriptive research framework, utilized a sample of 1,921 women across the United States who participated in the 2012 National Health and Nutrition Examination Survey (NHANES).

Data were analyzed from the responses of subjects who reported having a hysterectomy in the 2012 NHANES, which is designed to …

Factors That Affect Adequate Analgesia In African Americans With Cancer Pain, Navdeep Singh

Dissertations

Receiving adequate analgesia has been shown to be problematic for African Americans with cancer pain. The vast majority of studies only simply highlights the existing disparities between African Americans and Caucasians in pain management. There is a lack of research focusing on the etiology of these disparities, specifically on what causes prescriptions for inadequate analgesics, especially for African Americans. The purpose of this study was to characterize the adequacy of analgesia received by African Americans with cancer pain and to elucidate what patient characteristics contributed to receiving adequate analgesia.

Local Food In Tourism: An Investigation Into Food Offerings At Irish Visitor Attractions—Are We Telling The Right Story?, Kate O Hora

Dissertations

This study’s aim is to investigate food offerings at visitor attractions in Ireland. Recent comments by Fáilte Ireland regarding food at visitor attractions has called on operators to localise their food offerings. A sample of eleven providers of food at visitor sites were invited to participate in qualitative interviews, to conceptualise their experiences with the provision of local food. The results showed that the sector had an overall interest in local food with most of the participants recognising that not enough emphasis was being placed on its promotion. The results of the study reveal that provision of local food provides …

The Effect Of Pedagogical Agent Persona On Performance, Self-Efficacy, And Attitudes In Adult Learners In An Online Environment, Justin L. Mathews

Dissertations

Pedagogical agents, virtual avatars that are often included in online training or educational modules, have been studied in a variety of disciplines to determine the extent to which their inclusion in online or multimedia learning environments may influence both cognitive and affective outcomes in learners. The present study examined the effect of a peer-like pedagogical agent providing motivational messaging in an online English language learning environment to determine if the agent will positively affect college students’ performance, self-efficacy, and attitude in comparison to a control group. All participants studied an online, self-paced English grammar module, either with (treatment version) or …