Digital Commons Network^™

Online Clinical Post-Conference, Face-To-Face Clinical Post-Conference: Effects On Critical Thinking In Associate Degree Nursing Students, Kristie A. Berkstresser

Dissertations

Nurse educators, at every level of pre-licensure nursing education, are charged with developing critical thinking skills within their students. Post-clinical conference is one teaching strategy that nurse educators can employ to help promote the development of critical thinking skills in pre-licensure nursing students. However, traditional face-to-face post-clinical conference is marred with issues and concerns, as identified in the nursing education literature. An alternative to face-to-face post-clinical conference, asynchronous online learning environment, mitigates the issues and concerns associated with traditional post-clinical conference. Adult learning theory supports the use of asynchronous online learning environment. The asynchronous online learning environment promotes student-centered teaching …

Evaluation And Revision Of The Practice Environment Scale Of The Nursing Work Index For Acute Care Hospital Staff Nurses, Caitlin M. Campbell

Dissertations

The Practice Environment Scale of the Nursing Work Index (PES-NWI) is the most frequently used instrument for measuring the nursing work environment. The original PES-NWI obtained its items directly from the parent instrument, the Nursing Work Index, which was developed in the 1980s. However, potential value change among younger generations and vast historical, social, and technological transformations in the way healthcare is provided may have led to different factors that compose a favorable work environment for nurses working today.

Implementation Of The Family Help Protocol: A Feasibility Project For A West Texas Icu, Rebecca Mcclay

Dissertations

The purpose of this project was to determine if there is sufficient bedside ICU nurse buy-in to the Family HELP protocol to make implementation feasible at one county hospital in West Texas.

Implementation Of An Adverse Childhood Experiences (Ace) Screening Protocol For Adults At An Outpatient Medical Psychology Practice: A Dnp Project, Jennifer E. Allain

Dissertations

This DNP project aimed to educate and train staff and providers on ACE screening and implement an ACE screening policy and protocol at an outpatient medical psychology practice. The two expected outcomes of this project, provider knowledge after ACE training and provider compliance with the ACE screening protocol, were measured to determine if a clinical practice change occurred. A paired-samples t-test compared the participants' knowledge of ACEs before and after the ACE educational intervention with a pre/post-test. There was a statistically significant difference in the pre-test and post-test scores. These findings reflected a change in knowledge based on education …

Barriers To Implementing A Work-Based Learning Program: A Health Science Educator Perspective, Daniel Harrison

Dissertations

Career and Technical Education programs’ mission statement is to supply a skilled workforce for all industries (ACTE, 2021). The Health Science pathway lags behind other industry sectors in active work-based learning programs (Greenfield & Stevens, 2018). Therefore, this study examines the potential barriers to implementing work-based learning programs within the Health Science pathway. The qualitative descriptive investigation into the three types of work-based learning of visits to the workplace, work-like experiences, and employment discovered critical findings regarding healthcare requirements, scheduling conflicts, and access to facilities. Finding 1 details healthcare requirements as the most significant barrier to work-based learning programs. The …

The Expanding Marine Built Environment And Biofilm Formation Processes, Rachel Mugge

Dissertations

The marine built environment (i.e., places or things made or modified by humans) in the northern Gulf of Mexico is rapidly expanding and includes over 2,000 known historic shipwrecks, nearly 4,100 artificial reefs, and other built structures for natural resource extraction, marine aquaculture, renewable energy generation, munitions dumping areas, and commercial and recreational activities. While these structures have the potential to develop into artificial reefs, acting as biodiversity hotspots that provide food and shelter and facilitate organism transport, it is unclear how they affect biodiversity and ecosystem function in the marine environment. The success of artificial reefs to become ecosystems …

Cross-Cultural Adaptation And Validation Of Lung Cancer Screening Health Belief Scale, Fang Lei

Dissertations

Lung cancer is the leading cause of cancer death and the third prevalent disease among Chinese Americans. Lung cancer screening with low dose computed tomography is an effective method to detect lung cancer. Compared to chest X-ray, low dose computed tomography can reduce the mortality rate of lung cancer by 20% in the high-risk smokers. Since 2013, lung cancer screening has been recommended by most health organizations and covered both by private and public insurances. However, the uptake rate of lung cancer screening is still low in the US, and there are few studies on lung cancer screening among Chinese …

Effects Of Resilience Coaching On Behavioral Health Nurse Burnout, Dalila Franklin

Dissertations

Abstract

Background: Inpatient, staff nurse burnout negatively impacts nurses’ mental and physical health, hospital nurse retention and turnover, and patient care. The Stress First Aid for Health Workers program attempts to bolster resilience and subsequently reduce burnout among mental health nurses in this project.

Method: This quality improvement (QI) project was an observational pre-post survey design and was conducted on a cohort sample of inpatient, behavioral health nurses at an urban, mid-sized, Midwestern hospital psychiatric unit to assess personal, work-related, client-related, and overall burnout utilizing the Copenhagen Burnout Inventory (CBI) tool to quantitatively measure burnout pre- and three months post-implementation …

Factors Associated With New Hospital Nurses' Self-Efficacy In Providing Palliative End-Of-Life Care, Penny Marie Briese

Dissertations

Self-efficacy is defined as confidence in one's competence; the ability to successfully accomplish tasks and achieve favorable outcomes (Bandura, 1997). Many nurses today say they feel their undergraduate education was inadequate for them to feel competent to provide palliative and EOL patient care. (Chiplaskey, 2016; Scherlin & Quinn, 2016; Zheng et al., 2018).). Inadequate EOL preparation also results in nurses experiencing distress, death anxiety, burnout, feeling overwhelmed and leaving practice within just a few years (Friedman et al., 2011; Gaw, 2012; Kovner et al., 2006; Parry, 2008; Silverstein, 2017, November 28; Suzuki et al., 2008; Wilson & Kirshbaum, 2013). This …

Biomarker, Treatment, And Socio-Demographic Factors Affecting Opioid Use Disorder Treatment Retention, Fernand A. De Los Reyes

Dissertations

Increasing mortality from opioid overdose and low treatment engagement are significant public health concerns. Along with increasing health care and criminal justice enforcement costs, there is an urgent need to study the factors associated with treatment retention in opioid use disorder. The study investigated the relative impact of the biomarker cholesterol on treatment retention in an opioid treatment program (OTP) clinic. Further, it examined the medical comorbidities, treatment, and socio-demographic variables that impact opioid use disorder treatment retention. This study was a secondary analysis of patient health records (n=267) in an opioid treatment program clinic. The study employed a hierarchical …

Classroom Climate, Culture, Parenting Skills, And Student Grit, Karen Ochoa

Dissertations

The education system has noted that student motivation and perseverance are lacking, yet the focus on standardized testing over the last decade has increased the rigor and expectations in the classroom. As such, educational researchers are always looking for new and inventive ways to enhance student achievement without increasing the financial burden on the schools. Grit is the non-cognitive skill that a person processes that enable them to work hard, endure, and persevere through challenging times. A person who exhibits grit often succeeds over those who have the cognitive ability but do not have grit. Children in countries with collectivist …

Ellerhein Girls' Choir: Seventy Years Of Choral Excellence, Bobby Helms

Dissertations

ABSTRACT

For hundreds of years, choral music has been central to Estonian culture. Prior to its founding in 1918, music and choral singing were deeply ingrained into the hearts and souls of the Estonian people. In 1869, Estonia, known as a nation of singing, held its first song festival. It continues to be held every five years. Thousands of choral members participate as part of the mass choir and join together raising their voices to celebrate the independence of Estonia. Although there are many choirs in Estonia, few have gained the status of Ellerhein Girls' Choir.

Ellerhein’s history of choral …

Pharmacogenomics Translation In A Community Medical Context Using A Diffusion Of Innovations Framework: Provider Perspectives And Evaluation Implications, Sabrina Ewald Holley

Dissertations

Translation, in the context of medical research, is a process that describes how knowledge and innovation move and change into real world applications and outcomes. This study explores the translation of a medical innovation, pharmacogenomics (PGx), from research into clinical practice using the perspectives of medical providers in a community setting. PGx is the influence of a person’s genetics on drug response. Despite being available for over a decade, PGx testing is not widely adopted. Prior research primarily examined PGx translation in large academic medical centers, but not much is known about it in community practice settings. A better understanding …

Negative Memory Bias And The Impact Of Early Childhood Stress, Elizabeth Cecile Shmikler

Dissertations

Childhood Trauma is a pervasive problem in the United States, and research suggests it serves as a strong contributor and. Predictor for a multitude of negative mental and physical health disorders (Vrijsen et al., 2018). Negative memory bias, a neuropsychological precursor to later onset of adult mental health disorders, has been scientifically related to childhood trauma (Pollak et al., 1998). Despite numerous findings supporting the relationship between negative memory bias, childhood trauma, and mental health, little is known regarding the age of onset of negative memory bias (Brainerd & Reyna, 2012; Kujawa et al., 2011). Given the research supporting the …

Predicting Nurse Faculty Intent To Stay: A Quantitative Study Of Contributing Factors And Their Influence, Erica Frost

Dissertations

The United States faces a shortage of nursing faculty members, impacting the nation’s ability to meet the demand for more nurses in the workforce. The purpose of this study was to identify factors that predicted nurse faculty members’ intent to stay in academe. Dozens of factors were identified in the literature and grouped using Herzberg’s (1966) motivation-hygiene theory of job satisfaction. An online questionnaire was administered to 402 full-time prelicensure baccalaureate nursing faculty in the United States. The survey measured personal, job, and organizational factors including demographics, emotional intelligence, resilience, educational preparation, self-efficacy, mentoring and orientation, interpersonal relationships, and satisfaction …

Building On The Lasting Benefits Of Attending A Voluntary Prekindergarten Program, Ashley Swickle

Dissertations

The expectations of kindergarten students have drastically changed over the years. Kindergarten students who have not attended a voluntary pre-kindergarten (VPK) program may be at a disadvantage in behavior and academics. The purpose of this study is to show the benefits of a VPK program. My study includes kindergarten students at the school under study whose progress monitoring scores in the beginning of the year are compared to student’s scores who have never attended a VPK program, the amount of behavior referrals is also compared. The anticipated results are that kindergarten students who attended VPK will out-perform their peers who …

Lifestyle Choices Related To Food Consumption And Their Relationship To Depression, Steven L. Jennings Jr.

Dissertations

Dieting, or the act of restricting oneself to small amounts or particular kinds of foods on the basis of health, spirituality, lifestyle, and moral decisions, is a practice that dates to 1066 A.D. However, with social media being as influential as it is, one might believe dieting is a new obsession or at least an obsession to which popular culture is returning. Despite this, it is only in recent years that researchers have begun to focus on the health benefits of such behaviors. The present study was designed to take this focus a step further by exploring the potential risks …

The Impact Workplace Microaggressions Have On Those Who Identify As Lesbian, Gay And Bisexual., Andres Medina

Dissertations

Progress has occurred in recent years for lesbian, gay, bisexual, transgender equal rights. However, there are still areas where discrimination is evident such as the workplace. Some lesbian, gay, bisexual, transgender employees may not share their identity at work due to discrimination concerns. Such forms of discrimination may be passive acts such as microaggressions. These microaggressions can make work-life stressful; furthermore, the stress experienced at work may impact other areas such as home life. This study explored two areas. The first area investigated was whether identity disclosure at work affected workplace microaggressions. The sample size was 88 working adults who …

Development Of Geoscience Interest And Identity Of Female First-Generation Undergraduate Geoscience Students, Dina London

Dissertations

The purpose of this basic qualitative study was to understand how female first-generation undergraduate geoscience students developed their situational geoscience interests into individual interests that, in turn, supported their geoscience identity and decision to become a geoscience major. The experiences of six female first-generation undergraduate geoscience students were used to explore how geoscience interests and geoscience identities developed over time. I analyzed three artifacts representing participants’ geoscience identity, geoscience interest development timeline, and transcribed interviews to explore emerging themes relating to interest and identity development. Participants described events relating to their situational geoscience interests, individual geoscience interests, and the formation …

What We Say Matters: Exploring The Importance Of Microaggression Language For Lgbtq+ Science Major Undergraduate Students, Madison L. Fitzgerald-Russell

Dissertations

The purpose of this exploratory qualitative study is to better understand the climate for LGBTQ+ science major undergraduates in their departments through a transformative queer theory lens and intersectionality. Prior research on campus and STEM department climates have demonstrated inclusion issues continue to persist for LGBTQ+ individuals in higher education. One of these issues is discrimination in the form of microaggressions. Microaggressions against LGBTQ+ individuals have been demonstrated to cause physical, mental, and academic harm. In the literature, there is limited information on how microaggressions impact students in particular STEM fields.

LGBTQ+ science undergraduates from public colleges and universities in …

Investigating Nurses’ Career Choice Through The Social Congnitive Career Theory’S Self-Management Model, Tina Howard

Dissertations

The United States is in a healthcare crisis. There is a substantial shortage of nurses (Buerhaus et al., 2017). Making matters worse is the nurse faculty shortage (Daw et al., 2018). As the population ages and uses more resources, there is a need for even more nurses. The aging population includes nursing faculty. The average age of a nurse faculty member is approximately ten years from retirement (Oermann et al., 2015). The exodus of nurses from the profession adds to the problem because the number of students graduating from nursing school already falls short. The crisis can become catastrophic if …

Three Essays On Financial Economics, Megersa Daksa

Dissertations

This study presents three essays on financial economics. In the first essay, we examine how monetary policy shocks affect risk aversion and uncertainty, as well as how risk aversion and uncertainty spread across financial markets. Although a recent study shows that monetary policy influences risk aversion and uncertainty in global stock markets, there are no studies on risk aversion and uncertainty spillover across stock, currency, and commodity markets. Following the method of Bekaert et al. (2013), we decompose the implied volatility indexes (VIX's) for the SP500, U.S. exchange rate, gold and crude oil into risk aversion and uncertainty. The decomposition …

An Exploration Of Stressors And Perceptions Of Wellness Among Christian Church Ministry Wives, Laura Ann Kellicut

Dissertations

Ministerial families are in the unique situation of a two-person career, where although the husband is the only one employed by the church, the wife is also expected to perform church specific demands and responsibilities (Frame & Shehan, 1994; Lifeway, 2017). Unique variables and factors of stress among ministry wives have been identified along with how their role affects certain domains of life (Douglas, 1961; Frame & Shehan, 1994; Lee, 2007; Zoba, 1997; Luedtke & Sneed, 2018). Lifeway Research (2017) found that 78% of ministers' spouses experienced some level of burnout with 22% at the highest levels. In the literature, …

Investigating The Prevalence Of Social Anxiety In Lgb College Students, Brianna Barnes-Harrington

Dissertations

This project examined the gap in the literature on LGB college students and social anxiety. The dearth of information around the prevalence and impact of social anxiety on the college population and the LGB population is important because social anxiety is known to be prevalent and chronic, affecting all areas of an individual’s life, but especially impacting the creation of social support networks and therefore access to social supports. Social support is one of the primary protective factors and promoters of resilience among all people, especially in marginalized communities like the LGBTQ community. Knowing that such a prevalent disorder is …

Crafting A Different Kind Of Story: Experiences Of Creative Writers Leading In Higher Education, Meredith L. Dodson

Dissertations

Connections between creativity and leadership often focus on how fostering creativity can help an organization. Despite the value that creativity can bring to organizations, Mueller et al. (2011) found that creative people themselves are not seen as leadership material. Yet many people with creative backgrounds do take on leadership roles, particularly in higher education.

This qualitative study explores the experiences of higher education leaders who have a background in creative writing and how those leaders perceive the interaction of the leadership role with their creative experience. The sample included 12 mid-level leaders in higher education who had an MFA or …

A Comparative Study Of Instructional Perspectives Among Learning And Development Practitioners, Merzudin Selimovic

Dissertations

The instructional perspectives of learning and development practitioners have a critical impact on their learners. This study aimed to determine if a relationship existed between years of experience of a learning and development practitioner and how they score on the seven factors of Henschke’s (1989) Modified Instructional Perspectives Inventory (MIPI). The MIPI consisted of seven factors: 1) Teacher Empathy with Learners, 2) Teacher Trust of Learners, 3) Planning and Delivery of Instruction, 4) Accommodating Learner Uniqueness, 5) Teacher Insensitivity Toward Learners, 6) Learner-centered Learning Process (Experience-based Learning Techniques), and 7) Teacher-centered Learning Process. The MIPI is a revised version of …

Integrating Media Literacy Into General Education Core Courses For Undergraduates, Christen Embry

Dissertations

This study aimed to understand the essential nature of media literacy, evaluate pre-developed higher education classes for existing media literacy context, and recommend best practices for incorporating media literacy into an undergraduate curriculum. This mixed-methods study of media literacy in undergraduate college courses explored the presence and absence of media literacy lessons within core classes by auditing 15 online course shells accessed through the university’s Learning Management System (LMS). Specifically, all the courses surveyed included the first skill of media literacy, Access; 33% of the classes included Analyze; 27% included Creation; 20% included Reflection; and 20% included Action. Once the …

Heterogeneity Estimators In Random-Effects Meta-Analysis In Education, Qian Wang

Dissertations

Over the last four decades, meta-analysis has proven to be a vital analysis strategy in educational research for synthesizing research findings from different studies. When synthesizing studies in a meta-analysis, it is common to assume that the true underlying effect varies from study to study, as studies will differ in design, participants, interventions, or sample size that can lead to heterogeneity in their underlying effects. The magnitude of this heterogeneity between studies can be quantified as τ2 in a random-effects meta-analysis. Estimating the between-study heterogeneity (τ2) becomes an important part of random effects meta-analysis reporting, since this quantity plays a …

A Dialogical Approach To Peer Coaching For Asset Pedagogies, Elisabeth Van Beek

Dissertations

The purpose of this study was to understand how dialogical peer coaching using an asset pedagogical framework supported the development of culturally sustaining pedagogy (Gay, 2000; Ladson-Billings, 1994; Paris & Alim, 2017). This action research study followed one teacher and eight emergent bilingual students during an intervention. The intervention consisted of asset projects developed from the funds of identity framework (Esteban-Guitart, 2016). The peer coaching process consisted of a period of observation followed by repeated co-planning, coteaching, and reflection. The researcher took a dialogical stance on creating asset projects with the students as well as peer coaching with the teacher …

Mathematical Knowledge For Teaching As Decision-Making For The University Mathematician Developing Coherence In Review Of Discrete Mathematics, Julie Lang

Dissertations

Mathematicians teaching at the university level have a deep understanding and appreciation for the mathematics that they teach. However, they rarely receive much formal training in teaching. Thus, university mathematicians must rely on their mathematical understandings and personally developed ideas of teaching to guide their decision-making. Relatively little research exists on mathematicians’ teaching practices. The purpose of this study was to examine the mathematical knowledge for teaching (MKT) of a university mathematician teaching discrete mathematics and how he leveraged his knowledge to make decisions and develop coherence among mathematical ideas during a semester review. An enactivist perspective examining a mathematician’s …