Digital Commons Network^™

Examining Novice Teacher’S Perspectives On Mentoring Programs And Their Influence On Attrition, Lakeisha Ector

Dissertations

This qualitative study examines the perspectives of novice teachers on mentoring programs and their influence on attrition. Mentoring programs present opportunities for skilled educators to teach, sponsor, encourage and advise novices, improving their personal and professional development. The research determines whether mentoring and induction programs strengthen teacher efficacy and their influence on attrition rates. The study is rooted in constructivism, which seeks to develop an understanding and knowledge of individuals through their experiences and reflection. The research employs an inductive and deductive approach, facilitating pattern and theme identification. The study involves nine participants – novice teachers – from Martin-Ellison County …

Implementing A Tai Chi Exercise Program To Prevent Falls In Long-Term Care, Angela F. Miles

Dissertations

Falls can be a frequent occurrence in older adults residing in long-term care facilities. At the project site there was no systematic process to impact falls, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if the translation of Li et al.'s research utilizing Tai Ji Quan: Moving for Better Balance (TJQMBB) exercise in conjunction with the current fall risk assessment would impact fall rates among older adults over a 12-week period in an urban Georgia long term care facility. Betty Neuman's systems theory and Kurt Lewin's change model provided the scientific underpinnings …

Beyond The Classroom Walls: Examining Educational And Social Outcomes Of Cross-Curricular Peer Observation In Secondary Schools, Jacinda Miller

Dissertations

This qualitative case study involved a sample of middle school teachers participating in a cross-curricular peer observation of teaching (POT) program. The study aimed to explore the experiences of these teachers in the POT program, focusing on its impact on teaching pedagogy and partner relationships. Data collection methods included a demographic questionnaire, writing prompts, feedback forms, observation of feedback meetings, interviews, and a researcher journal. The findings demonstrated that cross-curricular peer observations are perceived as an effective form of professional development among this group of middle school teachers, benefiting both the observer and the observed. Participants acquired and implemented new …

Emailed Prompt Package To Increase Alternative School Educators’ Use Of Behavior Specific Praise, Chelsea Johnson

Dissertations

Alternative school educators are often placed in alternative education settings with minimal training or support to manage disruptive behaviors in the classroom. To combat this, school-based consultation may be provided to assist alternative school educators with classroom management strategies. However, face-to-face consultation may be limited due to the numerous responsibilities placed on school-based consultants. Behavior specific praise (BSP) is a strategy that is recommended, but often provided at low rates. To address these barriers, previous literature has examined the use of emailed prompts to increase treatment integrity, feasibility, and acceptability of a variety of evidence-based interventions. A concurrent multiple baseline …

Perspectives Of An Automotive Technician And Automotive Technician Educator: An Autoethnography, Christopher E. Reynolds Sr.

Dissertations

The purpose of this study was to explore automotive technician and automotive technician educator’s obstacles and expectations they faced during their educational and occupational endeavors. Constructivism and social constructivism were used as theoretical frameworks. Autoethnography was the selected qualitative research method. Using an interpretive process, several convergent topics were identified: education encouraging professional interests, professional obstacles, challenging normalcies, training and educating automotive technicians, the drive for professional certification, bridging the gap between industry and education, experience, patience, and exposure.

Several methods are recommended to help future automotive technicians and automotive technician educators overcome obstacles they might face, which include the …

The Development And Testing Of An Instrument To Measure Perceptions Of Body Art Among Nurse Educators And Nursing Students, Deana M. Nunes

Dissertations

Increasing diversity in the nursing workforce is a national priority to better care for a diverse patient population and minimize healthcare disparities. Nurse educators teach students to practice with compassion and respect, recognizing the dignity, worth, individual choice, and unique attributes of all patients. Perceptions of nursing professionalism are heavily influenced by appearance. Many nursing programs restrict visible body art in their dress code policies based on long-held notions and negative stereotypes of individuals with body art. Shouldn't nursing students who choose to have body art receive the same respect and lack of judgment? A better understanding of nurse educators' …

Exploring Students' Perceptions And Experiences Of Faculty Caring In The Undergraduate Classroom In A Traditional Baccalaureate Nursing Program: A Qualitative Descriptive Study, Sheila M. Garilli

Dissertations

Academic nurse educators' use of caring attributes in the classroom could impact students' educational journey. Educators are leaders who should model caring behaviors toward their students. This role modeling will empower students to demonstrate these caring behaviors toward their patients. A literature review discovered a gap surrounding the study of faculty caring in the classroom. This research study explored students' perceptions and experiences of faculty caring in the undergraduate classroom in two traditional baccalaureate nursing programs. This study utilized a qualitative descriptive method with purposeful sampling and in-person recruitment at two universities in a Northeastern state in the United States. …

A Culturally Informed Mentorship Model For Historically Underrepresented Ethnic Minority Advanced Practice Registered Nursing Students, Lonnie P. Herring

Dissertations

Ethnic minority students pursuing advanced practice nursing degrees often face unique challenges that hinder their academic success and persistence, such as limited mentorship opportunities that address their cultural considerations. A lack of culturally informed mentorship (CIM) may contribute to feelings of isolation, lower self-efficacy, and reduced retention rates among ethnic minority advanced practice registered nursing (APRN) students. Through cultural competency, CIM programs are emerging as a promising approach to address these challenges and support the needs of historically underrepresented ethnic minority (HUEM) students. The underrepresentation of HUEM APRN students in graduate nursing education and advanced nursing practice is a persistent …

The Implementation Of A Care And Communication Bundle For End-Of-Life Patients, Brendalee Carty Obiorah

Dissertations

Research studies have noted an improvement in end-of-life (EOL) patient's quality of life (QOL) from hospice. However, little research has been conducted to explore how the involvement of hospice care affects those in an assisted living facility (ALF). The purpose of this quantitative, pre and post-test quasi experimental design DPI project was to see to what degree a relationship exists between the care and communication bundle (independent variable) implementation and QOL (dependent variable) for 20 EOL patients on hospice in an ALF in Central Georgia. Jean Watson theory of caring and the theoretical domains framework (TDF) guided this project. The …

Perceptions Of Graduate Nurse Practitioner Faculty On The Use Of Simulation In Lieu Of Traditional Clinical Hours, Virginia Strong

Dissertations

Simulation in undergraduate nursing curriculum has been identified as an effective and safe substitution for the traditional clinical experience; however, graduate nurse education programs could not substitute clinical hours with simulation-based education. These clinical hours required NP students to provide direct face-to-face patient care. Simulation had wide variability in the number of hours utilized within each specialty. NONPF discussed the use of simulation, as it pertains to the curriculum of the NP student on more than one occasion and concluded its impact on NP education was a potential alternative to traditional clinical experiences. Studies indicated that graduate nursing students enjoy …

The Lived Experience Of Registered Nurses And Registered Midwives In St. Kitts And Nevis, Raiden Gaul

Dissertations

At the beginning of the 20th century, St. Kitts and Nevis had one of the highest infant mortality rates in the Caribbean. However, unlike some Caribbean nations with similar historical and socioeconomic factors that continue to suffer from significant health disparities, St. Kitts and Nevis implemented strategic health reforms that have led to dramatic improvements in maternal and neonatal health outcomes. One of the strategic reforms designed to address these poor health outcomes was to mandate that all registered nurses in St. Kitts and Nevis pursue certification in the post-basic midwifery program. The purpose of this study was to examine …

Special Education Preschool Teachers’ Perspectives, Attitudes, And Self-Efficacy Towards Inclusive Education, Mieke Kramer Tavares

Dissertations

Purpose: The purpose of this study was to investigate the perspectives of special education preschool teachers in California regarding the inclusion of children with disabilities in general education preschool classrooms. Furthermore, the study examined the self-evaluation of these teachers regarding their abilities to support children with disabilities in general education classrooms. Last, the study aimed to identify additional factors that impact the attitudes of teachers towards including children with disabilities in general education preschool classrooms.

Methodology: A mixed methods nonexperimental descriptive, sequential, convergent research design was employed. Data collection tools included surveys (quantitative) and interviews (qualitative). In Phase 1, dependent …

Self-Harm In Female Youth With Undiagnosed Adhd: Implementing American Academy Of Pediatrics Screening Guidelines, Roselie M. Woodard

Dissertations

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity. If undiagnosed or untreated, ADHD can lead to severe psychosocial issues such as academic failure, substance abuse, unplanned pregnancy, and incarceration. The financial burden in the U.S. from diagnostic errors creates an immense, rising fiscal impact. Early diagnosis and management are crucial to prevent these complications.

Females with ADHD, particularly those with the inattentive subtype, often face diagnostic challenges due to symptom masking and over-compensation. This results in poorer cognitive functioning and self-esteem compared to males with ADHD. ADHD is linked to autonomic nervous …

Patient-Generated Health-Data Information Needs In Pediatric Asthma, Victoria L. Tiase

Dissertations

Patient-generated health data (PGHD) are data collected by patients that can be used to screen for health problems or monitor progress toward health goals. These data may be especially useful for those with chronic health conditions such as pediatric asthma, as PGHD reflect the day-to-day status and home behaviors. Without access to PGHD within clinical workflows, clinicians working to personalize care and treat patients at an individual level may have an incomplete picture of those patients. A thorough understanding of information needs and display preferences is required to present PGHD in the clinical documentation without causing information overload. The aims …

The Influence Of Misconceptions On Pedagogical Choices Of Secondary Science Teachers: An Embedded Case Study, Tracey Beyer

Dissertations

This case study, using phenomenography within science disciplines, examines how educators' experiences with misconceptions affect teaching methods in high school physics, chemistry, and biology. Based on constructivist and interpretive theories it highlights that personal experiences shape learning and involve continuously reconstructing knowledge. The shared misconceptions of 13 educators across science disciplines reveal how those experiences influenced both their content knowledge and instructional practices. The findings indicate that educators who openly acknowledge and learn from their past experiences with misconceptions are better equipped to recognize and address gaps in understanding, an asset to furthering student learning. This research highlights the importance …

Stepparenting And Schooling: Challenges, Reconstitutions, And Outsider Perceptions, Christopher Repa

Dissertations

This study examined the challenges stepparents face in schooling their high-school aged children. An analysis of how stepfamily formation can impact this process was also investigated. The sample included 13 families composed of one biological and one non-biological parent with at least one child between the ages of 14 and 18 who was currently attending high school. Stepparents were asked to share their experiences with other family members, the school, and the community as they related to the education of their stepchildren. The primary research focus was to identify difficulties and successes that stepparents encounter as they engage with schools …

Finding The Gut Microbiome Connection To The Risk Of Childhood Obesity Through An Examination Of Gut Microbiota Among Children In Los Angeles, California: A Cross-Sectional Pilot Study, Cecille M. Basilio

Dissertations

The purpose of this study was to examine the association between gut microbiota composition and child obesity. The specific aims were to: 1) evaluate the impact of child obesity status on three related outcomes to be assessed by extracting DNA from children's stool samples using 16S rRNA gene sequencing: alpha diversity of gut microbiota composition, Firmicutes: Bacteroidetes ratio, and abundance of SCFA-generating gut microbes between obese and non-obese school children; 2) compare the dietary habits and intakes between obese and non-obese school children; and 3) evaluate the association of body mass index differences in gut microbiota composition between obese and …

The Impacts Of Authentic Learning On Student Outcomes, Evan Sheppard, Cameron Conner

Dissertations

This dissertation explores the evolving American education system, emphasizing the role of authentic learning in bridging the gap between schooling and employment, especially in the context of the modern post-pandemic student. Authentic learning, characterized by hands-on activities and real-world applications, is posited as a solution to the skilled labor shortage impacting the economy. This study delves into the history and current practices of authentic learning, examining various programs and strategies implemented in educational settings. Utilizing a phenomenological approach, qualitative data was collected through interviews with recent high school graduates to assess the impact of authentic learning on their post-secondary trajectories. …

Ethical Leadership And Moral Foundations Congruence, Sarah Willey

Dissertations

Research has examined follower perceptions of ethical leadership, but rarely accounts for the (mis)alignment between a follower’s sense of ethics and morality and that of a leader. This research examined the effects of a leader’s expression of each of the five Moral Foundations dimensions on ethical leadership perceptions, moderated by the respondent’s preferences for each of these foundations. To address this question, a policy capturing design was used to manipulate leaders’ high and low levels of each of the five foundations. The results of multilevel analyses indicate that at least for some dimensions of Moral Foundations, a follower’s evaluation of …

A Mixed-Methods Study On The Implementation And Perceptions Of Grading For Equity Practices In A Sixth Grade Science Midwest Middle School, Lisa Meacham Stein

Dissertations

Equitable grading practices were a focal point in present-day educational discussions and gained increasing attention in recent years due to concerns regarding fairness, inclusivity, and student success. This research study examined the principles and implementation of equitable grading practices within a sixth-grade science classroom. The researcher synthesized existing literature, examined case studies, and considered the perceptions of students, teachers, and the researcher study in order to contribute to the ongoing discussion on creating more equitable grading systems.

Key areas of focus included the history and development of the education system, the purpose and significance of grades, the examination of traditional …

Development And Evaluation Of A Nurse Practitioner-Directed Mindfulness Initiative Among Patients Diagnosed With Generalized Anxiety Disorder In An Outpatient Psychiatric Practice, Keilah B. Ford

Dissertations

This quality improvement project presents the impact of mindfulness intervention, such as guided meditation on anxiety levels in adult patients in a psychiatric outpatient practice.

Identifying Delirium In Hospitalized Patients Using Nursing Delirium Screening Scale, Christina S. Arockiam

Dissertations

Delirium is a sudden brain dysfunction that can affect the mental status of hospitalized adult patients. At the project site, there was no consistent screening tool for delirium, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if the translation of Heinrich et al.'s research regarding Gaudreau et al.'s Nursing Delirium Screening Scale (Nu-DESC) would impact the identification of delirium and subsequent provider notification within 30 minutes among adult patients in an acute care hospital in urban California over eight weeks. Virginia Henderson's need theory and the Iowa Model Revised: Evidence-based practice to …

Department Of Defense Project Management Team Leaders: Team Dynamics And Teamwork Strategies During Complex Construction Projects, Shane Frey

Dissertations

Purpose: This qualitative multi-case study explored the challenges, strategies, and recommendations that DOD project management team leaders experienced as they made complex decisions leading successful construction projects based on Parker’s (2008) model.

Methodology: A qualitative multi-case study research design described the challenges, strategies, and recommendations Department of Defense project management team leaders used as they made complex decisions leading successful construction projects.

Findings: Close examination of data collected from interviews and artifacts yielded 117 frequencies for DOD project management team leader's team characteristics, and six themes regarding the lived experiences, challenges, strategies, and recommendations. Five key findings and one unexpected …

Wiping Out Central Line Associated-Bloodstream Infections: Cleaning High Touch Surfaces In The Picu, Emily Heth

Dissertations

Problem: Central line-associated bloodstream infections (CLABSIs) are a significant, preventable healthcare-related complication of hospital admission and medical management of critically ill and medically complex patients. CLABSIs result in significant adverse outcomes such as increased morbidity and mortality, prolonged length of stay (LOS) in the intensive care unit (ICU) and in the hospital, increased cost of treatment, and increased rates of readmission. Direct and indirect contact within the patient’s hospital environment are potential means of transmission for microorganisms, increasing the inherent risk of acquiring a CLABSI.

Method: For this quality improvement (QI) project, a pre-post design was utilized to evaluate the …

Improving Hypertension For Veterans Utilizing Measure Properly, Assessment Of Pharmacology, Alternative Therapy Interest, Routine Outreach, Partner With The Veteran Protocol (Maarp): A Pilot Study, Alyssa S. Dudley

Dissertations

The purpose of this quality improvement (QI) project was to create a hypertension control protocol for the patient aligned care teams (PACT) to follow when a Veteran presents to the primary care clinic (PCC) with uncontrolled hypertension. Despite past interventions, uncontrolled hypertension was still problematic in the Department of Veteran Affairs (VA) Healthcare System. Past and present research suggested that the Veteran population was at higher risk of developing hypertension than those of the civilian population. In hopes to reduce uncontrolled hypertension in the VA's PCCs, the Measure Properly, Assessment of Pharmacology, Alternative Medication Interests, Routine Outreach, and Partner with …

Bridging The Gap: Psychopharmacologic Education And Side Effect Screening For Non-Prescribing Mental Health Professionals, Elaine Fitzgerald

Dissertations

Abstract

Problem: The United States is experiencing a growing demand for pediatric mental health support. Surges in mental health diagnoses and psychotropic medication prescriptions have occurred, compounded by a shortage of psychiatric providers. Non-prescribing mental health professionals are well-positioned to recognize psychotropic medication side effects. However, psychologists and counselors lack formal pharmacology education.

Methods: The quality improvement (QI) initiative was guided by the Plan-Do-Study-Act (PDSA) model. The evidence-based psychopharmacologic education for non-prescribers utilized a quasi-experimental pre- and post- test design. Data collected from clinicians included knowledge, confidence, and skill concerning psychotropic medications. The Psychotropic Medication Monitoring Checklist (PMMC) screen clients …

Improving Mental Health Outcomes For Amputees, Zachary Elmore

Dissertations

Problem: depression, anxiety, and other mental health disorders are more commonly diagnosed in the amputee population related to changes in mobility, activities of daily living, and quality of life (Turner et al., 2020.) As the amputation population is projected to reach over 3 million Americans in the next 25 years, additional screening is imperative to identify patients at high-risk for mental health deterioration (Ziegler-Graham et al., 2018).

Methods: this was a project that included screening all patients with the Personal Health Questionnaire for Depression (PHQ-8) meeting the inclusion criteria of being admitted to 7500 Vascular Surgery at Barnes-Jewish …

Restraint Reduction Using The Brøset Violence Checklist, Deanna Kappelmann

Dissertations

Abstract

Problem: Patient aggression, restraint usage and assaults against healthcare workers have numerous negative health outcomes. Patient aggression and restraint usage on inpatient psychiatric units can be identified early with imminent violence predicative tools such as the Brøset Violence Checklist (BVC), where patient de-escalation interventions can subsequently occur.

Methods: This quality improvement project was conducted using a cohort design with a retrospective and prospective chart review. The IHI PDSA model was used for this project. The BVC was administered to male and female patients ages 18 to 64 years old on the adult inpatient psychiatric unit during the implementation period. …

Depression Screening And Education For Immigrants To Increase Access To Care, Viktoriya Ivantsova

Dissertations

Abstract

Problem: Immigrants are at risk for developing mental health disorders due to multiple factors including social, cultural, or economic factors. This can result in a lower quality of life and an increased chance of further disabilities. Although immigrants are at increased risk for the development of mental health disorders, studies show that utilization of available services and resources are low. Additionally, organizations that provide services to immigrants may not be implementing screening and psychoeducation.

Methods: This quality improvement (QI) project followed a descriptive, observational design along with an educational intervention. Using convenience sampling for recruitment, Russian and/or Ukrainian adults …

Social Work In Pediatric Primary Care, Courtney Maxey

Dissertations

Social Work in Pediatric Primary Care

Abstract

Social determinants of health significantly impact a child's health, and pediatric primary care providers are in the optimal position to help provide treatment and resources to children in need. Studies have shown that integrating social work and nurse care managers has improved many health outcomes for children. This study attempts to answer how the presence of a social work led team impacts pediatric primary care. This project includes children ages 0-18 years seen at a pediatric office with select chronic conditions. Epic was used to perform a medical record review to identify the …