Digital Commons Network^™

An Exploration Of The Influence Of Nursing Education Culture On The Integration Of Nursing Informatics Competencies Into A Collaborative Nursing Program Curriculum, Stephanie Atthill

Dissertations

Information communication technologies are becoming a customary part of the way in which nurses provide care. Consequently, it makes good sense to ensure that nursing informatics competencies are integrated into nursing curricula to prepare graduates for practice. However, few schools of nursing within Canada have fully integrated nursing informatics competencies into their curricula. Nursing education culture appears to influence decision-making, and the development of organizational priorities. Nonetheless, there are no known studies examining how nursing education culture impacts nursing informatics curriculum development endeavours. Therefore, this study aimed to address the following research questions: 1) In what ways does a nursing …

Perceptions Of Accelerated Bachelor Of Science In Nursing Program Graduates Regarding Andragogical Practices Employed By Faculty, Mary E. Hanson-Zalot

Dissertations

This research study was designed to examine accelerated, second-degree prelicensure baccalaureate graduates' perceptions of the andragogical practices employed by faculty that prepared students best to begin practice as entry level professional nurses. The study further sought to identify the ways in which andragogical practices used by faculty incorporated the students' prior learning and life experiences as they accrued knowledge of the art and science of nursing. It was anticipated that through the processes of interviewing and listening to the voices of graduates, that an emic perspective of the perceptions of the graduates would emerge. Analysis and interpretation of the results …

The Effect Of Learning Styles, Critical Thinking Disposition, And Critical Thinking On Clinical Judgment In Senior Baccalaureate Nursing Students During Human Patient Simulation, Kiyan Mccormick

Dissertations

Simulated learning experiences using high-fidelity human patient simulators (HPS) are increasingly being integrated into baccalaureate nursing programs. Thus, the purpose of this study was to examine relationships among learning style, critical thinking disposition, critical thinking, and clinical judgment during high-fidelity human patient simulation (HPS) in pre-licensure senior baccalaureate nursing students. Participant characteristics such as age, gender, cumulative grade-point average (GPA), and prior simulation experience were examined. The study also sought to determine predictors that may influence clinical judgment during the HPS simulation experience. A predictive correlational research design was employed to examine relationships among variables conceptualized from the NLN/Jeffries Simulation …

Nursing Faculty Members' Intentional Use Of Strategies That Promote Civility In The Bsn Classroom, Linda-Jo Pallotto-Russo

Dissertations

The purpose of this case study was to gain an understanding of nursing faculty members' intentional use of three research-based strategies that have been shown to promote civility in the BSN classroom. Specifically, Ajzen's (1985) Theory of Planned Behavior (TPB) was used to analyze nursing faculty members' reports of their attitudes, normative beliefs, and control beliefs about the use of three research-based strategies that have been shown to promote civility in their classroom. Azjen theorized that individuals base their behaviors on intention and intentions are based on the individuals' attitudes toward the behavior, their perceptions of how others wanted them …

The Effect Of Attitudinal Dynamics Of Inpatient Nurses On The Use Of A Mobile Electronic Health Record, Mark Ambler

Dissertations

The implementations and ongoing use of mobile information systems could enhance nursing workflows at the point of care. However, when a system is not perceived as easy to use or useful, the frequency of its use is decreased. This non-experimental quantitative study conducted a survey of inpatient bedside nurses and nurse leaders to determine how their perceptions and attitudes affected the use of mobile technology. Statistically significant positive correlations were found when the participants were asked if the mobile system gave them greater control over their work. A statistically significant relationship was found between bedside nurses and nurse leaders, where …

Student Nurse Perspectives On The Impact Of Longitudinal Home Visits To People With Dementia And Their Carers, Wendy J. Grosvenor

Dissertations

Multiple deficits have been identified in dementia education by UK policy makers and, from September 2015, the Department of Health mandated that undergraduate healthcare curricula included dementia. Here I explore one particular novel approach, the Time for Dementia Programme, which had at its core longitudinal learning from people with dementia and their carers.

The study aimed to evaluate the impact of visits to the homes of people with dementia and their carers as part of the Time for Dementia Programme. To do this it explored adult nursing students' perceptions of their professional learning and practice and career destination.

Influences Of Perceived Environment, Partner Support, And Attitudinal Familism On Physical Activity Among Mexican American Women, Neomie C. Congello

Dissertations

Healthy lifestyle behaviors such as engaging in physical activity (PA) may reduce the risk for cardiovascular disease (CVD), the number one cause of mortality among Mexican American women (MAW). Research findings show that MAW have low levels of leisure time PA and vary in the amount of overall PA. The influence of partner support has received little attention in studies examining predictors of PA. This cross sectional study investigated factors influencing PA among MAW aged 19 to 64 years old (mean = 39.4, SD = 11.1) who may be at increased risk for CVD based on hypertension, diabetes and obesity …

A Delphi Study On The Use Of Simulation In Undergraduate Nursing Education, Diana L. Bailey

Dissertations

The lack of traditional clinical sites for nursing students has prompted a surge in simulation as an innovative teaching strategy in undergraduate nursing education. The International Nursing Association for Clinical Simulation and Learning (INASCL) developed the INACSL Standards of Best Practice: SimulationSM to direct schools of nursing in implementing high-quality simulations. As simulated experiences replace traditional clinical experiences, it is imperative that simulated experiences replicate real-life patient scenarios. The purpose of this Delphi study was to establish consensus on the use of the INACSL Standards of Best Practice: Simulation in undergraduate nursing education. The conceptual frameworks guiding this study were …

The Relationship Between The Neighborhood Environment, Health Behaviors And Health Outcomes Among Urban Hispanics In New York City, Manuel C. Co Jr.

Dissertations

Hispanics account for more than half of the total United States (US) population growth between 2000 and 2010. To gain a comprehensive understanding of a predominantly Hispanic urban community in Northern Manhattan, the aims of this cross-sectional observational study were: (1) to characterize the actual and perceived neighborhood food environment in Northern Manhattan, (2) to understand the relationship between the actual and perceived neighborhood food environment, sociodemographic characteristics and the likelihood of consuming five or more servings of fruits and vegetables per day, and (3) to describe the contribution of participants' sociodemographic characteristics and health behavior to their health outcomes.

Attitudes, Subjective Norms, And Perceived Behavioral Control Of Perianesthesia Nurses' Intentions To Engage In Mindful Self-Care, Brenda K. Sanya

Dissertations

The purpose of this study was to examine the relationships among attitudes, subjective norms, perceived behavioral control, and intentions to engage in mindful self-care among nurses working in the peri-anesthesia setting. The study utilized cross-sectional design and was guided by the Theory of Planned Behavior.

Shelf Space Strategy In Alcoholic Beverage Retail: Analyzing The Impact Of Shelf Facings On Sales Performance And Consumer Behavior, Jesse Core

Dissertations

The alcoholic beverage industry faces intense competition and regulatory constraints, making strategic shelf space management critical. This study investigates the impact of shelf facings on sales performance in the alcoholic beverage sector, focusing on how brand size moderates this relationship.

The study collected data from a regional supermarket chain in Arkansas using a quantitative pretest-posttest control group design. It found that increasing shelf facings for smaller brands significantly enhances overall modular sales, with small brand sales persisting even after reverting to their original facings. Moreover, the analysis reveals that brand size significantly moderates the impact of shelf facings on brand …

Screening, Brief Intervention, And Referral To Treatment For Pregnant Women, Rebekah Feeney

Dissertations

Abstract

Background: In the United States, 10-20% of pregnant women reported using drugs during pregnancy. Current recommendations are to screen for drug use in all patients and provide a brief intervention and referral to treatment. The purpose of this quality improvement project was to evaluate the impact of implementing a standardized screening, brief intervention, and referral to treatment (SBIRT) protocol for first-trimester pregnant patients who are seen in the obstetrical department.

Methods: The Tobacco, Alcohol, Prescription Medication, and Other Substance Use (TAPS) screening tool was administered to first-trimester pregnant women, 13-45 years of age, seen in the obstetrical department from …

Screening For Depression Post Acute Coronary Syndrome, Alyssa Graham

Dissertations

Background: Acute coronary syndrome (ACS) and depression have profound impacts on patient outcomes. Patients who experience ACS are at increased risk of developing depression, which is associated with an increased risk of death and recurrent cardiac events. The evidence following ACS events promotes routine depression screening. The purpose of this project was to identify early depression in patients 65-99 years of age who had a recent diagnosis of ACS during their hospitalization.

Methods: This quality improvement (QI) project was a prospective descriptive observational design implementing a depression screening protocol to evaluate post-ACS referrals within 7-14 days of screening from February …

Exploring The Relationship Between Teachers' Religious Identity And Culturally Responsive Pedagogy, Candace M. Kyles

Dissertations

The Separation of Church and State Clause prohibits religious practices in public schools; however, this does not inherently allow for the exploration of how religion/faith influences K-12 education and school dynamics. Administrators’ and teachers’ religious affiliation contributes to their positionality and shapes their moral ethics. To assume that K-12 teachers are not engaging with their faith and allowing it to influence how they view their students, and their teaching practice is naïve and negligent. Additionally, explicitly discussing faith is prohibited and to this end, this restriction can breed ‘unchecked’ unconscious bias. This leads to a lack of training and reflexivity …

An Insider's Perspective To Mentoring Novice Math And Science Teachers In A University Mentoring Program: A Self-Study, Krishna R. Millsapp

Dissertations

Novice teachers benefit from individualized and cohort mentoring to help them successfully navigate student teaching and the first years of independent teaching. However, schools are experiencing a rise in attrition rates post-pandemic, especially in math and science. Mentoring, goal setting, and community-building are deemed important for retaining novices and providing them with individualized support as they navigate instructional challenges and professional responsibilities. This self-study investigates the experiences of a mentor while leading a new Professional Development & Mentoring Program for math and science novices. Educative mentoring and Hegarty’s Reflective framework helped guide the reflections of the mentor as mentoring strategies …

Tensions Between Catholic Identity And Academic Achievement: Roles Of Catholic School Leaders In Southeastern Nigeria, Augustina Ngozi Mbata

Dissertations

Despite the series of documents by the sacred ecumenical council and replete research enumerating the two-dimensional focus of Catholic schools: faith and academics and its collaborative nature, Nigerian (southeast) Catholic primary and secondary schools are continually experiencing activities of disharmony between Catholic identity and students' academic achievements. To better understand the nature of disharmony and its causes from the perspectives of leaders, teachers, and parents, this study examines the major challenges that face the representation and teaching of Catholic identity and the students’ academic achievement in the Catholic schools of southeastern Nigeria. While the purpose is critical to the student’s …

Examining The Adjustment And Coping Trajectories In Healthy Siblings Of Children With Life-Threatening Conditions, Joanne Tay

Dissertations

Siblings of children with life-threatening conditions are often referred to as "forgotten" mourners as focus tends to be on the ill child and parents. With limited knowledge about siblings' experience, it is challenging to provide appropriate supports.

The purpose of this dissertation was to examine and expand current evidence about siblings' experiences to guide research and clinical practice.

Service-Learning's Impact On The Development Of Undergraduate Nursing Students' Soft Skills, Cheryl A. Passel

Dissertations

This mixed-methods study through a constructivist lens, focused the actions, thoughts, and perspectives of undergraduate nursing students who participated in one nursing course with a service-learning component. The four-fold purpose of this study was to answer the following questions: (1) As a teaching strategy, how does one undergraduate nursing course with a service-learning component enhance the development of soft nursing skills? (2) How were empathy and self-awareness evident in the students who participated in this study? (3) What did these students do, say, and feel that gave evidence of any development of soft skills? (4) How did the soft skills …

Exploring Elementary Teachers' Experiences With Technology Coaches, Natasha Adebiyi

Dissertations

The purpose of this qualitative case study was to explore elementary teachers’ perceptions and experiences with technology coaches. The research questions focused on teachers’ interactions with technology coaches, identifying effective coaching strategies, and examining the impact on their technology integration practices. Data were collected through semi-structured in-depth interviews with seven elementary school teachers and the analysis of digital documents, including lesson plans and student artifacts. Key findings reveal that collaboration with technology coaches is beneficial, fostering a supportive environment that enhances teaching practices and promotes effective technology use. The implications of this study suggest that schools should invest in technology …

The Lived Experience Of Faculy Support With Generation Z Pre-Licensure Baccalaureate Nursing Students, Amy Shearer

Dissertations

Baccalaureate nursing education requires a high level of academic performance for both acceptance and completion of the program. Nursing students often identify faculty as a source of support to persevere through this rigorous educational program. In 2013, a new generation of students entered nursing education: Generation Z. It is unclear as to how the unique characteristic of Generation Z will align or differ with Millennial nursing students regarding their need for faculty support. Husserl's descriptive phenomenological method was used to explore pre-licensure baccalaureate Generation Z nursing student experiences of faculty support.

Clinical Nurse Experts' Experience Of Transitioning To The Novice Nurse Educator Role, Crystal Toll

Dissertations

Clinical nurse experts are often recruited into educator roles based solely on clinical expertise. Without support and mentorship, clinical nurse experts struggled with transitioning into the educator role. The purpose of this study was to understand the experience of new nurse educators' transition from a clinical nurse expert to novice nurse educator and to examine the perceptions of supports and barriers. Transitional theory provided the conceptual framework and informed the development of the interview protocol. The research questions focused on the experience of transitioning from expert to novice and on identifying supports and barriers that influenced transition. Using a case …

Nurse Faculty Perceptions Of Role Stress And Faculty-To-Faculty Incivility, Anne K. Kleinhesselink

Dissertations

The purpose of this study was to determine the relationship between nurse faculty perceptions of role stress and faculty-to-faculty incivility using the stressor-emotion model of counterproductive work behaviors. A convenience sample of 79 nurse faculty from 39 undergraduate nursing programs in Iowa responded to an online survey. The survey consisted of two instruments: Workplace Incivility Civility Scale and Role Strain Scale. Findings revealed 76 participants perceived incivility as a problem and identified stress (n = 64) and demanding workloads (n = 54) as contributing factors. Pearson correlation results revealed a positive relationship between experienced incivility and nurse faculty …

Exploring Home Health Nurse Decision Making: Development And Implementation Of The Visit Plan, Elliane Irani

Dissertations

Demand for home health services is increasing due to the growing aging population, increasing rates of chronic conditions, and advances in health care that support the provision of many health-related services in patients' homes. Home health agencies must adapt care delivery procedures to meet the needs of diverse and complex patients in order to keep them in their homes for as long as possible. However, it is unknown how home health nurses decide on visit patterns and implement their visit plans within the dynamic and unpredictable home health setting. This qualitative descriptive study was guided by an adapted nurse decision-making …

Hotspotting In Home Health: The Impact Of Interprofessional Student-Team Home Visits On Health Outcomes Of Super-Utilizers Of The Health Care System, Jennifer T. Alderman

Dissertations

The purpose of this study was to examine the impact of interprofessional student-team home visits on the health outcomes of super-utilizers of the health care system. The cost of health care continues to increase at an unsustainable pace. Innovative educational approaches integrated with existing models of care are an example of a potential strategy aimed at reducing costs and improving outcomes. The model implemented in this study is referred to as hotspotting, an emerging term that describes an intervention during which super-utilizers are the focus of the intervention. Teams of interprofessional health professions students performed home visits on these patients …

Abriendo Caminos: A Case Study Of An Online Bilingüe Msw Program, Celeste Natividad Sanchez

Dissertations

Latine students are underrepresented in social work education. This case study focuses on the Online Bilingual MSW (OBMSW) Program, the first bilingual (Spanish and English) and online MSW program in the mainland United States. The purpose of this study was to explore and have a greater understanding of how the OBMSW program is providing an alternative educational pathway specifically for Latine students. Purposeful sampling was used to identify seven interview participants who have had direct involvement in the creation, design, and/or implementation of the OBMSW program. A document review of program documents was also conducted. Data were analyzed using the …

The Meaning Of Life’S Broken Fragments: A Constructive Theology Of Fragmentation Grounded In Dietrich Bonhoeffer’S Theological Ethics, Meghan Toomey

Dissertations

Understood comprehensively, Dietrich Bonhoeffer’s legacy offers contemporary American Catholicism a contextual approach to theological ethics that can meaningfully inform the development of an ethics of resistance to totalitarian and pseudo-religious forces that dominate U.S. politics today. Unfortunately, Catholic scholarship on Bonhoeffer overall has failed to grasp the full scope of his work and to incorporate his biography and the historical and theological context in which he lived. This dissertation brings Bonhoeffer into dialogue with modern and postmodern American Catholic theological contexts, specifically engaging Bonhoeffer’s concept of analogia relationis, his incarnational Christocentrism, and his embrace of contextual ambiguity. This dissertation is …

Bipoc Counseling And Health Service Psychology Graduate Students’ Experience Of Racism And Sense Of Belonging: A Conditional Mediation Analysis Of Coping And Social Support, Erica Pinney

Dissertations

This study sought to understand the relationship between experiences of racism within academic settings and sense of belonging to the field of Counseling/Health Service Psychology (C/HSP) for BIPOC graduate students. Further, this study sought to understand the potential mediating role of engagement coping in this relationship, as well as the conditional effect of high, neutral, or low perception of race-related social support from faculty/peers. Two-hundred forty-nine BIPOC C/HSP students responded to survey questions measuring frequency of racial/ethnic microaggressions, sense of belonging to C/HSP, engagement styles of coping with racism (Education/Advocacy and Resistance), and perception of availability of racism-related social support …

In Pursuit Of Racial Equity: The Role Of Women Presidents And Senior Leadership Teams In Higher Education, Lisa Castillo Richmond

Dissertations

Colleges and universities are of the place and time in which they exist, reflecting the prevailing racial, income, and wealth inequities across society. As a result, the history of higher education in the United States tells both a story of opportunity and advancement, as well as one of exclusion, separation, and inequality. The expansion of access over time has also been accompanied by racial and socioeconomic stratification by institution type and disparities in college completion rates (Carnevale & Strohl, 2013; Fry, 2013). Today, issues of racial and socioeconomic equity continue to pose significant barriers for students. Additionally, women remain stubbornly …

Experiences Of School Climate Among Sexual Minority Students Of Color, Brandon Westerman

Dissertations

Since the 1980’s educational research regarding sexual minority students has continued to expand. Researchers have found that school climate can have a profound impact on sexual minority students’ outcomes, including their mental health and academic success. However, much of the research on the effects of school climate upon sexual minority students consists of studies that are predominantly composed of White participants, or the researchers do not address other aspects of participant identity. Based on the concept of intersectionality, it is known that an individual’s experiences are shaped by all their identities, not just a singular one. The purpose of this …

Early Childhood Foundations Of Adolescents' Critical Consciousness In Under-Resourced And Minoritized Communities: The Roles Of Prosocial Behavior And Cognitive Self-Regulation In Middle Childhood, Zahra F. Naqi-Hasnain

Dissertations

As Black and Latino teens from under-resourced backgrounds remain vulnerable to oppressive forces, critical consciousness has emerged as a developmental asset that involves understanding, reflecting upon, and acting against inequitable social structures. However, scholars have yet to determine how critical consciousness may fit into a developmental framework, leaving unanswered questions regarding the roots of adolescents’ critical consciousness. By integrating sociopolitical and developmental frameworks, this dissertation empirically examined how early environmental factors and individual competencies set the stage for critical consciousness during adolescence, via prosocial and self-regulatory skills during middle childhood. Longitudinal data were drawn from the Chicago School Readiness Project …