Digital Commons Network^™

The Hustler Award Program, Julia N. Biayi

Dissertations

Problem: Hospitalized adults are at increased risk of falling due to multiple aspects, including but not limited to changes in health status, the environment, pain, weakness, confusion, and prolonged immobility. This project focused on the question: How will the utilization of the Hustler Award Program decrease fall rates in an adult inpatient medical-surgical unit?

Method: A prospective quality improvement pilot study focused on a 24-bed medical-surgical unit in a Midwest, 487-bed metropolitan-based facility.

Results: The results captured are for the evaluation period occurring from September through November 2021. The staff responded to 52-bed exit alarms, which yielded a response rate …

Impact Of Preoperative Psychological Evaluations On Bariatric Surgery Outcomes, Melanie A. Caustrita

Dissertations

Obesity is a major global health challenge affecting 603.7 million adults and is a risk factor for common illnesses such as diabetes mellitus II, chronic kidney disease, cardiovascular disease, gastroesophageal reflux disease, and poorly controlled hypertension. Americans have the highest rate of obesity. Patients with a body mass index (BMI) > 35 with one or more obesity related complications should be considered for bariatric surgery. Forty percent of patients seeking obesity treatment have at least one psychiatric illness with mood and anxiety disorders being the most common. Preoperative screening is recommended to identify patients with psychosocial risk factors that may lead …

Moral Decision Making By Neonatal Intensive Care Nurses, Pamela Sue Chally

Dissertations

The purpose of this research was to gain information about the perspective neonatal intensive care nurses use to make moral decisions. Previous research in nursing has assumed acceptance of Kohlberg's theoretical conception of moral development. This research incorporated more recent development theory to include not only a Kohlbergian justice perspective, but also, the care perspective described by Gilligan.

Research questions included:

(1) To what extent is a care perspective used by registered nurses as they make moral decisions?

(2) To what extent is a justice perspective used by registered nurses as they make moral decisions?

(3) To what extent do …

The Perceived Effect Of A Workplace Education Program On Reducing Needlestick Injuries Among Sophomore And Junior Year, Bachelor Of Science Nursing Students Attending Incarnate Word College, San Antonio, Texas, Barbara Glenn Covington

Dissertations

Needlestick injuries continue to occur at an alarming rate among nursing students and hospital personnel across the United States. The first exposure to these injuries occurs when the individuals are in school learning the needle-handling skills and procedures. Nursing students, faculty, and nursing personnel are the largest group of hospital employees who frequently handle instruments or supplies contaminated with blood and are the most at risk for exposure to bloodborne pathogens. Needlestick and sharps injuries present a higher risk for occupational exposure to HIV. The risk of hepatitis B virus infection is approximately 30% for unvaccinated healthcare workers and higher …

An Investigation On The Impact Of Intestinal Oxygen Availability On Survival And Regulation Of Virulence In Listeria Monocytogenes, Damayanti Chakravarty

Dissertations

The deadly foodborne pathogen Listeria monocytogenes is a gram positive facultative anaerobic bacterium. It is the third leading cause of death from food-borne illnesses. Once ingested, it encounters various stressors in the gastrointestinal (GI) tract, including acidic pH, bile, and alterations in oxygen availability. Various studies have been done regarding the pathogen’s survival mechanism against acid and bile. Since the lower parts of the GI tract are anaerobic, it is imperative to investigate how physiologically relevant anaerobic conditions impact L. monocytogenes’s survival. Transcriptomic analysis of L. monocytogenes under conditions mimicking the GI tract was performed. A large number of genes …

Implementation Of The Bedside Mobility Assessment Tool In The Ambulatory Care Setting, Racquel Hermosura Ballinger

Dissertations

Falls remain a concern for healthcare organizations nationally. Fall rates at the site remained a concern, so an evidence-based approach was sought. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of Boynton's Bedside Mobility Assessment Tool (BMAT) used in conjunction with current fall practices would impact fall rates among patients 65 years and older undergoing a colonoscopy. The project was implemented in an ambulatory care setting in Southern California over four weeks. Sister Callista Roy's middle-range nursing theory, the adaptation model, and Neuman's systems theory were the scientific underpinnings of the project. Data …

Perceived Readiness For Practice Of Senior Baccalaureate Nursing Students, Janet Kay Reagor

Dissertations

Nursing education is designed to assist students to become beginning practitioners and clinical experiences are essential to this process. As competition for clinical sites increases, educators need to establish best practices of clinical experiences. This mixed method study examined the psychometric properties of a readiness for practice tool, and explored the effects of a clinical internship experience on the perception of readiness for practice of 483 senior baccalaureate nursing students in Kansas and Missouri. Matched results from data collected twice during the semester confirmed that the clinical internship experience increased perception of readiness for practice, with the most benefit coming …

From Empathy To Social Empathy: A Journey In A Diversity, Equity, And Inclusion Workplace Graduate Certificate, Francesca Ferrari, Lisa M. Woodrum

Dissertations

This study aimed to explore and understand the impact of the Graduate Certificate in Workplace Diversity, Equity, and Inclusion (DEI Graduate Certificate) on master’s and doctoral students’ social empathy (SE) development. The participants in this certificate engaged in several online activities that increased their knowledge of microaggressions, privilege, and unconscious bias while building their social empathy. This certificate provided various tools and skills to its participants so that they might value diversity, look at the world from another’s perspective, and start a dialogue to promote social change. This case study involved 19 participants. To answer our research questions, we used …

The Impact Of Hospital Nursing Resources On Postsurgical Outcomes For Patients With Opioid Use Disorder, Rachel E. French

Dissertations

Opioid use disorder (OUD) is common, with the rate of opioid-related hospitalizations doubling from 2006 to 2016. Surgical patients with OUD are at significantly higher risk of prolonged length of stay, in-hospital mortality, and readmission. Postoperative care for patients with OUD is particularly challenging for nurses whose responsibilities include pain and withdrawal management, care team coordination, patient assessment, and patient teaching. A large body of evidence suggests better outcomes for surgical patients when they are cared for in hospitals with strong nursing resources. This study sought to determine whether variations in nursing resources (i.e., education, staffing, and work environment) were …

Mental Health Stigma And Law Enforcement Officers, Moses Park

Dissertations

Purpose: The purpose of this phenomenological research was to describe the perception of law enforcement officers (LEOs) about the stigmatizing behavior they experienced from fellow officers in their organization, after they sought mental health services, following a traumatic event they were involved in.

Methodology: The methodology for this research study will be qualitative from a phenomenological perspective. Data was collected via semi-structured interviews with a purposive sample of 12 active and retired LEOs who served in southern California.

Findings: After the analysis, seven major findings were yielded. The major findings of the study are: (a) Within the law enforcement …

Music As A Form Of Therapy In The K-4 Special Education Classroom: A Phenomenological Study, Roger Hattaway

Dissertations

Purpose: The purpose of this phenomenological study was to identify and describe the perceptions of elementary K-4th grade teachers on the effects of music therapy as it pertains to academics and behavioral incidents in the special education classroom (Gooding, 2010).

Methodology: This qualitative study used a phenomenological design to ascertain the perception of the teachers on the impact of music therapy regarding academics of students in the K-4 grade special education classroom. The data were collected using the descriptive narrative to ascertain the perception of the changes in academics and behavior gathered from the interview questions.

Findings: Analysis of the …

Leading For Excellence, Erin Riley

Dissertations

Purpose: The purpose of this mixed methods study is to determine the degree of importance for the 12 step principles of leadership proposed by Harvey, Drolet, and DeVore (2014) to create a K-12 school environment that fosters high student achievement as perceived by public middle school principals. A secondary purpose is to explore and describe the leadership strategies for implementing the 12 step principles of leadership proposed by Harvey, Drolet, and DeVore (2014) to create a K-12 school environment that fosters high student achievement as perceived by public middle school principals.

Methodology: This explanatory mixed-methods study was completed to examine …

Learning To Fly: The Impact Of Project-Based Learning On Development Of The 4cs In The Elementary Grades, Deborah Francois

Dissertations

Purpose: The purpose of this qualitative phenomenological study was to investigate the impact of project-based learning on K-5 students’ development of the 4Cs (Critical Thinking, Communication, Creativity, Collaboration) as perceived by elementary charter school teachers.

Methodology: A phenomenological design was selected to address the research questions for this study. Through purposeful sampling, 12 charter elementary teachers who met a pre-determined set of criteria (including the routine integration of project-based learning within their instructional programs) were selected to participate in virtual, semi-structured interviews. All teachers were employed by charter schools located in six counties within California. The interviews were conducted using …

Exemplary Latino School District Superintendents’ Use Of Emotional Intelligence As They Lead Their Organizations, Ivan Chaidez

Dissertations

Purpose: The purpose of this qualitative multicase study was to describe the emotional intelligence strategies that exemplary Latino school district superintendents use as they respond to leadership challenges in their school organizations based on Goleman’s (1995) four domains of emotional intelligence (self-awareness, self-management, social awareness, and relationship management). A secondary purpose of the study was for exemplary Latino superintendents to explain how their use of emotional intelligence strategies supported their success and tenure as they responded to leadership challenges in their school organizations.

Methodology: This multicase study was conducted through interviews of five exemplary Latino public school district superintendents in …

School Administrator Preparation In Special Education: A Cross-Case Analysis, Emily Ruiz

Dissertations

Special education has been part of public education for 46 years and has evolved considerably in that time. Despite improvements made in special education law, there remains a disconnect between law and current practices. Several studies suggest this disconnect is associated with administrators’ insufficient preparation for supporting special education in their schools.

This study utilized an explanatory sequential design to study Southern California school principals’ special education preparation. During the first phase of the study, the researcher emailed surveys to administrators who were selected using a stratified random sampling strategy. Unfortunately, the response rate was too low to employ the …

A Study Of The Challenges Faced By Students Who Identify As Refugees Who Have Experienced Interrupted Education And Trauma, Merdin Mohammed

Dissertations

Every year, more than 65 million people are displaced worldwide. These refugees, asylum seekers, and internally displaced people flee conflict, poverty, environmental degradation, and other conditions forcing them from their homes. In 2020, the number of individuals internally displaced reached 82.4 million; of this total, 26.4 million were refugees. In 2021, of the 11,411 refugees resettled in the United States, 8.6% resettled in California. When refugee students come to San Diego, the majority resettle in the neighborhoods of City Heights and El Cajon. These refugee children have lived on the road or in refugee camps, faced consistent interruptions to a …

Executive Peer Advisory Groups: Who They Are? What Are Their Benefits? Why Do Members Join And Stay?, Andrew Feghali

Dissertations

Executive peer advisory groups (EPAGs) are exclusive organizations in which chief executive officers (CEOs) and presidents of businesses can problem solve business challenges, discuss business strategies, share best practices, and solve critical growth and performance issues. Executive peer advisory groups are based on the premise that the collective experience and resources of peer groups empower like-minded executives to solve challenges more effectively and more rapidly than they could do on their own. A key component of EPAGs is the forum, in which six to 16 members meet, typically monthly, in small-group sessions to function as each other’s personal advisory boards. …

Examining The Cross-Cultural Competence Of United States Christian Missionaries Engaged In Developing Indigenous Leaders: A Mixed Methods Study, Craig W. Goodman

Dissertations

For the past two millennia, missionaries have crossed from one culture to another to bring the Christian message to all cultures of the world. Questions about the effectiveness of these mission efforts have been asked and researched by many; however, one key question remains unanswered: what personal attributes help a person to be more competent at crossing cultures as they interact with people from other cultures? Although cross-cultural competence has been studied in a variety of fields over the past 50 years, the models and assessments used have never been applied to Christian missionaries.

To address this deficiency, this parallel …

Understanding Food Waste Behavior And Ways To Influence Positive Change And Waste Reduction, David Hubinger

Dissertations

Environmental problems such as pollution, climate change, and food waste can be influenced by social attitudes and human behavior. Solutions to address environmental problems involve a series of actions by society and individuals, which can prove difficult to implement because changes induced by pro-environmental behavior often cannot be seen immediately by individuals or may not generate appreciable, direct benefits. The purposes of the quantitative correlational study are threefold: first, examine environmental attitudes, subjective norms, perceived behavioral control, and overall behavioral intent to reduce household consumer food waste among a sample of consumers; second, to examine the extent to which select …

Black Beyond Measure: An Antideficit Exploration Of Cultural Capital Within A National Society Of Black Engineers (Nsbe) Chapter At A Predominantly White Institution (Pwi), Rhonda Harley

Dissertations

Historically, Black students have been excluded from Predominately White institutions (PWI) longer than welcomed to attend and matriculate (Harper et al., 2009). Due to this lack of inclusion, African American students' educational experiences often center on academic disparities, inequality of opportunity, and under-preparedness in career planning within the American education system. While there has been a fair amount of research on the lack of representation of Black students in the engineering disciplines, the heavy focus on quantitative data offers little insight into the unique ways students succeed and overcome institutional and systemic barriers in pursuit of their degree. Undergraduate experiences, …

Improving The Retention Of United States (U.S.) Government Science, Technology, Engineering, And Mathematics (Stem) Employees, Jeffrey Myers

Dissertations

The U.S. government workforce has been consistently shrinking since a peak in the 1990s. At the same time, the need for technologically-savvy government workers has dramatically risen in this same period. This divergence in the demand for science, technology, engineering, and mathematics (STEM) employees challenges government leaders to retain these highly demanded workers in the public sector.

Decades of psychological research across many industries has investigated what motivates workers and how best to incentivize them to increase productivity. Maslow and Herzberg, among others, theorized that adult workers have both intrinsic and extrinsic needs that drive their behaviors and resultant productivity. …

Helmets Off: An Exploratory Investigation Into The Philanthropic Activity Of Black Nfl Players, Eugena Anderson

Dissertations

The term philanthropist typically conjures up images of older, wealthy White males. When taking account of a more diverse population, the term generosity provides a more inclusive framework to understanding the experiences of those marginalized from the study and practice of philanthropy. Using an interpretative phenomenological analysis (IPA) approach, this qualitative investigation explored one of several groups of individuals engaging in acts of generosity and brought the Black athlete experience into academic and philanthropic conversations. This research provided knowledge from real-life experiences of current and former Black NFL Players (BNPs) to inform various stakeholders who seek to support their activities. …

Gatekeeping Experiences Latina Superintendents Encountered As They Attained Their Superintendent Position, Julie Corona

Dissertations

Purpose: The purpose of this qualitative multicase study was to describe the career path progression and the gatekeeping experiences as Latinas advanced to a superintendent position. The second purpose of this study was to describe the gatekeeping experiences of Latina superintendents’ application and interview process of their superintendency. Additionally, this study described Latina superintendents’ gatekeeping experiences of gender and ethnicity. Last, this study examined the strategies that Latina superintendents used as they ascended to their superintendent positions. Methodology: This phenomenological multicase study was conducted through interviews of five Latina superintendents of California public schools. The researcher selected a qualitative method …

Effectiveness Of Fall Prevention Multimedia Program On Patient Awareness, Self-Efficacy, And Engagement, Perlita C. Cerilo

Dissertations

Hospitalized adults are at high risk of falls during their acute episode of care making fall prevention programs a critical element of care. Patient self-efficacy and engagement in fall-prevention activities are important aspects of fall-prevention programs. Education may play an important role in increasing self-efficacy and the likelihood of engagement; however, a gap in evidence explores the effect of patient education on self-efficacy and engagement among hospitalized older adults in preventing falls. This quasi-experimental study examined the effect of a multimedia program on hospitalized adults' levels of fall risk awareness, self-efficacy, and engagement in fall prevention. Sixty hospitalized adults in …

Breaking Boundaries: Investigating The Experiences Of Racially Diverse Low Socioeconomic Status Students Through A Narrative Inquiry Approach, Ryan Jumamil

Dissertations

Across the US, there is growing inequality of class distribution in predominately white and elite colleges and universities. Although gaining access to these institutions is typically the first hurdle, it is not the only challenge racially diverse low socioeconomic status (SES) students face. By investigating the college experiences of racially diverse low SES students enrolled in a predominately white elite institution, this study creates the foundation for an imperative discussion on the relationship between students' identity and attendance at predominately white elite institutions.

Through a Narrative Inquiry research approach and using semi-structured interviews as a data collection tool, two themes …

Exploring Multilevel Factors Influencing Quality Of Life In Young Adult Cancer Survivors: A Mixed Methods Study, Lauren V. Ghazal

Dissertations

The purpose of this dissertation was to explore the relationship of WRGs and QOL in YA hematologic cancer survivors with a focus on factors influencing QOL at the individual level, and work-related factors at the microsystem and mesosystem levels. Specific aims of this study were to: 1) describe the relationships between patient-reported individual characteristics (distress, anxiety and depressive symptoms, cognitive function, CRF, and financial health), work-related characteristics in the microsystem (job control, workplace support, psychological job demands, physical job demands, and job security) and QOL; 2) Explore symptom experiences, WRGs, work ability, self-identity, and perceived psychosocial needs; and 3) Examine …

Civilian Disaster Healthcare Response Systems: An Exploratory Study Using The E-Delphi Technique, Jonathan A. Wilson

Dissertations

Civilian disaster healthcare response systems are utilized in the United States (U.S.) during large-scale emergencies and disasters that negatively impact the healthcare delivery system of a community. The composition, design, deployment and effectiveness of these systems vary greatly across the nation. These systems are multidimensional and lack a consistent definition or collection of defining characteristics for effective use in modern healthcare. This study identified the operational characteristics of effective civilian disaster healthcare response systems in the U.S. The study incorporated the use of the e-Delphi technique to engage experts in the field of disaster response to determine consensus items that …

Reaching For The Stars: A Constructivist Investigation Of Astrology As A Tool For Self-Discovery In A New Age Of Leadership, Cameron Martin

Dissertations

To fully understand leadership in today’s world, we need a radical reconceptualization of the developmental process required to lead. Changing paradigms demands new perspectives on leadership; these new paradigms suggest leaders must turn inward and develop knowledge of their inner selves to realize their full potential as leaders.

Astrology is an ancient way of knowing and making sense of the world and one’s place in it that provides benefits to many people in our modern world, despite fervent academic, religious, and scientific criticism. Astrology is more than a divination tool. It is an entire epistemology of self in relation to …

Gun Control Laws And Policies Reported Influence On The Attitudes Of Faculty At Mississippi Universities, David Besancon

Dissertations

The concealed carrying of firearms is a polarizing subject. In general, the political left would like to see more restrictive gun laws, whereas the political right would like to see less restrictive guns laws. Research of this also seems politically biased. While one researcher will use data that show violent crime increases with more restrictive gun laws, another researcher will use logic to dictate that less guns means less violence. University campuses are generally considered a liberal environment. However, Mississippi has been one of the two most conservative states since the 1930s. This research examines the attitudes of faculty at …

Understanding Families'/Surrogate Decision Makers' Experience Of Decision Making For Critically Ill Patients In Saudi Arabia, Omaimah A. Qadhi

Dissertations

Critical illness not only affects patients, but also may negatively impact the families and people who are responsible to make decisions for those patients. Making decision can be challenging for people when it is for someone else who is critically ill. This study explores the decision-making experience for family or a surrogate decision maker for critically ill patients in Saudi Arabia. This project also tested the presence or absence of regret after making serious decisions about a medical treatment for another individual. Goal Attainment Theory was used to guide this study. The concepts of the Interpersonal Interacting Systems were used …