Digital Commons Network^™

White Voters And Minority Animus In The Era Of Trump, Zachary Schwartz

Dissertations

Overt and blatant racism of the type that was once used to justify Jim Crow laws and other forms of de facto segregation against Blacks has largely been forced into the margins of society. However, the reduction of overt racism that casts whites as biologically superior to Blacks can be easily confused with a reduction of racism in totality. The election and continued popularity of Donald Trump demonstrates that the conversation on race in the United States needs much more analysis. On multiple occasions during his campaign and presidency, Trump made inflammatory remarks on race and immigration, and yet suffered …

Equitable Obstetrical Care For The Lesbian, Gay, Bisexual, And Transgender Community, Chinazo E. Echezona-Johnson

Dissertations

Research has indicated that Lesbian, Gay, Bisexual and Transgender (LGBT) patients are not always satisfied with their health-care experiences due to the limited training received by the nursing professionals caring for them. The purpose of this study, using critical-theory principles, was to examine how the LGBT population was represented and portrayed in mainstream obstetrical-nursing courses, curricula, textbook, and syllabi. The guiding research question was based on the exploration of how nursing schools in a metropolitan city incorporate LGBT health-care topics in their obstetrical-nursing education. A qualitative, intrinsic case study research method was employed. A purposeful, criterion sample of faculty at …

Understanding Exposure To Pharmacogenetically Actionable Opioids In Primary Care, Mitchell R. Knisely

Dissertations

Pharmacogenetic testing has the potential to improve pain management through addressing wide interindividual variations in responses to pharmacogenetically actionable opioids, ultimately decreasing costly adverse drug effects and improving responses to these medications. A recent review of pharmacogenomics in the nursing literature highlighted the need for nurses to more fully embrace the burgeoning field of pharmacogenomics in nursing research, clinical practice, and education. Despite the promise of pharmacogenetic testing, significant challenges exist for evaluating outcomes related to its implementation, including oversimplification of medication exposure, the complexity of patients' clinical profiles, and the characteristics of healthcare contexts in which medications are prescribed. …

Emotional Intelligence Levels In Baccalaureate-Prepared Early Career Registered Nurses, Glenda Schooler Reemts

Dissertations

The increasing complexity of the healthcare environment calls for increasing emotional intelligence (EI) competence in nurses so as to establish effective relationships that facilitate positive patient outcomes. Because nurses need to be competent in EI, it is important to determine if professional nursing programs prepare graduates in emotional intelligence and whether years of professional experience contribute to development of emotional intelligence.

This study assessed the emotional intelligence competence of 164 baccalaureate nursing alumni who graduated during the years 2007-2010 from three Benedictine institutions in the Midwest to see if there was growth of EI with experience as a registered nurse, …

Experiencing Narrative Pedagogy: Conversations With Nurse Educators, Ruth A. Stoltzfus

Dissertations

The increasingly complex nature of health care requires nursing graduates, upon completion of their formal education, to be fully capable of providing safe and competent patient care. Accrediting bodies for schools of nursing have challenged nursing education to develop and implement innovative, research-based pedagogies that engage students in learning. Narrative Pedagogy is an innovative approach to teaching and learning developed by Nancy Diekelmann after many years of researching nursing education using Heideggerian hermeneutic phenomenology.

The Impact Of Target Audit Quality On The Likelihood Of Future Goodwill Impairment, Elizabeth Boyle

Dissertations

US Generally Accepted Accounting Principles (GAAP) require that in an acquisition, the purchaser must record a premium when the purchase price exceeds the fair value of the target’s identifiable net assets (both tangible and intangible). This premium lives on the balance sheet as an intangible asset called goodwill. Goodwill has an indefinite life, but over time it may become impaired due to overpayment of the original acquisition, unrealized synergies, changes in the business, legal issues, etc., and as a result, require a write-down. This impairment not only impacts the acquirer’s balance sheet but can also impact the market value of …

Plus 50 Students And Their Experiences With Technology In Undergraduate Classes, Jamillah L. Boyd, Nykea T. Watts-Edwards

Dissertations

As adult learners over 50 continue to pursue higher education, postsecondary institutions should have resources and services available to support this demographic. Previous research often combines Plus 50 students with all nontraditional students 24 years and older, making it difficult to understand the unique needs and learning experiences of older adult students in the academic environment. The use of technology for curriculum has increased significantly over the years and may present challenges for Plus 50 learners as they are introduced to it and learn to navigate it. The purpose of this study was to explore the experiences of Plus 50 …

Teacher Efficacy, Burnout, And Retention: An Examination Of Instructional Coaching And The Implications As Measured By The Maslach Burnout Inventory, Patricia Jeanette Rodriguez

Dissertations

Instructional coaching is implemented by school districts for the professional development of staff (Knight, 2007). The purpose of this quantitative study was to gain information regarding the effectiveness of an instructional coaching program to limit teacher burnout and increase teacher retention. Non-tenured teachers from two rural school districts were surveyed using the Maslach Burnout Inventory to determine levels of burnout in teachers who participated in an instructional coaching program versus teachers in a school district that did not offer instructional coaching. Retention data gathered from district administrators were analyzed to determine how instructional coaching impacts teacher retention. A purposive sample …

Expanding Boards: A Study Of The Experience Of Former National Student Nurses' Association Board Of Directors Members From 2010-2020, Kenya D. Williams

Dissertations

This qualitative study was designed to examine how student nurses experience and understand their role as National Student Nurses' Association (NSNA) Board of Directors members and how that experience shapes their career trajectories as registered nurses (RNs). More specifically, this study's research objectives were to describe and discuss (a) the professional culture and value of board governance education to the nursing profession, and (b) the importance of board governance education for nursing curriculums. Seventeen nurses who served in different capacities as NSNA Board of Directors while they were student nurses were interviewed individually regarding their experience. NVIVO qualitative data analysis …

The Predictors Of Cultural Competence In The Baccalaureate Degree Nursing Curriculum: Implications For Nursing Education, Angela E. Silvestri-Elmore

Dissertations

Health care providers are members of a helping profession and need to provide quality care to all members of society. As a result of current and projected demographic changes within the United States (U.S.), health care professionals are faced with the challenges of providing culturally competent care and fulfilling the role as the ";helping profession."; From 2000 to 2010, the Asian population increased by 43.3%, the Hispanic population grew by 43%, the Native Hawaiian and other Pacific Islander population increased by 35.4%, the American Indian or Alaskan Native population increased by 18.4%, and the African American population increased by 12.3%. …

The Lived Professional Experiences And Potential Impact Of Generation Z Registered Nurses, Sarah E. Abalos

Dissertations

The profession of nursing is evolving as a result of the changes in the characteristics of practicing nurses. There are currently five generations of nurses in practice: Silent Generation, Baby Boomer, Generation X, Generation Y, and Generation Z. Each generation of nurses possess unique characteristics as a result of the time frame in which they were born and matured, and their differing worldviews are influencing how they view and practice nursing. Although there is a significant amount of research documenting how the different generations of nurses have influenced the profession, Generation Z has yet to be studied over time because …

A Comparison Of First And Continuing-Generation Student Success And Engagement In An Online General Education English Course, Maya Scruggs Hicks, Tchule S. Moore

Dissertations

Online learning has become a significant part of the strategic plan to increase enrollment and college access (Crawley, 2012). Allen & Seaman (2013) noted that more than 65% of U.S. higher education institutions believe that online education is necessary to sustain and continue progress toward their strategic planning goals to increase enrollment. The purpose of this convergent mixed-methods study was to examine the difference between first-generation and continuing-generation undergraduate student engagement and success in a 100% online Jr. Level English course at a university located in the Midwest region. The researchers conducted independent samples (two-tailed) t-tests, one-way ANOVA, and one-way …

Reducing No-Show Appointments In The Outpatient Rheumatology Setting: A Quality Improvement Project, Callie Soltero

Dissertations

Introduction: Missed appointments, or no-show appointments, can be detrimental to the patient and office alike in the outpatient setting. No-show appointments decrease patient satisfaction, increase acute episodic visits, and decrease office revenue.

Method: This project aims to reduce no-show appointments by two percent in an outpatient rheumatology office through utilizing an existing phone call reminder system and implementing a text message reminder system.

Results: After the implementation of the text messaging reminder system, contrary to the project's aim of decreasing no-show appointments by two percent, no-show appointments were decreased by 1.1%.

Conclusion: The findings of this quality improvement project show …

Resuscitation Quality Improvement Mortality Rates, Jordan Priest

Dissertations

This paper explores and answers the question: What is the impact of Resuscitation Quality Improvement on survival at discharge rates after suffering an IHCA when compared to every two-year BLS/ACLS training? Articles are explored that identify positive patients’ outcomes when resuscitation training is repetitively learned. The design consists of a BLS/ACLS and RQI evaluation of quarterly survival to discharge rates prior to the initiation of the new RQI program and after the initiation of the new RQI program. The setting of the study is the east region of a midwestern faith-based health care system, that includes four hospitals in one …

The Lived Experience Of Students As English Language Learners In The Nursing Classroom: A Critical Hermeneutic Inquiry, Joann Mulready-Shick

Dissertations

This qualitative study explored the lived experiences of students as English language learners in the nursing classroom. The study is a direct response to the under-representation of students from linguistically diverse backgrounds in nursing education, the call for greater diversity in the nursing workforce and profession, and the issue of ever-increasing numbers of students entering college as English language learners. Employing interpretive phenomenological methodology, participants engaged, in open-ended, hermeneutic interviews which yielded new understandings of everyday concerns that impact their academic success. A critical theoretical framework applied during data analysis exposed power structures impacting student experience across language, culture, classroom …

The Impact Of Advisory Programs On Student Achievement, Attendance, And Behavior, Joshua Colby Flora

Dissertations

The impact of advisory programs on student achievement, attendance, and behavior was explored in this study. The study was conducted to contribute to existing research and to gain insight as to whether or not advisory programs promote positive academic outcomes in schools. Four schools with advisory programs and four schools with academic homerooms participated in the study. Each school provided student achievement, attendance, and behavior data from the 2015‒2016, 2016‒2017, 2017‒2018, and 2018‒ 2019 school years. In addition, advisory teachers responded to a survey regarding outcomes of advisory and their perceptions of advisory programs. The data were analyzed using an …

Patient Decision-Making Regarding Life-Sustaining Treatment For End-Stage Renal Disease, Mary Lucia Feild

Dissertations

Despite growing involvement of patients in treatment decisions for serious illness, little is yet known about the actual process that they use to make such choices. Most decision research has relied on hypothetical decision situations under controlled laboratory conditions to test deductively derived theories. The purpose of this study was to generate a substantive theory that describes the patient decision making process for treatment of End-Stage Renal Disease, a condition that leads to death without dialysis or transplantation.

The study employed a qualitative, longitudinal design using grounded theory methodology. Sixteen persons with declining renal function consented to a total of …

A Quantitative Exploration Of Strategies To Reduce Fatigue Among Nurses, Karen R. Cochran

Dissertations

The work environment of nurses places them at high risk of fatigue. The literature suggests a high prevalence of fatigue exists among nurses. Fatigue leads to reduced cognitive and physical abilities increasing the risk for personal injury and patient care errors. Nurse fatigue should be mitigated in an effort to improve safety and quality in healthcare organizations. The purpose of this study was to describe nurses' self- perceptions of fatigue and to examine nurses' willingness to engage in specific fatigue countermeasures within the workplace. Data were collected through an anonymous Qualtrics survey. A sample of 279 nurses completed the survey. …

Effect Of Implementation Of Simulation On Critical Thinking Skills In Undergraduate Baccalaureate Nursing Students, Joanne M. Knoesel

Dissertations

The purpose of this quasi-experimental study was to evaluate the effect of simulation implementation on nursing students' critical thinking skills, as measured by Health Education Systems Incorporated (HESI) exit exam critical thinking sub-scores from cohorts of baccalaureate nursing graduates, in an undergraduate nursing education program. Benner's (1984), model From Novice to Expert, provides a theoretical framework for identifying knowledge acquisition and level of clinical expertise based on skill competency, knowledge, and experience, and underpins this study.

Forecasting Demand For Optimal Inventory With Long Lead Times: An Automotive Aftermarket Case Study, Chris Anderson

Dissertations

Accuracy in predicting customer demand is essential to building an economic inventory policy under periodic review, long lead-time, and a target fill rate. This study uses inventory and customer service level as a stock control metric to evaluate the forecast accuracy of different simple to more complex predictive analytical techniques. We show how traditional forecast error measures are inappropriate for inventory control, despite their consistent usage in many studies, by evaluating demand forecast performance dynamically with customer service level as a stock control metric that includes inventory holdings costs, stock out costs, and fill rate service levels. A second contribution …

Guided Online Coaching For Teachers Of Emergent Bilinguals In A Tesol Practicum Course During Covid-19, Dawn Thieman

Dissertations

Guided online coaching for teachers of emergent bilinguals (EBLs) is a job-embedded professional development model established from the educational policies and practices described in the No Child Left Behind Act and Every Student Succeeds Act. Having effective teachers who ensure an equitable, creative, and linguistically and culturally relevant education for all EBLs is of paramount importance in the ever-changing demography of schools in the United States. The guided online coaching for teachers of EBLs offers a collaborative, facilitative, dialogic, and reflective coaching process for positively influencing teacher transformation, thus providing a creative language teaching pedagogy for EBLs. The purpose of …

New Methods For The Synthesis, Activation, And Application Of Thioglycosides, Samira Escopy

Dissertations

From their ubiquitous presence in Nature to their vital roles in biology and medicine, carbohydrates (sugars or glycans) are essential molecules of life, which are made and/or utilized by every living organism. Our cells are coated with sugars that are involved in almost every biological process and defensive mechanism in our body. To mention some of their crucial biological functions, carbohydrates are essential source of energy, they participate in blood coagulation, immune defense, cell growth, cell-cell interaction, and anti-inflammatory processes. Understanding of glycan functions and structure is crucial for the development of vaccines and therapeutics. Producing complex carbohydrates in sufficient …

Standardized Screening For Peripheral Artery Disease In Primary Setting, Tamara Tomlin

Dissertations

Problem: Peripheral artery disease (PAD) affects eight million Americans and is the third leading cause of death in the U.S. in people 60-85 years of age. Veterans are at a 45% greater risk to develop PAD than non-veterans. Left untreated, PAD can progress to hospitalization for revascularization, amputation, or death. The American Heart Association (AHA) recommends using a standardized screening tool for the diagnosis of PAD; however, a lack of standardized screening is problematic in veterans receiving proper intervention.

Methods: This quality improvement (QI) project utilized a descriptive, observational design. The American Heart Association (AHA) screening tool was administered by …

Heterosexual Parents Who Move Toward Acceptance Of Their Gay Sons, Brady Sullivan

Dissertations

Rejection of gay men by parents is a frequent occurrence. Rhoades et al. (2018) found 49% of a sample of 657 sexual minority children had experienced parental rejection due to their LGBTQ+ identity. However, the current body of literature does not discuss those heterosexual parents who initially reject their sexual minority children and then return to a place of acceptance. Within the framework of attachment theory, this dissertation used a basic qualitative approach, influenced by Grounded Theory methods, to investigate the experience of heterosexual parents who move toward acceptance of their gay son. Fifteen, white, heterosexual parents, ranging from ages …

Transactional And Transformational Leadership Styles Of Chief And Associated Chief Nurses In Department Of Veterans' Affairs Medical Centers: A Descriptive Study, Terry Walsh Gottlieb

Dissertations

This study described the self reported leadership styles of the Chief (CNS) and Associate Chief Nurses (ACNS) and the perceptions of their leadership characteristics by their immediate management subordinates. The Multifactor Leadership Questionnaire (Bass, 1985) was used to measure the leadership styles. Relationships among transactional/transformational leadership styles and the self reported job satisfaction, effectiveness, and extra effort of subordinates were also analyzed.

The Wellness In Senior Housing (W.I.S.H.) Project: Its Impact On Perceived Health Status Of Older Adults Residing In A Government Subsidized Housing Community, Robert A. Wade Koch

Dissertations

The purpose of this longitudinal study was to examine the effectiveness of a health promotion program in a federally funded senior housing facility. The researcher explored the differences in perceived health status in older adults that had high or low attendance levels at various health promotion activities over time (6 months and 18 months). The health promotion activities in this investigation included: (1) exercise/movement, (2) social/supportive, and (3) screening/teaching. The study analyzed whether specific health promotion interventions produced optimum perceived health status, and if the presence of specific health conditions (arthritis, hypertension, visual disturbances, and fall incidents) predicted attendance to …

Designed For The Camera: Irish Interior Makeover Television 1996–2014, Neville Knott

Dissertations

This thesis examines how television makeover programmes, broadcast in Ireland between 1996 and 2014, mediate the professional practice of interior design. It argues that the programme-makers, in seeking to engage viewers, used a series of strategies—notably the suppression of professional and educational knowledge about interior design—to convey an image of staged coherence that was arrived at unproblematically. In that process, it will be argued, interior design knowledge got lost, and entertainment triumphed. Focusing on these strategies, the thesis considers how the production process used interior design, nonetheless, to attract an audience and generate ratings, focusing on the relationship between amateurs …

Teacher Leadership In The Context Of Chinese Education, Chudi Zhou, Qian Yang, Ying Dong, Xiaoying Wang

Dissertations

In response to addressing the increasing requirements to enhance the competencies of students and teachers, as well as the quality of schools in the global environment, the need for fostering teacher leadership has been proposed by many scholars and practitioners. School context is regarded as an important influence on the successful development of teacher leadership. While many studies related to teacher leadership have been reported in Western countries, a limited number of studies have been reported within the Chinese educational context. We also observed that among the limited studies, there was a lack of empirical research on how schools provide …

Professors’ Perceptions Of Academic Entitlement And Student Consumerism, Charles Kelley

Dissertations

This study was designed to solicit data from higher education professors concerning academic entitlement and student consumerism to contribute to existing research. Previous research concerning these two topics focused on students and the students’ responses. A mixed-methods strategy was utilized to discover professors’ experiences and perceptions with the topics of academic entitlement and or student consumerism. Charmaz’s (2014) constructivist interpretation of Glaser and Strauss’ grounded theory (2017) served as the theoretical framework for this research study. An exploratory sequential design was utilized, beginning with open-ended qualitative interviews. The data mined from the qualitative interviews in conjunction with the three research …

Physical And Emotional Health Among Caregivers Of Heart Failure Patients, Suzanne D. Chubinski

Dissertations

Caregiving has been associated with negative psychological and physical consequences for years (Molloy, Johnston, & Witham, 2005). Some research indicates that caregivers with higher perceived control may experience fewer negative consequences of caregiving (Wallhagen, 1993). Little is known about caregivers of heart failure patients.

The primary purpose of this study was to test a conceptual model of caregiver outcomes among caregivers of heart failure patients. Testing of the model determined which of the demographic and biological factors of the caregiver (age, gender, anxiety, depressive symptoms, and comorbidity), the patient (NYHA class), caregiver burden (task time and task difficulty), and perceived …