Digital Commons Network^™

Use Of Strategies For The Relief Of Symptoms Of Insomnia, Marianne Homsey

Dissertations

Insomnia is a condition that leads to health problems and raises health care costs. The purposes of this Web-based, quantitative, descriptive, correlational study were to identify frequency of use and success of strategies to alleviate sleep problems, to determine if there is a relationship among strategies chosen, and to examine any patterns that emerged based on these preferences.

Help For Osteoarthritis Pain In African American Elders (Hope): Patterns, Predictors, And Preferences Of Osteoarthritis And Chronic Joint Pain Self-Management, Staja Quinae Booker

Dissertations

Chronic joint (CJ) pain is the foremost osteoarthritis (OA) symptom that affects older African Americans' (AAs) functional ability. Every effort should be made to reduce the development of high-impact chronic pain. One way to effectively do this is for older AAs to consistently engage in self-management utilizing the recommended OA treatments. Recommended behaviors include land-based exercise, water-based exercise, strength (muscle and endurance) training and stretching, self-management education, analgesic medications, thermal (warm/cool) modalities, and use of assistive and/or orthotic devices. However, evidence suggests these core behaviors of chronic pain self-management are not optimally utilized in older AAs.

The Relationship Between Nurse Staffing, Nursing Time, And Adverse Events In An Acute Care Hospital, Robyn B. Cheung

Dissertations

Studies have shown that nurse-staffing patterns affect patient safety, but it is not known how staffing patterns affect time spent in direct and indirect care. This study explores the relationships between nurse staffing, registered nurse (RN) time spent in direct and indirect care, and the occurrence of adverse events on 5 inpatient units in an acute care hospital. Time spent in direct and indirect care was determined by examining patterns of electronically recorded data that captured, via locator badges, continuous intervals of time. Electronic data were captured using the Hill-Rom COMposer® nurse locator system.

Collaborative Online Education: A Case Study Of An Ed.D. Program, Han Rong, Yang Zhang, Rongjing Cao, Jinge Xu

Dissertations

This dissertation discusses collaborative teaching and learning models of online courses. Four research questions guide the study: How do instructors design online courses to facilitate instruction using collaborative teaching and learning models? When instructors co-teach online, how do they utilize collaborative teaching and learning models? How do students build online learning communities from collaborative teaching and learning models? and How do instructors and students evaluate online collaborative teaching and learning models? We conducted a case study of an Ed.D. cohort of Chinese students in the College of Education of the University of Missouri-St. Louis (UMSL). We employed a qualitative approach …

A Mixed-Methods Case Study On Debt Mitigation And Students’ Institutional Perceptions, Dawn S. Medley

Dissertations

The purpose of this mixed-methods study was to examine the role of a debt mitigation program as an incentive for adult student reengagement and to ascertain students’ perceptions of the institution after reenrolling in college via the program. The debt mitigation program was the first in the nation to forgive past-due student institutional debt, allowing students to return to the classroom (Pavlik, 2021). More overt student connection supports were designed to engage adult returners in addition to the debt forgiveness component (Itzkowitz, 2018). By dismissing student debt, designing outreach, and creating specific supports, the program was designed to demonstrate institutional …

Effects Of Instructional Technology Integration Strategies In Orientation Programs On Nurse Retention In Magnet And Non-Magnet Hospitals, Sharon D. Hancharik

Dissertations

This applied dissertation study was designed to learn if the increased use of instructional technology integration strategies in nursing orientation programs resulted in an increased retention of new nurses. The study attempted to uncover the current retention rate and use of technology at the participating hospitals. The data obtained from Magnet and non-Magnet hospitals was compared.

The Lived Experience Of Transitioning To A New Graduate Registered Nurse Following A Nurse Residency Program: A Phenomenological Inquiry, Michele D. Butts

Dissertations

In the past decade, nurse vacancy rates due to turnover increased the pressure for hospitals to orient and train new graduate registered nurses as quickly as possible so they can work independently at the bedside. Research has shown that hospital-based nurse residency programs are beneficial in the recruitment and retention of new graduate registered nurses. A paucity of qualitative research in nursing literature exists that explores the experience of nurses transitioning from students to new graduate registered nurses following a nurse residency program exist in the nursing literature.

The purpose of this study was to explore the lived experiences of …

The Relationship Of Hospital Systems And Utilization Of Patient Safety Practices To Patient Outcomes, Deirdre Kling Thornlow

Dissertations

Determining the factors that are associated with the provision of safe patient care is crucial for today's healthcare environment. Such efforts are necessary, as research demonstrates that the majority of medical errors, or adverse events, are preventable. This correlational study provided evidence regarding the types of acute care hospitals that are likely to utilize patient safety practices and whether this composite of patient safety practices is associated with patient safety outcomes.

Leadership Engagement For Military Hospitals: A Case Study Of The Effects Of Executive Leader Engagement In Military Hospitals That Have Become High Reliability Organizations, Russell Phillips

Dissertations

Purpose: The purpose of this qualitative case study was to explore and explain the leadership strategies that military hospital executive leaders used to engage hospital staff in implementing the six principles of High Reliability Organizations (HROs).

Methodology: A qualitative case study approach was selected for this study. Interviews were conducted with three executive leaders describing their experiences with initiating and managing the change development of HRO. The participants in this study were executive leaders of military hospitals across the Puget Sound Military Health System. All participants had direct experience with the implementation of HRO. Interview transcripts were analyzed and reviewed …

Bridging The Gap: Using Simultaneous Multi-Patient Simulations To Improve Nursing Competency And Transition To Practice: A Causal-Comparative Inquiry, Julie Fomenko

Dissertations

Twenty-first-century healthcare is a complex and demanding arena. Today's hospital environment is more complex than in previous years while patients move through the system at a much faster pace. Newly graduated nurses are challenged in their first year with the healthcare needs of complex patients. Nurse educators and nurse leaders differ in opinions regarding the readiness of newly licensed nurses. Despite these opposing views, there is no argument that today's hospitalized patients need expert nurses to care for them. This study explores the development of competence in newly graduated nurses using simultaneous multi-patient simulations (SMPS).

The Effect Of An Unfolding Case Study On Critical Thinking, Knowledge Acquisition, And Handoff Communication In Baccalaureate Nursing Students, Antionella M. Upshaw

Dissertations

Miscommunication during handoffs at time of transition for the older adult patient often results in hospital readmissions, penalties and nursing malpractice. Handoff communication (HOC) is a necessary and critical factor in patient safety; therefore, it is imperative that nurses be educated and trained in how to communicate essential geriatric patient data, minimize errors and ensure continuity of care. Nursing researchers report that HOC is a critical responsibility and varies in educational methods creating a latent patient safety risk. The unfolding case study (UCS) is increasingly being used to promote critical thinking and improve communication but lack of evidence to guide …

An Examination Of Freshman Non-Nursing Students' Attitude Toward Nursing As A Career Choice For Males In The Southeastern United States, Tiffany Gordon Cox

Dissertations

The nursing shortage is predicted to continue into the year of 2030. Governmental and nongovernmental healthcare stakeholders have recognized a key factor in decreasing the shortage is to increase the recruitment and retention of males in nursing. The United States has a workforce comprising 3.5 million nurses. Yet, males represent only 9% of the working nurses in the United States. To decrease the nursing shortage, males must be a part of the equation. Male patients typically feel more comfortable discussing certain conditions, especially those related to sexual and reproductive health with other men than with women. Male nurses add to …

Reliability And Validity Testing Of The Md Anderson Symptom Inventory-Heart Failure (Mdasi-Hf): An Evaluative Instrument For Symptom Identification In Cancer Patients With Concurrent Heart Failure, Anecita P. Fadol

Dissertations

The purpose of this study was to evaluate the psychometric properties of the MD Anderson Symptom Inventory- Heart Failure (MDASI-HF), an evaluative instrument for symptom assessment in cancer patients with concurrent heart failure (HF).

A Model Of Factors Contributing To Perceived Abilities For Health-Promoting Self-Care Of Community-Dwelling Thai Older Adults, Porntip P. Malathum

Dissertations

The purpose of this descriptive correlational study was to examine factors contributing to perceived abilities for health-promoting self-care of community-dwelling Thai older adults. An integration of selected concepts from Orem's (1995) self-care theory and Bandura's (1997) self-efficacy theory is established to generate a conceptual model for this study. The study variables included age, education, perceived family support, perceived friend support, chronic health problems, functional ability, perceived health status, and perceived abilities for health-promoting self-care.

An Examination Of Faith Community Nursing Interventions In The Promotion Of Successful Aging, Lina B. Hixson

Dissertations

Faith Community Nursing is a specialty nursing practice providing ongoing supportive health care to community dwellers of all ages. Practicing within the context of a community of faith, these nurses focus on health promotion and disease prevention using their expertise to combine spiritual and physical dimensions of care. As the population of Americans continues to age at a rapid rate, the number of older adults is expected to more than double by the year 2060. Many older individuals live with one or more chronic diseases, however living with a chronic disease does not always require inpatient or home care services. …

Enabling Workplace Readiness In The Graduate Nurse: A Delphi Study Reflecting Leadership's Emancipatory Knowing, Bonnie Kay Kintner

Dissertations

The purpose of this qualitative modified e-Delphi research study was to explore workplace readiness in novice nurses upon graduation. The specific problem is novice nurses are unprepared for the workplace. The research questions were as follows: What barriers in the undergraduate educational curriculum prevent an easy transition into practice for novice nurses? In what ways do potential social or political injustices occur during the educational journey of student nurses? How do nursing leaders support emancipatory knowing? Emancipatory knowing recognizes patterns that require change. The intent within this study was to build consensus among 18 nursing experts from the Sigma Theta …

Impact Of Communication Training On Nurses' Verbal And Nonverbal Skills And Patient Satisfaction, Edna Trepanier

Dissertations

Effective nurse communication correlates with favorable patient experiences and outcomes. Communication training programs are insufficient, although they do improve nurses' communication skills. The purpose of this quantitative, pretest-posttest quasiexperimental study was to examine the impact of a communication training intervention on nurses' perceptions of verbal and nonverbal skills, patient satisfaction with nurses' communication, and the overall rating of the hospital. The Nurse Self-report Verbal and Nonverbal Communication Skills Survey (NSVNCSS) was the tool employed to collect data from 103 nurses to investigate the changes in nurses' perception of their own verbal and nonverbal scores from pretest to posttest.

Suffering And Spiritual Transformation In Patients With Heart Failure, Melissa Dyo

Dissertations

The purpose of this study was to describe and examine the relationships between physical suffering and nonphysical suffering with spiritual transformation in patients with HF. Physical suffering was measured by severity of illness, symptom prevalence, and burden (symptom frequency, severity, distress); nonphysical suffering was measured by social isolation. Spiritual transformation was measured by spiritual growth, a change in worldview, priorities, sense of self, and faith-based relationships following hospitalization.

A Phenomenological Replication Study On The Unique Challenges Experienced By Veterans Diagnosed With Posttraumatic Stress Disorder (Ptsd) While Attending A California State University (Csu) In Riverside, San Diego, San Bernardino, Or Orange County, Ralph Martinez

Dissertations

The purpose of this qualitative phenomenological replication study was to understand the unique challenges experienced by veterans diagnosed with Posttraumatic Stress Disorder (PTSD) while attending a California State University (CSU) in Riverside, San Diego, San Bernardino, or Orange County. Furthermore, it was the intent of this study to explore the current and prospective services veteran students believe were helpful or would be helpful in promoting positive academic outcomes.

A phenomenological approach was utilized in the development of this qualitative research study to explore the lived experiences of veteran students diagnosed with PTSD attending a California State University (CSU) in Riverside, …

The Role Of Zingiberales Shared Evolutionary History And Leaf Traits In Structuring Rolled-Leaf Beetle Assemblages In A Tropical Forest, José Miguel Chaves Fallas

Dissertations

Understanding how local assemblages of plants and animals are structured is a central challenge for evolutionary ecology. Tropical assemblages are high in species numbers and in variety of ecological interactions, providing unique multispecies biological systems to test ecological and evolutionary hypotheses about community assembly. The objective of this dissertation was to understand the role of Zingiberales shared evolutionary history and plant traits for structuring the rolled-leaf beetle (Cephaloleia and Chelobasis, Chrysomelidae) assemblage in a lowland wet forest (La Selva Biological Station) of Costa Rica.

In chapter I studied the evolution of physical, nutritional, and chemical leaf traits, how …

The Impact Of Personality Type On Co-Teaching Pairs, Jennifer Macalady

Dissertations

Co-teaching is a commonly used instructional model allowing students with disabilities access to the general education curriculum with their general education peers. General education and special education teachers instruct together, and the relationship between the two teachers is paramount to the team's success. When a co-teaching team is successful, all students benefit from the partnership. Administrators who take time to match teachers together based on personalities and learning preferences can increase the chances of success in an inclusive classroom. Unfortunately, relatively little research linking personality compatibility with effective co-teaching and relating personality similarities of the co-teachers to student engagement, student …

Positive Psychology Effects On Middle School Physical Education Grades, Attendance, And Discipline, Randolph Christopher Helms

Dissertations

The present study explored the effect of instructing middle school students in sixth, seventh, and eighth grades in positive psychology lessons, as compared to control classes that did not receive this positive psychology instruction. This study used quantitative procedures to determine the implementation of this curriculum on lowering student absence rate, discipline referrals, increasing student physical education grades over a trimester, improving overall grade point average, and increasing student well-being. Additionally, the study analyzed the EPOCH survey pre- and post-data on a research question regarding the well-being attitudes/perceptions of these middle school students who received positive psychology instruction in their …

Clinical Case Conceptualization Skill Development And Counseling Pedagogy: A Constructivist Grounded Theory Study, Andrea Cox

Dissertations

Clinical case conceptualization has been identified as an invaluable and indispensable skill within the literature of the mental health professions and by the Council for Counseling and Related Educational Programs (CACREP, the counseling profession’s professional accreditation body). Despite its known importance, there is a dearth of literature focused on understanding the experiences students have related to counselor education pedagogy and the development of clinical case conceptualization skills. This project utilized a constructivist grounded theory (CGT) qualitative research design and analysis to explore the clinical case conceptualization learning experiences had by Counselors-In-Training (CITs) enrolled in CACREP aligned or CACREP accredited master-level …

Heart Failure Family Caregivers: Psychometrics Of A New Quality Of Life Scale And Variables Associated With Caregiver Outcomes, Julie Ann Nauser

Dissertations

The number of patients with chronic heart failure (HF) is at an all-time high and the incidence is expected to increase as our population ages. HF patients experience impaired cognition, exertional shortness of breath, and persistent fatigue; therefore, family members are needed to assist with their care at home. Although existing literature suggests that HF caregivers experience negative physical, mental, and social outcomes, there is a lack of studies guided by a conceptual model to determine factors associated with these outcomes. The purpose of this study was to determine factors associated with HF caregiver depressive symptoms, life changes, and quality …

Impact Of Exposure On Thin Epoxy Overlay Performance, Abul Fazal Mazumder

Dissertations

Thin epoxy overlays are used for improving the condition and extending the service life of bridge decks. The tensile bond pull-off strength, evaluated as per the ASTM C1583, is used as the performance indicator. A failure in the substrate with a tensile strength of 250 psi or greater is considered acceptable. However, the performance evaluated on in-service bridge decks shows inconsistent results. Laboratory studies by several researchers documented a distinct performance difference when the overlays are exposed to room temperatures in comparison to elevated temperatures. However, the most influential parameters such as concrete surface profile, thermal compatibility between overlay and …

Development Of Sensor, Sensory System And Signal Processing Algorithm For Intelligent Sensing Applications, Xingzhe Zhang

Dissertations

Sensors have been receiving significant attention in the last decade and the demand for sensory systems has increased in recent years due to the rapid growth in the field of artificial intelligence (AI). Sensors can improve people’s awareness by providing them with real-time information on the environment and their immediate health conditions. This dissertation presents the fulfilment of three main projects and focuses on the development of a sensor, a sensory system, and a sensor signal recognition system for AI applications by employing printed electronics, analog circuit design, and digital signal processing techniques.

In the first project, a multi-channel stethograph …

Elementary Educator Perceptions Of The Impact Breaks Have On Student Engagement, Sarah-Bo Kirchhoff

Dissertations

According to the US. Department of Labor, 1991, the United States education has shifted the focused to student performance and academic success (NCEE, 2006). School districts across the nation have increased students’ academic demands, including increased academic instruction time, while the allotted time for recess and academic breaks continuously decrease, significantly impacting the school day’s structure (Brusseau & Hannon, 2015; Ginsburg et al., 2007; Stonehill et al., 2011). However, research asserted that instructional time increase does not significantly impact student achievement. In contrast, the increase of academic instruction time could stimulate behavioral problems and sedentary behaviors, while the continuous decrease …

Role Of Ebv In Neuroinflammation: Implications For Multiple Sclerosis Pathogenesis, Asma Hassani

Dissertations

Multiple sclerosis (MS) is a demyelinating disease of the CNS with unknown cause. Individuals who are genetically predisposed and exposed to specific environmental factors have an increased risk of developing MS. Epstein-Barr virus (EBV) infection is linked to MS development, according to a large body of seroepidemiological and pathological evidence. EBV is a ubiquitous human herpesvirus that typically produces silent infection but can also cause a wide range of illnesses. A large cohort of MS and non-MS control cases has been previously examined and revealed the prevalent presence of EBV in MS. However, the role of the virus in the …

Factors That Affect Customer Intention To Revisit Green Hotels: The Case Of Abu Dhabi, Abdulaziz Faisal Ali Alremeithi

Dissertations

Given the Abu Dhabi 2008 Estidama sustainability initiative and the Abu Dhabi Economic Vision 2030, hospitality is one of the sectors that can contribute most significantly to the long-term economic growth of Abu Dhabi and have the greatest impact on its environmental and natural resources. The results of this study will enable decision-makers to understand why consumers choose green hotels over conventional hotels. The purpose is to expand existing knowledge by investigating the factors that influence customer intention to revisit green hotels from four perspectives: the self-perspective, the prosocial perspective, the business-to-business marketing perspective, and the consumer-to-consumer marketing perspective. The …

Factors That Affect The Actual Use Of M-Government From The User Perspective: The Case Of Abu Dhabi Government, Sara Saleh Saeed Al Kayyoomi

Dissertations

In recent years, the evolution of information technologies has shown vast growth. The popularity of and demand for mobile smartphones and applications also continue to grow, so governments are developing mobile business models and moving from electronic-government (e-government) to mobile-government (m-government) practices in order to enhance functioning and increase the efficiency and effectiveness of their services. However, there are very few pieces of systematic evidence related to m-government implementation and the level of actual use of m-government applications and services in less developed countries. Therefore, the current study aims to identify factors that affect Abu Dhabi citizens' and residents’ actual …