Improving Clinician Adherence Rates To Aims Testing On Individuals Taking Long-Term Antipsychotics, Shavaun Johnson

Dissertations

Abstract

Problem: Tardive dyskinesia is a common problem that creates challenges in the lives of those affected by it. The Abnormal Involuntary Movement Scale records the occurrence of tardive dyskinesia in patients receiving neuroleptic medication. With this scale, clinicians can detect tardive dyskinesia and its severity over time. The aim of this study is to learn the current rate of adherence for clinicians at the organization and to create and implement an intervention that will increase that rate in an effort to improve patient outcomes and quality of life.

Methods: This quality improvement project will use a descriptive cohort …

Multidisciplinary Team Approach Effect On Pediatric Severe Asthma, Lila Kertz

Dissertations

Problem. Children with severe asthma are more likely to be non-adherent with their prescribed medications, often related to barriers. A holistic assessment of these patients has been suggested, but is not typically performed in most pediatric asthma clinics. The purpose of this project was to evaluate the effects of severe pediatric asthma clinic services designed to perform holistic assessments and provide comprehensive care.

Methods. An observational, descriptive design was used to evaluate the Severe Asthma Clinic for Kids (SACK) created in 2013 using a retrospective database review. A convenience sample of data collected on all children treated in the clinic …

Intimate Partner Violence Screening In Adolescent And Young Adult Females, Emily Myers

Dissertations

Abstract

Problem Adolescents and young adult females are at risk for experiencing intimate partner violence (IPV). Females aged 16- to 24-years of age experience IPV three times more likely than males. Universal screening for adolescent IPV is considered a gold standard for adolescent anticipatory guidance. The purpose of this quality improvement initiative was to evaluate the impact of an adolescent IPV screening instrument in an urban, Midwestern shelter for pregnant adolescent and young adult females.

Methods An observational, descriptive design. All adolescent and young adult females presenting for intake evaluation were screened for IPV using the Healthy Relationship Quiz over …

Mitigating Suicide Risk Post-Discharge From Inpatient Crisis Stabilization: Safety Planning Intervention, Leighia M. Mcghee

Dissertations

Abstract

Purpose: The purpose of this program evaluation is to evaluate the effectiveness of a newly implemented safety planning intervention (SPI) tool, comparing patient outcomes relating to suicide attempt rates, emergency department (ED) encounter rates, and inpatient rehospitalizations rates pre and post its integration to care in a suburban behavioral health hospital.

Methods: A descriptive cohort design utilizing a retrospective chart review was completed over six months, three months pre, and three months post implementation of the SPI program. A convenience sample of inpatient charts was reviewed to assess the rate of suicide attempts, ED encounters frequencies, and hospitalization rates …

Optimizing The Effectiveness Of Peripheral Intravenous Catheters, Carrie Kollar

Dissertations

Problem Hospitalized adult patients require more than one short peripheral catheter (SPC) to complete the prescribed intravenous (IV) therapy due to catheter failure and the practice of resiting. The purpose of this quality improvement initiative was to increase the rate of SPCs remaining in situ for the entire duration of the IV therapy for hospitalized adult patients.

Methods Application of an engineered securement device (ESD), an educational program pertaining to modifiable risk factors, and changing the practice to removal upon clinical indication were methods utilized to reduce the number of SPC insertions and catheter failures. This study was conducted at …

Compassion Fatigue And The Emergency Department, Alexandra Myers

Dissertations

Problem The emergency department (ED) is a high-stress environment. Nurses exposed to this stress for prolonged periods are subject to compassion fatigue (CF). The purpose of this quality improvement project was to identify and reduce the level of CF in ED nurses by implementing Real Time Transformative Response^© (RTR). RTR^© is a technique that uses combinations of neurofeedback response awareness, biofield therapy intervention, and clearing of unwanted energy.

Method A purposeful sample of ED nurses working at a moderately-sized, suburban, Midwestern hospital ED who were scheduled to work 24-hours or more per week completed a Professional Quality of …

Degree Completion Of Underrepresented Minorities Majoring In Mathematics As A Function Of Undergraduate Student Programs, Marnice Anthony

Dissertations

Abstract

Students with disabilities, minorities, and women are underrepresented in the critical demand courses of study in Science, Technology, Engineering, and Mathematics (STEM) undergraduate college enrollment. Institutions of higher education in the United States of America are challenged with a continuous need for undergraduate students to choose and earn a STEM degree. The 2019 annual report of Women, Minorities, and Persons with Disabilities in Science and Engineering indicated these groups continue to be disproportionately underrepresented relative to the U.S. population. In 2014, the U.S. Department of Education reported that upon graduation students studying mathematics in college have higher employment rates …

The Meaning, Process, And Consequences Of Nurse Caring As Perceived By Spinal Cord Injured Individuals During Rehabilitation, Kathleen T. Lucke

Dissertations

The purpose of this qualitative study was to describe the meaning, process, and consequences of nurse caring from the perspective of spinal cord injured (SCI) individuals while in rehabilitation. This study addressed the following research questions: (1) What is the meaning of nurse caring to SCI individuals in rehabilitation? (2) How is the process of developing a caring relationship perceived by SCI individuals during rehabilitation? (3) What are the consequences of nurse caring for SCI individuals in rehabilitation? The theoretical foundation of this study was synthesized from philosophical, ethical, feminist, and nursing literature.

Efficacy Of Acupressure Treatment At Neiguan Point With Acupressure Bands For Chemotherapy-Induced Nausea, Vomiting, And Retching, Christine D. Meyer

Dissertations

Patients who receive chemotherapy perceive nausea and vomiting (N&V) to be one of the most problematic outcomes of chemotherapy. Even with the administration of a prophylactic antiemetic protocol, up to 33% of the patients experience emesis in the first 24 hours after receiving strong chemotherapy agents. The primary purpose of this study was to examine the effect of acupressure on the Neiguan Point (P6) on the incidence, frequency, duration and intensity of nausea, vomiting, and retching associated with chemotherapy in chemotherapy-naïve patients. The methodology was a single blind, randomized treatment and no treatment control, repeated measures design. The sample of …

An Exploration Of The Parental And Spousal Experiences Of Fathers/Husbands In Families Of Children With Chronic Illness, Amy M. Nulsen

Dissertations

The purpose of this study was to investigate the parental and spousal experience of fathers in families of children with chronic illness and to compare this to the experience of fathers of healthy children. Four research questions were explored: As parents, what is the experience reported by fathers of children with chronic illness in terms of participation in care, overprotection, discipline, communication, family leisure/recreation? Along the same dimensions, how does this compare to the experience reported by mothers? As husbands, what is the experience reported by fathers of children with chronic illness in terms of caretaking responsibility, marital satisfaction, communication? …

The Lived Experiences Of Male Partners Of Women Who Have Previously Been Diagnosed With Postpartum Depression, Judy Kaye Smith

Dissertations

This qualitative, descriptive phenomenological study was conducted to determine the actual lived experiences of male partners of women who have previously been diagnosed with postpartum depression. The study also explored the knowledge level of male partners with regard to the phenomenon of postpartum depression. While experiences were varied, three common themes emerged of being vulnerable, being helpless, and coping with two to four sub-themes identified under each one. The seven men who participated demonstrated gaps in the knowledge with regard to the phenomenon of postpartum depression.

Integrating Nursing Peer Review Into A Unit Shared Governance Model, Mary Jane Brann

Dissertations

Transformational nursing leaders develop environments that empower nurses to achieve nursing excellence. The systems identified by the Magnet Accreditation program, such as shared governance and peer review, help achieve these environments. During the project, a peer review tool based upon the American Nurses Association (ANA) standards of practice was developed. The tool was revised to assist staff nurses with identification of medical record items that exemplified each standard while they were completing the mandatory medical record audits required by the Joint Commission.

An Investigation Of Hope As Manifested In The Physically Ill Adult, Edith H. Raleigh

Dissertations

This study sought to identify variables which aid physically ill individuals in maintaining hope. Hope is defined as an expectation of goal attainment which is manifested by an orientation toward the future. It is seen as a means by which the individual maintains the integrity of his being in the midst of many stresses and the onslaught of the environment.

Path Dependence In Geographic Crime Patterns, Theodore Lentz

Dissertations

This dissertation argues that status quo bias in crime location choice has substantial effects on geographic crime patterns. Offenders often re-select prior crime locations when they commit crimes. Mainstream theories argue this is because such locations are objectively more suitable for crime and thereby attract offending behavior at higher rates. I contend that locational suitability is only one consideration and that offenders may re-select a location that has been established as a status quo option, despite availability of more optimal alternatives. When individuals re-select prior crime locations, crimes will increasingly concentrate and create hotspots that are stable over time and …

A Multi-Hospital Examination Of The Relationship Between Hospital Nursing Resources And Hospital Quality Outcomes, Cheryl A. Patterson

Dissertations

This exploratory study examined the relationship between hospital nursing resources and quality outcomes of hospital care. A portion of Donabedian's model linking structure to outcome was used to frame the study. Structure variables consisted of hospital nursing resources. Outcomes were (1) patient satisfaction (with a: overall hospital stay, and with b: nursing care) and, (2) inpatient (risk-adjusted) mortality. The purpose of this study was to explore at the institutional level these relationships; the hospital being the unit of analysis. Nursing resource data were collected by the investigator from hospitals belonging to the same health care market.

The Role Of Professional Nursing In The Origin Of The Newborns' And Mothers' Health Protection Act Of 1996 From A Feminist Perspective, 1981-1996, Jan-Louise Leonard

Dissertations

This social historiography tells the story of the origin of the Newborns' and Mothers' Health Protection Act of 1996. In the 1980s when the federal government reduced allocations to states' Medicaid programs as a cost saving measure, hospitals, initiated early discharge of patients to save costs. Given four million births annually, childbirth is the most frequent reason for hospitalization in the United States. Hospitals discharged Medicaid insured mothers and newborns very early at twenty-four hours for a normal birth and seventy-two hours for a cesarean. Other insurers adopted similar managed care strategies in the early 1990s. By 1995, unionized nurses …

Social Patterns And Pathways Of Hiv Care Among Hiv-Positive Transgender Women, Dana D. Hines

Dissertations

Transgender women have the highest HIV prevalence rates of all gender and sexual minorities, yet are less likely to enter and be retained in HIV care. As a result, they are at high risk for HIV-related morbidity and mortality. This study aimed to describe the illness career of transgender women living with HIV and to describe how interactions with health care providers and important others influenced their illness trajectory.

Title I Schools And Strategies That Work, Michelle Manriquez

Dissertations

Purpose: The purpose of this study was to identify and describe the strategies principals of Title I schools perceived as most effective in improving English language arts (ELA) scores by at least 10 points, through the lens of WestEd’s Four Domains of Rapid School Improvement.

Methodology: This study utilized a qualitative methodology to gather data via the California Dashboard and semi-structured interviews of 11 principals from 11 different sites in northern California that showed at least 10-point growth on the Smarter Balanced Assessment Consortium (SBAC) standardized test. The interview questions were based on the Four Domains for Rapid School Improvement: …

Psychometric Properties Of The College Athlete Psychological Screening Tool: Validation Of The Depression And Anxiety Subscales, Joseph C. Case

Dissertations

The aim of the present study was to gain a better understanding of the descriptive psychometric properties of the College Athlete Psychological Screening (CAPS) measure. The CAPS is a newly developed assessment screening measure designed to assess 14 common problem areas for college athletes. For the present investigation, 395 participants completed the 108-item CAPS measure. To establish criterion validity, participants also completed the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI). The present study had three research questions. Question one discussed the descriptive psychodynamic properties (Cronbach’s alpha, means, and standard deviations) of the 14 CAPS subscales. Question two …

Academic Library Support Of Social Entrepreneurship Programs, Anthony L. Paganelli

Dissertations

The concept of social entrepreneurship was introduced into higher education in the late 1980s. Since then, social entrepreneurship programs have increased at higher educational institutions nationally and globally. This study examines how academic libraries support the growing trend of social entrepreneurship programs and the perceptions of academic library administrators and faculty librarians toward social entrepreneurship programs. Based on the review of literature, little information exists regarding the academic library support of social entrepreneurship programs. This study involved a survey instrument distributed to academic library administrators and faculty librarians from social entrepreneurship program institutions and a follow-up interview. The analysis provided …

The Russian Research Center At Harvard Versus Cambridge Analytica: Influencing The Public In A Cold War, Robert Joshua Howard

Dissertations

No abstract provided.

College Choice Decisions: An Analysis Of University Honors Students, Thomas Tyler Clark

Dissertations

The purpose of this research was to analyze the importance of various institutional attributes in the college-choice process of honors students. The study surveyed honors students (N = 279) currently enrolled in an honors college at one university. Students rated 51 items on the degree of importance in their college decision. An exploratory factor analysis was used to determine the underlying factors in the college-choice process.

The results indicated that cost was the most important issue students considered when determining an institution to attend. Cost of attendance and financial assistance offered were followed by quality of course instruction, safety on …

A Phenomenology Study Of Possible External And Internal Factors Relating T Women’S Under-Representation In Leadership In Large Chinese Media Organizations In Beijing City, Xiaoxue Xiang

Dissertations

The purpose of this study is to gain a better understanding of possible factors that contribute to the underrepresentation of women in leadership positions in Chinese media through their lived experience. The 10 participants in this study were from large media organizations in Beijing. The results of this study indicate Balancing work and family and Chinese traditional culture can be considered as the external possible factors of the barriers women leaders encountered in Beijing large media organizations; the negative influence of traditional culture on Chinese women, which refers to women’s low self-evaluation and negative self-awareness, can be taken as the …

Training To Develop Academic Advisor Efficacy And Workforce Readiness, Jessica Powers

Dissertations

The competitive workforce views training as an investment in human capital, which is seen as its most valuable asset. In order to meet labor demands of tomorrow, the workforce will depend on higher education to educate workers. This will put academic advisors and the training they receive further in the spotlight, as they play a meaningful role in student success. Training has been shown to increase occupational self-efficacy and impact employee performance, but empirical research is lacking from the advisor perspective to explore their perception of training and occupational self-efficacy. In a study of N = 108 of faculty and …

The Relationship Between Organizational Trauma-Informed Care And Secondary Trauma Symptoms In Staff Members Of Kentucky Domestic Violence Programs, Mary Ellen Foley

Dissertations

This study evaluated secondary traumatic stress (STS) levels in 89 employees from Kentucky’s 15 regional domestic crisis programs to determine whether certain demographic variables predicted STS levels (as measured by the Secondary Traumatic Stress Scale©) and whether employee perception of organizational trauma-informed care practices (as measured by the Ticometer©) reduced levels of STS. Results of a multiple regression analysis indicated that personal trauma history severity did significantly impact STS levels. In this way, the current study rejected the null hypothesis. Results also indicated that the more the employee perceived the organization to adopt and execute trauma-informed care practices, the lower …

Culturally Relevant Pedagogy And First-Generation Latinx Student Sense Of Belonging, Rachel Abel

Dissertations

This qualitative research study assessed the impact of culturally relevant pedagogy on first-generation Latinx student sense of belonging at an emerging Hispanic serving institution (HSI). This study adds to current literature around culturally relevant pedagogy, which focused on the close, meaningful relationships between faculty and students in the classroom (Ladson-Billings, Gay, Wlodkowski, & Ginsberg, Stembridge, et al.). The link to sense of belonging (Hurtado & Carter, 1997) demonstrated the importance of academic and non-academic setting connections that led to other social and academic outcomes, which include student satisfaction, motivation to study, and perseverance in completion of a post-secondary. A transformative …

Student Perceptions Of School And Teachers In The Classroom, Sonji Jones-Manson

Dissertations

Much of the existing education research on student outcomes has focused on gaining a better understanding of student cognition and behavior, considering affect primarily as the role of a mediator or moderator to cognitive or behavioral outcomes. Student satisfaction with school is an affective outcome that is shaped by their relationships with their teachers. Though research on affect as an outcome has increased, it has not been well-understood and often ignored in models of understanding student outcomes. This qualitative study adds to the body of research on student affect as an outcome by collecting data from current high school students …

Community Violence, Protective Factors, And Resilience: Gender Differences In African American Youth, Kimberly Nelson-Arrington

Dissertations

African American youth are exposed to community violence in varying degrees. Over the last few decades, much research has focused on the negative implications of such exposure. While it is helpful to explore the detrimental effects of community violence on this population, the factors that promote resilience, leading to favorable outcomes, should be explored with just as much fervency. The present study sought to explore the protective factors that contribute to resilience in African American youth exposed to community violence. While resilience is a multidimensional construct, this study focused on the participants’ psychological outlook, namely their sense of hopefulness and …

Exploring The Impact Of Insecure Attachment Styles In Couple Adjustment Through The Lens Of Cluster B Pathology, Laura Bonnemort

Dissertations

The current body of research literature appears to lack adequate studies focused on individuals who possess an insecure attachment, potential cluster B personality pathology, and who are engaged in couple discord. The following clinical research project explored how insecure attachments impact the trajectory of both cluster B pathology and adult couples’ relationship discord. Studies reviewed included adults diagnosed with mood disorders, personality pathology, and those engaged in couples therapy due to dissatisfaction and discord. Developing an insecure attachment in childhood appears to place adults at risk for higher rates of personality pathology and risky romantic relationships fraught with discord. Evidence-based …

Cultural Homelessness, Self-Esteem, And Skin Color Satisfaction Among Latinxs, Josephine M. Almanzar

Dissertations

This study explored feelings of cultural homelessness, self-esteem, and skin color satisfaction among Latinxs. A close interest was placed in examining responses of participants who identified as racially Black or Afro-Latinx. Through an electronic survey, the study aimed to answer the four research questions: (1) Is there a correlation between cultural homelessness, self-esteem, and skin color satisfaction; (2) Do participants of different self-perceived skin colors differ in self-esteem, cultural homelessness, and skin color satisfaction; (3) Does age moderate the relationship between self-perceived skin color and self-esteem; and (4) Does age moderate the relationship between self-perceived skin color and cultural homelessness. …