Digital Commons Network^™

Gender Effects On Psychiatric Profiles Of Substance Abusing Persons, Linda S. Cook

Dissertations

The effects of gender on specific psychiatric variables of substance abusing persons was investigated with the goal of designing gender-appropriate programs for the treatment of addiction. A population of 120 male and 88 female substance abusers were drawn from two urban outpatient drug treatment centers and one HIV outpatient counseling center. Participants were given paper and pencil questionnaires; a number of participants were interviewed and a three generation family genogram was constructed to evaluate family function based on Bowen Systems Theory. Variables measured in the questionnaires were trait anxiety, depression, coping style, adaption in relationship, and level of differentiation of …

The Effect Of A Theory Course In Nursing Administration And A Subsequent Field Experience On The Profile Of Leadership Style Of Students In A Master's Program In Nursing Administration, Patricia M. Haynor

Dissertations

The purpose of this study was to investigate the effects that a nursing administration theory course and a subsequent field experience of 150 hours had on the profile of leadership style of students enrolled in a master's program in nursing administration.

Attitudes Of Nurses Toward Children With Disabilities, Kathleen A. Marsala-Cervasio

Dissertations

The attitudes of U.S. nurses toward children with disabilities have not been adequately measured over time and after an educational intervention. Disability content has not been a priority in nursing education and, if present, the focus has been on adults with disabilities. The attitudes of nurses play a significant role in the provision of quality healthcare services they provide for children with disabilities. This quantitative, experimental research measured the attitudes of graduating nursing students (N= 88) toward children with disabilities utilizing the Attitudes Towards Disabled Persons Scale (ATDP-B) before and after disability education.

The Training Of Elementary Assistant Principals, Nailya Jarocki

Dissertations

Purpose: The purpose of this Delphi study was to identify the most important professional development topics and practices for preparing teachers to become elementary assistant principals, as perceived by panel of experts. An additional purpose was to identify strategies for implementing the most important practices for the preparation of teachers to become elementary assistant principals.

Methodology: A classical Delphi method was utilized to collect perceptual data from a panel of California elementary school principals and administrators at county, district offices of education, and at the university level in California that met specific criteria regarding their education, years of experience, completion …

Comparison Of Telemedicine To Traditional Face-To-Face Care For Children With Special Health Care Needs: Analysis Of Cost, Caring, And Family-Centered Care, Mary A. Hooshmand

Dissertations

It is estimated that one out of every five household with children in the United States includes a Child with Special Health Care Needs (CSHCN). Families of CSHCN face many challenges including financial burdens beyond that of other families and difficulty accessing much needed pediatric specialty care. Telemedicine provides a potential solution or, at the least, an alternative to the traditional system of care, for health care providers and communities to address access and financial concerns of families of CSHCN. A quasi-experimental research design was used in this study to examine the differences in cost, caring, and family-centered care in …

The Influence Of An Educational Program On Professional Nurses' Knowledge And Acceptance Of A Computerized Information System For The Documentation Of Nursing Process, Jane Renfro

Dissertations

Numerous studies have examined nurses' attitudes toward computers in healthcare. None has investigated the influence of nurses' knowledge of computers on their attitudes. The study examined the influence of an instructional program designed to prepare nurses to use a clinical information system. Nurses' knowledge level and attitudes toward clinical systems were measured prior to and immediately after the course. Demographic and background information was collected at the time of the pretest. Program evaluation was conducted at the time of the post test. Participants completed the third and final surveys for knowledge and attitudes four to six weeks after attending the …

Concept And Process Of Attaining And Maintaining Health For A Selected Vietnamese Immigrant Population, Louise Dean-Kelly

Dissertations

Nursing theorists have proposed that health is a concept central to nursing, yet the concept is surrounded by confusion and ambiguity because the word has had varying interpretations applied to it over time by both professionals and the lay public. A limited number of studies have been done to determine what professional's and lay persons' believe about health and how important it is to them. While Leininger (1985) has noted that health is both culturally defined and expressed, only a few studies have attempted to determine what difference a person's cultural background might have on his or her interpretation of …

Exemplary Leadership: A Mixed-Methods Case Study Discovering How Special Education Administrators Create Meaning, Julia Vandervennet

Dissertations

Purpose: The purpose of this mixed-methods case study was to identify and describe the

behaviors that exemplary Special Education administrators use to create personal and organizational meaning for themselves and their followers through character, vision, relationships, wisdom, and inspiration. In addition, it is the purpose of this study to determine the degree of importance to which special education teachers perceive the behaviors related to character, vision, relationships, wisdom, and inspiration help to create personal and organizational meaning.

Methodology: The current mixed-methods study obtained in depth qualitative data through interviews from 3 exemplary special education administrators. Following the qualitative interview …

Managing Susceptibility To Hereditary Breast And Ovarian Cancer, Cynthia E. Perry

Dissertations

The recent identification of Breast Cancer 1 (BRCA1) and BRCA2 genes offers an opportunity for high-risk individuals to learn whether they may be genetically predisposed to develop breast and/or ovarian cancer. The purpose of this study was to examine how unaffected women, identified as BRCA positive and variant of uncertain significance (VUS) mutation carriers, managed their susceptibility to hereditary breast and ovarian cancer (HBOC).

Prenatal Breastfeeding Education: An Intervention For Pregnant Immigrant Hispanic Women, Jane W. Schlickau

Dissertations

This experimental study tested a one-to-one Prenatal Breastfeeding Education (PBE) intervention for primigravid immigrant Hispanic women who received prenatal care at a public health clinic. The study framework was derived from the Health Promotion Model. Specific aims were: (a) to test if the intervention increased breastfeeding initiation, (b) to test if the intervention increased breastfeeding duration and (c) to discover if breastfeeding self-efficacy mediates the effect of the intervention on breastfeeding initiation and duration.

Acuity-Based Staffing In Long Term Care: Does It Influence Quality?, Kathy Diane Gray-Siracusa

Dissertations

Long-term care settings have frequently been targeted as environments prone to deficiencies in quality and resultant negative effects on resident safety. The use of minimum nurse staffing ratios has been proposed as a way to improve the quality of care for long-term care residents. However, the American Nursing Association has criticized the appropriateness of ratios for the determination of staffing needs. A more appropriate staffing methodology is one that is based on a measure of intensity that takes into consideration the aggregate population of patients and the associated roles and responsibilities of the nursing staff. The purpose of this study …

Impact Of Chemotherapy On The Quality Of Life And Functional Status Of Older Adults With Non-Small Cell Lung Cancer, Linda Patti Sarna

Dissertations

Lung cancer is the number one cause of cancer death in the United States and the incidence is increasing over 65 years of age. The lack of effective treatment for advanced non-small cell lung cancer makes factors other than long term survival important criteria when measuring treatment experiences. This longitudinal study described and compared the effects of an initial cycle of chemotherapy on quality of life (QOL) and functional status (FS) of adults (under and over 65 years of age) with non-small cell lung cancer.

Organic Buildup And Residual Blood On Clean Infant Stethoscopes Used In Maternal-Infant Areas, Jan Marie Nick

Dissertations

Since the mid 1980s, health care workers have attempted to eliminate contact with blood and other body via primary or secondary exposure. At delivery, stethoscopes used on newly born infants come in direct contact with blood and body fluids from the skin of the infant. If contaminants such as blood and body fluids still remain on stethoscopes despite cleaning, an environmental risk may exist.

Using a naturalistic setting, a non-experimental, two group post-test design was implemented to investigate the occurrence of organic buildup and residual blood on clean stethoscopes used on infants in the delivery and/or nursery areas. Eleven hospitals …

Coping With Acute Myocardial Infarction, Kathryn Ambur Scherck

Dissertations

This study examined how acute myocardial infarction (AMI) patients cope during the first three days of illness. Although the ability of patients to cope has been previously studied, there has been little investigation of coping efforts other than denial. Using the theory of coping explicated by Lazarus and colleagues, this study examined patients' appraisals and use of various behavioral and cognitive coping strategies. This study used a descriptive, exploratory design. The nonrandom sample consisted of 30 acutely ill AMI patients.

Adult Patient Perceptions Of Nurse Listening Behaviors In An Acute Care Setting, Nancy E. Loos

Dissertations

Good listening is fundamental to effective nursing practice, critical to a healthcare professional's competence, and essential for patient satisfaction and experience. Because nurse listening has been linked to an enhanced patient experience and improved patient outcomes, it has been considered important enough that the U.S. Centers for Medicare or Medicaid Services have solicited patient perception as part of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey (CMS, n.d.). However, little can be found in the literature that describes which nursing behaviors are perceived by patients as listening behaviors. Via face-to-face interviews, this study sought to discover, describe, …

Distributive Justice And Social Policy: A Case Study, Susan Swider

Dissertations

This research focused on explicating the conceptions of just distribution of resources underlying one example of health policy. The policy used as a case study was federal funding of home health care under Medicare, during the period 1965-1984. The data consisted of the public records of debate on federal policy for home health care during this period.

Predictors Of Hospitalized Patients' Access To Post-Discharge Home Health Services, Jeanne A. Matthews

Dissertations

An ex post facto study was conducted to identify factors associated with diabetic patients' access to home health services following hospital discharge. The Andersen (Aday, Fleming, & Andersen, 1984) model of access served as the conceptual framework for the study which examined the relationship between the predisposing, enabling, and need characteristics of the sample, and the realized access indicators of referral to, and acceptance for post-discharge home health services.

Down Home: An Ethnography About Community Process And Health Of Older Persons In A Rural Setting, Carol A. Craig

Dissertations

The purpose of this study was to understand how rural-dwelling elderly people describe their health and to gain an understanding of rural community processes as they relate to the health of older residents. Although community health nursing practice supports community-level interventions, the influence of communities upon the health of older community members is not well known. Ethnographic design and methods were employed to study the health of older residents in a Western Plains farming community of about 500 people.

Mathematical Literacy And Video Games, Craig Carrigee

Dissertations

Mathematical literacy refers to the ability of a person to be able to comprehend and conceptualize real-world data and mathematical situations to make informed decisions. Minimal research exists compared to the explosion of video games available to the public over the past two decades. This study investigates the relationships between playing video games and the ability of a person to answer real-world questions about mathematics as well as the person’s attitude toward mathematics, including their self-confidence, perceived value, enjoyment, and motivation. Previous studies have shown mixed results related to the influence of playing video games on cognitive math ability, but …

Technology, Resources, Institutional Filters And State Capacity: Variations In Latin America, Ted D. Ellis

Dissertations

This dissertation explores the effects of information and communication technology (ICT), education, and political institutionalization on fiscal state capacity in countries classified by the World Bank as upper middle, middle and low income. It presents a metric to explore how changes in information distributions through ICT, education, and political institutionalization mechanisms influence fiscal state capacity. To explore interrelated aspects of distinct information distribution conduits, the dissertation constructs a metric to analyze the effects of information distributions through ICT, educational participation and political institutionalization on fiscal state capacity, the dependent variable. It also explores joint and parallel effects of primary commodities …

The Diffusion Of Telehealth: System-Level Conditions For Successful Adoption, Danika Tynes

Dissertations

Telehealth is a promising advancement in health care, though there are certain conditions under which telehealth has a greater chance of success. This research sought to further the understanding of what conditions compel the success of telehealth adoption at the systems level applying Diffusion of Innovations (DoI) theory. System-level indicators were selected to represent four components of DoI theory (relative advantage, compatibility, complexity, and observability) and regressed on 5 types of Telehealth (Teleradiology, Teledermatology, Telepathology, Telepsychology, and Remote Monitoring) using multiple logistic regression.

Analyses included data from 84 states leveraging data from the World Health Organization, World Bank, ICT Index, …

Europe Rising (Again): A Comparative Study Of The Dynamics And Types Of Modern European Nationalisms, 1989-2018, Timea Varga

Dissertations

Nationalism is nothing new to Europe. While theoretical explanations of the catalysts of post-1989 European nationalist phenomena remain contested along material and non-material lines, this dissertation posits that it is the interaction of economic insecurities, societal fears, and populism over time that have shaped the rise and types of post-1989 European nationalisms. Fuzzy-set Qualitative Comparative Analysis (fsQCA) is combined with a collective case study design to examine: 1) how forces – political, economic, societal, or other – have dominated the formation and latest surge of European nationalisms since the end of European Communism in 1989; and 2) whether different, context-dependent …

Influence Of Career Services On Time To Undergraduate Degree Completion, Courtney Taylor

Dissertations

A national concern exists surrounding the value and quality of American higher education, as well as the extended time required to complete an undergraduate degree. Extending the time-to-degree completion costs students in tuition, room, board, and most importantly, missed career opportunities. More than 60% of students fail to graduate within four years, delaying entry to the labor market and increasing costs associated with a college degree (Bound, Lovenheim, & Turner, 2012; National Center for Education Statistics, 2017).

Numerous studies highlight college student persistence and retention efforts (Goodman, Hurwitz, & Smith, 2017; Hull-Blanks et al., 2005; Tinto, 1987, 2017), a few …

Settling In: The Consequences Of Legal Origins And Institutional Variety For Immigrant Labor Market Integration In Oecd Countries, Jennifer Kuklenski

Dissertations

Drawing upon theories of institutional variety, this research seeks to determine whether or not immigrant labor market outcomes are better in countries with 1) liberal market economies and deregulated labor markets; and 2) countries with supply-driven immigration systems. Non-parametric Kolmogorov-Smirnov and Mann-Whitney U tests are combined with parametric time series, GLS regression analysis of panel data to estimate the impact and significance of legal origins (common versus civil law systems) and merit-based immigration policy on 1) labor market participation; 2) unemployment; and 3) employment by educational attainment in 28 OECD countries between the years 2001-2016. The analysis controls for other …

The Impact Of Houghton Mifflin Harcourt Read 180 Next Generation Program On Middle School Students With Disabilities, Katherine Arnold

Dissertations

The purpose of this study was to determine if reading performance of students with disabilities in grades six through eight improved as a result of one year implementation of READ 180 Next Generation program. Teacher experience, student gender and teachers’ overall satisfaction and how the READ 180 Next Generation program may influence the academic reading performance of students with disabilities. Reading performance was measured by the Georgia Milestones assessment and Houghton Mifflin Harcourt Reading Inventory.

Research findings show no significant differences in sixth, seventh, and eighth grade participants after one year of implementation of READ 180 Next Generation program. A …

Morphological Study Of Voids In Ultra-Large Models Of Amorphous Silicon, Durga Prasad Paudel

Dissertations

The microstructure of voids in pure and hydrogen-rich amorphous silicon (a:Si) network was studied in ultra-large models of amorphous silicon, using classical and quantum- mechanical simulations, on the nanometer length scale. The nanostructure, particularly voids of device grade ultra-large models of a:Si was studied, in which observed three-dimensional realistic voids were extended using geometrical approach within the experimental limit of void-volume fractions. In device-grade simulated models, the effect of void morphology; size, shape, number density, and distribution on simulated scattering intensities in small- angle region were investigated. The evolution of voids on annealing below the crystallization temperature …

Learning To Lead: Examining Leadership Competencies Of Participants In The Mississippi Community College Leadership Academy, Renyetta M. Johnson

Dissertations

The American Association of Community Colleges (AACC, 2005) developed and approved a research-based competency framework for leadership development, consisting of six leadership competencies that were deemed as being “very” or “extremely” essential to the effective performance of community college leaders. The six leadership competencies are: “organizational strategy, resource management, communication, collaboration, community college advocacy, and professionalism” (AACC, 2005, pp. 4 – 6). While it has been well researched and documented that a leadership crisis exists within the leadership ranks of community colleges, an abundance of the research has focused on the position of president. Other leadership positions in the community …

The Relationship Between Organizational Commitment, Discretionary Effort, And Turnover Intent, John Sherk

Dissertations

Unemployment has fallen to 3.7%, the lowest level in 50 years (United States Department of Labor, 2019a). Additionally, 6.9 million jobs are left unfilled (United States Department of Labor, 2019b). A workforce gap has developed between the number of available, qualified workers and the number of jobs that need to be filled (United States Department of Labor, 2019b). This gap has created a new reality for millions of workers who are experiencing unprecedented competition for their talent, which also brings an unprecedented challenge for business owners and managers to find new and better ways to recruit, motivate, and retain talent …

Social-Emotional Difference Given Disability, Grade, And School-Wide Positive Behavioral Interventions And Supports, Edith A. Hayles

Dissertations

Students with disabilities as a group remain behind in academic achievement when compared to students without disabilities. Without the right school-based interventions, many students with disabilities will experience academic failure, disciplinary infractions, social isolation, self-doubt, school disengagement, and school dropout. Additionally, social-emotional intervention helps older students to improve executive functioning, develop self-regulation skills, and score better on achievement tests than the students not receiving any social-emotional programming. Moreover, students enrolled in schools that implement evidence-based educational interventions to facilitate students’ social-emotional competencies demonstrate more positive behaviors and social-emotional interactions. Students with social-emotional competencies have also described feeling safer and happier …

The Impact Of Positive Behavior Interventions And Support, Counseling, And Mentoring On The Behavior And Achievement Of African American Males, Elesha Jean Buckley

Dissertations

The extensive gap in educational achievement between African American males and their peers is one of the most detrimental problems facing American society (Burchinal, McCartney, Steinberg, Crosnoe, Friedman, McLoyd, & Picanta, 2011). The purpose of this study was to explore the influence of Positive Behavior Intervention and Support (PBIS), counseling, and mentoring on disruptive classroom behavior resulting in office referrals. The study also examined the impact of Positive Behavior Intervention and Support (PBIS), counseling, and mentoring on student achievement in reading of African-American male students in Pre-K through fifth grade. Previous literature discussed Positive Behavior Intervention and Support (PBIS), counseling, …