Digital Commons Network^™

Screening For Sexually Transmitted Infections In Adolescents, Millicent Palacios

Dissertations

Abstract

Problem Adolescents are contracting sexually transmitted infections (STIs) with half of all new STIs occurring in those aged 15-24 years old. The American Academy of Pediatrics, recommended all sexually active adolescents be screened for STIs. Incorporation of a sexual behavior assessment may assist providers with identifying STI risk.

Methods A descriptive design comparing three cohorts of adolescents presenting for a well-exam. The cohorts analyzed were: urine screening on all adolescents, urine screening for only those reporting sexual activity, and a self-administered sexual history questionnaire tool, based on the HEEADSSS psychosocial assessments.

Results The majority (97%), of all three cohorts …

Implementation Of The Integrated Palliative Outcome Scale (Ipos) Into Palliative Care Practice, Lisa A. Pezold

Dissertations

Abstract

Problem: The Visiting Nurse Association of Greater St. Louis (VNA) has a grant-funded, palliative care program called Advanced Illness Management (AIM). The Integrated Palliative Outcome Scale (IPOS) is a tool for providers to identify symptoms. The VNA implemented the IPOS in 2017. A previous quality improvement project revealed that IPOS symptoms were addressed less than 95% of the time leaving patients to suffer from burdensome symptoms, thereby reducing their quality of life.

Methods: Providers were educated on the importance of addressing all symptoms with pharmacologic or nonpharmacologic interventions and the impact the interventions have on the AIM program, grant …

Improving Maternal Outcomes Through Labetalol Algorithm Utilization For Hypertensive Disorders Of Pregnancy, Hailee B. Taylor

Dissertations

Hypertensive disorders of pregnancy can have negative effects on both mothers and neonates and are a major contributor to the increasing morbidity and mortality affecting women pregnant women in the United States. Treatment algorithms are available for treatment of hypertensive disorders of pregnancy when treatment criteria are met. With proper use of these algorithms, healthcare personnel can decrease the mortality and morbidity rates, which will increase patient safety and decrease healthcare spending. This research project focused on implementing The American College of Obstetricians and Gynecologists’ (ACOG) Labetalol treatment algorithm to treat patients diagnosed with severe preeclampsia. Prior to implementation, data …

Reducing Cautis In A Neurological Icu, Claire Mckee

Dissertations

Catheter-associated urinary tract infections (CAUTIs) are the primary source of infection in patients with urinary catheters and are the fourth leading cause of healthcare-associated infection. Because indwelling urinary catheters are not completely avoidable in hospitalized patients, it is crucial to utilize evidence-based research to prevent CAUTIs. A urinary catheter maintenance bundle is one way to reduce CAUTI rates in hospitalized patients. This quality improvement project utilizes a catheter maintenance bundle with seven elements with the aim of reducing CAUTI rates. The project takes place in a 20-bed neurological intensive care unit (ICU) in a larger tertiary care medical center. Prior …

A Behavioral Weight Loss Program For Low-Income Adults With Obesity And Hiv, Sophai Thach

Dissertations

Problem: Obesity, having a body mass index (BMI) of 30 kg/m² or greater, increases the risk for cardiovascular disease. For people living with HIV (PLWH), this increases their risk for myocardial infarctions by 50% and causes this life-threatening event to occur at a younger age compared to those who are not diagnosed with HIV.

Methods: With obesity disproportionately affecting people with low income, this study aims to evaluate the effects of a 12-week behavioral weight loss program that utilizes journaling as a self-monitoring tool, weekly educational classes, and individualized goal-setting on PLWH with obesity who live in …

Effect Of Integrating Adult Learning Concepts And Curriculum Structure Into Customer Service Training For Specialty Pharmacy Employees, Caroline Mccallister

Dissertations

The purpose of this research was to explore the effect of integrating adult learning into a structured curriculum specifically designed to address the learning needs of patient services coordinators (PSCs). The research was conducted for two primary reasons: (a) to determine the effect, if any, of presenting new hire training created using adult learning principles and sound curriculum design had on satisfaction levels with that training, and (b) to determine the effect, if any, of presenting new hire training created using adult learning principles and sound curriculum design had on the length of time needed for a new hire to …

Gas-Phase Fragmentation Chemistry Of Small Ions, Maha Abutokaikah

Dissertations

The fragmentation chemistries of small ions are characterized in the gas-phase using mass spectrometry. I utilized experimental data and computational methods to rationalize the mechanisms of fragmentation. Density functional calculations of minima, transition states, product ions, and neutrals were performed for most of the studied systems. These systems are varied widely: Protonated peptides systems (Chapters 2 and 3), lithiated monosaccharides (Chapters 4), and protonated imine, anthracene derivatives (Chapter 5). From the experimental and theoretical data of protonated histidine-containing peptides (Chapters 2), we found that altering the position of the histidine residue had a noticeable effect on the identity of b …

This Is My Story: Using Patient Personalization Posters To Improve Nurses' Caring Behaviors, Kelly S. Johnson

Dissertations

The critical care environment renders patients unable to share the kind of personal information that illuminates their story outside of the intensive care unit. Therefore, learning about the individuality of this patient population and building caring relationships with them is more difficult than with a fully communicative patient. The aim of this project was to investigate the relationship between the patients' and families' perceptions of caring behaviors and the use of the "This is My Story" poster for critically ill adults. A two-group comparison was done between patients in a surgical intensive care unit who received the "This is My …

Dysphagia Screening To Prevent Hospital-Acquired Pneumonia Rates, Namneet Sekhon

Dissertations

Problem Pneumonia is a leading cause of death worldwide and affects all ages. Pneumonia may be acquired by aspiration and a bedside nursing dysphagia screen may reduce hospital acquired pneumonia (HAP) rates for stroke patients. The aim of this study was to evaluate use of the dysphagia screen for all patients receiving a computed tomography (CT) scan of the head in the emergency department (ED).

Method An observational, descriptive design for all patients who received a CT of the head in the ED and admitted over a 60-day period. The rate of dysphagia screening with the DePaul Hospital Swallow Screen …

Using Technology As An Independent Learning Strategy To Support Vocabulary Acquisition For Secondary Students With Learning Disabilities, Donna M. Egan

Dissertations

Students at the secondary level encounter a plethora of content-rich, content-area texts. To achieve comprehension of these content-area texts, students are required to know the meanings, relationships, and contextual interpretations of each new vocabulary word. Students, especially exceptional students (those who have an Individualized Education Plan), struggle with academic demands, challenges of tiered vocabulary, and the lack of comprehensive vocabulary instruction. Researchers have examined the outcomes of computer-assisted instruction on exceptional students’ vocabulary development using various technology. To meet the critical academic vocabulary acquisition needs of secondary students with exceptionalities, research encourages using technological applications as independent word-learning strategies. This …

The Effect Of Providing Partial Presentation Notes On Student Success Factors, Sarah Elizabeth Mannon Cravero

Dissertations

Psychologists and educators have examined the use of a wide variety of technological advancements in the classroom, and have studied the effects of these new tools on many factors that affect classroom performance. However, little research exists to demonstrate how specific teaching techniques, specifically the provision of partial or skeletal presentation notes (such as might accompany a Power Point presentation), affect factors that we already know to affect academic success, such as locus of control and academic self-efficacy. This study sought to discover the impact that providing partial presentation notes for use during lecture would have on students’ performance, as …

Institutional Adoption And Implementation Of A Mandated Community College First Year Experience Course, Carmen Varney Purpus

Dissertations

This purpose of the research study is two-fold. The first aim is to establish strategies that can guide community colleges interested in the implementation of a mandated First Year Experience course as well as to identify barriers community colleges may encounter to help them move from desiring a mandated student success course to acting to create one. It is widely believed that student success course helps students learn to be successful, but it is not a widely accepted practice to mandate it for all students.

The second objective is to add to the limited body of research. A nonexperimental descriptive …

The Use Of Vouchers To Negatively Reinforce Number Of Weeks Compliant Among Clients In A Mental Health Court, Michele Nicole Murdock

Dissertations

The literature is sparse on the use of contingency management procedures in a mental health court (MHC). The purpose of this study was to examine the use of negative reinforcement for behavioral changes in a MHC. Specifically, the present study explored whether a voucher-based contingency management intervention improved the number of weeks compliant on MHC probation and whether participants were more externally than internally motivated to comply with MHC probation requirements. Vouchers were given for compliance with MHC probation requirements. The vouchers allowed participants to miss a future court date. It was hypothesized that participants who received the voucher would …

Perceived Teaching Style And Academic Growth In An International School Setting, Jamie Elizabeth Martin

Dissertations

The presence of international schools has grown significantly around the world to accommodate a growing need for academic instruction that differs from that provided in local schools and to meet the rapid demands of globalization. As demands for international schools increase, demands for student performance are also increasing.

This quantitative correlational study seeks to determine if correlations exist between teaching style and student academic growth in mathematics within an international school setting. The study also determines if a dominant teaching style exists and if correlations between teacher grade level and teaching style can be made among international teachers who teach …

Teaching English Learners: A Study Of Procedures And Perceptions Of Missouri Program Directors And Mainstream Classroom Teachers, Merica Schoen Clinkenbeard

Dissertations

Professional development for mainstream classroom teachers to meet the influx of diverse learners is not adequately met by most school districts (Quintero & Hanson, 2017). The purpose of this mixed-methods study was to gain information from English learner program directors about English learner program practices and professional development specific to the needs of English learners in Missouri school districts. Mainstream classroom teachers from different-sized schools with high- and lowincidence of English learner students were interviewed to gather the perceived level of understanding of best practices for the implementation of research-based strategies. The Missouri Professional Learning Guidelines for Student Success guided …

An Examination Of The Attitudinal And Structural Barriers To Successful Implementation Of Personalized Learning, Jeremy Sullivan

Dissertations

Personalized learning has become a common term in the education lexicon; however, there is not an industry-accepted and universally adopted definition or model. While personalized learning is mentioned in 39 states’ Every Student Succeeds Act plan, the models vary greatly because personalized learning requires a full paradigm shift from teacher-centered to student-centered instruction. The purpose of this study was to examine the current barriers K-12 classroom teachers experience when implementing personalized learning. The four core strategies of flexible learning environments, personal learning paths, learner profiles, and competency-based progression identified by Pane et al. (2017a) were utilized to frame personalized learning. …

Evaluation Of A Brief Online Alcohol Intervention For College Students: The Role Of Race-Specific Normative Feedback, Racial/Ethnic Identity, And Readiness To Change, Jacob Scharer

Dissertations

Brief online interventions are effective for reducing alcohol use among college students. However, some research has suggested that these interventions may be less effective for African American students. This study evaluated the acceptability and efficacy of a widely available brief online alcohol intervention in a sample of African American and Caucasian college students through a randomized controlled trial. The aims of this study were to determine if providing race-specific normative feedback impacted treatment efficacy for African American students, and if this effect was moderated by racial/ethnic identity and readiness to change. Participants were 310 heavy drinking African American and Caucasian …

An Examination Of Death Anxiety, Psychological Depression, And Adult Attachment Patterns Among Saudi Students In The Usa, Siham Ahmed Alswayel

Dissertations

This study was designed to investigate the relationships between death anxiety, psochological depression, and adult attachment patterns within Saudi students in U.S. universities. The sample of 684 participants was obtained via the Saudi Arabian Cultural Mission (SACM) in the United States. Death anxiety was measured by the ASDA survey, psychological depression was measured by the CESD-R survey, and adult attachment patterns were measured by the RQ survey. All data were self-reported via an online form. There was a significant relationship between death anxiety and adult attachment patterns. Death anxiety and psychological depression were positively correlated. Among the entire sample, adult …

Dimensions Of Social Support And Post-Stroke Depressive Symptoms In Saudi Arabia: A Mixed Methods Approach, Lisa Adnan Babkair

Dissertations

Background: Stroke is the second-leading cause of death and a major cause of serious long-term disability worldwide. Approximately 15 million people who suffer a stroke each year are at risk of developing depression. Post-stroke depressive symptoms (PSDS) affect one-third of stroke survivors. The prevalence of PSDS ranges from 17%-63.3% in Saudi stroke survivors. Depression after stroke is underestimated and underdiagnosed in the Saudi population. Stroke survivors use social support as a coping mechanism and as a protective factor against the adverse effects of stroke outcomes. Although social support and PSDS studies separately applied both quantitative and qualitative research methodologies, a …

The Impact Of Campus Facilities On The Recruitment Of Students In Higher Education, Lucinnda Sue Mcdonald

Dissertations

The statement often has been made over the years that university recruitment efforts are strongly impacted by campus facilities. The subject has been a topic of research over the past several decades. This study indicates that as generations change and times change, the significance of various aspects of the university to the prospective student change as well.

This research effort is a mixed-methods study to provide insight on the facilities current students deem most important when determining which college or university they will attend. The research for this study was conducted through an online survey asking students to:

• Choose …

Meeting The Needs Of Graduate International Students In A Mid-South University: A Descriptive Phenomenology Study, Ifeyinwa Onyeke-Onwelumadu

Dissertations

NAFSA’s economic analysis indicates that international students and their families created or supported 340,000 jobs and contributed $26.8 billion to the U.S. economy during the 2013-2014 academic year (NAFSA, 2014). The analysis for reveals that for every seven international students enrolled, three U.S. jobs are created or supported by spending. These occur in the following sectors: higher education, accommodation, dining, retail, transportation, telecommunications, and health insurance. By the 2017-2018 academic year, the US witnessed further significant contribution of international students to the US economy, contributing $39 billion from living expenses, tuition, and fees. Also, the contributions of international students created …

The Importance Of Leadership Motivational Activities In Encouraging International Students To Return To Their Tier 1 Universities, Eric Hall

Dissertations

Abstract

The problem is international students are not returning to their undergraduate Tier 1 institutions during a period when quality student enrollment is essential, and there is scant research on academic advising strategies that can be used to combat international student attrition at these universities (O’Keefe, 2013). Studies have often lumped all international students together and made efforts to attract more international students, but the reasons why international students chose research universities, and returned, were not being investigated in this manner (Hegarty, 2014).

The purpose of this proposed study was to gain an understanding of the decision-making and reasoning processes …

Psychological Correlates Of Diverse Coerced Sexual Experiences: Clarifying Classes And Severity Continuums Of Sexual Act And Coercive Tactic, Sara Kern

Dissertations

Although different coerced sexual experiences have been associated with different psychological symptoms (e.g., Davis et al., 2014), many limitations have plagued previous classification systems and severity continuums of coerced sexual experiences. The present study aimed to uncover meaningful differences across classes of coerced sexual experiences for the dimensions of sexual act and coercive tactic to inform future classification systems and severity continuums. Participants with a history of coerced sexual experiences (N = 402) completed an online survey about their worst or only coerced sexual experience, identifying the worst (or only) sexual act and the worst (or only) coercive tactic that …

Development Of A Community Health Nursing Course Grounded In Nightingale's Framework, Susan Calhoun

Dissertations

The lack of theory in Community Health Nursing (CHN) education is significant. Nightingale's theory, with its emphasis on environmental effects on health, could guide CHN, and teaching her theory's points in CHN courses could better prepare future nurses to provide care. The purpose of this scholarly practice project was to learn nursing students' perceptions of using the Nightingale Environmental Adaptation Theory of Nursing Practice (NEATNP) in their community health nursing education experience, and how this helped them to understand the importance of theory in practice. The objective of this scholarly practice project was to develop, implement, and evaluate a baccalaureate …

Innovative Teaching Practices To Accelerate Student Learning In The Areas Of Literacy And Science, Michelle Simmons, Paris Bouchard

Dissertations

The researchers of this joint dissertation aspired to create and implement innovative instructional practices that would accelerate student learning. Both researchers believed in the importance of experimenting with structures and processes that lead to instructional impact. They were both passionate about developing an instructional model that would accelerate student learning by focusing on student transfer of skills. They sought to answer the question, Can learning be accelerated when teachers are supported and encouraged to create and implement instructional practices grounded in research? One researcher studied a practice that would potentially increase students’ ability to think critically and problem solve using …

An Exploration Of Trust In Community Leadership Contexts, Richard Hudanick, Kimberlie M. Straatmann, Michael Miller, Andrea Harper, Joshua White

Dissertations

This qualitative exploratory study of effective community engagement process examines community leader’s perceptions of their experiences and the role fostering and building trust plays in producing sustainable change in a Midwestern regional context. The purpose of this study was to explore how trust interacts with asset-based thinking and social learning experiences, including trauma-informed awareness, meaning-making, and empathy, to support community engagement efforts. The research team interviewed 26 individuals who were selected via purposive sampling. Study participants were active in their communities and practitioners in their respective professions. The study identified five overarching themes that emerged from participant interviews, including themes …

Party Blight In Rural Missouri: Causes And Consequences Of Local Organizational Decline, Joseph Anthony

Dissertations

Political parties are fundamental institutions to representative democracies, and they have been an integral part of the American political fabric since the early 1800s. Changes in the political landscape have pressed social scientists to engage in a now long-running academic debate as to whether political parties are in a state of reform and adaptation in the modern campaign environment, or if they are in an overall state of decline. While there has been considerable attention given to national and state party organizations, very little is known about how local party organizations are faring in the modern campaign environment. This dissertation …

Factors Considered By Special Education Case Managers When Making A Decision To Mainstream Emotionally Disturbed Students From A Self-Contained Classroom To General Education Classes, Pamela Butler-Harris

Dissertations

Purpose: This qualitative comparative case study analyzes the perspectives, feelings, and beliefs of eight special education case managers who work with students who have been diagnosed as emotionally disturbed (ED), or exhibit ED type behaviors in Contra Costa County, California. It is the hope that through the identification of criteria leading to successful integration, policy makers and educators will be able to develop and implement effective strategies to successfully mainstream ED students, or students who exhibit ED type behaviors into general education classes.

Methodology: This qualitative comparative case study is designed around the following research question: What factors do special …

Equitable Access In Education: Access To Joy, Choice Options, And Strong Neighborhood Schools, Noah Hollenkamp, Albert J. Sanders Jr., Lindsay Schuessler

Dissertations

The purpose of this co-authored dissertation was to understand equitable access of quality educational opportunities in St. Louis, Missouri. Through the following research, we present a better understanding of equity and access in education from a classroom level, on a school level, and finally, on a regional level. This collection of research is the effort of a group of committed and concerned educators seeking to understand the ways of making quality education accessible for all families, specifically in the areas of school choice, quality neighborhood schools, and play in the classroom. By equitable access, we mean all families being able …

Student Perceptions Of Dual Enrollment Participation, Susan Hochstrat

Dissertations

Purpose: It was the purpose of this study to explore students’ perceptions of the impact of dual enrollment participation on academic preparation and college knowledge prior to their first year of college.

Methodology: This was a qualitative research study that utilized a phenomenological approach to explore the impact of dual enrollment participation. Twelve previous dual enrollment students participated in semi-structure interviews.

Findings: The findings from this research study illustrate the impact of dual enrollment participation. Based on the findings students’ state that dual enrollment participation exposes them to rigorous coursework. Students expressed that they were prepared for college because dual …