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Articles 4621 - 4650 of 6523
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Addressing Prescription Opioid Misuse Through The Increased Reporting Of Prescription Monitoring Program (Pdmp) Data: An Integrative Review, Claudia Hannah Georgestone
Addressing Prescription Opioid Misuse Through The Increased Reporting Of Prescription Monitoring Program (Pdmp) Data: An Integrative Review, Claudia Hannah Georgestone
Doctoral Dissertations and Projects
Opioid misuse relating to prescription pain killers have claimed the lives of many Americans, posing an escalating nationwide public health crisis. Prescription opioid overdose and death can impair an individual’s functionality, destabilizes family, and impose a significant financial burden. In 2014, the U.S. had an estimated 36 million people ages 12 years and older who had used prescription opioids for non-medical reasons. In that same year, there were “28,647” (61%) of 47,055 prescription and non-prescription opioid overdose deaths, indicating an increase from previous years (Center for Disease Control (CDC, 2020). Several measures to address the opioid crisis have been implemented, …
Assessing Whether The Regional Differences Between Countries Influence Business Strategies Of Multinational Companies, Christopher Scott Powell
Assessing Whether The Regional Differences Between Countries Influence Business Strategies Of Multinational Companies, Christopher Scott Powell
Doctoral Dissertations and Projects
The purpose of the qualitative multi-case study design study is to add to the body of knowledge by exploring how MNCs in the United Kingdom, Ireland, France, Germany, Belgium, and Switzerland (a) employ global approaches in their foreign market operations and (b) differ in their outcomes in international activities compared with their corresponding domestic operations. Findings from the study have shown that cultural differences between the home and host companies have a profound effect on the internationalization strategy. Most of the managers included in the study reported that their organizations encourage diversity and cultural competencies. They also recommended conducting a …
Improving Survival Rates In Patients Suffering Cardiac Arrest With Specialized Resuscitation Teams: An Integrative Review, John Campbell Holcomb
Improving Survival Rates In Patients Suffering Cardiac Arrest With Specialized Resuscitation Teams: An Integrative Review, John Campbell Holcomb
Doctoral Dissertations and Projects
Over 300,000 hospitalized patients suffer a cardiac arrest requiring a Code Blue activation each year in the United States. These patients have an extremely high mortality rate. These rates are not uniform across all hospitals and facilities that employ specialize Code Blue resuscitation teams have a higher percentage of patients that survive resuscitation events. This Integrative Review shows that these teams are essential to patient survival but are prone to barriers that must be overcome to provide effective teamwork. Quality improvement projects centered around Code Blue teams can be created at the local level and have been found to be …
Low Job Satisfaction As A Lived Experience For Veteran Middle School Teachers In Rural Tennessee: A Phenomenological Study, Shayla Carew
Low Job Satisfaction As A Lived Experience For Veteran Middle School Teachers In Rural Tennessee: A Phenomenological Study, Shayla Carew
Doctoral Dissertations and Projects
The purpose of this transcendental phenomenological study was to understand the lived experiences of rural veteran middle school teachers in Tennessee with low job satisfaction. Urie Bronfenbrenner’s ecological systems theory (EST) was the theoretical framework guiding this study. EST is composed of five environmental systems: microsystem, mesosystem, exosystem, macrosystem, and chronosystem. This study included participation from 10 veteran teachers with 5 or more years of experience who demonstrated low job satisfaction in Tennessee according to the results of a questionnaire given prior to conducting the study. The central research question guiding this study was, What are veteran middle school teachers’ …
Ask, Advise, Assist And Follow: An Evidence Based Project To Address Unhealthy Alcohol Use In A Free Clinic Setting, Lisa K. Floyd
Ask, Advise, Assist And Follow: An Evidence Based Project To Address Unhealthy Alcohol Use In A Free Clinic Setting, Lisa K. Floyd
Doctoral Dissertations and Projects
Preventative care in free clinic settings aims to mitigate health risks for vulnerable populations. Heavy alcohol intake is a major threat to physical and mental health. Wellness care for free clinic patients must include regular screening for alcohol use in accordance with national guidelines. The purpose of this project was to implement and evaluate an evidence- based practice change to improve alcohol screening and intervention in a free clinic setting. The NIH/NIAAA screening, brief intervention, and referral for treatment (SBiRT) process was implemented. A convenience sample of de-identified patient charts was reviewed to assess alcohol screening before (n = 38 …
Identification Of Human Trafficking Victims In The Health Care Setting: An Integrative Review, Jami Leigh Castellucci
Identification Of Human Trafficking Victims In The Health Care Setting: An Integrative Review, Jami Leigh Castellucci
Doctoral Dissertations and Projects
Most victims who have escaped trafficking report that during their captivity they were taken to health care facilities. Though health care–based trafficking reporting has increased over the last few years, studies show that private practices and most hospitals within the country do not have a human trafficking protocol, policy, nor educational intervention for their frontline staff to be able to identify and refer victims for short- and long-term support. The United States health care system is poised to play a large role in the fight against human trafficking. This integrative review describes the current status of human trafficking victim identification …
High Reliability In Medication Administration, Bradford White Jensen
High Reliability In Medication Administration, Bradford White Jensen
Doctoral Dissertations and Projects
This research was designed to test the theory of Robust Process Improvement (RPI) as it has been applied to the problem of medication error at Navy medical treatment facilities (MTFs). Medication error is the greatest cause of patient injury in America. In an effort to duplicate the success of High Reliability Organizations (HROs), leaders of the Joint Commission advocated the application of Lean Six Sigma (LSS) as the key elements of RPI and the best way to increase safety and improve the quality of healthcare. The specific problem was that very little empirical evidence existed supporting the theory. The research …
Burnout, Compassion Satisfaction, And Secondary Traumatic Stress Among Higher Education Faculty Members, Ramon Jose Velez-Cruz
Burnout, Compassion Satisfaction, And Secondary Traumatic Stress Among Higher Education Faculty Members, Ramon Jose Velez-Cruz
Doctoral Dissertations and Projects
This study used a quantitative correlational method to examine the correlation between self-care, burnout, compassion satisfaction, and secondary traumatic stress among higher education faculty members across multiple disciplines. One hundred and fifty-one participants from two higher education institutions and Listservs provided feedback for the study. Participants completed a demographics questionnaire and two surveys, the National Alliance in Mental Illness Self-care instrument and the Professional Quality of Life scale. Results showed collectively significant results between self-care and burnout, compassion satisfaction, and secondary traumatic stress. Physical self-care and emotional self-care had significant, positive relationships with compassion satisfaction. Physical self-care and emotional self-care …
Diabetes Health Literacy In The Rural Community: An Integrative Review, Shannon M. Elrod
Diabetes Health Literacy In The Rural Community: An Integrative Review, Shannon M. Elrod
Doctoral Dissertations and Projects
Health literacy is paramount for successful management of health and prevention of disease. Yet a majority of adults have low health literacy. The impact of low health literacy on chronic disease management effects health outcomes and health care costs. With six out of 10 adults in the US diagnosed with a chronic disease such as diabetes, health literacy is a serious concern. Diabetes impacts over 30.3 million Americans. Since diabetes is one of the most common chronic diseases in the country, it is imperative that health literacy be addressed as part of this population’s health management. Diabetes health literacy plays …
The Relationship Between Students' Tracking Of Their Learning Data And Overall Academic Achievement In Fifth-Grade Mathematics, Angela Van Sant Poag
The Relationship Between Students' Tracking Of Their Learning Data And Overall Academic Achievement In Fifth-Grade Mathematics, Angela Van Sant Poag
Doctoral Dissertations and Projects
Teachers are in a constant cycle of data collection to guide instruction and increase student achievement; however, students are not always involved in the data collection or discussion of their own learning data. The purpose of this correlational study was to explore the relationship between students’ tracking of their own learning data and their academic achievement in fifth-grade mathematics as measured by the aimswebPlus assessment. A convenience sample of 154 students from a middle school in a southern Tennessee school district participated in the study using archival data. A Pearson Product Moment Correlation was used to test the null hypothesis …
A Phenomenological Study On The Lived Experiences Of High School Students With A Reading Disability, Ellen R. Ziegler
A Phenomenological Study On The Lived Experiences Of High School Students With A Reading Disability, Ellen R. Ziegler
Doctoral Dissertations and Projects
Reading is an essential skill for all students. However, students who do not grasp the basic reading skills during elementary school struggle through school. Without basic skills, many of these students are at risk for behavioral issues and a low self-concept. The purpose of this phenomenological study was to describe the lived experiences of high school students with a specific learning disability in reading. The theory that guided this study was the social identity theory as it relates to high school students with a disability in reading to their identity to self and others. The central research question for this …
Reducing Out-Of-School Suspension In Title I Middle Schools: An Applied Study, William Thomas Hatten
Reducing Out-Of-School Suspension In Title I Middle Schools: An Applied Study, William Thomas Hatten
Doctoral Dissertations and Projects
Out-of-school suspension is a growing concern in the United States education system and affects students at the three Title I schools in the Central School System at a particularly high frequency. The purpose of this applied study was to solve the problem of high-frequency out-of-school suspension for three Title I middle schools in the Central School system and to formulate a solution to address the problem. A multi-method design was used, consisting of both qualitative and quantitative approaches. The first approach was structured interviews with two administrators from each school. The second approach was the analysis of archival data using …
Increasing New Orienting Emergency Department Nurses' Awareness Of Mass Casualty Incident Emergency Preparedness And Disaster Response Core Competencies To Improve Mass Casualty Incident Response, Christopher C. Deramo Ii
Increasing New Orienting Emergency Department Nurses' Awareness Of Mass Casualty Incident Emergency Preparedness And Disaster Response Core Competencies To Improve Mass Casualty Incident Response, Christopher C. Deramo Ii
Doctoral Dissertations and Projects
Mass casualty incidents (MCI) impose a substantial threat to healthcare. Despite the increasing frequency of MCIs many healthcare organizations and nursing programs do not adequately prepare nurses to be effective responders during an MCI. This evidence-based practice pilot project was purposed to increase new orienting emergency department nurses’ confidence and ability to effectively respond to an MCI. This project involved implementing an MCI educational program consisting of a disaster nursing framework to educate new orienting emergency department nurses on emergency preparedness and disaster response core competencies. The project leader utilized a quasi-experimental design to collect data pre- and post-intervention utilizing …
The Experiences Of Sixth- Through Twelfth-Grade Students Identified As Having Autism Spectrum Disorder And Classified As Academically And Intellectually Gifted: A Multiple-Case Study, Callie Sa'dena Everett
The Experiences Of Sixth- Through Twelfth-Grade Students Identified As Having Autism Spectrum Disorder And Classified As Academically And Intellectually Gifted: A Multiple-Case Study, Callie Sa'dena Everett
Doctoral Dissertations and Projects
The purpose of this qualitative multi-case-study was to shed light on the lived experiences of students in sixth through twelfth grade who are identified with an autism spectrum disorder and academically or intellectually gifted. Four students along with his/her parents and teachers participated in this study. Each student and his/her parent(s) and teachers formed one case. The problem that this study sought to examine was the lived educational experiences of twice-exceptional students who have autism spectrum disorder and are academically gifted. The central research question addressed how students in sixth through twelfth grade who are identified with autism spectrum disorder …
Evaluating Critical Dysfunction Of Leadership In The Church: Motivating The Church To Growth, Frank Graham Iii
Evaluating Critical Dysfunction Of Leadership In The Church: Motivating The Church To Growth, Frank Graham Iii
Doctoral Dissertations and Projects
The purpose of this study is to examine the decline in church membership. Leaders in the church are not addressing the issue of why people are not staying once they join the church, or why are the ones that have been there for a while leaving the church. It seems like our leadership department is out of zinc. There is far too much confusion between each other. Leaders are not focusing on the initial issue of the church, instead they are fighting amongst one another. I think that it may be beneficial if leaders would take a profile assessment about …
Parental Communication Patterns And The Impact On Young Children, Janice Ringstaff
Parental Communication Patterns And The Impact On Young Children, Janice Ringstaff
Doctoral Dissertations and Projects
Communication is the process of sending and receiving messages. Such messages may impact an individual’s overall functioning across the lifespan. Parents are usually the first source of information exchange for children. The Systematic Training for Effective Parenting (STEP), originally published in 1976, is an education program that teaches positive parenting and effective communication strategies. STEP encourages parents to embrace concepts of mutual respect and equality while creating opportunities for parents to meet the demands of raising children. There is limited data assessing parental change in communication patterns among parents of young school-aged children following systematic training. Twelve parents with children …
Pastoral Burnout: Practical And Biblical Insights For Prevention And Rehabilitation Within The International Pentecostal Holiness Church, Jim Tunnell
Doctoral Dissertations and Projects
With the excessive demands in pastoral ministry, the spectrum of ministry workload has become a stressful occupational peril that could trigger pastors to give in and ultimately abandon ministry altogether. Before and after secession, clergy, particularly pastors, experience a wide variety of maladies, including but not limited to physical and psychological distress, that may lead to intensive outcomes. As the number of resignations continues to rise, there is an emergent interest among leaders, particularly in the denominational sector, to determine the interposing contributing factors and to develop appropriate resources to be of assistance when pastoral burnout is recognizable. With the …
Creating More Discipleship At Mount Olivet Baptist Church Through The Brotherhood Ministry, Kevin Ml Jefferson
Creating More Discipleship At Mount Olivet Baptist Church Through The Brotherhood Ministry, Kevin Ml Jefferson
Doctoral Dissertations and Projects
Getting volunteers to serve in the Brotherhood Ministry will increase the opportunity to create more discipleship at Mount Olivet Baptist Church and better serve the Community. The purpose of this research is to address the problem through some sort of intervention and report the results based on the interventions provided. Research is needed on this particular ministry because it is the ministry that does outreach in the local community.
Easycbm And The Tennessee Comprehensive Assessment Program: A Correlational Analysis Of Reading Achievement, Stephanie Ann Stone
Easycbm And The Tennessee Comprehensive Assessment Program: A Correlational Analysis Of Reading Achievement, Stephanie Ann Stone
Doctoral Dissertations and Projects
Current trends in education suggest that the best way to help struggling readers is to provide academic intervention before they fall too far behind. Schools that use annual standardized test scores to determine students’ academic deficiencies, and thereby their need for intervention, only receive these score reports once per year, often several weeks or months after the students have been assessed. The purpose of this correlational analysis of reading achievement was to compare students’ performance on the EasyCBM progress monitoring tool to students’ performance on the Tennessee Comprehensive Assessment Program for third, fourth, and fifth grade students at a suburban …
Pastoral Stress: The Urgent Need For Self-Care, Remiel Lockwood
Pastoral Stress: The Urgent Need For Self-Care, Remiel Lockwood
Doctoral Dissertations and Projects
Pastors are called to the ministry of helps while also needing help. The care and counseling they offer others can also be beneficial to them. Unfortunately, they are often so busy helping others they may neglect themselves and their families. Consequently, what is meant to be a blessing becomes a curse. Pastors often suffer with the silent frustrations of their call, personal temptations, family pressures and career desires while struggling to hold it together. The pastor may be limited in who can be entrusted with the deep concerns of their hearts. Everybody needs someone they can talk with and the …
The Relationship Between Pastoral Servant Leadership And Congregational Spiritual Formation In U. S. Churches, Rich J. Sironen
The Relationship Between Pastoral Servant Leadership And Congregational Spiritual Formation In U. S. Churches, Rich J. Sironen
Doctoral Dissertations and Projects
The purpose of this correlational study was to determine if a relationship exists between pastoral servant leadership and congregational spiritual formation in Protestant churches located in the United States of America. The context of this study was to assess possible relationships between pastoral servant leadership and congregational spiritual formation. The population of churches used for this study was comprised of Protestant churches located within the United States of America. The methodological research design for this study was a quantitative non-exploratory correlational approach, which is used to "describe and measure the degree of association (or relationship) between two or more variables …
Implementation Of An Independent, Unit Specific Lgbt Cultural Competency Training, Kristen Nicole Kaiafas
Implementation Of An Independent, Unit Specific Lgbt Cultural Competency Training, Kristen Nicole Kaiafas
Doctoral Dissertations and Projects
This paper describes the methodology of the implementation of an educational intervention in the emergency department (ED) setting seeking to improve the provision of culturally competent care for the Lesbian-Gay-Bisexual-Transgender (LGBT) population. The intent of the project was to improve the knowledge and skills, openness and support, and oppression awareness of ED nurses when providing care to the LGBT population. The scholarly project included an evidence-based, unit specific education intervention to improve these measurement outcomes. Analysis utilizing descriptive statistics demonstrated an increase in the mean knowledge and skills and openness and support following the education intervention. The results illustrated an …
Novice Elementary Teachers’ Self-Efficacy For Teaching Science: A Phenomenological Study, Graquetta Banks Harris
Novice Elementary Teachers’ Self-Efficacy For Teaching Science: A Phenomenological Study, Graquetta Banks Harris
Doctoral Dissertations and Projects
The purpose of this transcendental phenomenological study was to understand perceptions of self-efficacy in science pedagogical content knowledge (PCK) for novice elementary school teachers at various elementary schools in central Georgia. Novice elementary school teachers were those traditionally prepared, and self-efficacy was the confidence in science PCK for elementary school teachers. The two theories guiding this study included Bandura’s self-efficacy theory and Shulman’s theory of PCK, as they supported the process of self-efficacy and PCK of novice elementary school teachers. The participants included 15–20 elementary school teachers who completed a traditional teacher preparation program and had fewer than 5 years …
A Phenomenological Study Of 21-29-Year-Old Teachers' Perceptions Of Using Twitter For Professional Development, John Woodring
A Phenomenological Study Of 21-29-Year-Old Teachers' Perceptions Of Using Twitter For Professional Development, John Woodring
Doctoral Dissertations and Projects
This transcendental phenomenological study explored the perception of 21-29-year-old public school teachers’ use of Twitter in their professional development. However, while teachers in the 21-29-year-old age range were part of the demographic dominating online social media use in general, they did not use online social networks for professional development purposes as much as their older peers (Carpenter & Krutka, 2014; Visser et al., 2014). While professional development was important for improving teachers’ classroom performance and student achievement (Coldwell, 2017), traditional professional development often was ineffective in changing classroom instruction (Carpenter & Krutka, 2014; Dingle, Brownwell, Leko, Boardman, & Haager, 2011; …
A Phenomenology Of Teachers' Experiences Using One-To-One Technology In Rural North Carolina Middle Schools, Louise Marie Cline-Caulder
A Phenomenology Of Teachers' Experiences Using One-To-One Technology In Rural North Carolina Middle Schools, Louise Marie Cline-Caulder
Doctoral Dissertations and Projects
The purpose of this transcendental phenomenological study is to describe the experiences of middle school teachers using one-to-one technology in schools in rural North Carolina. The guiding theory, Technological Pedagogical Content Knowledge (TPACK), is a framework for interweaving technology, pedagogy, and content knowledge. The 12 participants in this study were middle school teachers from three schools in a rural North Carolina school district. The central research question for this study is: how do middle school teachers describe their daily experiences using one-to-one technology in schools in rural North Carolina. The supporting questions posed were: how do participants describe their self-efficacy …
A Mixed-Method Study: Executive Pastors And The Performance Of Fast-Growing Churches, Donald Wouter Bosch
A Mixed-Method Study: Executive Pastors And The Performance Of Fast-Growing Churches, Donald Wouter Bosch
Doctoral Dissertations and Projects
Based on available literature, little systematic investigation has explicitly considered the extent to which investing in church management, including hiring executive pastors, affects church performance. The purpose of this exploratory sequential mixed-methods study is to assess phenomenological and correlational data from one hundred of the fastest-growing churches in the United States, as ranked by LifeWay Research (2018) for calendar years 2017-2018 and draw available conclusions on church executive leadership capacity versus performance. Phenomenological data was used to qualitatively examine the executive management functions at these churches and analyze how each determined its need for such expertise based on leadership team …
Improving Support For Non-Japanese Students Bullied In Japan's Elementary Schools, Corey Joseph Algood
Improving Support For Non-Japanese Students Bullied In Japan's Elementary Schools, Corey Joseph Algood
Doctoral Dissertations and Projects
The purpose of this applied study was to solve the problem of bullying for non-Japanese students in an elementary school in Japan and to design strategies, interventions, and training to address the problem. This research study utilized a multimethod approach to investigate the problem of bullying through participant interviews, focus group research, and an online survey in order to identify solutions to the study’s problem. Data analysis strategies involved analyzing transcribed participant responses from interviews and focus group research, coding, and interpreting survey participant data. This research project required the researcher to meet, interview, and survey participants in Japan who …
Effective Pastoral Leadership To Catalyze A Disciple-Making Church, Juan Victor Acevedo
Effective Pastoral Leadership To Catalyze A Disciple-Making Church, Juan Victor Acevedo
Doctoral Dissertations and Projects
Most churches are in a current state of plateau or declining. Although there are several variables that contribute to this status, a lack of willing and qualified disciplers have contributed to it. Why is there a lack of willing and qualified disciplers? Do pastors understand their biblical role as equippers? Does the church understand their role in ministry? Through the result of this research, the researcher will propose a biblical-based discipleship plan as well as other biblical recommendations to ameliorate the areas identified with deficiencies to improve leadership as well as the discipleship-making process.
The Effectiveness Of Patient Education Utilizing The Teach-Back Method To Improve Patient Satisfaction, Gladys Cajucom Apuli
The Effectiveness Of Patient Education Utilizing The Teach-Back Method To Improve Patient Satisfaction, Gladys Cajucom Apuli
Doctoral Dissertations and Projects
The purpose of this Evidence-Based Project is to determine the effectiveness of using “teach-back” method in giving education to patients receiving chemotherapy and how this method can increase patient satisfaction with understanding of medication action and side effects. Teach-back method is a way of checking patient’s understanding by asking them to state in their own words the information about their health. It is a way to confirm that the explanations given by their provider is understood. Teach-back method can improve patient’s understanding and adherence, decrease call backs and cancelled appointments. This project was developed to improve the organization’s patient satisfaction …
Implementation Of Post Forms Upon Hospice Admission: An Evidence-Based Practice Intervention To Reduce Hospice Revocations, Joanna Grace Asselin
Implementation Of Post Forms Upon Hospice Admission: An Evidence-Based Practice Intervention To Reduce Hospice Revocations, Joanna Grace Asselin
Doctoral Dissertations and Projects
Background and Purpose: Reduction of live hospice discharges in the form of revocations is necessitated in order to maintain regulatory compliance and meet quality measures. Upon admission to hospice services, many have not considered personal desire regarding further intervention beyond Do Not Resuscitate (DNR) status. Evidence-based practice has revealed Physician Order for Scope of Treatment (POST) forms as effective in enhancing translation of patient desires related to care and interventions at end-of-life. The clinical question of this scholarly project asked if implementation of POST forms upon admission to hospice services would result in decreased revocations with related emergency department (ED) …