Digital Commons Network^™

Education Of Nurses On The Use Of The Interact Tool, Daniyele L. Feaster

Electronic Theses and Dissertations

Abstract

Research reveals long-term care facilities face challenges with unnecessary transfers to acute care facilities. Use of the INTERACT quality improvement program has been effective in decreasing rehospitalizations in long-term care facilities. The researcher used a 15-question survey regarding the components of the INTERACT tool to assess the knowledge base of licensed nurses in long-term care facilities and develop a one-hour education session to bridge the knowledge gap. After the education session was held, a posttest was administered to test the licensed nurses’ knowledge of the INTERACT program. Using a paired-samples t test, the researcher found an overall increase in …

Online Course Communication And International Student Academic Performance, Christie L. Smith

Electronic Theses and Dissertations

Online course communication activities can be used to support the social and cognitive needs of students in online courses, but when those students are international students from across the globe studying in the United States where there are language and cultural differences, online learning can be a challenge. The purpose of this study was to examine undergraduate international students’ online course communication behaviors and their academic performance in order to inform quality online course development and delivery. In this qualitative case study, semistructured interviews with 11 undergraduate international students were conducted, online course communication behaviors were observed, and five faculty …

African American Teachers' Experiences Of Becoming A Teacher In Ohio: A Case Study, Feon M. Battiste

Electronic Theses and Dissertations

There has been a hiring discrepancy in the recruiting and hiring process of African American teachers in Ohio (Stein, 2019). The purpose of this descriptive case study was to explore African American teachers’ experiences of becoming teachers in Ohio and their suggestions for improving the hiring process. Five research questions guided the study: (a) What were African American teachers’ lived experiences of becoming a teacher in Ohio? (b) How do African American teachers perceive the obstacles and catalysts of becoming and remaining teachers in Ohio? (c) How do African American teachers view diversity in the teaching force? (d) What policies …

Interventions For Ninth-Grade Middle-Achieving Students, Bradley C. Cook

Electronic Theses and Dissertations

Implementing intentionally designed interventions to improve students’ academic performance has been a focus of educational stakeholders for decades. However, the implementation of academic interventions for average-achieving students, particularly during their freshman year of high school, appears to be lacking. The purpose of this qualitative grounded theory study was to explore designed interventions implemented by high school administrators from two unified school districts in California that focused on the academic performance of middle-achieving students during their ninth-grade year. This qualitative grounded theory study focused on the perspective of a purposive sampling group of high school administrators, which included principals, assistant principals, …

Reducing Parental Stress In Neonatal And Pediatric Intensive Care Units, Nancy M. Abbene

Electronic Theses and Dissertations

Abstract

The neonatal intensive care unit (NICU) and pediatric intensive care unit (PICU) are highly operational and highly active environments. Health care workers must react quickly to care for patients and provide life-saving measures fundamental to favorable patient outcomes. Caregivers of this critical patient population are often overlooked as the healthcare team prioritizes patient’s needs. In addition, medical equipment, machines, and monitors have multiple safety alarms sounding frequently and contributing to high levels of parental stress upon their child’s admission to the NICU and PICU. Lack of giving adequate prominence to the value of caregiver support services in the hospital …

Exploring The Experiences And Effectiveness Of Student Loan Entrance Counseling, Manoj Thekkadathu Oommen

Electronic Theses and Dissertations

Student loan debt is one of the most pressing issues in the United States today. The rate of student loan debt in the United States continues to rise year after year, and the country is experiencing a crisis of increased student loan debt. A program that started with a budget of $15 million in 1965 to expand access to higher education has increased exponentially to over $1.5 trillion in student loan debt today. Students are ushered into the college experience often without possessing a firm grasp of basic financial literacy skills. Federal legislation mandates borrowers to take a 30-minute counseling …

Food Addiction And Obesity, Lisa Ling

Electronic Theses and Dissertations

The obesity rate in the U.S. adult population has increased to epidemic levels despite attempts to decrease obesity through evidence-based knowledge, clinical practice guidelines, medical interventions, and individual efforts. For certain individuals, food addiction behaviors such as food cravings, loss of control, and binge eating contribute to obesity and require a different approach to care. Little work has been done on adding the possibility of food addiction to obesity screening and treatment. This study utilized a quasi-experimental quantitative pre- and postsurvey research design based on Lewin’s change theory. Nurse practitioners were surveyed regarding the provider’s perceptions, attitudes, and beliefs about …

Exploring And Understanding The Culture Of Young Adults Who Vape: A Focused Ethnography, Beth Tremblay

Electronic Theses and Dissertations

Introduction: Vaping, the act of inhaling an aerosolized liquid, is associated with health risks. The 18- to 25-year-old age group has the highest rate of vaping among adults. Understanding culturally held values, beliefs, and experiences associated with the behavior of vaping in young adults may uncover the social mechanisms that underpin vaping initiation and influence continued use. The purpose of this study was to explore and understand the cultural values and beliefs about vaping among young adults. Method: The method used for this study was a focused ethnography. Young adults who currently vape nicotine (N=24) were recruited via snowball method …

Examining The Effectiveness Of An Intervention Package That Combines Behavior Contract And Token Economy In Decreasing Out-Of-Seat Behaviors In Students With Emotional And Behavioral Disorders In Saudi Arabia, Manal Alsheef

Electronic Theses and Dissertations

Students with emotional and behavioral disorders (EBD) often exhibit disruptive behaviors in classroom, including out-of-seat behaviors, which have been found to negatively affect their overall academic achievement and social interactions and relationships with parents, typically developing peers and teachers, and increase the likelihood of being suspended or dropping out of school. The purpose of this study was to examine the effectiveness of an intervention package that included behavior contract and token economy on out-of-seat behaviors in three elementary school students with EBD (aged 7 and 8) in Saudi Arabia, where the effects of this intervention package has not been studied …

Impacts Of Oil And Gas Wastes On Landfill Leachate, Sewage Treatment Plants, And The Environment, Lauren Badertscher

Electronic Theses and Dissertations

Between January 2011 and March 2021 oil and gas wells in Pennsylvania produced

305,637,795 barrels of liquid waste and 6,992,957 tons of solid waste with the majority from

Marcellus Shale unconventional wells. This waste is not considered hazardous and over 89% of

the solid waste generated by unconventional and conventional oil and gas extraction has been

disposed of in landfills over the past decade. This study examined trends in the quantity of waste

produced and methods of disposal. Landfills accepting this waste were identified and their

general method of leachate treatment, using onsite facilities or offsite at wastewater treatment

plants, …

Interdependence With Our Most Forgetful Elders: Alzheimer's In The Anthropocene, Christine Heller

Electronic Theses and Dissertations

This dissertation uses autoethnography and critical psychological and philosophical theories to explore what people with Alzheimer’s disease teach us about being, forgetting, and dying in the Anthropocene. The author collected personal memory data from her lived experience of being with her mother while she had Alzheimer’s disease, and organized these memories into a series of vignettes. Each vignette was analyzed with critical psychological and philosophical theories to illuminate intersubjective themes of denial, things, ancestors, place, dying, and time. These themes connected the personal to the epochal and articulated the wisdom that our most forgetful elders can share in the Anthropocene, …

A Phenomenology Of Challenging Psychedelic Experiences: From Relational Trauma To Relational Healing, Leland Guthrie

Electronic Theses and Dissertations

Psychedelic medicine is a re-emerging therapeutic paradigm with potentially significant clinical applications. This study contributes to an understanding of the aspects of challenging psychedelic experiences that may contribute to therapeutic outcomes. Interview and written data from five participants about their challenging Ayahuasca experiences was analyzed using Interpretative Phenomenological Analysis (IPA). The results of this analysis revealed a phenomenological structure of challenging psychedelic experiences consisting of a change process that moved the participants from a sense of disconnection to a sense of connection with themselves, others, nature and the cosmos. Findings from the study suggest that challenging psychedelic experiences may be …

The Cultural Worldview Of Women Trafficked For Sex In The U.S: An Ethnonursing Study Exploring Health And Well-Being Beliefs, Values And Practices From An Emic Perspective, Christine Lepianka

Electronic Theses and Dissertations

Introduction: Women who have been trafficked for sex in the United State report that the health care they receive is not consistently helpful or tailored to their unique needs. The purpose and domain of inquiry (DOI) for this study was to discover, understand, and describe health and well-being beliefs, values, and practices of U.S. born women who have been trafficked for sex in the United States, in order to provide culturally congruent nursing care. Method: Leininger’s Culture Care Theory (CCT), ethnonursing research method (ERM), and enablers guided the researcher as she explored the DOI. Interviews were conducted with 11 key …

An Investigation Of The Assumptions And Practices Of Enrollment Management Professionals And Their Impact On Enrollment Decisions Of African American/Black Students At A Private, Predominantly White Institution Of Higher Education, Chase Loper

Electronic Theses and Dissertations

The purpose of this study is to address the low participation of African American/Black students at private, predominantly White institutions (PPWIs), specifically exploring the influence the assumptions of administrators have of the current matriculation outcomes. The research question that drove the study is as follows: How do the assumptions and practices of administrators influence the recruitment and matriculation of African American/Black students at a PPWI? The research question is justified by the examination of empirical findings that describe the enrollment disparity among African American/Black students across higher education institution types and the systemic barriers that have impacted the participation of …

Trauma Informed Care In Alternative Education Settings, Cydney V. Quinn

Electronic Theses and Dissertations

Schools are considered to be the primary location for providing children with prevention and treatment for mental health symptoms, however, it is well documented that children’s mental health needs remain underserved. Especially at risk are children who have experienced trauma and other adverse childhood experiences (ACEs). Many children in this group are subject to disciplinary action, and are often removed from primary classrooms to alternative education placements (AEP) in an effort to manage behaviors. Therefore, it is important that alternative education teachers are trained in trauma-informed care (TIC). While it may be presumed that AEP staff would be well-versed in …

The Role Of Mek1/2 And Mek5 In Melatonin-Mediated Actions On Osteoblasts And Osteoclasts Differentiation, Bone Formation, Bone Microarchitecture, And Bone Biomechanics, Fahima Akter Munmun

Electronic Theses and Dissertations

Melatonin, the main endogenous hormone to entrain the circadian system, is not limited to its role in regulating the sleep-wake cycle; rather, it affects a wide variety of systems involving antioxidant, anti-inflammation, blood pressure regulation, seasonal reproduction, ovarian physiology, and immune function. Driven by the diversity of its action, melatonin for a long time has also been studied in the field of bone and mineral research both clinically and pre-clinically. Exogenous administration of melatonin in clinical trials in perimenopausal women (MOPS; NCT01152580); or postmenopausal women with osteopenia (MelaOST; NCT01690000 and MOTS; NCT01870115) confirmed improvement of bone mineral density (BMD) (MelaOST; …

Developing A Teacher Professional Development Activity With Social Learning Theory To Address Educators’ Attitudes, Knowledge, And Skills In Working With Lgbtqia+ Youth, Jacob Wadsworth

Electronic Theses and Dissertations

It is well documented that children who identify as a sexual minority or as gender-non-conforming are at an increased likelihood to experience adverse events and risk factors that can make it difficult to function in the community, home, and school environments. Lesbian, gay, bisexual, transgender, and questioning, intersex, or asexual (LGBTQIA+) youth report high levels of bullying and victimization with little or no effective intervention from teachers in schools. Research shows that not only are teachers ill-prepared to effectively intervene, but also they engage in homophobic behavior that contribute to a negative school climate. Previous literature shows that there is …

Investigation Of Ongoing Unconventional Gas Extraction And Underground Gas Storage In Pennsylvania: Regulations And Water Quality, Cassandra Ziegler

Electronic Theses and Dissertations

The extraction of unconventional shale gas and its underground gas storage have the potential to impact surface and groundwater water quality. In New Sewickley Township, Beaver County, Pennsylvania, 54 unconventional gas wells were drilled between 2013 and 2019. Groundwater samples from 33 water wells and surface water from Brush Creek (18 samples) were collected and analyzed for anions, cations, and light hydrocarbons. Results showed that at least 8 wells had indicators of brine contamination, and the surface waters of mine drainage. The Steckman Ridge natural gas storage field in Clearville, Bedford County, PA has 13 active storage wells. Samples were …

Administrative Supervision And Counselor Burnout, Emily Belsito

Electronic Theses and Dissertations

Mental health counselors continue to experience burnout due to their roles and the nature of their work. The supervisory working alliance and clinical supervision have been shown to be one protective factor against burnout, however the research to date on administrative supervision’s relationship to burnout is scant. This quantitative study involved a sample (N =110) of mental health counselors, who met specific criteria, who completed a series of three inventories: the Counselor Burnout Inventory (CBI), the Brief Supervisory Working Alliance Trainee Form (BSWAT), and the Satisfaction of Administrative Supervision Scale (created by researcher). A multiple regression using the enter …

The Effects Of A Treatment Package Of Video Self-Modeling And Phrase Drill Intervention On Improving The Reading Fluency In Students With Asd, Maha Alghamdi

Electronic Theses and Dissertations

As the incidence rate of students with autism spectrum disorder (ASD) in Saudi Arabia appears to increase, the need for evidence-based reading interventions that focus on the reading development of students with ASD increases. Reading fluency has been identified as a critical component of reading development and has been consistently linked with reading proficiency. Interventions to promote reading fluency in schools in Saudi Arabia have focused on promoting the literacy attainment of typically developed students, disregarding students with disabilities. In this study, a treatment package of video-self modeling and phrase drill has been used to improve the students reading fluency …

The Development And Optimization Of A Two-Dimensional Lc-Qqq-Ms-Method For The Combined Analysis Of Synthetic Cannabinoids And Designer Cathinones In Urine, Holly Penefsky

Electronic Theses and Dissertations

The compounds and chemical compositions of synthetic cannabinoids and designer cathinones are designed to mimic the intoxicating effects of D⁹-tetrahydrocannabinol and amphetamines, respectively. In order to skirt existing drug laws, non-controlled ingredients are used, and the original chemical structures of current drugs are being modified using analogs or derivatives. These continually changing chemical compositions pose a problem for policymakers, and forensic and analytical scientists, as users are able to attain a “legal high” and avoid detection in standard drug screens. Commonly, toxicology laboratories utilize a screening method, such as immunoassay, for the presumptive identification of designer drugs. When …

A Qualitative Case Study Of The Influence Of Student Presence In Teacher Professional Development, Katharine Roche

Electronic Theses and Dissertations

Although research exists on many of the various types of teacher professional development, it lacks in the area of teacher professional development in the presence of students (Durbin, 2018; Margolis et al., 2016). This exploratory case study of a suburban school district in southeast United States will contribute to the field by examining teacher and teacher leader perception of professional development in the presence of students. According to Margolis et al. (2016), teaching or learning changes cannot occur without simultaneous adjustments in the structure and culture of teacher professional development. Schools must adjust teacher professional development to better support teachers …

Towards A "Universal Chemical Biology Toolbox" For Tackling Human Diseases, Christopher Swank

Electronic Theses and Dissertations

A lack of new drug targets and drug mechanisms, coupled with drug-pipeline attrition, represent significant problems in oncology drug discovery. Towards addressing this challenge, “fully-functionalized small-molecule probes” (FFSMPs) have been established, which are compounds that can be immediately used as “bait” to capture their protein targets under the same assay conditions used for oncology-based phenotypic screening. Specifically, each FFSMP library member contains one or more structural-diversity elements to promote interactions of the probe with different protein targets in living cells, an electrophile or photoreactive functional group for covalent attachment of the probe to interacting proteins via affinity or photoaffinity labeling, …

Technological Change And The Practice Of Healthcare Communication: Implications For Patient-Centered Care, From A Communication Ethics Perspective, Emmalee Torisk

Electronic Theses and Dissertations

Written in a historical moment marked in many ways by the COVID-19 pandemic and the changes it has wrought, including the increased availability and use of telehealth services, this project attempts to consider the implications of the continued integration of technology into health care, centering on the following essential question: How do technological changes affect the contemporary practice of healthcare communication, particularly that which occurs between the patient—the consumer of health care—and their provider? This dissertation thus considers the ways in which such linkages of technology and health care seem to fit into a larger shift within health care …

Excremental Ecofeminism: Unearthing Waste’S Feminine And Narrative Agency In Early Modern Literature, Courtney Druzak

Electronic Theses and Dissertations

This project seeks to understand the role of forms of waste in early modern literary texts. It both offers up a theory—known as early modern excremental ecofeminism—for reading period specific texts in relation to waste and articulates how we may do so through close analysis of Edmund Spenser’s Faerie Queene, John Milton’s Paradise Lost, the elegies of Mary Sidney Herbert, the sonnet sequence Pamphilia to Amphilanthus by Mary Wroth, John Evelyn’s Fumifugium, and finally, William Shakespeare’s play Antony and Cleopatra. It chooses a variety of genres across texts from the 1580s to the 1660s both to interrogate …

Inviting Friendship: A New Approach To Nonprofit Communication, Stacia Glenn Wetherington

Electronic Theses and Dissertations

Beginning with Greeks’ concept of virtuous friendship philanthropy has been part of society. Metaphors of civitas, caritas and social responsibility dominated man’s understanding of charity until the explosion of neoliberal thought in the 1980s. The Band Aid movement in response to the Ethiopian famine permanently changed the way we view philanthropy. This movement created an environment of extreme commodification of charity which has created a highly competitive nonprofit sector and a loss of the collective spirit upon which it was founded. This competitive atmosphere has led nonprofits to chase dollars at the expense of their missions while also relying heavily …

Identification Of Fluoxetine-Sert Interactions And Apo-Sert Studies Via Crosslinking Mass Spectrometry, Elizabeth Castellano

Electronic Theses and Dissertations

The serotonin transporter (SERT) is a member of the neurotransmitter sodium symporter family of transporters. SERT controls the magnitude and duration of serotonergic neurotransmission by facilitating the reuptake of serotonin back into the pre-synaptic neuron and is thus a target for antidepressants. Selective serotonin re-uptake inhibitors (SSRIs) such as fluoxetine, are commonly prescribed to treat depression. SSRIs act by blocking reuptake and prolonging serotonin signaling. However, significant problems regarding selectivity and mechanisms of action of these drugs remain unresolved. The structures of SERT and related transporters have been determined and serve as useful structural models. However, they are typically mutated …

Between Physicalism And The New Dualism: The Moral Relevance Of The Human Body For Catholic Ethics, David J. Demboski

Electronic Theses and Dissertations

One could argue the remarkable changes to the landscape of Catholic moral theology over the course of the twentieth century were unparalleled in the history of the Church. Animated by anthropological and pastoral concerns, competing schools of Catholic ethicists introduced novel interpretations of natural law that sought to do greater justice to the entirety of the human person, not merely the physical dimension that tended to be emphasized throughout the manualist era. These unique and competing perspectives that emerged in the middle of the 1900s, found in the revisionist school and the New Natural Law Theory school, shaped the topography …

Increasing Spiritual Leadership: An Analysis Of The “And Then Some” Components Of An Effective Mentoring Program For Lay Principals In The Altoona-Johnstown Diocese, Thomas Fleming, Jr.

Electronic Theses and Dissertations

Traditional principal preparation programs address responsibilities in areas such as school management, student achievement, and staff development, among other areas. A principal of a Catholic school must be trained in these areas “and then some.” They must perform their responsibilities under the overarching umbrella of spirituality. Catholic school principals are expected to be the spiritual leaders of their buildings. When Catholic school principals are not members of the clergy, they lack formal training in theology and faith development. How are these principals prepared to be spiritual leaders?

The purpose of this study was to evaluate two exemplary Catholic …

Psychometric Synthesis Of The Drug Abuse Screening Test 20-Item Version (Dast-20), Erin Johnson

Electronic Theses and Dissertations

Numerous research articles have reported differing data on the psychometric properties of the 20-item version of the Drug Abuse Screening Test (DAST-20, Skinner, 1982a). Aggregating this diverse information can lead to a better understanding of how to use and interpret the instrument with clients and research participants. In this psychometric synthesis, evidence of reliability and validity of the DAST-20 scores was aggregated in order to provide a more comprehensive summary of the psychometric properties of the instrument to better inform counseling professionals when using the DAST-20. Overall, the available evidence indicates that the DAST-20 produces reliable and valid scores when …