Digital Commons Network^™

Analyzing Concept Mapping Integration Into A Bsn Curriculum Using The H-Pepss Survey, Tina Michelle Mathers

Electronic Theses and Dissertations

Background: This project’s foundational focus was on improving nursing students’ preparedness for their profession and patient care. Data supports that nursing graduates face challenges at the patient bedside, which often cause injury or harm. These deficits are known as preparation-to-practice, failure-to-rescue, and transition-to-practice gaps that occur despite the integration of preceptorship and residency programs. Through the integration of concept mapping into an established curriculum, an analysis of student patient safety perceptions in a pre- and postsurvey was completed. Method: This quality improvement project received approval from the institutional review board. The project was a quasi-experimental, nonrandomized, single-blinded design measuring first-semester …

How An Abusive Supervision Climate Impacts Business-To-Business (B2b) Sales Performance, And The Roles Of Leader–Members Interdependence And Team Psychological Safety, Matthew J. Daniel

Electronic Theses and Dissertations

Sales supervisors can tremendously influence the sales teams they manage, and their behaviors can influence a team’s engagement and sales performance. Because of the supervisor’s influential role, their behavior, positive or negative, can ripple throughout the organization. As a result, a supervisor who role models abusive behavior within their organization also promotes a climate of abuse and incivility that can contribute to a toxic workplace. Abusive supervision (AS) is a significant problem in many business-to-business (B2B) sales organizations that negatively impacts the financial welfare and subjective well-being of organizations and their employees. This quantitative correlational study aimed to examine how …

The Acceptance Of Learning Management Systems By Higher Education Faculty In An Educational Landscape Influenced By A Global Pandemic, Stephen Mark Rektenwald

Electronic Theses and Dissertations

This quantitative study investigated the perceptions of higher education faculty with respect to their behavioral intentions to use learning management systems and the perceived effect of COVID-19 on those intentions. An online survey was administered through private Facebook groups to faculty in higher education and listservs focused on technology in higher education. The sample size initially included 137 participants but participants were reduced to 121 due to incomplete responses on some surveys or not meeting the selection criteria for the research. The theoretical framework for this research was the intersection of the technology acceptance model and digital transformations. The data …

Improving Hypertension Self Management In African American Men, Elizabeth C. Felix

Electronic Theses and Dissertations

Hypertension is a cardiopulmonary condition linked to genetic, environmental, and social factors. Left untreated, it can lead to fatal conditions such as heart disease. In the United States, African Americans experience disproportionately high rates of hypertension, earlier onset of symptoms, greater severity, and higher related mortality rates. African Americans also statistically have more difficulty self-managing their hypertension than other demographics. The aim of this project was (a) to identify, define, and measure perceived barriers to self-management of hypertension among African American men and (b) to target these barriers and increase patient engagement through personalized intervention plans. The researcher recruited 24 …

A Path To Success: A Case Study Of Military Veterans At A Midwestern University, Jada N. Reynolds

Electronic Theses and Dissertations

Abstract The purpose of this study was to examine the lived experiences of military veterans transitioning from service members to civilian life. The study was conducted using semistructured interviews with eight transitioning veterans who had completed their bachelor’s degree from the same Midwestern U. S. university between 2017 and 2022. Retention theory, and transition theory were used as the guiding theories for this study. An intrinsic qualitative case study was used for data analysis, which resulted in the emerging themes (a) Transitioning from Military Service to Civilian Life, (b) Work-Life-Study Balance: Confronting Challenges, and (c) Supporting Military Veterans. This study …

Healing The Burn: Assuaging Burnout And Increasing Work Engagement In University Admissions Counselors, Michael K. Wright

Electronic Theses and Dissertations

Tuition-driven universities depend heavily on net tuition revenue to operate. However, the individuals responsible for delivering the type of enrollment that meets university goals, known as the university admissions counselors, tend to be underpaid, burnt out, and likely to depart their institutions before meaningful recruiting relationships can be formed. The implications of this issue lead to high costs of turnover and training of new staff, a recruiting territory in flux due to the turnstile nature of the profession and an office culture that lacks any genuine consistency. Many studies in the past have focused on the specific reasons that frontline …

Removing Barriers That Prevent Parents From Low Socioeconomic Backgrounds From Being Involved In Their Children’S High School Education, Jason E. Shepherd

Electronic Theses and Dissertations

Abstract The purpose of this qualitative case study was to describe the barriers that prevent parents from low socioeconomic backgrounds from being involved in their children’s high school education at District X in rural East Texas. Fifteen high school teacher participants were interviewed and provided their experiences and perceptions to support the interviews and focus groups. The primary findings identified teachers’ perceptions of the barriers that prevent parental involvement, parents’ commitment to their children’s high school education, and the teacher’s role in removing barriers that prevent parents from low socioeconomic backgrounds from being involved in their children’s high school education. …

Burn On, Don't Burn Out: Factors That Promote Longevity In Ministry, Gary William Simpson

Electronic Theses and Dissertations

Abstract

Scientific literature in the social sciences is rife with studies on burnout and how this phenomenon affects those in various occupations, especially the helping professions. Clergy members are not immune to the influence and effects of burnout. The rate at which clergy members are affected by burnout is evidenced in the documented shortage of clergy currently serving churches and the paucity of ministers going into ministry. The purpose of this study was not to reiterate the effects of burnout on clergy members, but to discover and to explore those factors which promote longevity in ministry. This study used an …

The Confidence Gap: How The Self-Esteem Of Middle School Females Affects Their Leadership Self-Efficacy, Amanda F. Bitner

Electronic Theses and Dissertations

Though studies suggest social-emotional learning (SEL) programs have a positive impact on youth development, the focus, implementation, and consensus on SEL programs vary. These programs largely overlook adolescent self-esteem, which is at its lowest during the formative middle school years and twice as likely to be lower among females than males. This study attempted to understand whether SEL education impacts middle school females' self-esteem and leadership and whether their self-esteem and leadership self-efficacy correlate. Key research questions explored middle school females’ self-perception of their self-esteem and leadership self-efficacy levels. This quantitative descriptive study aimed to examine whether there was a …

Trust In Academia: How Chief Academic Officers Build And Maintain Faculty Trust, Marc A. Smithers

Electronic Theses and Dissertations

As the role of academic leadership has grown more complex, particularly as leaders are increasingly tasked with leading educational innovation initiatives, building faculty trust has become an essential task for chief academic officers (CAOs). Due to the general lack of research into this role, though, little is known about how they understand and approach building faculty trust. The purpose of this qualitative, single, holistic case study was to understand how executive academic administrators at private colleges approach building and maintaining trust with their faculty in general and also through educational innovation and what specific challenges they have identified in these …

A Study Of The Perceptions Of School Administrators On Fostering Relational Trust With Teachers In Texas Urban Charter Schools, Meesha-Gay Jones

Electronic Theses and Dissertations

Accountability has placed immense pressure on principals leading K-12 public charter schools to increase standards for success. Overwhelmingly, principals accept the charge to produce promising results every day, despite the public scrutiny principals may ensue for not meeting the state’s standard of excellence. Principals are expected to drive high academic standards, initiate instructional vision, interact with parents, oversee policy mandates, address students’ needs, and foster relationships with teachers. The daily demands requiring principals’ attention stimulate stress and may cause principals to wrestle with prioritizing trusted relationships. The purpose of this qualitative descriptive study was to understand how principals foster relational …

Trends In Health Outcomes Before And After Long Term Care Federal Regulations Limited Antipsychotic Medication Use: A Secondary Data Analysis, Karen Robson

Electronic Theses and Dissertations

Trends in resident falls did not significantly change, although trends in serious injury from falls declined ten years after regulations restricted antipsychotic medications in long-term care facilities. Trends in functional and continence status worsened after the regulations were implemented.

Experience Is The Best Teacher: Exploring Clinical Supervisors’ Experiences Who Receive Exclusively Administrative Supervision From Non-Licensed/Non-Clinically Trained Superiors, Monica Pattillo

Electronic Theses and Dissertations

The goals of clinical supervision are to ensure that the supervisee is using skills appropriately and properly handling a client caseload, all while being mentored by an experienced professional, known as a clinical supervisor. However, little is known about the support clinical supervisors receive in their roles. If the support is inadequate, there is a potential to impact the welfare of the clients. Additionally, there are very few researchers that have looked at clinical supervisors’ experiences when receiving their own supervision. In order to add to the body of literature on clinical supervision, this study explored clinical supervisors’ experiences when …

Theory Of Aqueous Solvation: Uninterrupted, Cyclic Hydrogen-Bonding Essential For Accurate Keto-Enol Energies And Grotthuss Tautomerism Of Acetone, Mark Recznik

Electronic Theses and Dissertations

Keto-enol tautomerization (KET) is a fundamental process impacting a range of molecular phenomena in organic and biochemistry. However, the accurate computation of solution-phase KET energies remains a challenge, even for prototypical acetone.

In Part I, keto-enol tautomers of acetone were incorporated into solvent clusters that interact via uninterrupted, cyclic hydrogen-bonding (UCHB) networks. An empirical model was created to predict accurate KET energies, E_taut, of simple carbonyl compounds. Based on the availability of experimental data and structural simplicity, acetone was selected as a prototype. A discrete-continuum strategy was employed – accounting simultaneously for local noncovalent interactions and bulk-phase effects …

The Purple Heart And Suicidal Behaviors In Post-9/11 U.S. Army Combat Veterans With A Traumatic Brain Injury: A Mixed Methods Study, Jayna Moceri-Brooks

Electronic Theses and Dissertations

Military suicide rates remain high, despite years of targeted efforts to prevent suicide. Specifically, Army Combat Veterans who sustained a traumatic brain injury (TBI) while deployed in support of the Global War on Terrorism are at the highest risk for suicide. This dissertation highlights possible causes for suicidal behaviors within this unique group and provides specific military suicide prevention recommendations. The dissertation is organized into three publishable manuscripts: The first manuscript (Chapter 1) is a mixed-methods dissertation research proposal written according to the National Institute of Health proposal guidelines. The second manuscript (Chapter 2) is an integrative review of the …

Determinants Of Reproductive Freedom Among Israeli Women Ages 18-50: A Mixed Methods Study, Abby Kra-Friedman

Electronic Theses and Dissertations

Introduction: Reproductive freedom is a social determinant of health (SDOH) that reduces health disparities and increases health equity. Through the National Health Insurance Plan, Israeli women can access a range of contraceptive methods. Scant data on Israeli women limits development of policies and interventions to meet international benchmarks for reproductive freedom. The purpose of this dissertation study is to synthesize current international multidisciplinary literature using the capability approach for reproductive freedom, explore determinants of reproductive freedom among Israeli women ages 18-50 using Nussbaum's capability approach, and make recommendations for nursing research, practice, and theory.

Methodology: Using Whittemore and …

Social Entrepreneurial Skills And Practices Of Occupational Therapists Engaging In Emerging Community Practice Roles: A Working Theory Of Practice Improvement, Retta M. Martin

Electronic Theses and Dissertations

The purpose of this mixed-methods study was to explore the relationship between emerging practice in occupational therapy and social entrepreneurship by examining the behaviors and skills used by occupational therapists who are engaged in emerging practice. Five occupational therapists who engage in emerging practice were recruited to participate. The occupational therapists completed two surveys related to behaviors and competencies of social entrepreneurs. The participants also completed a semi-structured interview regarding behaviors, competencies and the occupational perspective of their practice.

Quantitative data was analyzed through descriptive statistics. The quantitative data determined a relationship between the skills used by social entrepreneurs as …

Cultural Care Needs Of Spanish Speaking Parents With Limited English Proficiency Whose Children Are Hospitalized: An Ethnonursing Study, Jennifer Stephen

Electronic Theses and Dissertations

Purpose: Parents’ inability to speak English proficiently is associated with communication barriers in the care process of their children, social determinants of health, and poor child health outcomes. Research exploring perspectives of Spanish speaking parents with limited English proficiency (SSP-LEP) whose children are hospitalized in the context of culture is lacking in the literature. The purpose of this study was to explore the cultural experiences, values, and beliefs of SSP-LEP, of Mexican origin, whose children were hospitalized and understand nurses’ role in providing culturally congruent care.

Design and Methods: Leininger’s qualitative, ethnonursing method was used for this study. The Theory …

Exploring Cultural Values, Beliefs, And Perceptions Of Human Papillomavirus Vaccine Acceptance In African American Men, Rashida Henderson

Electronic Theses and Dissertations

Introduction: African American (AA) /Black men have a higher rate of anal and rectal HPV-associated cancer, which the HPV vaccine can prevent. Purpose: This study aimed to understand the cultural values, perceptions, and beliefs of the HPV vaccine in African American/Black Men. Method: Through a focused ethnography, a semi-structured guide was utilized to interview 24 AA men. Inclusion criteria included identifying as AA/Black, aged 18-30 years, born and living in the United States, identify and born as male, and able to understand, read, and write English. Results: Through Leininger’s Four Phases of Analysis, three themes emerged: 1) lack of knowledge …

Emergency Care For Youth Who Experience Suicidality And Identify As Lesbian Gay Bisexual Transgender Queer/Questioning (Lgbtq+): An Interpretive Phenomenology, Theresa Schultz

Electronic Theses and Dissertations

Purpose: Suicide is a leading cause of death in children; youth who identify as LGBTQ+ are at an exponentially higher risk of suicide. The purpose of this study was to explore the lived experiences of young adults who identify as LGBTQ+ and sought emergency care for suicidality when they were adolescents.

Methods: Heideggerian hermeneutics phenomenology is the research method used in this study. Youth, ages 18-25 years, who identify as LGBTQ+ and sought emergency treatment for suicidality when they were adolescents (13-17 years) were recruited to participate;fifteen youth enrolled. Individuals ranged in age from 20 to 25 years. Participants described …

Is Trauma Informed Care Practiced In Public Std Clinics In New York State, Antonia Brewer

Electronic Theses and Dissertations

Introduction: Sexually transmitted diseases (STDs) are increasing in the United States and often result in long-term adverse health outcomes. New York State (NYS) local health departments (LHDs) provide public STD clinics for high risk populations also found to have high rates of violence. This study examined if/how trauma informed care (TIC) is implemented in these settings. The study sample were LHD STD Program Directors in NYS.

Method: A convergent parallel mixed methods study design was used which included an online survey and follow up interviews. Survey data were analyzed using univariate statistics and conventional content analysis was used to analyze …

Weathering The Storm: Navigating Urban Ecologies Of Communication In Times Of Crisis, Austin Hestdalen

Electronic Theses and Dissertations

This project explores cities as urban ecologies of communication in which crises emerge and are given significance within the dialogic relations cultivated among public actors attempting to make a living, together, within the shared historical-cultural contexts of everyday life. To describe cities as urban ecologies of communication is to describe them in terms of urban communication and its interdisciplinary foundations in the study of rhetoric, philosophy, planning, policy, architecture, sociology, geography, and media. The first chapter introduces the challenges of urban risk and crisis management within the complex ecologies of communication constituted by cities and reviews how ‘risk’ and ‘crisis’ …

Without Permanence: Mapping Multi-Genre, Cross-Disciplinary Frameworks For Trans* Studies, Jesse Jack

Electronic Theses and Dissertations

This project takes a cross-disciplinary and multi-genre approach to Transgender (Trans*) Studies to proliferate diverse and ambiguously-gendered representations of trans* experiences across time. It identifies the emergence of rhetorical intertextuality in recent trans* literatures as a discursive response to the biopolitical regulation and erasure of ambiguously-gendered, trans* experiences. It identifies the intersecting influences of twentieth- and twenty-first-century medical paradigms, surveillance apparatuses, popular trans* autobiographies, and archives in representing and exceptionalizing certain trans* experiences over others. In contrast, this project engages in a close reading of Pajtim Statovci’s Crossing (2016) and Andrea Lawlor’s Paul Takes the Form of a Mortal Girl …

Ethical Oversight Of Roles & Relationships In Treatment & Research In Advanced Disease States, Alexa Vercelli

Electronic Theses and Dissertations

There is often ethical analysis focusing solely on the care of the patient by the physician or on the protection of the research participant by the clinical investigator, but those two are often overlapping. By paralleling the analysis of treatment and research, it emphasizes the specific ethical approaches necessary for individuals facing advanced diseases states in the separate roles of being a patient or participant. It also gives guidance to the complexity of the ethics surrounding medical professionals who float between the roles of treating physicians and clinical investigators. As individuals with advanced disease states are considered a vulnerable population …

Respecting The Ethical Tension Between Surveillance And Privacy In Promoting Public Health And Disease Management, Kamal Althobaiti

Electronic Theses and Dissertations

The recognition of the need to undertake surveillance and to protect privacy is well established. However, the continually changing circumstances and fast-paced development of healthcare today requires a continuing need to respect this ethical tension between surveillance and privacy. Hence, this dissertation is to respect the ethical tension between surveillance and privacy in promoting public health and disease management. This dissertation investigates the ethics of conducting public health surveillance, including the challenges associated with obtaining consent and protecting data from unauthorized access. The dissertation will focus on the ethical consequences of big data, including issues associated with obtaining informed consent, …

Quality By Design Based Optimization Of Anti-Inflammatory Nanoemulgels For Local Treatment Of Burn Wounds, Leah Dickey

Electronic Theses and Dissertations

Burns are some of the most traumatizing and damaging skin injuries, with the potential of causing extensive internal damage that increases the risk of chronic wound development. Oral and topical analgesics in combination with antibiotics can provide temporary relief and improve wound healing progress for both mild and severe burns. However, recurrent systemic exposure to pain relievers and antibiotics has been associated with adverse side effects including nausea, drowsiness, abdominal pain, etc., and increased risk of new infections or even ulcers. Local and targeted drug delivery systems, such as nanomedicine, have gained attention as potentially more effective alternatives to improve …

Novel Signal Sequences And Fusion Partners For Paratransgenesis In Asaia, Christina Grogan

Electronic Theses and Dissertations

Mosquitoes transmit many pathogens that cause human disease. One such disease, malaria, is caused by parasites in the genus Plasmodium, infecting over 200 million people and killing over 600,000 per year. Current strategies to control vector-transmitted diseases are increasingly undermined by mosquito and pathogen resistance. Research has turned to additional and novel methods of control, such as altering the microbiota of the vectors. In this method, called paratransgenesis, symbiotic bacteria are genetically modified to affect the mosquito’s phenotype by engineering them to deliver antiplasmodial molecules into the midgut to kill parasites. These molecules must be released by the …

The Effects Of Digital Game-Based Instruction On Knowledge Acquisition And Retention Of Genetics Content, Brinley Kantorski

Electronic Theses and Dissertations

Digital educational games have been a part of the educational landscape since the early 1970s. Since then, there has been a proliferation in the quantity, format, type, and quality of digital educational games available to classroom teachers. Despite this, the body of literature surrounding the effectiveness of these digital educational games remains highly fragmented and lacks unifying themes. While some literature exists to support the use of digital educational games in immediate knowledge acquisition, little research has been done on how digital educational games impact the retention of knowledge in the long term. As such, this study examines how the …

'Bleeding-In-The-World': A Qualitative Study Of Self-Cutting And Blood, Sadie Mohler

Electronic Theses and Dissertations

This dissertation is an existential, phenomenological study of the role and meaning of blood in self-cutting. Using in-depth, open-ended interviews with participants who self-cut, the author gathered data on the multisensorial experience of blood and bleeding in self-cutting. Data analysis was organized around the lifeworld existentials of corporeality, temporality, spatiality, communication, and relationality. The impact of blood and bleeding across each lifeworld dimension emphasized highly relevant, and previously unstudied, aspects of the lived experience of self-cutting. The six themes identified and explored are (a) blood as an animate abject; (b) bleeding and control; (c) bleeding is a process and the …

Promoting Trauma-Informed Competencies In Public School Teachers And Staff, Stephanie Stern

Electronic Theses and Dissertations

Childhood trauma is prevalent among today’s students. When educators implement trauma-informed practices in schools, student behaviors and learning typically improve. It is thus important that educators are trained in and have positive attitudes, knowledge, and beliefs toward trauma-informed care. However, high proportions of educators report that they do not receive trauma-informed training, and research regarding the effectiveness of professional development in trauma-informed care is limited. The present study examined whether educators’ knowledge, attitudes, and beliefs regarding trauma-informed care differed by grade level of students worked with and previous professional development experiences in trauma-informed care, as well as tested the effectiveness …