Digital Commons Network^™

Improving Sexually Transmitted Infection Knowledge In Community College Students: A Path To Prevention, Rebecca F. Halford

Electronic Theses and Dissertations

This DNP project was conducted to identify gaps in knowledge focusing on sexually transmitted infections within Texas and Region one. The research study gathered data from first-year nursing students who have chosen to participate in a sexually transmitted infection-focused educational module. Participants were first-year nursing students and understood the research study was strictly voluntary with no forms of compensation. Currently, the curriculum in the nursing program at which the study took place does not focus on sexually transmitted infections and is directed to speak minimally on the subject. This is a contributing factor to why the rise in sexually transmitted …

Secondary Traumatic Stress In School Psychology Practicum And Internship Students, John Phillip Burnett

Electronic Theses and Dissertations

School psychology practicum and internship students increasingly engaged in activities in which they assisted children and clients who were survivors of various traumatic experiences. It has become apparent that the psychological effects of secondary traumatic stress (STS) extend beyond those directly affected and impact those in a variety of helping professions. Despite research that examined STS in various helping professions, gaps currently exist that describe STS in school psychology. In reported research, similar helping professionals engaged in school psychology service activities, which resulted in elevated STS symptoms and other adverse outcomes (Ravi et al., 2021). This study posited that school …

Opioid Use Disorder: A Crisis Of Concern, Evangella Harville

Electronic Theses and Dissertations

According to a statement from the U.S. Centers for Disease Control and Prevention, between 2000 and 2017, approximately 700,000 people died from drug overdoses in the United States. Approximately 128 persons lose their life each day from an opioid overdose. The data for this study were collected by the vice president of operations at the study site from a preexisting database for 2019 and 2020. The participants were inpatient patients, 18 and older, both male and female, and were from all ethnicities. The study facility was located in Western New York and offered a 30-bed inpatient treatment center with 24-hour …

Addressing The Psychosocial State Of High-Risk Individuals Undergoing Hereditary Cancer Screening By Advanced Practice Registered Nurses (Aprns) In The Community Oncology Setting, Aquilina Kerubo Thompson

Electronic Theses and Dissertations

Abstract

Neoteric advances in genetics make it possible to define genetic risk in cancer, and there should be methods in place to provide comprehensive genomic care with oncology advanced practice registered nurses bridging this gap. The current scope of nursing practice stipulates genetic and genomic literacy; however, there remains a deficit among advanced practice registered nurses in identifying and addressing psychosocial distress during the genetic cancer risk assessment process. Oncology advanced practice registered nurses must be equipped with the knowledge that the genetic cancer risk assessment also involves protecting patients from the psychosocial repercussions of carrying a hereditary cancer gene …

Reducing The Potential For Physical Harm In Student Nurses Caring For Clients Who Are Under The Influence, Hunter William Halford

Electronic Theses and Dissertations

This DNP project was conducted to identify gaps in knowledge and adequate preparation of nursing students in safely caring for a client who is behaving violently and is under the influence of illicit drugs. Student nurses are trained using a generalist approach, meaning they are taught the essentials of a variety of topics. It is not until these students enter the workforce that they are trained specifically for a certain position. Currently, the curriculum does not address specific measures to maintain client and personal safety. It is an almost unavoidable fact that a nurse will encounter a violent client or …

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 …

Rural School District Strategies To Increase College, Career, And Military Readiness, Amelia J. Reeves

Electronic Theses and Dissertations

Preparing students for life after high school is a challenge faced by all K-12 educators. In small, rural school districts, school leaders encounter unique barriers and limitations due to the limited capacity of school counselors, geographic isolation, lack of resources, and other factors. The purpose of this qualitative, multiple case study was to explore the district-wide strategies utilized by rural school districts in West Central Texas to increase the career, college and military readiness (CCMR) of all students. Five cases were identified that met the criteria, which included being a rural district defined by TEA, a school administrator responsible for …

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 …

The Effect Of Postpartum Depression Screening Education For Postpartum Nurses, Shecarra S. Cook

Electronic Theses and Dissertations

Depression affects about 13% of pregnant women and about 10% of women after childbirth. Some cases are so severe, the mother may even commit suicide. If left untreated, postpartum depression (PPD) affects both the mother’s and the infant’s health as well as their quality of life. The gap in clinical practice is that currently, patients only complete a postpartum depression screening tool during their 6-week follow-up appointment with their OB/GYN, leaving a gap in PPD detection and care during the immediate postpartum period. Postpartum nurses are not usually given specialized training in postpartum depression. The purpose of this study was …

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 …

Decreasing Unintentional Pregnancies For Tennesseans, Paula M. Todd

Electronic Theses and Dissertations

In 2018, 49% of all pregnancies in the United States were unintended, with women with a lower- income status being five times more likely to experience an unplanned pregnancy. Tennessee has a high rate of unintended pregnancies, particularly among the uninsured, low-income, and rural teen populations; some 22% of these unintended pregnancies end in abortion. Oral or transdermal contraceptives that are affordable and accessible for women of childbearing age can reduce unintentional pregnancies. The addressed gap in clinical practice was that contraceptives are not currently available over the counter in Tennessee pharmacies without a prescription, which necessitates a costly medical …

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, …

An Evaluation Of An Integrated Multidisciplinary Early Identification And Triage Of College Students At Risk For Anxiety And Depression, Sarah J. Templeton

Electronic Theses and Dissertations

College students across the U.S. are experiencing an increasing prevalence of mental health concerns, such as anxiety and depression. Suicide is currently the second most common cause of death among U.S. college students. At the project site, the university health services report that mental health issues significantly impact the students’ academic progress, contributing to poor performance, inability to complete assignments, and sometimes forces attrition. Campus providers traditionally respond when students approach, often at the point of crisis or exacerbation. This Doctor of Nursing Practice (DNP) project evaluated the impact of a pilot program using an interdisciplinary approach to universal proactive …

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 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 …

Retention Factors Of Rural East Texas Superintendents, William Z. Crawford

Electronic Theses and Dissertations

The purpose of this qualitative case study was to identify factors that influence retention of school superintendents in rural Texas. Constant turnover in the position of superintendent has created inconsistent learning environments for students and unstable working environments for staff. Small, rural schools have often served as steppingstones for superintendents who use their experience in these small rural districts to obtain positions in larger, suburban schools. The researcher used semistructured interview questions to conduct this study. In this qualitative case study, participants were recruited from the educational service center of Region VII school districts in Texas. One group included superintendents …

Narratives Of First-Generation Community College Students In Central Texas: Restorying The Path To Success In Higher Education, Stephanie Diana Perkins

Electronic Theses and Dissertations

First-generation college students (FGCSs) face a myriad of issues when entering higher education. As FGCSs continue to enroll in community colleges at high rates, it is important to discuss their pathways to success in higher education. This qualitative study explored the experiences of FGCSs who attended a community college in Central Texas to learn more about their experiences with being identified as FGCS; what prevents them, if anything, to identify support systems that are conducive to their overall retention and success; and if social capital had relevance to their academic success. Through narrative inquiry, a storytelling approach was utilized to …

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 …

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 …

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 …

School Choice Considerations Of Black Parents Of Students With Dis/Abilities, Jaleah Robinson

Electronic Theses and Dissertations

Forty-four states and Washington, D.C. have passed legislation to expand school choice options for students and families (Cardine, 2019). In addition to a student’s assigned neighborhood school, one may enact choice by way of tax credits, charter schools, vouchers, relocation, and through other means, depending on where one lives. The act of choosing a school has been simplified by some to economic principles of competition and consumer satisfaction. What research has shown, however, is enacting school choice is much more complex and commonly intertwined with concepts of race, class, and ability (Ellison & Aloe, 2019). Academic quality (Mavrogordato & Stein, …

Development Of A Combined Feedforward-Feedback Quality Control System For Extended-Release Granules Using A Quality By Design Approach, Yuxiang Zhao

Electronic Theses and Dissertations

Objectives

For a fluid bed film coating process to consistently deliver quality products, its control system needs to be robust against the variability of input materials and environmental disturbances. Presently, limited studies have been reported to understand the effects and interactions of the material attributes, environmental variables, and process parameters on the product in vitro drug dissolution. A control system can be developed with a proper understanding of the coating process, by adjusting the process parameters in feedback and feedforward manners to compensate for the undesired effect caused by disturbances, and ensure consistent product quality.

Methods

The control system was …

Multivariate Cluster Analysis Of The Teacher Stress Inventory (Tsi) Prior To And During Covid-19, Berenice Saez

Electronic Theses and Dissertations

The coronavirus disease 2019 (COVID-19) pandemic has caused a negative situation with no precedents in the education system of the United States (U.S.). To mitigate the spread of the virus, many school closures occurred nationwide, and schools transitioned from face-to-face instruction to a mixture of self-directed guide home education or online teaching. These drastic changes could be causing teachers, as many other professionals exposed to sudden adjustments (e.g., medical doctors/firefighters), to express high levels of stress, emotional burden, and anxiety. The purpose of this study is to compare the profiles of the teacher stress inventory (TSI) before and during COVID-19. …

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 …

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 …

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, …

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 …

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 …

Patient Portal Use, Health Information Technology Self-Efficacy, Electronic Health Literacy, And Self-Management Among Patients With Heart Failure: A Cross Sectional Study, Pamel Kallmerten

Electronic Theses and Dissertations

Background: By the year 2030, the prevalence of heart failure (HF) is anticipated to rise by 46%, impacting over 8 billion persons. Self-management of HF is key to maintaining a healthy lifestyle and quality of life. Yet many have sub-optimal self-management skills necessitating innovative strategies to enhance self-management. An innovative strategy to support the person with HF is the use of health information technology (HIT) such as a patient portal (PP). Additionally, self-efficacy and health literacy are important to self-management of HF. Further understanding is needed of the relationship between PP use, HIT self-efficacy (HIT SE), electronic health literacy …