Digital Commons Network^™

The Nurse As The Facilitator Of Patients' Narration: An Educational Intervention, Petra Stockman

Electronic Theses and Dissertations

More than one million resident patients live and receive care at certified long-term facilities in the United States, many of whom suffer from depressive symptoms and anxiety. Prior research recommended storytelling as a vibrant nursing intervention to assist long-term care residents in overcoming challenges and emotional pain. However, nurses frequently lack knowledge of successful planning and implementation of narrative reminiscence. This scholarly project was designed to increase nursing competence and confidence in using storytelling as a clinical tool to improve mental health in long-term care, using a quasi-experimental, nonrandomized pretest, intervention, and posttest study design. A convenience sample of 10 …

Std Education Among African American Women: An Educational Improvement Initiative, Marqueta V. Abraham

Electronic Theses and Dissertations

Research reveals there is a knowledge gap facing African American women regarding sexual health education, specifically sexually transmitted diseases. The Sexually Transmitted Disease Knowledge Questionnaire (STD-KQ) was used to assess participants’ knowledge and attitudes regarding sexually transmitted diseases. The STD-KQ self-assessment was administered to African American women and utilized to develop a 45-minute education seminar to bridge the knowledge gap. After an education seminar was held, a posttest was administered to test the women’s knowledge and to determine their level of awareness. Using a paired-samples t test, the researcher found an overall increase in awareness of the types of sexually …

Evaluating The Relationships Between Science Class Success And Math Placement In High School, Tila Hidalgo

Electronic Theses and Dissertations

In order for students to perform well in science, they need opportunities to develop formal reasoning. Teachers in a private school in Latin America noted that students who had not yet completed Algebra I were struggling in a 9th-grade chemistry course more than their classmates who had completed Algebra I. The purpose of this causal, comparative action research was to determine if math placement was key to supporting student success in science. Data on achievement, as indicated by final exam scores in math, science, and English, were used from the cohort of students enrolled in 9th grade in 2015 and …

Evaluating The Effects Of Sanitizing Drinker Lines In Commercial Broiler Houses On The Water Quality And Microbial Content In Biofilm Layers, Kennedi Achilles

Electronic Theses and Dissertations

The importance of water quality and its ability to cause major impacts, whether it is positive or negative, is often overlooked in the poultry industry. The microbial content of water is just one of many water characteristics that need to be monitored and regulated to ensure a flock is receiving good quality water. A field study was conducted to determine the effects of four different sanitizers under commercial broiler house conditions, with three replications over a three flock period. Each flock was grown for 56 days with a 2 week period between each flock. Four oxidative sanitizers were used and …

Humeral Retroversion, Range Of Motion, And Strength Adaptations In Tennis Players, Daniel Hannah

Electronic Theses and Dissertations

Purpose: This study aimed to develop an understanding of humeral retroversion (HRV) asymmetries in tennis players and its impact on physical and performance characteristics of the shoulder.Participants: Healthy tennis players were categorized into 3 groups: younger juniors (n=11, age=14.5±0.5 years), older juniors (n=12, age=17.1±0.9 years), and collegiate (n=16, age=19.6±1.2 years). Methods: HRV, internal rotation (IR), and external rotation (ER), total arc of motion (TAM), HRV-corrected IR (HRVcIR), and HRV-corrected ER (HRVcER) were measured and calculated bilaterally using a digital inclinometer and ultrasonography. Bilateral differences (Δ) were calculated (dominant minus nondominant) for HRV and ROM variables. Isometric ER:IR strength ratios …

Individual Eeg Asymmetry As A Predictor Of Hydration Status During Exercise In The Heat, Ayano Katayama

Electronic Theses and Dissertations

Hydration behavior varies among individuals; continuous and correct fluid consumption behavior prevents decreased physical performance and severe dehydration, especially during extended exercise and hot environments. Therefore, the purpose of the present study was to examine individual frontal alpha electroencephalographic asymmetry index (FAI) score in eu-hydrated, hypo-hydrated, and exercise in well-trained men and assess if there is a correlation between FAI score and individual ad libitum fluid consumption behavior. Subjects were kinesiology major college students ranging from 21 to 29 years of age. Subjects were categorized either approach group (n = 8) with resting FAI score more than 0 or avoidance …

Determining The Effect Of An Educational Intervention On Medical Support Personnel's Knowledge To Administer A Standardized Developmental Screening Tool., Leslie Chiaventone Lopez

Electronic Theses and Dissertations

Early treatment of developmental delays leads to improved outcomes for children (Yeung et al., 2014). In order to benefit from early intervention, children with developmental delays must be identified and referred at a young age. Although the use of validated developmental screening tools is supported by American Academy of Pediatrics (AAP) guidelines, these instruments are used variably by general physicians in pediatric practice (King et al., 2010). Because of the expanding work roles of medical support personnel, it is worthwhile to determine if this group can administer and score a developmental screening tool after completing an educational intervention to assist …

Sensemaking In The Process Of Inquiry: A Qualitative Case Study Of A Networked Improvement Community, Bethany Fillers

Electronic Theses and Dissertations

There are persistent and pervasive issues plaguing American education, and almost seventy years of educational reform efforts have failed to adequately improve educational outcomes for many of America’s children. Networked improvement communities (or NICs) are a type of social organization created to address such problems and are proposed as an effective and efficient way to organize improvement efforts. The purpose of this qualitative case study was to explore the sensemaking experience of a newly-formed networked improvement community as members engaged in inquiry around a chosen problem of practice. During network initiation, NIC members engage in experiences to collaboratively identify and …

Does Thermotolerance In Daphnia Depend On The Mitochondrial Function?, Rajib Hasan

Electronic Theses and Dissertations

Thermotolerance limit in aquatic organism is set by the ability to sustain aerobic scope to sudden temperature shifts. This study tested the genetic and plastic differences in thermotolerance of Daphnia that can be explained by the differences in the ability to retain mitochondrial integrity at high temperatures. Five genotypes with different biogeographic origins were acclimated to 18^ᵒC and 25^ᵒC. We developed a rhodamine 123 in-vivo assay to measure mitochondrial membrane potential and observed higher fluorescent in heat damaged tissues as the disruption of the mitochondrial membrane potential. Significant effects on temperature tolerance were observed with CCCP …

An Integrated Model Of Eating Disorder Risk And Protective Factors: Implications For Research And Treatment, Leslie Alison Davis-Waddle

Electronic Theses and Dissertations

Body dissatisfaction and disordered eating behaviors are significant public health concerns, especially among college-age women. Despite extensive research, the complex nature of disordered eating and its etiology has prevented a satisfactory predictive model from being developed and validated and has therefore hindered the development of effective prevention and intervention strategies. This study aimed to integrate four of the most common etiological theories into a model to predict disordered eating behaviors. Bivariate correlations and moderation analyses were conducted to determine the strength of relationships between variables and to determine whether a protective factor (i.e., self-compassion) moderates the effects of risk factors …

The Effects Of Branched Chained Amino Acid Supplementation On Acute Markers Of Fatigue And Performance, Joseph Walters

Electronic Theses and Dissertations

The purposes of this dissertation were to investigate the acute effects of branched-chain amino acids on psychological, physiological, and subsequent performance changes following high volume resistance training. The rationale for this study design was based on abrupt or contiguous training/ competitions that specific athletes encounter in a competitive season. This study design also sought to fill some gaps in the scientific literature concerning the efficacy of BCAAs for subjective fatigue in a resistance training paradigm. To address the purposes of this dissertation, a one-week study was conducted on resistance trained males, in which half of the subjects were randomly selected …

The Influence Of Chronic Branched-Chain Amino Acid Supplementation On Measures Of Central And Peripheral Fatigue In Training Athletes, Tara K. Whiton

Electronic Theses and Dissertations

Branched-chain amino acid (BCAA) supplementation may improve recovery from competitive endurance training by reducing symptoms of central and peripheral fatigue. The purpose of this dissertation was to provide evidence for the use of BCAAs as a training nutrition strategy in order to improve recovery from training and further drive adaptive processes to training by increasing readiness to train. Collegiate distance runners undergoing intense competitive endurance training were monitored for symptoms of muscular soreness and psychological stress through a rated soreness chart and the Daily Analysis of Life Demands for Athletes Survey (DALDA) while taking either a BCAA supplement or a …

Exploring The Role Of Social Capital In The Implementation Of Fruit And Vegetable Incentive Programs: A Case Study Of The Appalachian Farmacy Program, Kiriinya Mwirigi

Electronic Theses and Dissertations

The study was conducted to explore the role of social capital in the implementation of Fruit and Vegetable Incentive Programs (FVIP) through a case study of the Appalachian Farmacy (AF) program and to fill a gap in literature on social capital utility in the implementation and evaluation of FVIPs. The study was guided by a conceptual model adopted from Berkman et al. (2000) to identify the mechanisms through which social networks can impact health. A qualitative content analysis was conducted retrospectively on secondary data from the evaluation of AF program to identify social capital attributes. In addition, the study conducted …

Contemporary Nursing In Rural Appalachia: A Hermeneutic Study, Evelyn Brewer

Electronic Theses and Dissertations

Nurses make up a significant source of direct care for individuals, families, and communities. The problematic distribution of nurses and the potential to lose practicing nurses emphasizes the importance of retention and support of nursing professionals, especially in rural locations. One of the best ways to discover what is important to nurses is to ask and listen to the replies.

The focus for this dissertation is the lived experience of registered nurses in a six-county area in three adjoining states in rural South Central Appalachia. The purpose of this study is to interpret and understand the lived experience of contemporary …

Charlie Wilson's First War: Challenging Carter's Human Rights Policy Through His Support For Anastasio Somoza Debayle, 1977-79., Sherman J. Sadler

Electronic Theses and Dissertations

The purpose of this thesis is to examine the support of Congressman Charles Wilson, D-TX, for the Nicaraguan government of Anastasio Somoza Debayle from March 1977 to July 1979. A narrative of Wilson's actions and motivations it relies heavily on his congressional papers for primary sources. This work argues that Wilson was motivated by his personal anti-Communist beliefs to challenge the perceived biased application of the Carter Administration's human rights policy against the Somoza regime. He saw the administration's abandonment of Nicaragua, a traditional Cold War ally after four decades of loyal support, as directly contributing to the rise of …

An Exploration Of Self-Care In Relation To Burnout And Compassion Fatigue Among Social Workers, Michael Jared Gonzalez

Electronic Theses and Dissertations

This study explored the impact of self-care, burnout and compassion fatigue on mental health social workers. This correlational study was designed to provide a fuller understanding of this relationship. Stamm’s Theory of Compassion Satisfaction and Compassion Fatigue and Orem’s self-care deficit theory served as the theoretical foundations of this study. The sample included 38 members of Millwood Hospital and the three Excel Centers, who volunteered to participate in this study. Participants completed online versions of the demographics questionnaire, Professional Quality of Life (ProQOL), and Self-Care Assessment Work Sheet (SCAW). Correlation, analysis of variance (ANOVA), and multiple linear regressions were performed …

The Efficacy Of An Educational Intervention To Improve Low Influenza Vaccination Rates Among Federal Health Care Workers, Cynthia Berfect-Shelby

Electronic Theses and Dissertations

Influenza is a preventable communicable illness that has a significant impact on people of all ages. In 2018 it was estimated that 80,000 people died of influenza-related illnesses. Infants and elderly people are among the most vulnerable populations. The Centers for Disease Control and Prevention and Healthy People 2020 recommend that health care facilities have a 90% vaccination rate. Despite the recommendations and a mandatory directive, many facilities within the Veterans Health Administration struggle to reach influenza vaccination rates above 60%. Pender’s health promotion model was used as the theoretical framework to explore the reasons why health care workers refuse …

Analysis Of Tobacco Use Vital Sign Assessment, Latonya King

Electronic Theses and Dissertations

There is a massive problem of tobacco-related cancer outcomes in patients that are affected by race and ethnicity. Although this is a known disparity, there continues to be a gap in care for asking patients if they use tobacco and in advising and assisting them in making a quit attempt. Health information technology requirements and meaningful use regulations require the utilization of systematic electronic documentation. In order to improve and support tobacco use screening, systematic tobacco use assessment and documentation are essential. There is a widespread belief that adding screening for tobacco use to the vital sign assessment will lead …

Brand Strength Evaluation Of Goodwill-West Texas, Cailyn Byrd

Electronic Theses and Dissertations

The purpose of this evaluation is to identify the ways in which Goodwill-West Texas could improve their marketing efforts in order to increase service delivery and community support. Goodwill’s career center is underperforming in comparison to other Goodwill career centers in similar communities. Two surveys were used to assess the beliefs and attitudes towards Goodwill held by members of the community who are often in contact with Goodwill-West Texas’s target market. Participants were more likely to know about Goodwill’s retail sales rather than their social service efforts. This could be contributing to Goodwill-West Texas’s service delivery, but more research is …

Examining The Acculturation Experiences Of Syrian Refugee Emerging Adults In The United States Of America, Fatemah Alghamdi

Electronic Theses and Dissertations

Refugees are vulnerable populations who experience premigration traumatic events and postmigration acculturation stress. While research on immigrant mental health issues has been plentiful, there has been a clear lacuna of scholarly investigation into the acculturation experiences of Syrian emerging adults, particularly as it relates to the types and dynamics of acculturation behaviors. Acculturation is a factor that predicts emerging adults’ academic and occupational success and their interpersonal and intrapersonal relationships.

This qualitative investigation was conducted within the framework of interpretative phenomenology, which allows for meaningful, organic exploration and description of participants’ stories. Data were collected from 12 emerging adult Syrian …

Exploring Maternal Factors Linked To Weight Status In Salvadorian Infants, Carmen M. Kiraly, Melanie Turk, Melissa Kalarchian, Cheryl Shaffer

Electronic Theses and Dissertations

Background: Obesity rates in the US have risen dramatically, especially among Hispanic adults and children. Because of the high prevalence of overweight and obesity in Latino children by preschool age, it is prudent to examine maternal factors potentially linked to weight status during an infant’s first year of life. The literature on risk factors of child obesity has focused primarily on children of Mexican descent, and little research exists for other Latino populations, such as Salvadorans. Objective: To investigate maternal physiologic and infant feeding factors associated with infant overweight and/or obesity in a sample of Salvadoran mother-infant dyads. Methods: A …

The Lived Experience Of Recovery Following Transoral Robotic Surgery (Tors) For Head And Neck Cancer, Katharine Mahalik

Electronic Theses and Dissertations

Abstract

Ongoing advances in minimally invasive surgical techniques, such as transoral robotic surgery (TORS), has enabled select patients with head and neck cancer to receive treatment that results in less disfigurement and dysfunction compared with traditional approaches. While TORS research has focused mainly on functional surgical outcomes, a need exists to understand recovery following TORS from the patient perspective. A hermeneutic phenomenological approach was used to recruit patients who had recently undergone TORS at a major academic health system in northeastern US. Data were collected using audio-recorded telephone interviews and field notes and analyzed concurrently. Participants included 17 HNCS (12 …

Public Health Policy: An Ethical Analysis Of Quarantine, Dina Alqahtani

Electronic Theses and Dissertations

As a public health measure quarantine has both historical and contemporary significance both in the United States and abroad. On the surface it represents a low-cost, low-tech way in which the spread of disease can be mitigated as its core requirement is that those who may have been exposed to an infectious agent are kept away from those who have not been exposed to that agent for enough time to determine whether or not infection has been spread. This has been utilized for centuries with both limited questions and scattered, inconsistent, or impossible to achieve oversight and goals. In understanding …

Precision Medicine And It's Ethical And Social Implications: Public Health And Gobal Persepctives, Evangel Sarwar

Electronic Theses and Dissertations

Ever since President Obama's launch of the Precision Medicine Initiative (PMI) in 2015, precision medicine (PM) has been anticipated as the new paradigm for healthcare with the capacity to “empower patients, researchers, and providers to work together toward the development of individualized care,” through research, technologies, and policies (President Obama, 2015). Precision Medicine (PM), in the form of genomics, offers unprecedented promise of providing new tools for improving health and reducing the burden of diseases, not just for the U.S. - but also globally. According to World Health Organization, genomics research and precision medicine will play a major part in …

Factors Contributing To Successful Completion Of A Holistic Job Skills Training Program, Renee Paul

Electronic Theses and Dissertations

Job skills training programs are one way to address barriers to employment. As is important with any program that is implemented, it is important to evaluate its effectiveness. Existing literature contains several examples of job skills training programs that measure success by looking at outcomes such as employment rates post-program completion. Another way to measure success, which very few studies report, is to look at program completion rates. This study sought to fill that gap by reporting completion rates and factors that contribute to completion for a holistic job skills training program in West Texas. This study tested five variables …

Food Insecurity And Mental Health Correlations And Barriers On A College Campus, Alexandria M. Bisson

Electronic Theses and Dissertations

Food insecurity is defined by the U.S Department of Agriculture as “the uncertain or limited ability to get adequate food due to lack of financial resources” (Watson, Malan, Glik, & Martinez, 2017, p. 130). It tends to go unnoticed, and the size of the vulnerable population cannot be fully depicted because of stigma in seeking help. One study could only estimate from findings that 14% to 59% of students will be food insecure at some point throughout their college years (Henry, 2017). Food insecurity is affecting students’ social and mental health, diet choices, and physical well-being. Food insecurity is only …

Effects Of Temperature On Microbial Parameters Associated With Decaying Plant Litter In A Stream Microcosm Experiment, Hunter David Pates

Electronic Theses and Dissertations

Increases in mean surface air temperature under climate-change predictions are expected to affect microbial activity, as well as carbon dynamics in aquatic ecosystems. I explored responses of litter-associated decomposers along temperature ranges typical of temperate streams in laboratory microcosms simulating stream conditions. The objectives of this study were to determine (1) whether the effects of temperature on stream leaf-associated microorganisms can be explained by the Metabolic Theory of Ecology (MTE); (2) if the effects of temperature are the same across temperatures commonly found in temperate streams; and (3) if there are differences in the magnitude of responses to temperature among …

Comparison Of An Acute Bout Of Exercise To A Sugary Snack On Energy, Mood And Cognitive Performance, Erica Knowles

Electronic Theses and Dissertations

Low perceived energy and a decline in cognitive performance throughout the day are common issues, though exercise and food consumption are suggested to improve mood and cognition. The present study compares effects of acute exercise to consuming sugar on mood, energy, and cognitive performance. Subjects underwent blood glucose testing, completed an Abbreviated Profile of Mood States Questionnaire, and Automated Operation Span (OSPAN) and Digit Span tests to measure memory and attention. On two separate days subjects consumed candy or walked on a treadmill for 10 minutes, then measurements were repeated at 30-min, 60-min, and 120-min post. Two-way ANOVA over time …

An Evaluation Of Student Perceptions Of Learning Environments Across Fully On-Line Versus Blended Course Delivery Formats., Pamela Bates Larkin

Electronic Theses and Dissertations

The primary focus of this evaluation study was to describe students' perceptions of their course experiences within two distinct groups of students who participated in either a fully online or a hybrid/blended version of an introductory course. The groups differed in course format (hybrid versus online group) and measures used included primarily the seven scale scores on the Distance Education Learning Environments Survey (DELES) (Walker & Fraser, 2005). Additionally students were asked to respond to one open-ended question designed to assess perceptions of the course delivery format specifically. Although findings must be interpreted with great caution, due primarily to low …

Refugee Parent's Perspectives On Preschool Enrollment After Migration And Resettlement., Kathy Stovall

Electronic Theses and Dissertations

Over the years, researchers have documented the behaviors of refugee parents and their challenges as it relates to their children in preschool programs. However, there is a gap in the literature for understanding the refugee parental perception of preschool after resettlement, and what motivates or detracts from preschool enrollment. This research study was conducted to understand the phenomenon of preschool enrollment by refugee parents. The phenomenography research methodology was chosen for this study because it explores how a group collectively perceives a phenomenon. In this study, the research addresses how refugee parents perceive enrollment in public preschool programs. The data …