Digital Commons Network^™

Enhancing Nurses' Assessment Of Pain Management In Dementia Patients, Norma Jean Boone

Walden Dissertations and Doctoral Studies

Chronic pain contributes to morbidity, mortality, and disability in millions of people. Prevalence rates for pain are as high as 83% among the 5.2 million older adults living with a diagnosis of dementia. The purpose of the quality improvement project was to assess nurses' knowledge of pain assessment and management in a 45-bed Veterans Health Administration long-term care facility serving older adults with dementia. Knowles' adult learning theory served as the theoretical framework and the knowledge to action model supported the translation of evidence into practice. A convenience sample of 27 licensed and unlicensed nursing staff answered the 16-question, 5-point …

Emergency Managers' Perceptions Of All-Hazards Pandemic Planning Effectiveness In North Texas, Timothy Goss

Walden Dissertations and Doctoral Studies

All-hazards pandemic planning is the foundation of current emergency management planning doctrine, yet there is limited information and limited studies related to its effectiveness in mitigating pandemics. The North Texas emergency management community handles incidents of West Nile Virus, H1N1 influenza, and a recent Ebola incident. Despite efforts to mitigate these threats, reported cases and deaths are still occurring from both influenza and West Nile virus. The purpose of this case study was to assess the risk perceptions of emergency planners in a small emergency operation center in North Texas using the cultural theory of risk perception as the theoretical …

Factors Affecting Inadequate Growth During Early Childhood In Guyana, South America, Valescia Xenobia John

Walden Dissertations and Doctoral Studies

Children under 5 years of age in Guyana are at an increased risk for inadequate growth. According to the United Nations Development Programme, 1 out of 3 children of preschool age are undernourished globally. This is a major public health concern as undernourishment in children under 5 years can lead to lifelong health complications. The study assessed the relationship between inadequate growth and urban classification in children under 5 years in Guyana, South America, after controlling for the following variables: mother's level of education, mother's age at birth of the child, household size, wealth, and marital status. The study framework …

Night Shift Work And Weight Gain Among Female Filipino Nurses, Raymundo Mintac Apellido

Walden Dissertations and Doctoral Studies

The research problem is the increasing numbers of overweight and obese nurses working the night shift. Study on overweight and obesity among female Filipino nurses has not been conducted. It was important to conduct a research study among female Filipino nurses to find out if there are statistically significant associations between night shift work and weight gain. The purpose of this correlational and cross-sectional study was to determine if there are statistically significant associations between insufficient sleep, abnormal eating patterns, working 12-hour shifts, years of working night shift, age, stress, marital status, nursing units, decreased physical activity, and level of …

Educating Globally In Medical Imaging In Latin America And Caribbean Via Webinars, Carmen Teresa Saunders

Walden Dissertations and Doctoral Studies

Professional development courses that focus on increasing knowledge and improving skill sets are an integral part of a medical imager's career. This study was a qualitative formative evaluation with purposeful sampling of participants in a professional development webinar course offered to medical imaging professionals in 35 Latin American and Caribbean countries. The goal of this study was to aid the agency with identifying areas in which the efficacy of the program implementation and delivery could improve. The conceptual framework model, interest-problem-based learning (INTEREST-PBL) model, and Malcolm Knowles's theory on adult learning were used to ground this project. The research questions …

The Effect Of Cognitive Behavioral Therapy And Chiropractic Care On Stress Reduction, Tracee Felice Williams

Walden Dissertations and Doctoral Studies

Decreasing the impact of stressors on the body remains an important area of study for the affected population. While there is evidence showing that cognitive behavior therapy (CBT), a psychotherapy approach, results in decreased stress, little was found about the effects of chiropractic treatment (CC) on stress. The purpose of this quantitative archival study was to determine whether the combination therapy of CC and CBT was more effective in decreasing stress than CBT independently. Cognitive neuropsychology served as the theoretical lens. Client data from a mental health and chiropractic care center on the West coast (N = 112) were divided …

Coping Mechanisms Of Sub-Saharan African Female Immigrants With Breast Cancer, Ernest Opoku Agyeman

Walden Dissertations and Doctoral Studies

Coping mechanisms of breast cancer is a public health problem among African females, particularly, the Sub-Saharan African female immigrants. The purpose of this qualitative study was to explore the coping mechanisms of the research group that could be used to develop and implement an intervention program to promote the quality of adaptation to improve the quality of life. The study achieved the objective by the use of 1-to-1 interviews of purposive samples of 2 and 12 using Roy Adaptation Model. Interviewed data were collected from females diagnosed with breast cancer, in treatment, and with remissions. The pilot study (n = …

Intervention Strategies Against And Effects Of Female Sexual Harassment In Workplaces Of Cote D'Ivoire, Mariam Lamine Breant

Walden Dissertations and Doctoral Studies

Workplace sexual harassment in Cote d'Ivoire has been documented as extensive and commonplace, yet in West African nations, sexual harassment is not well studied or understood. Specifically, little is known about whether intervention programs instituted by the Ivorian law under Act No.98-756 forbid sexual harassment are viewed by female workers as effective. Using Hendricks and Valasek's theory on gender mainstreaming as the foundation, the purpose of this study was to evaluate the perceptions of female workers in Cote d'Ivoire related the effectiveness of sexual harassment training programs. Data for this study were collected from 15 women who worked in public …

The Relationship Of Job Stress To Job Performance In Police Officers, Chidiebere Chikwem

Walden Dissertations and Doctoral Studies

For the past 3 decades, police officers have been diagnosed with various stress-induced health problems. Police officers are at a greater risk of various environmental health problems due to the stressful nature of their profession. While there is abundant research that explores the relationship between high stress occupations and environmental health, researchers have yet to sufficiently explore the relationships between police officers' job stress and job performance. The purpose of this correlational study was to use Cohen & McKay's conceptualization of the stress-buffering hypothesis to explore whether police officers' physical exercise moderated the negative impact of job stress on their …

Social Change Initiatives For African-American And Latino Males In Los Angeles County, Kay Ramsey

Walden Dissertations and Doctoral Studies

In the 21st Century, many Americans continue to fight battles for men of color who are at the forefront of criminal injustice, unemployment, and low matriculation. With great dominion and urgency, our Nation must ensure all men, regardless of the adversity can succeed and build legacies in their families, communities, and the economy. In this action research study, an ecological system theory was used to analyze the stakeholders who have implemented the following public polices under the Obama Administration: 21st Century Policing, My Brother's Keeper, and Race to the Top. This research answers the question how stakeholders are able to …

Factors Influencing Degree Of Implementation Of Technology In A Georgia High School, Darby Eckman Steele

Walden Dissertations and Doctoral Studies

Based on an external school review, a large suburban high school outside a southeastern United States metropolitan area was not in compliance with state technology standards. The school leadership team concluded that because teachers were not effectively integrating technology for teaching, student achievement may have been negatively influenced. The purpose of this nonexperimental project study was to measure relationships among factors influencing degree of implementation of technology (ITC) in the classroom using Dewey's experiential theory with an emphasis upon constructivism as a theoretical framework. A modified survey, Technology and Professional Development Survey of Georgia High School Teachers, was distributed to …

Hopeful Thinking: Conceptualizing A Future Beyond Domestic Abuse, Henri Zombil

Walden Dissertations and Doctoral Studies

Domestic violence is a continuing public health problem. Immigrant women facing domestic violence have additional challenges in dealing with domestic violence and accessing services. Hopeful thinking has been identified as a strategy for intervening and surviving beyond domestic violence. The purpose of this multiple descriptive case study was to explore hopeful thinking in Haitian immigrant women domestic abuse survivors' (HIDAS) conceptualizations of the future beyond domestic abuse. The framework for the study was resilience theory, which emphasizes the individual's ability to bounce back from stressful situations. This framework was used to investigate how HIDAS in the United States experience hopeful …

Review Of Fragile Families: Foster Care, Immigration, And Citizenship. Naomi Glenn-Levin Rodriguez. Reviewed By Molly Cook., Molly Cook

The Journal of Sociology & Social Welfare

Review of:

Naomi Glenn-Levin Rodriguez, Fragile Families: Foster Care, Immigration, and Citizenship. University of Pennsylvania Press (2017). 232 pages, $49.50 (hardcover).

Black And Latino Fathers Of Students With Autism: Culturally Responsive Support, Michael D. Hannon, Kaprea F. Johnson, Nicole A. Christian, Lachan V. Hannon

Counseling & Human Services Faculty Publications

Perspectives from five Black and Latino fathers of students with autism are shared from this qualitative pilot study. The fathers were asked to describe the most helpful forms of support from school counselors. One-time, semi-structured interviews were conducted and interpreted with the thematic analysis method. Results suggest support from other parents, and specifically from other fathers, with shared experiences is most helpful. Recommendations for school counseling practice and research are shared.

Population Genetics And Distribution Of The Oriental Weatherfish, Misgurnus Anguillicaudatus, In Chicago Area Waterways, John Belcik

Master's Theses

Oriental Weatherfish (Misgurnus anguillicaudatus), native to Southeast Asia, are freshwater fish belonging to the family Cobitidae (loaches). They are benthic fish with the ability to breathe atmospheric air, and exhibit an unusual behavior of swimming vertically in the water column in response to changes in barometric pressure. Oriental Weatherfish appear to be successful invaders to North American waterways. Within the last century they have been sighted in freshwater systems throughout the United States, yet the distribution and source of this invasion are largely unknown. This study investigates the distribution patterns, surveying methods, and population genetics of the Oriental Weatherfish within …

Who Owns Human Capital?, Lily Kahng

Faculty Articles

This Article analyzes the tax law's capital income preference through the lens of intellectual capital, an increasingly important driver of economic productivity whose value derives primarily from workers' knowledge, experience and skills. The Article discusses how business owners increasingly are able to "propertize" labor into intellectual capital-to capture the returns on their workers' labor by embedding it in intellectual property and to restrict workers' ability to employ their skills and knowledge elsewhere. The Article then shows how the tax law provides significant subsidies to the process of propertization and thereby contributes to the inequitable distribution of returns between business owners …

Translation And Validation Of The Spanish Version Of The Rapid Estimate Of Adult Literacy In Dentistry-30, Wilma Luquis

Walden Dissertations and Doctoral Studies

Low or marginal health literacy affect nearly 90 million citizens in the United States, compromising health outcomes, including oral health. Oral health literacy has been studied in diverse populations, yet the assessments used were developed and validated for English-speaking populations. A validated Spanish-language oral health literacy assessment was needed to help researchers and practitioners evaluate oral health literacy in the Hispanic population. Using the oral health literacy framework, the purpose of this study was to translate, culturally adapt, and validate a Spanish version of a previously validated English-language oral health literacy. A translation-back-translation process was applied to the English version …

Temporary Restaurant Closures And Food Handling Violations: Inspection Reports In British Columbia, Pam Mandarino

Walden Dissertations and Doctoral Studies

Unsafe food handling practices are implicated in many restaurant-associated foodborne disease outbreaks. Factors that contribute to unsafe food handling in restaurants include inadequate food safety knowledge, employees who perceive that safe food handling is not under their control, and restaurant cultures that do not prioritize food safety. The purpose of this study was to determine whether temporary restaurant closures were associated with reduced food handling violations after closure in restaurants from the Vancouver Coastal Health Authority and the Fraser Health Authority, in British Columbia, Canada. The theoretical foundations used were the health action process approach and the theory of planned …

Gender Differences In Health Service Utilization Among Veterans With Acute Kidney Injury, Freneka Fronsha Minter

Walden Dissertations and Doctoral Studies

The U.S. Department of Veterans Affairs (VA) studies on acute kidney injury (AKI) have focused on defined procedures and outcomes but not on gender differences. The purpose of this study was to investigate differences in health services utilization by gender and other predisposing factors (age and race) among hospitalized veterans with AKI during a 5-year period from 2008 to 2013. The study included a retrospective cohort design and the behavioral model of health services utilization as the underlying theoretical framework. Secondary data were collected from an existing VA cohort. Data from 1,636 hospitalized AKI veterans were subjected to t tests …

Stress Management Training, Gender, Level Of Stress, And Coping In Police Officers, Samantha Leigh Fields Salain

Walden Dissertations and Doctoral Studies

Stress has lasting and sometimes fatal effects on the law enforcement community, which can compromise the well-being of police officers. To date, there is little research on factors that influence the level of stress in police officers. The purpose of this quantitative, correlational study was to investigate the relationship of gender, used coping mechanisms, and levels of organizational and operational stress among police officers who have and have not received stress management training. Bandura's social learning theory and Lazarus and Folkman's theory of cognitive appraisal provided the theoretical foundation. Cross-sectional survey data from a convenience sample of 134 male and …

Leadership Strategies For Addressing U.S. Pharmaceutical Drug Shortages And Supply Chain Disruptions, Adrian Grant Scioli

Walden Dissertations and Doctoral Studies

Health care providers in the United States expend more than $400 million in unnecessary direct costs annually managing the effects of widespread drug shortages. Based on the theory of complexity and complex adaptive systems, the purpose of this exploratory multiple case study was to identify the strategies that health care pharmaceutical procurement leaders from the Eastern region of the United States use to address widespread drug shortages. Data were collected from 5 semistructured interviews with pharmaceutical procurement leaders, recorded field notes, and a review of public documents from company websites. Data analysis included deductive and open coding techniques. Emergent themes …

Leadership Attributes And Behaviors As Predictors Of Organizational Resilience In Academic Health Care Systems, Patti Lynn Besuner

Walden Dissertations and Doctoral Studies

Research intentionally addressing how leadership attributes and behaviors collectively contributed to the socioecological perspective of organizational resilience were not found. This is a problem for organizations who must hire without benefit of how a collective leadership effect might influence their psychological capital. The purpose of this study was to explore whether or not self-efficacy, psychological empowerment, personal resilience, and leadership style were associated with or predicted organizational resilience among clinical managers in an academic medical center setting. Metatheory of resilience and resiliency was used to frame the study. A quantitative correlational design was used. Self-reported data was collected via the …

Examining Parental Involvement In Impoverished Schools, Tara Lynn Broadus

Walden Dissertations and Doctoral Studies

A decline in parent participation in one impoverished Pre-K through Grade 5 school in Texas over recent years has been an ongoing concern for school administrators. The purpose of this instrumental case study was to investigate parent perceptions of the school's efforts to involve parents in the school. Research questions focused on identifying factors that inhibited parental involvement concentrating on parent perceptions of school efforts. Constructivist theory and the advocacy/liberatory framework formed the conceptual framework for this study. A triangulation method for data collection included parent interviews, teacher questionnaires, and observations of parental involvement activities over 12 weeks. Participants were …

Sentence Recall In Children With Autism Spectrum Disorder, Brett Wallace

UNF Graduate Theses and Dissertations

There is an age-shift in neurotypical children: younger children tend to remember information in a verbatim manner so they store item-specific surface characteristics; between nine and ten children engage in gist recall where they store meanings of presented information. The aim of the present study was to explore false memory in children with Autistic Spectrum Disorder (ASD), as some research suggests that they develop gist recall at a later age than neurotypical children. We are also interested in the role of working memory.

One approach to understanding false memory creation is activation-monitoring (AM) theory. Working memory can play a role …

Morphological Variation In The Monardella Odoratissima – Monardella Villosa Complex, Monica Estiandan

University of the Pacific Theses and Dissertations

In this study, morphological characters were investigated to better characterize the species boundaries between members of the Monardella odoratissima – M. villosa complex (Lamiaeceae). Traditionally, it has been very difficult to identify and separate members of this complex. Monardella linoides, M. purpurea, and M. sheltonii populations are distributed in the overlapping boundaries of these two species (M. odoratissima and M. villosa) and considered within the complex as well. Previous studies and floral manuals have found that the vegetative plant parts from these five Monardella species intergrade with the other taxa in the complex throughout their distribution in California and in …

Monitoring Insecticide Resistance Mechanisms In Culex Tarsalis From Sutter County, California, Bridgette Danielle Hughes

University of the Pacific Theses and Dissertations

Culex mosquitoes are known for carrying several harmful viruses in the United States. Culex tarsalis is found in rural as well as some residential areas in the Western United States, so they are under insecticide pressure from both agricultural spraying and vector control. In response to insecticide pressure, mosquitoes can evolve two primary resistance mechanisms: target site insensitivity, as a result of DNA mutation, and elevated levels of detoxifying enzymes (GST, alpha and beta esterases, and P450 oxidases). The two types of target site insensitivity studied here in Cx. tarsalis are kdr, which is a mutation in the para-type voltage …

Auranofin Targets Thioredoxin Reductases In Trichomonas Vaginalis, Jose Jauregui

University of the Pacific Theses and Dissertations

Trichomonas vaginalis is an anaerobic, parasitic protozoan, responsible for trichomoniasis, the world’s most common, non-viral sexually transmitted infection. Lacking many of the defenses present in other organisms to combat oxidative stress, Trichomonas vaginalis relies extensively on the thioredoxin system—NADPH, thioredoxin reductase, and thioredoxin—as a means to protect against exposure to excess oxygen. Current trichomoniasis treatment relies exclusively on the 5-nitroimidazole drugs, but fear of drug-resistant strains and allergic reactions to 5-nitroimidazole treatment necessitate the discovery of a new treatment method for trichomoniasis. Previous research has shown that auranofin, an FDA-approved drug, was effective at inhibiting activity of one of Trichomonas …

Examining The Relationship Between Exercise Induced Fatigue And Postural Stability Among Geriatric Patients With Vestibular Disorders, Alexis Christine King

University of the Pacific Theses and Dissertations

Purpose: This study examined: (1) the relationship between exercise induced fatigue and postural balance amongst geriatric patients with vestibular disorders. (2) Assessed the duration for postural stability to return to baseline measurements upon induced fatigue.

Methods: A controlled pre-post test experimental design method was used during this study. This study incorporated a quantitative analysis to explore the relationship between exercise induced fatigue and postural balance with a sample of 24 subjects. The subjects were randomly assigned to either an experimental or control group. Baseline postural stability measurements were conducted prior to all subject testing and were accounted for again once …

Studies On Development In Euphilomedes Ostracods: Embryology, Nervous System Development, And The Genetics Of Sexually Dimorphic Eye Development, Kristina Koyama

University of the Pacific Theses and Dissertations

Model organism studies have been fundamental in understanding evolutionary and developmental biology. However, non-model organisms present opportunities to study unique characteristics and as comparisons to model organisms, leading us toward broader and more relevant perspectives on diversity. The Euphilomedes genus of ostracods is an example of a non-model group with potential for evolutionary and developmental studies.

Ostracoda is an ancient, basally branching lineage of Crustaceans with a complete and prodigious fossil record. Despite the group’s promise for evolutionary studies, much remains unknown about the basic biology of this clade. There are a limited number of embryogenesis studies in Ostracoda; here, …

Fragment-Based Excitonic Coupled-Cluster Theory For Large Chemical Systems, Yuhong Liu

University of the Pacific Theses and Dissertations

Accurate energetic modeling of large molecular systems is always desired by chemists. For example, ligand-protein binding simulations and enzymatic catalysis studies all involve with a small energy difference. The energetic accuracy depends largely on a proper handling of electronic correlations. Molecular mechanics (MM) methods deliver a parameterized Newtonian treatment to these problems. They show great capability in handling large calculations but give only qualitatively good results. Quantum mechanics (QM) methods solve Schrödinger equations and exhibit much better energy accuracy, though the computational cost can be prohibitive if directly applied to very large systems.

Fragment-based methods have been developed to decompose …