Digital Commons Network^™

Change Fatigue, Job Satisfaction, And Organizational Commitment Among Nurses, Melissa Kapping

Walden Dissertations and Doctoral Studies

The healthcare environment is complex and ever-changing, which has a direct impact on the nurse. The effects of the constant change to the nurse may result in the development of change fatigue, which causes the loss of trust in the organization, a feeling of resentment, and a sense of apprehension while depleting the individual’s reserves. The purpose of this correlational study guided by Lazarus and Folkman’s stress and coping theory was to determine if there is a relationship between (a) job satisfaction and change fatigue and (b) organizational commitment and change fatigue in nurses who work in an outpatient clinical …

Spiritual Dimensions Of Care: Need For Spiritual Care Interventions In Nursing Clinical Practice, Jillian Jack

Doctor of Nursing Practice Projects

Empirical research has identified emerging evidence concerning the value and importance of spirituality in the provision of nursing care. Spiritual well-being has important implications for a patient’s well-being and there is evidence that points to the association between spirituality, individual healthcare outcomes, and quality of life (QOL). Assisting patients in meeting their spiritual needs is also recognized internationally. Despite the fact that spiritual care is an essential part of nursing care, there remains a gap concerning spiritual care practices in the nursing clinical environment. The magnitude of the problem has to do with the lack of spiritual care education training. …

Improving Delirium Assessment In Critical Care, Michelle Reed

Doctor of Nursing Practice Projects

The objective of this project was to identify barriers that impact nurses completing delirium assessments and to improve compliance rates with delirium assessments. The design was an observational, single group pretest-post-test. The preliminary results demonstrated an educational intervention, using the Knowledge-to-Action theory, improved nurses’ compliance with delirium assessments.

Enhanced Breastfeeding Support Using Video Education To Improve Exclusive Breastfeeding Rates In A Baby-Friendly Acute Care Facility, Carol Mayernik

Doctor of Nursing Practice Projects

Exclusive breastfeeding (EBF) provides health benefits and is recommended by professional health organizations including the American Academy of Pediatrics, The World Health Organization, and the Centers for Disease Control and Prevention. Healthcare facilities support families to achieve EBF by educating clinicians and patients about the benefits of exclusive breastfeeding, providing prenatal education and hospital support to patients, and by achieving Baby-Friendly Designation through the Baby-Friendly USA, as endorsed by the World Health Organization/UNICEF. Most pregnant patients desire to exclusively breastfeed yet multiple barriers exist to achieve this goal. Evidence supports the use of video learning as an effective way to …

Washington University Magazine, April 2021

Washington University Magazine

No abstract provided.

Washington University Magazine, August 2021

Washington University Magazine

No abstract provided.

Satisfaction Of Telehealth For The 55+ Population, Cynthia Schweizer

Doctor of Nursing Practice Projects

There is a primary care need for the 55+-year-old population related to the increasing aging population, physician shortages, and, more recently, Coronavirus Disease 2019 (COVID-19) to implement Telehealth care. The Telehealth project will include the 55+ population to provide more participants for the project at an internal medicine clinic. Telehealth's contribution and interventions will affect causal factors such as moderating or mediating factors of health problems. Some of those factors include insufficient primary care coverage due to decreasing numbers of primary care providers (PCP), the increasing older population, complex health issues that come with aging, the need for frequent follow-up …

A Multi-Client Simulation To Improve Communication, Prioritization, And Clinical Judgment Among Nursing Students, Adam K. Combs

Doctor of Nursing Practice Projects

Background: Hospital administrators have noted a lack of clinical judgment in novice nurses, which can result in negative client outcomes. This paper describes the implementation of a multi-client simulation experience with the purpose of determining if the experience improved communication, prioritization, and clinical judgment.

Method: A descriptive, pretest postest study, using the National League for Nursing (NLN) Jeffries Simulation Theory, examined the perceived competence of 37 senior level Associate Degree Nursing students.

Intervention: The participants rated their perceived competence on the Perceived Competence Scale and were scored on the ISBAR Interprofessional Communication Rubric (IICR) and the Lasater Clinical Judgment Rubric …

Human Trafficking: Empowering Healthcare Providers And Community Partners As Advocates For Victims, Marielle A. Combs

Doctor of Nursing Practice Projects

Human trafficking (HT) is a public health crisis and the need for education is dire. Healthcare providers lack confidence in victim recognition and aid provision all while encountering victims in their practice. The project leader aimed to empower healthcare providers in recognizing signs of HT and making appropriate referrals. Ten community volunteers, including registered nurses, who assist with a mobile medical unit and spiritual 12-step program, participated in a Human Trafficking 101 training. The application of holistic nursing core principles and Human Caring Science was integrated as vital in victim identification. A pretest posttest design was utilized to administer the …

Evaluating The Impact Of Resilience Training In The Group Home Care Provider Population, Gwangia O. Hudson

Doctor of Nursing Practice Projects

Stress, compassion fatigue (CF), and burnout are all potential problems faced by those who have adopted a career in caring for others. Poorly managed stresses are associated with strained work interactions, dysfunctional personal connections, poor health, and poor quality of work (Edwards & Burnard, 2003; Richardson et al., 2015; Zajac et al., 2017). Organizations do well to focus on preventing stress, CF, and burnout; and or at a minimum providing, employees with tools to build resilience (Edwards & Burnard, 2003; Gentry, 2018; Zajac et al., 2017).

Prescription Labels: Get To Know Them, Karen Adams

Doctor of Nursing Practice Projects

Low health literacy is a problem for millions of Americans resulting in increased use of healthcare resources resulting in poor health outcomes. The older adult population is continuing to grow and is the largest user of healthcare. Use of pharmaceutical regimens to manage chronic illnesses is the most commonly used treatment modality. Unfortunately, people with low health literacy may have trouble understanding and following their providers instructions. It can be difficult to read directions on over the counter and prescription medication bottles. Community-based health educational programs benefit the maintenance of older adult health. The purpose of this project was to …

Inspiring Nurse Leader Connectedness To Improve Patient Experience, Shauna Maxson

Doctor of Nursing Practice Projects

Objectives:

1. Interventions targeted at improved communication, retention, empowerment, and encouragement will be utilized to enhance the practice environment of incumbent and future nurses in the emergency department. Nurse connectedness will be improved 25% over baseline following implementation of interventions to positively augment practice environment.

2. Patient experience scores in the emergency department will be sustained at benchmark, or greater, following efforts to improve nurse connectedness.

Design: Prospective, single-center, non-randomized, pre- vs. post-

Data Sources: Scholarly, peer-reviewed journal articles and texts, results from pre- and post-intervention completion of Utrecht Work Engagement Scale, Press Ganey patient experience scores

Review Methods: Review …

Managerial Cost Accounting, Christopher M. Fairchild

Syllabus Repository

No abstract provided.

Financial Literacy, Experience, And Age Differences In Monetary Sequence Preferences, Jenna M. Wilson

Graduate Theses, Dissertations, and Problem Reports (ETD)

The emerging research on age differences in monetary sequence preferences suggests that older adults make decisions that are normatively correct from the standpoint of economic theory when choosing to receive larger versus smaller amounts of money sooner than later, but make non-optimal decisions about paying money. In an adult life-span sample (N = 594, aged 20-88, M_age = 46.48, SD= 15.16) recruited through MTurk, the present study examined age differences in monetary sequence preferences. Participants received eight hypothetical scenarios that described monetary events, and completed measures of financial literacy and financial experience. Older age was associated with …

Teaching The Bible, Steelman Library, Camilla Belfon

Syllabus Repository

No abstract provided.

The Struggle Of Differential Diagnosis For Childhood Apraxia Of Speech: A Qualitative Case Study, Laken Cummins, Stephanie M. Schaaf, Megan Smetana, Jennifer Gaylord

Murray State Theses and Dissertations

This study addresses the controversial diagnosis of childhood apraxia of speech (CAS) and the struggle many clinicians face with differential diagnosis through a retrospective qualitative case study following a participant who received the diagnosis of CAS. Research questions targeted the characteristics the participant presented with, whether they were consistent or not, as well as if they were unique to CAS or evidence of a phonological disorder, and the treatment approaches that were implemented throughout the participant’s history of receiving speech-language services and the effectiveness of those approaches. These research questions were answered through the records and documents obtained from the …

An Ethical Evaluation Of Georgia Agriculture Educators And Extension/4-H Agents Regarding Practices And Observations At Youth Livestock Events, Joshua Whitworth

Murray State Theses and Dissertations

The purpose of this study was to evaluate the ethical perspectives and observations of those charged with supervising youth livestock projects in the state of Georgia. Identifying the ethical leadership style of the agriculture/4-H agents and agriculture educators/young farmer advisors, allowed for a closer look at the ethical styles within those who are supervising youth livestock projects. Overwhelmingly, the respondents indicated that they relate most closely with a Duty ethical leadership style, suggesting the respondents will do what is required of them to fulfill the responsibilities of their occupation. Furthermore, observations of practices involved in youth livestock projects were recorded …

Shifting Emergency Remote Teaching Into The Future Of Kentucky Education, Amy Argo

Murray State Theses and Dissertations

During the 2020 COVID-19 pandemic, Kentucky educators discovered the difficulties of a rapid transition to emergency remote teaching. This phenomenological, qualitative research study explores middle and high school teachers’ lived experiences of teaching Kentucky public school students during the shutdown of school buildings during the spring and fall 2020 semesters.

Twenty-nine educator participants freely discussed their greatest successes and barriers concerning parental support, teacher mental health, communication, digital divides, student motivation, and teacher preparedness. This project gives voice to the teachers of Kentucky with a practical significance: effective online instruction can only occur if educators are properly prepared to teach …

School Violence And Its Impact On Student Academic Achievement, Kewanis Kennedy

Murray State Theses and Dissertations

This study explores the occurrence of school violence and its impact on academic success and attendance. This study will encompass K-12 academic institutions in the state of Kentucky during the 2018-2019 academic school year, with an in-depth analysis of data submitted to the Kentucky Department of Education by the 171 participating school districts. The participating schools shared data in the form of disciplinary actions, attendance, graduation rates, academic achievement, and other relevant demographics. The collected data was analyzed to determine if there was a statistically significant difference among attendance rate, graduation rate, math ACT benchmark scores, and English ACT benchmark …

Can Virtual Observations Effectively Prepare Pre-Service Educators For A Career In Teaching?, Krystle N. Gremaud

Murray State Theses and Dissertations

This study aimed to identify if virtual observations of preservice teachers could be an effective alternative means for universities to use when observing students in their various education practicums. If found to be effective, universities could use virtual observations in place of in-person observation as a cost-saving measure during times of financial instability. Additionally, the findings could allow universities to market their teacher preparation programs nationally where states have closed their teacher preparation programs in response to the national teacher shortage. Two surveys were used: The Teachers’ Sense of Efficacy Scale and a Likert scale to determine the perceived efficacy …

Lifting The Heavy Vocal Load: Slps And Their Vocal Habits, Sydney Sedlock

Murray State Theses and Dissertations

Novice speech-language pathologists (SLPs) are a vulnerable population that is at-risk for dysphonia. Previous literature has highlighted the high vocal-demand occupations of teaching and entertaining but there is minimal research to understand the prevalence of dysphonia in SLPs. The purpose of this investigation was to determine the prevalence of vocal fatigue and vocal loading in novice SLPs in western Kentucky to increase awareness of the vulnerability for dysphonia in this population. This investigation was descriptive in nature using a survey format and was sent to SLPs in the western Kentucky region. A total of 21 SLPs responded to the survey. …

Males Of The Wolf Spider Rabidosa Rabida Use Two Mechanisms To Stun Females During Copulation, Daniel Schoenberg

Murray State Theses and Dissertations

The differences in energetic input between the sexes required to produce gametes translates to the differences in reproductive behavior and overall mating systems seen in a species. Females generally produce a few energetically and resource expensive eggs and typically choose a high-quality suitor to ensure she has high quality offspring. In contrast, males produce abundant energetically cheap sperm and attempt to fertilize as many eggs as possible in as many females as possible. Both sexes are trying to maximize their inclusive fitness, but the dichotomy of interests can lead to sexual conflict and perhaps extreme or unusual behaviors such as …

Monitoring Relationships Between Corticosterone And Snake Fungal Disease In Timber Rattlesnakes (Crotalus Horridus) In Western Kentucky, John Bromley Hewlett

Murray State Theses and Dissertations

Over the past four decades, emergent fungal diseases have been the most devastating relative to species declines and extinctions. While most research has focused on fungal diseases affecting amphibians and bats, less has focused on diseases like snake fungal disease (SFD), caused by Ophidiomyces ophiodiicola (Oo). SFD was first described in 2006 in North America within a Timber rattlesnake (Crotalus horridus) population in New Hampshire. Since then SFD has been documented in 19 US states, one US territory (Puerto Rico), and Europe. SFD causes high mortality in some species, including the Eastern Massasauga rattlesnakes (Sistrurus …

The Relationship Between Technical Skill Attainment And Post-Graduation Related Placement Of Secondary Career And Technical Education Students In Missouri, Michael Pantleo

Murray State Theses and Dissertations

This study was conducted using quantitative methods to determine if a relationship exists between former Career and Technical Education (CTE) concentrators’ Technical Skill Assessment (TSA) performance and their attaining related placement after high school. The study included data from 65,606 Missouri CTE concentrators who graduated during the years 2015-2019. To investigate the relationship between TSA assessment performance and attaining related placement, multiple descriptive models were run and disaggregated by CTE program area, gender, race/ethnicity, IEP status, and SES. The data revealed students who pass their TSA assessment are more likely to attain related placement compared to those not passing their …

Strange Fruit: The Forgotten Lynchings Of Northwest Tennessee And Southwestern Kentucky, 1869-1931, Melinda Meador

Murray State Theses and Dissertations

In the 50 years between 1869 and 1918, 50 African Americans were lynched in a sparsely populated three-county area, far removed from the Cotton Belt and outside the ambit of the Tobacco Black Patch, along the state line in northwest Tennessee and southwestern Kentucky. The characteristics of lynchings identified in previous studies have little relevance to the lynchings carried out in this three-county area where the African American population seldom exceeded twenty percent of the overall population. Unlike the Deep South, the practice appears not to have been driven by socio-economic and political factors but primarily by a lust for …

Training And Support Systems And Their Impact On First-Year Teachers In Kentucky, Ashley E. Dunn

Murray State Theses and Dissertations

This qualitative study surveyed elementary school teachers across the state of Kentucky in regards to these four main concepts: (a) identifying the challenges and needs of FYT, (b) identify and explore the trainings provided to FYT, (c) identify and explore the supports provided to FYT, and (d) identifying what is needed to effectively support FYT. The driving question of the study asked: what are the training and support experiences of first-year K-5 teachers and how can these experiences be improved for future educators? Based on this question, the following hypothesis was created: having been provided comprehensive induction programs, FYT will …

Georgia Agricultural Education Teachers’ Perceived Barriers Of Delivering Instruction Through Internet-Based Distance Learning, Cecily Gunter

Murray State Theses and Dissertations

In the late fall of 2019 and early spring 2020 educators across the world were abruptly faced with the issue of teaching curriculum through distance learning platforms. This challenge was even greater for agricultural education teachers to accomplish due to the goal of providing students opportunities for leadership development, personal growth, and career success through hands-on learning opportunities. The researcher conducted a study to examine the perceived barriers of internet –based distance learning by agricultural education teachers in Georgia and to explore the relationship between their perceived barriers and the perception of their level of computer and internet access, their …

How Divorce, Interparental Conflict, And Parenting Styles Relate To Young Adult Emotional Regulation, Madison Jernigan

Murray State Theses and Dissertations

Emotional regulation has been linked to one’s ability to establish social relationships, as well as the onset of multiple psychological disorders, such as anxiety and depressive disorders. Researchers are beginning to better understand the development of emotional regulation; however, there is still debate surrounding what role familial factors play in this development. This study sought to better understand three factors that impact families: divorce, interparental conflict, and parenting styles. Specifically, this study hypothesized that participants whose parents are divorced and experienced high levels of interparental conflict would experience poor emotional regulation. Additionally, this study hypothesized that participants who perceive their …

Black And Hispanic Student Perceptions Of The Effectiveness Of The Career Academy Model, Holly Bernard

Murray State Theses and Dissertations

Education reform has been at the forefront of policymakers’ plans since 1817 with the founding of the Connecticut Asylum at Hartford for Deaf and Dumb Persons. Over the following 200 years, various social and economic shifts have increased policymakers' focus on the purpose of education and how institutions can develop contributing members to society. Globalization demands countries to have a well-educated workforce, and in the United States today, education reform has focused on expanding educational opportunities that lead to positive economic growth for individuals and nations as a whole through innovative practices. In short, access to quality education and experience …

Effects Of Agricultural Education And Career And Technology On Georgia Milestone Tests Scores In Biology, Geometry, And Algebra, Ellison Crews

Murray State Theses and Dissertations

Student’s achievement is directly linked to teacher evaluation as well as school and district CCRPI scores. The researcher conducted Independent two sample t-tests comparing student’s achievement on Georgia Milestone test in geometry, algebra, and biology at the district and state level for students enrolled in agricultural education courses, Non-agricultural education CTAE courses and non-CTAE courses. On the state level, student’s scores were grouped into the four-achievement level of Beginning, Developing, Proficient, and Distinguished. No individual scores were available so an average mean score was representative of each students score in the four categories. This study included Independent two sample …