Digital Commons Network^™

Decreasing Seclusion And Restraint Events Among Clients Within An Inpatient And Crisis Stabilization Behavioral Health Facility, Karen Lee Richards

Doctor of Nursing Practice (DNP) Projects

Background: Despite global shifts in behavioral health treatment, changes regarding use of seclusion and restraint (S/R) continues to be extremely slow. Local Problem: Increasing S/R events and subsequent staff injuries and financial burden. Methods: A quality improvement project providing education in trauma-informed care (TIC), sensory modulation (SM), and S/R debriefing (S/RD). Interventions: Education and training for S/RD, TIC, and SM using a variety of materials and methods over a 6 to 12-month period was provided to staff within a 16-bed inpatient adult psychiatric health facility (PHF) and a crisis stabilization unit (CSU). Because of positively affecting the use of S/R, …

Interdisciplinary Integrative Oncology, Naomi L. Valles

InterProfessional Education Research and Scholarship

No abstract provided.

Improving Home Health Nurses' Knowledge Of Heart Failure Self-Care Management, Nenette Hoffman

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: Heart failure results in life-altering and devastating illnesses, predominantly among older adults. Heart failure management is complex, and requires patients and their caregivers to actively monitor symptoms and sufficiently understand care management to maintain health-promoting behaviors. While home health nurses have the primary role as patient educators of their patients with heart failure, evidence from the literature indicates that nurses lack sufficient knowledge to fulfill this role.

Local Problem: Nurses’ inadequate knowledge of heart failure self-care management has been associated with insufficient patient education, the inability of patients to perform heart failure self-care management, worse clinical outcomes, and …

Pueblos Y Ranchos: The Role Of Latino Fathers And Community Leaders In Serving Latino Families In Rural Northwest Iowa And Southern Minnesota, Ruben Viramontez Anguiano, Melissa Martinez, Jorge Chavez, Sarah M. Harrison, Jennifer Jacob Bellowe

Journal of Family Strengths

This ethnography study explored the role of Latino fathers in family life and their children’s education before and during the pandemic. The study also examined the role of Latino leaders and ally leaders in serving Latino fathers and their families in Northwest, Iowa and Southern, Minnesota before and during the pandemic. The sample consisted of 40 Latino fathers from El Salvador, Guatemala, Honduras, Mexico and Nicaragua and 22 leaders of Latino and European American backgrounds. The study utilized different qualitative inquiries including the larger ethnography, testimonios and observations to collect the data. Key findings included that the Latino fathers were …

Bowls, Bowls, Bowls, Richard C. Crepeau

On Sport and Society

When you come across the word “bowl,” what comes to mind?

Advancing Global Equity In Cardiac Care As Cardiac Implantable Electronic Device Reuse Comes Of Age, Daniel Alyesh, Behzad B. Pavri, William Choe, Mam Chandara, Mahmoud U. Sani, Phong Dinh Phan, Aime Bonny, Paul Khairy, Sunil K. Sinha, Uma Srivatsa, Joseph E. Marine, Kim Eagle, Thomas C. Crawford, Dhanunjaya Lakkireddy, Sri Sundaram

Division of Cardiology Faculty Papers

A nation’s health and economic development are inextricably and synergistically connected. Stark differences exist between wealthy and developing nations in the use of cardiac implantable electronic devices (CIEDs). Cardiovascular disease is now the leading cause of death in low- and middle-income countries (LMIC), with a significant burden from rhythm-related diseases. As science, technology, education, and regulatory frameworks have improved, CIED recycling for exportation and reuse in LMIC has become possible and primed for widespread adoption. In our manuscript, we outline the science and regulatory pathways regarding CIED reuse. We propose a pathway to advance this technology that includes creating a …

The Health And Health Care Needs And Experiences Of Mexican Heritage Individuals In A Nonmetro Location: An Ethnonursing Study, Karla Adu

Electronic Theses and Dissertations

Introduction: The population of Mexican heritage individuals has grown significantly in nonmetro, emerging communities. The purpose of this study was to explore the health and health care needs and experiences of this population in the Midwest. Methods: Leininger’s Culture Care Theory and Ethnonursing Research Methods were used as the guiding theory and methodology for the qualitative study. Interviews were conducted with 27 informants. Recordings were transcribed and analyzed according to Leininger’s phases of data analysis. Results: Three themes emerged from the data: 1. living a better life in a nonmetro community with and for family, 2. barriers to understanding …

Revelations In The Blood: Determination Of Biomarkers And Analytes, Jeremiah Jamrom

Electronic Theses and Dissertations

Changes in body chemistry have long been utilized as a tool for medical diagnosis. Whether blood panel, toxin level, antigen testing or any of the myriad other tests performed annually, searching for molecules which confer health status is a long-established practice. These tests give physicians more information and allow them to make a more accurate diagnosis, from which appropriate treatment can stem. Awareness of, and the subsequent search for, biomarkers for disease states have grown substantially in the past years as analytical, biochemical, and instrumental techniques have become more precises and powerful. In an era of increasingly personalized medicine, novel …

Speciated Isotope Dilution Mass Spectrometry In Combination With Thor’S Hammer Metaspike Technology For The Assessment Of Low-Level Biomarkers For Human Health Evaluation, Ashley Ebert

Electronic Theses and Dissertations

Our research team has been focused on quantifying important biological analytes in human blood samples to delineate the biochemical processes underlying certain states of dysfunction and evaluate treatment efficacy. These efforts have been guided by laboratory measurements with the input of medical experts. Speciated isotope dilution mass spectrometry (SIDMS) explained in detail in EPA Method 6800 has been successfully applied in the quantification of an important biomarker analyte for immune function and detoxification processes: glutathione. Past research has proven the molecule a biomarker for autism spectrum disorder (ASD) in the form of the reduced/oxidized glutathione (GSH/GSSG) ratio, and literature has …

Empowering Lung Cancer Survivors In Post-Treatment Survivorship Care Using Participatory Action Research, Kelly Filchner

Electronic Theses and Dissertations

Purpose: To explore the experiences of lung cancer survivors (LCS) and their informal and professional caregivers with post-treatment care and to empower them to implement action-based study findings.

Participants & Setting: Participants were recruited using purposeful and snowball sampling from an NCI-designated cancer center in Northeastern US.

Methodological Approach: This study used a participatory action research (PAR) four-phase design. Phase one was a focused ethnography; phase two utilized a core group of participants to decide an action to be implemented in phase three; and phase four evaluated the action for the completion of one PAR cycle.

Findings: Twenty-eight categories, eight …

The Ethical Imperative Of Inclusion In Healthcare Innovation: Scaling And Sustaining Digital Health Equity, Lukas E. Chandler

Electronic Theses and Dissertations

The COVID-19 pandemic revealed the harm of digital health exclusion. Excluded groups could not benefit from virtual care due to device access gaps, broadband connectivity, and digital and language literacy levels. A lack of engagement with historically excluded populations in digital health innovation is an ethical harm and a maleficent form of social exclusion. Digital tools in healthcare delivery represent more than just a strategy for promoting health equity; they signify an opportunity to address health inequities in the health technology design process.

The historical focus of healthcare ethics on bedside decision-making issues largely explains why the field lacks concerted …

The Relationship Between Urban Green Space Perception And Use Within The Adolescent Population: A Focused Ethnography, Rachel Lyons

Electronic Theses and Dissertations

Introduction: Greenspace is beneficial for improving adolescent mental health, yet we still do not understand the connection between the built environment and subjective mental wellbeing. We also lack understanding of how this population uses greenspace and how they feel when in it. Purpose: The purpose of this qualitative study was threefold: to understand why adolescents use greenspace, to identify how they use greenspace, and to explore how they feel when they are in greenspace. Methods: participated in a focused ethnography that utilized auto photography for photo elicitation. Braun and Clark's (2006), six phases of thematic analysis were used to guide …

Perspective Of Nyerere On Self-Reliance: A Transformational Rhetorical For Liberating African Identity In Tanzanian Context, Ayub Mwampela

Electronic Theses and Dissertations

Julius Kambarage Nyerere (1922–1999) was the first president of Tanganyika in 1961 and the founding father of the United Republic of Tanzania, after having merged Tanganyika and Zanzibar in 1964. He died from leukemia on October 14, 1999, in London. He was 77 years old. Among the most memorable events in the life of Nyerere is his involvement in the struggle for the freedom of African people from foreign influences.

The goal of this research is to ask and answer to the following question: How does the perspective of Nyerere on self-reliance contribute to the effort of liberating African identity? …

A Qualitative Study Into Modern Psychoanalytic Joining And Mirroring Through Psychotherapeutic Exchanges, Tricia Shihui Wang

Electronic Theses and Dissertations

This dissertation intends to address current deficits in knowledge regarding the modern psychoanalytic interventions of joining and mirroring, including substantial definition issues in the literature and the absence of current writings on the psychotherapeutic interventions of joining and mirroring in practice. The focus of the study was on the ever-dynamic landscape between modern analytically-informed practitioners and their clients in psychotherapeutic exchange(s) that the practitioners believed encompassed joining and/or mirroring interventions. Participants were six experienced practitioners who described their clinical work as being informed by modern psychoanalysis and who have engaged or were currently engaging in individual psychotherapy with a client. …

Quantum Computations And Molecular Dynamics Simulations: From The Fundamentals Of Antimicrobial Resistance To Neurological Diseases, Angel Tamez

Electronic Theses and Dissertations

Biophysical phenomena are modeled using a combination of quantum and classical methods to interpret and supplement three distinct and diverse problems in this dissertation. In the first project, decarboxylation reactions are ubiquitous across chemical and biological disciplines, yet the origin of non-catalytic solvent effects remains elusive. Specific solvent structure and energetics have not been well described for the monoanion of malonate, nor corrected from the gas-phase charge-assisted intramolecular hydrogen bond model known as “pseudochair”. In the aqueous phase, a low-lying energy conformer known as the “orthogonal conformation” is computed to be preferred by a three-water cluster of hydrogen bonding over …

Examining The Effects Of An Early Mand Training Intervention On Mand Acquisition In Children With Autism Spectrum Disorder (Asd), Maram Alnahari

Electronic Theses and Dissertations

Children with autism spectrum disorder (ASD) often show language delays. Their limited communication skill may lead them to engage in the same disruptive behavior that previously got them what they wanted. Verbal behavior (VB), specifically mand training (MT), is one of the early language intervention strategies used to target language development and facilitate functional communication with young children with autism. This study aimed to examine the effectiveness of an early mand training intervention on mand acquisition in children with ASD. This study specifically targeted the application, the implementation, and their effects. A multiple baseline across participants research design was used …

Hydrologic Modeling With Remote Sensing For The Estimation Of Groundwater Resources Within The Sand River Catchment, South Africa, Sophia Bakar

Electronic Theses and Dissertations

The Sand River Catchment is an important tributary of the transboundary Limpopo River in South Africa, which spans Botswana, Mozambique, South Africa, and Mozambique. Groundwater is a critical resource in the region, especially in the context of population growth and climate change. Data are needed for proper management of these water resources. In regions where groundwater data are sparse in time, space, or both, the most promising solutions come from satellites and hydrologic models. Regional literature suggests that the Soutpansberg Mountains, located within the Sand Catchment, are high-elevation water towers with uncertain groundwater resources. Improved understanding of groundwater resources in …

Redefining Safety: A Reproductive Justice Ethics Of Care Approach To Maternal Health, Elizabeth Balskus

Electronic Theses and Dissertations

This dissertation will argue for the adoption of a multi-dimensional concept of safety in healthcare to include emotional, psychological and communal health. It will then illustrate how this concept of safety is foundational to a dignity-enhancing ethics of care approach that finds its normative grounding in Reproductive Justice and human capabilities, given that both patient and provider need to feel safe in order to fully engage in a dialogical-interpretive process of care and that caring efforts must strive to be equitable on both interpersonal and structural levels. This framework will then be applied to maternal health, showing how an approach …

Comparing The Effectiveness Of Traditional Taped-Problems Intervention With A Remote Delivery Version For Increasing Math Fact Fluency, Cortney Chelecki

Electronic Theses and Dissertations

The knowledge of math fact fluency skills is crucial for children to develop both related and subsequent necessary math skills. Students require fluency in basic math facts in order to successfully understand and perform more complicated math problems. Research has shown that students demonstrating math skill deficits are likely to have limited cognitive capacity to devote to higher math tasks, and also suffer from math-related anxiety, a lack of engagement, and limited vocational and career opportunities (Delli Sante et al., 2001; Gersten & Chard, 1999; Parkhurst et al., 2010; Poncy et al., 2007; Riconscente, 2013). During the COVID-19 pandemic, all …

Synchronous Virtual K-12 Teachers' Use Of Multimedia Principles In Electronic Slide Design, Lisa Beaulieu

Electronic Theses and Dissertations

Hundreds of thousands of K-12 children in the United States are enrolled in online K-12 virtual schools that consistently report poor academic outcomes. There is a need to assess how well instructors in a synchronous online environment present new material to learners in a way that best aligns with how the brain manages and integrates new information into long-term memory. Online K-12 teachers use PowerPoint to design Electronic Slide Presentation (ESP) decks, which are used as their main form of instruction with their students during synchronous classes. The Cognitive Theory of Multimedia Learning (CTML) provides a set of principles which …

Facial Expression Recognition Deficits In Autism Spectrum Disorder, Zachary Friedman

Electronic Theses and Dissertations

Autism Spectrum Disorders (ASD) are an umbrella term for lifelong neurobehavioral disorders characterized by a set of social (verbal and nonverbal) communication challenges and behaviors and restricted, repetitive behaviors. Emotions serve many functions, but primarily they help with the appraisal of stimuli and driving of responses. Emotional processing and facial recognition are integral abilities that influence the acquisition of social skills. For individuals with ASD, it is hypothesized that facial recognition deficits contribute to social communication traits. The bulk of previously conducted research has utilized static images of facial expressions. This study utilized videos of spontaneous expressions. Participants were tasked …

Integrated Marketing Communication As A Discourse: A Problem With Integration, Rana Ramadan

Electronic Theses and Dissertations

Integrated Marketing Communication as a Discourse: A Problem with Integration examines integration within Integrated Marketing Communication (IMC) scholarship in light of Jürgen Habermas’s discourse ethics and related communication ethics literature. Integration is a notion with dual meanings: one is technical, and the other philosophical. Technical integration is a perception management strategy that has been received as the competitive advantage for marketing communication for decades. Habermas’s philosophical/social integration is a communicative act that transmits culturally stored knowledge. It contextualizes norms in an appropriate theoretical framework, and it controls behaviors and personality structures. At the heart of IMC theory is an ambition …

Feel My Story: An Interpretative Phenomenological Analysis Of Latinx Counselors-In-Training Experiences With Psychological Safety, Felishatee Rodriguez

Electronic Theses and Dissertations

An interpretative phenomenological analysis (IPA) was used in the current study to examine how Latinx counselors-in-training (CITs) define and experience psychological safety in their classroom environments while enrolled in CACREP-accredited master’s degree programs in the United States. In the present study, IPA was employed to make sense of the participants’ detailed narratives and discover how Latinx CITs interpreted and made meaning of their experiences with psychological safety in classroom environments. Serving as the theoretical framework, Latino Critical Theory was used to weave together and validate the cultural components of Latinx CITs’ accounts as they orchestrated themselves through their CACREP-accredited master’s …

Covenant-Apocalyptic Soteriology: N. T. Wright’S Apocalyptic Jesus In Conversation With The Liberationist Critique Of Atonement, Joseph Smith

Electronic Theses and Dissertations

This dissertation develops a theory of atonement in accordance with N. T. Wright’s covenant-apocalyptic interpretation of the ministry and message of the historical Jesus. A covenant-apocalyptic atonement theory, in opposition to the trajectory of contemporary soteriology, prioritizes divine causality in the means of salvation, because, as is generally expected from an apocalyptic hermeneutic, it peers behind systems of violence and oppression to the intangible powers that underlie them. Unlike other strands of apocalyptic theology, though, a covenant-apocalyptic soteriology can stand up to a liberationist critique of the escapism and the divine sadism of a certain popular form of Christian soteriology, …

Implications Of Individuals With Music Learning Experience Using A Segmented Multimedia Lesson In A Non-Music Discipline, Cheryl Farren Tkacs

Electronic Theses and Dissertations

The purpose of this study was to investigate how prior music learning experience relates to learning with multimedia resources in non-music disciplines. Specifically, whether years of music learning experience, type of music learning experience, or type of multimedia were associated with task scores and task duration in a non-music discipline. The study revealed the transferable benefits of music learning experience to learning outcomes in other disciplines. Encouraging music studies as part of the base curriculum is thus strongly encouraged. However, as years of music learning and the presence or absence of segmenting in multimedia learning resources were not found to …

Tabletop Role-Playing Games As Autism Psychotherapy: A Video-Cued Multivocal Clinical Ethnography, Adina Rubin-Budick

Electronic Theses and Dissertations

This qualitative study is a video-cued multivocal ethnography that analyzed the clinical reasoning and perspectives of psychotherapists using Tabletop Role-Playing Games (TRPG) as a therapeutic treatment for children and adolescents diagnosed with Autism Spectrum conditions. With a growing number of TRPG therapists nationwide using this modality in their clinical practices, this study aimed to develop a clearer understanding of the ways in which their therapeutic orientation, gaming practices, and knowledge of Autism Spectrum Conditions informs their use of TRPG psychotherapy with Autistic clients.

Research that focuses on clinical decision-making and the knowledge that informs clinical interventions and technique generally refers …

Examining The Impact Of The Covid-19 Pandemic On Violent Crime In The City Of Pittsburgh, Brittany Urban

Electronic Theses and Dissertations

The goal of this research is to examine patterns of Part I crimes [including Part I Person/Violent: Homicide, Rape, Aggravated Assault, and Robbery, and Part I Property: Burglary, Larceny-Theft, Motor Vehicle Theft, and Arson, as defined by the Federal Bureau of Investigation (FBI) Uniform Crime Reporting (UCR) Standards] in The City of Pittsburgh, framing the COVID-19 pandemic as a major stressor that Robert Agnew’s General Strain Theory suggests may lead to increased opportunity for crime, due to the perceived unjustness of the associated lockdown orders and potential incentive for criminal coping (Agnew 1992). This descriptive analysis is based primarily upon …

Situating Heirloom Presence Within The Family Narrative: That Is/Was Then, This Is/Was Now, Rachel Savorelli

Electronic Theses and Dissertations

Intramundane objects often become “intergenerational transfers of contaminated objects,” commonly known as heirlooms (Belk 151; Heisley and Cours 425; Holmes). Rather than priceless possessions, heirlooms are mostly ordinary objects, such as photographs and gardening tools. Regardless of rarity or monetary value, as familial artifacts, heirlooms compel an ethic of responsibility. For this project, the term “heirlooming” is a performance of communicative practices of story-telling, ritualizing, and kin-keeping that contribute to heirloom preservation and continuation. A narrative ethics background structures family communication to both make meaning and make sense of ongoing and changing practices across generations. Heirlooms situated within family narratives …

Thirdspace Leadership: Depicting Fbcoai Leaders’ Transitional Identities And Expe- Riences Of Breaking “Fbcoai Bamboo Ceiling” In Chinese Immersion Programs, Shengnan Yue

Electronic Theses and Dissertations

This qualitative study explores how the transitional identities and experiences of Foreign Born Chinese Origin Asian Immigrant (FBCOAI) leaders influence their leadership practices in American Immersive Chinese Language Program. In the Chinese immersion programs, FBCOAI leaders are those with ethnicity Chinese who entered the United States during adulthood, and immigrated during their adulthood. This study is to explore the Thirdspace leadership, an actual-and-virtual place, where the FBCOAI leaders reconcile their professional development and leadership into practice. FBCOAI leaders are bilingual, experiencing a transitional stage of immigration status, and geographical/cultural/occupational changes. This study stands on “an-Other” perspective to know the FBCOAI …

Bilingual Korean-English Civil Code Of The Democratic People's Republic Or Korea, Joseph Cho

Journal of Civil Law Studies

No abstract provided.