Implementation Of New Teaching Strategies By Psychosocial Rehabilitation Center Staff To Increase Member Participation And Retention Of Newly Referred Members, Joseph Warren Ledesma Perez

Doctor of Nursing Practice Projects

Non-profit organizations like psychosocial rehabilitation centers operate largely on reimbursements and funding from government agencies and charitable organizations, respectively. Since reimbursements are based on units of service provided, the center’s operations rely heavily on the attendance and participation of its members in the provided sessions. Charitable institutions, also require fund recipients to provide a report of outcomes and the impact the funds have on the recipients or the community at large. Members’ participation at the chosen site was reported to be low, which led to a projected unsustainability of operations if the numbers did not improve. Equipping the staff facilitating …

Thinking Inside The Food Pantry Box, Elizabeth Shoaf

Doctor of Nursing Practice Projects

Background: Prior research has indicated a varying relationship between food security and obesity risk. Food insecurity is a known complication of men and women’s underlying health issues, such as hypertension and diabetes, because of altered food choices.

Objective: Provide healthier food options to the food insecure within the facility’s food distribution boxes, as available, for the two most common health issues (diabetes and high blood pressure).

Methods: Clients at a local food pantry were interviewed individually to learn more about food insecurity and complicating health issues, such as obesity, diabetes, and high blood pressure (hypertension) while simultaneously offering alternative food …

Improving Self-Care Awareness Among Undergraduate Nursing Students, D'Anna Helms

Doctor of Nursing Practice Projects

The purpose of this DNP project was to improve self-care (SC) awareness among undergraduate nursing students by educating on the use of constructive SC activities. Twenty-two senior level nursing students attended an educational seminar, completed the Mindful Self-Care Scale – Clinical (MSCS-C) pre- and post-survey, and reflective journaling. A paired-samples t test was calculated to compare the mean pretest score to the mean posttest score. The mean on the pretest was 77.68 (sd= 9.33), and the mean on the posttest was 75.27 (sd= 31.59). A significant increase from pretest to posttest was found (t (21) = .307, p < .05). Thematical analysis revealed enhanced awareness and incorporation of constructive SC activities. Educational interventions which seek to improve SC awareness will generate practical and sustainable acts of SC, thus improving students’ overall success and further empowering students in their transition from graduate to licensed nurses.

Faith-Based Approach: Reaching The Rural Population To Increase Diabetes Awareness, Regina Ledford

Doctor of Nursing Practice Projects

With diabetes at an epidemic level in the United States, more awareness needs to be brought surrounding prediabetes and diabetes prevention. This DNP Project consists of implementing a faith-based educational informational event at a local rural church to increase diabetes awareness. Findings within this DNP project suggest that the rural population can increase knowledge of diabetes awareness through faith-based education. With a sample size of 21 participants, positive statistical significance was found on analysis of pre-test and post-test Likert style questions regarding diabetes prevention, risk factors, and diabetic resources.

Improving The Mental Health And Wellness Of Middle School Educators Post-Covid19, April Pearson

Doctor of Nursing Practice Projects

U.S. public school teachers of all educational levels were challenged during the COVID-19 pandemic to provide education to students in alternative ways; face-to-face, hybrid model, or remote learning. This resulted in teacher stress, dissatisfaction, and turnover. Locally, after the 2020-2021 school year at East Iredell Middle School, 9 out of 22 educators resigned or transferred due to the stress and fatigue of teaching students in a hybrid model during the COVID-19 pandemic. The purpose of this project was to promote the health and wellness of middle school educators. The PICOT statement is, what is the effect of an educational program …

A Map Of Neurofilament Light Chain Species In Brain And Cerebrospinal Fluid And Alterations In Alzheimer's Disease, Melissa M Budelier, Yingxin He, Nicolas R Barthelemy, Hong Jiang, Yan Li, Ethan Park, Rachel L Henson, Suzanne E Schindler, David M Holtzman, Randall J Bateman

2020-Current year OA Pubs

Neurofilament light is a well-established marker of both acute and chronic neuronal damage and is increased in multiple neurodegenerative diseases. However, the protein is not well characterized in brain tissue or body fluids, and it is unknown what neurofilament light species are detected by commercial assays and whether additional species exist. We developed an immunoprecipitation-mass spectrometry assay using custom antibodies targeting various neurofilament light domains, including antibodies targeting Coil 1A/1B of the rod domain (HJ30.13), Coil 2B of the rod domain (HJ30.4) and the tail region (HJ30.11). We utilized our assay to characterize neurofilament light in brain tissue and CSF …

Identification Of Poverty Areas By Using Machine Learning Classification Methods From Satellite Imagery In Buraydah City, In The Qassim Region Of Saudi Arabia, Amal Alfawzan

Murray State Theses and Dissertations

Saudi Arabia is a wealthy country with its many resources, but it has seen an increase in poverty recently because of a high rate of population growth with a high rate of unemployment. Some estimate that the number of Saudi Arabians living in poverty is between two and four million. This research aims to develop a way to detect poverty through remote sensing. The study area is Buraydah City, the largest city of the Qassim region, an important agricultural center that plays a significant role in the economy of Saudi Arabia. The research hypothesized that there are poor areas within …

Teacher Resilience, Kristen Whipple

Murray State Theses and Dissertations

Abstract

The main purpose of this quantitative research study was to explore the influences that impact teacher resilience. Seven factors that potentially protect teacher resilience were chosen: competency, self-efficacy, agency, relationships, organizational culture, altruism, and sense of humor. These factors were tested against years of service categories and self-perceived resilience scores to determine if relationships exist. A two-part online survey gathered demographic information, self-perceived resilience scores, and resilience factor data from American PreK-12 teachers. To answer the three guiding research questions, the statistical tests of multiple linear regression, Pearson’s r correlation coefficient, and chi-square test of independence were utilized. The …

Lending A Paw: Does The Presence Of A Dog Increase Donations Given To Homeless Individuals?, Katherine Link

Murray State Theses and Dissertations

Prosocial behavior can be defined as any behavior that results in the benefit of another individual (Coyne et al., 2018). This study sought to investigate potential influences on the prosocial behavior of donating to the homeless. With a rise in both homelessness and dog ownership, this project sought to investigate how the presence of a dog may impact both the willingness to donate and monetary amount donated to a homeless individual. Results indicated a significant three-way interaction between the sex of the homeless individual, the sex of the participant, and the presence of a dog. Overall, the presence of a …

Reading By Ear: Music Teachers' Roles In And Attitudes About Identifying Students With Dyslexia In Kentucky's Public School System, Alison Ward Brown

Murray State Theses and Dissertations

Identifying students with literacy disabilities, such as dyslexia, efficiently in public schools is crucial for early intervention. Literacy and musical skills share common neurological pathways, so music educators possess a skill set that could be advantageous in screening students. This study utilized a descriptive research design to identify music educators’ roles in the identification of students with dyslexia/reading disabilities in Kentucky’s public schools, and their attitudes about those roles. Data was collected through a survey completed by Kentucky public school music teachers. Results indicated that 92% of respondents had not participated in the screening process for children with literacy disorders/dyslexia …

Effects Of Covid-19 Mandates On Student Engagement And Management Of Collegiate Equestrian Teams, Travis Fortune

Murray State Theses and Dissertations

Events like a global pandemic can negatively impact how organizations and groups function. From a collegiate perspective, this could include limiting or eliminating participation in co-curricular activities that have positive impacts on student experiences. Students use these events to make new friends, socialize and generate a sense of belonging, and gain interactions outside the classroom. In March 2020, a number of mandated restrictions were put into place in the United States in response to COVID-19, and collegiate equestrian teams' ability to practice and show were negatively impacted. Even though some restrictions were beginning to ease as of Fall 2021, many …

Barriers To Mental Health Service Use And Preferred Treatment Format Among Racial And Ethnic Minorities, Jasmine Maxwell

Murray State Theses and Dissertations

One of the most pressing concerns in mental healthcare is the limited use of mental health services across the country. Research has indicated that individuals from racial/ethnic minority groups are significantly less likely to seek mental health services, which has led many to examine specific barriers to treatment-seeking. Given research that has suggested that barriers to treatment-seeking may be structural, attitudinal, or cultural in nature, this study aimed to gain a better understanding of the relationship between these barriers and willingness to seek psychological help. Another goal of the current study was to examine the role of online therapy in …

The State Of Speech-Language Pathology In Guatemala: A Case For Creating A New Post-Graduate University Program, Amanda Blackwell

Murray State Theses and Dissertations

Speech-language pathology is part of a broader discipline of allied-health professions including occupational therapy and physical therapy. The professionals in these disciplines work alongside doctors and nurses to provide rehabilitative care for people with congenital or acquired disabilities across the lifespan. The organization and application of the field of speech language pathology is in various stages of development in countries around the world. The current dissertation seeks to understand the state of speech-language pathology in the Low- and Middle-Income Country (LMIC) of Guatemala and suggest a specific plan for the creation of a new graduate program for this discipline.

Kentucky Public Charter Schools, Pamela Manning-Hamilton

Murray State Theses and Dissertations

Kentucky public charter school law was introduced in 2017, the purpose of the new innovative schools were to close the achievement gap among the education system within the state. Charter schools are new-age schools that have a smaller class size, use differentiated instructional strategies that integrate technology to promote engagement, which in turn increases student growth and success. Advantages of charter schools within other states include differentiated environment, culture, and performance. Disadvantages of charter schools involve taking resources from traditional schools, higher resource costs, and demands. The study was approached using a basic qualitative research method. The purpose of the …

The Impact Of Socioeconomic Status On The Development Of Stem Identity, Choice, And Persistence, Shawna Adams

Murray State Theses and Dissertations

Abstract

This mixed-methods study seeks to investigate the direct effect that socioeconomic status (SES) has on a student's identity, choice, and persistence in science, technology, engineering, and math (STEM). There is a diversity and wage gap among the STEM workforce, which is comprised largely of White males with higher salaries than their counterparts. Underrepresented minority groups (URMs) are more likely to come from low SES and typically have fewer educational resources. Identifying the relationship of SES across student groups can yield insights about how to address inequitable practices and increase STEM diversity. Quantitative data was collected via a STEM survey, …

Exploration Of Industry Certifications Within Career Pathways, Ashley Childs

Murray State Theses and Dissertations

This phenomenological research study explored industry certifications in career and technical education. A grand tour question and three research questions guided this study. Data collected from interviews with graduate of career pathway programs, career and technical education instructors, and industry employers provided a thorough understanding of the issues experienced in career and technical education. This study revealed a need for appropriate industry certifications in career and technical education programs and the workplace. In addition, the participants expressed a desire for students to start preparing earlier for their careers and be provided with alternatives to college for post-secondary education.

Community College Employee Perceptions Of The Four-Day Schedule As A Community College Institutional Strategy, Mitchell Holder

Murray State Theses and Dissertations

In the face of enrollment declines (American Association of Community Colleges [AACC], n.d.; Barrington, 2020; Schwartz, 2020) and state funding cuts (Lorenzo, 2018), community colleges search for institutional strategies to gain competitive advantages in student recruitment and enrollment management. The four-day schedule has been used by a number of community colleges and four-year colleges as an institutional strategy to reduce costs (Cardinale, 2013; Chen, 2020; Moltz, 2008), improve employee morale (Ellen, 2011; Toppo, 2018; Wallace, 1981), and increase productivity (Bothwell, 2019; Ellen, 2011). Some institutions have adopted the four-day schedule believing it would provide a competitive advantage in student recruitment …

Trends In Student Attrition At An Urban Community College In The Southeast Region, Shirley Hardy

Murray State Theses and Dissertations

The purpose of this study was to investigate the understudied reasons for attrition among urban community college students by way of Satisfactory Academic Program (SAP) appeals. The researcher used a qualitative methodology to understand the challenges associated with the mitigating circumstances attributed to academic attrition resulting in SAP appeals. The foundation for this study was laid by two renowned student departure theories: conceptual model of nontraditional student attrition (Bean & Metzner, 1985) and theory of student persistence in commuter colleges and universities (Braxton et al., 2014). The researcher sought to gain further knowledge to identify environmental factors that cause nontraditional …

Addressing The Preparedness To Implement The Illinois Culturally Responsive Teaching And Leading Standards, Michelle Mohr

Murray State Theses and Dissertations

This is a quantitative study designed to assess the beliefs of in-service teachers as well as those in urban and rural areas as it relates to the preparedness levels of educators to successfully implement culturally responsive pedagogy. With a new mandate for Culturally Responsive Teaching and Leading Standards in Illinois, educators and district leaders must now prepare for state-wide implementation by October 2025. At present, education program faculties in Illinois’s higher education institutions are integrating instruction on culturally responsive pedagogy. As a result, many pre-service teachers are currently receiving training in this area. In-service teachers, however, may lack learning experiences …

The Effect Of District Level Strategic Planning On College Readiness As Measured By Act Achievement, Carrie Ballinger

Murray State Theses and Dissertations

Abstract

The purpose of this study was to investigate if there is a statistically significant difference between the ACT scores of students who were enrolled in Kentucky public school districts that completed a district wide strategic planning process during the 2016-2017, 2017-2018, 2018- 2019 or 2019-2020 school years and the ACT scores of students who were enrolled Kentucky public school districts that did not complete a district wide strategic planning process over the same time period. A survey was given to determine which school districts had implemented a strategic plan during the 2016-2017, 2017-2018, 2018-2019 or 2019-2020-time frame. For each …

Colonial Markets, Consumers, And Trade: A Comparative Analysis Of Historic Ceramics From The Bluefields Bay Area, Westmoreland, Jamaica, Lacy Risner

Murray State Theses and Dissertations

The ceramic assemblages from a British colonial settlement in Bluefields Bay, Jamaica, provide a unique window into the market availability, exchange routes, and consumption patterns of the eighteenth century. This study compares the historic ceramics collected from two sites in Bluefields Bay to one another and to other intra-island (Jamaica), intraregional (Lesser Antilles), and international (North America) colonial and postcolonial sites to reveal patterns of individual and global ceramic consumption and distribution in the emergent capitalist networks and markets of the colonial era. Integrating small British colonial sites into the networks of other more extensive studies focusing primarily on plantations …

Fish Communities Respond To Hydrology And Elevation In Restored Western Kentucky Wetlands, Lucas Zuklic

Murray State Theses and Dissertations

The Wetlands Reserve Program (WRP) is designed to restore wetland ecological function and wildlife benefits; however, these projects rarely monitor biological responses. The objectives of our study were to (1) identify environmental factors that were the most important in determining wetland fish community composition, (2) examine the influence of the environment on specific groups of fish (large-river fishes and Kentucky Species of Greatest Conservation Need (KY-SGCN) wetland fishes), and (3) compare fish community composition and diversity in wetlands of different condition (e.g., degraded, restored, and reference). From April 2019 to August 2020, monthly electrofishing surveys were performed in degraded …

Implantable Doppler Probe As A Vascular Monitoring Device In Kidney Transplant Patients: Investigation Of Use At A Single Center, M. Shahzar Malik, Jacob Akoh, Somaiah Aroori, Jos M. Latour

School of Nursing and Midwifery

Objectives: Vascular complications account for 30% to 35% of total kidney grafts lost during the first 3 months posttransplant. Early detection of vascular complications allows an opportunity for prompt intervention, which is critical to reducing graft loss. In this study, we evaluated the usefulness of an implantable Doppler probe as a vascular monitoring device in kidney transplant patients. Materials and Methods: An implantable Doppler probe is used intermittently for postoperative monitoring of kidney transplant patients at our center. In this retrospective study, we analyzed prospectively maintained medical data in which we compared clinical outcomes of kidney transplant recipients who had …

A Toolkit For The Usability Evaluation Of Digital Health Technologies, Inocencio Daniel Maramba

School of Nursing and Midwifery

Introduction: NHS digital applications are often assessed against the NHS Digital Technology Assessment Criteria (DTAC). However, Small to Medium Enterprise (SME) developers often find DTAC itself ‘heavy going’. One criterion of DTAC is usability and SME developers need guidance on how to meet this criterion. My PhD is a four-part study to develop such guidance. Methods: (i) a scoping review of the methods of usability testing, (ii) development of a novel way of employing a usability scale, dividing it into discrete chunks to prevent “questionnaire fatigue”, (iii) development of a toolkit, (iv) application of the toolkit with SMEs. Results: (i) …

Relationships Between Stress Self-Management, Social Support, And Health In Hispanic Informal Caregiver Burnout Prevention, Nicole Alexandra Mas Román

Walden Dissertations and Doctoral Studies

Burnout syndrome is a psychological disorder characterized by physical, emotional, and mental distress and exhaustion resulting in feelings of depression, anxiety, irritability, and negative attitudes. If left unattended, burnout syndrome can lead to new or worsening health outcomes. The purpose of this nonexperimental quantitative study was to examine the relationship between stress self-management, perceived social support, health status, and burden among Puerto Rican informal caregivers. The theoretical foundations for this research were the informal caregiving integrative model and the individual and family self-management theory. Survey data were collected from 415 participants. Multiple regression analyses were performed to determine the relationship …

Educating Providers About Integrated Treatment For Individuals With Co-Occurring Disorders, Ihuarulam Chidiebere Okoroji

Walden Dissertations and Doctoral Studies

AbstractThe problem identified by this staff education project was the providers’ lack of knowledge on integrated treatment for individuals with co-occurring disorders (CODs). Integrated treatment is the gold standard for working with individuals with CODs. Providers knowledge gap and barriers were addressed by educating them on integrated treatments. This project used the analysis, design, development, implementation, and evaluation (ADDIE) model in planning, implementation, and evaluation. The participants were 20 providers in a residential addiction treatment facility which include one physician, three nurse practitioners, eight counselors, one registered nurse, and seven licensed practical nurses. This project used a pretest to determine …

The Effect Of Parental Socialization On The Postsecondary Plans Of Latino/Hispanic Students, Nilda Ivette Rosario

Walden Dissertations and Doctoral Studies

Latino/Hispanics are one of the largest ethnic minority groups in the United States, yet they are underrepresented in higher education. Grounded on the social cognitive theory and the Hoover-Dempsey and Sandler model, the purpose of this study was to examine the relationship between parental expectations, parental involvement, parental self-efficacy, and postsecondary planning of Latino/Hispanic students. The research questions were formulated to determine whether parental factors among Latino/Hispanic parents can predict postsecondary educational outcomes among Latino/Hispanic students. A quantitative correlational research study design was used. The target population was Latino/Hispanic parents residing in the United States with at least one child …

Low-Dose Interleukin-2 Reverses Chronic Migraine-Related Sensitizations Through Peripheral Interleukin-10 And Transforming Growth Factor Beta-1 Signaling, Zhaohua Guo, Jintao Zhang, Xuemei Liu, Jacqueline Unsinger, Richard S. Hotchkiss, Yu-Qing Cao

2020-Current year OA Pubs

Low-dose interleukin-2 (LD-IL-2) treatment has been shown to effectively reverse chronic migraine-related behaviors and the sensitization of trigeminal ganglion (TG) neurons through expansion and activation of peripheral regulatory T cells (Tregs) in mice. In this study, we investigated the molecular mechanisms underlying the effects of LD-IL-2 and Treg cells. LD-IL-2 treatment increases the production of cytokines interleukin-10 (IL-10) and transforming growth factor beta-1 (TGFβ1) in T cells, especially Treg cells, suggesting that they may mediate the therapeutic effect of LD-IL-2. Indeed, neutralizing antibodies against either IL-10 or TGFβ completely blocked the effects of LD-IL-2 on the facial mechanical hypersensitivity as …

A Review Of The Pharmacotherapeutic Considerations For Managing Epilepsy In People With Autism, Lance V. Watkins, Maire O’Dwyer, Rohit Shankar

Peninsula Medical School

Introduction: Autism, like other neurodevelopmental disorders (NDDs), has a strong association with epilepsy. There are known common genetic pathways in both autism and epilepsy. There are also specific genetic syndromes associated with both complex epilepsy and the autism phenotype. Areas covered: This review explores the evidence for common genetic etiologies and pathophysiological pathways in relation to both epilepsy and autism. Autism with comorbid epilepsy are associated with a high prevalence of medical and psychiatric comorbidities. This paper discusses how this influences assessment, treatment, and outcomes. The evidence for the treatment of specific seizure types in the context of NDDs is …

Consumer Engagement At The Uea: Deliverable 5.1, Ian Bailey, Gina Kallis, Phedeas Stephanides, Konstantinos Chalvatis

School of Geography, Earth and Environmental Sciences

No abstract provided.