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 …

Person-Centred Care And Health Justice In A Multicultural World: Holistic Perspectives From Context, Care, And Capabilities, Asmat Ara Islam

Electronic Theses and Dissertations

Medical ethicists debate whether “one-approach-fits-all” is specifically a problem for disease-oriented paradigms. In developed countries, health systems have adopted limited person-centred care (PCC) paradigms, most of which focus only on patient autonomy. However, these models neither adequately respond to a nexus of relevant aspects, including patients’ vulnerability, needs, and capabilities, nor provide adequate justification that PCC is related to social justice. The central question of this dissertation is: how does a PCC framework that is based on the capabilities approach justify a shift in the current health system toward PCC so that health systems can address health injustices in a …

The Impact Of Antecedent Physical Exercises On Increasing On-Task Behaviors And Decreasing Restricted And Repetitive Behaviors In Elementary Students With High Functioning Autism Spectrum Disorder In Saudi Arabia, Shadi Albadawi

Electronic Theses and Dissertations

Physical exercises (PEs) are one of the most used approaches by researchers to treat restricted and repetitive behaviors (RRBs) and enhance on-task behaviors in students with high-functioning Autism spectrum disorders (ASD). Although PEs is recognized as Evidence-based Practices (EBPs) for students with ASD in the United States of America (USA) that are based on moderate evidence, it is important to conduct more empirical studies to explore its effects on individuals with ASD from different populations in the KSA. The current study used a single-subject, multiple baseline design across subjects to examine the effect of antecedent structured physical exercises (teaching soccer …

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 …

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 …

Adaptive Microlearning: An Empirical Study Among The Students In The Rural Areas Of China, Jingwei Liu

Electronic Theses and Dissertations

Through multiple educational reforms, China has pursued developing well-rounded learners with solid content knowledge, higher-order thinking skills, and the ability to transfer knowledge to real-world problem spaces. The imbalance of learning resources between urban and rural China, however, has caused disadvantages for learners in rural China to gain access to quality educational opportunities necessary for becoming well-rounded learners. Luckily, the quickly growing Internet service coverage in rural China makes educational interventions possible. Online intervention aiming for many qualities of well-rounded learners, such as deeper learning, is particularly promising.

The purpose of this study was to investigate the potential of adaptive …

Diabetes Prevention And Management Education For Punjabi-Sikh Older Adults, Mandeep K. Gill

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: South Asians from Bangladesh, Pakistan, and India have a higher prevalence of diabetes than the general global population and are also more susceptible to developing diabetes due to biological and lifestyle factors. The South Asian diet is high in refined grains and monounsaturated fatty acids, increasing the risk of diabetes.

Local Problem: Congregants of a Sikh gurdwara (place of worship) lacked knowledge of diet and lifestyle in relation to preventing and managing diabetes. Many senior congregants have been diagnosed with diabetes or are at high risk of developing the disease.

Methods: Knowledge of diabetes prevention and management were …

Oleoresin Capsicum Gel: Enhancing Safety For The Home Health Clinician, Lilly Dickens

Doctor of Nursing Practice (DNP) Projects

Problem: Home health clinicians (HHC) are at high risk for workplace violence. Providing necessary health care alone in unpredictable and remote environments are associated with poor outcomes from physical violence. Background: Pepper spray is known for its active ingredient, oleoresin capsicum (OC), as a self-defense tool. OC gel is used worldwide as a non-lethal incapacitating agent. There is an opportunity to expand workplace violence prevention (WPV) in home health by training and allowing HHCs to carry OC gel. Intervention: This DNP QI project implemented a safety intervention for HHCs, including nurses, aides, medical social workers, physical therapists, occupational therapists, and …

Antecedents Of Employee Experience: A Systematic Review Of Literature, Arushi Grover, Ginni Chawla

Management Dynamics

No abstract provided.

The Power Of Anime: Artistic Power, Social Consciousness, And Cultural Impact, Natalie Ortez-Arevalo

Master's Projects and Capstones

This project explores the widespread popularity and impact of anime on Japanese culture. In my research, I demonstrate how the integration of anime into Japan’s culture creates big splashes—like stones being thrown into a lake—that, at the same time, ripple out in various directions and reverberate on multiple levels. First and foremost, this research centers around an important concept: that anime contains well-crafted storytelling and powerful imagery that demonstrates wider historical, cultural, and social issues—both the positive and negative. In anime films and shows, symbolism plays an important part as it can be found throughout the imagery and the storylines …

Peru: Moving Upstream To Improve Adolescent's Mental Health, Rathmony Van-Ramirez, Rathmony Van-Ramirez

Master's Projects and Capstones

Mental health disorders can emerge at any age, with incidence prevalent in childhood and young adulthood. The cost associated with mental health negatively impacts both personally and economically. The consequences of these impacts are long-lasting and spill over into households and communities. Adolescence is a unique and formative time. Physical, emotional, and social changes, including exposure to poverty, abuse, or violence, can make adolescents vulnerable to mental health problems. Protecting adolescents from adversity, promoting socio-emotional learning and psychological well-being, and ensuring access to mental health care are critical for their health and well-being during adolescence and adulthood (World Health Organization …

Implementing A Health Services Google Classroom In A High School Setting, Christina M. Wilkinson

Master's Projects and Capstones

Abstract

Problem: The present study investigated the use of Google Classroom and the impact of providing students with basic self-care information on nurse office visit times.

Context: A School nurses are often responsible for multiple schools and a large population of students. These demands pose challenges for school nurses to appropriately serve the student population.

Interventions: Disseminate basic health information on self-care to students via Google Classroom.

Measures: The outcome measure is to make nurse’s office visits less than ten minutes. The data source being chart reviews and the target is 80% of students. The process measure is to increase …

Financial Institutions Continue To Adopt Crypto Despite Industry Turmoil, Andre Beganski

Capstones

Even though this calamitous year has raised doubts about crypto's future, not a single large financial institution has backed away from their forays into digital assets. And despite a period of turmoil that’s seen the market value of all cryptocurrencies crater to under $880 billion from over $3 trillion, many sizable firms continue to view crypto as an emerging sector of finance and technology that’s rife with opportunity.

While financial firms have the potential to foster a widespread perception of cryptocurrencies as a legitimate asset class, their involvement runs counter to the intent of those who pioneered blockchain technology for …

Decreasing Intent To Leave In Nurse Residents (Nr) With The Addition Of Wellness Interventions: A Quality Improvement Project, Susan Eckman

Doctor of Nursing Practice (DNP) Manuscripts

The US nursing workforce decreased 1.8 percent between 2019 and 2021, marking the largest drop seen in four decades. New nurses or nurse residents NRs) are included in this loss. Many nurses, but particularly new nurses, experience burnout. If workplace stress is not managed, it can become chronic. The first year of employment as a nurse has been shown to be a very vulnerable time. Within the first 2 years of nurses’ employment, there is a reduction in commitment along with increased stress. New graduate nurses’ lack of life experiences, along with the recent pandemic have contributed to more than …

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 …

December 16, 2022 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

Developing Queer Faith: Exploring Experiences Of Cognitive Dissonance And Identity Integration For Lgbq Catholics Individuals, Kendal M. Vaarwerk

Doctoral Dissertations

While religion may be meeting existential needs, it may, at the same time, be asking the LGBQ youth to be someone different than who they are (Longo et al., 2018). LGBQ individuals experience severe cognitive and emotional consequences because of oppressive religious doctrine, including guilt, shame, self-loathing, and suicidal ideation (Schuck & Liddle, 2001). When LGBQ individuals are involved with religious belief systems that cast rejecting or disapproving messages about LGBQ individuals, these individuals often experience more internalized negative self-messages, as well as more significant challenges in developing and accepting one’s sexual identity (Page et al., 2013). Therefore, this very …

Introduction: 14(6) 2022: Emerging Scholars Issue

Journal of Comparative & International Higher Education

No abstract provided.

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 …

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 …

Assessing The Methodology, Prevalence, And Associated Factors For Adverse Childhood Experiences (Aces) Among Children And Adolescents In The United States, Kiara L. Lyons

Theses & Dissertations

To comprehensively capture the risk and protective factors of ACE exposure and ACE-related outcomes, we propose to consider a social-ecological model framework. The concept of the Social-Ecological Model was originally introduced in the 1970s by psychologist Urie Bronfenbrenner and designed to theoretically capture the multifaceted influence different personal, social, and environmental factors have on health behaviors and outcomes. Additionally, this would help to determine what prevention and intervention methods would be more appropriate to implement. This conceptual framework had five system levels: microsystem (individual), mesosystem (interpersonal), exosystem (community context), macrosystem (societal and cultural influences), and chronosystem (internal and external elements …

Returning To Life Activities After Hematopoietic Cell Transplantation In Older Adults, Thuy T. Koll

Theses & Dissertations

The prevalence of hematopoietic cell transplant (HCT) among older adults with hematological malignancies has doubled over the last decade and continues to grow. HCT is an intense process that can impact functional status and health-related quality of life. The objective of this thesis is to describe the experience of returning to life activities after HCT in patients 60 years of age and older and the resources required to adapt and cope to limitations in physical, psychological, and cognitive function. Twenty English speaking adults 60 years and older with hematological malignancy three to twelve months post-HCT completed semi-structured interviews. Open-ended questions …

Mental Health Promotion, Early Identification & Treatment Services And Supports In Public K-12 School Districts: Three Case Studies To Explore Available Resources, Interventions, And Community Partnerships, Keenan Krick

Theses & Dissertations

Objective: This study: 1) identifies the multi-tiered efforts public K-12 school districts in a large Midwestern metropolitan area use to support mental health promotion activities and comprehensive mental health services, and 2) compares district efforts to domains defined by the National Center for School Mental Health (NCSMH). Participants: A sample of public K-12 school districts (n=12) in a large Midwestern metropolitan area participated in this study from August 2021 to October 2022. Methods: Using the Multi-Tiered Systems of Support (MTSS) intervention framework, a series of three case studies identify the resources public K-12 school districts utilize to support mental health …

Gender Differences In Breast Cancer Treatment Decisions And Related Survival: A Study Using The National Cancer Database, Shamim Shahi

Theses & Dissertations

Despite increasing incidence, male breast cancer (MBC) remains understudied in almost all aspects of disease management. MBC patients are more likely to be diagnosed with larger tumors, at an advanced stage, and to experience poorer survival than female patients. There is a need to identify modifiable factors that can improve MBC patients’ survival.

This dissertation aimed to investigate whether there was a difference in the refusal of recommended treatments and related survival, by gender, in breast cancer patients enrolled in the National Cancer Database. Specifically, we conducted separate analyses for four treatments: hormone therapy, chemotherapy, radiation therapy, and surgery. Then, …

Formal Caregiver Burden Among Nursing Assistants In Nursing Homes: A Mixed Methods Study, Rachel Kunkle

Theses & Dissertations

Formal caregivers are the direct care workforce in nursing homes that aid residents. Providing care to residents is hazardous and demanding, as highlighted during the pandemic. Caregiver burden affects formal caregivers; however, is interchanged with caregiver stress and caregiver burnout. The overall purpose of this dissertation was to describe formal caregiver burden among nursing assistants who provide direct care to residents in nursing homes. This was first accomplished by conducting a concept analysis of formal caregiver burden in nursing homes. Next, an integrative review of the literature was performed to assess formal caregiver burden in nursing homes and available psychometric …

Understanding The Perceived Risk And Biopsychosocial Impact Of The Covid-19 Pandemic On People Living With Hiv And Pre-Exposure Prophylaxis Users In Nebraska: A Mixed Methods Approach, Titilola O. Labisi

Theses & Dissertations

The COVID-19 pandemic disrupted HIV care and prevention services. COVID-19 guidelines required physical and social distancing, resulting in movement restrictions and limited healthcare services. People living with HIV (PLWH) may be more vulnerable to the pandemic’s impact due to immune suppression and socioeconomic status than people without HIV. Consistent use of pre-exposure prophylaxis (PrEP), condoms, and regular sexually transmitted infection tests are critical strategies for HIV prevention. The pandemic’s impact on PLWH have not been thoroughly studied, and whether PLWH may be more impacted than PrEP users is inconclusive.

This research aimed to use an explanatory sequential mixed methods design …

Teaching Children With Autism Spectrum Disorder Self-Protection Skills In Response To Bullying Situations, Maya J. Fallon

Theses & Dissertations

Children diagnosed with autism spectrum disorder (ASD) are at high risk of being bullied but research on teaching children with ASD self-protection skills for bullying situations is scant. We assessed the generality of teaching procedures used in Stannis et al. (2019) to teach adults self-protection skills with autistic children. We taught five children self-protection skills for two types of bullying (threats and unkind remarks) in a one-on-one format. In addition, we taught children a self-protection skill for repeated bullying occurrences. We first evaluated behavioral skills training to teach children to report threats of physical or material harm, provide a disapproving …

The Effects Of Active Shootings On 4-H Youth And Families, Melinda Garcia, Elizabeth Gangwer

Journal of Extension

The effects of active shootings should be a priority to provide needed assistance to 4-H youth and families in coping with their social-emotional well-being. Exposure to such violence can lead to lasting impacts on youth that can affect behavior. Addressing this sensitive topic is crucial in ensuring that Extension professionals are prepared to meet the needs of youth and families. Higher rates of depression, aggression, to name a few, are a result of having witnessed such events as a shooting. Providing training for Extension personnel can aid in reducing the amount of PTSD and other social-emotional trauma.

Do Support Groups Mitigate The Effects Of Imposter Syndrome?, Tyler Barnes, Meranda Mayer

Physician Assistant Capstones, 2020-current

Imposter syndrome is defined as the persistent inability to believe that one's success is deserved or has been legitimately achieved as a result of one's own efforts or skills. Small support groups utilized in an academic environment could prove to be effective in mitigating the effects of imposter syndrome. A total of 4 articles were individually reviewed and included for meta-analysis. Each study was conducted on students studying medicine and utilized support groups at the core of their intervention for combating imposter syndrome and improving overall psychological wellness. Results were based on surveys and yielded an overall positive response from …

Injuries In Manual And Mechanical Cpr, Macon Spruill, Malik Bangura

Physician Assistant Capstones, 2020-current

Objective: To compare the rate of injuries during cardiopulmonary resuscitation (CPR) using manual versus mechanical chest compressions with the Lund University Cardiopulmonary Assist System (LUCAS™).

Design: Systematic literature review

Methods: We investigated the use of 2 different CPR methods, manual and mechanical, in order to determine if one was more likely to cause injury in individuals during a cardiac arrest. PubMed searches were conducted using the terms “cardiopulmonary resuscitation,” “adverse effect,” “classification,” “method,” “mortality,” “statistical and numerical data,” “trends,” “complication,” “epidemiology,” and “etiology.” Studies were excluded if they took place before the year 2000, included individuals under 18 …