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“Young, Gifted, And Black”: Understanding The Complex Experiences Of High-Achieving Black Students In Ap Classes At A Diverse Suburban High School, Jody Elliott-Schrimmer Jun 2023

“Young, Gifted, And Black”: Understanding The Complex Experiences Of High-Achieving Black Students In Ap Classes At A Diverse Suburban High School, Jody Elliott-Schrimmer

College of Education Theses and Dissertations

The purpose of this qualitative study was to understand the social and academic experiences of Black students in AP English classes at a diverse suburban high school. This study aimed to illuminate their experiences while giving voice to this traditionally marginalized group. Students provided recommendations for increasing academic success and belonging for future students as schools continually work toward gender and racial equity in the AP classroom. In this Critical Race Theory (CRT) oriented study, I sought to understand the essence of the Black experience in predominantly White academic spaces through a phenomenological methodology. I analyzed the significant moments and …


The Lived Experiences Of Faculty Conducting Post-Simulation Debriefing In Nurse Practitioner Programs, Jodi Borden Duncan Jun 2023

The Lived Experiences Of Faculty Conducting Post-Simulation Debriefing In Nurse Practitioner Programs, Jodi Borden Duncan

Doctoral Dissertations and Projects

Simulation-based education is a teaching–learning pedagogy widely used in nursing programs today. While much research has been done on student perceptions of simulation and the fact most learning occurs in the post-simulation debriefing session, little research has been done on how learning takes place in debriefing. Nurse practitioner faculty also use simulation as a teaching methodology, but the implementation of debriefing methods and faculty experiences with debriefing sessions are not known. As simulation may not be counted as direct clinical hours in nurse practitioner programs, more research must be done before the substitution of hours can be considered. The substitution …


Mentoring Women Entrepreneurs: Perceived Needs And Benefits, David W. Whitlock, Ashley J. Hampton, Kitty Campbell Jun 2023

Mentoring Women Entrepreneurs: Perceived Needs And Benefits, David W. Whitlock, Ashley J. Hampton, Kitty Campbell

Journal of Business & Entrepreneurship

Women entrepreneurs are a rapidly growing demographic. Mentoring is a recurring theme in the literature as a valuable contribution in helping women entrepreneurs succeed. The roles of mentoring as well as the literature of mentoring relationships is presented, followed by a study in which the demand and perceived benefit for mentoring was conducted among women currently engaged or self-identified as aspiring small business owners and entrepreneurs. Women who participated a conference for female entrepreneurs, jointly sponsored by Southeastern Oklahoma State University and the Oklahoma Small Business Development Center, were surveyed. The survey consisted of five sections: the first gathered respondent’s …


Engaging Sleeplessness In Seattle At Clinical Site 1, Benjamin D. Masters, Luis Moreno Nunez, Ally Jo Veenhuizen, Kiana Rendorio Jun 2023

Engaging Sleeplessness In Seattle At Clinical Site 1, Benjamin D. Masters, Luis Moreno Nunez, Ally Jo Veenhuizen, Kiana Rendorio

Nursing Leadership in Community Engagement Projects

Introduction

The National Library of Medicine notes an emerging area of research interest is the relationship between substance abuse and sleep (Mahfoud et al., 2009). According to the same 2007 National Survey on Drug Use and Health, “7.6 percent of Americans older than 12 years met the criteria for alcohol abuse or dependence” and goes on to highlight the mundanity of sleep disorder. Additionally, the 2008 National Sleep Foundation’s “Sleep in American” poll demonstrated “addicts in recovery are 5 to 10 times more likely to experience sleep disorders.” (Moufoud et al., 2009). Clinical Site 1 is an agency in Downtown …


Explorations And Reflections: Gendered Experiences In Teaching And Learning, Francesca Matarese Jun 2023

Explorations And Reflections: Gendered Experiences In Teaching And Learning, Francesca Matarese

Masters Theses

This thesis explores the history of women's access to education and the issues of gender disparity in education. I focus on single-gendered schools as I write from personal experience to describe the benefits for individuals in single-gender educational systems. I cite conflicting research on how men and women learn regarding biological, cognitive, and developmental differences. I illuminate some of the benefits of single-gendered education through research, experience, and personal communications. I write about the controversies and disparities regarding education and single-gender schools. I document research on the issues women face in education and the politics of women’s bodies and minds …


Use Of Technology By Ecuadorian Teachers: An Exploratory Study About Gender Roles, Ximena D. Burgin Jun 2023

Use Of Technology By Ecuadorian Teachers: An Exploratory Study About Gender Roles, Ximena D. Burgin

Journal of International Women's Studies

Since the 1970s, middle-class educated Ecuadorian women have engaged in activism for gender equality in civil, political, social, and economic sectors in Ecuador. Ecuador has enacted legal frameworks to promote equality between men and women in the workplace. However, women remain at a disadvantage regarding salaries, working hours, and access to education. Moreover, the current educational needs have accentuated the importance of integrating technology in the classroom which have changed teaching practices based on teachers’ pedagogical approaches as well as teachers’ gender. Teachers’ decision-making process is influenced by sociocultural norms about gender roles. This ethnographic case study explored the interactions …


Do Women’S Education And Economic Empowerment Reduce Gender-Based Violence In Nigeria?, Adaobiagu Nnemdi Obiagu Jun 2023

Do Women’S Education And Economic Empowerment Reduce Gender-Based Violence In Nigeria?, Adaobiagu Nnemdi Obiagu

Journal of International Women's Studies

Women’s education and economic empowerment are key measures to promoting gender equality and reducing gender-based violence (GBV) against women, which is one of the indicators of gender equality. Whereas women’s education has been shown to positively impact child’s health, women’s fertility, and women’s participation in civic life and paid jobs, evidence on the relationship between women’s education, economic empowerment, and women’s exposure to GBV is not sufficiently established. Mapping this relationship is important for informing effective gender policies and practices. Hence, this study used the Nigeria demographic and health survey data of 2008, 2013, and 2018 to investigate the direction …


Gender Diversity Cultural Responsiveness Education In Speech-Language Pathology Graduate Programs: A Pilot Survey, Tara E. Dickinson, Molly A. Normandin, Rachel W. Mulheren Jun 2023

Gender Diversity Cultural Responsiveness Education In Speech-Language Pathology Graduate Programs: A Pilot Survey, Tara E. Dickinson, Molly A. Normandin, Rachel W. Mulheren

Teaching and Learning in Communication Sciences & Disorders

Purpose: Gender-affirming voice therapy aims to align a person’s voice and communication with their gender identity. Historically, transgender and gender-nonconforming (TGNC) individuals have been marginalized and continue to face significant healthcare disparities. The goal of this research was to examine the self-perceived preparedness of recent speech-language pathology (SLP) graduates for working with TGNC clients. A survey was developed to include both multiple choice and open-ended questions. Topics included graduate-level training on working with TGNC individuals, perceived preparedness to work with this client population, educational resources sought by respondents, and suggested improvements for SLP graduate programs. Thirty recent (since 2016) …


Deaf Adults’ View Of Having Speech Language Therapy In Early Schooling, Ashley Greene, Diane Clark, G. Marissa Ramos, Caroline K. Koo, Megan B. Wimberly, Danielle Goyette Jun 2023

Deaf Adults’ View Of Having Speech Language Therapy In Early Schooling, Ashley Greene, Diane Clark, G. Marissa Ramos, Caroline K. Koo, Megan B. Wimberly, Danielle Goyette

JADARA

Speech therapy and interactions with Speech Language Pathologists (SLPs) during early adolescence is a common experience of many Deaf individuals. The decision to attend speech therapy is typically made by their hearing parents in conjunction with medical and educational professionals who hold the view that deaf children need to fit into the hearing world (Harmon, 2013). With the American Speech-Language-Hearing Association (ASHA) showing that the majority of currently licensed SLPs work in school settings (ASHA, 2018) coupled with the fact that the majority of deaf children receive some speech therapy in their early schooling years, the team wanted to know …


Human Factors In The Hospital: Education, Skills, And Job Details, Kristen Webster, Laura Barg-Walkow, Sarah Fouquet Jun 2023

Human Factors In The Hospital: Education, Skills, And Job Details, Kristen Webster, Laura Barg-Walkow, Sarah Fouquet

Manuscripts, Articles, Book Chapters and Other Papers

Objective

To present the job requirements and background Human Factors professionals may need to be prepared and succeed in health care facilities.

Background

Both hospitals and Human Factors professionals must be prepared for the predicted growth of Human Factors job openings in health care. Professionals transitioning from another industry or graduating from a Human Factors and Ergonomics (HFE) program may benefit from understanding what hospitals need, education requirements, and the compensatory landscape. To date, there is a lack of baseline information about Human Factors professional job details in health care.

Method

We surveyed hospital-embedded Human Factors professionals. We grouped …


Reviewing Internal Medicine Clerkship Grading Through A Proequity Lens: Results Of A National Survey, Cindy J Lai, Irene Alexandraki, Nadia Ismail, Diane Levine, Chavon Onumah, Amber T Pincavage, Jackcy Jacob, Melissa Osborn Jenkins, Amulya Nagarur, Michael Kisielewski, Nora Y Osman Jun 2023

Reviewing Internal Medicine Clerkship Grading Through A Proequity Lens: Results Of A National Survey, Cindy J Lai, Irene Alexandraki, Nadia Ismail, Diane Levine, Chavon Onumah, Amber T Pincavage, Jackcy Jacob, Melissa Osborn Jenkins, Amulya Nagarur, Michael Kisielewski, Nora Y Osman

Faculty and Staff Publications

Purpose: Equity in assessment and grading has become imperative across medical education. Although strategies to promote equity exist, there may be variable penetrance across institutions. The objectives of this study were to identify strategies internal medicine (IM) clerkship directors (CDs) use to reduce inequities in assessment and grading and explore IM CDs' perceptions of factors that impede or facilitate the implementation of these strategies.

Method: From October to December 2021, the Clerkship Directors in Internal Medicine of the Alliance for Academic Internal Medicine conducted its annual survey of IM core CDs at 137 U.S. and U.S. territory-based medical schools. This …


Reinvest In Us: Reimagine The Role Of Police In The U.S., Jamil Davis May 2023

Reinvest In Us: Reimagine The Role Of Police In The U.S., Jamil Davis

College Honors Program

In America, we must question and understand what is “law and order.” Over centuries, America developed a racialized slave-class politically and socially through power and force. Police are the foot soldiers of maintaining law and order as Slave Patrols evolved into the State Police. In my thesis, I discuss how their efforts in traffic enforcement enable a dominant class to target and enslave the oppressed class. Traffic control leads to 18 million interactions a year which is 34 people a minute. The numbers of interactions along with persistent practices regarding discrimination cause police to be a social liability. When bad …


Cultural-Emotional Learning And Mental Health Challenges Among American Indian/Alaska Native Students, Mark Se Baez Phd, Carla Allison Baez Phd May 2023

Cultural-Emotional Learning And Mental Health Challenges Among American Indian/Alaska Native Students, Mark Se Baez Phd, Carla Allison Baez Phd

Journal of Indigenous Research

Abstract

When working with American Indian/Alaska Native students, contextual and cultural matters. Social and emotional approaches must be modified to address cultural differences for a successful outcome. A practical approach that is culturally responsive among American Indian/Alaska Native students towards their academics, behaviors, and emotional learning, is imperative for those facilitating the learning among these students to understand the cultural dynamics and experiences (Cultural-Emotional Learning) as they enter their school buildings. Cultural-Emotional Learning for American Indian/Alaska Native students is a methodology for faculty/educators working with American Indian/Alaskan Native students to assist them in the initial cultural dialog in developing cultural …


Implementation Of Clinical Institute Withdrawal Assessment: Alcohol Revised (Ciwa-Ar) Education Program In A Crisis Stabilization Unit, Amanda Dehart May 2023

Implementation Of Clinical Institute Withdrawal Assessment: Alcohol Revised (Ciwa-Ar) Education Program In A Crisis Stabilization Unit, Amanda Dehart

Doctor of Nursing Practice Final Manuscripts

Background: At this time the crisis stabilization Units do not currently utilize the Clinical Institute Withdrawal Assessment: Alcohol Revised tool with patients who may experience Alcohol Withdrawal Syndrome. Patients with alcohol use disorders have a high comorbidity rate with psychiatric disorders (Butterfield, et al, 2020). The Clinical Institute Withdrawal Assessment: Alcohol Revised or CIWA-Ar is currently the most widely used assessment tool in the psychiatric setting when assessing patients who may be experiencing Alcohol Withdrawal Syndrome (Pribék, et al, 2021) .

Purpose of Project: The purpose of this project is to measure pre and post -education knowledge of the registered …


Implementation Of The Diet Readiness Test To Assess Self-Efficacy And Education Effectiveness In Overweight Women, Tatjana Ilich May 2023

Implementation Of The Diet Readiness Test To Assess Self-Efficacy And Education Effectiveness In Overweight Women, Tatjana Ilich

Doctor of Nursing Practice Final Manuscripts

Purpose: The purpose of this evidence-based Doctor of Nursing Practice (DNP) project was to assess perceived self-efficacy in overweight women who are participating in a weight loss program and the effectiveness of education being provided using the Diet Readiness Test (DRT).

Background: Obesity is a rapidly growing public health problem affecting an increasing number of countries worldwide because of its prevalence, costs, and health effects. Among women between the ages of 40 and 60, more than 80% report that they are either trying to lose weight or trying to maintain weight. The overall prevalence of obesity was similar among men …


The Intersection Of Gender And Negotiation: A Comprehensive Look At The Literature, Kelsey England May 2023

The Intersection Of Gender And Negotiation: A Comprehensive Look At The Literature, Kelsey England

Pepperdine Journal of Communication Research

According to the majority of literature it appears there are differences in specific advantages and disadvantages genders are exposed to in negotiations. This article aims to further introduce and break down the literature in order to provide a comprehensive overview of the intersections of negotiation and gender in regards to general negotiation practices, negotiations within the workplace, and what can be done to level the playing field in regards to disadvantages placed on certain genders. This article also addresses the remaining gaps in the literature and suggests where the research should move in future studies.


The Effects Of Growth Mindset Strategies On The Rhythmic Notation Comprehension And Personal Musical Self-Efficacy Perceptions Of High School Instrumentalists, Frederick Conrad Krieger May 2023

The Effects Of Growth Mindset Strategies On The Rhythmic Notation Comprehension And Personal Musical Self-Efficacy Perceptions Of High School Instrumentalists, Frederick Conrad Krieger

Masters Theses

Despite the depth of research in general education and music education teaching methods as well as an implied overlap in these concepts, there is little research directly linking methodology and strategies across these content areas. More specifically, the benefit and implementation of growth-mindset instruction is considered best practice in the general education classroom but is rarely discussed in the context of the performing ensemble. Consistency in educational methods between content areas is critical because it unifies each into a single education process and promotes lifelong learning that will extend into other areas and beyond the classroom. This study will explore …


Designs For Coping: Integrating Coping Strategies In Children's Medical Picture Books, Elizebeth Nicole Jones May 2023

Designs For Coping: Integrating Coping Strategies In Children's Medical Picture Books, Elizebeth Nicole Jones

Masters Theses

This study uses design to create a children’s medical picture book that is presented in first-person perspective through illustrations and text that teach children coping strategies for going to a medical visit. Many children fear what they do not understand. Children’s medical picture books are a useful tool to teach children coping strategies as well as what to expect from a visit to a doctor.


The Grade Is The Message: An Analysis Of The Grading Structure’S Effects On Student Grade/Learning Orientations, Grant Lynn Rye May 2023

The Grade Is The Message: An Analysis Of The Grading Structure’S Effects On Student Grade/Learning Orientations, Grant Lynn Rye

Masters Theses

This qualitative study was undertaken to study the medium of the grade in education contexts under the assumptions made within the field of media ecology. The goal of this study was to build on previous research that has identified that learning-oriented students are better set up for success in the classroom than grade-oriented students. With this in mind, this study aims to identify, from the student perspective, what different aspects of the grading system communicate to students that they should value in the classroom, especially in regard to grade-oriented or learning-oriented mindsets. After conducting interviews with current students from a …


Sel And Community Engagement Strategies For The Recruitment And Retention Of Suburban Middle School Band Students, Gina Marie Vingara May 2023

Sel And Community Engagement Strategies For The Recruitment And Retention Of Suburban Middle School Band Students, Gina Marie Vingara

Doctoral Dissertations and Projects

Research has not yet found a correlation between community engagement and social-emotional learning (SEL) in a manner that benefits the recruitment and retention of suburban middle school band students. Teachers who create community engagement initiatives can boost the number of student recruits as the program becomes more widely recognized as a valuable asset of the school. This explanatory sequential mixed methods design study examined strategies regarding community engagement and SEL for recruiting and retaining middle school instrumental music education students. Perspectives on community engagement and SEL benefiting recruitment and retention of middle school band students emerged. Research revealed a connection …


From Rags To Riches: Examining Teacher Perceptions Of The Influence Of Financial Literacy On The Psychological Well-Being Of Military-Connected Students In Kindergarten Through Grade Twelve, Cynthia Fletcher Davis May 2023

From Rags To Riches: Examining Teacher Perceptions Of The Influence Of Financial Literacy On The Psychological Well-Being Of Military-Connected Students In Kindergarten Through Grade Twelve, Cynthia Fletcher Davis

Doctoral Dissertations and Projects

The purpose of this quantitative study was to examine teacher perceptions as related to the influence of financial literacy on the psychological well-being of military-connected students in kindergarten through grade twelve. Financial literacy among students serves a vital function in the development of financially literate adults. A lack of financial resources has been linked to depressive symptoms, marital discourse, and suicide. Financial literacy includes the knowledge and skills required to make enlightened and effective decisions with money. The theory guiding this study was Constructivism as formulated by Jean Piaget. Constructivism provides for the incorporation of new information within existing constructs …


Educators’ Perceptions Of Implementing The Specialized Program Individualizing Reading Excellence: A Multiple-Case Study, Terra Elizabeth Brown Jordan May 2023

Educators’ Perceptions Of Implementing The Specialized Program Individualizing Reading Excellence: A Multiple-Case Study, Terra Elizabeth Brown Jordan

Doctoral Dissertations and Projects

The purpose of this qualitative multiple case study was to describe educators’ perceptions concerning the implementation of the Specialized Program Individualizing Reading Excellence (SPIRE) as an intervention to help students meet state proficiency standards at a large suburban school district in Utah. Bandura’s self-efficacy theory served as the theoretical framework to guide an inquiry into educators’ beliefs and how well they executed the SPIRE intervention to answer the central research question, “How do educators explain their perceptions of the use of SPIRE in the classroom?” This study utilized a multiple-case study design that captured the perception of 12 educators who …


Developing A Creative Community Workshop For Educators During The Covid-19 Pandemic: A Community Engagement Project, Alexa Licata May 2023

Developing A Creative Community Workshop For Educators During The Covid-19 Pandemic: A Community Engagement Project, Alexa Licata

Expressive Therapies Capstone Theses

A community engagement project was created and implemented, comprised of a one-time workshop utilizing expressive arts therapies to address the impact of covid-19 on educators. In this thesis, there is a review of the literature regarding collective healing within communities and addressing the needs of educators within the changing education system, with a particular focus on expressive arts therapies. The workshop engaged educators in a creative process to identify where they find meaning and purpose in their lives and how they identify themselves within their community of educators. Results suggest that community engagement using the arts can be an effective …


The Relationship Between Instructed Non-Immersion Additional Language (Lx) Learning And Student Outcomes Of Diversity-Equity-Inclusion (Dei)-Focused Education For U.S. High School Students, Congmin Zhao May 2023

The Relationship Between Instructed Non-Immersion Additional Language (Lx) Learning And Student Outcomes Of Diversity-Equity-Inclusion (Dei)-Focused Education For U.S. High School Students, Congmin Zhao

Educational Studies Dissertations

Research has found that teaching about diversity, equity, and inclusion (DEI) can raise U.S. high school students’ awareness about DEI-related topics and develop their critical thinking skills to analyze DEI-related issues. But the achievements of DEI-focused education are limited. Thus, DEI-focused education needs complementary efforts to enhance student outcomes. Research has also found that learning an additional language (LX) may heighten students’ interest in learning about other cultural communities, nurture students’ cross-cultural empathy, and elicit culturally responsive behaviors. The juxtaposition of these findings signifies the potential for LX learning to complement DEI-focused education to improve learning outcomes. However, the value …


Improving Health Outcomes For Lgbtq+ Youth Through Provider Education, Marissa Simko May 2023

Improving Health Outcomes For Lgbtq+ Youth Through Provider Education, Marissa Simko

Doctor of Nursing Practice (DNP) Projects

Background and Problem: LGBTQ+ adolescents and young adults (ages 12-25 years) are known to have higher rates of physical and mental health concerns compared to heterosexual and cisgender youth. Within the LGBTQ+ youth community, rates of suicidality, substance misuse, homelessness, and STIs are higher than in the general population. LGBTQ+ youth have greater challenges accessing healthcare and higher rates of healthcare discrimination. This paper presents a quality improvement project focused on improving evidence-based practices in LGBTQ+ healthcare through the development and implementation of a LGBTQ+ youth centered educational workshop for healthcare providers.

Methods: This project was organized in …


Community Health Worker Program: Adverse Childhood Experiences And Early Childhood, Arelis Sandoval May 2023

Community Health Worker Program: Adverse Childhood Experiences And Early Childhood, Arelis Sandoval

Doctor of Nursing Practice (DNP) Projects

Background: Adverse childhood experiences (ACEs) negatively affect childhood development and long-term health outcomes. Latino children face multiple adversities and social determinants of health compounded by ACEs. Community Health Workers (CHWs) have access to work with families to improve resilience and mitigate the effects of ACEs in this population.

Local Problem: In the Central Valley of California, CHWs provide support and resources to a largely Latino population with increased poverty rates, low educational attainment, lack of health insurance, and many chronic health issues, putting families at a higher risk for ACEs exposure. CHWs need further training to apply ACEs knowledge to …


Slack In Education: A Voice Platform For Quiet Students A Personal Reflection Using Drawings, Emma M. Corby May 2023

Slack In Education: A Voice Platform For Quiet Students A Personal Reflection Using Drawings, Emma M. Corby

English

In this thesis, I will be exploring how Slack can be used as a platform for quiet students in the classroom. I do this by referring to barriers I faced as a quiet student myself. These barriers include the competitive atmosphere of learning, unheard communications for help, unread and unanswered emails, and limited connections with my teachers. The scholarship on Slack's presence in education hasn't yet researched the topic of Slack as a platform for quiet students to find their voice. In this thesis, I explore my own experiences as a quiet student and as a teacher using Slack; I …


Navigating Context Collapse: A Strengths-Based Approach To Building Youth Civic Empowerment. A Response To “Blended Spaces: Reimagining Civic Education In A Digital Era”, Ellen Middaugh, Mariah Kornbluh, Mark Felton May 2023

Navigating Context Collapse: A Strengths-Based Approach To Building Youth Civic Empowerment. A Response To “Blended Spaces: Reimagining Civic Education In A Digital Era”, Ellen Middaugh, Mariah Kornbluh, Mark Felton

Democracy & Education

In the article “Blended Spaces: Reimagining Civic Education in a Digital Era,” the authors joined a new area of research on "civic media literacy," or the capacity to use media with civic intentionality. Building on previous scholarship that examined how to support youth capacity for effective civic inquiry, dialogue, expression, and action in the digital age, the authors contributed to this literature by usefully elaborating on the phenomenon of “context collapse” and the challenges this blurring of the boundaries between public and private spheres may present, particularly in the liminal spaces where the shifting boundaries most clearly depart from the …


Creating Inclusive Interface And Online Learning Environments, Grace Mosher May 2023

Creating Inclusive Interface And Online Learning Environments, Grace Mosher

Education | Master's Theses

This study seeks to examine educational learning environments with a focus on new platforms of learning, course design, equity, inclusion, and user interface (ex: seeing impaired, cultural differences, gender) that includes the perspectives of students with disabilities. The evolution of learning from singular multi-age classrooms through institutional schools and into dynamic online platforms has radically reshaped the educational ecosystem (Sarkar, 2020), and there have been calls for a deeper understanding of inclusive learning practices to meet the needs of diverse students (Philips & Salem, 2021). Adams (2017) also outlines how the aesthetic interface of each learning environment impacts the quality …


Implementing Ethics Education For Nurse Managers, Mona L. Lateyice, Rachel E. Marzec May 2023

Implementing Ethics Education For Nurse Managers, Mona L. Lateyice, Rachel E. Marzec

Doctor of Nursing Practice Scholarly Projects

Background: Every day, nurses are faced with making decisions for patient care and may come across complicated ethical decisions. Ethical practice is essential in every health care organization in providing care and how they conduct themselves (ANA, 2015). Nurse managers are responsible for ensuring ethical standards are met by nursing staff.

Problem: Nurse managers are faced with ethical problems more than fifty percent of their work time (Aitamaa, 2019). There are studies that show nurse managers and nurses have difficulty solving ethical problems because they lack understanding of ethical principles (Huang, et al., 2020). Evidence shows nurses are deficient in …