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Improving New Graduate Nurse Clinical Judgment By Training Preceptors On The Use Of The Tanner Model, Denise E. Carr Jun 2025

Improving New Graduate Nurse Clinical Judgment By Training Preceptors On The Use Of The Tanner Model, Denise E. Carr

Doctoral Dissertations and Projects

New graduate nurses (NGNs) often enter the workforce with deficits in clinical judgment, which has been further exacerbated by pandemic-related limitations in clinical education. This project aimed to improve NGN clinical judgment by training preceptors to use the Tanner Clinical Judgment Model (TCJM) and Lasater Clinical Judgment Rubric (LCJR). A quasi-experimental evaluation design was used to compare outcomes between two groups of preceptor–preceptee pairs. Half of the preceptor participants received training on the TCJM and LCJR, while the other half did not. Clinical judgment development was measured using the LCJR pre- and post-orientation. Additional preceptor feedback regarding the implementation and …


Do Perceived Social Support And Positive Religious Coping Moderate Any Relationship Between Post-Intensive Care Syndrome–Family Symptoms And Quality Of Life In Informal Caregivers Of Intensive Care Unit Survivors?, Carol R. Hirschkorn Jun 2025

Do Perceived Social Support And Positive Religious Coping Moderate Any Relationship Between Post-Intensive Care Syndrome–Family Symptoms And Quality Of Life In Informal Caregivers Of Intensive Care Unit Survivors?, Carol R. Hirschkorn

Doctoral Dissertations and Projects

Family members and close friends often act as informal caregivers (CGs) for survivors of critical illness, assisting with activities of daily living, ongoing care needs, and adjustment to life after critical illness. These CGs simultaneously cope with their own mental, physical, and social sequelae, including significant changes (to roles and responsibilities) in everyday life. Qualitative researchers have examined this constellation of CG symptoms, which constitute post-intensive care syndrome–family (PICS-F), to understand the experiences, needs, and coping of CGs of intensive care unit (ICU) survivors. None have looked at the impact of religious coping and perceived social support on PICS-F and …


The Foundational Self-Determination Skills Experiences Leading To Causal Agency For High School Graduates Who Are Deaf And Hard Of Hearing: A Phenomenological Study, Erin M. Wright Jun 2025

The Foundational Self-Determination Skills Experiences Leading To Causal Agency For High School Graduates Who Are Deaf And Hard Of Hearing: A Phenomenological Study, Erin M. Wright

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand the foundational development of self-determination skills experiences leading to causal agency for high school graduates who are deaf and hard of hearing. The theory guiding this study was causal agency theory, as introduced by Wehmeyer and Mithaug. The central research question was: What are the foundational development of self-determination skills experiences leading to causal agency for high school graduates who are deaf and hard of hearing? This qualitative study followed a hermeneutical phenomenological approach. The participants included 11 deaf and hard of hearing individuals who graduated high school between 2018–2024. Data …


Emdr Future Template Study, Helen Jimenez Jun 2025

Emdr Future Template Study, Helen Jimenez

Doctoral Dissertations and Projects

Eye Movement Desensitization and Reprocessing (EMDR) is a psychotherapeutic modality designed to reduce the emotional impact of distressing experiences using bilateral stimulation (Shapiro, 1999). Social anxiety remains a widespread mental health concern with social and personal consequences (Asakura et al., 2023). This study examined whether three EMDR Future Template sessions could reduce mild to moderate social anxiety. Seventeen adults, ages 18 to 65, who either self-reported or were clinically diagnosed with social anxiety completed three weekly telehealth sessions lasting 20 to 30 minutes each. In each session, the seventeen participants focused on anticipated future social scenarios and visualized adaptive responses …


Motivational Peer Influence On Behavior Change In Undergraduates: A Phenomenological Study, Heather A. Mina Jun 2025

Motivational Peer Influence On Behavior Change In Undergraduates: A Phenomenological Study, Heather A. Mina

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to explore how peer testimonies from former students who successfully completed a Behavior Change Project (BCP) influenced motivation and anxiety in 148 undergraduate health and exercise science students preparing to begin their own BCP. The study was guided by the Transtheoretical Model (Prochaska & Velicer, 1997) and Bandura’s Social Cognitive Theory (1986), both of which emphasize self-efficacy, observational learning, and readiness for behavior change. Research was conducted at a public university in western North Carolina with students enrolled in a required health and wellness course. Data collection included pre-BCP surveys, four weeks of …


Burnout Among Adjunct Faculty: A Quantitative Study, Christopher D. Sclafani Jun 2025

Burnout Among Adjunct Faculty: A Quantitative Study, Christopher D. Sclafani

Doctoral Dissertations and Projects

Adjunct faculty, who are employed on a contractual, as-needed basis, comprise nearly 70% of the higher education workforce in the United States. Despite their essential role, they often face challenges that may impact their well-being and organizational commitment. This quantitative, non-experimental study examined the relationships between workload, course format, compensation, institutional support, and burnout among adjunct faculty. Data was collected from 85 adjunct faculty members across the United States using an online survey. Guided by the Job Demands-Resources (JD-R) Theory and Social Exchange Theory (SET), multiple regression analyses were conducted to explore the predictive effects of workload, compensation, and institutional …


The Lived Experiences Of Young Adult Children Of Veterans Attachment In Responses To Unique Lifestyle Challenges, Amanda M. Fife Jun 2025

The Lived Experiences Of Young Adult Children Of Veterans Attachment In Responses To Unique Lifestyle Challenges, Amanda M. Fife

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe young adult children of veterans’ experiences with frequent relocations. Military-connected youth experience unique stressors that their civilian peers do not encounter and may experience frequent disruptions in attachment relationships. The theories guiding this study are John Bowlby and Mary Ainsworth’s attachment theory, Norman Garmezy’s resiliency theory, and Lazarus and Folkman’s transactional theory of stress and coping. These theories provide the structural framework for understanding the meaning of attachment, factors that promote resiliency, and structures for coping with stress. Individual interviews were conducted with each of the 10 selected participants that meet …


Systemizing Church Hospitality: Converting Attendees To Committed Members, Dallas J. Blacklock Jun 2025

Systemizing Church Hospitality: Converting Attendees To Committed Members, Dallas J. Blacklock

Doctoral Dissertations and Projects

The American church continues to lack a theoretical framework to guide newcomers through the process of becoming members. The problem is that First Mt. Carmel MBC lacks an onboarding system to guide visitors and guests through the process from attendees to members. The purpose of this DMIN action research project is to design, teach, and implement a 12-week onboarding system to integrate visitors into the congregation. To connect visitors to the congregation in the process of becoming a new creation in Christ, strategic steps are predetermined to assimilate them into the congregation. This problem was addressed by developing and implementing …


The Call (And Aftermath) Of The Void: Understanding Suicide Loss And Bereavement Processes Amongst Student Populaces, Saraha K. Brawner Jun 2025

The Call (And Aftermath) Of The Void: Understanding Suicide Loss And Bereavement Processes Amongst Student Populaces, Saraha K. Brawner

Doctoral Dissertations and Projects

Each year, over 800,000 people die via lethal self-harm, leaving behind millions of survivors to navigate qualitatively unique manifestations of grief. Despite the profound psychosocial and psychopathological effects associated with suicide loss, research addressing these experiences remains extremely limited. This quantitative survey study examined the relationship between suicide loss and grief-related distress among students, focusing on sociodemographic, psychosocial, and psychopathological factors influencing bereavement over time. It also explored how the individual learned about the suicide and expanded upon 1st, 2nd, and 3rd-degree relationships. Forty-one participants recruited from universities and mental health organizations across the United States completed a loss summary/death …


A Hermeneutic Phenomenological Study Exploring Transition Planning For High School Seniors With An Individualized Education Program. Are We Doing Enough?, Chrystal A P Morgan Jun 2025

A Hermeneutic Phenomenological Study Exploring Transition Planning For High School Seniors With An Individualized Education Program. Are We Doing Enough?, Chrystal A P Morgan

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to discover the views of high school seniors with an Individualized Education Program (IEP) and their experiences with transition planning. This study identified that there is more work to do in inclusive education in understanding how to implement transition planning goals and utilizing collaborative efforts from all educators, the students, and their parents. Most of the available research discussed building awareness towards implementing transition planning, which aimed at building self-awareness in the educator. The theory guiding this study is Bandura’s social cognitive theory. Bandura’s social cognitive theory is based on the belief …


Family Poison: A Phenomenological Study Of The Role Of Toxic Parental Influence On Romantic Relationships, Kimberly Eichelberger-Searcy Jun 2025

Family Poison: A Phenomenological Study Of The Role Of Toxic Parental Influence On Romantic Relationships, Kimberly Eichelberger-Searcy

Doctoral Dissertations and Projects

This phenomenological study sought to describe the lived experiences of adult survivors of toxic parents across the United States. The assumption was that toxic parental influence impacts romantic relationships. The following research questions framed this study: “How do adult survivors of toxic parents describe their experiences growing up with a toxic parent in the United States? How do adult survivors describe the effects of growing up with a toxic parent?” and “How do adult survivors of toxic parents describe the impact of their childhood experiences on their intimate/romantic relationships?”. The two theoretical frameworks guiding this study were Bowlby’s attachment theory, …


Impacts Of Early Childhood Trauma On Later Emotional, Behavioral, Educational, And Social Abilities, Stacey Merrill Jun 2025

Impacts Of Early Childhood Trauma On Later Emotional, Behavioral, Educational, And Social Abilities, Stacey Merrill

Doctoral Dissertations and Projects

Early childhood trauma has a long-lasting impact on individuals’ social interactions, mental health, academic skills, behaviors, and parenting skills for the future generations. Understanding how early interpersonal developmental trauma impacts an individual during adolescence can help providers and caregivers know how to help them become successful students and later adults. Helping individuals early in their development can prevent the cycle of abuse from continuing. Trauma informed care can help bridge the gap between those with and without known traumas. This study consisted of an interpretive phenomenological qualitative design using semi-structured interviews to understand the impact of early trauma on adolescence …


The Procrastinating Perfectionist: Examining Task Self-Efficacy & Procrastination Types On Life Task Performance, Michelle Lynn Capozzi Jun 2025

The Procrastinating Perfectionist: Examining Task Self-Efficacy & Procrastination Types On Life Task Performance, Michelle Lynn Capozzi

Doctoral Dissertations and Projects

Perfectionism is a personality trait that can manifest either adaptively or maladaptively, typically developing during childhood and adolescence. Less research has examined perfectionistic adjustment issues in adulthood compared to childhood and adolescence. Research indicates that adult perfectionists tend to procrastinate on tasks related to academia and job settings. However, little is known about passive and active procrastination types among adult perfectionists when completing life tasks. Since self-efficacy can produce motivation, adult perfectionists may be more or less likely to procrastinate based on how they perceive their capabilities. This study examined how perfectionism types (maladaptive, adaptive, non-perfectionist) impacted life task performance …


Exploring Orchestration's Influence On Harmonic Analysis: A Conductor's Perspective, Tyron C. Barnes Jun 2025

Exploring Orchestration's Influence On Harmonic Analysis: A Conductor's Perspective, Tyron C. Barnes

Doctoral Dissertations and Projects

Despite emphasizing training and conducting techniques and overall music interpretation, minimal research investigates how orchestration impacts harmonic analysis when studying music scores. Conducting textbooks often emphasize the ability to study a music score; however, they place minimal emphasis on how orchestration influences harmonic analysis. A research gap on the impact of orchestration on harmonic analysis presents potential for professional growth for aspiring and seasoned conductors. By investigating novel methodologies, conductors can enhance their comprehension of the intricate relationships between instrumental components and harmonic frameworks in wind band compositions. Examining the viewpoints of fifteen beginner and experienced band directors from public …


International Space Station Deorbit: A Qualitative Study On Aerospace Employees Perceptions Of Their Job During Decommission, Jesse Hudson Jun 2025

International Space Station Deorbit: A Qualitative Study On Aerospace Employees Perceptions Of Their Job During Decommission, Jesse Hudson

Walden Dissertations and Doctoral Studies

The decommissioning of the International Space Station (ISS) represents a significant organizational transition. Despite parallels with previous National Aeronautics and Space Administration program closures, research has not fully examined the human impact of such mission-driven disruptions. Employees face uncertainties regarding job roles, the relevance of specialized skills, and the future within a rapidly commercializing space sector. The purpose of this qualitative phenomenological study was to explore how aerospace employees perceive and navigate the psychological and professional challenges associated with the ISS decommissioning. Bridges’ transition model and affective events theory grounded this study. The participants were 12 current aerospace employees who …


Increasing Behavior-Specific Praise Use And Variability With Secondary Education Teachers Using Behavioral Skills Training, Tactile Prompts, And Multiple Exemplars, Cecilia Pannone Jun 2025

Increasing Behavior-Specific Praise Use And Variability With Secondary Education Teachers Using Behavioral Skills Training, Tactile Prompts, And Multiple Exemplars, Cecilia Pannone

USF Tampa Graduate Theses and Dissertations

Teachers often receive minimal training in classroom management strategies, leading to punitive-based teacher-student interactions. Negative interactions (e.g., reprimands) may decrease behaviors momentarily but do not yield lasting behavior change. Behavior-specific praise (BSP) is a low-response effort classroom management strategy that positively impacts students’ behaviors and academic performance. However, training does not guarantee that BSP will be used throughout the academic years or across student cohorts, leading teachers to revert to negative interactions to manage classroom behaviors. Limited research has investigated the components of praise that increase effectiveness and saliency. This study aimed to increase teachers’ use of BSP using tactile …


Brivaracetam For Spinal Cord Injury-Related Neuropathic Pain: Results Of A Pilot Double-Blinded, Randomized, Placebo-Controlled Clinical Trial, Leslie R. Morse, Ricardo A. Battaglino, Nguyen Nguyen, Brian Devries, Abigail Welch, Ana Lucia Battaglino, Clas Linnman, Michael Stillman, Robert Wudlick, Joda Glossner, Grant Anderton, Richard Goldstein, Scott P. Falci Jun 2025

Brivaracetam For Spinal Cord Injury-Related Neuropathic Pain: Results Of A Pilot Double-Blinded, Randomized, Placebo-Controlled Clinical Trial, Leslie R. Morse, Ricardo A. Battaglino, Nguyen Nguyen, Brian Devries, Abigail Welch, Ana Lucia Battaglino, Clas Linnman, Michael Stillman, Robert Wudlick, Joda Glossner, Grant Anderton, Richard Goldstein, Scott P. Falci

Department of Medicine Faculty Papers

OBJECTIVE: Assess feasibility, safety, and tolerability of 3 months of oral brivaracetam for severe (9-10/10) spinal cord injury-related neuropathic pain.

METHODS: We conducted a multisite pilot study where adults were randomized to 3 months of brivaracetam (100 mg BID) or placebo. Pain was assessed via the Brief Pain Inventory, the International Spinal Cord Injury Pain Basic Dataset (version 2.0), and a daily pain diary.

RESULTS: We enrolled 24 participants across 2 sites and 14 participants were included in the final analysis (n = 8 placebo, n = 6 brivaracetam). The drug was tolerated with expected, nonserious side effects (nausea if …


Family Of Faith: Ole Miss Gospel Choir Offers More Than Joyful Praise, Marvis Herring Jun 2025

Family Of Faith: Ole Miss Gospel Choir Offers More Than Joyful Praise, Marvis Herring

University of Mississippi News

OXFORD, Miss. – Soulful voices soared, a packed crowd swayed and burdens felt lighter as the University of Mississippi Gospel Choir shared showstopping praise at its 50th anniversary spring concert.


Poland: A Forgotten Ally, Juliana Rose Pettis Jun 2025

Poland: A Forgotten Ally, Juliana Rose Pettis

Masters Theses

World War II created a significant change in Polish History. The Molotov-Ribbentrop Pact rendered Poland torn into two sections. Hitler occupied the western side, while Stalin overran the eastern side. The two dictators split Poland in September 1939. It was the only country singled out for such a destiny. In response, the Poles created the Polish Underground. This government utilized asymmetrical warfare to fight against the Nazi occupation and assist the West. The Poles assisted continuously throughout 1939 to 1945, but their fight for independence resulted in the partitioning of Poland and the beginning of Joseph Stalin’s communization of Europe. …


Implementing An Antibiotic Stewardship Program For Acute Respiratory Tract Infections In Urgent Care, John Childree Jun 2025

Implementing An Antibiotic Stewardship Program For Acute Respiratory Tract Infections In Urgent Care, John Childree

Doctor of Nursing Practice Projects

Antibiotic overprescription for acute respiratory tract infections (ARTIs) remains a persistent challenge in urgent care, contributing to antimicrobial resistance and increased healthcare costs. This quality improvement project evaluated whether a structured educational intervention an Antibiotic Stewardship Program (ASP) could improve providers’ knowledge and self-efficacy in evidence-based prescribing. A quasi-experimental, single-group pre-post design was used with seven urgent care clinicians. Data were collected through a custom Antibiotic Stewardship Questionnaire and a Self-Efficacy Survey administered before and after the intervention. Results demonstrated a 17% increase in knowledge scores (from 9.3 to 10.6 out of 11) and a statistically significant improvement in self-efficacy …


Proceedings Of The Cuny Games Conference 11.0, Robert O. Duncan, Grace Axler-Diperte, Joe Bisz, Christina Boyle, Devorah Kletenik, Carolyn Stallard Jun 2025

Proceedings Of The Cuny Games Conference 11.0, Robert O. Duncan, Grace Axler-Diperte, Joe Bisz, Christina Boyle, Devorah Kletenik, Carolyn Stallard

Publications and Research

The CUNY Games Conference combines workshops, idea exchanges, interactive participant presentations, playtesting, and playing tabletop games into a one-day online event to promote and discuss game-based learning. The conference focuses on creative pedagogy, such as playful learning activities or games, that teachers can use in the classroom every day. The conference is online and features interactive presentations by attendees, informal idea exchange sessions, and workshops by the conference organizers.


Assessing The Relationship Of Cultural Values, And Neighborhood Factors In Prenatal Depression Amongst Mexican Women, Esmeralda Lezama Ruiz Jun 2025

Assessing The Relationship Of Cultural Values, And Neighborhood Factors In Prenatal Depression Amongst Mexican Women, Esmeralda Lezama Ruiz

Master's Theses (2009 -)

Maternal depression during the perinatal period is a debilitating illness which negatively influences maternal health, child development and family functioning. The rate of maternal depression in Mexican-American mothers is substantially higher than non-Hispanic white populations. Some work has linked maternal depression in the US Mexican population to cultural factors and neighborhood dynamics, but these factors are only beginning to be addressed in perinatal mental health. This study investigates the independent and interactive roles of cultural values and neighborhood factors in predicting perinatal maternal depressive symptoms in women of Mexican descent. The study recruited pregnant women (N= 261) of Mexican descent …


Housing Refugees Amid Administrative Change: Local Agency Innovation, Christine Kramer Jun 2025

Housing Refugees Amid Administrative Change: Local Agency Innovation, Christine Kramer

Public Administration Theses, Dissertations, and Student Creative Activity

Ongoing affordable housing and housing supply challenges in the US are presenting significant challenges for refugees. According to the US Census Bureau, the average monthly cost of rent plus the cost of utilities and fuels adjusted for inflation grew faster annually (3.8%) than real median home values (1.8%) in 2023 for the first time in 10 years. This is the largest annual increase in rental costs since 2011 (US Census Bureau, 2024). Homelessness has also increased by 18% since 2023 (USDHUD, 2024, pg. 3). Even in this current reality, the federal policies for housing refugees haven’t changed in over a …


Respectful Patient-Provider Communication And Patient Portal Usage In Pregnant People Of Color, Amy H. Goh, Christopher Lee, Chisolum Nkenke, Joyce K. Edmonds Jun 2025

Respectful Patient-Provider Communication And Patient Portal Usage In Pregnant People Of Color, Amy H. Goh, Christopher Lee, Chisolum Nkenke, Joyce K. Edmonds

College of Health Professions Faculty Papers

BACKGROUND: Patient-provider communication (PPC) increasingly occurs in online patient portals. Variations in portal usage might worsen communication inequities for pregnant people of color (POC), widening the digital divide. The objective of this study was to examine the relationships between respectful PPC, patient portal usage, and digital health literacy (DHL) in pregnant POC.

METHODS: A multimethod cross-sectional survey design was used. Ordered logistic regression was performed to determine the relationship between PPC and portal use, controlling for trimester prenatal care was initiated, insurance type, age, gestational age, and parity. The moderating effect of Digital Health Literacy Instrument (DHLI) was tested on …


Neil S. Braun, Dean Emeritus, Neil S. Braun Jun 2025

Neil S. Braun, Dean Emeritus, Neil S. Braun

Oral History

Neil Braun, Dean Emeritus of the Pace University Lubin School of Business, talks about his life, career, and experiences as Dean, from the year 2010 to 2020. He also spoke about his initiation of the mentorship program, and its rewarding impact on students, as well as himself.


A Qualitative Case Study On Nature Relatedness In Advanced Alpinists And Members Of Subsistence Communities, Devon Martin Jun 2025

A Qualitative Case Study On Nature Relatedness In Advanced Alpinists And Members Of Subsistence Communities, Devon Martin

University Honors Theses

In light of the current possibility of climate disaster and ecological destruction, a branch of psychology has formed to investigate the human relationship with nature. Scaled surveys have been created to gauge nature relatedness with the hope that this construct might help predict environmental awareness and action towards environmental change. This undergraduate thesis aims to explore the concept of connection to nature through a detailed case study on two participants who are both advanced alpinists (high risk mountain recreationalists) and members of subsistence communities (procuring food directly from the environment). The participants were given scaled surveys of nature relatedness and …


Mindful Marcelo: The Process Of Writing And Illustrating A Culturally-Specific Children's Book For Early Psychoeducation, Liz Romero-Herrera Jun 2025

Mindful Marcelo: The Process Of Writing And Illustrating A Culturally-Specific Children's Book For Early Psychoeducation, Liz Romero-Herrera

University Honors Theses

Socio-emotional learning (SEL) is imperative for young children to learn prosocial skills and how to identify and regulate their emotions. Most children begin to develop these skills in early childhood and depend on caregivers and teachers to model them. However, caregiver and teacher biases related to child gender and race can limit equitable access to high-quality SEL, placing male students of color at higher risk for maladaptive coping strategies. To address this gap, this thesis documents the creation of a culturally sensitive children's book focused on SEL concepts for young Latino boys. Throughout this thesis, I documented the process of …


Ebony Heroes: The United States Colored Troops From Kentucky During The War Between The States, Robert B. Mccormack Jun 2025

Ebony Heroes: The United States Colored Troops From Kentucky During The War Between The States, Robert B. Mccormack

Doctoral Dissertations and Projects

Sergeant Major Thomas Boswell, a soldier assigned to the 116th US Colored Infantry Regiment (USCI) asserted, “We are Kentucky boys, and there is no regiment in the field that ever fought better. We can boast of being the heroes of eight hard-fought battles, and this we deem a sufficient recommendation for our discharge…” 1 The fog of history has stilled the voices of the intrepid men, the colored Kentuckians, who populated the ranks of the federal army who served during the 1861-1865 War Between the States as the United States Colored Troops. The federal government, rather than the Kentucky Commonwealth, …


The Role Of Divine Forgiveness On Depressive Experiences Through Self-Forgiveness And Self-Condemnation On Hispanic/Latino American Population: Serial Mediation Analyses, Betsaida Giotto Jun 2025

The Role Of Divine Forgiveness On Depressive Experiences Through Self-Forgiveness And Self-Condemnation On Hispanic/Latino American Population: Serial Mediation Analyses, Betsaida Giotto

Doctoral Dissertations and Projects

This quantitative study examined the role of divine forgiveness on depressive experiences by self-forgiveness and self-condemnation in a sample of Hispanic/Latinos. Since research indicates a positive association between divine forgiveness, self-forgiveness, and well-being, this study’s importance includes gaining knowledge to increase well-being and exploring virtue ethics and theological perspectives. This research addressed a significant gap in the literature by interaction of divine forgiveness, self-forgiveness, self-condemnation, and depressive symptoms on the Hispanic/Latino population of believers. The research questions are whether the direct and indirect effects of divine forgiveness on depressive experiences will be serially mediated first by self-forgiveness and by self-condemnation. …


Lived Experiences Of Nurses Caring For Patients With Opioid Use Disorder, Oneatha Alexander Jun 2025

Lived Experiences Of Nurses Caring For Patients With Opioid Use Disorder, Oneatha Alexander

Walden Dissertations and Doctoral Studies

Opioid abuse is a significant problem in the United States. People with opioid use disorder (OUD) visit the emergency room (ER) for pain management. OUD is the overuse and abuse of opioids, which can result in dependence, relapses, and death. Nurses in the ER and medical-surgical units face challenges in distinguishing OUD from chronic pain. The purpose of this qualitative interpretive phenomenological study, guided by Benner’s novice-to-expert framework, was to explore the lived experiences of ER and medical-surgical nurses who provide care to OUD patients. Eight ER and medical-surgical nurses were interviewed using semi-structured interviews. The main themes from coding …