Medicine and Health Sciences Commons^™

Newly Graduated Baccalaureate Nurses Critical-Thinking Development, Norberto Rosado

Walden Dissertations and Doctoral Studies

For the nursing profession, critical thinking is essential to provide safe and effectivepatient care. While the development of critical thinking skills is a desired outcome for newly graduated baccalaureate nurses, many lack the ability to make critical decisions. The absence of critical thinking among newly graduated nurses may be related to a lack of exposure to the clinical environment during their academic experience. This study explored how critical thinking processes can be affected by different approaches to baccalaureate clinical nursing education in Puerto Rico. A descriptive qualitative approach was used to understand the perceptions of newly graduated baccalaureate nurses regarding …

Bmi Screening Tool To Identify Elementary School Children At Risk For Obesity, Talia S. Thompson-Jones

Walden Dissertations and Doctoral Studies

Obesity is a public health epidemic and is as relevant in the pediatric population as it is in adults. The purpose of this DNP project was to develop a clinical practice guideline (CPG) that would use existing evidence to support the development of body mass index (BMI) screening in primary schools for the early detection of childhood obesity. Globally, more than 41 million children were obese or overweight by 2018. Due to incidence rates, developing an effective strategy to address childhood obesity is critical. The practice-focused question asked whether the evidence supported the development of a CPG for implementing BMI …

Reading Teacher Perspectives On Classroom Behavior And Criteria Referral For Adhd Testing, Sharmaine Wilder

Walden Dissertations and Doctoral Studies

According to the Center for Disease Control and Prevention (CDC) and other researchers, the prevalence of Attention Deficit and Hyperactivity Disorder (ADHD) diagnoses among school-aged children has gained the attention of researchers. Due to the large amount of time children spend in the school context, researchers have found that teachers play a vital role as valuable resources to early identification of children needs of services. The purpose of this qualitative study was to expand knowledge about the in-depth experiences of third grade reading teachers when referring for behavioral health services. Bronfenbrenner’s (1979) bioecological model the was theoretical framework for this …

Reducing Sepsis Rates Through Nursing Staff Education, Joshua J. Wilkinson

Walden Dissertations and Doctoral Studies

Many hospitals fail to comply with sepsis treatment core measures. The purpose of this project was to educate nursing staff in a small rural emergency department in the Midwest United States about core measures that included 1-hour bundles for sepsis treatment. The project attempted to answer the practice-focused question: Does educating emergency department nursing staff in a small rural emergency department on the 1-hour sepsis bundle increase knowledge? Lewin’s Change Theory and Kirkpatrick’s Four-Level Training Evaluation Model served as the framework for the project. A 1-hour in-person education was developed using the Analyze, Design, Develop, Implement, and Evaluate model with …

Relationship Between Emotional Intelligence, Mentorship, And Burnout In Nursing Faculty, Jasmine Louis

Walden Dissertations and Doctoral Studies

Nursing faculty early in their careers face challenges involving transitioning into new roles, high workloads, and lack of support, making them vulnerable to burnout. Burnout is a syndrome characterized by emotional exhaustion, depersonalization, and low personal accomplishment. The purposes of this study, guided by Maslach’s burnout theory, were to determine if there is a relationship between emotional intelligence and mentorship in terms of burnout among nursing faculty who are in their early careers, if there are differences in terms of burnout among these nursing faculty who have received mentorship compared to those who did not receive, and if there is …

Nurse Management Education To Improve Job Satisfaction And Nurse Retention, Motunrayo Omoloye Adegorusi

Walden Dissertations and Doctoral Studies

Abstract Nurses play a critical role as primary care providers in correctional facilities, as well as custodians of security. However, there is a significant disparity in the supply of nurses in correctional settings relative to other practice settings, which is a major gap in practice. The current problem arises from the inability to retain nurses in the correctional settings. Prisons have a harsh work environment characterized by a difficult patient population and stringent policies that govern operations. Additionally, a high level of bureaucracy impedes system reforms and transformations. The purpose of the DNP project was to find out if the …

An Educational Program For Standardization Of Care For The Acute Opioid Withdrawal, Jessica Ann Larson

Walden Dissertations and Doctoral Studies

Opioid addiction is a widespread chronic disease affecting millions of Americans each year, resulting in medical, social, financial, and societal detriments. Patients experiencing opioid withdrawal benefit from a standardized and evidence-based approach to care. The purpose of this doctoral nursing project was to provide inpatient nursing education for a standardized clinical practice approach to optimize patient outcomes. The research question examined the impact of an educational program for nurses presenting a new standardized opioid withdrawal clinical practice guideline inclusive of assessment, nursing interventions, a symptom triggered order set, and follow up plan of care in terms of knowledge gained and …

African American Or Black Nurses’ Perceptions Of Incivility In Nursing Education, Selena M. Murphy

Walden Dissertations and Doctoral Studies

Incivility in nursing education can affect morale, adversely affect patient care, or cause nurses to leave the profession. Bullying, rude comments, and disruptive behaviors are all examples of incivility. These may be perceived as lower in schools like Historically black colleges and universities (HBCUs), where students share the same or similar racial or ethnic background. The purpose of this study was to determine if the perceived levels of incivility experienced in nursing school differ between African American or Black nurses who attended HBCUs and African American or Black nurses who attended non-HBCUs, where the population of nursing students may have …

Staff Education Program: Increasing Nursing Knowledge Of Exclusive Breastfeeding, Leigh Anne Panek

Walden Dissertations and Doctoral Studies

AbstractIn the initial postpartum period, exclusive breastfeeding (EBF) improves women's and children's health status and outcomes. Gaps in nursing practice that decrease the rate of EBF during hospitalization at this site were identified by the lactation consultant using a standard chart audit during the last two years. The purpose of this Doctor of Nursing Practice education project was to provide a comprehensive education program that included the purpose, philosophy, nursing practice, and evaluation tools for increasing the EBF rates to meet the Joint Commission’s standard of improvement for perinatal care core measures. A formal educational program that included didactic and …

Education For Ltach Nurses On Clinical Monitoring Systems, Deneen Stokes

Walden Dissertations and Doctoral Studies

Alarm fatigue is a patient safety issue. The gap identified in practice is that nurses did not know how to navigate the monitoring system properly such that improper use of the alarm system was the result, which compromised patient safety. The goal of this project aimed to fill the gap in knowledge and skill among the staff and improve the confidence level among nurses by providing an educational program. The practice-focused question focused on whether knowledge, skills, and confidence would increase among nurses after receiving education on the clinical monitoring system. The model to facilitate organizing and analyzing this project …

Effect Of Covid-19 On Comprehensive Predictor Exam Scores And Nursing Program Scores And First Generation College Students, Heather Marie Austin

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic forced nursing education programs to change traditional face-to-face teaching to virtual education and simulated experiences. Therefore, research is needed to determine how this change affected nursing students’ academic performance and their performance on standardized exams. The purpose of this three-part study, guided by Knowles’s adult learning theory, was to determine if there was a difference in Associate of Science in Nursing (ASN) students’ performance on: (a) Assessment Technology Institute (ATI) Comprehensive Predictor (CP) scores, (b) end of program scores, and for (c) CP scores for first generation students before the COVID-19 pandemic compared with nursing students’ scores …

Nursing Faculty Experiences With Interactive Games And Gaming And Student Preparedness, Laura S. Dana

Walden Dissertations and Doctoral Studies

Although instructional strategies to enhance student learning is a critical component of the faculty role, nursing education has been slow to incorporate games and gaming into the learning environment. The primary purpose for this qualitative phenomenological research study was to explore the lived experiences of nursing faculty of associate degree programs, specifically regarding the use of games and gaming as interactive, experiential teaching and learning strategies. This study was designed to answer the question, “What are the lived experiences of faculty who use games and gaming as instructional approaches in associate degree nursing (ADN) education.” Through one-on-one interviews via Zoom …

Emergency Department Operational Strategies, Joyce W. Davis

Walden Dissertations and Doctoral Studies

AbstractEmergency Department Operational Strategies by Joyce W. Davis MBA/MHA, Pfeiffer University, 2011 BS, North Carolina A&T State University, 1980

Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration

Walden University December 2022

Comparison Of First-Time Neurocognitive Baseline Cognigram Assessments Between American And Brazilian Professional Bull Riding Athletes, Peter Wang

University of the Pacific Theses and Dissertations

The purpose of this study was to compare the first-time neurocognitive concussion baseline outcomes, using the Cognigram assessment software, between American and Brazilian professional bull riders. The analysis was performed using the database provided by the Professional Bull Riding Association Sports Medicine staff. The Cognigram assessment measures and analyses four outcomes: Psychomotor Function, Attention, Learning, and Working Memory Speed. The study examined the test outcomes of 210 professional bull riders (150 American, 60 Brazilian). A one-way multivariate analysis of covariance (MANCOVA) was used to determine if there a significant difference in the four assessment outcomes when comparing the country of …

Fatigue In Aircraft Maintenance Technician Schools, Natalie Zimmermann, Peng Hao Wang, Keegan Pullen

International Journal of Aviation, Aeronautics, and Aerospace

Fatigue has long been identified as a human factor in aviation. Subsequently, a series of studies have highlighted fatigue-related elements within the context of the aviation industry, focusing on the flight deck – with some extension to flight students – and aviation maintenance activities. However, the latter has not been as deeply examined as its flight crew-centered counterpart. Similarly – if not more significantly – fatigue experienced by aircraft maintenance technician (AMT) students is scarcely explored, especially in comparison to the research conducted to understand fatigue in flight schools. AMT students are subject to comparable, but not the same, experiences …

North Carolina Public School Educator Perceptions Of Teaching During Covid And Impacts On Burnout, Leah Huttlinger

Doctor of Education Dissertations

Educators in North Carolina have been burdened with many different negative stressors, such as low pay, increasing class sizes, and violence in the classroom, and the COVID-19 pandemic has only added to the role of the educator. Current research suggests an inevitable exodus of teachers due to the increased stress brought by the pandemic. Through this mixed methods study, I sought to examine relationships between COVID-19 stress, physical and mental health symptoms, and occupational burnout. Using Pearson’s correlation coefficient, I determined statistical relationships between specific domains of COVID stress and the physical and mental health of North Carolina educators. There …

Putting The “Comprehensive” In Comprehensive Sexuality Education: A Review Exploring Young Adult Literature As A School-Based Intervention, Margaret M Palmer, Jennifer S Hirsch

Faculty, Staff and Student Publications

INTRODUCTION: In this article, we review research on the impact of young adult literature (YAL) on young people's sexuality-related beliefs. This research points to the potential of YAL as a tool through which schools can offer sex education that is truly "comprehensive" by providing young people an opportunity to grapple with questions about gender, sexuality, and healthy relationships in literature classes, and to complement CSE in health education classes. This broader approach addresses a potential limitation of school-based comprehensive sex education (CSE). CSE certainly promotes young people's health and well-being, but an emphasis on biological dimensions of sexual and reproductive …

Structure Of The Hsp110:Hsc70 Nucleotide Exchange Machine, Yusra Ahmed, Jeremy Miciak, W Pat Taylor, David J Francis

Faculty, Staff and Student Publications

We evaluate the direct and inferential mediation (DIME) model for reading comprehension with a sample of struggling readers in Grades 3 to 5 (N = 364) in the context of a large-scale randomized controlled trial (RCT) investigating two theoretically distinct reading interventions (text processing + foundational skills [n = 117] or text processing only [n = 120]) and a control condition (n = 127). We investigate whether the intervention affects not just reading comprehension levels, but also how variables within the reading system interrelate. This approach allows the focus to shift from intervention as influencing a …

The Novel Use Of Biplane Imaging For Ultrasound-Guided Regional Anesthesia, Yusra Ahmed, Shawn Kent, Paul T Cirino, Milena Keller-Margulis

Faculty, Staff and Student Publications

Research suggests that executive function, motivation, transcription, and composition processes are implicated in the writing quality and productivity of children with and without learning difficulties. However, numerous components embedded within these constructs create both conceptual and empirical challenges to the study of written expression. These challenges are reflected in the writing research by way of poor delineation of constructs and insufficient distinction among domain general resources (e.g. working memory) versus processes related to the academic domain of writing (e.g. pre-planning), as well as among lower- (e.g. handwriting) and higher-order (e.g. editing) writing-specific processes. The current study utilizes the Not-so-Simple View …

Informal Science, Technology, Engineering And Math Learning Conditions To Increase Parent Involvement With Young Children Experiencing Poverty, Tricia A Zucker, Gloria Yeomans Maldonado, Michael Assel, Cheryl Mccallum, Cindy Elias, John M Swint, Lincy Lal

Faculty, Staff and Student Publications

Broadening participation in early science, technology, engineering and math (STEM) learning outside of school is important for families experiencing poverty. We evaluated variations of the Teaching Together STEM pre-kindergarten program for increasing parent involvement in STEM learning. This informal STEM, family engagement program was offered in 20 schools where 92% of students received free/reduced lunch. The core treatment included a series of family education workshops, text messages, and family museum passes. The workshops were delivered at school sites by museum outreach educators. We randomly assigned schools to business-as-usual control or one of three additive treatment groups. Using an additive treatment …

Examining Emailed Feedback As Boosters After A College Drinking Intervention Among Fraternities And Sororities: Rationale And Protocol For A Remote Controlled Trial (Project Greek), Abby L. Braitman, Jennifer L. Shipley, Megan Strowger, Rachel Ayala Guzman, Alina Whiteside, Adrian J. Bravo, Kate B. Carey

Psychology Faculty Publications

BACKGROUND: College students involved in Greek life (ie, members of fraternities and sororities) tend to engage in more high-risk alcohol use and experience more negative consequences than those not involved in Greek life. Web-based alcohol interventions, such as Alcohol eCHECKUP TO GO, have been successful in reducing alcohol use and consequences among the general college student population, but interventions targeting alcohol reduction among those involved in Greek life have had limited success. Booster emails including personalized feedback regarding descriptive norms and protective behavioral strategies have shown potential in increasing the effectiveness of web-based interventions among college drinkers. Studies are needed …

A Journey To Finding Space In The Tension: Experience Of Instructors' Relationship With Religion And Spirituality In Doctoral Psychology Programs, Samantha Mcgee

Antioch University Dissertations & Theses

Religion and spirituality, when viewed through a holistic lens, can reflect important aspects of a person’s identity. It can be a source of well-being and also struggle. The fields of religion, spirituality and psychology have had a history of being polarized, with some efforts to integrate the two fields. Tensions exist at multiple ecological levels around the topic of religion and spirituality, which can make it easier to avoid discussing it in classrooms and therapy rooms. It is important to address and create room for discussion of experiences around religion and spirituality in classrooms that are training psychologists so they …

The Flourishing Trainee: Operationalizing Self-Care Education In Clinical Psychology Training Programs, Bonnie B. Zinn

Antioch University Dissertations & Theses

Evidence suggests that clinical psychology trainees may be vulnerable to stress, vicarious traumatization, secondary traumatic stress, compassion fatigue, and burnout. Research also indicates that engaging in self-care may help to protect clinical psychology trainees against those experiences and enhance their well-being. However, best available research suggests self-care education is not consistently incorporated into clinical psychology training or prioritized by program directors. This study provided a systematic review of existing literature on self-care for clinical psychology trainees, utilizing reflexive thematic analysis to identify the essential skills, knowledge, and attitudes of self-care which should be taught to trainees, and how to operationalize …

Locating Uncertainty In Hospital Leader Sensemaking And Sensegiving Of Organizational Change: A Single Case Study, Sara E. Barry

Antioch University Dissertations & Theses

Leaders planning strategic change face significant ambiguity and uncertainty due to the complex, fast-paced, and volatile nature of organizational life. What one leader sees as an opportunity, another may view as a threat depending on their past experiences, their existing mental models, and their perceptions of uncertainty. Sensemaking and sensegiving theories provide a framework for how leaders retrospectively make sense of new and disorienting information through recursive cycles of interpretation, action, and learning, and seek to influence the meaning-making of others towards a shared vision of the strategic change. Despite decades of research using these theories, studies have yet to …

The Impact Of Creative Arts On Meaning Reconstruction And Loss Adaptation In Widowed Adults, Dani Baker-Cole

Antioch University Dissertations & Theses

In counseling, helping grieving clients find meaning after significant loss is a unique, multidimensional, and lengthy process. This is particularly true in Western societies, where antithetical linear grief models, supported by hegemonic expectations to move on after loss, add exhausting pressure to speed up an individual’s natural grieving process. For that reason, this study examined how creative arts interventions such as using traditional art media and expressive writing, combined with postmodern, nonlinear, culturally sensitive bereavement models, help individuals explore their loss narrative to make meaning and adapt to loss. Specifically, this study examined the impact of a switch from traditional …

The Lived Experiences Of Sports Retirement Among Elite, Action Sports Athletes, Gracie Struthers

Antioch University Dissertations & Theses

This study explored the lived experiences of sports retirement among elite, action sport athletes. This study examined participants’ retirement experiences, their well-being post-retirement, and recommendations participants had for current athletes about retirement. Interviews were conducted remotely with four participants. Participants identified as Caucasian, in the 25–38 age range, had been involved with their sport competitively for 17.75 years, and had been retired for 3.37 years. Data was collected and analyzed utilizing Interpretive Phenomenological Analysis (IPA). Participants’ experiences during retirement illustrated a significant disruption in their lives and the way they lived. This disruption was characterized by significant grief and distress, …

Intervention Research To Increase Pediatric Hearing Device Use: A Scoping Review, Karen F. Munoz, Diana Ortiz, Cameron Bolinger, Michael P. Twohig

Psychology Faculty Publications

Purpose: This study is a scoping review examining interventions to increase hearing device use for children.

Method: Online databases were used to identify peer-reviewed journal articles published prior to November 1, 2021, yielding 1,288 after duplications were removed. Four articles met the inclusion criteria after articles were screened by title name and abstract and subsequent full-text screening of six articles. A qualitative analysis was conducted to identify features of the intervention studies related to the participants, design, intervention, key findings, and limitations.

Results: The included studies were published between 1982 and 2021, and in all four studies, the children used …

Mental Health And Online Learning - Systematic Review Dataset, Stephanie L. Moore Phd, George Veletsianos, Michael Barbour

University Libraries & Learning Sciences Faculty and Staff Publications

While there has been a lot of debate over the impact of online and remote learning on mental health and well-being, there has been no systematic syntheses or reviews of the research on this particular issue. In this paper, we review the research on the relationship between mental health / well-being and online or remote learning. Our review shows that little scholarship existed prior to 2020 with most studies conducted during the COVID-19 pandemic. We report four findings: (a) pandemic effects are not well-controlled for in most studies; (b) studies present a very mixed picture, with variability around how mental …

Jiann-Ping Hsu College Of Public Health Magazine, Georgia Southern University

College of Public Health: News & Publications

• Message from the Dean: Stuart H. Tedders, PhD
• One-On-One: Marshall in Conversation with Aslan
• Alumni Feature: Improving the Body Art Industry
• Truth is Better than Fiction
• An Invisible Danger
• New Development Council
• The Period Equity Movement
• Averitt Award Winner and Together United
• Our Students Around the World
• Justice, Equity, Diversity & Inclusion
• Center for Addiction Recovery Making an impact: Scholarship recipient named
• Karl E. Peace Center for Biostatistics and Survey Research Working together: Biostatistics collaborations
• Center for Public Health Practice and Research Improving Health Outcomes
• Faculty and Students
• Office of Practice and Research
• College
• Photos

Early Detection Of Mental Health Through Universal Screening At Schools, Jihye Kim, Dong-Gook Kim, Randy Kamphaus

Georgia Educational Researcher

Depression, anxiety, and stress are common mental health problems among adolescents. Cross-sectional and longitudinal studies have found that students who suffer from mental health problems (e.g., ADHD, anxiety, or depression) tend to manifest school and social problems. It is urgent to identify and intervene early to help children with mental health problems to improve their life outcomes. Unfortunately, research has shown that a significant proportion of children who suffer from behavioral or emotional problems remain unidentified because their symptoms are too mild to be noticed through casual observation by caregivers and teachers. As a result, their symptoms continue to develop …