Medicine and Health Sciences Commons^™

A Qualitative Study To Explore Ambiguous Loss And Belonging In Foster Care, Catherine S. Schoenewald

Theses and Dissertations

The imminent threats to a child’s physical and mental health from dangerous or dysfunctional family systems result in children being placed in foster care, often for extended periods of time. With increased physical, mental and developmental health needs identified compared to non- fostered peers, it is important to better understand the experiences of foster care. The purpose of this study was to explore ambiguous loss and belonging within the experience of foster care. Using photo elicitation techniques and repeated in depth interviews, this qualitative study explored the foster care experiences of 10 foster care alumni, aged 18 – 23 years …

Transitional Care Interventions As Implemented By Faith Community Nurses, Deborah Jean Ziebarth

Theses and Dissertations

Hospitals are seeking innovative and efficient methods of decreasing avoidable readmissions. Despite the volume of nursing literature exploring the use of advanced practices nurses in providing transitional care, only one study mentions the use of a faith community nurse. The faith community nurse operates in the community and has the skills to provide transitional care. The purpose of this study was to describe transitional care as implemented by faith community nurses using a standardized nursing language: the Nursing Intervention Classification (NIC). A mixed method descriptive design was selected to facilitate a thorough exploration of the interventions implemented by faith community …

Relationship Between Financial Support And Retention Of Economically Disadvantaged Students In An Undergraduate Baccalaureate Nursing Program, Karen Lynn O'Brien

Theses and Dissertations

Retention in baccalaureate nursing programs has been a concern for administrators and educators for decades. The non-traditional students of the past have become the traditional students of the present and as such lead complex lives. The emerging group of students that requires more attention in nursing education research is the economically disadvantaged students. Economically disadvantaged students typically come to college less prepared for the rigors of higher education and are at-risk for leaving post-secondary education. Retention of economically disadvantaged students can potentially increase the diversity of the nursing workforce since many economically disadvantaged students also come from ethnically diverse background. …

Health In Your Hand: Assessment Of Clinicians’ Readiness To Adopt Mhealth Into Rural Patient Care, Bryan Weichelt

Theses and Dissertations

Introduction: Technology is as much rural as it is urban, but mobile health (mHealth) could have a unique impact on health and quality of life for rural populations. The adoption of mobile technologies has soared in recent decades leading to new possibilities for mHealth use. This project considers the impact of these technologies on rural populations. Specifically, it is focused on assessing the barriers of physicians and healthcare organizations to adopt mHealth into their care plans. Gaps in knowledge exist in assessing organizational readiness for mHealth adoption, the use of patient-reported data, and the impact on rural healthcare. This project …

Age-Associated B Cell And T Helper Cell Dysfunction In Rhesus Macaques, Evan Knox Stalvig

Theses and Dissertations

The immune system undergoes drastic changes as we age, known as immunosenescence. An example of this is the dysfunction and subpopulation distribution changes of immune cells. Due to immunosenescence, the elderly have a higher risk of complications and rapid progression of new challenges to the immune system, including human immunodeficiency virus (HIV). In an effort to determine the mechanism of dysfunction of humoral immunity due to age, I compared B cell and T cell responses to non-specific, mitogenic stimuli between aged and young adult rhesus macaque peripheral blood mononuclear cells (PBMCs). Analysis by flow cytometry revealed several differences in B …

Coding Strategies For Cochlear Implants Under Adverse Environments, Qudsia Tahmina

Theses and Dissertations

Cochlear implants are electronic prosthetic devices that restores partial hearing in patients with severe to profound hearing loss. Although most coding strategies have significantly improved the perception of speech in quite listening conditions, there remains limitations on speech perception under adverse environments such as in background noise, reverberation and band-limited channels, and we propose strategies that improve the intelligibility of speech transmitted over the telephone networks, reverberated speech and speech in the presence of background noise. For telephone processed speech, we propose to examine the effects of adding low-frequency and high- frequency information to the band-limited telephone speech. Four listening …

Three Essays On Public Policy And Health, Darin F. Ullman

Theses and Dissertations

This dissertation consists of three chapters. My first chapter examines the effect of mandatory first time offender ignition interlock laws. Specifically, I use difference in difference techniques to estimate the effect of the laws on alcohol related fatal accidents. I also discuss and link behavioral models of deterrence and incapacitation to the results, so that finding can easily be interpreted. Results of the study provide pivotal policy relevant information that are essential to maximizing public health and reducing dangerous alcohol related crashes. In particular, results show that states which adopt legislation that requires mandatory participation of first time offenders in …

Effects Of Drift, Selection And Gene Flow On Immune Genes In Prairie Grouse, Zachary Bateson

Theses and Dissertations

Fragmentation of natural habitats is related to population decline in many species. The resulting small and isolated populations are expected to lose genetic variation at a rapid rate, which reduces the ability to adapt to environmental change. One concern is that small populations are more susceptible to emerging pathogens due to the loss of variation at immune genes. My dissertation examined the relative effects of gene flow, genetic drift and selection on immune genes in prairie-chickens (Tympanuchus cupido), a species that has undergone drastic population declines across their range. In the first chapter, I examined how artificial gene flow through …

The Effectiveness, Efficiency, And Appeal Of Pediatric Echocardiography Protocol Training For First Year Pediatric Cardiology Fellows, Lynne M. Brown

Theses and Dissertations

Echocardiography training for pediatric cardiology fellows is complex and academic hospitals strive to provide high-quality training using limited resources. The purpose of this embedded single case study design was to evaluate the effectiveness, efficiency, and appeal of a newly developed 10-day echocardiography protocol learning module for first year pediatric cardiology fellows. Using blended learning methods that included didactic lectures, online learning activities, and interactive games, the learning module was the first step in the process of training pediatric cardiology fellows to perform echocardiograms independently with limited supervision during their first year of fellowship. At the end of the 10-day module, …

Exploring Interactive Survivorship Plans: Patient Perceived Value, Acceptance And Usability Evaluation Of An Online Breast Cancer Survivorship Tool, Akshat Kapoor

Theses and Dissertations

Introduction: Having recently been discharged from the hospital, several breast cancer survivors find themselves unable to adjust to the transition and take charge of their own health, away from the confines of the hospital.

With the rapid advancement in treatment methods and techniques, the rate of breast cancer survivors has grown exponentially. It is crucial to provide adequate means to support cancer survivors in an active manner. This includes regular monitoring for recurrence (or occurrence of new cancers), handling any related and non-related comorbidities, provide recommendations for preventive care as well as dealing with any long term side effects from …