Doctoral Papers
This collection contains doctoral papers and dissertations that have been previously un-disseminated, cataloged in university library/repository collections and/or that have appeared in the ProQuest database. These items have not gone through the Sigma Repository’s peer-review process, but have been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
The Sigma Repository has received express permission from the authors as copyright holders to post the items in this collection, or the authors have self-submitted. Copyright remains vested with the authors.
The views, research findings, and opinions expressed in these materials are not necessarily held or endorsed by the Honor Society of Nursing, Sigma Theta Tau International, or the Sigma Repository.
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Neither the Honor Society of Nursing, Sigma Theta Tau International or the Sigma Repository guarantees, warrants, or endorses any research or other materials posted in the Henderson Repository, nor do they guarantee any claim made by the authors of such research or materials.
Copyright remains vested with the author(s).
Recent Submissions
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Biomarker circadian rhythm profiles in critically ill mechanically ventilated patients
Objective: To explore the natural trajectory of core body temperature (CBT) and cortisol (CORT) circadian rhythms in mechanically ventilated intensive care unit (MV ICU) patients. Design: Prospective, observational, ... -
The development and validation of a tool to measure self-confidence and anxiety in nursing students while making clinical decisions
Clinical decision making (CDM) is a cornerstone skill for nurses. Self-confidence and anxiety are two affective influences that impact the learning and adeptness of CDM. Currently, no instruments exist that measure perceived ... -
Being a constant presence in a sea of change: The lived experience of vigil keeping for a family member at end of life
An end-of-life vigil is the act of being with another towards death. A family vigil is a phenomenon that occurs when one or more significant others gather by the bedside of a family member in the weeks, days, or hours prior ... -
An exploratory study on the barriers to pediatric palliative care programs and their relationships to funding
Barriers to reimbursement for end-of-life care are systemic throughout the United States. The 2003 Institute of Medicine’s (lOM) report. When Children Die: Improving Palliative and End-of-Life Care for Children and Families, ... -
Implementing a standardized nutrition protocol to enhance the nutritional health of pediatric oncology patients in the ambulatory care setting
Background: It is estimated that 11,060 children in the United States, under the age of 15, will be diagnosed with cancer in 2019 (American Cancer Society, 2019). Malnutrition, a common consequence of the disease and its ... -
The lived experience of higher education for Irish post-registration nursing students: A phenomenological study
The aim of this study was to explore Irish post-registration nurses’ experiences of higher education nursing programmes in terms of influences on their motives to engage and their participation in such programmes. The study ... -
Factors influencing Latino/Hispanic caregivers' perception of the experience of caring for a relative with Alzheimer's Disease
CONTEXT: The role that culture and language has on a person’s perception of the caregiving experience has not been explored. Neither have appropriate instruments been developed to explore the concept of burden that are ... -
Teaching the spiritual dimension of nursing care: A survey of associate degree nursing programs in the southeast United States
Spirituality is a subject which is often neglected in nursing education. The purpose of this study was to determine associate degree nursing faculty’s perception of their ability to teach the spiritual dimension in the ... -
The relationship among school playground design and conditions and physical activity levels in children
Almost 20% of children aged 6 to 11 years are obese in the United States, tripling over the last ten years. The rise in childhood obesity challenges nurses in their efforts to improve community health and sustainability. ... -
Contributions of three nursing leaders to the development of registered nursing education in Jamaica, 1946–1986
The historical research design is used to document the contributions that Misses Ruth Nita Barrow, Gertrude Hildegarde Swaby and Julie Symes made in advancing the status of professional nursing education in Jamaica, between ... -
The impact of debriefing sessions following viewing of recorded high fidelity simulation scenarios on knowledge acquisition, self-confidence, and satisfaction: A quasi-experimental study
The role of the nurse educator is complex and it is imperative that educators design pertinent learning activities including implementation of innovative teaching strategies while using the latest pedagogical techniques, ... -
Psychometric evaluation of a new pressure ulcer skin risk assessment scale for the pediatric burn patient
Prevention of pressure ulcers is a primary goal in nursing practice, and achievement implies excellence in clinical care. One component of prevention is to understand the risk for pressure ulcer development. The benefit ... -
Cultural competence and racist attitudes of direct patient care registered nurses in a Midwestern state
Racism has been implicated as one of the causes of health disparities in non-White population groups in the United States. The purpose of this study was to explore and describe cultural competence and racist attitudes of ... -
The relationship of self-efficacy, social support, self-esteem, and hope with sex related health promotion behaviors in HIV-infected and uninfected women
The Sex Related Health Promotion Behaviors Model (SRHPBM), suggesting a positive relationship between self-efficacy, social support, self esteem, hope, and sex related health promotion behaviors, was used in this descriptive ... -
The lived experience of non-degreed learners from a time modified traditional baccalaureate in nursing program
By the year 2016, it is projected that a million new and replacement nurses will be needed throughout the United States. The traditional 4-year baccalaureate program alone cannot adequately sustain this demand. The immediacy ... -
Deciding to engage in advance care planning: A comparison of participants' experiences
Advance care planning (ACP) is a dynamic decision-making process that assists people to construct and communicate their preferences for end of life care. Two decades of research have shown that when preferences are not ... -
Factors associated with peer violence among elementary, middle and high school students
The purpose of this study was to examine the relationships among perceived school climate, self-reported psychosomatic symptoms, visits to the school nurse for reported psychosomatic symptoms and reports of bullying behaviors ... -
Predictors of success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN) in a traditional baccalaureate nursing program: A descriptive study
A major issue for most nursing programs is how to produce graduates who will be successful in the program and on the NCLEX-RN. Providing an optimal undergraduate education is made more difficult by issues such as limited ... -
Trying something new: Understanding the common practices of reforming nursing education
What are the common reforming practices of teachers when they reform nursing education? How is cultivating thinking an important reforming practice in nursing education that moves beyond teaching “critical thinking?” Do ... -
Nurses, philanthropies, and governments: The public mission of Chilean nursing 1900–1945
This dissertation examines the role of nurses in Chile during the transformation of the health care system from charitable benevolence to duty of the state. The first secular nurses trained to assist physicians in 1902 and ...
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