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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Oral care practice guidelines for the care-dependent hospitalized adult outside of the intensive care unit setting
Many nurses lack evidence-based knowledge to deliver appropriate oral care, view oral care in the care-dependent patient as a comfort measure, and give it a low clinical priority. An estimated 44%-65% of hospitalized ... -
Factors affecting health promotion behaviors among Korean immigrant women at midlife
There are many areas of women's health at midlife in which little is known, such as their health promotion practices and the subsequent effects on their health and longevity. The purpose of this study was to describe the ... -
Evidence-based clinical guidelines and their impact on prevention of catheter related blood stream infections
The growing concern for hospital-acquired infections in healthcare has stimulated the development of evidence based practice guidelines. Healthcare institutions across the United States are increasing their focus on the ... -
A grounded theory of directors' of nursing perceptions on caring: Post-Francis paradoxes
This study explores the perceptions of Directors of Nursing from NHS acute Trusts in England, on caring practices. The aspiration of the NHS is to deliver good care to patients and their families. The NHS constitution ... -
The moderating effect of religion on death distress and quality of life among Christian cancer patients in the United States with Muslim cancer patients in Saudi Arabia
Cancer is an illness that knows no international boundaries. There are more than eight million global cancer deaths each year. A life-threatening diagnosis generates significant emotional problems for many patients across ... -
The experience of living with hypertension: Lessons from a cohort of older men
Background: Poor adherence to treatment and poorly controlled hypertension are common in older men, especially in rural areas. Knowledge about the experience of living with hypertension among older men is important for ... -
An educational initiative to prevent unnecessary hospitalization for hospice patients
Avoidable hospitalizations of hospice patients cost Medicare $3 billion a year. When hospice nurses are able to identify early signs and symptoms of acute illness and provide appropriate interventions to prevent such ... -
Contextual factors influencing the acute care registered nurse's response to clinical alarms
Nurses are faced with a multitude of clinical alarms on a daily basis. There is an inherent expectation that upon hearing an alarm the nurse will immediately respond to assess the situation and initiate appropriate action ... -
Exploring the relationships between and among registered nurses' spiritual well-being, spiritual care perspectives, and their provision of spiritual care in acute care settings
Despite acknowledgment that spiritual care is an essential aspect of holistic nursing care, nurses often feel ill-prepared for, uncomfortable with, and uncertain about providing spiritual care. Studies have indicated that ... -
Fatigue and co-occurring symptoms in women with irritable bowel syndrome
Irritable bowel syndrome (IBS) is one of the most common bowel disorders. It is characterized by symptoms of abdominal discomfort or pain that are associated with changes in bowel habits such as diarrhea or constipation. ... -
An outcome evaluation of an evidenced-based leadership framework on nursing retention in a tertiary medical center
An evidence-based leadership (EBL) framework is an intervention designed to facilitate organizational changes such as the reduction of nursing turnover and the improvement of nursing job enjoyment. This project provides ... -
Prostate cancer screening survey among African-Americans and their partners
Problem and Significance: Prostate cancer (PC) is a potentially deadly disease that causes increased mortality rates in African-Americans. According to the American Cancer Society, prostate cancer occurs more frequently ... -
Automated medication dispensing cabinet and medication errors
The number of deaths due to medical errors in hospitals ranges from 44,000 to 98,000 yearly. More than 7,000 of these deaths have taken place due to medication errors. This project evaluated the implementation of an automated ... -
Minorities in nursing: The experience of incivility in nursing education
The aim of this phenomenological study was to explore the lived experiences of minority nursing students with nursing faculty’s incivility. Six students of varied ethnicity participated in the study. The guiding theoretical ... -
Nutritional management of the extremely low birth weight infant: An evidence based clinical practice guideline
Premature birth has risen steadily over the last decade resulting in an increased number of infants needing neonatal intensive care. The demand for neonatal intensive care has lead to many improvements in the delivery of ... -
The meaning of grieving for families living with AIDS
The purpose of this nursing study, guided by Parse's human becoming theory, was to investigate the meaning of grieving for families living with AIDS. Parse's research methodology was used to uncover the meaning of grieving ... -
Attitudinal barriers to cancer pain management in Iceland
Attitudes about pain among patients, their family members and the lay-public can be barriers to cancer pain management. The aim of this dissertation was to evaluate attitudinal barriers to cancer-pain management in the ... -
Brain-based learning principles applied to the teaching of basic cardiac code to associate degree nursing students using the Human Patient Simulator
Neurobiology research has enhanced our knowledge about the brain, and subsequently learning. This perspective is revolutionizing education. New teaching strategies are being developed with learning as the focus. Nurse ... -
Academic success factors influencing linguistically diverse and native English speaking associate degree nursing students
To address the healthcare needs of vulnerable populations, nursing educators should evaluate educational preparedness and identify which factors influence a successive academic trajectory in nursing school. A prospective ... -
Predictors of unprotected sex for teens at pregnancy testing
This study explored factors which predict unprotected sexual activity in adolescent females. Three hundred and five teens completed a self-report questionnaire at the time of a pregnancy test; the paper and pencil items ...