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NURSING STAFF PARTICIPATION IN END OF LIFE NUTRITION AND HYDRATION DECISION MAKING PROCESSES IN A RURAL NURSING HOME
(East Carolina University, 2017-11-29)
Decreased or absent oral intake, common among nursing home residents nearing the end of life, often triggers decision making regarding the course of care. Residents, family members, and medical providers hold final ...
Impact of Vessel Noise on Oyster Toadfish (Opsanus tau) Behavior and Implications for Underwater Noise Management
(East Carolina University, 2017-05-03)
Underwater noise and its impacts on marine life are growing management concerns. This dissertation considers both the ecological and social concerns of underwater noise, using the oyster toadfish (Opsanus tau) as a model ...
Herstory : exploration of the lived experiences of women who were first to lead an HBCU 1994 to 2014
(East Carolina University, 2017-05-04)
There is increasing scrutiny and accountability being placed on colleges and university in American higher education. Historically black colleges and universities are not exempt from that scrutiny, and in some regards may ...
SUGAR HIGH: PSYCHOSOCIAL FACTORS OF PATIENTS WITH TYPE 2 DIABETES IN AN INTEGRATED CARE SETTING
(East Carolina University, 2017-05-03)
Type 2 diabetes (T2D) places considerable strain on patients, their families, and the healthcare system. To promote improved outcomes, it is necessary to assess psychosocial factors that impede or enhance T2D self-management. ...
Factors Associated with Self-Management in African Americans with Hypertension
(East Carolina University, 2017-05-03)
African Americans (AAs) have a higher prevalence of hypertension (HTN) and poorer health outcomes. Effective management of HTN requires pharmacology, low sodium diet (DIET), and increased physical activity (PA). Little is ...
A THREE WORLD VIEW META-EVALUATION OF INTEGRATED BEHAVIORAL HEALTH CARE
(East Carolina University, 2017-05-03)
Integrated behavioral health care (IBHC), the simultaneous interface of medical and behavioral health care, is an emerging solution for the delivery of behavioral health in primary care contexts. While significant scholarship ...
Cross-cultural Online Learning in Technical Communication Courses: Aiming for Intercultural Competence
(East Carolina University, 2017-05-03)
Teaching online in cross-cultural contexts is still a fairly new phenomenon. My research explores the impact of culture on the learners and instructors in four technical communication online courses. My study uses a ...
MODIFICATION OF CELL SURVIVAL RATES BY CERIUM OXIDE NANOPARTICLES FOR EXPOSURE TO PROTON RADIATION
(East Carolina University, 2017-05-03)
Radiation therapy is a well-established and widely used treatment for a variety of malignancies in the human body. Current radiotherapy methods most frequently use x-rays to deliver a lethal dose to tumors with sufficient ...
Role Conception in New Graduate Nurses: A Secondary Analysis
(East Carolina University, 2017-05-03)
Background: The new graduate transition to practice process affects retention, competency development, healthcare costs, quality, and assimilation into the profession. During the transition, new graduate nurses compare the ...
Exploring academic motivation between students at a two-year and a four-year institution in the southeastern region of the US by generational status : a sequential explanatory analysis
(East Carolina University, 2017-05-04)
First generation students are a growing body in the overall student population enrolling in both public two-year higher education institutions and public four-year higher education institutions in the United States; yet, ...