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Think twice about nebulizers for asthma attacks
(Family Physicians Inquiries Network, 2014)
MDIs with spacers are as effective as nebulizers for delivering beta-agonists and less likely to cause adverse effects. Practice changer: Stop ordering nebulizers to deliver beta-agonists to patients over age 2 with mild or moderate asthma...
Adolescent Sexual and Reproductive Health Services in Pediatric Primary Care
(2017)
Many pediatric primary care clinics fall short in providing comprehensive sexual and
reproductive health services to adolescent patients resulting in missed opportunities for
pregnancy prevention, delays in sexually ...
An examination of musical instrument practice among collegiate musicians
(University of Missouri--Columbia, 2021)
This dissertation consists of three projects that were designed to investigate collegiate instrumentalists' practice habits and motivation orientations. The first investigation was a review of the literature about instrumental practice strategies...
A socioecological perspective : the "ups and downs" of living with type 2 diabetes among working adults in the rural south
(University of Missouri--Columbia, 2019)
Persons with higher patient activation levels are more likely to engage in preventive health behaviors. This qualitative study addressed a population that may be particularly vulnerable to poor diabetes outcomes: rural, ...
Distress and Caregiver Appraisal in Pediatric Critical Care Unit Nurses when Withdrawing Life-Sustaining Treatment
(University of Missouri--Kansas City, 2018)
Distress, defined as anxiety, sorrow, and/or pain, among nurses is a pervasive
problem. When elevated or uncompensated, distress may contribute to deleterious
consequences for the nurse, patient outcomes, the nursing ...
Impact of the Implementation of Accountable Care Organizational Structure on Pediatric Emergency Department Visits
(2016)
In 2010, the United States was spending more per capita on healthcare than other
similar countries but did not have better outcomes and spending was increasing at an
unsustainable rate. That same year, the Patient ...
Leading in a digital age : digital leaders' impact on the professional development culture in a secondary school setting
(University of Missouri--Columbia, 2018)
The greater demand for administrators and teachers to stay current in the ever-changing world of technology and education (Cho, 2016; Merriam & Bierema, 2014), justifies the need for more effective, personalized approaches to professional...
A descriptive, cross-sectional, correlational exploration of perceived stress, quality of life, and family functioning in parents of a child with congenital heart disease: The PinCHeD Study
(2020)
Background: As survival rates for infants born with severe forms of cardiac disease improve, attention is directed to evaluating factors that affect the child’s short- and long-term outcomes, including parental stress, quality of life, and family...
Staff nurses' antimicrobial stewardship practices and performance confidence relative to patient safety culture
(University of Missouri--Columbia, 2018)
nursing leaders with allotting organizational resources and aligning their workplace culture to support nurses' role. Despite national attention on nurses' involvement in antimicrobial stewardship, there is neither research describing practices used...
Reaching digital native music majors : pedagogy for undergraduate group piano in the 21st century
(University of Missouri--Columbia, 2019)
development and (c) individual differences are importantv considerations when assisting students with adaptation processes and technology selection in group piano. These findings may transfer to other core music classes, student experiences, and practice...
Multiscale Study of the Interactions between Climate, Land Use, and Agricultural Productivity in Western Sahel: A Case Study of Chad
(2014-09-30)
This study employed an integrated approach to investigate drivers and impacts of environmental change from the 1980s to 2012 using geospatial and statistical analyses of atmospheric, climate, land use land cover, and ...
Three essays on labor economics
(University of Missouri--Columbia, 2021)
at the added worker effect in the great recession, the wife's labor market response to a husband loss of job. The second chapter investigates the impact of a wife's labor market participation on family poverty. The third chapter examines employment...
Chinese urban households' security market participation : does investment knowledge and having a long-term plan help?
(2015)
Investment in the securities markets is vital to households' wealth accumulation and financial security. Using data from the 2008 Survey of Chinese Consumer Finance and Investor Education, we found that self-assessed ...
Retention of new graduates to their first professional role: perceptions of those that have stayed
(University of Missouri–Kansas City, 2016)
There is an inability to retain new graduate nurses in their initial positions.
Patricia Benner (1984) developed the From Novice to Expert Theory of nurse
development outlining the nurses’ transition through the developmental ...
Effects of an Online Meditation-Based Intervention Compared to an Attention-Controlled Group on Chronic Pain Outcome among Nurses: A Randomized Controlled Pilot Study
(2022)
research into micro-practices as a possible effective strategy for managing chronic pain and stress among nurses....
Self-Efficacy of Undergraduate Nursing Students in Providing Culturally Competent End-of-Life Care to LGBTQ+ Patients
(2022)
in meeting the diverse cultural needs of lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ+) patients and their families, particularly regarding sensitivity to the unique challenges of this diverse population. Furthermore, culturally competent...
Modified Virtual Internal Bond Model for Concrete Subjected To Dynamic Loading
(2014)
Concrete is often used as a primary material to build protective structures. There is a wide range of research work being performed to simulate the behavior of reinforced concrete under impact and blast loading. This ...
Disciplinary Differences Between Faculty in Library Use and Perceptions
(2014-06-19)
Current literature provides little in terms of general faculty use or perceptions in relation to the library. In many institutions, liaisons reject the results and recommendations of these studies as not generalizable to ...
A critical review of narrative coherence theory for use with Congolese refugee women who are resettling in the United States
(2020)
Due to the extensive violence occurring in the Democratic Republic of the Congo over the past three decades (Cultural Orientation Resource Center, 2014), between 2008 and 2013 approximately 11,000 Congolese refugees have been resettled in the United...
Male Same-Sex Intimate Partner Violence: Syndemic Theory, Minority Stress Theory, & the Community of Protective Measures
(2015-05-28)
Intimate partner violence is an underreported, stigmatized, and deleterious reality affecting a
higher proportion of men who have sex with men (MSM) than their heterosexual
counterparts. The constructs of two theories ...