Disputes between patients and providers regarding life-sustaining medical treatment (LSMT) are universal across all U.S. states, yet policies regarding these disputes differ significantly. This dissertation determines that all 50 states have advance directive laws that protect a patient’s right to refuse LSMT even when a healthcare provider objects, yet only some states have policies that protect the patient’s right to choose to continue LSMT when a healthcare provider objects (a dispute known as medical futility). Some states have pro-patient laws that protect the patient’s right to make the final decision, while other states have enacted pro-provider medical futility policies that explicitly grant the provider authority to remove LSMT against the patient’s wishes. Finally, in one state, the law delegates the final decision to a third-party: institutional healthcare ethics committees. This dissertation studies the innovation and adoption of these 17 state medical futility policies, examining the theory that values determine both whether the state adopts a medical futility policy as well as what type of medical futility policy a state will adopt- as the policy actors that represent these values: policy entrepreneurs and interest groups. A comparative case study of successful third-party policy adoption in Texas contrasted against a failed effort …

The Turkish National Police (TNP) peacekeeping officers experience poor knowledge-sharing practices before, during, and after their tours of duty at the United Nations (UN) field missions, thus causing knowledge loss. The study aims to reveal the current knowledge-sharing practices of the TNP peacekeeping officers and proposes a knowledge-sharing system to share knowledge effectively. It also examines how applicable the knowledge management models are for their knowledge-sharing practices. In order to gain a better understanding about the knowledge-sharing practices of TNP officers, the researcher used a qualitative research method in this study. The researcher used semi-structured interviews in data collection. The participants were selected based on the non-probability and purposive sampling method. Content analysis and constant comparison was performed in the data analysis process. The most important knowledge sources of the peacekeeping officers are their colleagues, the Internet, and email groups. The peacekeepers recommend writing reports, organizing training programs, conducting exit interviews, adopting best practices, and creating a knowledge depository. The study uncovers that organizational culture, hierarchy, and physical proximity are significant factors that have a vital impact on knowledge sharing. Knowledge Conversion Model is substantially applicable for the knowledge-sharing practices of the TNP peacekeeping officer.

This is an enterpretivist cultural study on how the lively idea of assessment is enacted by the art teachers, students and administrators in Denton school art education, North Texas, the United States. This ethnographic research aims to extend understanding on assessment as vivid cultural and social dynamics that both reflects and enlivens varied and interconnected values promoted and shared among the people involved. Through a perspective of the culture of assessment, this study is expected to facilitate insights on art education as lived, purposeful experience bearing suggestions on a certain social environment and historical implications. Such insights as sought further illuminate specific understandings on art education in different cultural societies, such as China. From a Chinese native viewpoint, the researcher broadens her horizons on connection and independence important for informative performance of art education in the discourses of modern nation and schooling, as well as globalization. It is hoped that this study will interest other art educators, teachers, and researchers to make multiple and continuous efforts in further exploring the culture of assessment with cultural and historical consciousness and knowledge.

Research has indicated that filial therapy, an approach in which parents conduct play sessions with their young children, has strong effects on the participating parents and children. As a result, some have speculated that filial therapy improves the family system; however, minimal research exists to support this claim. Using a single-case, time-series design, I examined the impact of child parent relationship therapy (CPRT), a filial therapy approach, on the functioning of 8 diverse families (two-parent, biological children = 4; two-parent, adopted children = 3; single-parent, biological children = 1). 15 parents and 17 children (male = 15, female = 17) participated in the study. All but 1 parent was Caucasian. The children were more ethnically diverse (Caucasian = 5, Hispanic/Caucasian = 5, Hispanic = 3, Asian = 2). Parents’ ages ranged from 29 to 49 and children’s from 2 to 13. Results from simulation modeling analyses (SMA) indicated that 6 of 7 families experienced a statistically significant improvement in their targeted areas of family functioning, and the average effect size was moderate. Results from self-reported measures indicated that 7 families experienced notable improvements in family satisfaction, 4 in cohesion, 3 in communication, and 1 in flexibility. Data from an observational …

This study sought to determine if an online course designed and delivered in Second Life can meet the needs of higher education students with dyslexia. the course design incorporated strategies from Gagne’ and Briggs’ principles of instruction, Gagnon and Collay’s constructivist learning design, Powell’s key learning needs of dyslexics, and elements of universal design. Specific design elements are discussed including screen captures from the design. the study employed a mixed methods approach incorporating an online survey, recorded observation session, and two follow up interviews. the observation session and interviews were only completed by the sample population of eight participants, which included three participants with dyslexia and five participants without dyslexia. the sample population was selected using purposeful sampling techniques to ensure the widest representation of the population with a small sample. Extensive excerpts of the sample participants’ interview responses are presented and discussed, including participants’ suggestions for improving the course design. Key findings from all three data sources are discussed. Finally, implications for instructional design and special education and suggestions for further research are presented.

The purpose of this study was two-fold: 1) to compare the effects of three different composition tasks with varying degrees of structure on pre-service music teachers’ creative self-efficacy as composers and their instructional self-efficacy as pedagogues of composition; and 2) to describe through pre-service music teachers’ talk perceptions of composition and their experiences completing the three composition tasks. Participants (N = 29) were music education majors from three different sized universities in the northern-central region of the United States. At the beginning of the study, the participants answered a researcher-design self-efficacy questionnaire that measured (a) their self-efficacy as composers and (b) their self-efficacy as teachers of composition. Next, they composed three compositions of various task structures (unstructured, poem, and rhythm). Immediately after completing each task they again completed the self-efficacy questionnaire. Statistically significant mean differences between the pre-task administration of the measuring instrument and all three composition tasks were found for the pre-service teachers’ compositional self-efficacy. Statistically significant mean differences were also found between the unstructured task and the rhythm task, but not between the rhythm and poem tasks or the unstructured and poem tasks. For the pre-service teachers’ self-efficacy as pedagogues of composition question, the results were also statistically …