Theses and Dissertations at Montana State University (MSU)
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Item Implementation of a mental health pre-visit process in a rural primary care clinic: a quality improvement project(Montana State University - Bozeman, College of Nursing, 2024) Kaufman, Tori Rae; Chairperson, Graduate Committee: Jamie M. Besel; This is a manuscript style paper that includes co-authored chapters.Background: United States rural residents have limited access to mental healthcare. Nearly half of Montana's population is designated rural. Maximizing resources in resource-deficient regions requires creative strategies and process implementation to streamline workflow to achieve sufficient care. Local Problem: A rural Eastern Montana primary clinic has attempted to address its rural community's limited mental health resources by employing a psychologist. There is no new mental health patient pre-visit process at the project site. The purpose of the project was to implement a pre-visit process to improve the psychologist's ability to effectively care for the patient population. Methods: The Iowa Model Revised guided this quality improvement (QI) project. Process changes evaluations occurred at week three, week six, and postintervention. Interventions: A new mental health patient pre-visit process and packet were created, including a standardized Mental Health History Questionnaire (MHHQ). Educational in-services and staff completion checklists were performed to promote adherence to the process change. Results: The project goals were achieved: 95% of the new mental health patient pre-visit packets were mailed within two days of referral acceptance, 75% of new mental health patients returned their MHHQs, and 100% of staff reviewed and signed the new mental health patient pre-visit process. Conclusion: The project improved the psychologist and staff's new mental health patient workflow process. The psychologist noted an increase in patient preparedness and satisfaction, a decrease in time to diagnosis/treatment, and a slight decrease in the initial mental health evaluation duration.Item Illuminating dynamic phenomena within organic microstructures with time resolved broadband microscopies(Montana State University - Bozeman, College of Letters & Science, 2024) Hollinbeck, Skyler Robert; Chairperson, Graduate Committee: Erik Grumstrup; This is a manuscript style paper that includes co-authored chapters.Materials derived from organic chromophore subunits are currently at the forefront of academic and industrial interest. This strong interest is driven in part by the tunability of their extant properties through engineering of both the intra-molecular and inter-molecular structure. The structure of organic materials affects optoelectronic properties because organic chromophores are sensitive to dipole-dipole and charge-transfer coupling interactions. This sensitivity presents both opportunities for tuning functional properties through designing specific packing geometries, and liabilities arising from the disruptive effects of structural disorder. Many organic materials are built from weak noncovalent interactions between chromophores, leading solid-state deposition, and crystallization to be susceptible to microscopic variations in environmental conditions. Structural heterogeneity is regularly intrinsic to organic materials, and even self-assembled systems of covalently linked chromophores exhibit defects. Ergo, in order to disentangle the effects of structural heterogeneity from the inherent properties of the material, the study of organic materials must be anchored with techniques that are capable of correlating optoelectronic properties and excited state evolution with microscale morphological characteristics. We have employed broadband pump-probe microscopies, in conjunction with steady-state and time resolved fluorescence techniques, to examine the effects of structure and coupling on excited state dynamics in solid-state organic microstructures. The study of perylene diimide (PDI) materials revealed that kinetically trapping PDI (KT-PDI) enhanced long-range ordering and led to distinct excited state evolution, delocalized charge-transfer states and long-lived charge separated species. In the MOF PCN-222, excitation energy dependent excited state behavior was observed. Pumping the first excited state (Q-band) led to immobile excited states that were relatively unaffected by local defect densities, whereas pumping the second excited state (Soret-band) led to mobile subdiffusive excited state species whose lifetimes are significantly impacted by morphologically correlated defect sites. Finally, we present progress made toward the construction and utilization of a frequency modulated-femtosecond stimulated Raman microscope, yielding spectra that resolve the location of photoinduced anion formation in KT-PDI. The work presented herein highlights broadband time-resolved microscopy as a potent tool for studying the structure-function relationship and photophysical behavior in molecular solids, deepening our understanding of how structural characteristics influence excited state evolution.Item Jaws: a love story(Montana State University - Bozeman, College of Arts & Architecture, 2024) Kemp, Morgan Markley; Chairperson, Graduate Committee: Jim ZimpelApproximately 100 million sharks are killed per year due to finning, fishing, and beauty industries. The destruction of a critical apex predator has been overlooked due to a lack of empathy for the venerable creature. This is due to the negative impacts from the film Jaws and the subsequent rise in fear mongering media that has created a false persona that sharks are blood-thirsty man-eating monsters meant to be feared and worthy of defeat. In order to generate positive change to save sharks, the populations perception of what sharks are must be changed. By creating a body of artwork inspired by the true beauty of sharks, fearful opinions of sharks can be exchanged for respect and admiration. Subtilities of the atrocities afflicting sharks can be introduced in a palatable way resulting in empathy that can enact real change for shark conservation.Item Prairie gothic(Montana State University - Bozeman, College of Arts & Architecture, 2024) Hedge, Kristen Marie; Chairperson, Graduate Committee: Jeremy HatchPrairie Gothic is my understanding of how I have been shaped by experiences of grief and mourning, informed by aesthetics of the Midwest and Western landscape. My research is based on mourning adornment and dress from the Victorian period (approx. 1820-1914), and its impact on Midwest and Western American culture from the perspective of the working class. As the customs surrounding mourning were extravagant in every way, the typical working-class person could not afford to express their love and mourn with gold, diamonds and silk. The objects I have come across in my research express a kind of sentimentality that allows people to express and contain their grief in these objects as a form of art. Everyday materials that are typically overlooked can become reliquaries containing memories and information about the deceased. It is these materials that I used in my work to highlight the importance of family and love.Item Pain management of buprenorphine patients in the perioperative setting(Montana State University - Bozeman, College of Nursing, 2024) Hildner, Kate Ella; Chairperson, Graduate Committee: Julie Ruff; This is a manuscript style paper that includes co-authored chapters.Background: Buprenorphine is an FDA-approved medication for the treatment of opioid use disorder and a useful tool in helping patients recover from opioid addiction. Due to the mechanism of action of buprenorphine on opioid receptors, treatment of acute pain in the perioperative setting can be challenging. Local problem: At the facility site, buprenorphine patients who present for surgery have a longer average length of stay in the post-anesthesia care unit (PACU). Nurses also expressed a need for further education and increased proficiency in caring for buprenorphine patients. Methods: The purpose of this project was to increase staff communication, provide specific education to staff about buprenorphine, and decrease the length of stay for buprenorphine patients in the PACU. Interventions: This project involved the implementation of three interventions. The first intervention involved adding chart documentation of buprenorphine status, allowing for notification to the operating room and PACU staff. The second intervention was the initiation of improved communication between the preoperative department and the PACU. The third intervention was an educational presentation and reference sheet that was provided to the PACU staff. Results: After implementation, 80% of buprenorphine patients had a note in their chart alerting the OR and PACU staff of their buprenorphine status, however direct communication between departments only occurred for 20% of patients. 100% of PACU staff nurses reported increased proficiency in caring for buprenorphine patients after education implementation. Conclusion: The QI project resulted in increased staff proficiency and interdepartmental communication, indicating improved care for buprenorphine patients in the perioperative setting.Item Impacts of forest mortality on streamflow in whitebark pine forests within the greater Yellowstone ecosystem(Montana State University - Bozeman, College of Letters & Science, 2024) Rautu, Teodora Stefana; Co-chairs, Graduate Committee: Brian V. Smithers and Danielle E. M. UlrichIncreasing forest mortality across the western U.S. raises concerns about its impact on streamflow. The hydrologic role of whitebark pine (Pinus albicaulis Engelm.) is of particular interest given its ongoing decline and prevalence at the upper treeline where precipitation is highest. Understanding the link between disturbed whitebark pine forests and streamflow is essential for better informing water resource management. In Chapter One, I investigated streamflow changes in two Wyoming whitebark pine watersheds: Upper Wind River (53% area affected by beetle outbreak) and Buffalo Fork (53% area affected by beetle outbreak and fire). Streamflow significantly increased post-beetle for Upper Wind River but did not significantly change post-disturbance for Buffalo Fork, attributed to the fire's limited spatial extent and post- beetle effects potentially occurring in the pre-disturbance period. In Chapter Two, I integrated Leaf Area Index into a hydrologic model to reflect changing canopy conditions and assessed water balance variables that drove the observed changes in streamflow in Chapter One. I found that an increase in annual precipitation primarily led to the increase in observed streamflow more so than forest mortality, and snowpack and snowmelt were consistent predictors of streamflow metrics. My findings suggest monitoring snow dynamics for accurate real-time and future streamflow forecasting. In Chapter Three, I used streamflow field data and the same hydrologic model to assess the impact of increasing tree mortality on streamflow within a whitebark pine- dominated watershed in Big Sky, Montana. After simulating mortality levels ranging from 0-90% for one year, tree mortality did not substantially impact streamflow until the 90% mortality level where annual flow and late summer flow substantially increased. Considering that mortality levels between 25-50% are more representative of whitebark pine mortality in one year, the lack of substantial impacts on snowpack and streamflow at the 25-50% mortality levels challenges the traditional assumption that whitebark pine mortality would lead to reduced snowpack and reduced late summer flow in open watersheds with 30% forest cover. Future studies should assess the multi-decade impacts of whitebark pine mortality on hydrologic processes and consider species differences in evapotranspiration as other subalpine species replace whitebark pine.Item Ani(Montana State University - Bozeman, College of Arts & Architecture, 2024) Gorham, Olivia Marie; Chairperson, Graduate Committee: Jennifer BolesThis film and accompanying paper thesis delve into the intricacies of life within a nunnery amidst the landscapes of the Himalayas. Through the lens of sensory ethnography and observational filmmaking, the project offers a nuanced portrait of the daily rituals, spiritual practices, and communal relationships that define the existence of the nuns within this remote sanctuary. Employing asynchronous sound and poetic filmmaking techniques, the project reassesses traditional documentary conventions, aiming to evoke a visceral and immersive experience for the audience. As viewers exist within the nunnery's spaces, they are enveloped by the resonant chants of prayers, the whispers of mountain winds, and the rustle of prayer flags, inviting them into a state of contemplation and introspection. Drawing on extended periods of intimate engagement with the space, the film captures moments of quiet reflection, collective meditation, and acts of devotion that speak to the rhythms of monastic life. Through lingering shots and evocative compositions, it seeks to convey not only the outward manifestations of religious practice but also the inner landscapes of the relationships between the nuns and their environment. In tandem with the film, the accompanying thesis paper provides a theoretical framework for understanding the methodological and aesthetic choices underlying the project. It explores the intersection of sensory ethnography, observational filmmaking, and poetic representation, arguing for their collective potential to convey the complex dimensions of lived experience. Ultimately, Ani invites viewers to contemplate assumption, relationality, and human curiosity.Item Alone in the West with a portrait of art history(Montana State University - Bozeman, College of Arts & Architecture, 2024) Krause, Nicholas O'Brien; Chairperson, Graduate Committee: Rollin BeamishHow do we find our place in the historical narrative of art on the vast continuum of human creativity? Art is a reflection and director of culture that embodies historic movements and fundamental principles that enable us to see a continuity and a relationship to humanity over the centuries. To understand our place in the historical canon we must reflect on the past to evaluate our current situation. We draw from the past to inform our understanding of art and culture to take responsibility for the direction of art in the future. To do this we must find a relationship to the aesthetics of historical, cultural movements and investigate the ideas and processes of different ages, to see how we can relate to them, and figure out how to represent the expanding collection of culture and art going forward.Item None of it is true, all of it is real(Montana State University - Bozeman, College of Arts & Architecture, 2024) Godfrey, Tiana Alyse; Chairperson, Graduate Committee: Rollin BeamishTruth relies on objectivity, but we are not capable of objectivity. In contrast, reality is subjective. With this in mind, I begin with the position that truth cannot be understood as anything other than a person's reality. In other words, objectivity can only be experienced subjectively. Through my art, I try to explore the objective subjective and subjective objective, and play with this paradox. For this thesis, I specifically discuss how I believe I have found an interesting paradoxical playground through painting an immediate image of what is credibly an objective place, while being cognizant of what felt true to me within that shared place.Item Superintendent efficacy and addressing community needs(Montana State University - Bozeman, College of Education, Health & Human Development, 2024) Kirchner, Derek Lee; Chairperson, Graduate Committee: Tena VerslandThe purpose of this intrinsic case study was to explore how a self-efficacious superintendent mitigates the challenges of addressing community needs. In previous literature on community dissatisfaction, superintendents who have neglected the needs of community members have lost their jobs. Despite being trained for and required to demonstrate knowledge on ways to identify and address the needs of the school district community, many superintendents fall short and end up being removed from their positions by the school board and community. Self-Efficacy theory postulates that individuals with a high degree of efficacy for their jobs seek out and are more receptive to innovations within their workplaces. This research study utilized a document review of school board meeting minutes, public voting data, and superintendent correspondence to determine instances of community needs. This information was utilized to conduct semiformal interviews with a superintendent to explore strategies he used to address needs in the community. The results of the document revealed that dissatisfaction occurred around four events: the Cougar's Cave playground structure, the Economic Development District, the High School project, and COVID-19. The analysis of the interviews indicated that the superintendent employed three strategies to mitigate community dissatisfaction: Developed a Culture of Learning within the District, Involved the Community, and Built Relationships. The strategies in this research echo what has already been written regarding successful superintendent leadership. Conclusions drawn from this project include the idea that both the superintendent and the school board should research each other prior to offering and accepting employment in a district to ensure superintendent skillsets match district needs. A second conclusion is the superintendent should develop a strong relationship with the school board but should remain open to feedback and concerns from the community. A final conclusion drawn from the research is that the superintendent should selectively choose mentors and be receptive to their advice.