Theses and Dissertations at Montana State University (MSU)
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Item Twenty-five strong: the current state and potential future of Ararahih (the Karuk language)(Montana State University - Bozeman, College of Letters & Science, 2024) Barney, Tanner Scot; Chairperson, Graduate Committee: Matthew HermanResearch on various language apps, app building, language learning, Indigenous methodologies, and American Indian law and policy has made for a sound argument to kickstart the support of a Karuk dictionary app, eventual language learning app, and Karuk data sovereignty. The purpose of this work is to take in the broad academic discussion to think critically about it and build upon it in order to determine an Indigenous methodology for language apps and raise up Karuk community language regeneration efforts. In this paper, the themes addressed include Indigenous methodologies, the influence of language in life, legal implications for Native American Tribes in the United States wishing to practice data sovereignty, developing themes in Indigenous Methodologies for language apps, discussion on both Tribal and Western language apps, and app construction. To ensure wide reception, this work is written with the intention of being discussed by Karuk scholars and community members, and the broader academic and general audience of both Native and non-Native backgrounds.Item A 3D anatomy app as a learning tool(Montana State University - Bozeman, College of Letters & Science, 2022) MacKenzie, Michael John; Chairperson, Graduate Committee: C. John GravesComplete Anatomy is a digital 3D anatomy platform that allows users to manipulate virtual human models. The purpose of this study was to determine whether the students perceived the app as useful, and how they made use of the app to help them understand anatomy and anatomical relationships. At the beginning of the semester surveys and questionnaires were conducted to determine students' initial perceptions of the app. Over the course of the semester, students were given a brief lesson on how to use the app, provided with resources within the app, and given quiz questions based on images created in the app. At the end of the semester surveys, questionnaires and interviews were again conducted to determine of students' perceptions of the app had changed, and to learn how students made use of the app. From the data gathered, students' perception of the app was positive to begin, and became slightly more positive over the course of the semester. Having a brief lesson on how to use the app, and exploring the tools available in the app made a significant difference in the students' comfort with the app. The flexibility of the app to be used when and where they wanted, and the ability to adapt the app to their current study practices were some of the app's greatest strengths according to the students. Complete Anatomy is a powerful, flexible 3D app that students perceive as useful, and in some cases even necessary. Having the ability to work at times and in ways they prefer makes it an app that benefits student learning.Item A quality improvement project to address veteran obesity(Montana State University - Bozeman, College of Nursing, 2022) Anderson, Mary Rebecca; Chairperson, Graduate Committee: Susan LuparellObesity is rising, and veterans have more risk factors than the general public. The health implications and financial burden are enormous. Established guidelines recommend weekly in-person intensive lifestyle counseling focused on diet, exercise, goal-setting, and self-monitoring. Despite referrals to free obesity management classes, few veterans choose to engage. Alternatives to these referrals include provider engagement and nurse follow-up. Research shows promising evidence that self-monitoring with the use of smart phone apps with nurse phone support results in reductions of BMI for some patients. By establishing a clinic workflow, this QI project sought to show that primary care teams can manage obesity alongside other chronic health conditions. The healthcare teams screened, assessed, and began treatment for obesity over an 8-week implementation period. Data from the pilot implementation show greater than 90% staff compliance with process measures. Provider referral rates increased 20% suggesting increased comfort with discussions about weight over time. The project demonstrated that the clinic process is feasible for staff to deliver. Future implementations can focus on patient-level outcomes, such as reduction in BMI and acceptability of the intervention to patients.Item Nurses' perceptions, barriers, and perceived need for a smartphone application guiding wound care(Montana State University - Bozeman, College of Nursing, 2014) Cottom, Nicole Lorraine; Chairperson, Graduate Committee: Karen ZulkowskiLiving and working in a rural community has many advantages and disadvantages. One disadvantage is lack of resources and specialty in the medical field. One of these specialty fields lacking in countless rural areas is wound care. In the United States, approximately 6.5 million people develop chronic wounds annually. Economically, rural health care facilities are unable to send people for training and the limited number of people in rural areas with wounds would make it difficult for a wound expert to stay current in a rapidly changing field. However, inappropriate diagnosis and treatment of these wounds can be detrimental to the patient's life and be very expensive for the healthcare system. The development of a smartphone application guiding wound management using telehealth is in progress. This easy to use software application on a smartphone would enable rural facilities to have immediate, secure access to wound experts for help with diagnosis, treatment, management, appropriate dressings, and suggestion for the need to perform additional physiologic testing. This smartphone application will only be useful if healthcare staff are willing to use it. This research evaluated nurses' perceptions, barriers, and perceived need for this advancing technology. If these barriers and perceptions can be overcome, staff may be more willing to use this tool to provide the best quality wound care to their patients.