Theses and Dissertations at Montana State University (MSU)
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Item Decreased time-to-treatment delay through clinical guideline implementation for image-guided image biopsies in cancer diagnosis(Montana State University - Bozeman, College of Nursing, 2024) O'Dell, Meghan Marie; Chairperson, Graduate Committee: Molly Secor; This is a manuscript style paper that includes co-authored chapters.Background: International guidelines have been established defining the ideal period from referral to diagnosis of malignancy as two weeks. Increased time-to-treatment initiation is associated with a one to three percent increased mortality risk for each week of delayed treatment. Image-guided biopsy has emerged as a transformative tool in cancer diagnosis, impacting the rapid identification and treatment of malignancy. Clinical Problem: A rurally based oncology institute associated with a larger non-profit healthcare system in Montana identified concerns with extended time-to-treatment initiation related to delayed image-guided biopsy. The average wait time for image-guided biopsy was sixty-seven days. Methods: Utilizing the Replicating Effective Programs (REP) Implementation framework, an evidence-based clinical practice guideline was developed to define optimal referral-to-diagnosis timeframe for diagnosis or rule-out of malignancy via image-guided biopsy using the second edition of the Appraisal of Guidelines for Research and Evaluation (AGREE II) tool. Interventions: A guideline advisory committee including individuals from relevant professional groups was recruited to act as expert appraisers. Four-phase appraisal of the clinical practice guideline using the AGREE II tool took place over six weeks. The guideline was rated for overall quality based on a seven-point rating scale and appraisers were asked if they would recommend the guideline for use in the target facility. Results: The guideline received an average rating of 6.2 and was recommended for use by 100% of appraisers, with 18% recommending modifications during pre-implementation. During implementation, the guideline received an average rating of 6.7 and was recommended for use by 100 % of appraisers. The final guideline and appraisal data were presented to health system leadership and the guideline was successfully adopted into facility policy. Conclusion: Quality improvement initiatives will need to be implemented to identify and address systems-based complexities that could pose barriers to meeting the goal timeframe as defined by the guideline.Item The effects of student employment on success in college and faculty perceptions of employed students(Montana State University - Bozeman, College of Business, 1998) Dumont, Jacqueline I.; Chairperson, Graduate Committee: Norman L. MillikinStudent employment trends have many implications to administrators, educators, counselors, as well as the employers. The major purpose of this research was to study the impact of student employment on achievement and retention of MSU College of Technology post secondary students in Great Falls. The secondary purpose was to assess the perceptions of MSU College of Technology instructors in regard to employment. Is there conflict between teachers' academic priority and the students' work priorities? The students at MSU College of Technology are changing. The typical student is over 30, female, single and working. The majority of students have responsibilities of work, family and school. The college needs to be proactive in determining and meeting the needs of this new student population. Of the students who are at risk, 16% have considered quitting, 11 % have dropped a class, and 10% are not confident in their success at college. The review of the literature indicated that employment is a determining factor in student retention and academic success. The results of the survey indicate that more than work, motivation and organization are the determining factor in student success. Respondents who worked tended to be more efficient In managing their time and setting priorities. Also, as the number of hours worked increased, GPA tended to increase also. A majority of students are working in related employment that allows them to use the skills acquired at college.Item The effects of explicitly teaching metacognitive techniques in a college level human biology class(Montana State University - Bozeman, Graduate School, 2014) Lords, Quincie R.; Chairperson, Graduate Committee: Peggy Taylor.The success rate for Basic Human Biology at Great Falls College - MSU has been declining the last three years. While reflecting on possible reasons for the decline, I narrowed it down to the three most common reasons students seek my help during office hours. These were difficulty with note taking, poor time management and failure to learn from errors. This project evaluated the effect of teaching metacognitive strategies on academic performance, self-efficacy, and ability of students to select appropriate metacognitive strategies. Students were taught time management and study strategies along with reflection activities. Data collection for this project included surveys, interviews, field notes, and exam scores. The results indicated that note taking, study skills and time management improved. Self-efficacy remained the same while academic performance results were inconclusive. The positive outcomes from this project have encouraged me to continue implementing these strategies.Item Agricultural educators' time usage in different quality programs in seven western states(Montana State University - Bozeman, College of Agriculture, 1996) Violett, Randall Dean