Digital Commons Network^™

Tiktok And Self-Diagnosing Mental Illnesses: Perceived Reliability Factors, Vulnerabilities, And Dangers, Micah Moulder

Undergraduate Honors Theses

TikTok’s popularity and ease of use with short-term consumption allow for greater access to online information. However, this information is not regulated nor fact-checked. Therefore, many users can acquire and spread the wrong messages, behaviors, and ideas surrounding mental illness. The purpose of this research was to examine the effects and factors of TikTok on self-diagnosing mental illnesses. A large literature was conducted to examine the effects of social media and the harms of self-diagnosing on users. Two studies were then developed and administered to determine the relationship between self-diagnosing and TikTok. Correlations, t-tests, and descriptive statistics were used to …

Rhetorical Demagoguery: An Exploration Of Trump’S And Hitler’S Rise To Power, Tanner Horne

Undergraduate Honors Theses

While many scholars have examined the rhetoric of President Donald Trump and Adolf Hitler individually, there is a void of scholarly work that highlights the similarities between the two leaders’ use of grandiloquent language to stoke the passions of their perspective nations. In the past one hundred years, rhetoric and propaganda have been employed to push political agendas that are divisive and dangerous. Trump’s incendiary vocabulary–“enemy of the people,” “vermin,” “retribution,” etc., employed frequently throughout his campaign and presidency, in many ways echoes Hitler's speeches and declarations. While their political strategies ultimately differed greatly, a close analysis of their speeches, …

From Heel To Toe: Investigating Plantar Fasciitis Causes, Diagnosis, And Treatment Strategies, Breanna Littlejohn

Undergraduate Honors Theses

This presentation informs plantar fasciitis patients. The cause of plantar fasciitis is multifactorial but most cases result from overuse stress. The cause of plantar fasciitis is multifactorial but most cases result from overuse stress. The classic presentation is of sharp localized pain at the heel. In some cases, a heel spur may be found. This presentation explains how exercise can improve plantar fasciitis. Reviewing risk factors will help you identify and manage plantar fasciitis when undergoing treatment. Understanding plantar fasciitis is crucial as it is a common and painful condition affecting the bottom of the foot. This inflammation of the …

Food Allergies, The Immune Response, And Preventative Treatments: Milk, Egg, And Shellfish Allergies, Marissa Dimatteo

Undergraduate Honors Theses

Food allergies have been an increasing concern worldwide with very little information on preventative measures and treatment. They can have long lasting and life-threatening consequences with a wide range of symptoms from hives to anaphylactic shock. Long recommended feeding guidelines, vitamin and mineral deficiencies, and gastrointestinal alterations are thought to play a role in the increase in food allergies in infants. Early introduction of food, immunotherapy, and a properly supported gut microbiome have been recommended to decrease the likelihood of developing a food allergy and desensitizing the immune system.

Sars-Cov-2 Infectivity, And Interaction With Ace2 In The Human Oral Cavity: A Comprehensive Study, Blake Joseph Henkel

Undergraduate Honors Theses

The oral cavity has the ability to transport infections throughout the body and be infected by bacteria, fungi, protozoa, and viruses, including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is the virus that led to the most recent pandemic. SARS-CoV-2 has unique ways of interacting with the human body to infect individuals, which has led researchers and scientists to have limited knowledge on its long-term impact on human health. However, there are ways to identify various oral cavity infections and prevent infection now and in the future. Many studies have been conducted in an attempt to understand the body’s …

Impact Of Administrative Support On Staff Mental Health, Crystal L. Capps

Doctor of Education Dissertations

The purpose of this mixed methods study was to examine the impact of administrative support on staff mental health. Research questions were created for this research study and were investigated throughout its design and implementation. This research study involved participation from three district-approved schools: one elementary, one middle, and one high school in eastern North Carolina. Two surveys were designed, one for educators and one for administrators. Once the research was completed, the data were analyzed for key themes regarding how mental health affects educators in the classroom. Themes were identified to determine the impact of administrative support on staff …

The Impact Of The Science Of Reading Required Training On The Reading Proficiency Levels Of Third-Grade African American Male Students, Tonya Campbell

Doctor of Education Dissertations

Proficiency in reading is an essential skill for achieving success in the modern era, and African American students have struggled with reading due to insufficient support during literacy instruction. Through the implementation of the Science of Reading™ course, this research aimed to examine the effect of the Language Essentials for Teachers of Reading and Spelling (LETRS™) curriculum on the success of African American third-grade males based on the South Carolina College- and Career-Ready (SC READY™) summative assessments and Northwest Academic Evaluation Measures of Academic Progress (NWEA MAP™) data. This study followed the year before LETRS™ was introduced (2019), the 2 …

A Qualitative Case Study Of The Influence Of Cognitive Coaching On Elementary International Teachers In A Southeastern School District, Dawn L. Scott

Doctor of Education Dissertations

This dissertation presents a qualitative case study investigating the influence of cognitive coaching on elementary international teachers within a southeastern school district. Guided by four research questions, the study delved into the experiences and perceptions of international teachers participating in cognitive coaching sessions, aiming to elucidate the influence of this professional development approach on instructional practices, classroom management, communication/language barriers, and the delivery of instruction. Through in-depth semi-structured interviews, data were collected and analyzed to address the research questions. Findings revealed that cognitive coaching strategies play a pivotal role in enhancing instructional practices, fostering effective classroom management techniques, overcoming communication/language …

A Quantitative Study Of Avid Implementation And Its Sustainability In A Small Rural South Carolina School District, Brandon Lee Dixon

Doctor of Education Dissertations

According to the content found on its website, AVID has conducted studies to evaluate the academic performance of AVID students when compared to their non-AVID peers. A distinct research endeavor was undertaken to evaluate the impact of introducing AVID Elementary within a small rural school district. This study focused on student academic achievement as measured by the South Carolina College and Career Readiness (SCREADY) assessments. This study also examined the effects of attending AVID Elementary schools as students transition to middle school. An independent t test was conducted to compare the scale scores of AVID Elementary and non-AVID Elementary students …

A Program Evaluation Of The Mtss Framework In Grades 1-3 And The Perceived Impact On Tier 3 Reading Students, Amy Wilson Fonseca

Doctor of Education Dissertations

This mixed methods program evaluation evaluated the implementation of the multi-tiered system of support (MTSS) framework in one North Carolina school district. It examined the perceived teacher impact of the program implementation for Tier 3 reading students in first through third grades. The vision for employing the MTSS framework in North Carolina is for all prekindergarten through 12^th-grade public education organizations to implement and sustain all areas of an MTSS to ensure students are college-, career-, and community-ready (North Carolina Department of Public Instruction [NCDPI], 2021). I used the study's results to determine how various stakeholders perceive program …

A Mixed Methods Study Of Efficacy And Digital Learning Competencies For School Administrators In A Rural North Carolina District, Stephanie B. Harrell

Doctor of Education Dissertations

The purpose of this mixed methods research study was to determine the efficacy of digital learning competencies for school administrators in a rural eastern North Carolina district. The study had four research questions that were answered through a survey and a focus group. The survey had 44 quantitative items that participants chose from a 4-point Likert scale and two open-ended questions. A total of 20 administrators from District A completed the survey. A focus group with four participants was conducted following the closing of the survey to gain a better understanding of the results from the survey. Previous research in …

A Program Evaluation Of The Building Blocks Of Comprehension, Jessica H. Monroe

Doctor of Education Dissertations

This dissertation is a program evaluation of the Building Blocks of Comprehension vocabulary program, which was first implemented during the 2019-2020 school year by the English department at the school site. The study aimed to investigate the impact of morphological instruction on student vocabulary acquisition and reading comprehension. Chomsky’s (1975) Linguistic Theory, Marzano’s (2004) Six-Step Model of Vocabulary Introduction, and the Active View of Reading (Duke & Cartwright, 2021) were identified as theoretical frameworks for the program evaluation. Quantitative data from this mixed methods study were collected from pre and posttests, weekly quizzes, and unit assessments, and qualitative data were …

The Strategic Planning Process: A Mixed Methods Examination Of The Process As An Antidote To Promote Sustainability And Prevent The Extinction Of Startup Nonprofits, Charrisse Somme

Doctor of Education Dissertations

The nonprofit sector plays an intricate role in today’s economy and communities nationwide. Nonprofits employ over 12 million people in the United States and provide over $800 million in salaries and benefits, which equates to adding $1 trillion to the national economy. These contributions affirm the necessity for nonprofit existence. There is a sense of urgency to address this problem, as nonprofit dissolution has been increasing steadily since the pandemic began and spiked 30% during January 2022 compared to January 2021 (Delaney & O’Leary, 2022). “While competition amongst and the resulting exit of for-profit businesses have been studied, the exit …

New Principal Perceptions Of Assistant Principal Leadership Experiences That Prepare Assistant Principals For The Principalship, Ralph E. Chew

Doctor of Education Dissertations

Due to several factors, including salary and increased demands, there is a shortage of qualified leaders to assume the principal role. Although there is a shortage, there is also a bench of credentialed leaders in assistant principals. The problem is identifying how school districts and principals build the capacity of and prepare their assistant principals for the principal role. This study explored how novice principals perceived how their experiences as assistant principals prepared them for the principalship and the perceived role of current principals in preparing their assistant principals for the principalship. An explanatory mixed methods approach was utilized. Novice …

Student-Teacher Relationships: Impact On Students In An Online Credit Recovery Program, Cheryl Marie Wright

Doctor of Education Dissertations

This study aimed to evaluate the impact of student-teacher relationships in an online credit recovery program to provide information that will benefit student achievement at the classroom level. The nature of online learning does not promote the engaging interaction that the traditional face-to-face classroom embraces. Online credit recovery is specialized for students who have failed one or more high school courses. Some students who fail a course may lose confidence in their learning abilities, which could cause negative emotional and social consequences. This study was significant because it showed how important teacher relationships are for online credit recovery students’ academic …

Accessibility For All: An Interdisciplinary Team's Perception Of Multisensory Community Experiences For Students With Severe Disabilities, Karrissa Ebert

Doctor of Education Dissertations

This phenomenological study sought to understand how members of a special education team account for and navigate successes and barriers faced during the planning and implementation of community experiences for students with severe disabilities. The needs and abilities of this population are vast and often difficult to accurately define, and there remain many gaps within the research. Individual interviews of six special education team members from varied professional backgrounds yielded thick, rich narratives about the successes and barriers faced while planning and implementing community experiences for their students. The dominant theme that emerged was that successful community learning experiences had …

A Case Study To Determine The Literacy Needs Within Remediation Practices For Students In Grades 1-3, Miranda M. Gillis

Doctor of Education Dissertations

In order to effectively teach reading, it is not enough for a teacher to possess knowledge and skills alone. It is equally important to use evidence-based instructional approaches and interventions, especially when working with at-risk or struggling students. Without appropriate instructional materials and contexts, even the most competent teacher may fail to teach essential literacy skills, such as phonemic awareness, phonics, vocabulary, spelling, and writing processes. As the importance of teacher quality gains attention at the state and federal levels, lesson structure and allocation of lesson time for literacy-related activities have become a focus. The emergence of structured literacy underscores …

Understanding Preservice Teacher Self-Efficacy Toward Science And Science Instruction After Completing An Online Science Methods Course: A Case Study, Bradley T. Rhew

Doctor of Education Dissertations

Preservice educators are required to enroll in multiple methods courses to prepare them to effectively teach content to students. With the increase of online teacher preparation programs, methods courses are also being offered virtually. This study sought to investigate the overall attitudes, beliefs, and preparedness of candidates after completing an online science methods course. A mixed methods study was conducted to gain insight into these topics. The case study was conducted at a small, southern, private university to better understand the self-efficacy of undergraduate elementary education candidates who completed an online methods course. The study also investigated the instructor’s perceptions …

The Principal's Role In Creating A Culturally Responsive Learning Environment, Freda J. Allen

Doctor of Education Dissertations

Many educators believe the implementation of culturally responsive strategies may help to increase the engagement and academic success of students of color. The purpose of this study was to determine whether or not culturally responsive leadership (CRL) strategies were consistently being implemented in schools with large percentages of minority students. The research for this study was based on the CRL Framework developed by The Leadership Academy in 2022. This mixed methods study explored the practices of current school administrators and compared them to the perceptions of staff members. Staff members from three high schools completed a 23-question survey with a …

Fostering Relationships Between New Graduate Nurses And Leadership To Increase Retention, Michelle Cotton

Doctor of Nursing Practice Projects

Objective: To implement weekly one-on-one touch bases between nursing leaders, such as managers and directors, with newly hired, new graduate nurses, up to 1 year after graduation to improve retention of those employees. The intent is to improve retention from a baseline of 23% in 2022.

Results: 35.8% of the newly hired nurses plan to remain in their current role for the next 2-3 years.

Conclusions: Almost 55% said that they strongly agreed with the touch base contributing to development/growth. This was the lowest scoring question and the most concerning related to retention. An overwhelming majority felt …

The Early Prevention Of Diabetic Foot Ulcers, Aruodo Ukpai

Doctor of Nursing Practice Projects

Frequent and proper foot exams and foot care are fundamental in decreasing the incidence and morbidity of diabetic foot ulcers, yet many patients are still not screened at appointments or educated on the importance of foot exams. This research planned to address the lack of foot care education and foot assessments amongst patients with Type 2 diabetes. Past research done on this focused on providing education to diabetic patients either at home or in a setting where patients can come and receive the education. To our knowledge, no research has been done on the use of video teaching to provide …

Essential Collaborations Among Case Managers And Providers Regarding Discharge Processes, Lashawnda Richardson

Doctor of Nursing Practice Projects

Communication is vital between case managers and providers when patients need care coordination post-discharge. This includes but is not limited to facilitating home health services, ordering durable medical equipment, sending referrals to rehabilitation facilities, and sponsorship for uninsured or underinsured patients. This gives case managers the opportunity to educate providers on the discharge needs they ordered for their patients. The collaboration between case managers and providers allows for timely discharge planning and providing patients and their families with accurate information regarding their discharge needs.

Cardiovascular Disease Improvement Project, Deglan K. Mccrystal

Doctor of Nursing Practice Projects

Health prevention promotes positive healthcare outcomes by identifying risk factors associated with a disease process in its early stages to halt or slow its progression. Preventions, like routine screenings, facilitate the identification of risk factors or the initiation of treatment of a disease. Identifying risk factors, which often go unrecognized, helps to manage conditions like cardiovascular disease before it progresses in severity. Early treatment options or identifying risk factors that lead to cardiac disease positively impact healthcare costs by reducing the number of hospital visits, emergency services, and the need for costly long-term care. Prevention increases the quality of disease …

Er Staff & Burnout: Interventions For Stress Management, Sara Elizabeth Kerbow

Doctor of Nursing Practice Projects

Nursing is one of the most difficult professions, not only physically exhausting but the mental and emotional toll can create havoc for the person’s life (Scala & Drummond, 2016). This DNP project, “Reset”, was founded on the concept of nursing burnout, compassion fatigue, and secondary trauma causing overwhelming stress related to the emergency room nurse and staff. The purpose of this project was to show how a 15-minute mental health reset can play an essential role in stress reduction. By using complementary health modalities such as lavender essential oil with diffuser, visual imagery, and massage while listening to soft calming …

Increased Concern Of Suicide Behaviors In The Adolescent Population, Jaime Shareen-Porter Earle

Doctor of Nursing Practice Projects

This quality improvement project focused on addressing the concern for the increase of depression, anxiety, and self-harm behaviors among adolescents, which can lead to suicidal ideation and attempts. Suicide behaviors have increased among adolescents, and research revealed that suicide is the second leading cause of death in this population. An educational PowerPoint was presented to members of the community on suicide behaviors, how to identify the behaviors, and where to get support and resources in the community. Pre- and post-surveys were used to assess the participants' knowledge and confidence levels before and after project implementation. The surveys contained the same …

Identifying Patients Suffering From Housing Instability In The Emergency Department, Jarvis D. Roberts

Doctor of Nursing Practice Projects

Homelessness is the most visible form of housing instability in the United States of America. Yet, millions of people across our nation live in unstable housing, which consists of temporary housing, shelters, outside encampments, and vehicles. Many citizens facing these types of insecurities live paycheck to paycheck and are one health crisis or emergency away from financial ruin. The COVID-19 pandemic, inflation, and slow hourly wage growth have exacerbated this situation. This project aimed to construct a screening tool to identify patients suffering from housing instability in the emergency department setting and provide them with community resources.

Introducing Mental Health Resources To Nurse Practitioner Residents, Tiffanie Bailey

Doctor of Nursing Practice Projects

This DNP Project identified the increased need for mental health resources after the COVID-19 pandemic. Studies showed the rate of anxiety, depression, and substance use has also been on the rise since the beginning of the pandemic. As the impact of the COVID-19 pandemic began to devastate the country mentally and physically, it became quickly apparent that additional resources to provide support for those suffering from mental illness were essential. This project aimed to introduce a Mental Health First Aid course within the Residency Program at the Center for Family Guidance. Participants were asked to complete a pre-test indicating their …

Community Educational Session On Identifying The Signs Of Depression And Resources Available, Desiree Young

Doctor of Nursing Practice Projects

The DNP Project was designed to educate the community on identifying the signs of depression and the community resources available to them. The intent of the project was to improve the community’s knowledge of depression symptoms and the community resources available that offer assistance to those dealing with these symptoms. There is a great need for education on depression signs, as many in various communities suffer from untreated depression, which often leads to negative outcomes. The impact of the project implementation was measured by using pre- and post-survey data evaluating the participants' overall knowledge of the signs of depression, stigma …

Cardiovascular Disease In Firefighters, Emily Jordan Baldwin

Doctor of Nursing Practice Projects

This quality improvement project aimed to address the problem of increased cardiovascular events in firefighters in a county in the foothills of North Carolina. Nola Pender and Dorothy Orem’s theories were utilized for this project. The literature review exhibits the prevalence and significance of cardiovascular disease in firefighters. The literature review demonstrates the benefits healthy eating and exercise have on the heart and towards the prevention of cardiovascular disease. A pre- and post-test was utilized for this project and allowed for the collection of data appropriately. The results showed education on cardiovascular disease, exercise, and healthy eating increased the knowledge …

A Review Of The Effects Of Different Types Of Stigmas On The Retention Rates Of Patients In Medication-Assisted Treatment And How To Combat The Problem, Pamela Cox

Doctor of Nursing Practice Projects

It is difficult to turn on the news without hearing about the opioid epidemic or a recent opioid overdose. There is hope because there is a treatment to help prevent this epidemic. That treatment is known as medication-assisted therapy (MAT), where patients can present and, if they meet the criteria, can be given a prescription for buprenorphine/naloxone combination medication. Treatment with buprenorphine/naloxone has been shown to be highly effective treatment for substance use disorder (SUD). Even though it has been proven that this combination works, less than 20% of patients diagnosed with SUD present for treatment. This study focused on …