Digital Commons Network^™

Learning To Be Trauma-Informed: An Examination Of Individual-Level Factors Predicting Perceptions Of And Response To Trauma-Informed Practice Trainings, Kelly Daniel

Electronic Theses and Dissertations

Trauma is a substantial threat to public health. As such, significant effort has been exerted into developing interventions which mitigate the consequences of trauma. Trauma-informed practice (TIP) aims to alleviate the effects of trauma by building policies and practices focused on safety, trust, transparency, support, collaboration, and empowerment. This study investigated how individual-level factors, including readiness for organizational change, perceived benefit of TIP training, and personal trauma history affect one’s ability to apply a TIP lens in a sample (n =100) of members of a graduate-level college. Further, it explored if one’s perceptions of and response to trauma-informed practice training …

Does Self-Care Moderate The Association Between Adverse Childhood Experiences, Trauma Symptoms, And Parental Reflective Functioning?, Vinaya Thomas

Electronic Theses and Dissertations

Unresolved adverse and traumatic experiences in parents can amplify the risk of perpetuating intergenerational transmission of trauma. Parents’ positive and adaptive practices such as self-care might act as a protective factor against this ripple effect. This study investigated whether self-care moderated the relationship between parental ACEs, post-traumatic stress symptoms, and parental reflective functioning in mothers who are experiencing high psychosocial stress (n = 59) residing in rural Appalachia. Within our sample, there was no statistically significant linear relationship between our predictors, ACE score and PTSD symptoms, and our outcome of interest, maternal pre-mentalizing. We did not find empirical support for …

Exploring Knowledge And Perceptions Of Nursing Students: A Quantitative Study On Sexual Assault And Sex Trafficking Awareness, Isabella Marino

Electronic Theses and Dissertations

This study aims to explore nursing students' knowledge and perceptions of identifying and treating victims of sexual assault and sex trafficking. Survey data was collected from second to fifth semester nursing students in Eastern Tennessee. The study aims to identify students' perceptions of medical personnel's ability to identify and treat sexual assault and sex trafficking victims, examine whether adherence to myths affects knowledge and confidence levels, determine students' confidence in identifying and treating victims, and evaluate whether demographic characteristics affect identification and treatment. Results will help improve our approach towards these issues.

Adverse Childhood Experiences And Sexual Functioning: A Mediation Analysis Of Difficulties In Emotional Regulation, Haven Travis

Undergraduate Honors Theses

Sexual dysfunction can lead to a negative impact upon a person’s mental and relational health, including relational and overall distress, poor relationship and sexual satisfaction, and clinical mood disorders such as depression. Moving upstream to identify factors that may predict sexual dysfunction would therefore be beneficial for early intervention in at-risk populations. History of childhood trauma is one such factor that may influence sexual functioning later in life. While adverse childhood experiences (ACEs) have been less studied in association with sexual dysfunction, there is some evidence to indicate that they may be related. ACEs have been shown to increase the …

An Examination Of Police Response To Individuals Suffering With Mental Illness, Aliss Copsey

Electronic Theses and Dissertations

The purpose of this study was to examine police officer response to individuals suffering with mental illness. There had been little prior research that used qualitative methods and explored police officers in rural areas. Several research questions were explored, including stigmatizing beliefs held by police officers toward individuals with mental illness, perceived levels of preparedness, challenges experienced by police officers, improvements officers wish to see implemented, and the impact of Crisis Intervention Teams (CIT) training. This study gathered data through semi-structured interviews with 19 police officers who worked in East Tennessee in order to address the research questions. The results …

Investigating Self-Perception Of Speech And Motivation For Return To Intervention For Post Cochlear Implantation In Young Adults, Madison Henry

Electronic Theses and Dissertations

Introduction: Cochlear Implants (CI) are designed to address severe to profound hearing loss. When implantation occurs after language develops, it is referred to as post-lingual (PL) implantation. Currently, no interventions have been identified to address the communication challenges that young adults with PL-CIs may face after they complete post-CI rehabilitation services. This study analyzes if an individualized intervention plan is beneficial for a person with PL-CIs when experiencing changing communication demands in the transition to college or the workforce. Methodology: Baseline assessments were conducted; the results of which allowed for the establishment of four co-constructed goals. These goals were targeted …

P300 Event-Related Potential Responses To Self-Relevant Stimuli, Jordan Razzak

Electronic Theses and Dissertations

Previous literature has suggested an apparent P300 sensitivity to self-relevant stimuli. To further explore this relationship, we asked participants to submit 10 photos, each of a particular category (e.g. footwear, plants), to be used as either targets or distractors in a given condition of an oddball task. Furthermore, we attempted to see whether the effect of self-relevance on the P300 could be induced in a participant by allowing them to study a set of unique photos which would then be used as targets. Our analysis suggested that P300 amplitude elicited in response to self-relevant stimuli used as targets was statistically …

Comparative Analysis Of Surrogate Models For The Dissolution Of Spent Nuclear Fuel, Dayo Awe

Electronic Theses and Dissertations

This thesis presents a comparative analysis of surrogate models for the dissolution of spent nuclear fuel, with a focus on the use of deep learning techniques. The study explores the accuracy and efficiency of different machine learning methods in predicting the dissolution behavior of nuclear waste, and compares them to traditional modeling approaches. The results show that deep learning models can achieve high accuracy in predicting the dissolution rate, while also being computationally efficient. The study also discusses the potential applications of surrogate modeling in the field of nuclear waste management, including the optimization of waste disposal strategies and the …

Beyond The Screen: Understanding College Students’ Perspectives On Cyberstalking, Gabrielle Jackson

Electronic Theses and Dissertations

Previous research regarding the victimization of college students is primarily geared toward physical or sexual encounters. There is a limited scope of research regarding the online victimization of college students, specifically those involved in Greek life organizations. Furthermore, there is a misinterpretation of the definition of cyberstalking among college students, as many students are unaware that they have been personally victimized (Cass, 2011). This study seeks to examine college students’ perceptions of online victimization and how they may vary. The different student impressions and the prevalence of online victimization were examined using self-reported data from students enrolled in a university …

The Experiences Of Questbridge Scholars At Elite Universities, Karla J. Leybold

Electronic Theses and Dissertations

In this dissertation, I examined the experiences of QuestBridge Scholars attending three different elite universities that enroll more students from the top income quintile than from the lowest three income quintiles combined. The universities attended by participants in this study are among the few that are both need-blind and that fully meet students’ demonstrated financial need through grant and scholarship aid. Additionally, these universities have acceptance rates of no more than 10%. The QuestBridge organization’s mission is to match high-achieving, low-income students with elite institutions.

Data from participants were collected through an audio and video recorded interview using a semi-structured …

Understanding Community College Student Perceptions Of Academic Advising, Benjamin Umbarger, Jr.

Electronic Theses and Dissertations

The purpose of this qualitative phenomenological study was to investigate community college student perceptions of academic advising for 12 first-time first-generation (FTFG) General Studies students attending a rural southeastern community college. The phenomenological research approach was utilized to better understand participant experiences by exploring participants' perceptions through their lived experiences. Applying purposeful sampling techniques, five females and seven males were identified, with 11 classified as full-time students and one classified as part-time. One-on-one interviews and focus group were conducted in-person or virtually, using Zoom and Microsoft Teams, with each participant to better understand student perceptions of their initial academic advising …

Exploring The Lived Experience Of Self-Care In Young Adults With Type 2 Diabetes, Holly Berry-Price

Electronic Theses and Dissertations

Introduction

The prevalence of prediabetes in adults aged 18 or older was as high as 38% between 2017-2020. Youth-onset T2DM is a more aggressive phenotype than T2DM that occurs later in life. Young adults with T2DM have poorer health outcomes, lose an average of 15 years of life, all resulting in significant economic burden impacting the person. Current self-management interventions do not improve health outcomes in young adults with T2DM.

Purpose

The purpose of this research was to explore the self-care experiences of young adults living with T2DM.

Methods

Existential hermeneutic phenomenology informed the research. Inclusion criteria as follows: adults …

Detection And Classification Of Diabetic Retinopathy Using Deep Learning Models, Aishat Olatunji

Electronic Theses and Dissertations

Healthcare analytics leverages extensive patient data for data-driven decision-making, enhancing patient care and results. Diabetic Retinopathy (DR), a complication of diabetes, stems from damage to the retina’s blood vessels. It can affect both type 1 and type 2 diabetes patients. Ophthalmologists employ retinal images for accurate DR diagnosis and severity assessment. Early detection is crucial for preserving vision and minimizing risks. In this context, we utilized a Kaggle dataset containing patient retinal images, employing Python’s versatile tools. Our research focuses on DR detection using deep learning techniques. We used a publicly available dataset to apply our proposed neural network and …

Healthcare Provider’S Perceptions On Feeding Difficulties And Educational Practices In Infants With Neonatal Opioid Withdrawal Syndrome (Nows), Katelyn White

Electronic Theses and Dissertations

This study examined healthcare professionals’ perceptions on feeding difficulties experienced by infants with NOWS, the involvement of SLP in care, knowledge and experience levels of professionals, and trends in education and follow up care. A 34-question survey was developed to obtain data from participants involved in the care of exposed infants using the secure webbased RedCap™ platform. Nonparametric inferential statistics and descriptive analysis were used to interpret data. Feeding difficulties in infants exposed were reported by all respondents with SLP involvement reported by 42.2%. Results found that 51.9% of respondents were confident in their ability to educate families about feeding …

Navigating New Frontiers: A Narrative Of Cte Administrators Leading Rural Innovation, Claire Bass

Electronic Theses and Dissertations

Public school districts play a pivotal role in the well-being of rural communities. To help mitigate the impact of labor market trends, societal shifts, and the skilled labor shortage, rural schools are in the initial stages of expanding innovative career pathways. As such, career and technical education (CTE) administrators serve their rural communities by facilitating robust career pathways to support local labor markets. Due to a skilled labor shortage, a declining labor force participation rate, and a rapidly evolving labor market, there is a lack of qualified and certified personnel to fill industry jobs (Davis et al., 2022). School districts …

A Potential Klebsiella Bacteriocin With Efficacy Toward The Enterbacteriaceae Family, Kasey Barber

Undergraduate Honors Theses

Drug resistance is unfortunately becoming a prevalent issue in the course of patient treatment, ranging from chemotherapy resistance to antimicrobial resistance. The Centers for Disease Control and Prevention (CDC) estimated in 2016 that at least 23,000 people die every year in the United States from an infection with an antibiotic-resistant organism (Munita, et al, 2016). Carl Friedlander was the first scientist to describe Klebsiella pneumoniae in 1882 as an encapsulated bacillus after isolating the bacterium from the lungs of patients who had died from pneumonia (Ashurst and Dawson, 2022). Klebsiella pneumoniae is the type species for the Klebsiella genus and …

Detection Of Jamming Attacks In Vanets, Thomas Justice

Undergraduate Honors Theses

A vehicular network is a type of communication network that enables vehicles to communicate with each other and the roadside infrastructure. The roadside infrastructure consists of fixed nodes such as roadside units (RSUs), traffic lights, road signs, toll booths, and so on. RSUs are devices equipped with communication capabilities that allow vehicles to obtain and share real-time information about traffic conditions, weather, road hazards, and other relevant information. These infrastructures assist in traffic management, emergency response, smart parking, autonomous driving, and public transportation to improve roadside safety, reduce traffic congestion, and enhance the overall driving experience. However, communication between the …

The Women’S Renaissance: An Analysis Of Gender Expectations And Experiences In Early Modern Europe, Taryn Shelnutt-Beam

Electronic Theses and Dissertations

In 1976 Joan Kelly released her influential article “Did Women have a Renaissance?” Kelly argued that women did not enjoy any of the benefits of the period. Rather, she claimed, the lives of women were actually worse after the 1400s than they had been before. Since 1976, new primary documents authored by women have been discovered. Moreover, new access to relevant writings by authors like Francesco Barbaro, Pier Vergerio, Leonardo Bruni, Juan Luis Vives, and Erasmus make revisiting Kelly’s arguments possible. This thesis uses a sample of these texts to explore women’s experiences and create innovative avenues to explore in …

A Bright Point In A Dull Day: A Qualitative Exploration Of Middle School Students’ Perceptions Of Music Ensemble Participation, Kailee Amburgey

Electronic Theses and Dissertations

Music participation, specifically in an ensemble setting, is known to promote learning and social skills and to contribute to a well-rounded overall education. With this in mind, this qualitative, constructivist grounded theory study explored the impacts that participating in chorus, band, or orchestra has on students’ overall experience in middle school, with a focus on joy and identity development. The researcher interviewed fifteen students about their personal experiences and feelings about their lives as middle schoolers and musicians. The findings, shared in six theoretical concepts tied to the research question, reveal important facets of these students’ experiences that shed light …

Evaluating A Current Athlete Assessment Program, David Fish

Electronic Theses and Dissertations

The primary purpose of this dissertation is to evaluate the effectiveness of a questionnaire designed to assess coaches’ perceptions of an athlete monitoring program. There are four reasons for this examination of perceptions: 1) it may serve as a check for understanding of how the coach takes in the information presented to them, 2) identify any gaps in the knowledge of the coach which the sport scientist may help to fill, 3) can serve to open a dialog with the coach for ways in which the information may be better tailored to help them improve their decision-making, and 4) the …

A Phenomenological Study Of The Experiences Of Undergraduate Students Who Participated In The Ronald E. Mcnair Postbaccalaureate Achievement Program, Alexandria C. Craft

Electronic Theses and Dissertations

The purpose of this qualitative study was to explore the lived experiences of former McNair Program participants at a regional postsecondary institution in northeast Tennessee. More specifically, the study examined how past participants of a McNair Program perceived their program experiences related to their post-undergraduate educational endeavors and career pursuits. Although research has been conducted on McNair Programs, no research has been conducted on the lived experiences of individuals who participated in a McNair Program in northeast Tennessee within the last two decades, and little to no research has been conducted to identify the program components that former participants believe …

The Implications, Magnitude, And Development Of Traumatic Brain Injury For Individuals Undergoing Treatment For Opioid Use Disorder, Hannah G. Mitchell

Electronic Theses and Dissertations

There is an established bidirectional relation between substance use and traumatic brain injuries (TBIs). Despite the high rate of prescribing opioids for pain management following a TBI and the epidemic of opioid use disorder (OUD) in the United States, scarce research has specifically analyzed the association between TBI and OUD. In a series of three interrelated manuscripts, the present study will first examine the prevalence and features of TBIs among persons seeking treatment for OUD. Next, the present study will evaluate the association between TBI and indicators of risky health behaviors and OUD severity, including the risk of overdose and …

Reclamation: The Towns Of The Virginia Coalfields, Craig Owens

Electronic Theses and Dissertations

The photographer discusses his work in Reclamation: The Towns of the Virginia Coalfields, a Master of Fine Arts thesis exhibit held at the Tipton Gallery from February 12th through February 23, 2024. The exhibition focuses on coal towns located in the southwestern part of Virginia. The exhibition consists of 20 framed, archival inkjet prints. Each framed work is 36” x 24” and is representative of the artist’s exploration of the towns. A catalog of the exhibit is included at the end of this thesis.

Owens examines formal and conceptual artistic influences, both historical and contemporary. Historic and contemporary photographic …

Covid 19 And Classroom Instruction: A Comparison Of Synchronous In-Person And Virtual Student Learning, Jason Brown

Electronic Theses and Dissertations

The purpose of this ex-post facto quantitative study was to compare English Language Arts (ELA) and math Tennessee Compressive Assessment Program (TCAP) scores of students in grades four through eight who attended school virtually or in-person during the 2020-2021 school year. Due to the COVID-19 pandemic, the school district in this study allowed parents to choose to send their children to traditional in-person classes or attend school virtually. In-person and virtual students engaged synchronous classroom instruction through Google Meets. All virtual students were instructed by the teachers they would have had if their parents had chosen to send them for …

An Examination Of Early Childhood Leadership In Public Elementary Schools: A Mixed Methods Study, Wesam Alshahrani

Electronic Theses and Dissertations

As state-funded Pre-K programs in elementary schools continue to grow, elementary principals are increasingly responsible for supporting, supervising, and leading these programs. Therefore, examining elementary principals' early childhood leadership competencies and the factors influencing them may help understand and improve their experiences as early childhood education (ECE) leaders. This explanatory sequential mixed methods study examined the ECE leadership of Tennessee public elementary school principals in two phases.

In the quantitative phase, statewide surveys were used to collect data from 67 principals. The survey comprised 51 items assessing nine ECE leadership competencies, synthesized from statements of leading ECE and elementary education …

The Role Of The Speech-Language Pathologist With Survivors Of Traumatic Brain Injury From Intimate Partner Violence And Providers’ Knowledge Of This Role, Nicolle Mcadams

Electronic Theses and Dissertations

Intimate partner violence occurs globally at alarming rates. Many experience adverse health impacts such as traumatic brain injury. Healthcare providers do not know the role of the speech-language pathologist, or the rehabilitation needs of survivors.

Aims: This scoping review aims to identify speech-language pathology services for survivors of intimate partner violence with a resulting traumatic brain injury, and knowledge of healthcare providers on the rehabilitation needs of this population. A search was completed in May to October 2023, resulting in a total of 13 articles reviewed.

Main contributions: Speech-language pathologists lack knowledge to provide services to intimate partner violence survivors …

Exploring Available Information On The Gut-Brain Axis And Alzheimer’S Disease For Clinicians Making Dietary Recommendations: A Scoping Review, Megan Gibson

Electronic Theses and Dissertations

Abstract: Alzheimer’s Disease (AD) is a complex neurodegenerative disease that requires interprofessional collaboration. Pharmacological options are currently ineffective, increasing the need for preventative strategies to combat the rise of AD. Considerations of gut-targeted interventions have increased as a key component in the prevention of AD, based on the understanding that the state of the gut microbiome can impact cognitive function through the pathway known as the gut-brain axis.

Methods: This scoping review explored information on the gut-brain axis in persons with AD. A comprehensive search was conducted in November 2023. Forty reviews and 13 human studies were analyzed.

Results: There …

Community College Students' Perceptions Of Sense Of Community And Instructor Presence In The Online Classroom, Marla Cartwright

Electronic Theses and Dissertations

The purpose of this non-experimental, comparative, quantitative study was to determine if there were significant differences between the perceptions of male and female community college students about the importance of sense of community (SoC) in online classes and sense of instructor presence (IP) at eight southern, public, community colleges using survey data. It was the intent of the study to determine if there were significant relationships of students’ perceptions of the presence of sense of community in online classes among factors of age, race, grade point average, cumulative credit hours, credential type, major area of study, and number of previous …

Effect Of Macrophage Expressed Α7 Nicotinic Acetylcholine Receptor (Α7nachr) On Migration Of Macrophages During Inflammation, Kasey Keever

Electronic Theses and Dissertations

Sepsis is a life-threatening condition characterized by overwhelming inflammation, resulting in organ system damage, leading to a high mortality rate. Care in the clinical setting is supportive, and there are no approved sepsis-specific treatments. In septic mice, activation of the cholinergic anti-inflammatory pathway decreases cytokine secretion by leukocytes and improves survival. The cholinergic anti-inflammatory pathway is a reflex of the parasympathetic nervous system, converging on the α7 nicotinic acetylcholine (α7nAChR) at the surface of macrophages. Signaling through the receptor blocks NF-kB activation, thus cytokine secretion. Receptor activation has other effects on macrophages, including modulating their migration to …

College Commute Distance And Retention For First-Time, Community College Freshmen, Michael O'Hagan

Electronic Theses and Dissertations

The purpose of this non-experimental, quantitative correlational study was to investigate whether any significant relationships existed between one-way student commute distance and retention for first-time, community college freshmen. Additional student success metrics such as three-year graduation rates, enrollment status, credit hours attempted and completed, and GPA were also analyzed for any possible relationship with commute distance.

Archival student data were collected from the participating institution, a public community college in the southeastern United States with four separate instructional site locations. This study followed the incoming class of 2016, entering in the fall semester, through the end of their third year, …