Digital Commons Network^™

Rumination As A Moderator In The Relationship Between Divine Forgiveness And Forgiveness Of Self In Older Adults, Christopher R. Giles

Doctoral Dissertations and Projects

A growing body of research supports empirical evidence that the ability to self-forgive benefits mental, emotional, and physical health. Recent literature has documented the predictive relationship between divine forgiveness and self-forgiveness. However, little attention has been given to the cognitive processes that may influence this relationship. Furthermore, research on forgiveness has largely overlooked the older adult population, despite forgiveness being shown to be a developmental construct. This quantitative correlational study examined the relationship between offense-specific divine forgiveness, rumination, and self-forgiveness in individuals aged 60 and older. Data were collected from 101 participants through an anonymous online survey utilizing previously validated …

Crisis Intervention Training (Cit) For School Resource Officers In Florida Schools: Assessing Adequacy, Experiences And Perceptions, Jocelyn Wells

Doctoral Dissertations and Projects

School resource officers must aid students struggling with mental health issues. However, school resource officers in Florida schools may not receive adequate crisis intervention training to address mental health crises on the part of students effectively. A research gap exists regarding what factors make crisis intervention training effective or ineffective for police, what the appropriate place of police officers is within the context of schools, and how police officers perceive their crisis intervention training experience and skills relative to their readiness to respond to mental health-related incidents within schools. Therefore, the nature of crisis intervention training for school board police …

Notifying The Public In Crisis Situations, Deborah Jean Link

Doctoral Dissertations and Projects

The messages that are provided to the public when there is an imminent or ongoing crisis are of extreme value to individuals, primarily to have information by which to base decisions upon. The sense of urgency during imminent or ongoing crisis is the factor that differentiates the need for information about the crisis from the need for information for other types of events. There is messaging during other, less critical types of incidents, but often there is little to no messaging to the public at a time when it is most needed and sought after, during a crisis. Erik J. …

Enhancing Collaborative Care: A Training Manual For Improving Veterans Affairs Mental Health Chaplaincy, Eddie L. Jones

Doctoral Dissertations and Projects

In 2010, the U.S. Department of Veterans Affairs (VA) and the Department of Defense (DoD) launched a study to investigate the integration of chaplains in mental health care. This research expands on that study by focusing on the critical need for enhanced collaboration between chaplaincy and mental health services at local VA facilities. While existing literature affirms the integral role of chaplains in addressing the spiritual and emotional needs of individuals, significant gaps in awareness and effective collaboration practices were identified at the Marion, IL VA Health Care System (VHCS). This study aimed to assess and address the specific training …

Exploring The Effectiveness Of Wearable Devices For Early Disease Detection, Chinonso Iwummadu

Doctoral Dissertations and Projects

The purpose of this qualitative interpretive phenomenological study was to explore the perceived effectiveness of wearable devices in facilitating early disease detection among patient groups, healthcare professionals, and healthcare administrators in the outpatient care setting. The central phenomenon investigated, involved the experiences, perceptions, and behavioral responses toward real-time monitoring and diagnostic engagement enabled by wearable devices. The theory that guided the study was the Health Technology Acceptance Model (HTAM), which supported inquiry into how perceived usefulness, perceived ease of use, and perceived health outcomes shaped adoption behavior and clinical integration of digital tools. Data were collected from a purposive sample …

Comparing The Effects Of Numerical Versus Syllable-Based Pedagogy On Kindergarten Academics, Tocorey C. Johnson

Doctoral Dissertations and Projects

The purpose of this study is to examine the effects of numerically based and syllable-based pedagogical approaches on kindergarten students in a school located in Duval County, Jacksonville, Florida. The Kodály Method, a well-established and effective music education strategy, offers numerous classroom benefits. Teachers can utilize both numerically based and syllable-based approaches within the Kodály framework. However, additional data are required to ascertain whether these approaches can enhance academic performance among kindergarten students. A quasi-experimental design was used to evaluate the effectiveness of syllable-based music training on kindergarten reading scores and numerical-based music training on kindergarten math scores. The initial …

Associations Between Factors Of Unhealthy Lifestyle, Mental Health Issues, Chronic Illnesses, Environmental Health Risks, And Infertility In Females: A Cross-Sectional Study, Richard L. Huang

Doctoral Dissertations and Projects

Infertility has risen rapidly in recent decades and has become the third-largest public health concern in the world. It has significantly threatened individuals’ psychological, physical, and social well-being, and it could be an early sign of severe health problems in the future. Furthermore, it also threatens the continuation of life and human civilization. The purpose of this study was to examine the relationship between individuals’ daily lifestyle behaviors, mental health status, chronic conditions, environmental health factors, and infertility by using cross-sectional quantitative methods. It benefits the public as the study raised awareness of potential risks and provided guidance to avoid …

Learning Needs Of African American High School Students With Dyslexia Within An Inclusive, Co-Teaching Environment: A Holistic Single Case Study, Aigbovboise Ayo Ehabahe

Doctoral Dissertations and Projects

The purpose of this holistic, single case study was to describe the experiences of special and general education teachers collaborating to support the learning needs of African American high school students with dyslexia within an inclusive, co-teaching environment. The theory guiding this study was Cole’s intersectionality theory on co-teaching, as it explains how the interactions and strategies between co-teachers influence the academic success of students with dyslexia. The central research question was: How do special and general education teachers describe their experiences collaborating with one another to support the learning needs of African American high school students with dyslexia within …

Lived Experiences Of Parents And Guardians Of Children And Adolescents With Neonatal Abstinence Syndrome And Disruptive Behavior Disorders In West Virginia, Christine A. Barnett

Doctoral Dissertations and Projects

This phenomenological study explored the lived experiences of parents and guardians of children and adolescents with neonatal abstinence syndrome (NAS) and disruptive behavior disorders (DBD) in West Virginia. Guided by social constructivism, the study highlighted the significance of collaborative learning in understanding the connection between NAS and DBD. Using a transcendental approach, the research sought to provide insight and comprehension into participants’ experiences and perspectives. Participants were recruited through purposeful sampling, including convenience and criterion methods. Eight parents and guardians participated in one-on-one interviews. Data was analyzed using the Moustakas approach and Saldana’s in vivo coding method. Four themes emerged: …

Shame And The Cult Survivor As Viewed Through Erikson’S Theory, Devin Marie Seltz

Doctoral Dissertations and Projects

This study investigated the manifestations of shame in cult survivors using Erikson’s theory of psychosocial development as its framework. According to Erikson (1959), individuals evolve through eight stages of development, each stage being met with a unique social and psychological crisis. If that psychosocial crisis is met and overcome, the individual advances to the next stage of development with additional psychosocial resilience. Erikson’s theory focuses on the importance of achieving these developmental tasks throughout the eight stages in order to build personal identity and resilience. Cults are known for exerting excessive control over individuals by employing techniques and strategies that …

Missionary Kids And Ptsd And Spirituality, Sabreena S. Massey

Doctoral Dissertations and Projects

In recent years, studies have documented the importance of spirituality in assuaging psychological distress. Numerous studies have investigated the connection between post-traumatic stress disorder (PTSD) and spirituality and its positive outcomes among diverse populations. A diverse population that is insufficiently addressed in the literature is missionary kids (MKs). Further, studies investigating the relationship between spiritual struggles and PTSD among MKs remain under-researched. Moreover, while studies document the existence of mental health disorders among MKs, a formal investigation examining PTSD symptomology among MKs had yet to be conducted. For this study, participants were recruited via purposive and snowball sampling, and 81 …

Do Males Use Ai Tools Differently Than Female Students When Conducting Social Science Research?, Marsha A. Donaldson

Doctoral Dissertations and Projects

This quasi-experimental, cross-sectional, applied, relational study aimed to explore how male graduate students used AI tools differently from female graduate students when conducting social science research. The sample for the study was collected using the Prolific application. The inclusion criteria were that participants had to be adults aged 18 years or older, English-speaking, graduated between 2020 and 2024, social science majors, and had utilized AI tools in their research. The study’s total sample consisted of 210 participants, which were disaggregated into 50% female and 50% male participants. T-test, correlation, and regression analyses were conducted to examine the relationship between multiple …

Increasing Patient Satisfaction And Engagement By Improving Patient Intake Process In An Outpatient Mental Health Clinic, Hotenesia Njoroge

Doctoral Dissertations and Projects

This scholarly project aimed to enhance patient satisfaction and engagement by improving the intake process in an outpatient mental health clinic. Inefficient intake procedures, characterized by long wait times, communication gaps, and misreferrals, contribute to patient disengagement and dissatisfaction. A quasi-experimental pretest-posttest design evaluated a patient-centered intervention involving communication training, streamlined workflows, and real-time updates. Data were collected from 52 participants using Patient-Reported Experience Measures (PREMs) and qualitative feedback. Quantitative results revealed high satisfaction with staff respect (M = 4.19), communication clarity (M = 4.06), and facility comfort (M = 4.13). Wait time satisfaction scored slightly lower (M = 3.96), …

A Phenomenological Study Examining Self-Efficacy Experiences Of Urban Elementary Teachers Teaching Remotely During A Pandemic, Brandi L. Gray

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to understand the experiences of teachers who taught remotely during the COVID-19 pandemic and to examine their perceived self-efficacy in an urban school district in Western Tennessee. Bandura’s teacher self-efficacy theory guided the study as it explains how teachers’ self-efficacy plays a crucial role in academic outcomes such as student achievement, motivation, and teacher well-being in the work environment. The research question that guided the study was: How have remote teaching experiences of urban elementary teachers affected teacher self-efficacy during the COVID-19 pandemic? Participants included 10 teachers from a public school district …

Child Protective Service Workers And Burnout: A Phenomenological Study Exploring Various Types Of Factors That Contribute To Burnout In Rural Virginia, Laurel A. Parks

Doctoral Dissertations and Projects

This transcendental phenomenological study aimed to describe the job difficulties that contribute to burnout for child protective service (CPS) workers at social service centers in Virginia. The theory guiding this study was the Job Demands-Resources (JD-R) model, proposed by Arnold Bakker and Evangelia Demerouti. The JD-R model states that the more demands one has on the job and the fewer resources available to fulfill those demands, the more likely one is to experience burnout. This study utilized semi-structured interviews to answer the three research questions. Ten child protective service workers from three of the five regions of Virginia participated in …

The Relationship Between Self-Care, Resilience And Burnout, And The Role Of Self-Esteem And Self-Awareness To Facilitate Self-Care Among School Counselors, Sarah C. Mccarthy

Doctoral Dissertations and Projects

School counselors play a pivotal role in fostering students’ academic, social, and emotional development. School counselors are responsible for addressing a wide range of student needs, such as academic advising, assisting in behavior management, crisis intervention, and mental health support. Being in this position that requires many responsibilities, coupled with high student-to-counselor ratios, many school counselors report having elevated stress levels, potentially leading to the feeling of burnout. Therefore, the purpose of this study focuses on three goals: (1) Determine which self-care practices, and at what frequency, are being used by school counselors to determine which type of self-care practices …

Leading Change: A Phenomenological Study Of Higher Education Leaders Implementing Innovative Emergency Medical Service Programs For Rural Students, Nichole S. Berge

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to describe the lived experiences of education leaders in supporting the implementation of innovative programming in Emergency Medical Services (EMS) education for rural students. The theory guiding this study is Bandura’s social cognitive theory (1986), as it explores how cognitive, behavioral, and environmental factors influence the implementation of such programming. The central research question guiding this study is: What are the lived experiences of higher education leaders implementing innovative EMS programming for rural students? The methodology for this study is a transcendental phenomenological design, sampling higher education leaders involved in EMS education. …

Decreasing The Incidence Of Healthcare Associated Presure Injuries In The Acute Care Setting, Amanda R. Nichols

Doctoral Dissertations and Projects

Healthcare-associated pressure injuries (HAPIs) can cause great harm to vulnerable patients. Acquiring a HAPI during hospitalization can result in delayed wound treatment, prolonged hospitalization, risk for infection, reimbursement issues for the facility, and delayed patient discharge. Avoiding these injuries is essential to improve patient outcomes. Research reveals that the implementation of nurse education and two registered nurse skin assessments on admission, instead of one nurse skin assessment, can decrease the incidence of healthcare-associated pressure injuries. Using the Iowa model, the goal of this scholarly project is to implement evidence-based research to change the current process and decrease the incidence of …

Defining Moral Injury: A Delphi Study For A Comprehensive And Consensus-Based Definition, Darius J. Holland

Doctoral Dissertations and Projects

This study utilized a modified Delphi method to develop a consensus definition of Moral Injury across theological, clinical, and experiential domains. Recognizing the term's interdisciplinary ambiguity, the research engaged chaplains, clinicians, ethicists, and professionals from healthcare, military, and psychological contexts to discern shared language and conceptual frameworks. The Delphi process consisted of three iterative rounds, progressing from open-ended questions to structured Likert-scale responses and definition validation. While consensus (80% agreement) was not achieved, a majority (61.5%) of panelists affirmed a pneuma-oriented definition that positions Moral Injury as a wound to the spirit resulting from a violation of deeply held ethical …

Addressing The Difficulty Of Digital Transformation, Robert L. Mccaskill

Doctoral Dissertations and Projects

In the evolving landscape of modern religious engagement, digital platforms offer churches various opportunities to enhance their worship experiences. Still, many churches find it difficult to integrate digital tools into their ministry in the digital age. They are experiencing challenges incorporating online worship services and digital outreach activities while maintaining their core values. This dissertation-in-praxis examines the development of an online ministry at a local church struggling to adapt successfully to digital transformation. The ministry developed sought to supplement the physical gathering already occurring at the church. The online ministry aimed to ensure greater accessibility, spiritual nourishment, and community engagement. …

Social Media And Mental Health According To Generation Z: A Health Belief Model-Based Cross-Sectional Evaluation Of Generation Z Adults’ Attitudes And Perceptions Of Problematic Social Media Use And Its Relationship With Depression And Anxiety, Michael Chad Gann

Doctoral Dissertations and Projects

Purpose: This study aimed to examine Generation Z adults’ attitudes and perceptions of problematic social media use (PSMU) as they relate to mental health problems (depression and anxiety) through the lens of the Mental Health Belief Model.

Methods: A cross-sectional, web-based survey gathered data from a convenience sample (N = 353) of Generation Z adults (age 18-30) after receiving approval from the LU IRB. The previously validated instrument battery included the Bergen Social Media Addiction Scale (BSMAS), the Patient Health Questionaire – 9 (PHQ-9), the Generalized Anxiety Disorder – 7 (GAD-7), and the Greene (2012) MHBM subscales for perceived susceptibility …

A Phenomenological Study Of The Lived Experiences Of Principals On The Impact Social And Emotional Learning Has On Student Academic Performance, Angela Mastantuono

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to explore the lived experiences of principals in examining the social and emotional learning skills of middle school grades sixth-eighth and if there is an impact on student academic achievement. The theories that guided this study were Bandura’s social cognitive theory and Vygotsky’s sociocultural theory, as they are grounded in explaining the need for social and emotional learning integration into the classroom and how to successfully achieve this. Both theories discuss the positive impact that socialization has on the development of any human being. The central research question was, “What are the lived …

Exploring The Effects Of The Covid-19 Pandemic On The Biblical Organizational Culture Of A K-12 School In Kansas, Michael Jacob Wiebe

Doctoral Dissertations and Projects

The purpose of this qualitative research design was to understand the lived experiences of K-12 Christian school teachers regarding the perceived impact of the COVID-19 pandemic on the biblical organizational culture of a school in Wichita, Kansas. A qualitative interview methodology was utilized for teachers to answer questions pertaining to their own experiences in changes within the school, the school’s environment, and the school’s level of involvement in a biblical culture during and post the COVID-19 pandemic. The data were analyzed to understand the effects and the changes the COVID-19 pandemic has had on K-12 Christian school biblical organizational culture, …

A Qualitative Phenomenological Study Of The Role Of Spiritual Mindfulness Practices In Coping With Divorce Loss In Christian Women, Gale Louise Nicolai

Doctoral Dissertations and Projects

This phenomenological study aims to understand the role of spiritual mindfulness practices in counseling individuals who have experienced divorce. The theory guiding this study is the biopsychosocial-spiritual model, which recognizes the interconnectivity and mutual influence of biological, psychological, social, and spiritual factors. This data will be descriptive, using open-ended interview questions. Data analysis will be thematic. The study participants are women who self-identify as Christian at 1-10 years post-divorce. The independent variable is spiritual mindfulness practices. The dependent variables are women who self-identify as Christian at 1-10 years post-divorce.

Evaluating Inclusion Rates Of Oral-Systemic Health Connection Coursework In Dental And Medical Professional Programs' Admissions Requirements, Wendy Marie Carry

Doctoral Dissertations and Projects

Oral systemic health connections (OSHC) are bidirectional, life-threatening, and a significant public health concern. Studies have identified over 200 OSHCs; however, the prevalence of foundational OSHC education in dental and medical professional programs remains unknown. This quantitative descriptive comparative pilot study aimed to explore the prevalence of predictor variables, dental and medical professional programs in the United States, and the criterion variable, including an OSHC admissions requirement for the 2025 academic year. The point-in-time count methodology served as the theoretical framework guiding this study and the development of the PiT-PARCI instrument. The proposed testing was replaced with alternative testing based …

Centralizing Discipleship Through Small Groups, Roger O. Nelmes

Doctoral Dissertations and Projects

Centralizing Discipleship through Small Groups explores how intentional leadership development and relational disciple-making practices can reframe a megachurch’s approach to spiritual formation. Conducted at Hope City, a dynamic, urban, multisite nondenominational congregation, this mixed-methods action research integrates qualitative interviews, quantitative Likert scale surveys, and a focus group to evaluate the effectiveness of a holistic discipleship framework. Key interventions included a Group Leader Intensive Training (LIT), the implementation of Rooted small groups, and the launch of Intentional Relational Discipleship (IRD) groups, all designed to shift the church’s culture from attractional programming to a missional, relational ethos. Data revealed that small groups, …

Exploring Academic Motivation In Students With Intellectual Disabilities Through The Experiences Of Teachers: A Phenomenological Study, Brett Franz O'Brien

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to discover the lived experiences of teachers when addressing the academic motivation of elementary-aged children with intellectual disabilities in suburban Eastern North Carolina. The theory guiding this study was Ryan and Deci’s self-determination theory, which explains that people can be intrinsically motivated, extrinsically motivated, or have amotivation. The central research question of this hermeneutic phenomenology was “What are the lived experiences of teachers when addressing the academic motivation of elementary-aged children with ID in suburban Eastern North Carolina?” The study focused on the lived experiences of 10 teachers in Eastern North Carolina who …

The Christian Church’S Inclusion Of Children With Autism Who Experience Parental Incarceration: A Phenomenological Examination Of Christian Ministry Leaders’ Experiences, Julia Frances Vasquez

Doctoral Dissertations and Projects

The United States has the highest incarceration rate worldwide. Parental incarceration increases children’s susceptibility to adverse childhood experiences and often results in the transmission of criminal behavior. Research on children of incarcerated parents and separate findings on the experiences of children with autism reveal that these children endure bitter societal stigma, even within the church. Stigma toward disability erects barriers to much-needed spiritual support. There is a gap in the literature concerning Christian outreach and spiritual community support for children with autism who experience parental incarceration. Understanding effective ministry support for these dually marginalized children and the barriers preventing access …

Evaluating Mental Health Providers’ Knowledge And Attitudes Towards Stigma Among Teenagers Aged 13 To 19 Years With Mental Illness, Fredrica Murray-Johnson

Doctoral Dissertations and Projects

Limited knowledge and poor attitudes among mental health providers contribute to stigma towards individuals with mental illness, adversely affecting treatment experience and outcomes. This study evaluated the effectiveness of an educational intervention in improving mental health providers’ knowledge and attitudes toward stigma-based practices. The clinical question stated: Among mental health providers, does an educational intervention, compared to standard practice, improve knowledge and attitudes of stigma and promote evidence-based care delivery to teenagers aged 13 to 19 with mental illness within six weeks? The Iowa Model of Evidence-Based Practice (EBP) was used as a framework for implementing this study. The quasi-experimental …

Divine Grace In Human Flourishing Amid Suffering, Sutjipto Utomo

Doctoral Dissertations and Projects

Human flourishing is as potent as it is intricate. There is a need in the Christian context for a model of human flourishing among other available models. This current qualitative study seeks to gather insights into human flourishing amid suffering among Methodist clergy in Indonesia. The phenomenological approach delved into the essence of encountering the grace of the Lord and flourishing amid the adversities in their ministry. The purposeful sampling was carried out, and fifteen clergy participated in the semi-structured interviews. Their responses helped with gaining insights into the themes of God’s grace, suffering, and human flourishing amid suffering. The …