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Full-Text Articles in Entire DC Network
The Lived Experience Of Students With Neurodevelopmental Disabilities And Smartphones For Higher Learning, Eric F. Sandstrom
The Lived Experience Of Students With Neurodevelopmental Disabilities And Smartphones For Higher Learning, Eric F. Sandstrom
Doctoral Dissertations and Projects
The purpose of this phenomenological study is to describe the lived experiences of college students with neurodevelopmental disabilities (NDD) using smartphones for online learning during historic levels of both enrollment of students with NDDs and smartphone use in education. The guiding framework is Bandura's (1986) social cognitive theory, which explains how learning occurs in a social context that includes interpersonal, behavioral, and environmental factors. This study asks: What are the lived experiences of students with NDDs in college using smartphones for online learning? The study seeks to understand how smartphones influence students’ perceptions of disability accommodations, internal locus of control, …
Workplace Violence: A Paradigm Shift, Ann Marie Hutchens
Workplace Violence: A Paradigm Shift, Ann Marie Hutchens
Doctoral Dissertations and Projects
Workplace violence (WPV) has reached epidemic proportions. WPV poses devastating results on the healthcare industry: affecting quality of care and patient outcomes, contribute to the development of physical and psychological conditions for nurses, and reduce the healthcare teams’ level of job satisfaction and organizational commitment. The United States is already facing a nursing shortage due to baby boomers retiring and an increase chronic disease and the elder population. Although strongly prevalent, WPV is significantly underreported. It is believed that the low rate of reporting is a consequence of apathy that violence is an occupational hazard, and that nothing will change. …
The Perspectives Of Secondary School Science Teachers Regarding The Next-Generation Science Standards In Fostering Critical Thinking Skills In The Rural Public High Schools Of A Southeastern Coastal State: A Transcendental Phenomenological Study, Janakikutty Vipin Das
Doctoral Dissertations and Projects
The purpose of this transcendental phenomenological study was to describe the experiences of secondary school science teachers regarding the Next-Generation Science Standards (NGSS) in fostering students’ critical thinking skills in rural public schools in a southeastern coastal state. The theory guiding this study was Bandura’s social cognitive theory (SCT), which helps describe the interconnected personal, behavioral, and environmental factors that explain teachers’ challenges in implementing NGSS. SCT provided a framework for answering the central research question: What are the perspectives of secondary school science teachers in rural public secondary schools of a southeastern coastal state regarding the Next-Generation Science Standards …
Play, Instruct, Lead: Investigating The Influence Observing Same-Gender Role Models Has On Leadership Development Of Collegiate Women Student-Athletes Coaching At Youth Sports Camps: A Phenomenological Study, Mercy-Nora Osei
Doctoral Dissertations and Projects
The purpose of this phenomenological study is to describe how observing same-gender role models influenced the leadership development of collegiate women student-athletes (CWSA) when coaching at youth sports camps (YSC) at NCAA institution campuses in the United States. The theory that guided this study was Albert Bandura’s theory on social learning, as it explained the relationship between observational learning and the influence role modeling had on leadership development. The central question was: How does observing same-gender role models influence the leadership development of collegiate women student-athletes when coaching at youth sports camps? This study used a transcendental phenomenological design to …
Delay Of Gratification And Relationship To Eating Disorders, Monica D. Grambusch
Delay Of Gratification And Relationship To Eating Disorders, Monica D. Grambusch
Doctoral Dissertations and Projects
Delay of gratification has been studied across a wide range of topics, with a typical association with positive traits for self-control and behavior adaptation. This study focuses on eating disorders and Delay of Gratification to understand the contradictory nature it may have related to eating disordered behaviors. The Eating Attitudes Test (26), Delay of Gratification Inventory, and a demographics survey were conducted online, screening for participants over 18 years of age with self-reported previous eating disorders. This quantitative study focused on two research questions. Research Question 1 examined if there was a relationship between Delay of Gratification scores and selfreported …
A Southern Widow’S War: Sarah Landrum Devereux Garrison And The Struggles Of Survival In Nineteenth-Century Texas, Tanya Estes Austin
A Southern Widow’S War: Sarah Landrum Devereux Garrison And The Struggles Of Survival In Nineteenth-Century Texas, Tanya Estes Austin
Doctoral Dissertations and Projects
This study examines the life and legacy of Sarah Landrum Devereux Garrison (1827–1900) and her management of Monte Verdi Plantation in Rusk County, Texas, tracing its transformation before, during, and after the American Civil War. Drawing from the Devereux Family Papers at the Dolph Briscoe Center for American History, along with county records, agricultural schedules, and personal correspondence, this research reconstructs the economic, social, and domestic systems that sustained plantation life under her direction. As a widow and female plantation manager, Sarah navigated the profound upheavals of war, emancipation, and Reconstruction with exceptional resilience and adaptability. Her leadership offers an …
The Sacrificial Grammar Of Forgiveness: A Monochromatic Theology Of Restoration In Matthew 18:21–35, Elizabeth Ann Reed
The Sacrificial Grammar Of Forgiveness: A Monochromatic Theology Of Restoration In Matthew 18:21–35, Elizabeth Ann Reed
Doctoral Dissertations and Projects
This dissertation explores forgiveness as divine restoration. I argue that biblical forgiveness is more than emotional release or social reconciliation. Forgiveness, grounded in the sacrificial system of the Old Testament and fulfilled in the teachings and person of Jesus Christ, emerges as a theological act. In this way, it restores broken relationships between God and humanity. It also restores relationships among individuals. Through interdisciplinary analysis, the study integrates theological, psychological, and historical perspectives to redefine forgiveness as a covenantal and transformative practice. The research begins with what I call the Genesis Offering. This term describes God’s sacrificial act in Genesis …
To Buzz Or Not To Buzz: A Survey Design Of Embouchure Development Among Kentucky Brass Musicians In Higher Education, Christopher P. Schmidt
To Buzz Or Not To Buzz: A Survey Design Of Embouchure Development Among Kentucky Brass Musicians In Higher Education, Christopher P. Schmidt
Doctoral Dissertations and Projects
This survey design study examined the methods of embouchure development practiced by Kentucky brass musicians in higher education. The purpose of the study was to explore how collegiate brass professors, their graduate teaching assistants, and undergraduate student musicians apply or omit mouthpiece buzzing in their daily practice routines and private-studio instruction. The study explored pedagogical influences rooted in the teachings of William Adam, Philip Farkas, Emory Remington, and Arnold Jacobs to identify how their philosophies inform contemporary approaches to brass pedagogy. The findings revealed consistent pedagogical diversity among KPUBPs, with most participants using mouthpiece buzzing, long tones, airflow drills, and …
Vocal Pedagogy Training For Vocal Music Education Students, Melissa N. Hinds
Vocal Pedagogy Training For Vocal Music Education Students, Melissa N. Hinds
Doctoral Dissertations and Projects
The purpose of this qualitative grounded theory research is to investigate choir teachers’ perceptions of their undergraduate vocal pedagogy training. The problem is that choir teachers may enter the profession with insufficient vocal pedagogy training to teach their choral ensembles adequately. The rationale for this study is to help close the gap by creating a vocal pedagogy curriculum designed for preservice vocal music educators. The foundation of the created curriculum is the participants’ perception of their undergraduate training. The research questions that guided this study are as follows: (1) How do secondary-level choral conductors’ perceptions of their undergraduate vocal pedagogy …
Learning To Play Drums: Rote Learning Versus Note Approach, Jacob R. Brumback
Learning To Play Drums: Rote Learning Versus Note Approach, Jacob R. Brumback
Masters Theses
The purpose of this qualitative historical study is to determine whether rote-learned drummers perform better than formally trained drummers. The issue is that some drummers may excel by watching and developing aural skills exclusively, while others perform well by only reading sheet music. The goal is to decide if drummers with strong aural skills or those who rely on note-reading performed better. The rationale explained how the applicability of rudiments, complex timing, creative fills, and improvisational soloing skills influences the performances of both rote-learned and note-approach drummers. Data collection methods for this research included oral history traditions and analyzing secondary …
Design With A Purpose: An Introductory Faith-Integrated Graphic Design Textbook For Christian Higher Education, Rosealine Lemette
Design With A Purpose: An Introductory Faith-Integrated Graphic Design Textbook For Christian Higher Education, Rosealine Lemette
Masters Theses
This thesis project addresses the absence of faith-informed graphic design curriculum available to Christian higher education programs creating a curricular gap that limits students’ ability to draw meaningful connections between their profession and Christian identity. The proposed solution in this project is an introductory graphic design textbook that combines foundational design theory, historical context, and hands-on skill building from a Christian worldview. This educational resource will guide students and faculty to view their profession as a divine calling, engaging in the creative process as an act of worship while developing an ethical and spiritually grounded design process. The comprehensive literature …
Mistake: A Toolkit For Combating Maladaptive Perfectionism In Creatives, Sean D. Silva
Mistake: A Toolkit For Combating Maladaptive Perfectionism In Creatives, Sean D. Silva
Masters Theses
This thesis examines the potential use of a tabletop game as an approach for creatives to address their maladaptive perfectionism. Through my research, perfectionism has been identified as a pervasive barrier to creative flow, emotional well-being, and artistic growth. Motivated by my observations of increasing mental health challenges among my students, I explore how adaptive, visually engaging, and interactive analog systems might help to foster resilience and reframe failure as a necessary part of the creative process. Through a review of existing literature on perfectionism and creativity, analysis of successful tabletop and digital interventions, and cognitive-behavioral strategies, this research will …
The Divided Self: Gothic Duality In Literature, Sarah Anna Meeks
The Divided Self: Gothic Duality In Literature, Sarah Anna Meeks
Masters Theses
Gothic literature of the nineteenth century is haunting due to its frequent use of ghosts and monsters. However, the true terror lies in a deeper horror, one that is more intimate and destabilizing– a fright that leaps out of the text, looking into the heart of the reader: the fractured mind of the self torn between reality and repression, haunted by its own, newly manifested internal disunity rather than external monsters. The characters of Gothic fiction are typically caught in a psychological turmoil. They battle with split morals between duty and desire, morality and madness, and science and spirituality. Specifically, …
A Phenomenology Study Of African American Male’S Perception Of Black Church Leadership, Eric Lewis
A Phenomenology Study Of African American Male’S Perception Of Black Church Leadership, Eric Lewis
Doctoral Dissertations and Projects
Previous research has identified a gender disparity exists within the context of the Black Church. More specifically, the gender disparity focuses on the fact that there are more women than men in the context of the Black Church. The purpose of this phenomenological study was to explore the perceptions and attitudes that African American males have about Black Church leadership. In addition to this, to also identify if there is a congruence between the perceptions that Black males have about Black Church leadership and their level of engagement or non-engagement. The theory guiding this study is hermeneutic phenomenology, also known …
What My Church Mother Taught Me: A Phenomenological Exploration Of The Maternal Messages Given To Black Christian Women On How To Cope With Trauma, Melanie Joyce Coates
What My Church Mother Taught Me: A Phenomenological Exploration Of The Maternal Messages Given To Black Christian Women On How To Cope With Trauma, Melanie Joyce Coates
Doctoral Dissertations and Projects
The purpose of this qualitative phenomenological study was to explore the lived experiences of Black women in Churches of Christ as they perceive and interpret maternal messages about coping with and managing the effects of traumatic experiences. For this study, maternal messages was defined as advice, support, mentorship, or guidance from older Black Christian women to younger Black Christian women. It was important to understand the ways in which older Black women teach younger Black women in navigating mental health challenges within the context of a complex trauma history among African Americans. The first theory that guided this study was …
Perspectives Of School Based Mental Health Workers Supporting Intellectual Disabilities & Mental Health Disorders, Anna R. Cleeland
Perspectives Of School Based Mental Health Workers Supporting Intellectual Disabilities & Mental Health Disorders, Anna R. Cleeland
Doctoral Dissertations and Projects
This study aimed to investigate the current training of school based mental health (SBMH) professionals working with individuals with dual diagnosed individuals with Intellectual/Developmental disabilities and mental health disorders. A triangulated data approach of survey, focus group and journal reflection was completed providing opportunities for the SBMH professionals to describe their professional training to work with the population and expound on their experiences providing services in the K12 school setting. Results from all three data points indicated a large deficit in training options available specifically for professionals working with those who have an IDD/MH diagnosis. Results also outlined three themes/10 …
A Study Of The Relationship Between Emotional Intelligence And Affective Organizational Commitment And Their Effect On Turnover Intentions, David Dix Tomblison
A Study Of The Relationship Between Emotional Intelligence And Affective Organizational Commitment And Their Effect On Turnover Intentions, David Dix Tomblison
Doctoral Dissertations and Projects
This study examined the relationships among emotional intelligence, affective organizational commitment, and turnover intentions among millennial employees in Washington State’s technology sector. A fixed, cross-sectional quantitative design was used with data from 459 participants collected through the Wong and Law Emotional Intelligence Scale, the Meyer and Allen Affective Commitment Scale, and the Cohen Turnover Intention Scale. Statistical analyses were conducted with IBM SPSS Statistics (Version 30; IBM Corp, 2023) for simple regression analysis and the PROCESS Macro (Version 5.0, Model 1) for moderation analysis. Findings showed that emotional intelligence was positively associated with affective organizational commitment and negatively associated with …
Edenic Themes Of Creation And Exile In The Book Of Jonah And Their Impact On Evangelical Exegesis, Christopher R. Walker
Edenic Themes Of Creation And Exile In The Book Of Jonah And Their Impact On Evangelical Exegesis, Christopher R. Walker
Masters Theses
This thesis examines how the Book of Jonah uses imagery drawn from the Garden of Eden and how these themes shape the way evangelicals read the book. Rather than treating Jonah as a simple moral tale, the study argues that the narrative is intentionally crafted to further highlight Jonah’s disobedience and the book's theological claims, using Edenic imagery. Chapter One considers the question of “Why did Jonah run to Tarshish”? After considering the intertextual links, it appears that Jonah ran specifically to Tarshish for its Eden-like possibilities. Chapter Two focuses on the non-human agents in the book. The wind, ship, …
Exploring The Relationship Between Loneliness And Real-Time Measurements Of Gsr And Hrv During Concept Mapping, And Cortisol And Oxytocin Levels, Jangwon Seo
Masters Theses
This study attempts to explore loneliness among college students from a bio-physio-psycho-social perspective, and it utilizes real-time physiological measurements (GSR and HRV) and biomarkers (cortisol and oxytocin) in conjunction with psychosocial assessments. The study employs both qualitative and quantitative methods, which involve concept mapping exercises, with the aim of comprehending the full nature of how loneliness interacts with physiological and psychological processes. At Time 1 (T1) we found significant positive correlations between loneliness and elevated GSR levels, which is indicative of increased sympathetic arousal (r = .35, p < .01). Additionally, there were significant negative correlations between loneliness and mean RR intervals in HRV that indicated autonomic dysregulation featured by increased sympathetic activities as well as reduced parasympathetic functions (r = -.28, p < .05). However, at Time 2 (T2), these correlations were not significant indicating possible temporal fluctuations due to adaptive responses or extraneous variables such social support systems or coping mechanisms. The qualitative data from concept mapping enriched the analysis by providing deeper insights into the cognitive and emotional processes underlying loneliness. Despite limitations like demographic skewness, funding constraints, logistical challenges, etc., this, therefore, highlights the need for multidimensional investigations of psychological phenomena. This has implications for future research as well as clinical practice, which could include using these integrative measures to develop holistic interventions for mental health disorders.
A Pilot Study Of Life Model Informed Therapy And Its Efficacy For Reducing Anxiety And Increasing Joy In Adults, William R. Mouer
A Pilot Study Of Life Model Informed Therapy And Its Efficacy For Reducing Anxiety And Increasing Joy In Adults, William R. Mouer
Doctoral Dissertations and Projects
This pilot study researched Life Model Informed Therapy (LMIT), a modality developed into a six-week treatment targeted to decrease anxiety and increase joy in adults that self-reported as having anxiety. Fourteen participants were recruited by Facebook ads in the Charlotte, North Carolina area. Outcome data were collected using the State Joy Scale (SJS) and Beck Anxiety Inventory (BAI). Participants received the same LMIT treatment for six consecutive, weekly, one-hour sessions. Participants self-reported on their joy and anxiety levels at three periods of time, including a pre-treatment, post-treatment and one month after-treatment test. Two one-way RM-ANOVA tests were conducted. Results of …
The Unashamed Plan: Expository Methods For Reconciling Unchurched Young Adults At The Friendship Baptist Church Of West End, James Daniel Spencer Ii
The Unashamed Plan: Expository Methods For Reconciling Unchurched Young Adults At The Friendship Baptist Church Of West End, James Daniel Spencer Ii
Doctoral Dissertations and Projects
Young adults are absent from the pews of churches within the urban African American community. Churches within the community face dissolution because a generation no longer seeks to solve its problems by connecting with the household of faith due to shame-based alienation. There is a need to reconcile young adults into the citadel of invincible grace, God’s church, to fulfill the Great Commission and ensure a generation is not lost. Therefore, this action research project teaches church members through expository preaching and teaching The Unashamed Plan to educate them to reach youth for Christ. The Unashamed Plan is a theological …
Job-Related Factors Affecting Special Education Teachers In The Pk-12 Classrooms Technology Proficiency: A Predictive Correlational Study, Kreshonya Porter
Job-Related Factors Affecting Special Education Teachers In The Pk-12 Classrooms Technology Proficiency: A Predictive Correlational Study, Kreshonya Porter
Doctoral Dissertations and Projects
The purpose of this predictive correlational study was to determine if a linear combination of job-related factors could predict special education teachers’ technology proficiency. The study is critical because teachers’ technology proficiency in a special education setting directly impacts students’ inclusivity, engagement, productivity, and achievements in the classroom. This study adds to the literature regarding special education teachers’ technology proficiency by examining specific job-related factors (experience, educational level, amount of technology-related professional development training, frequency of technology use, specialty, and job placement). The participants for this study were drawn from the population of special education teachers employed in pre-K through …
Implementation Of Enhanced Recovery After Surgery Protocols To Improved Maternal Pain Management, Stefanie Sherman
Implementation Of Enhanced Recovery After Surgery Protocols To Improved Maternal Pain Management, Stefanie Sherman
Doctoral Dissertations and Projects
Cesarean sections remain the most common surgical procedures in the United States, but they come with significant risks, including increased pain, infection, longer recovery, and higher health care costs. Enhanced Recovery After Surgery (ERAS) guidelines outline an evidence- based, multidisciplinary approach that optimizes surgical recovery and improves outcomes. The primary goal of this project was to evaluate the impact of the implementation of ERAS guidelines in a community hospital with women undergoing scheduled cesarean sections on postoperative pain management as measured by aggregate pain scores. The Iowa Model of Evidence-Based Practice was used to guide this quasi-experimental pre-post project, which …
A Predictive Correlational Study Of The Relationship Between Faculty Leadership Styles And Teacher Communication Orientation In Jamaica’S Higher Education System, Zandy Uriel Elliott
A Predictive Correlational Study Of The Relationship Between Faculty Leadership Styles And Teacher Communication Orientation In Jamaica’S Higher Education System, Zandy Uriel Elliott
Doctoral Dissertations and Projects
This quantitative study examined the extent to which faculty leadership styles, gender, and years of experience predict teacher communication orientation, specifically assertiveness (TCO-A) and responsiveness (TCO-R), among higher educational institutions in Jamaica. Grounded in communication theory and leadership frameworks, the study explored how faculty leadership express themselves and respond to others. Data were collected from 216 faculty members using the Multifactor Leadership Questionnaire (MLQ) and the Sociocommunicative Orientation Scale (SCO). Descriptive analyses indicated that participants’ mean responsiveness scores were slightly higher than assertiveness scores across all years-of-experience categories, with many displaying traits consistent with an “Amiable” to “Expressive” communication profile …
From Protest To Harmony: The Global Language Of Change, Valerie Brooke Missick
From Protest To Harmony: The Global Language Of Change, Valerie Brooke Missick
Doctoral Dissertations and Projects
This qualitative historical study investigates how music functions as a unifying force within global social and political movements, transcending cultural, linguistic, and national boundaries to foster collective identity and sustain long-term activism. Drawing on Social Identity Theory, Cultural Diffusion Theory, and Framing Theory, the research analyzes archival documents, historical records, media sources, and case studies from movements such as the U.S. Civil Rights Movement, the Anti-Vietnam War Movement, anti-apartheid struggles, Black Lives Matter, the Arab Spring, and contemporary climate justice activism. Findings reveal that music operates as both an emotional catalyst and a strategic communication tool, shaping narratives, strengthening solidarity, …
Investigation In The Association Of Opioid Administration And Access To A Primary Care Provider In Patients Who Frequently Use The Emergency Department In A Rural And Urban Hospital In Arkansas, Cheyenne Star Lowrey-Lagrone
Investigation In The Association Of Opioid Administration And Access To A Primary Care Provider In Patients Who Frequently Use The Emergency Department In A Rural And Urban Hospital In Arkansas, Cheyenne Star Lowrey-Lagrone
Doctoral Dissertations and Projects
The overuse of emergency department (ED) services presents challenges for hospitals and communities as valuable resources are funneled repeatedly into the same patients. Frequent ED users account for a significant portion of used resources, and efforts have been made to address this public health concern. This paper sought to identify associations between opioid administration and access to a PCP in one rural and one urban hospital in Arkansas. Through an investigation of 200 medical records of ED users identified as frequent users of one rural (n=100) and one urban (n=100) hospital between 2018 and 2023, the researcher identified associations between …
The Impact Of Education And Awareness In Influencing Lifestyle Behaviors That Prevent And Treat Sarcopenia In Older Adults: A Mixed-Methods Cross-Sectional Research Study, Alan Lynn Jones
Doctoral Dissertations and Projects
This mixed-methods, cross-sectional study assessed the current level of knowledge and awareness among people aged 50 and older about sarcopenia, as well as their willingness to adopt lifestyle changes that could prevent or reverse the condition as they age. The study aimed to determine whether a lack of awareness and knowledge is linked to current lifestyle behaviors that contribute to or protect against the development of the disease. The population included men and women 50 and older, living independently in the community with no prior diagnosis of sarcopenia. The study used a custom-designed questionnaire and semi-structured interviews. A total of …
The Lived Experience Of Child Sexual Abuse Material Investigators: A Phenomenological Study, Andrea Ruth Sorber
The Lived Experience Of Child Sexual Abuse Material Investigators: A Phenomenological Study, Andrea Ruth Sorber
Doctoral Dissertations and Projects
This transcendental phenomenological study describes the resiliency-building skills implemented by investigators during pre-engagement, engagement, and post-engagement with Child Sexual Abuse Material (CSAM) cases. This study will include no non-adults, as participants are those in the law enforcement field assigned to investigating CSAM cases. The theory guiding this study is Husserl’s transcendental phenomenology, which focuses on intentionality while suspending judgment and moving toward awareness. Schlossberg’s Transition Theory (STT) provides the theoretical framework for the study, which aims to answer the following primary research question: How do investigators handling CSAM describe their strategies to sustain resilience during engagement with distressing digital content? …
A Transcendental Phenomenological Study Of The Effects Of Having A Mentor On The Emotional, Mental, And Spiritual Health Of Bi-Vocational Clergy, Kenneth E. Hall Jr.
A Transcendental Phenomenological Study Of The Effects Of Having A Mentor On The Emotional, Mental, And Spiritual Health Of Bi-Vocational Clergy, Kenneth E. Hall Jr.
Doctoral Dissertations and Projects
The purpose of this transcendental phenomenological study is to understand the effect of a mentor/mentee relationship on the feelings of isolation and loneliness of bi-vocational clergy. The prevalence of bi-vocational clergy is on the rise across all denominations. Coupled with the number of clergy people leaving the ministry annually, bi-vocational clergy will become even more commonplace within the church structure. As the prevalence of bi-vocational clergy increases and the number of roles that they are expected to fill grows, safeguarding their mental, emotional, and spiritual health needs to be a priority. Bi-vocational clergy are at great risk for burnout and …
Exploring The Relationship Between Maternal-Fetal Training And Maternal Desert Workers’ Compassion Fatigue: A Predictive Correlational Study, Marissa Lemley Brown
Exploring The Relationship Between Maternal-Fetal Training And Maternal Desert Workers’ Compassion Fatigue: A Predictive Correlational Study, Marissa Lemley Brown
Doctoral Dissertations and Projects
The purpose of this quantitative, predictive correlational study was to explore the relationship between maternal-fetal training and maternal desert workers’ compassion satisfaction, burnout, and secondary traumatic stress in the southeastern region of the United States. Maternal deserts are defined as areas without dedicated obstetric services and impact more than 28 million childbearing-age women. These areas are becoming more prevalent, leaving healthcare workers to face caring for maternal-fetal health concerns in generalist areas. The study utilized a predictive correlational design to analyze relationships where multiple variables could influence the study. Stamm’s Professional Quality of Life V-5 (ProQOL) scale was used to …