Digital Commons Network^™

Hyperlipidemia: Enhancing Patient Education And Clinical Support To Improve Self-Efficacy, Kelly L. Caniglia

Doctoral Dissertations and Projects

Hyperlipidemia is a chronic, progressive disorder routinely encountered in primary care practice. In the United States, coronary artery disease and cerebrovascular disease are the leading causes of death. Hyperlipidemia is a modifiable risk factor for the development of coronary artery disease, cerebrovascular disease, and peripheral artery disease. However, many individuals fail to recognize the severity of the health consequences associated with hyperlipidemia. Most often, hyperlipidemia is the direct result of unhealthy lifestyle behaviors. Comprehensive care falls short in primary care settings, often due to non-compliance with necessary lifestyle behavior changes. Primary care patients' lack of knowledge and awareness signals a …

A Causal-Comparative Study Of Reading Motivation And Reading Achievement In Middle School Special Education Students Of Black, Hispanic, And White Descent, Anisha L. Mendez

Doctoral Dissertations and Projects

The purpose of this quantitative, causal-comparative study is to determine if there is a difference between reading motivation and reading achievement of middle school special education students of Black, Hispanic, and White descent. The importance of this study was to close reading gaps between ethnic groups. This study was conducted in four middle schools in a suburban area in Northeast Georgia. Participants included 58 Black=Group 1, 35 Hispanic=Group 2, and 33 White=Group 3 middle school special education students with a total of 126 students. The research questions guided this causal-comparative study with the following: (a) Is there a difference between …

Nursing Faculty Exposure To Student Incivility And Interventions In Place To Address: A Case Study, Kimberly Lowe

Doctoral Dissertations and Projects

The purpose of this qualitative case study was to explore nursing faculty exposure to nursing student incivility at a nursing college in the Mid-Atlantic region. Bandura's social learning theory provided this study’s theoretical framework. The continuum of workplace aggression and conceptual model fostering incivility in nursing education also guided this study. This study answered the following central research question: How have nursing faculty been exposed to incivility by nursing students? Data were collected for this study through one-on-one interviews with nursing faculty exposed to nursing student incivility and a focus group with the same nursing faculty to discuss the current …

Improved Clinical Outcomes Due To Gfr-Based Clinical Interventions For The Prevention And Treatment Of Renal Disease As It Relates To The Veteran Population Managed By A Patient-Aligned Care Team, Sidneca Evangella Hazward

Doctoral Dissertations and Projects

The purpose of this study was to understand if the use of eGFR (CKD-EPI 2021) in the absence of race modification influenced early detection of renal disease for veterans managed by patient-aligned care teams. A retrospective cohort study design was used, analyzing patient data from the Department of Veterans Affairs Medical Center (VAMC). The study included veterans with available serum creatinine, albumin, eGFR, CKD-EPI 2021, etc. measurements and demographic data. The study employed a systematic data review of electronic medical records from 2019 to 2024 and utilized electronic data collection through a computerized patient record system (CPRS) data collection system. …

Cultural Motivations And Effects Of Live Game Streaming, Gordon David Littleford

Doctoral Dissertations and Projects

Live game streaming combines many of the social mechanisms and cultural impacts of social media with the entertainment and social impacts of traditional media. Live game streaming (LGS) is growing in audience size and engagement. Further, the financial impact of LGS is rising to the level of Hollywood films and the music industry. As such this study focused on how the communicative environment of live game streaming impacts the live game streaming culture at large, as well as the effects on both the individual streamers and their communities during live game streams. The emergent design of this qualitative digital ethnography …

A Hermeneutic Phenomenological Study Of College Students' Experiences With College-Provided Mental Healthcare Services, Adrian M. Campbell

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand college students' perspectives on college-provided mental healthcare services. The framework guiding this study is the theory of planned behavior (TPB), developed by Fishbein and Ajzen. The TPB theory is based on attitude, social norms, perceived behavioral control (PBC), and intention. The central research question: What are college students' perspectives on college-provided mental healthcare services? The design of this qualitative study is hermeneutic phenomenology, a rigorous and well-established approach. A sample of twelve participants, carefully selected based on pre-determined criteria, was included in the study. The participants, a diverse mix of current …

Emotional Intelligence, Perceived Stress, Coping Strategies And Burnout In High Stress Nursing Job Types, Chris Hutsell

Doctoral Dissertations and Projects

This quantitative, correlative study examined the relationships between emotional intelligence (EI), burnout, perceived stress, coping strategy approaches, and dimensions of burnout in nurses According to many in the healthcare industry, the U.S. is facing a potential nursing crisis by 2030. Research has indicated that inadequate staffing leads to heavier workloads that contribute to higher rates of injuries, medical errors, absenteeism, financial loss, stress, and job burnout in nurses. Studies have also indicated that emotional intelligence can alleviate perceived stress and burnout in nurses that reduce nursing injuries, medical errors, absenteeism that manifests as financial losses for the overall healthcare industry. …

Action Crisis Intervention Response, Dwayne Pine

Doctoral Dissertations and Projects

Establishing a peer-to-peer mental health intervention program for healthcare workers at Henry Mayo Hospital is imperative for addressing stress, anxiety, depression, job burnout, and compassion fatigue. The growing mental health crisis among healthcare workers, leading to a significant number leaving the industry due to lack of support from management, underscores the urgency of this initiative. This action research project emphasizes the need for such a program in conjunction with the established Mental Health First Aid. While the latter provides tools to recognize a mental health crisis, it lacks holistic approaches to aid healthcare workers in immediate crisis mode. The project …

Investigating High School Students' Engagement And Presence In Foreign Language Learning Using Virtual Reality: A Quasi-Experimental Study, Nibras Clapp

Doctoral Dissertations and Projects

The purpose of this quasi-experimental, nonequivalent control group study was to determine if a statistically significant difference existed in the engagement and presence of high school foreign language learners who used virtual reality in their language learning and those who used traditional methods. This study seeks to add to the existing literature by bridging the gap of understanding related to increasing the proficiency of foreign language learners. A convenience sample of 158 high school students was drawn from a school district in the southeast of the United States. The study utilized the user engagement scale and the presence questionnaire, with …

Incorporating Aaron Copland's Philosophy Of Inclusion In Midwest Rural Band Programs: A Qualitative Study Of Attracting And Retaining Students Of Low Socioeconomic Status, Jonathan, S. Laflamme

Doctoral Dissertations and Projects

The field of music education has established the value of instrumental band music instruction as congruent with students’ intellectual, kinesthetic, psychological, and academic success. However, one should scrutinize the validity of the above data, as it addresses issues concerning access to instrumental music education that persist within underserved populations, particularly those characterized by low socioeconomic status (SES) in rural Midwest America. Researchers have synthesized very little data specifically to address the needs of Midwest rural schools and underserved student populations. This qualitative study explores the effects of applying Aaron Copland’s philosophy of inclusion, specifically regarding students of low SES, in …

Understanding The Characteristics Of The Artistic Temperament In A Local Church Through The Eyes Of The Choir Members And The Lens Of Scripture: A Case Study, Deborah A. Mcilrath

Doctoral Dissertations and Projects

Madness has long been associated with musical geniuses, known as temperamental musicians with uncomfortable mood swings that often border on manic depressive episodes. Secular studies show parallels between musicians with an artistic temperament (AT) and bipolar/manic depressive disorders. Many church choir members and church leaders expect church music directors to be more expressive, but if negative characteristics associated with an artistic temperament (AT) emerge during rehearsals, such as anger or moodiness, conflict is inevitable. This is a phenomenological qualitative study of the characteristics associated with AT in a local church through the lens of Scripture. The purpose of this research …

Navigating Eating Disorders Through Counseling, Alyssa Pelella

The Kabod

Honors Petition submitted to PSYC365-001: Psychological Foundations of Learning.

Social Learning In Individuals With Autism, Benjamin Ellis

The Kabod

Honors Petition submitted to PSYC 365-001: Psychological Foundations of Learning.

Parkinson’S Disease: Traditional And Emerging Approaches To Therapy, Emily Vernon

The Kabod

Honors Petition submitted to NURS 306: Pharmacology.II.

Is Tax-Funded Education Unconstitutional?, Jeffrey C. Tuomala

Liberty University Law Review

This Article explains why tax-funded education is an unconstitutional establishment of religion in violation of the First Amendment. It analyzes the worldview that sustains the educational establishment and informs Supreme Court jurisprudence—a worldview that falsely bifurcates reality between the secular and the religious.

The Supreme Court has never given serious attention to defining the term religion as used in the First Amendment religion clauses. During the Virginia establishment controversy that culminated in 1786, Virginia provided a definition of religion and identified the fundamental principles on which religious liberty is based. That definition and those principles contrast with the subjective definition …

Homeschooling In The United States: A Seismic Parental Rights Victory, William A. Estrada

Liberty University Law Review

Homeschooling has surged in popularity. It has a proven record of success. Yet that begs the question: how did we get here? How did our nation go from prosecuting homeschool parents a few decades ago to considering home education a viable and mainstream educational option? This Article explores the reasons why and concludes that it is because of the history and tradition of parental rights that has been recognized and accepted in the United States. This Article explores the history of parental rights from ancient times to the founding of the United States. That rich history and tradition, particularly the …

A Case Study Of Using Social Media Influencers For Sponsored Posts, Meagen Rockenbach

Doctoral Dissertations and Projects

The use of social media changed consumer behavior and how company leaders conduct business, including the way that they promote products and services. Instagram is a social media platform that many companies use to promote products and services. In the beauty and lifestyle industry, company officials hire social media influencers for influencer marketing campaigns. In the Unites States, the Federal Trade Commission has rules for these sponsored posts that influencers must disclose that they are working with a brand within the sponsored post. This study was to establish a connection between Instagram influencers and their use of disclosed sponsorship in …

The Experiences Of Christian School Educators In The Midwest Who Practice Consistent Prayer: A Phenomenological Study, Noemi Blig

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the experiences, especially those related to the practice of consistent prayer and their decisions to remain in the profession, of educators in Christian schools in the Midwest. The theory guiding this study was Maslow’s hierarchy of needs, as it shows how all individuals have basic needs that must be met. Teachers have individual needs that influence their decision to remain in the profession. The central research question asked: What are the experiences of Christian school educators who practice consistent prayer? A qualitative research study was appropriate for this topic since it …

A Hermeneutic Phenomenological Study Of First-Year Christian Student Success In Theological Studies During The Pandemic, Philip Lamar Nash

Doctoral Dissertations and Projects

This study examined the journeys of first-year undergraduate theological students during the coronavirus (COVID-19) pandemic to figure out what, if anything, aided the students in completing their coursework with passing grades. COVID-19 has impacted organizations and individuals around the world, prompting changes to ensure that things kept moving forward safely. The research was conducted to discover what, if anything, brought about achievement for students in a COVID-19 collegiate environment. The research was guided through a hermeneutic phenomenological qualitative approach by conducting interviews with students about their first year in a residential secondary educational setting that moved to being online because …

A Quantitative Survey Exploring The Types Of Internet Accessible Mental Health Resources Recognized By U.S. Long-Haul Truck Drivers, Cristal Angela Reyna

Doctoral Dissertations and Projects

Long-haul truck drivers (LHTDs) are an important part of the supply chain in the United States. Their work schedules include holidays, weekends, night shifts, and can last anywhere from 60–70 hours for a single 6- to 8-day run to meet the demands of society. Poor work–life balance, high job demands, and poor sleep quality that can be experienced on the job as an LHTD can negatively affect not only their physical health but also their mental health. Depression, anxiety, and stress are three psychological effects that can develop from an unhealthy lifestyle and inability to maintain any healthcare appointments, despite …

Purpose, Performance, And Process Influence On Airline Pilot Trust In Automation Technology: A Quantitative Study, Thomas Robert Meyer

Doctoral Dissertations and Projects

The purpose of this quantitative, descriptive survey study was to determine if purpose, performance, and process influence airline pilot trust in automation technology. The role of a tool is an extension of human capabilities. Initially limited to mechanical extensions of arms and legs, tools are more sophisticated and extend into mental abilities. Quantum leaps in computer and automation technology mitigate repetitive or complex calculations using developed cognitive processes. Through the Trust in Automation theoretical lens, this study used the Likert-based System Trustworthiness Scale offered online to approximately 3,000 airline pilots using simple random sampling methods comprising voluntary submissions. Data was …

A Transcendental Phenomenological Study Of Factors That Contribute To First-Generation Minority College Students' Motivation In Bachelor's Degree Attainment, Garry Anthony Mebane

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe the lived experiences that motivated and contributed to first-generation minority college student success (FGMCSS) at a university in the southeastern United States. This study involved 12 first-generation minority college students (FGMCS) enrolled in an undergraduate degree program. Bandura's social cognitive theory guided this research, which explains that the human learning process develops through social context. Research questions emerged from understanding the problem and purpose statements. The question guiding this research was: What are the experiences that motivate and contribute to FGMCS success at a university in the southeastern United States? …

An Integrative Review: Improving Copd Patient Outcomes Using The Teach-Back Method, Bichundo Lambert

Doctoral Dissertations and Projects

Chronic obstructive pulmonary disease (COPD) is a common clinical health concern that causes airflow resistance to the lungs and persistent respiratory symptoms, which can impact quality of life for the COPD patient. The condition is common to adults over 40 years of age. It is estimated that 210 million people worldwide suffer from the disease, and its incidence is on the rise. In United States, COPD affects 16 million people and costs the government $24 billion annually. The researchers predicts that COPD will be the third-leading course of mortality by 2030 worldwide. The objective of this integrative review was to …

Teacher Retention In Title I Schools: A Phenomenological Qualitative Study, Jessica Marie Stetekluh Cain

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to understand the elements contributing to teacher retention through the lived experiences of K-5 teachers at Title I schools in the Southern United States. The theory guiding this study is Maslow’s hierarchy of needs as it applies to teacher retention. The central research question of this study is as follows: what are the experiences related to retention of K-5 teachers who teach in a Title I school? The sample size included 10 participants. The sample was a convenience sample of teachers from three Title I schools in an urban school district in …

Exploring The Role Of Innovation Across Social And Academic Integration For First-Generation Caribbean Undergraduate Persistence, Angelina Natasha Carvalhal

Doctoral Dissertations and Projects

The purpose of this intrinsic case study was to understand how innovation across social and academic integration among first-generation Caribbean Undergraduates supports persistence at three public universities in the Northeast. The theory underpinning this study was Tinto’s dropout theory and theory of institutional departure. Tinto’s theory connected to this study of how supporting innovation through social and academic integration supports the persistence of first-generation Caribbean Undergraduates. The central research question guiding this study was: How has innovative academic content delivery affected the retention of first-generation Caribbean Undergraduates? Purposeful sampling was applied to interview students on-site, while random sampling was applied …

The Influence Of Internet Media On Young Adult Development, Michael A. Ouellette

Doctoral Dissertations and Projects

The study examines from a Christian worldview how free will, regarded as God's greatest gift, is now being shaped by human influence. New treatment methods become essential to adapt to the media-changing world and help with developmental delays. The purpose of this qualitative grounded theory lite study was to explore Internet media’s influence on young adults in Quebec, Canada. Data on Internet media demographics, social behavior, identity, influence, emotional self-regulation, and moral decision-making were collected by conducting twelve semi-structured, audio-recorded interviews with young adults in Quebec. The responses were coded into six primary themes, with an intercoder conducting a cross-verification …

Standardizing Critical Skills And Competency Validation To Promote Self-Efficacy Among Rapid Response Nurses, Kelli Dail Baker

Doctoral Dissertations and Projects

Competency validation is a key component of supporting nurses with necessary skills to provide care for their patients. However, many healthcare organizations do not have a standardized process for determining which skills are evaluated and the method by which evaluation occurs. To address competency validation among rapid response nurses (RRNs), this evidence-based practice project was proposed to increase self-efficacy. This project involved a thorough data review of all rapid response skills, categorizing all interventions based on quantity and acuity, and holding a hands-on educational fair for a set of standardized skills. A quasi-experimental design was used to collect data pre- …

Violent Outcomes In Adult Males Raised In Absent Biological Father Homes During Early Childhood, Wallace Robert Ascencio

Doctoral Dissertations and Projects

The absence of a biological father during early childhood can evoke numerous and often potentially violent or life-altering adverse outcomes for adult males during adulthood. Research on the long-term effects of father absence on adult men raised without a biological father during early childhood has garnered considerable attention among institutions, U.S. policymakers, and criminologists. The goal of this research was to extrapolate data related to the absent father phenomenon in Southeastern Washington state and how it leads to violent outcomes in adult males. This transcendental phenomenological qualitative study used structured interviews and assessments to explore the lived experiences and outcomes …

Exploring Hangar Flying As A Communication Practice For Vicarious Learning: A Qualitative Content Analysis Of General Aviation Storytelling On Youtube, Timothy Aaron Frizzell

Doctoral Dissertations and Projects

More than 50% of general aviation accidents are caused by pilot error, often due to inadequate formal training or inexperience in real-life situations (Pilot Institute, 2023). Some scholars suggest that learning from other pilots’ experiences could supplement formal training and increase general aviation safety (Cohn, 1994; Harnagel, 2021; Krog, 2022). With this in mind, this study explored the communication phenomenon known as hangar flying, an aviation storytelling practice in which pilots share flying experiences. The goal was to investigate how hangar flying may enable vicarious learning, influence personal flying culture, and, as a result, increase flight safety. Employing a qualitative …

Triple-Negative Breast Cancer Survivors: Post-Traumatic Stress Disorder, Post-Traumatic Growth, Quality Of Life, And Unmet Mental Health Needs, Carla Horton Gray

Doctoral Dissertations and Projects

The purpose of this mixed-method study was to investigate levels of PTSD, PTG, QOL, their relationships, and unmet mental health needs of triple-negative breast cancer survivors diagnosed between stages 2b-4 and 2-5 years post-treatment. Participants were recruited through two cancer organizations, breast health navigators, TNBC support groups, and online breast cancer support groups. Sixty-one participants completed the PTSD Checklist-Civilian Version (PCL-C), Post-Traumatic Growth Inventory, and the Functional Assessment of Cancer Therapy-Breast (FACT-B). Thirty participants completed the optional short answer questions about unmet mental health needs. Participants’ mean score of 48 (SD=12.22) on the PCL-C was higher than 44, PTSD scores …