Digital Commons Network^™

Motivational Interviewing Impact On Provider Burnout, Julie Cook

Graduate Studies Theses and Dissertations 2026

The study of patient–provider communication rarely considers the impact of provider–patient dialogue on providers themselves. This dissertation explores why motivational interviewing (MI) has been shown to reduce burnout among health care providers who use it. Using the empathic communication model (ECM) as a lens, it examines possible explanations for how MI contributes to lower burnout in providers. A mixed‑methods approach was used, consisting of a survey‑based quantitative study and a qualitative study using semi‑structured interviews. The quantitative study surveyed physicians, nurse practitioners, and physician assistants. Participants were asked questions assessing their knowledge of MI, the types of empathy they experience …

Entre Dos Mundos: A First-Generation Cuban American's Journey Through Identity And Memory, Alessandra M. Gonzalez

Graduate Studies Theses and Dissertations 2026

ENTRE DOS MUNDOS (translated as “between two worlds”) explores the complexities of growing up as the eldest daughter in a Cuban American immigrant family and the tensions of navigating life between cultures. Set in Miami, the collection blends lyrical and prose poetry to examine cultural identity, diaspora, intergenerational memory, and the emotional landscape of young adulthood. Through personal narrative and historical context, ENTRE DOS MUNDOS traces the speaker’s coming-of-age amid the inherited stories of her family’s escape from Cuba and the lingering effects of displacement. The section “Yo” focuses on the psychological challenges of adolescence and early adulthood, reflecting on …

Reflection In Still Waters: Generative Ai's Production Of Language, Jonathan D. Hawks

Graduate Studies Theses and Dissertations 2026

Language is a conceptual process of meaning-making as well as a social construction as defined by Saussure, Bakhtin, and Lacan. Large Language Models (LLMs) engage with neither process and instead present language as a finished and consumable product which undermines its fundamental aspects. The difference between representing language through probability and its structural components instead of its more inherent qualities is not a pointless distinction. This paper utilizes Narcissus as a central metaphor to show how people misread the outputs of LLMs as language which imparts to those reflected words meaning on par with our own conceptualizations of reality. People …

Where Did All The Democrats Go? An Analysis Of Defection And Disengagement Of Biden 2020 Voters In The 2024 Election, Scott S. Healy

Graduate Studies Theses and Dissertations 2026

In the 2024 U.S. Presidential election, Donald Trump slightly increased his vote total compared to 2020 while the Democratic ticket led by Kamala Harris received several million fewer votes than Joe Biden had received four years earlier. Since third-party voting remained relatively flat, most of the Democratic decrease seems to be explained by voters who previously supported Biden but abstained from voting in the presidential race in 2024, though some appear to have switched support to Trump. This paper studies why some who voted for Biden in 2020 chose not to support the Democratic nominee four years later. Drawing on …

Governing Harm: Three Essays On Anti-Lgbtq+ Legislation In The United States, Kathryn Hickey

Graduate Studies Theses and Dissertations 2026

In the United States, over 140 state bills were passed between 2014 and 2024 that directly targeted the lives of LGBTQ+ individuals. Drawing on administrative evil and the minority stress model, this dissertation demonstrates how policy environments that normalize discrimination through the passage of anti-LGBTQ+ legislation can lead to devastating consequences. Using a three-essay format, the first study conducts a qualitative content analysis of state level anti-LGBTQ+ laws passed between 2015 and 2024 to identify how administrative evil is woven into the language of the legislation. The results of this analysis show these laws systematically dehumanize LGBTQ+ individuals, restrict their …

Essays On Network Resilience: Enhancing Network Resilience Through Network Governance Structure, Process, Environment, And Leadership, Hanvit Kim

Graduate Studies Theses and Dissertations 2026

As disasters become more complex, their impacts often cascade across interdependent systems, creating failures that extend beyond any single organization or sector. Because such crises cut across organizational and sectoral boundaries, effective response depends not only on the capacity of individual organizations but also on the resilience of interorganizational networks. Yet despite the growing importance of networked coordination in disaster response, the concept of network resilience remains underdeveloped in the literature, with limited consensus on its definition, measurement, and determinants. This dissertation addresses that gap by systematically examining what network resilience is, how it can be conceptualized and assessed, and …

Framing Home: Extending Beyond The Threshold, Kaitlin R. Kirsch

Graduate Studies Theses and Dissertations 2026

This thesis body of work inspects the changes in the artist’s relationship to domesticity and their perceived sense of control over the spaces they have called home. By creating and embellishing spaces that subvert the threshold between the physical and psychic, the works stimulate feelings of comfort or discomfort. Installations of found materials, mixed media, and text-based dark humor, come together to account for this artist’s attempt to navigate the tediousness of daily life. The work takes into consideration the intangible rules that infiltrate a household, defining the framework in which a person learns to live within, or adapt to, …

Specters, Fred Lambert

Graduate Studies Theses and Dissertations 2026

Specters is a collection of interconnected short fiction that explores the lives of various characters affected by the Iraq War. Touching upon themes of mortality, dehumanization, guilt, and the trauma inflicted by senseless violence, the stories in this collection aim to blur the line between the concrete and the phantasmagoric. The titular story follows a young Marine whose grip on reality is called into question during the Second Battle of Fallujah. In “Demons,” a recruit undergoing the chaotic and brutal grind of Parris Island begins to wonder if his drill instructors are possessed. “Kill Bodies” chronicles the repeated killing of …

Social Support As An Effect Modifier Of The Assocation Between Drug-Use Related Stigma And History Of Substance Use During Pregnancy Among Women Who Use Unprescribed Opioids In New York City: A Cross-Sectional Study, Isabelle C. Lynch

Graduate Studies Theses and Dissertations 2026

Substance use and misuse among women who are pregnant is a growing public health concern in the United States. Overdose deaths are now a leading cause of death among pregnant and postpartum women, and neonatal abstinence syndrome rates have increased to 23 per 1000 births. A barrier addressing substance use among these women is social stigma, which in part is driven by punitive drug policies that criminalize substance use during pregnancy and societal gender roles and norms surrounding women’s substance use. Social support, including emotional, instrumental, and informational support, can serve to mitigate the negative impacts of stigma on health …

Behavioral Economic Factors Implicated In Young Adult Drinking In The Natural Environment: An Ema Study, Tatiana Magri

Graduate Studies Theses and Dissertations 2026

Background: Young adult (YA) alcohol use remains a prominent public health concern. Despite research efforts aimed at mitigating harms related to drinking, rates of alcohol use and adverse outcomes related to use, remain high among YAs. Previous research has identified alcohol demand, craving, and delay discounting as risk factors for problematic drinking among YAs. However, few studies have concurrently examined these constructs using methodologies that maximize ecological and contextual validity. Method: YA individuals (N=104) completed an ecological momentary assessment (EMA) protocol assessing three demand indices (i.e., intensity, Omax, and breakpoint), delay discounting, craving, and alcohol use and problems. Participants received …

Exploring The Temporal Dynamics Of Gaming-The-System And Self-Regulated Learning Behaviors Within A Game-Based Learning Environment, Cameron E. Marano

Graduate Studies Theses and Dissertations 2026

Consistently monitoring and regulating cognitive and metacognitive skills during learning is difficult. As a result, game-based learning environments (GBLEs) have been designed to provide richer learning experiences. They foster self-regulated learning (SRL) skills and offer a way to study learners' interactions within complex environments. Although SRL in GBLEs has been widely studied, large gaps remain. For example, it is unclear how improper or maladaptive regulation in GBLEs signals gaming-the-system, in which learners manipulate features to avoid authentic learning. This phenomenon is widely studied in intelligent tutoring systems (ITSs). Limited research has examined how and when both gaming-the-system and SRL behaviors …

The Revelations, Lily Mckenna

Graduate Studies Theses and Dissertations 2026

The Revelations is a self-actualization in the form of a poetry collection. The speaker’s realization that reality is relative arrives through a Title IX case against an abusive boyfriend and former bandmate. Poems such as “Complainant / Respondent” use rigid legal structures to investigate the fluidity of truth and perception and how they can be manipulated. With her band on hiatus and the case propelling her into a new world, the speaker starts running DIY shows alongside a cast of characters with a shared love of music. She interrogates their realities in the character studies “On The Relative Reality Of…,” …

The Role Of Adolescent Attachment In The Relationship Between Trauma And Identity, Ellie Mitova

Graduate Studies Theses and Dissertations 2026

Traumatic experiences have been shown to influence identity development during emerging adulthood, a complex developmental period. However, research examining how trauma interacts with adolescent attachment qualities to shape identity processes remains limited. Previous studies have primarily focused on infant attachment styles and their long-term developmental outcomes, leaving a gap in understanding how attachment qualities developed through relationships with parents and peers during adolescence may influence identity development in emerging adults. Additionally, while traumatic experiences have been associated with maladaptive identity processes such as rumination and identity distress, some research suggests that trauma may also contribute to deeper identity exploration and …

The Intersection Of Abuse, Child Welfare, And The Law For Intimate Partner Violence Survivors: Gender Violence As An Antagonistic Social Force, Julio Montanez

Graduate Studies Theses and Dissertations 2026

Intimate partner violence (IPV)—as gender violence—pits children’s civil rights and women’s civil liberties against each other. To explore this phenomenon, the current work features five (5) studies that aim to understand the systemic consequences of IPV and child maltreatment for victims and survivors of both types of abuse.

• Study 1 is a qualitative-deductive study featuring a directed content analysis of news media pertaining to a trial court case on lethal child maltreatment and IPV.
• Study 2 is a qualitative-inductive study featuring a feminist critical discourse analysis of trial court data on lethal child maltreatment and IPV.
• Study 3 is a …

An Investigation Into The Impact Of Open Educational Resources (Oer) On Postsecondary Student Outcomes, Amber Mullens

Graduate Studies Theses and Dissertations 2026

Increasing higher education costs are a concern for policymakers and the American public. In 2024-25, undergraduate students paid on average $1,290 for books and supplies (College Board, 2024). These costs have led policymakers and educators to advocate for the use of open educational resources (OER). OER are teaching and learning materials that are in the public domain or licensed under copyright allowing no cost access, reuse, repurpose, adaptation, and redistribution (UNESCO, 2019, p. 5). While research has demonstrated OER use significantly reduces costs for students, less is known about OER's impact on student academic outcomes. Despite significant research on these …

Holistic Review In Graduate Admissions: Admissions Professionals’ Evaluation Of Non-Cognitive Traits, Joshua L. Olson

Graduate Studies Theses and Dissertations 2026

This basic qualitative study examines how graduate admissions professionals conceptualize, operationalize, and interpret holistic review within graduate admissions processes. Guided by Social Cognitive Theory and Expectancy-Value Theory, the study explores how non-cognitive traits such as motivation, resilience, self-efficacy, and professionalism are evaluated alongside traditional academic indicators in admissions decision-making. Using semi-structured interviews with graduate admissions professionals directly involved in admissions decisions, the study identifies how holistic review is defined and implemented across institutional contexts, which non-cognitive traits are most valued, and the tools and procedures used to assess applicant potential beyond academic metrics. Findings suggest that, for participants in this …

Magic In The Margins: A Painter's Ode To Love, Loss, And Laughter, Angelina B. Palmisano

Graduate Studies Theses and Dissertations 2026

In art, there lives a gift of transcendence with power to transport the viewer into another realm of thought and imagination beyond the limitations of our physical world. This thesis, Magic in the Margins: A Painter’s Ode to Love, Loss, and Laughter, is an exploration of the ways art can serve as both sanctuary and vessel for storytelling. Satire is used to criticize vices, and subtle humor is my tool to resonate serious content necessary for authentic self-reflection. I am investigating how to use painting as a means to make deeply intimate and visceral connections. Each canvas exploring the innermost, …

Come And See: Exploring Complex Dynamics And Abjection Through A Southern Gothic Family Portrait, Lenee N. Peterson

Graduate Studies Theses and Dissertations 2026

“COME AND SEE: Exploring Abject Theory Through a Southern Gothic Family Portrait” examines the artist’s complex familial upbringing through the visual and narrative traditions of Southern Gothic art. Drawing upon abject theory and the cultural references of folk horror and Southern Gothicism, this thesis positions the family portrait where intimacy, trauma, and cultural inheritance collide. The project argues that direct confrontation with abjection can foster recognition, shared experience, and the possibility of collective healing. Grounded in practice-based research, this work functions as a critical and creative response to familial strain shaped by scarcity, social oppression, and emotional precarity. Through a …

Examining Attrition In Rtms For Smoking Cessation: The Roles Of Perceived Research Burden And Delay Discounting, Miranda Proctor

Graduate Studies Theses and Dissertations 2026

This secondary analysis examined predictors of attrition in a randomized clinical trial conducted by Roswell Park Comprehensive Cancer Center evaluating repetitive transcranial magnetic stimulation (rTMS) for cigarette smoking cessation. Smoking cessation reduces cancer risk and mortality and improves mental health outcomes. Although rTMS shows promise for supporting sustained abstinence by targeting neurobiological mechanisms underlying nicotine dependence, participant attrition threatens statistical validity, reduces power, and limits generalizability. Identifying predictors of attrition is therefore critical for optimizing trial design and retention.

Research examining predictors of attrition in smoking cessation trials remains limited. Prior work in other clinical populations suggests that higher perceived …

Black Mothers' Experiences Of Birth Trauma: A Conceptual Analysis And Mixed-Methods Study To Advance Perinatal Mental Health Counseling, Lisa Rickman

Graduate Studies Theses and Dissertations 2026

This dissertation study follows the manuscript model and consists of two manuscripts, one conceptual manuscript and one empirical study, both focusing on the experiences of Black mothers following psychologically and physically traumatic childbirth. The conceptual manuscript centers birth trauma within the social, historical, and cultural contexts of perinatal mental health disparities and obstetric racism. This framework guides clinicians in centering Black mothers’ needs utilizing Relational Cultural Theory to promote equitable perinatal mental health practice. The empirical study employs a phenomenological sequential mixed methods approach prioritizing interview data collected from Black mothers who experienced birth trauma. This study also explores their …

Modeling Hazard Perception Learning In Novice Drivers With Autism: A Multimodal Simulation-Based Study, Erik J. Sand

Graduate Studies Theses and Dissertations 2026

Young drivers with autism spectrum disorder (ASD) often demonstrate difficulties with road-surveillance behaviors such as scanning ahead, monitoring mirrors, and identifying emerging hazards. These challenges can increase crash risk, particularly for adolescents with limited driving experience. This study explored whether a simple, video-game–based hazard-training program could improve hazard detection performance, visual scanning, and self-regulation in this population. Five participants aged 15–18 years, each identified by a parent as having ASD and possessing either a learner’s permit or no license, completed sequential Baseline, three Treatment, and Withdrawal phases using the SpeedLimit driving simulation. The study employed a single-case experimental design with …

Source Credibility And Chatbots: How Design Factors Impact Chatbot Effectiveness, Kristen M. Schmidt

Graduate Studies Theses and Dissertations 2026

Source credibility theory states that the more credible a source appears to be, the more likely one is to believe both true and untrue information from it. In the modern day, misinformation is considered a major problem, particularly with virtual communication, meaning it is essential to study what factors influence a system’s source credibility. Virtual agents are a particularly relevant subject of study given that their source credibility can be impacted by both technological and social factors. Across three experiments, this dissertation utilized a novel chatbot interaction design to test how varying design factors would impact a chatbot’s source credibility …

Tl;Dr (Too Long; Didn't Read): Examining The Assessment And Causes Of Careless Responding Within Experimental Vignette Studies, David L. Sexton Jr.

Graduate Studies Theses and Dissertations 2026

Careless responding occurs when participants answer survey items without considering their content and poses a serious threat to data quality. However, while past research has examined its deleterious effects on both survey and low-stakes cognitive ability measures, little research has focused on careless responding in experimental vignette methodology (EVM) research. EVM studies require participants to attend to one or more experimental vignettes, which are carefully crafted written scenarios designed to manipulate a focal variable across conditions. However, if participants are careless in attending to study vignettes, they may not be exposed to the researchers’ intended experimental manipulations, thereby precluding them …

The Middle Space: Redefining Collaborative Directing In Adaptive American Collegiate Theatre, Tyler J. Simons

Graduate Studies Theses and Dissertations 2026

This thesis examines collaborative directing as an adaptive, relational practice that exists between rigid hierarchical authorship and fully collectivized creation. Challenging dominant binaries in directing discourse that frame leadership as either singular or egalitarian, this study argues for a “middle space” in which authority, authorship, and responsibility are continually negotiated in response to institutional structures, pedagogical contexts, and interpersonal dynamics. Directing is framed not as a fixed methodology or ideological position, but as a responsive practice shaped by context. Grounded in a practice-as-research (PaR) methodology, the thesis analyzes four productions: Rhinoceros (Theatre UCF, 2024), The Tricks of Scapin (Freedom High …

Code-Switching, Identity-Shifting, And Identity Distress Among Black Undergraduate Women Attending Predominantly White Institutions, Erin Smith

Graduate Studies Theses and Dissertations 2026

Code-switching (altering language or speech) and identity-shifting (modifying appearance or behavior) are adaptive strategies often used by individuals from marginalized groups to navigate environments shaped by dominant cultural norms. Although these behaviors are commonly discussed in qualitative literature, relatively few quantitative studies have examined their psychological correlates among Black undergraduate women attending predominantly White institutions (PWIs). These behaviors may function as coping strategies in response to racialized and gendered expectations, yet the psychological implications of these strategies remain understudied. The present study examined the relationships among identity distress, code-switching, identity-shifting, and gendered racial identity centrality within a diverse sample of …

Emotional Support Friends: Creating Social Impact Through Art And Polite Humor, Kenyari Gil Rosario

Graduate Studies Theses and Dissertations 2026

This thesis aims to provide new imagery to the conversation of mental health and neurodivergence. It does this through forms of soft sculpture, digital paintings, marker drawings, and community murals. Inspired by the practices of Keith Haring, iconographic characters are used to portray common struggles and coping habits of mental conditions in an endearing light. With the goal of social impact, this project is affiliated with the non-profit organization Providing Autism Links and Support (P.A.L.S). This partnership has given the community an opportunity to share their compassion through art and donations and uses art as a means of social impact …

I, Cock-A-Doodle-Do: Reclaiming Masculinity Through Queer Joy And Humorous Self-Exploration, Nelson J. Garcia

Graduate Studies Theses and Dissertations 2026

I examine the contemporary norms of masculinity. My research wrestles with ultimately unresolvable stereotypes and imagery influencing current masculine behavior. I unearth queer potential through the physicality and behavior of the stereotypical “man’s man”. I infuse my own queer identity into my studio practice with an emphasis on humor and joy to subvert traditional models of male performance. This process drives self-exploration that allows me to personally respond, react, be directed, and redirected by the interactions between queerness and masculinity. Masculine and queer representations across various media, such as film, music, and television, historically and continuously inform restrictive cultural norms. …

If Your Muses Don't Hate You..., Hannah Howe

Graduate Studies Theses and Dissertations 2026

If Your Muses Don’t Hate You… interrogates a speaker who feels she lacks the tools needed to properly assess trauma and grief. This collection follows the speaker as she delves into obsessive analysis of self, often using metaphysical lenses as methods of comprehension. Each section explores a facet of the subject’s identity, and examines whether her heartache is self-inflicted, preordained, or both. Six of the seven sections provide the reader with imaginative interpretations of the speaker’s natal chart, allowing the reader the opportunity to analyze alongside the speaker. The first half of these sections present the speaker struggling to separate …

Meeting Accreditation On A Deadline: Using Generative Ai To Rapidly Develop A Graduate Course, Cory Knill, Sean Devan

Teaching Repository of AI-Infused Learning

This entry details an "expert-in-the-loop" framework for rapidly developing an accredited, graduate-level Health Physics course under significant time constraints. The strategy utilized Large Language Models to generate foundational course materials including the syllabus, lecture outlines, and in-class simulations, which were then rigorously curated by faculty. This human-AI collaborative approach enhanced efficiency, enabling instructors to focus more on high-impact, active learning experiences for students.

Distinguishing Acute Cardiac Events From Chronic Troponin Elevation: Integrating High-Sensitivity Troponin Trends With Objective Ischemic Evidence Under The 4th Udmi Across Diverse Renal Function Profiles, Aidan Fernandez, Amanda Green, Silvija Milanovic, Eric Han, Asia Elbooz, Michael Petrauskis, Justin Nippert, Michael Marchick, Nicholas Maldonado, Mohammed Ruzieh, Elizabeth Warren, Matthew Shaw, Lars Beattie, Brandon Allen

Florida Journal of Emergency Medicine (FJEM)

The Fourth (4th) Universal Definition of Myocardial Infarction (UDMI) provides a standardized framework to enhance diagnostic accuracy and clinical decision-making. However, challenges can arise due to the use of subjective clinical assessment in diagnostic criteria or in the presence of impaired renal clearance. This study modifies the 4th UDMI by requiring objective ischemic evidence to improve consistency in myocardial infarction (MI) classification and applies it across diverse patient populations.

In this retrospective study, patients who presented to the emergency department (ED) with 99th percentile high sensitivity cardiac troponin (hs-cTn) values were classified using the modified 4th UDMI into the categories …