Digital Commons Network^™

Best Practices For Recruitment And Retention Of Transportation Professionals, Chris Van Dyke, Bryan Gibson, Sarah Mccormack, Merl Hackbart, Doug Kreis

Kentucky Transportation Center Research Report

Many public sector agencies, including state departments of transportation (DOTs), have long found recruiting and retaining staff a daunting challenge. Lured by the promise of higher salaries in the private sector, many people are reluctant to sacrifice their long-term earnings potential to pursue public service. And with the quality of fringe benefits (e.g., retirement plans, health insurance) offered by public agencies having declined gradually, it is even more difficult to persuade prospective employees to accept a lower salary. Many studies over the past 15—20 years have looked at methods for solving the problem of recruitment and retention within the context …

Adjustments To Social Work Practice During The Covid-19 Adjustments To Social Work Practice During The Covid-19 Pandemic In North Carolina: Effects On Burnout And Commitment Pandemic In North Carolina: Effects On Burnout And Commitment, Aaron Brown, Jayme E. Walters, Aubrey E. Jones, Lara Cates

Social Work Faculty Publications

Since the onset of the COVID-19 pandemic, the demand for social workers in the U.S. and abroad has increased. There is demand for more social workers in North Carolina due to ongoing and increasing mental health, substance use disorder, and child welfare needs. COVID-19 has taken a toll on the personal and professional lives of social workers, and research is needed to understand the pandemic’s effects on burnout and commitment among social workers. The present study sought to understand how the COVID-19 pandemic affected the personal and professional lives of social workers practicing in North Carolina and to determine how …

Trans And Gender Diverse Inclusion In Academic Library Hiring, Keahi Adolpho, Stephen G. Krueger, Luke Sutherland, Adrian Williams

Library Faculty and Staff Publications

We do not know how many trans and gender diverse people work in libraries in the United States. Like the US Census, the American Library Association’s demographic survey of its members (which is by no means a complete or accurate representation of the profession) asks if respondents are male or female (Rosa & Henke, 2017). In addition to erasing anybody who is not one of these two things, this question does not provide information on whether respondents are trans or gender diverse. And yet, we are here: all four of the authors of this chapter are trans people who work …

State Governance And Less-Skilled Migrant Workers In South Korea, Weejun Park

Theses and Dissertations--Geography

This dissertation examines the migration governance of South Korea with a focus on the immigration of less-skilled migrant workers. While geographers and broader social scientists have explored this topic, previous studies have two main foci: 1) individual immigrants and their activities; and 2) migration policy development. Despite these studies’ contribution to the scholarship, there seems to be a relative lack of interest in the South Korean state as a potentially crucial actor in governing less-skilled migrant workers. To address this gap, this dissertation draws upon (political) geography, related social sciences, and interdisciplinary fields such as border studies, migration studies, and …

Improving Black Maternal Outcomes In Christian County, Ky: A Social Marketing Approach To Perinatal Provider Change, Ariel A. Arthur

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Compared to other states in the country, Kentucky has historically poor population health outcomes. While the statewide maternal mortality rate is 16.1 per 100,000 live births, this statistic belies the stark racial disparities that exist. In 2018, the pregnancy-related death rate for Black women was 40.2 per 100,000 live births compared to 13.1 for White women. This pattern is persistent even after controlling for socioeconomic status, prenatal care, and other protective factors. Research shows that institutional and interpersonal racism when receiving obstetric care contributes to poor childbirth and postpartum outcomes for Black women. Additionally, geography and rural status may compound …

Improving Nutrition Screening Practice In The Hospitalized Heart Failure Patient Population, Amanda J. Bourgeois

DNP Projects

Background: Heart Failure is a disease known to affect nearly 6.5 million adults in the United States. Characterized by recurrent hospitalizations, heart failure significantly contributes to morbidity, mortality, and healthcare costs in the United States and worldwide. Because malnutrition is prevalent in the heart failure population, healthcare providers must perform nutritional assessments on admission to intervene in the case of malnutrition, prevent deterioration, and improve patient prognosis. Without intervention and early identification of malnutrition, heart failure hospitalizations will remain a significant problem.

Purpose: The purpose of this study is to evaluate the effect of an evidence-based educational program for cardiac …

An Educational Intervention On Provider Knowledge Of Hypertension Guidelines And Home Blood Pressure Monitoring, Alison Claire Oesterritter

DNP Projects

Background: While hypertension is the leading preventable risk factor for cardiovascular disease, disease control remains suboptimal. In the U.S., 47% of adults have hypertension, but only 25% are controlled. Despite having quality evidence-based guidelines, many recommendations are not implemented due to clinical inertia, or the tendency to not change therapy when targets aren’t met. Research has shown that this can be overcome with educational programs. Purpose: To provide training on hypertension guidelines and home blood pressure monitoring (HBPM) to overcome clinical inertia and improve patient outcomes related to hypertension. Methods: The project was a quasi-experimental, pre- and post- …

The Influence Of Independent Secondary School Heads On Shaping Organizational Culture, Ian D. Macphail

Theses and Dissertations--Educational Leadership Studies

This dissertation examined the experiences and connections between head of school leadership and culture in small, independent boarding schools in New England. This study was the result of the participation of eight heads of school from eight separate institutions, engaging in semi-structured interviews. All of the schools were secular in their practice, all-gender, and had a formal dormitory-based boarding program. Each school enrolled 400 or fewer students, focusing the impact of these leaders on a tighter, interactional lens. This study explored a relatively under-researched area of K-12 education and used exploratory, qualitative methods to gather the stories of these formal …

Distributed Leadership In International Schools Across The Asia Pacific: A Sequential Explanatory Study, Robert A. Appino

Theses and Dissertations--Educational Leadership Studies

This explanatory study examined how distributed leadership is practiced in international schools. This included looking at principals’ readiness to practice a distributed perspective of leadership, how they practice leadership, the opportunities for teacher leadership, and the relationship between distributed leadership practices and school innovation and improvement. Principals have increasingly adopted distributed leadership, sharing responsibilities with others, in response to COVID-19 (Azorin, Harris, & Jones, 2020). However, this response was not by design but to survive (Harris & Jones, 2020). The demands of the pandemic left leaders stretched more than ever, and adopting distributed leadership practices was essential (Harris & Jones, …

Disparities In Mental Health Technology Among African Americans: Breaking Cultural Inclusion Barriers, Nyoki Cosey-Brown

DSW Capstone Projects

Mental health technology is a healthcare delivery model of the future. The engagement in virtual healthcare was intensified when traditional healthcare methods were inaccessible during the federal restrictions implemented due to the COVID-19 pandemic. Utilizing digital apparatuses for healthcare improved the convenience, efficiency, and accessibility of various mental health services that were inoperable in past healthcare models. However, the historical constructs of stigma, discrimination, inequity, exclusion, and structural racism in mental healthcare were prevalent problems that remained present in virtual mental health platforms concerning the experiences of African-American patients and professionals who utilized the spaces.

This research explored mental health …

Value Propositions, Adoption Factors, And Implementation Considerations: Building A Path Towards Construction Innovation, Makram Bou Bou Hatoum

Theses and Dissertations--Civil Engineering

The construction industry has been influenced by a wave of technological advancements and trends that were introduced by the fourth industrial revolution or Industry 4.0. Mapped as Construction 4.0, these technologies are disrupting the way projects are designed, planned, constructed, delivered, and operated. While existing research has predominantly focused on technology adoption and use cases across the project lifecycle, limited attention has been given to the organizational perspective and explored Construction 4.0 as a transformative vision. As such, there is a significant need for decision science research to support decision-makers in understanding the value of Construction 4.0, gaining leadership buy-in, …

Budget Models And Methods Used In Higher Education, Brad West

MPA/MPP/MPFM Capstone Projects

The Cambridge Dictionary defines a budget as “a plan to show how much money a person or organization will earn and how much they will need or be able to spend.” (Budget, 2023). The budget of an institution within higher education is how to allocate the planned amount of revenues received to support the planned expenditures across the organization for an upcoming period, usually a fiscal year or project duration. Various public higher education institutions have many different methods for allocating those planned revenues to support expenditures across their colleges, schools, and administrative units to support the university's mission. This …

Public Health Access And Service For All, Austin Nugent

MPA/MPP/MPFM Capstone Projects

Collecting, analyzing, and reporting accurate, reliable data is necessary for achieving health equity. Although data alone will not lead to equitable health outcomes for all people, it helps health professionals, researchers, and policymakers understand health disparities and develop effective interventions, programs, and policies to reduce them. Necessary data includes disaggregated health information on diverse demographics, including people with disabilities. However, despite this need, disability data gaps exist. Fortunately, numerous solutions exist to address this issue, including implementing minimum data standards on disability and engaging all levels of health organizations in data practices.

This capstone project investigated the current data practices …

Public Health Access And Service For All, Austin Nugent

MPA/MPP/MPFM Capstone Projects

Collecting, analyzing, and reporting accurate, reliable data is necessary for achieving health equity. Although data alone will not lead to equitable health outcomes for all people, it helps health professionals, researchers, and policymakers understand health disparities and develop effective interventions, programs, and policies to reduce them. Necessary data includes disaggregated health information on diverse demographics, including people with disabilities. However, despite this need, disability data gaps exist. Fortunately, numerous solutions exist to address this issue, including implementing minimum data standards on disability and engaging all levels of health organizations in data practices. This capstone project investigated the current data practices …

Assessing Palliative Care Knowledge Among Medicine/Pulmonary Intensive Care Unit Staff To Identify Barriers And Increase Palliative Care Referrals, Ryan Mckendrick

DNP Projects

Background: To conduct a needs assessment to identify areas of opportunity for increased awareness of the interdisciplinary medicine/pulmonary intensive care unit (MICU) staffs’ knowledge of palliative care and identify potential barriers to initiating referrals for palliative care consultations. Then provide an educational intervention and assess effectiveness with a post interventions assessment of referrals. The goal of this project is to increase referrals for palliative care consults.

Methods: A pre-/post-survey design will be utilized to assess palliative care knowledge to identify barriers to palliative care consultation referrals. An educational intervention that addresses palliative care knowledge deficits and addresses barriers will be …

Impact Of Physical Activity Vital Sign Screening On Physical Activity Counseling And Referrals In Primary Care, Anna Selepina

DNP Projects

Background/Purpose: Physical Activity Guidelines for Americans recommend 150-300 minutes of moderate-intensity physical activity each week for adults; however, half of the adults do not meet this goal, which leads to increased chronic health conditions and poor health outcomes. The physical activity vital sign (PAVS) screening tool is an evidence-based assessment tool associated with increased physical activity counseling, which can lead to increased physical activity and improved patient outcomes.

Objective: The purpose of this study was to examine the impact of PAVS screening on physical activity counseling and referrals in primary care.

Methods: This prospective study took place in a small …

Understanding First-Year Undergraduate Students Safety, Savviness, And Social Etiquette Online, Collis Ray Robinson

Theses and Dissertations--Educational Leadership Studies

Student’s engagement and interaction online continue to grow as technological advancements increase. The ability to engage and connect is endless today compared to two decades ago. This mixed methods action research study examines the digital citizenship knowledge of first-year students at a private liberal arts work college. The study focuses on student’s understanding of digital citizenship through the lens of safety, savviness, and social engagement online. Additionally, the study seeks to explore students, staff, and faculty perceptions around more education about digital citizenship at the undergraduate level. This study discusses the problem of practice, methodological framework, and study plan in …

Southeastern Law Librarian Summer 2022, Seaall

Newsletters

No abstract provided.

Exploring Extension Agent Capacity And Readiness To Adopt Policy, Systems And Environmental Change Approaches, Lisa T. Washburn, Heather Norman-Burgdolf, Natalie Jones, Lauren E. Kennedy, Soghra Jarvandi

Dietetics and Human Nutrition Faculty Publications

Introduction: Enhanced Extension outreach strategies combine traditional direct education programs with public health approaches like policy, systems, and environmental (PSE) change. However, the Cooperative Extension system and county-based Family and Consumer Sciences (FCS) Extension agents have historically prioritized direct education programming and diffusion of enhanced outreach strategies has varied. Extension personnel may lack capacity and readiness for successful PSE change implementation. This study explored perceived acceptability, capacity, and readiness for PSE change work among FCS Extension agents in two states.

Method: A survey was developed framed by selected domains from the Consolidated Framework for Implementation Research: Intervention Characteristics, Inner Setting, …

Exploring The Relationship Between Reported Instructional Leadership Behaviors And High-Quality Professional Development Factors, Shelby Lea Daeschner

Theses and Dissertations--Education Sciences

With the reauthorization of the 2015 Every Student Succeeds Act (ESSA), a focus has been placed on the principal as an instructional leader to improve school culture and student achievement. Professional Development (PD) can improve teacher capacity and student outcomes through long-term, job-embedded, coherent, collaborative, and focused activities. This correlational study explored the relationship between principals’ reported behaviors and rankings of the importance of high-quality PD factors. Through a self-reported survey, elementary school principals across the United States were asked to report the frequency of instructional leader behaviors as measured via the Principal Instructional Management Scale (PIMRS) and rank the …

Communicating Individual And Collective Mindfulness: Understanding Listening And Sensechecking At Work, Leanna Hartsough

Theses and Dissertations--Communication

Since the COVID-19 pandemic, many organizations made workplace changes, which added an additional challenge to employees’ communication. However, mindfulness may help members strengthen their workplace interactions. Mindfulness is an intentional open awareness to the present moment (Shapiro, 2009). The theoretical framework of collective mindfulness includes organizational mindfulness, which is mindfulness from a top-down approach and mindful organizing, which is a bottom-up approach to mindfulness at work. This dissertation extends research on collective mindfulness by including listening, individual mindfulness aspects, and sensemaking to examine how collective mindfulness members make meaning of changes due to COVID-19. I observed 26 meetings and interviewed …

Local Public Health System Comprehensiveness And Opioid Overdose Mortality, 2012-2018, Stephanie Courtney

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Background: Deaths due to opioid overdose are a significant public health burden in the United States. Studies suggest that local public health systems that perform a high number of essential activities where local health departments contribute to the delivery of the activities and promote increased partnership may positively influence population health outcomes such as overdose mortality. Studies have shown that comprehensive public health systems are associated with improved health outcomes, but this association has not been addressed in the context of opioid overdose deaths. Study Aim: The purpose of this study is to evaluate the associations between local public health …

Implementation Of Physical Activity In Kentucky Public Schools: From Theory To Policy, Nancy Kearns

Theses and Dissertations--Rehabilitation Sciences

Physical activity in schools improves academic performance and fitness measures in children. However, state policy supporting implementation of physical activity remains poor. Identifying specific barriers to implementing physical activity minutes in Kentucky public schools is pivotal in preserving the cognitive and physical health of our children. This is of particular interest as physical activity minutes remain low despite the positive effects of exercise on cognition. The purpose of this dissertation is to provide policymakers and school administrators a method of identifying current policies, attitudes and infrastructure that inhibit the implementation of physical activity minutes in public schools. Thus, the findings, …

The Ties That Bind: The Relationship Between Law Firm Growth And Law Firm Survival, Alan J. Kluegel

Law Faculty Scholarly Articles

For the better part of the twentieth century, law firms hired, trained, and grew through a stable and predictable pattern: hire new law school graduates, monitor and evaluate their work, and pick promising attorneys from among their ranks and elevate them to partner. Rinse, lather, repeat. A combination of professional norms and organizational inertia made this approach the dominant method of growth among large corporate law firms until changes in legal market broke down these customary practices, ushering in a new era of lawyer mobility. Now, it has become commonplace for lawyers to leave for greener pastures as more law …

Leadership & Innovation: The Keys To Solving Wicked Social Problems, Kaye Mooney

DSW Capstone Projects

Social work leaders must utilize unique leadership styles and innovative activities to enhance human well-being and meet the basic needs of all people (NASW, 2008). Social work leaders must value and actively seek input from all people, strengthening the solutions' chance to work. Wicked social problems (WSP) plague our country, especially among marginalized groups. We must utilize a new combination of social work leadership styles to resolve WSP.

The capstone project presents significant social work leadership and social innovation findings. First, a systematic literature review synthesized how transformational, anti-oppressive, and ubuntu leadership styles impact social service organizations. The conceptual paper …

Adapting Through Organizational Change In Capital Projects Organizations, Mahmoud El Jazzar

Theses and Dissertations--Civil Engineering

Organizational change can be defined as an alteration of a core aspect of an organization’s operation, structure, or culture. Previous research on organizational change mainly has focused on different types of technical changes, such as alternative project delivery methods and strategies to adopt the design-build approach successfully. Also, previous studies have focused on the project level changes instead of organizational level responses. Here I show using a proposed change model and performing thematic, and analysis, that there exist common responses, and challenges across different types of capital projects organizations studied. The results show that responses to change will differ as …

Wrfl 88.1fm Strategic Plan, Clayton Abernathy

MPA/MPP/MPFM Capstone Projects

WRFL 88.1 FM (WRFL) is a student-run radio station at the University of Kentucky that has existed on the University of Kentucky’s campus since 1988. As the station recently turned 34 years old in March 2022, it has never had a strategic plan or gone through the strategic planning process. The strategic planning process was facilitated by the Principal Investigator and involved members of WRFL’s leadership team, and general student and community members. Using multiple data collection methods to gather feedback, the Principal Investigator was able to present WRFL’s leadership team with a plan that they believe will provide WRFL …

Building An Academic Partnership Through A Strategic Plan: University Of Kentucky Auxiliary Services, Sally Martin

MPA/MPP/MPFM Capstone Projects

The Auxiliary Services department at the University of Kentucky (UK) is a far-reaching department on campus that contains everything from housing to dining to events. If there is an office or activity on campus that provides a service to a student, staff or faculty member, it is most likely within Auxiliary Service’s jurisdiction. Some of the departments and/or offices that fall under this umbrella include all residence halls, dining locations, the Gatton Student Center, University Events Management, and the UK Bookstore. Auxiliary Services also manages the partnerships with external companies that provide services to the campus like housing (Greystar), dining …

Implementation Of Education And Use Of A Screening Tool To Assess Palliative Care Needs In The Critical Care Setting, Megan Stoeckinger

DNP Projects

Purpose: The purpose of this study was to measure palliative care knowledge, attitudes, perceived empowerment, and familiarity of the Supportive Palliative Care Indicators Tool (SPICT) among critical care nurses and advanced practice providers (APPs) before and after viewing a web-based educational video on an adult medicine intensive care unit (MICU).

Methods: This study was a one group pre- and post- implementation assessment using a web-based educational video and electronic surveys. The population included critical care nurses and advanced practice providers (APPs). This study spanned the timeframe between January 2022 and March 2022.

Results: Paired t-tests comparing pre-intervention …

Improving Smoking History Screening And Documentation To Increase Lung Cancer Screenings In Primary Care Clinics, Destinee R. Rein

DNP Projects

BACKGROUND: In the United States, lung cancer has the highest mortality rate of all other cancers among men and women. Kentucky is ranked 50th among all states, leading the nation in new lung cancer cases each year. Lung cancer screening using Low dose Computed Tomography (LDCT) can reduce lung cancer-related morbidity and mortality. Lack of smoking history documentation to identify eligible patients is a major contributing factor to low national screening rates. Obtaining complete smoking history remains the most important technique in identifying candidates for lung cancer screening.

PURPOSE: The purpose of this quality improvement project was to evaluate …