Digital Commons Network^™

Comparison Study: Trauma-Focused Cognitive Behavioral Therapy And Acceptance And Commitment Therapy For Trauma, Colleen Marie Kirsch Hiltz White

Dissertations

There is a need for more evidenced based treatments for adolescents with trauma related disorders. Currently, Trauma Focused Cognitive Behavioral Therapy (TF CBT) is the gold standard, but clients and clinician need the ability to choose between effective treatments. This study completed a direct comparison between six weeks of treatment in Acceptance and Commitment Therapy for Trauma and TF CBT via telehealth during the COVID-19 pandemic. Treatments were measured using the Clinician Administered PTSD Scale and the Child PTSD Symptom Scale. Both treatments were found to be effective in reducing trauma related symptoms in two 12-year-old females.

Generational Diversity: Absenteeism Examined Through Perceptions Of Organizational Justice And Authentic Leadership, Ebony Lisa Spencer-Muldrow

Dissertations

This study explored the impact of authentic leadership (AL) on employee perception of organizational justice and employee propensity to engage in negligible absences—those that could be avoided by the employee but are not. The study sought an understanding into possible differences between the absence behaviors of the Millennial generation and Generation X. Data were collected from 214 participants primarily located in the Midwest United States. Participants were nearly equally distributed between the two target populations. Participants completed a comprehensive, web-based survey comprised of Colquitt’s (2001) Organizational Justice Measure (OJM) and the Walumbwa et al. (2008) Authentic Leadership Questionnaire (ALQ), along …

Empowering Nurses Of Minority In The Face Of Incivility And Bullying: Through The Lens Of Phenomenology, Corrine Floyd

Dissertations

Abstract

Up to 85% of nurses have reported exposure to incivility in the workplace (Hunt & Marini, 2012). The often-subtle nature of incivility toward nurses in a minority population may partially explain why it remains a problem. Healthcare organizations realize the need for civility to counter the high turnover rate, staff shortages, and low job satisfaction reported by nurses, but lack understanding of how nurses of a minority population perceive incivility and bullying. This study aimed to answer the research question how do nurses with minority representation experience incivility and bullying versus empowerment in the workplace? A descriptive phenomenological design …

Predictors Of Positive Outcomes In Treating Individuals Diagnosed With Idd And Comorbid Psychiatric Disorders, Jacob Omondi Wasonga

Dissertations

The purpose of this research was to evaluate the use of a new treatment protocol, the systemic treatment plan (STP) by identifying the predictors of positive treatment outcomes for individuals diagnosed with intellectual and developmental disabilities (IDD) and comorbid mental health conditions. This study examined the relationship between challenging behaviors, psychiatric conditions, and positive treatment outcomes for individuals with IDD and co-occurring disorders, particularly those individuals whose treatment was driven by the STP. A linear regression analysis was conducted to determine which challenging behaviors and psychiatric disorders best predict positive outcomes in systemically engaged treatment. The results from this study …

Racial/Ethnic Identity Modeling: An Exploration Of The Effects Of Bilingualism On Racial/Ethnic Identity Expression And Self-Esteem In Multiple-Race Black/African American Adults, Tritia Miyako Finley

Dissertations

The psychological well-being and racial/ethnic identity expression of bilingual multiple-race individuals mixed with Black/African American and another minority racial/ethnic category are largely underrepresented topics in current scholarly literature despite their growing population in the United States. In the current study, the sociohistorical and political processes of colonialism and coloniality were discussed to provide context for the critical examination of familial foreign language ability (FLA), self-esteem (SE), and Black/African American racial/ethnic identity (BRI) expression among multiple-race Black/African American adults (N = 204). Using structural equation modeling, results indicated that higher levels of FLA were related to higher levels of SE. …

Mindfulness And Social Emotional Learning: The Lived Experience Of Students Learning English As A Second Language, Lara Catherine Donnelly

Dissertations

In a phenomenological case study, the author sought to gain an awareness of the lived experiences of 4th and 5th grade ESL students, their parents, and their teachers who participated in the MindUp mindfulness curriculum. The author was interested in the relationship between the mindfulness curriculum and SEL based on the perspective of all three participant groups. Qualitative interviews were conducted with 3 students, at least one parent of each of those three students, and the two classroom teachers who conducted the MindUp lessons. Five main themes developed from coding of the raw data: (1) positive impact on students; (2) …

Recognition Of Gender Microaggressions In The Workplace: The Case Of Predisposition And Propensity To Recognize, Alicia Ako-Brew

Dissertations

This study examined the individual factors that affect the recognition of gender microaggressions in the workplace. A total of 220 subjects participated in this study. Specifically, this study revealed how social dominance orientation, ambivalent sexism and gender discrimination perceptions toward women affect a third-party observer’s recognition of gender microaggressions perpetrated against women. In addition, this study examined the effect of role congruence on the propensity to recognize gender microaggressions. Role congruence stems from role congruity theory which posits that a woman in a leadership or masculine role will receive positive or negative evaluations based on the degree to which she …

An Examination Of Optimal Level Of Ceo Narcissism: Why, How, And When Narcissism Impacts Firm Performance, Scott Boswell

Dissertations

Chief Executive Officers (CEOs) may have narcissistic tendencies that impact the firm and its performance. We explore the definition of narcissism, how it is measured, and when it might be optimal or harmful to the firm’s performance. Leaders exhibiting higher scores on one or more Dark Triad traits often are viewed negatively both inside and outside the firm. Should such negative perceptions disqualify a leader who displays a measure of a Dark Triad trait? This research answers the primary question, is there an optimal level of CEO narcissistic traits and if so, are there moderating factors that impact the level? …

Lived Experiences Of Nursing Autonomy: A Phenomenological Exploration, Rebekah Dubrosky

Dissertations

The purpose of this phenomenological study was to explore the meaning that acute care, bedside nurses' assign to their autonomous actions. A feminist critique of the nursing work environment was applied using standpoint theory. This was balanced and supplemented by a post-modern critique using Foucault's method of assessing power and knowledge in relation to the discipline of a profession. This study was designed to explore how issues of gender, knowledge, and power affected participants' interpretations of their autonomous actions. This study used a qualitative, phenomenological approach with an emergent design. Purposive sampling was used to find registered nurses currently working …

Examining Health-Related Decision Making Patterns Of African Americans With Coronary Heart Disease: A Hermeneutic Phenomenological Study, Tiffany Ann Love

Dissertations

The purpose of this study was to explore the themes that affected the day-to-day health-related decision making of African Americans managing coronary heart disease (CHD). Understanding the lived experience of African Americans with CHD can offer health care providers additional strategies to improve disease management. A hermeneutic phenomenological approach was utilized to explore: (1) what is the lived experience of managing CHD among older African Americans? (2) What is the essence of health-related decision making among older African Americans living with CHD? Two audio taped 30 to 60 minute open ended in-depth interviews per participant.

Chronicling Resident And Staff Outcomes Throughout The Implementation Of A Professional Nursing Practice Model In One Midwest Continuing Care Retirement Community: A Longitudinal Analysis, Kimberly Michele Bergen-Jackson

Dissertations

This research used a case study approach to chronicle the process of seeking the American Nurse Credentialing Center's Pathway to Excellence in Long-Term Care designation in one Midwest community. The PTE-LTC practice standards framework guided the implementation of professional nursing practice which focused on a positive practice environment, shared decision-making, accountability for resident care, and the leadership development of nursing staff. These practice standards are outlined in the study and incorporated the major components necessary to implement Professional Nursing Practice and Shared Governance in long-term care. The components of the designation process over a five-year period were documented and compared …

Development Of A Church-Based Educational Program To Increase Prostate Cancer Screening For Black Men 40 And Older, Dawn Marie Silvera-Ndure

Dissertations

Prostate cancer is the most common cancer among men in the United States and is one of the leading causes of cancer death among men of all races. However, African-American men are at particularly high risk. These men are diagnosed more often with prostate cancer, are diagnosed later, and are more than twice as likely to die from prostate cancer than are Caucasian men. A strategy to address this inequity was to develop a community based program that would reach this at risk population. The goal of the project was to develop an evidence-based, theory-supported education and referral program to …

Predictors Of Hiv/Aids Related Stigma And Discrimination Among Anglophone Caribbean Women, Kimberly A. Hires

Dissertations

The effects of the Human Immunodeficiency Virus (HIV) global epidemic continue to emerge decades after the first wave of infection. One key aspect of the HIV epidemic that is significantly impacted by culture and knowledge of HIV transmission is stigma, specifically HIV/AIDS related stigma and discrimination (HASD). The Caribbean region has the second highest HIV prevalence rate in the world. In 2011, there were approximately 13,000 new infections and 10,000 AIDS related deaths among adults and children in the Caribbean. Three Anglophone nations significantly impacted by the HIV epidemic are Guyana, Trinidad and Tobago and Jamaica. HASD has been identified …

Bedside Nurse Recognition Of Delirium In The Medical-Surgical Setting, Bridget Ann Denzik

Dissertations

Delirium in adults aged 65 and older is a common occurrence in the acute care setting and is often unrecognized by bedside nurses. Delirium can trigger a negative cascade of events resulting in an increase in morbidity and mortality, functional decline, longer length of stay, and high rates of post hospital institutionalization and has a significant socioeconomic impact. The purpose of this quality improvement project was to establish a solid foundation using scholarly literature to support the development of a delirium prevention, recognition, and treatment program in the medical-surgical acute care setting applying the program logic framework. The goal was …

Culture Change And Quality Of Life In Elderly Persons Living In Long Term Care, Carol S. Jones

Dissertations

Quality of life in long term care (LTC) is a concern for many stakeholders. The elders who are living in LTC facilities, their families, the staff, and government and policy makers are all interested in providing quality care and quality of life to those persons living within the facility. Culture change is one way for LTC facilities to begin to give decision making to the residents, and to increase quality of life of these elders. There are different culture change models that embrace the concept of person-centered care. No matter which model is chosen, the essence of the change is …

A Randomized Controlled Trial Of An Individualized Preoperative Education Intervention For Symptom Management Following Total Knee Arthroplasty, Rosemary Ann Wilson

Dissertations

Total knee arthroplasty (TKA) is a common surgical procedure for the treatment of patients with pain and immobility as a result of osteoarthritis or rheumatoid arthritis. Pain-related interference, pain and nausea are recovery-limiting in these patients in the immediate postoperative period. Preoperative educational interventions that include pain communication and management information have been shown to decrease pain in joint replacement patients (McDonald & Molony, 2004). This randomized controlled trial compared usual preoperative education to an individually delivered preoperative education program.

Relationships Between Professional Development And Attitudes, Knowledge, And Skills In Play Therapy Among Counselors, Cynthia Ann Anderson

Dissertations

Most counselors receive inadequate training in play therapy, through university counselor education programs, to counsel children using the method, which leaves novice counselors searching for workshops, institutes, conferences, or self-training to effectively meet the mental health needs of children with play therapy. In this first-of-its-kind study, the researcher investigated relationships between professional development and play therapy among working counselors and measured attitudes, knowledge and skills, and types of training in play therapy. A nonrandom sample of counselors were recruited from relevant online sources in this quantitative study. Attitudes, knowledge, and skills were measured by the self-reported Revised Play Therapy Attitude-Knowledge-Skills …

Donor Families’ Experiences From Initial Loss Forward: An Interpretative Phenomenological Analysis, Linda Sue Meeker

Dissertations

The purpose of this study was to examine the lives of those who have consented to organ donation at the time of an unexpected death of a loved one. The qualitative data illuminated participants’ experiences as members of donor families as they shared their observations and experiences from the initial loss forward. The participants in this study included eight women and one man who were the primary next-of-kin and the individual who provided consent to donate the organs. The results indicated that there are steps in the care of these families that could be improved, allowing for better care of …

The Impact Of Integrated Stem Education On Student Achievement In Magnet Schools, Holly Esquia Gerlach

Dissertations

In an ever-changing world, scientific advancement and innovation are critical in maintaining national security, economic competitiveness, and quality of life for our global society. Science, technology, engineering, and mathematics (STEM) education has been a priority within educational reforms for well over a decade. The purpose of this study is to determine the impact of integrated STEM education on student achievement results in English language arts, mathematics, and science. The single overarching question of this program evaluation is: Does integrated STEM education impact the achievement outcomes in reading, mathematics, and science for students in fourth and fifth grades? Related research questions …

Clarity Precedes Competence: The Impact Of A Revised Classroom Teacher Evaluation Instrument On Teaching And Learning, Kyra Schafte

Dissertations

This study is a program evaluation to determine the impact of evaluators’ use of the revised Classroom Teacher Evaluation Instrument on instructional practice in a mid-sized, public school district serving approximately 43,000 Pre-Kindergarten through twelfth-grade students. The primary research question explored in this program evaluation is what theory of action for the evaluation system will establish reliable effectiveness measures to gauge teacher quality in the school district under study. Employing a mixed-methods approach, with data gathered from a principal survey, focus group transcriptions, and instructional practice and student achievement data, this study informed and improved current practices surrounding observation and …

Accurately Diagnosing Autism Spectrum Disorder Among A Comorbid Population, Michelle Okolita

Dissertations

Two of the most common neurodevelopmental disorders, attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), are diagnosed in early childhood. The two disorders share similar impairments across domains, are highly comorbid, and have many overlapping symptoms. Studies have shown that among this comorbid population, children receive an ASD diagnosis a few years after their initial ADHD diagnosis, which leads to many negative consequences, including a delay in treatment. The focus in this study was on the early indicators of ASD that are present prior to the age of 3 years in order to educate others on these symptoms. In an …

A Case Study Of Academic Performance In A K-8 School Model, Jamie North

Dissertations

The historical and current dispute on how to educate middle grade students continues to puzzle today’s leaders of school systems nationwide. As a result of conflicting research on academically high performing schools, scholars and school decision makers continue the discussion on the influence of grade span configurations on academic performance. The purpose of my mixed method case study was to explore how teachers and school principals perceive the role of collective efficacy as influencing academic performance for grade eight students in the school under study. My study obtained input from school principals, district leaders, and teachers guided by the following …

The Relationship Between The Next Generation Content Area Reading Professional Development Program On The Effectiveness Of Teaching Literacy Strategies In High School Biology Classes, Tia Pridgen Brown

Dissertations

The need for effective content area reading teachers have continued to increase since the introduction of one public school districts’ Content Area Reading Professional Development (CAR-PD) in 2006. In 2011, modifications were made to improve the program, and it became known as the Next Generation Content Area Reading Professional Development (NGCAR-PD). The purpose of this program evaluation is to investigate the relationship between NGCAR-PD certified Biology teachers and their ability to implement reading strategies with science content effectively. The context of this inquiry is a mid-sized public school district that has implemented the program since 2006 at the middle and …

Critical District Supports For New Magnet Programs, Sarah Byrd Tierney

Dissertations

Magnet schools have been a remedy districts, including the district under study, use to create voluntary integration within school districts under court-ordered desegregation. The purpose of this study was to determine how district leaders can support magnet programs in districts not receiving Magnet Schools Assistance Program grant funding and to identify the challenges new magnet programs face. The context of this study was a large school district transforming seven existing schools into new magnet programs. My study pointed to the importance of secured funding and the support of a wide range of district level leaders. My study highlighted the many …

The Impact Of Principal Leadership Qualities On Professional Learning Implementation, John Kerley, John Patrick Kerley

Dissertations

The results of effective principal leadership qualities on school improvement are often felt but very difficult to quantify. It is important to know which qualities are most important, which qualities result in the most effective leadership, which qualities are most valued by faculties, and which qualities have the greatest impact on school culture. The purpose of this study is not only to identify effective qualities, but to also understand how these qualities translate to determination and implementation of professional learning. The context of the inquiry includes the administrative staff in two middle schools within a large public school district in …

An Examination Of Community Members' Reactions To Violent Viral Media And Their Perceptions Of Its Impact On Black Chicago Communities, Paviella Foster

Dissertations

The City of Chicago has always been known for its violence and high crime rates. Traditional media has portrayed Chicago as a war zone in terrifying headlines and news stories. While traditional media has portrayed a distorted view of senseless murders and gang violence in Black Chicago communities, residents of these communities have used social media to tell their deepest truths. The existence of social media platforms has provided an outlet for Black Chicago residents to show their daily realities to connect with others. Community members upload or share violent viral media as a way of expressing their environment, their …

Career Influences: A Phenomenological Study Of Career Influences Of African American Women In The Counseling Profession., Tamara L. Ford

Dissertations

The current literature concerning African American women in the counseling profession is limited. Research is available regarding women in the profession; however, research on African American women is scarce. This study seeks to add to the body of literature by exploring the reasons African American women become counselors, thereby improving recruitment techniques to increase representation in the field and improve mental health care for the African American community. This qualitative research study used a phenomenological approach to explore, interpret, and describe the lived experiences of eight African American women who are Licensed Clinical Mental Health Counselors currently practicing in the …

Life After Menopause: Quality Of Life In Women Diagnosed With Polycystic Ovarian Syndrome After The Childbearing Years, Katelyn Baker

Dissertations

Very little research has been conducted in regards to what happens after a woman diagnosed with PCOS is menopausal or post menopausal. This study researched the quality of life in women with PCOS before and after menopause in an attempt to compare the two groups.

A Program Evaluation Of Immersive Devised Story Drama: Process And Impacts At A Summer Creativity Camp, Amy Ressler

Dissertations

This utilization-focused evaluation examined the relationship of a devised drama program at a summer youth camp to the campers’ social-emotional learning (SEL), creativity growth, and character development. Methods used in the study included surveys of parents, interviews of teachers, and focus groups of campers. Results indicated that the devised drama provides durable, effective enrichment in SEL, creativity growth, and character development. Data also suggested that engagement in the drama contributed to an enhanced ability to manage anxiety. Concluding recommendations propose the overt use of the vocabulary of SEL competencies and grade-level appropriate SEL curricula. Professional development in Applied Improvisation for …

Discover Influential Mental Workload Attributes Impacting Learners Performance In Third-Level Education, Amisha Mehta

Dissertations

Human Mental Workload is an intervening variable and a fundamental concept in the discipline of Ergonomics. It is deduced from variations in performance. High or low mental workload leads to hampering of performance. Mental workload in an educational setting has been extensively researched. It is applied in instructional design but it is obscure as to which factors are majorly driving mental workload in learners. This dissertation investigates the importance of the features used in the the NASA-Task Load Index mental workload assessment instrument and their impact on the performance of learners as assessed by multiple-choice tests conducted in classrooms of …