Digital Commons Network^™

The Effect Of Cognitive Biases And Organizational Constructs On Enterprise Resource Planning Implementation Success In Small And Medium-Sized Enterprises: A Pls-Sem Approach, Michael Davidson

Dissertations

Enterprise Resource Planning (ERP) systems are crucial to enhancing organizational performance, efficiency, and strategic competitiveness in small to medium-sized enterprises (SMEs). ERP adoption in SMEs has been known to fail, with more than 75% of the implementations considered failures. These barriers are compounded by cognitive biases, such as temporal discounting (TD) and optimism bias (OB), which skew the strategic decision-making process. The framework suggested in this paper explains the relationships between top management support (TMS), information quality (IQ), system quality (SQ), user satisfaction (US), optimism bias (OB), and temporal discounting (TD) and their impact on ERP implementation success (EIS) and …

Development And Validation Of The Informal Safety Leadership Measure, Ashley L. Gill

Dissertations

This research develops and validates a measure of the emerging concept of informal safety leadership (ISL), which integrates elements of safety leadership and informal leadership to address a significant gap in organizational safety literature. Despite extensive research on formal safety leadership, there remains limited understanding of how non-managerial employees influence safety practices and culture within organizations. This dissertation develops and validates a comprehensive measure of informal safety leadership through a sequential mixed-methods approach incorporating a pilot study and two additional studies. First, a pilot study employed focus groups with health, safety, and environmental professionals to identify key dimensions of ISL. …

Implementation Of An Evidence-Based Postpartum Depression Screening Tool In A Level Iv Neonatal Intensive Care Unit, Morgan A. Takacs

Dissertations

Problem: Postpartum depression (PPD) affects up to 40% of mothers with infants admitted to the Neonatal Intensive Care Unit (NICU), yet many remain undiagnosed due to the absence of standardized screening protocols. Early identification and referral to Perinatal Behavioral Health Services (PBHS) is critical to support maternal well-being and improve neonatal outcomes.

Methods: This evidence-based quality improvement project utilized a descriptive and correlational design to evaluate the impact of implementing the Patient Health Questionnaire-8 (PHQ-8) for PPD screening among mothers of infants born ≤ 32 weeks’ gestation in a Level IV NICU. A convenience sample of 29 mothers received the …

Implementation Of Quantitative Blood Loss To Detect Postpartum Hemorrhage After Vaginal Birth, Raven S. Simpson

Dissertations

Problem: In the U.S., postpartum hemorrhage (PPH) is attributed to maternal morbidity and mortality, resulting in long-lasting effects of extended recoveries, surgical interventions, birth-related trauma, interruptions in mother-infant bonding, or death. Performing estimated blood loss (EBL) measurement methods postpartum is subjective and often associated with over- and underestimations of blood volume. The delay in recognition interferes with timely, efficient, and appropriate interventions, yielding a PPH (≥1000ml).

Methods: A quality improvement (QI) project was initiated with a descriptive, pre-implementation/post-implementation focus on a high-risk Labor and Delivery unit to explore the effects of Quantitative Blood Loss (QBL) measurements on the identification of …

Implementation Of A Nurse-Driven Process To Decrease Npo Times In A Geriatric Emergency Department, Luke D. Little

Dissertations

Prolonged nil per os (NPO) status for geriatric patients in the emergency department is a critical safety issue, leading to increased rates of delirium, hypoglycemia, and perioperative complications. A quality improvement project was designed to address this problem through a targeted, nurse-driven intervention. In geriatric patients (age ≥70) in a geriatric emergency department, this project aimed to determine if implementing an electronic health record (EHR)-prompted nursing workflow to obtain a diet order would reduce the length of time patients were kept NPO compared with standard practice. An EHR documentation tool was designed and implemented along with targeted nursing education sessions …

Implementation Of A Human Papillomavirus Vaccination Toolkit Postpartum, Emily R. Leone

Dissertations

Problem: Human papillomavirus (HPV) is the most common sexually acquired infection in the world (DeCherney et al., 2018). Even a single dose of the HPV vaccine can provide up to 97% protection against HPV 16 and 18, which are the strains that cause 70% of all cervical cancers (Barnabas et al., 2022). Missouri ranks 35th in the country for HPV vaccination (Office of Disease Prevention and Health Promotion, 2020).

Methods: This quality improvement project implemented an HPV toolkit consisting of: 1) staff nurse education in the form of a written presentation 2) patient and provider education in the form of …

Race-Neutral Pft: Implementing Patient Activation Measure Following Race- Neutral Pulmonary Function Testing, Ann M. Way

Dissertations

Abstract

Background

The introduction of a race-neutral equation to predict normal values on pulmonary function testing (PFT) has led to changes in the diagnosis of pulmonary diseases previously diagnosed using a race specific equation. Minority patients appear to be most likely impacted by this change, potentially impacting how they self-manage their pulmonary health. Patient self-management can be measured and assessed by using the Patient Activation Measure (PAM) tool.

Purpose

The purpose of this project is to assess patient activation levels amongst minority patients with a new or changed pulmonary diagnosis to identify a possible need for interventions to improve patient …

Evaluation And Expansion Of Posttraumatic Avoidance Assessment: Proposal Of A Novel Measure Of Posttraumatic Positive And Negative Experiential Avoidance For Use In Research And Clinical Practice, Marissa A. Yetter

Dissertations

Avoidance is a well-established mechanism in the development and maintenance of posttraumatic stress disorder (PTSD) and a central treatment target in gold standard evidence-based interventions. While traditionally defined as avoidance of trauma-related distressing thoughts, emotions, and reminders, emerging research highlights the need for a broader conceptualization of posttraumatic avoidance that includes both negative and positive emotional experiences. The current study aimed to explore an expanded conceptualization of clinically relevant posttraumatic avoidance using an experiential avoidance framework, a more generally defined unwillingness to remain in contact with distressing thoughts, feelings, memories, and other internal experiences. A sample of non-treatment seeking U.S.-based …

Truth, Resilience, And Healing: Deepen Understanding Of Native American Federal Boarding School Histories, Toya D. Holiday

Dissertations

Indigenous communities have endured the long-standing impacts of U.S. Federal Indian boarding school policy. The history of Indigenous boarding school policies and the underlying intent to enact cultural genocide is unknown and unacknowledged. The perspectives of Indigenous Peoples have been excluded from dominant narratives, and until recently, from heritage site programming, leading to intergenerational trauma, fragmented identities, and the misrepresentation of Indigenous cultures and experiences. This basic qualitative study asked the question: When the four-truth framework, developed by the South African Truth and Reconciliation Commission, is applied to U.S. Federal Indian boarding school policy, Native American boarding school history, and …

Remote Home Blood Pressure Monitoring For Management Of Hypertension, Kathleen M. Oliphant

Dissertations

Remote home blood pressure (BP) monitoring has the potential to improve patient engagement and adherence with the prescribed treatment plan for managing hypertension. This DNP project examined the effects of daily remote BP measurement using transmission of biometric data through a Bluetooth-equipped device paired to participants' smartphones. The clinical management of a chronic condition such as hypertension is a long-term process, but the findings of this DNP project supported the empirical evidence showing that remote BP monitoring improves patient outcomes.

Leveraging Cultural Agility In K-12 Public Educational Organizations: A Phenomenological Study Of How Superintendents Coach Other Leaders, Curt Eichperger

Dissertations

Purpose: The purpose of this phenomenological analysis was to identify and describe how California K-12 public school superintendents use culturally agile task management competencies while coaching other leaders in their organization.Methodology: This phenomenological study identified and described the culturally agile task-management competencies that 12 California Central Coast Superintendents employ to navigate the complex and ever-evolving public educational landscape. Participants were purposively selected based on specific criteria. The researcher served as the primary instrument of data collection, conducting semi-structured interviews with participants. The data was analyzed and coded to identify themes and subsequent findings. Findings: This study identified eight key findings …

A Qualitative Study Utilizing The Design Thinking Process To Structure And Organize For Small Group Reading Instruction In Third, Fourth, And Fifth Grade, Ashlee Utt

Dissertations

Having educated and knowledgeable classroom teachers in reading instruction is a key tool in changing the dynamics of the struggling readers in schools. Being able to lead reading instruction in both whole and small group ensures students are able to learn and build reading strategies and skills to be implemented during whole group and independent time, where text is utilized with grade-level expectations. Utilizing explicit small group instruction can have a positive effect on student achievement and success. Research has shown that “guided reading makes it possible for students to effectively process an appropriate text every day, expanding their reading …

Bridging The Skills Gap: A Design Thinking Mixed Methods Approach To Workforce Readiness, Bernetta Matory–Sylvester

Dissertations

No abstract provided.

Variable Importance, Knockoff Filters, And Improving False Discovery And False Negative Rates, Nicholas Ehlman

Dissertations

Tree ensemble methods such as Random Forests and Boosted Trees have introduced a range of variable importance statistics, offering powerful tools for feature selection. The advent of knockoff filters marked a significant advancement by combining the use of these variable importance statistics with the ability to control the False Discovery Rate (FDR). However, achieving a low FDR frequently comes at the cost of a high False Negative Rate (FNR), limiting the power of such approaches. In this work, we propose a novel method for leveraging knockoff variables to keep both FDR and FNR low. While this method does not have …

Into The Language Barrier: Analysis Of The Debates Of Charles Taylor And Jürgen Habermas With Concentration On The Importance Of Philosophy Of Language, Tom Crosby

Dissertations

Jürgen Habermas (b. 1929) and Charles Taylor (b. 1931) are two of the most important philosophers of the late 20th and early 21st centuries. Throughout their lengthy bodies of work, spanning from the 1960s and continuing today, they were frequent interlocutors, and often responded to one another’s theories and arguments. They also engaged in direct debates in edited volumes to which they both contributed, including Communicative Action: Essays on Jürgen Habermas's The Theory of Communicative Action (1991), Multiculturalism (1994), and The Power of Religion in the Public Square (2011). The goal of this dissertation is to catalogue and analyze Habermas …

Assessment Of Relationships Between Quality And Staffing In The Ambulatory Care Environment, Rachel E. Start

Dissertations

ABSTRACT Background The United States healthcare system underperforms compared to other industrialized countries where cost and quality are concerned. Nursing is accountable, as a profession recognized by society, to ensure health and livelihood in the patients and populations served. Advancing the role of the ambulatory care nurse and providing valid strategies to measure the contribution of the nursing profession in this setting is a tactic that many organizations are pursuing to achieve this paradigm shift. The assessment of relationships between measures of structure, process, and outcome within the ambulatory care setting across a variety of organizations may have the potential …

Toward Culturally Responsive Interpretation: Native American Histories, Lifeways, And Ways Of Knowing At The High Desert Museum, Carol Fitzsimmons, Ajena Cason Rogers

Dissertations

Many public museums and historic institutions reflect settler colonial culture and are primarily non-Native led. Although these institutions are trusted, many have perpetuated cultural harm through the theft of belongings, the misrepresentation of stories and histories, and the inaccurate portrayals of cultural content. When interpreting Native American experiences, many non-Native institutions struggle to co-create culturally responsive interpretation. The purpose of this basic qualitative study was to apply the four-truth framework, developed by the South African Truth and Reconciliation Commission, to better understand how the High Desert Museum approached the interpretation of Native American content and stories and to explore how …

Evaluating Depression In Adults Undergoing Substance Abuse Treatment: A Program Evaluation Of Intensive Outpatient Program, Chidochomoyo E. Zvirawa

Dissertations

Problem: Depression and substance use disorders (SUDs) frequently co-occur, complicating recovery outcomes. Despite screening recommendations, depression remains underdiagnosed in many SUD treatment settings.

Methods: This mixed-methods program evaluation examined depressive symptoms among adults in an Intensive Outpatient Program (IOP) using the Patient Health Questionnaire (PHQ-8). Depression screenings were conducted at intake, four weeks, and eight weeks. Eight participants meeting inclusion criteria were assessed. Data included demographics, treatment engagement, and PHQ-8 scores.

Results: PHQ-8 scores significantly declined from baseline (M = 11.75, SD = 6.52) to eight weeks (M = 5.13, SD = 5.05), t(7) = 2.76, p = .028, indicating …

Transforming Heritage Narratives: Harnessing The Power Of Four Truth Inquiry To Reclaim Women’S History And Reinvent Climate Communication At Interpretive Sites, Pamela Blair-Bruce

Dissertations

Abstract

Heritage sites, particularly national parks, serve as powerful spaces for storytelling that shape public understanding of American history, cultures, ecological processes, and diverse landscapes. However, their narratives often omit critical aspects of women’s history and climate change, perpetuating historical erasure and selective storytelling. This qualitative research study applies the Four-Truth Framework developed by the South African Truth and Reconciliation Commission to examine how heritage interpretation can improve the recognition of women’s contributions and strengthen climate communication at heritage sites. To explore approaches to women’s history interpretation, the study employed semi-structured, focus group interviews with educators, historians, and interpreters across …

Interrogating The Dispersal Process And Relevant Genes In Vibrio Fischeri, Jeremy Esin

Dissertations

Biofilms are aggregates of bacteria encased in a matrix that shields bacteria from environmental hazards. These structures are formed in response to cues from the environment and drive colonization of new niches. Biofilms can be both beneficial and detrimental. Largely, research focuses on biofilms that have negative outcomes in clinical, environmental, and economical settings. However, the value of beneficial biofilms is recognized and studied. The marine bacterium Vibrio fischeri is part of a model system for studying symbiotic biofilms in a eukaryotic host. V. fischeri produces a transient biofilm at the surface of a specialized light organ and then disperses …

A Design Based, Mixed Method Study On Evaluating Traditional Grading Practices And The Implications For Mastery Learning And Educational Equity In A Midwestern School District, Christina Kirchner

Dissertations

“Grades are an essential currency of our schools. Schools, colleges and employers use grades to determine many important, and in some cases, life-altering decisions-college admission, financial aid and scholarships, athletic eligibility, promotion, retention, awards, and supports” (Feldman, 2018, p. 3). Grading is not addressed in teacher preparation programs, or within professional development during teachers’ careers; teachers have chosen their own way to grade guided by their own personal experiences, uninformed of research or best practice. Using a human centric, design-based approach, the researcher identified multiple discrepancies with grading practices among the K-12 school organization. Within the discrepancies, other issues were …

Culturally Responsive Intimate Partner Violence (Ipv) Service Needs Among African Immigrant Women: Examining The Impact Of Cultural Norms And Psychosocial Barriers On Safety Perceptions And Help-Seeking Behaviors, Titilayo Ogunbambi

Dissertations

Intimate Partner Violence (IPV) remains a pervasive public health and social justice issue globally, with African immigrant women in the United States facing compounded challenges as they navigate cultural, structural, and systemic barriers, including migration-related vulnerabilities and attachment to cultural values that shape their decisions and experiences. Although formal IPV services exist, they often fail to address the lived realities and culturally specific needs of this population, leading to underutilization and barriers in seeking help. This qualitative study examines how cultural norms, psychosocial barriers, and systemic inequities influence safety perceptions and help-seeking behaviors among African immigrant women survivors of IPV. …

The Rose That Grew From Concrete: Exploring The Romantic Experiences Of Black Men With Histories Of Childhood Sexual Abuse, Tatyana Nichelle Smith

Dissertations

Contemporary research typically characterizes Black heterosexual relationships by dismal marriage and divorce rates, largely ignoring the reality of how Black men develop attachments with their romantic partners and therefore continuing to perpetuate deficit perspectives of Black men (e.g., the cause of conflictual romantic relationships and “broken” Black families). What may be less understood about these relationships is the influence of childhood trauma, such as childhood sexual abuse, and Black men’s experiences of gender role conflict. Research shows that Black men’s experiences of childhood sexual abuse and socialization about masculinity have important implications for how they come to view themselves and …

Developing Machine Learning Models And Graphene-Based Flexible Humidity And Temperature Sensors For Machine-Learning-Assisted Sensing, Seth Hajian

Dissertations

Flexible sensor technology has recently gained tremendous momentum in both academic research and industrial applications, transitioning from conceptual frameworks to practical implementations across diverse fields. This remarkable advancement can be attributed to several converging factors, including the maturation of nanomaterial science, the advancements of machine learning algorithms, and the critical demand for intelligent sensing solutions in healthcare, environmental monitoring, and industrial automation. The growing emphasis on personalized medicine and real-time health monitoring, accelerated by global health challenges, has further highlighted the necessity for accurate, cost-effective, and adaptable sensing platforms. This dissertation presents the fulfillment of three interconnected research projects focused …

A Parallel Fuzzy Logic Framework For Surgical Skill Evaluation Via Instance Segmentation And Deepsort Tracking, Mohsen M. Mohaidat

Dissertations

Manual evaluation of suturing skills during laparoscopic training is often subjective and labor-intensive, resulting in the lack of scalable and consistent feedback for trainees. This study proposes an automated framework that not only significantly reduces the need for in-person assessment by experts but also ensures scalability, thereby addressing the objectivity and cost-effectiveness limitations. While low-cost laparoscopic box trainers have become increasingly popular for residency training, performance assessment still depends on expert supervision. The proposed system aims to alleviate these limitations.

This study introduces a novel automated framework incorporating an optimized DeepSORT algorithm for classifying, localizing, and tracking surgical tools using …

The Fault Line: Understanding Tension Between Industry And Higher Education Institutions In Sustained Partnerships, David Lawrence

Dissertations

This study investigates the dynamics that influence tensions in industry–higher education partnerships and identifies effective navigation factors in sustainable partnerships. Despite the increasing prevalence, such partnerships face high failure rates due to inherent tensions. This research explores how partners from industry and higher education institutions successfully navigate these tensions using a qualitative case study approach.

This investigation employed a case study design with a multi-case two-by-two holistic matrix and an interpretive, constructivist framework. Data collection involved 16 semi-structured interviews with key individuals from nine higher education institutions and five industry organizations spanning healthcare, technology, consulting, real estate development, and accounting …

Effective And Empowering Psychotherapy For Black Women: A Culturally Adapted Proposed Model, Kaylla A. Jackson

Dissertations

Black women in the United States are a minoritized group that has experienced oppression and suffering explicitly targeting their intersectional and minority identities. The intensity and frequency of stressors result in a negative impact on Black women that prompts a need to cope. Rather than relying on professional mental health care, many Black women rely on their religious and spiritual communities and other cultural and historical methods to cope with stressors. As a field and profession, clinical psychology has been overwhelmingly dominated by White individuals. The profession has a rich history of developing and perpetuating oppressive systems that have ignored …

Understanding The Afghan Newcomer Experience From The Perspectives Of Teachers And Students, Elisabeth C. Trost

Dissertations

Newcomer English learners (ELs) often arrive in the United States having fled persecution, economic or political oppression, war, or natural disasters in their country of origin. They are new to the English language, new to the American school system, at times well into their educational journey, and sometimes have missed out on significant amounts of formal schooling. Many also carry trauma from the circumstances that forced them to leave their homes. Most schools are not fully equipped to welcome these students and their families into the learning community, nor are they prepared to address the unique challenges newcomer ELs face. …

A Phenomenological Qualitative Study Of Sense Of Community In An Inner-City Parochial School: Expanding The Seats At The Table., Mary Andree Darnall

Dissertations

St. Angela’s School is an elementary school in the Austin area of Chicago. This phenomenological qualitative study examined Sense of Community (SOC) at St. Angela’s, operationalized as “The feeling that St. Angela School is welcoming, psychologically and physically safe, that I matter, I am respected, and that I belong.” As an inner-city, parochial school, St. Angela’s has seen extensive changes in the neighborhood and the student population, both in ethnicity and enrollment. The last two principals requested a study of its SOC to identify solutions as diminished enrollment and teacher turnover have threatened its continued existence.

Thirty-three individuals …

Empowering Educational Leaders: Enhancing Administrative Leaders’ Effectiveness Through Strategic Professional Development, Elizabeth Reed

Dissertations

This study analyzed the current state of professional development opportunities for administrative leaders across ten U.S. states. The research aimed to explore trends, perceived needs, and gaps in professional learning programs for educational administrators. The central research question guiding this study asked: How do administrative leaders perceive and experience existing professional development opportunities, and what areas require strategic improvement? A mixed methods approach was used, with survey data collected from administrative leaders serving in K–12 school settings. The survey instrument was designed to assess participants' perceptions of the relevance, effectiveness, and accessibility of their current professional development experiences. Data analysis …