Digital Commons Network^™

Resiliency And Positive Childhood Experiences: Implications For Black Youths' Mental And Behavioral Health And School Engagement, Sharnequa Nashay Hunter

Dissertations

Two independent studies were conducted to examine the buffering impact of positive childhood experiences on Black youths’ mental and behavioral health and school engagement outcomes. The purpose of Study 1 was to investigate the potential moderating effects of positive childhood experiences on the relationship between adverse childhood experiences and the occurrence of mental or behavioral health conditions (anxiety, depression, ADHD/ADD, and/or a behavioral/conduct problem) and school engagement, using secondary data from the 2020 National Survey of Children’s Health, a survey completed by primary caregivers. The study sample included 2,201 Black youth ages 6-17 across the United States. Logistic regression and …

Warm Bodies, Strong Attachments, And The Search For Better Bonds: The Politics Of Human-Animal Entanglements In U.S. Fiction And Media, John Charles Hawkins

Dissertations

This dissertation describes human-animal relationships as sites of political longing and meaningful failure in the context of twentieth and twenty-first U.S. fiction and media. I locate three tendencies of imagination prevalent in writing about bonds between humans and other animals: collaboration in regional modernity, refamiliarization in consumer capitalism, and transformation in rationalist patriarchy. These expressions of desire for a different way of relating, I argue, open important windows into the places where current power structures generate suffering and distress. I also emphasize the compelling but imperfect nature of these expressions. The texts and images in this dissertation offer attempts to …

Asian Americans’ Experiences Of Covid-Related Discrimination: Collective Identity, Critical Consciousness, And Intergroup Solidarity, Han Na Lee

Dissertations

The outbreak of the coronavirus disease (COVID-19) has stirred fear and panic with a surge of anti-Asian hate in the United States. Racial discrimination was exacerbated by labeling COVID19 as “the Chinese virus” and blaming Asians and Asian Americans as the source of the virus. Within the exacerbated xenophobic and racist rhetoric since the COVID outbreak in 2019, racial discrimination was amplified towards anyone who phenotypically presented as “Asian.” It is unclear how various Asian ethnic individuals identify with their Asian American identity while experiencing the intensified discrimination. Specifically, experiencing COVID-related racism and group-based rejection may increase or decrease Asian …

Navigating Culture And Family In Post-Secondary Education As Nigerian American College Students, Funmilayo Ojikutu

Dissertations

The purpose of this dissertation is to examine how Nigerian Americans and their families understand academic success, identity, and family influence. This research study aims to understand these three areas by examining the experiences of five Nigerian American undergraduate students and their respective families. The data for this study was collected through individual interviews, focus groups, and an artifact analysis. Through using the Multidimensional Model of Racial Identity framework, findings demonstrated the importance of balancing identities, community, legacy, and shifts in generational mindsets. The findings in this dissertation offer larger discussions related to differences within the Nigerian community, the impact …

Middle Class African Americans Diagnosed With Type 2 Diabetes Mellitus Self-Care Practices Related To Their Spirituality, Self-Efficacy, And Health Literacy, Jacqueline G. Moody

Dissertations

Diabetes mellitus continues to be one of the most commonly diagnosed medical conditions in the United States. More than 25 million children and adults are living with type 1 or type 2 DM (ADA, 2012). Even though 18 million patients have been diagnosed with diabetes, an additional 7 million are unaware they have the disease. An important factor in health outcomes for diabetes is self-care that includes proper glucose levels control. Self-care for diabetes mellitus is important to decrease an individual's risk factors. Self-care consists of the practice of activities that maturing and mature persons initiate and perform, within time …

Addressing Gatekeeping Challenges In Counselor Education: A Grounded Theory, Vanessa Pauline Gill

Dissertations

This constructivist grounded theory study explored how counselor educators navigate remediation and gatekeeping challenges in CACREP-accredited programs. Fifteen counselor educators with at least one challenging gatekeeping experience participated in semi-structured interviews conducted via Zoom. All interviews were recorded and transcripts were completed. Data was analyzed using grounded theory methodology and analysis efforts were organized using the MAXQDA 2024 software. Data analysis involving constant comparison methods and memo-writing generated an emerging theory describing counselor educators’ journey from uncertainty to increased confidence in addressing remediation issues. The theory illuminates how experiential learning, reflective practice, and supportive professional relationships inform this developmental process. …

A Multifactorial Study Of Factors Influencing Self-Health Behaviors In Dementia, Elizabeth Malkin

Dissertations

The global increase in dementia cases presents a significant public health challenge, particularly given the absence of a cure and the rising healthcare burden on individuals and society. This study aims to examine the influence of knowledge, beliefs, and motivation on self-health behaviors to mitigate the risk of dementia among individuals residing in the United States. With the use of an online survey, the study utilized the U.S. normed MCLHB-DRR scale and supplemental questions about knowledge of risk factors and degree of closeness to family members with dementia to determine whether (1) more closely related relatives (first-degree relatives) and those …

Differences Are Not Deficits: Women Introverting While Black Through The Ascent To Executive Leadership In Higher Education, Jeri A. Bingham

Dissertations

Diversity of personality type in the workplace can lead to improved morale and productivity when organizations acknowledge and support the attributes and differences of employee behaviors and characteristics. Black women executives identifying as introverted who lead with their authentic personas and intersected marginalized identities, benefit employers, employees, students, and the institution’s brand and bottom line. Introversion and extroversion, ways to describe diversity of personality type, and each having different connotations in office culture, are relevant to this exploration as literature suggests that the population of both personality types is almost evenly distributed. The implications of judgement and the association to …

Investigating The Neurovascular Correlates Of Cognitive Function In Individuals With Spinal Cord Injury Using Functional Near-Infrared Spectroscopy, Donna Yali Chen

Dissertations

Individuals with spinal cord injury (SCI) have a 13 times greater risk of cognitive impairment than able-bodied individuals and commonly report symptoms of depression and anxiety. The reports of cognitive impairment in individuals with SCI are independent of concomitant brain injury. Although the direct cause of cognitive impairment in individuals with SCI is unknown, key contributors may include comorbid depression, chronic pain, anxiety, fatigue, brain injury, or cardiovascular dysfunction. Previous studies have focused on SCI at the level of the spinal cord but have under-investigated the supraspinal levels. Due to the lack of neuroimaging studies on SCI rehabilitation, it is …

A Methodological Framework For Ontology Development, Enrichment, And Application In Natural Language Processing Tasks, Navya Martin Kollapally

Dissertations

Electronic Health Records (EHRs) have been widely used in healthcare to record demographics, vital signs, test results, immunizations, medical imaging reports, differential diagnoses, etc. It is now accepted that non-clinical (e.g., social) factors have a substantial influence on health outcomes. Hence, it is desirable to record these Social and Commercial Determinants of Health (SDoH & CDoH) in an EHR. The "non-text parts" of EHR notes (e.g., data tables) rely on coded terms from underlying ontologies or terminologies to facilitate semantic interoperability. Ontologies help define concepts, the relationships between them, and instances that can be utilized in research.

The first accomplishment …

Caregiver Support For Patients Diagnosed With Dementia, Michelle N. Kabakibi

Dissertations

Background: Current research indicates that caregivers of dementia patients often experience a great deal of stress related to caregiving. Most of these caregivers are informal caregivers without prior knowledge or training in dementia care. Previous studies indicate that informal caregivers often experience stress during this postdiagnosis period due to a lack of high-quality and available information, education, and support services tailored to meet the unique needs of families caring for a dementia patient. Currently published approaches to providing caregivers with information are largely centered on a one-size-fits-all approach.

Purpose: This descriptive qualitative study was conducted to examine the lived experience …

An Autoethnography Of A Social Justice-Minded Teacher In Corrections, Graciela Rubalcaba-Munoz

Dissertations

ABSTRACT The incarceration of women has increased 93% in the last fifty years. This impacts marginalized communities at disproportionate rates. Although the provision of education in corrections became federal law in 1952 as a means to rehabilitate inmates, women’s facilities currently do not receive equitable resources to support education, which puts additional pressure on the educational staff. The legal requirement for education includes county jails, the transitory facilities that house inmates while they await court or transfer to prison. The jail educational system is volatile, making it difficult to engage students when there are constant interruptions, unexpected incidents, lockdowns, and …

Optimistic Biases On E-Cigarette Cessation: Examining Competing Theoretical Models For Young Adults With And Without Chronic Health Conditions, Eleanor Steffens

Dissertations

The dramatic increase in youth nicotine initiation is an ongoing public health concern and heightens risk for morbidity and mortality, especially among young adults with chronic health conditions. Consequently, there is an urgent need for research exploring potential psychological mechanisms for continued e-cigarette use to aid in the development of targeted cessation interventions and combat the re-emerging nicotine epidemic. Utilizing the Population Assessment of Tobacco and Health (PATH) Study, the present study modeled the impact of optimistic biases for e-cigarette use on e-cigarette cessation interest among young adults with and without chronic health conditions (n=1,827). Results showed that, regardless of …

Using The Home Health Oasis To Promote Advance Care Planning Among Community-Dwelling, Frail Older Adults, Suzanne S. Sullivan

Dissertations

Despite an aging population with increasing proportions of frailty and decline, the rates of documented Advance care plans (ACP), meant to align goals for care with the level of treatment at end-of-life (EOL), are low (~30-40%). Patients expect clinicians to raise the question about serious illness goals for care when the time is right, however, there are a number of barriers to the initiation of these difficult conversations including provider bias and uncertainty. A review of the literature indicates that there are few prognostic indices available for use to identify the right time to initiate EOL conversations based on risk …

Impact Of An Open Access Appointment Scheduling System On No-Show Rates In An Urban Federally Qualified Health Center, Rosemary Ward

Dissertations

No-show medical appointments lead to health disparities and threaten the financial survival of Federally Qualified Health Centers (FQHCs). Open access scheduling eliminates long lead times, a common reason for no-show visits. Preventive health screenings and chronic disease management were drastically reduced during the COVID-19 pandemic, requiring innovative methods to increase access to care. The purpose of this quality improvement (QI) project was to measure the impact of an open access scheduling system on no-show rates in an urban FQHC. A pre-post observational design compared two days per week of no-show data for a span of 10 weeks between two family …

Exploratory Study Of Graduate Nursing Student Grit And Strategies Used By Their Faculty: A Mixed Methods Approach, Leanne T. Burke

Dissertations

Registered Nurse (RN) workforce projections continue to show a shortage of RNs, which will intensify as Baby Boomers age and large numbers of nurses reach retirement (AACN, 2017a). To meet workforce demands, increasing numbers of nurses prepared at the graduate level for advanced roles like nursing faculty, nurse researchers, and primary care providers are critical. With variable attrition rates in master's and doctoral programs, there is a need for research into the uniqueness of these populations. In particular, noncognitive predictors of success, such as grit, may be important. This explanatory sequential mixed methods study assessed grit levels (measured by Grit-S) …

Reading The Prologue Of John's Gospel As Midrash With A View To Examinging A Local Parting Of The Ways, Joseph Mukuna

Dissertations

This dissertation attempts to read the Prologue to John’s Gospel as midrash with the view to examining a local parting of the ways. It is argued that the midrash technique in the Prologue serves to persuade the audience to perceive itself as a religious other. Through John’s use of the midrash technique in the Prologue, there is an engaged effort to create boundaries and construct a new identity for his community. The choice of vocabulary and theological claims are essential markers of how the author intends to construct a new identity. Using rhetorical analysis, the dissertation claims that the Prologue …

A Daca Initiative: Transformative Organizational Change At The School Of Medicine, Cynthia Chaidez

Dissertations

The purpose of this revelatory case study is to explore how the DACA Initiative (DI) transformed the School of Medicine (SOM) beyond just changing student demographics. In this research, I specifically explored if, through the DI, SOM organizationally changed enough to be considered transformative change in its efforts to enhance the acceptance and support of DACA medical students. In addition, I looked at the evolution of the financial operations at SOM to support DACA medical students. The research questions that guided this study were: As a result of the DI, did the organizational changes implemented by SOM to accept and …

Perceived Factors Impacting Teachers’ Pedagogical Decision-Making Pertaining To The Use Of Pbl In The Classroom: A Dissertation, Amanda Slaughter

Dissertations

There is a consistent body of research evidence citing the potential of Problem-Based Learning (PBL) as a viable instructional tool to raise student engagement with challenging content (Saye & Brush, 2017; Strutchens and Martin, 2017; Wynn, 2015). According to the National Council for the Social Studies, “The primary purpose of social studies is to help young people develop the ability to make informed and reasoned decisions for the public good as citizens of a culturally diverse, democratic society in an interdependent world” (NCSS, accessed 2023, March 1, para. 2). Scholars like Engle (1960) called for instructional strategies that raised the …

Exploring Factors Influencing Health Promoting Behaviors Among Latino Immigrants, Martin J. Mikell

Dissertations

Latino immigrants may experience stress during acculturation to the U. S., which can influence their ability to engage in health-promoting behaviors, such as dietary intake and physical activity. Dietary intake and physical activity influence the prevention or development of pre-diabetes/Type 2 Diabetes (T2DM). The immigrant's ability to perform health-promoting behaviors can also be influenced by their perceptions of self-efficacy to engage in health-promoting behaviors. Limited information is available in the literature on effective strategies for decreasing stress during the acculturation process of Latino immigrants, while also increasing self-efficacy in health-promoting behaviors. The purpose of this study was to explore the …

History Education: Learning History From Community College Students’ Perspectives, Mylinh V. Pham

Dissertations

Given the current political climate of division, the study of history is important now more than ever, but the value of the study of history has been marginalized. This study used student focus groups to understand ways in which history could be taught in such a way that its importance is emphasized through relevance and connection to current social and political issues and through student-centered learning. This study also determined how history could help students evaluate and think critically about historical content. This study drew on the experiences of community college students who have taken a higher education history course …

Leading With An Intercultural Mindset: Leadership Development Programs For International Students, Keri A. Toma Loehrer

Dissertations

This mixed methods study explored co-curricular student leadership development programs that included intercultural learning and were designed for international students studying at higher education institutions in the United States. The study aimed to better understand: (a) common program characteristics; (b) program administrator perceptions; and (c) the international student experience. Data was collected in a two-phase explanatory sequential design, involving surveys and semi-structured interviews. Six main content areas across all programs were identified: (a) diversity, equity, and inclusion (DEI); (b) global engagement; (c) intercultural learning; (d) leadership development; (e) personal and professional development; and (f) supporting the international community. Administrators generally …

Measuring Critical Mentoring: Understanding How Differences In Staff Beliefs Affect Peer Mentoring Implementation In The Csu, Lauren E. Reagan

Dissertations

Self-reported positive effects of peer mentoring for mentors and mentees have included enhanced academic performance, greater sense of belonging, and retention, among other widely accepted benefits of the intervention. However, minimal quantitative or mixed methods research has focused on mentoring staff who design, implement, and therefore heavily influence these programs. This mixed-methods study sought to articulate which factors relate to staff beliefs on peer mentoring in California’s largest public higher education system, the California State University. The first purpose of this study was to articulate which facets relate to or contribute to beliefs on a spectrum of mentoring perspectives, from …

Teacher And Student Perspectives Of Technology Use In Elementary School Classrooms, Anthony Oskar Alvarado

Dissertations

This study explored student and teacher perspectives of technology use at Franklin Elementary School in South San José, CA, using qualitative, quantitative, and observational methods, including interviews, observations, and surveys. Thirteen teachers responded to a survey on educational technology use. Among this group, eleven provided interviews, and nine invited classroom observations from 1st through 6th grades. Additionally, sixty-nine 3rd to 6th-grade students were surveyed about their views on technology use. The study found that technology use in teaching is widespread and integral, not just an add-on. Observations and teacher interviews showed high engagement and interest in technology tools, primarily supporting …

What Can We Do To Help? Understanding Policies And Practices Of Schools Related To Unexcused Absences, Shelly K. Masur

Dissertations

School absences figure prominently in student success. It makes sense that students who are in school have a better chance of learning and growing and when they aren’t there, they don’t benefit from what schools have to offer. But when absences are marked unexcused the consequences could be significant, further hindering school success for students. Looking at racial dimensions of attendance could provide an important element to our understanding. This study reviews the literature on student attendance, the history of attendance policy, racial and ethnic dimensions of student attendance policy and how it is applied, and the impact of leadership …

Con Respeto Y Dignidad: Transforming Educational Experiences For Students Of Color By Addressing Disproportionate Discipline Practices, Selene Munoz

Dissertations

Discipline practices wield significant influence over the social dynamics within educational settings and profoundly impact students’ ability to attain academic and social gains crucial for their success. The racialization of school discipline has been linked to negative effects on student’s academic trajectories and life outcomes. Consequently, school administrators can play a crucial role in effecting cultural change within their organizations to support disciplinary practices that uphold students’ educational dignity. This study looked at the strategies employed by secondary level administrators to shift their school cultures aimed at addressing disproportionate disciplinary practices. Using a mixed methods approach, this study draws upon …

Best Practices In Academic Nurse Educator Role Transition: A Multiple-Case Study, Joelle L. Wolf

Dissertations

Healthcare is facing a crisis related to a shortage of nurses. One of the most alarming factors regarding this shortage is the lack of academic nurse educators (ANE). The problem addressed in this study was the shortage of ANEs due to obstacles in the role transition process. The theoretical framework used was the nurse educator transition theory which connected well with this study as this theory focuses on stages of ANE role transition. Two research questions were used that identified perceptions of best practices in role transition of ANEs and best strategies in retention. Participants were early-career ANEs with 1 …

Community Outreach: A Piano Concert Designed For Children, Hsin Shih Liu

Dissertations

Evidence exists that music community outreach has been practiced for at least around a century in Western countries. However, in Taiwan, the idea of music community outreach is relatively new and not as commonly seen as in the United States. This research provides mention of community outreach organizations and individuals in Taiwan and the United States. Additionally, it is aimed to assist in designing more successful programs in the future. Included in this dissertation are a methodology of designing an effective concert program for children and the concert feedback form provided to the participants. This project featured three piano concerts …

Effects Of School-Based Physical Activity On Children’S Core Executive Function Abilities, Jessie Katelyn Johnston

Dissertations

Children in the United States are becoming increasingly sedentary, linked to detrimental effects on both physical and mental health. Introducing physical activity interventions in schools offers a promising approach to address this trend, while also enhancing children’s executive functioning abilities. Executive functioning abilities are crucial for social-emotional development and academic success. Therefore, the purpose of this study was to explore whether a 6-week physical activity intervention at moderate intensity was associated with increases in executive functioning among girls who are enrolled in third through fifth grade. It was hypothesized that executive functioning abilities (working memory, inhibition, and cognitive flexibility) would …

Faculty Attitudes Toward The Preparation Of Baccalaureate Nursing Students For Practice In Hospital And Non-Hospital Settings, Lisa Radley

Dissertations

The ongoing nursing shortage worsened in recent years following the COVID-19 pandemic, has resulted in increasing concerns about future deficits in the nursing workforce. Many nurses are approaching retirement age at a time when the overall demand for healthcare services is expected to increase. Changes in nursing education have been recommended to ensure that the next generation of nurses are willing and prepared to meet the needs of an ageing population. Nursing faculty will have important roles in the education and mentoring of students to prepare them to care for diverse populations in a variety of practice settings. Understanding faculty …