Digital Commons Network^™

Exploring The Fifth Quarter: An Enquiry Into Offal Eating In Contemporary Irish Food Culture, Its History, And Its Future, Niall Toner

Dissertations

Animal offal and organ meats seem to have all but disappeared from domestic cuisine in Ireland, despite the recent renaissance in the country’s food culture. This thesis has examined the extent and nature of the consumption of these comestibles in contemporary Irish food culture, and the perceived decline in offal’s popularity in Ireland in the past fifty years. It also sought to discover whether offal and organ meats might have a place in the future of our cuisine, and whether the consumption of more offal and organ meats in Ireland might contribute towards a more sustainable food production system, and …

Missed And Prior Diagnoses In Children Later Diagnosed With Autism, Maire Diemer

Dissertations

Awareness of autism is rising, yet social determinants of health continue to impact rates, ages of diagnosis, and diagnostic load. Different psychiatric labels carry stigmas; unequal rates of diagnoses may indicate biases in the healthcare system. This study investigates six prior diagnoses (ADHD, disorders of conduct, adjustment, anxiety, mood, and intellectual disability) assigned to children who are later diagnosed with autism. The study investigates how race, sex, and geographic factors were associated with age of diagnosis and diagnostic load. This study utilized a sample of 13,850 children aged 2-10 who were diagnosed with autism on Missouri Medicaid between 2015 and …

A Grounded Theory Study Of The Grief Process In Women Who Experienced Perinatal Loss Prior To 1980, Tina L. Saunders

Dissertations

Approximately one million women suffer from perinatal loss (PL) in the United States annually. Societal and provider knowledge and attitudes about the psychological effects of PL and the need for care and support have improved significantly since the 1980s. Anecdotal evidence indicates that experiencing PL still affects women decades later; however, its impact on their grief process and long-lasting effects has not been researched. These narratives are vital to informing support and care. The purpose of this study was to develop a theoretical framework describing grief processes and long-lasting effects on women experiencing PL before 1980.

Professional Development For Classified Managers Within The Business Services Departments At California Public School Districts, Juliet Castorena Orozco

Dissertations

Purpose. The purpose of this Delphi study was to identify and describe professional development topics required to prepare classified managers in California public school district business services departments as effective leaders as perceived by a panel of experts. This study also sought to identify the degree of importance of each professional development topic and the best strategies to address those topics as perceived by a panel of experts.

Methodology. A Delphi research design was used to identify and describe professional development strategies necessary to prepare classified managers in the business services division of California public school districts. The Delphi panel …

Effect Of An Experiential Learning Model For Simulation Design On Clinical Nursing Judgment Development In Pre-Licensure Baccalaureate Nursing Students, Joyce Victor

Dissertations

Simulation is an experiential learning process used in nursing education to develop and evaluate competencies, including clinical judgment (Berragan, 2011; Jeffries, 2012), yet the effectiveness of simulation in nursing education is not sufficiently evaluated (Foronda, Liu, & Bauman, 2013) and simulation design is not adequately theory-based (Kaakinen & Arwood, 2009; Rourke, Schmidt, & Garga, 2010; Jeffries, 2012; Rodgers, 2013). In this study, Kolb's Model of Experiential Learning (Kolb, 1984; 1999) was employed to create an experiential learning simulation design. A quasi-experimental study was used to test the effects of this new design on clinical nursing judgment development and its relationship …

The Experience Of Transitioning For The Transgender Person: An Appreciative Inquiry Approach To Advance Gender Affirming Care, Shelley Evans

Dissertations

The process of transitioning has a significant impact on improving quality of life among transgender and nonbinary people (Johansson et al., 2010). Transitioning is the act of moving towards a gender identity that feels more aligned with internal identity (Rankin & Beemyn, 2012). However, despite promising research that supports the benefits of medical, social and/or legal transitioning, the understanding of the experience has not been fully explored (Evans et al., 2021), and it is a barrier to advancing the delivery of gender affirming care among nurses, other health care providers, and health care organizations. There is a need to awaken …

Predicting Suicide Attempt Histories With Zero-Inflated Negative Binomial Regression: A Combined Psychological And Demographic Approach With Military Personnel, Aleksandr Karnick

Dissertations

Nearly 50,000 individuals die by suicide each year and, despite only representing 7% of the population, military veterans represent nearly 14% of suicides. As a critical public health concern, research has been directed toward identifying risk factors for suicide. Over the last 50 years of research, nearly 3,000 separate effect sizes for suicide risk factors have been identified, but this research has made little progress toward identifying individual suicide risk and predictive capacity remains low. Although research from medicine and traumatic injury suggest that public health interventions that are implemented broadly can be highly effective at reducing risk for other …

Primed For Sport Coaching: A Mixed-Methods Pilot Study Of A Six-Week Intervention, Pete S. Paciorek

Dissertations

This six-week pilot study was conducted using grounded theory from “What Works in Character Education” (Berkowitz & Bier, 2014) and specifically the “PRIMED for Character Education” framework (Berkowitz, 2021) applied to 11 high school sport coaches. The three key ideas of focus were on whether the PRIMED framework could increase the coach-participants’ commitment to character education, self-efficacy as character educators, and self-identification as Servant Leaders in an effort to “nurture the flourishing of human goodness” (Berkowitz, 2021) of our youth and, in this case, specifically, high school student-athletes.

With millions of youth involved in sport in North America and across …

Person-Centred Caring Towards Improvement Of Diabetic Foot Care Compliance In Rural Primary Health Care, Kwazulu-Natal, Anné Joubert

Dissertations

This study aims to identify how registered nurses could achieve person-centred caring to improve diabetic foot care compliance in the rural primary healthcare context in KwaZulu-Natal. The objectives were to:

- Determine the experiences of patients with Type 2 Diabetes Mellitus regarding person-centred caring in the management of foot care.

- Describe the experiences of registered nurses regarding person-centred caring in the management of diabetic foot care.

- Explore current practices of registered nurses regarding diabetic foot care.

- Compare data from in-town clinics to out-of-town clinics.

- Develop a person-centered caring, guideline-based in-service training program for registered nurses in …

Home And Community-Based Service Utilization Patterns For Seniors With Alzheimer's Disease And Related Dementias, Margaret E. Saari

Dissertations

Half a million Canadians are living with Alzheimer's disease and related dementias. Approximately half these individuals live in the community, supported by informal caregivers. In this population, utilization of formal services is low and patterns of utilization are not well understood. Previous studies examining predictors of service use have examined services in isolation however, often multiple services are utilized, with little coordination between services.

The purpose of this study was to provide a better understanding of the community-based services utilized concurrently by seniors with dementia and their caregivers.

Stigma As A Treatment Barrier In Trauma Exposed College Students, Lydia Sigurdson

Dissertations

Exposure to a traumatic event puts an individual at risk for subsequent psychological distress. Though trauma exposure is common in undergraduate students, college mental health services remain severely underutilized. One reason may be stigma associated with mental illness. The current study investigated the role of stigma on treatment seeking behaviors in trauma-exposed college students. Qualifying participants were randomly assigned to one of two stigma conditions. One week following measure completion, participants received an email offering a free, brief, self-guided intervention described with a stigmatizing label (“trauma symptoms”) in one condition, and as a broad problem (“stress”) in the other. It …

A Network Analysis Examining Dissociation And Suicide Risk In Military Veterans And Non-Veterans, Nicole Caulfield

Dissertations

Higher rates of dissociation are related to more severe psychopathology, psychiatric comorbidity, and poorer response to treatment, yet there is limited research examining dissociation as a transdiagnostic factor. In particular, examining dissociation in a Veteran sample is vital, as Veterans have been shown to have higher trauma exposure and dissociation rates than non-Veterans. Dissociation has been linked to several adverse outcomes related to Veterans, particularly suicide, as dissociation may increase the possibility of a suicidal act because of intensified disconnect from the body. However, research examining the relationship between dissociation, suicide, and additional related factors has been limited, given the …

The Impact Of Teach-Back Method On Hospital Readmissions, Rebel L. Heasley

Dissertations

Excessive healthcare costs resulted in the advent of the Centers for Medicare and Medicaid Services Hospital Readmission Reduction Program, where hospitals incur financial penalties for high readmission rates. This suburban hospital reported readmission rates of 10.38% in 2020 and 9.03% in 2021, much higher than the desired Vizient national benchmark of 6.83% or the twenty-fifth percentile. A literature review revealed that using the teach-back method alone or with other discharge activities can reduce hospital readmissions. This project tackled the quality
issue of high readmission rates by addressing patient education at discharge. The quality improvement project translated the use of the …

Sit Less, Move More: A National Study Of Physical-Activity Behavior And Cancer, Stella O. Nwogugu

Dissertations

Physical activity is associated with lower risks of cancer, the second leading cause of death among Americans. Yet, sedentary behavior is the prevailing lifestyle for about 80% of American adults. Additionally, cancer survivors remain significantly inactive, even though physical activity has been shown to decrease risk of cancer and cancer recurrence, improve tolerance of cancer therapy, and reduce mortality. This research explores the relative impact of personal agency, social support, and key demographic variables on physical-activity behavior for a national sample of adults as well as how these relationships differ for cancer survivors and their counterparts.

Telehealth Implementation At A Spinal Cord Injury Clinic Within One Veteran Affairs Medical Center In Pennsylvania, Kristina Tait

Dissertations

Patients with a spinal cord injury (SCI) often require follow-up care from a specialized provider to help reduce complications. The project sited noted that poor follow-up attendance was due to the distance the patients were from the specialty site and sought an evidence-based approach to manage follow-ups. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of the American Academy of Family Physicians (AAFP) A Toolkit for Building and Growing a Sustainable Telehealth Program in Your Practice would improve attendance rates for follow-up appointments among SCI patients.

Development Of Graphene And Graphene Derivative Advanced Functional Additives: Mechanism And Application In Asphalt Formulations And Thermal Interface Management Materials, Dana Pinson

Dissertations

The overarching focus of my research is the use of graphene and graphene derivatives to enhance polymer properties. My first focus area was the prevention of oxidative degradation of asphalt through the incorporation of a graphene oxide (GO) -based nanoparticle filler to enhance oxygen barrier properties. Primary amine terminated polyisobutylene was synthesized via cationic polymerization followed by post polymerization chain end modification in a range of molecular weights and covalently grafted via the primary amine to graphene oxide aerogel (aGO) to create a polyisobutylene grafted graphene oxide (PIB-g-GO) nanoparticle. PIB-g-GO was then mixed into a substitute asphalt matrix at various …

Experiences Of Students In Degree-Seeking Proprietary Nursing Programs In South Florida, Yvanessa Georges

Dissertations

Students of proprietary programs perform significantly lower in the NCLEX than students of other programs. This is more significant in the state of Florida where the NCLEX pass rate is below the national average. Although the discrepancy in the first-time pass rates is well documented in the statistics, the reason for this is unclear, and there is paucity in the literature addressing this phenomenon.

The purpose of this study was to explore the lived experience of nursing students attending degree-seeking proprietary programs in South Florida.

An Action Research Study On Visible Learning Feedback And Motivational Interviewing Concerning Underserved Advanced Placement Students, Lori A. Vaughn

Dissertations

Underserved minority students participating in Advanced Placement (AP) courses encountered increased academic pressures, in addition to inequitable conditions in education. The following study addressed inequity, as well as self-motivation, self-regulation, feedback practices, and student autonomy. The researcher implemented Visible Learning Feedback, an academic intervention, focused on bridging the gap in knowledge (Brooks et al., 2019; Hattie & Yates, 2014). Furthermore, the researcher designed a Motivational Interviewing (MI) pilot program, a client-centered approach concentrated on participant social-emotional well-being (Miller & Rollnick, 2013). The study’s purpose involved improving AP exam scores, increasing post-test essay grades, and raising self-motivation and self-regulation measurements through …

Reclaiming And Reconceptualizing Accountability, Joseph Hailpern

Dissertations

This body of work contributes to the exploration of the intended and unintended consequences of the policy levers, referred to as education accountability policy, that have driven entire systems toward the inclusion of student performance data into educator performance ratings and the impact on the profession. Only from an extensive understanding of where we have been can a reimagined path forward be born to serve our youth and society better. This mixed methods dissertation does so by uncovering the legal landscape that defines the policy levers and bringing educators together in focus groups to delve deeply into these levers’ impact …

Using The Lens Of Flourishing To Understand The Professional Well-Being Of K-12 Teachers Who Have Worked In Urban Schools For Over A Decade, Candis M. Thomas

Dissertations

Historically, urban public schools with high concentrations of high-poverty, low-achieving students, report having difficulty attracting, developing, and retaining qualified and effective teachers (Ansley et al, 2019; Petty et.al, 2012; Simon & Johnson, 2015; Wilder, 2012). A common explanation to the attrition crisis in urban schools is that teachers are suffering from stressors (e.g., student characteristics, school climate, concerns for safety, lack of parental support, accountability measures), that leaves them burnt out. Yet, there are experienced and qualified K-12 teachers who are committed to working in these schools. Advances in the field of positive psychology, has spilled over into the educational …

Learning Finite Mixture Of Ising Graphical Models, Chong Gu

Dissertations

The Ising model is valuable in examining complex interactions within a system, but its estimation is challenging. In this work, we proposed penalized likelihood procedures to infer conditional dependence structure when observed data come from heterogeneous resources in high-dimensional setting. The proposed method can be efficiently implemented by taking advantage of coordinate-ascent, minorization–maximization principles and EM algorithm. A BIC-type criterion will be utilized for the selection of the tuning parameter in the penalized likelihood approaches. The effectiveness of the proposed method is supported by simulation studies and a real-world example.

Telehealth Functional Behavior Assessment In Practice: A Demonstration Of The Clinical Utility Of Dynamic Probability Analyses And Estimates Of Contingency Strength, Lilith Michaele Reuter-Yuill

Dissertations

The spread of SARS-CoV-2 and acceleration of coronavirus disease cases resulted in a global pandemic and presented unique and unprecedented humanitarian issues. Behavior analysts trained in the area of functional behavior assessment offer important services that may assist families to address behavioral challenges that they face during this difficult time. Despite the growing body of evidence of telehealth functional behavior assessments, practitioners still face several unknowns. In Experiment I, a telehealth functional behavior assessment was conducted with three children with autism spectrum disorder. Assessment methods represented a continuum of experimental control from unstructured conditions (no experimental control), structured descriptive assessment …

Nonparametric Tests For Replicated Latin Squares, Joseph Yang

Dissertations

Two classes of nonparametric procedures for a replicated Latin square design that test for both general and increasing alternatives are developed. The two classes of procedures are similar in the sense that both transform the data so that existing well-known tests for randomized complete block designs can be utilized. On the other hand, the two classes differ in the way that the data is transformed - one class essentially aggregates the data while the other class aligns the data. Within these contexts, the exact distributions and asymptotic distributions are discussed, when applicable. The exact distributions are easily computed using the …

Side-Stepping God: How The Nonreligious Find Success In Alcoholics Anonymous, Caitlin Trombley

Dissertations

This dissertation utilized mixed methods research to examine how nonreligious individuals with substance use disorders navigate recovery within—or in spite of—Alcoholics Anonymous (AA). Both the 12-step program itself and Alcoholics Anonymous have long been criticized for being religious and/or spiritual in nature, and some studies have shown that this is particularly challenging for nonreligious individuals seeking recovery. The purpose of this research was to (a) identify differences in recovery resources (recovery capital) between the religious, the nonreligious, those in AA, and those who have adopted alternative forms of recovery; (b) identify barriers that the nonreligious face as they navigate recovery …

Seminarians In The Person-Of-The-Therapist (Pott) Training : A Phenomenological Study, Tomichan Moonnanappillil

Dissertations

This dissertation presented a transcendental phenomenological study conducted among eight seminarians in one of the theological schools in Southern Texas, who attended the personof-the- therapist (POTT) training program during the fall semester of 2019. This study aimed to examine seminarian participants' experiences in POTT training, their influence on their selfawareness, and their impact on their emotional maturity and the ability to make responsible life choices. The study was guided by an existential-humanistic philosophical orientation as an overarching theoretical orientation with the subjective epistemological worldview and socialconstructionism paradigm. Findings indicated POTT training positively impacted seminarian participants' human formation, which was foundational …

Culturally Adapted Multiphasic Treatment Program: A Proposed Model For Increasing Successful Community Reintegration For Sex-Trafficked Black Teens, Shayla A. Wright

Dissertations

The commercial sex trafficking industry is a silent epidemic that has been sweeping across nations for centuries. Within the United States, Black teen girls make up the largest demographic of commercially sexually exploited children. Despite efforts, most treatment interventions and programs have limited success in preventing or reintegrating Black teen girls into their respective communities. Even more alarming, most treatment interventions do not consider the impact of culture and other lived experiences. This critical literature review identified and evaluated effective treatment modalities and programs for Black teens and discussed key components that
have been found for community reintegration. The research …

The Relationship Between Background Music And Symptomatology In Adults Diagnosed With Adhd, Michelle L. Spiewak

Dissertations

Individuals who have been diagnosed with attention-deficit/hyperactivity disorder (ADHD) often experience symptoms that interfere with their daily functioning, concentration, and performance at school, at home, in the workplace, and in social settings. Previous research has been conducted into the effects of background music on various facets of learning, mostly with populations of children and individuals without ADHD. The focus in this clinical research project was to examine the relationship between background music and symptomatology in 18 adult students between the ages of 18 and 26 years who had been diagnosed with any type of ADHD. Results did not indicate significance …

Impact Of Covid-19 On Latinx And Black Communities, Carolina Zuluaga

Dissertations

This critical literature review project explored the impact of COVID-19 on Latinx and Black communities. According to the Centers for Disease Control and Prevention, as of September 28, 2022, around 16% of COVID-19 cases in the United States were among Latinx people, and 14% of cases were among Black people (Centers for Disease Control and Prevention, 2022). Since COVID-19 began, clinicians have become more conscious of the effects of health disparities within racial and ethnic minorities, which has warranted increased advocacy by educating health and mental health providers and creating and providing resources to these communities and clinicians. The review …

Assessing The Risk, Addressing The Need: A Mixed Method Approach To Designing A Strengths-Based, Post-Incarceration, Correctional Assessment For Women, Rashonda Johnson

Dissertations

Women are the fastest-growing segment of the incarcerated population, steadily increasing since 1985 (ACLU, n.d.). More than one million women are behind bars or have some involvement with the criminal justice system. The rapid growth of incarceration among women has led scholars and researchers to address the growing needs and risk levels that lead to increased recidivism rates. The creation of assessment tools specifically focused on female populations began in 1999. However, before this time, instruments were historically designed for men within the criminal justice system, and addendums were added to these tools to be used with female populations (Voorhis …

Heal The Hood: An Exploration Of Community And Organizational Assets In Chicago's Twentieth Ward, Jasmine James

Dissertations

This study seeks to expand upon Empowerment Theory (Rappaport, 1984) by utilizing Asset Based Community Development to better understand what community members and organizations deem as current strengths and needs of Chicago’s twentieth ward. The questions that this dissertation explores are What strengths exist in Chicago's 20th ward that can lead to empowerment for the community and What are community members' perspectives on what is needed in the 20th ward for community members to thrive? In order to explore these questions, this dissertation moves away from the terminology of “community needs assessment” and chooses to rather focus on Asset Based …