Digital Commons Network^™

Adolescent Social Media Use And Complete Mental Health: Examining The Intersections Of Identity, Social-Emotional Skills, And Social Support, Reese Hyzer

Dissertations

Social media and technology use have become ubiquitous for today’s adolescents. With the rise in technology use, mental health disorder diagnoses have also increased. Despite the increase in concern for both adolescent social media use and mental health, many schools, parents, and youth service clinicians do not have the knowledge or resources to intervene effectively. The current study explores two research questions. The first is to evaluate the moderating effect of social-emotional skills and social support on the relationship between social media use and mental health through structural equation modeling (SEM). The second research question is to explore whether this …

Drawing The Curtain: A Grounded Theory Analysis Of The Conceptualizations Of Culture, Ethnicity And Race In Professional Training Materials For Child Life Certification, Kia Lee Ferrer

Dissertations

Objectives: Certified Child Life Specialists (CCLS) are pediatric healthcare professionals primarily working in hospital settings to support children and families in navigating the developmental challenges of hospitalization, illness, and enduring medical treatment. Recognizing the presence of racial and ethnic health disparities, coupled with the field’s notable lack of diversity (98% White female), the child life workforce is increasingly acknowledging the undeniable evidence that discriminatory behaviors adversely affect a child’s life and well-being. As advances in the social sciences increasingly reveal that discrimination functions as a "socially transmitted disease" in a child's life, I predict that the failure of child life …

Challenges In Providing Equitable Education For Primary School Students With Learning Disabilities In Zimbabwe: Teachers’ Experiences., Joyce Madzinga

Dissertations

This study examines the challenges primary school teachers in Zimbabwe face when supporting students with learning disabilities (LDs). Many learners with LDs are excluded from adequate classroom support due to systemic, cultural, and resource limitations. Learning disabilities are often under-recognized as compared to other disabilities because they are invisible. Raising awareness and empowering educators are crucial steps toward addressing these hidden needs and ensuring they are recognized and met. Six teachers were interviewed using a qualitative ethnographic approach. Findings reveal obstacles, including insufficient training in special education, limited teaching resources, high pupil-teacher ratios, negative societal attitudes, and poverty-related constraints. Additional …

Appearance Over Function - The Impact Of Long-Term Oral Contraceptive Use On Brain Development, Breast Tissue Composition, And Future Lactation Outcomes, Fiona M. Wang

Dissertations

This integrative review examines the long-term effects of combined oral contraceptive (COC) use beginning in puberty on brain development, breast tissue composition, and future breastfeeding outcomes. Puberty is a critical developmental stage during which hormonal changes significantly impact the neurological and reproductive systems. The introduction of synthetic estrogen and progestin through COC use during this time may disrupt natural hormonal pathways, potentially altering neuroendocrine signaling and breast tissue maturation. Such changes may have lasting consequences, including impaired milk production, a weakened milk ejection reflex, disrupted maternal-infant bonding, and reduced overall breastfeeding success. The review synthesizes findings from endocrinology, neuroscience, and …

Joint Kinematics And Kinetics During Vertical Jump Landings With Progressively Increasing External Loads, Darcie L. Yount

Dissertations

This study examined sagittal and frontal plane kinematics and kinetics during countermovement jump (CMJ) landings performed with either a traditional barbell (BB) or a hexagonal bar (HEX) across increasing submaximal loads in recreationally active males. Generally, hip and knee flexion angles and joint mean angular velocities decreased as loads increased. Hip extension and knee flexion moments increased as load increased up to 20 kg, at which point these values decreased. Performing the CMJ with the HEX exhibited increased frontal plane stability compared with the BB group. Additionally, the BB group exhibited stiffer landing strategies, with decreased sagittal plane joint angles …

Applying Transcriptomics For Technology Development And Conservation In North American Marine Organisms, Cory Von Eiff

Dissertations

RNA biology is a rapidly expanding field, with many avenues of discovery among marine organisms. In this study, we analyze both mollusks and sawfish. First, we perform an evaluation of sRNA biogenesis pathways throughout Mollusca, with emphasis on the easter oyster, Crassostrea virginica. Understanding these molecules prescribes RNAi-based gene silencing approaches, benefiting genetic investigation and biotechnology. Similar to other animal groups, mollusks have conserved microRNAs (miRNAs), with some shared with ecdysozoans and deuterostomes; however, there is no evidence of an endogenous small interfering RNA (siRNA) pathway. These results suggest that long double-stranded RNA (dsRNA)-based RNAi is not appropriate for gene …

Establishment Of Neonatal Sepsis Predictors Utilizing Non-Invasive Monitoring Techniques, Dalton Janssen

Dissertations

Neonatal sepsis remains one of the leading causes of global neonatal mortality. Reactionary approaches for diagnosis and treatment have dominated the tactics in addressing neonatal sepsis but clinical intuition is an untapped resource that could lead to earlier prediction of sepsis onset. Nurses and other staff with specialized training and experience who have served as routine caregivers for a specific patient are able to identify when the patient’s status is altered. This clinical intuition may be substantiated by referencing specific patient trends in non-invasive measures over time. This retrospective, exploratory study examined whether variation in non-invasive monitoring variables could serve …

Exploring Moral Distress In Hospital-Based Nurse Case Managers: A Qualitative Descriptive Study, Mary Margaret Leas

Dissertations

Moral distress is a well-known phenomenon among hospital-based bedside nurses that is damaging and dangerous to patients, nurses, the healthcare system, and society. There is a gap in the literature related to the experience of moral distress (MD) among hospital-based nurse case managers. The purpose of this qualitative research study was to understand the experience of MD for the hospital-based nurse case manager and identify triggering events and consequences of MD. The following research questions guided this study:

Q1 What is the experience of MD among hospital-based nurse case managers?

Q1a What do they identify as causes or precursors of …

A Moderation Analysis Of The Relationships Between Burnout, Internalizing Symptoms, And Self-Care, Alexandra Mccorkle Ryan

Dissertations

Amidst growing awareness of burnout among school psychologists, self-care has been suggested as an essential practice for managing the emotionally and psychologically taxing elements of the job. Indeed, self-care has been included in the American Psychological Association’s list of professional competencies for health service psychologists (HSPs) in training. Mitigating burnout is an important objective, however, the current conceptualization of burnout as a problem that can be managed by an individual alone is inaccurate. Rather, burnout is a product of an occupational system in which job demands outweigh job resources. Furthermore, burnout can exacerbate symptoms of anxiety and depression. While self-care …

Integrating Diversity, Equity, And Inclusion Into An Undergraduate Sport And Exercise Science Program: A Holistic Case Study Utilizing Social Justice Education, Genevieve R. Altomare

Dissertations

It has been recommended by many scholars to integrate diversity, equity, and inclusion (DEI) content into higher education curricula across disciplines; however, several institutions have yet to do so. The ongoing discourse surrounding social justice continues to influence the careers of future professionals, especially in the fields of sport and exercise science. Yet, there remains a limited understanding of the perceptions and experiences of students who have participated in a college course centered on DEI topics. Therefore, the purpose of this holistic case study was to provide an in-depth examination of a newly developed DEI course by exploring the authentic …

Teachers’ Perceptions On Success And Effectiveness Of Required Professional Development In A Midwest Middle School, Genevieve Kate Adams

Dissertations

The purpose of this study was to examine how teacher voice could be meaningfully integrated into the structure and development of site based professional development. This participatory action research study investigated teachers’ perceptions of the structure, delivery, and impact of weekly, site-based professional development (PD) at a middle school in Northern Colorado. Grounded in a constructivist theoretical framework, the study sought to elevate teacher voice and promote collaborative reflection on how professional learning could be more relevant, responsive, and empowering. The study explored the following research questions:

Q1 What professional development structures do teaching staff view as beneficial to their …

Parenting For Wellness: Positive Parenting Factors As Predictors Of College Student Physical Health, Mental Health, And Social Connectedness Through The Lens Of Self-Determination Theory, Mary E. Lamkin

Dissertations

Research suggests that the transition to college can impact college student well-being across the domains of physical health, mental health, and social connectedness (Frech, 2012; Pittman & Richmond, 2008; Xiao et al., 2017). As parents are more heavily connected to their college-aged students when compared to years before cell phones and social media, they likely continue to play a significant role in their child’s well-being, even while they are in college (Wartman & Savage, 2008). Therefore, the aim of this dissertation was to investigate positive parenting behaviors as predictors of wellness in college-aged participants using Self Determination Theory (Ryan & …

Implementing A Standardized Protocol To Screen For Depression In A Gastroenterology Outpatient Clinic, Catherine M. Karle

Dissertations

Problem: There is a lack of mental health screenings for depression taking place in outpatient gastrointestinal (GI) clinics. Outpatient gastrointestinal (GI) offices are not consistently screening patients for depression despite a rise in depression rates and the known adverse impact depression can have on the GI tract.

Methods: This Quality Improvement (QI) study used a descriptive research design guided by the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model. Its purpose was to implement a 10-week PHQ-2/PHQ-8 depression screening protocol at a large midwestern health center's gastroenterology outpatient clinic. The study used purposive sampling, including all GI outpatients aged 18+ with …

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 …

Bowel Regimen Protocol Implementation For Pediatric Patients Following Cardiac Surgery, Eryn Watson

Dissertations

Problem: Pediatric patients with congenital heart disease (CHD) are at an increased risk of constipation following cardiac surgery, which contributes to complications and delays in recovery. Standardized protocols are effective tools for prophylactic management of constipation. However, there is no current standardized protocol in place for postoperative bowel management in a pediatric cardiac intensive care unit (CICU).

Method: This quality improvement project (QI) used a descriptive design with pre- and post-implementation data collection to evaluate the effects of a postoperative bowel regimen protocol on constipation rates and compliance with ordering prophylactic bowel regimens. Convenience sampling was used to identify patients …

Implementing Behavioral Management And Social Skills Training For Pediatric Patients With Adhd And Their Caregivers, Meagan A. Conwell

Dissertations

Problem: Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder that affects 11.4% of children in the United States. Patients diagnosed with ADHD struggle with focus, hyperactivity, and impulsivity, resulting in executive and emotional dysfunction, poor social skills and quality of relationships, and poor school performance.

The American Academy of Pediatrics guidelines recommend that school-age children diagnosed with ADHD should receive both medication management and behavioral management training (BMT) for the best treatment outcomes. Research over the last decade has found that combining social skills training (SST) with BMT results in even better outcomes for these patients. Less than half of pediatric …

Improving Hpv Vaccination Decision-Making For Adolescents And Their Caregiver, Mary E. Hohman

Dissertations

Abstract

Problem: Human papillomavirus (HPV) is a viral infection associated with the development of certain cancers and is the most common sexually transmitted infection in the United States (U.S.) (Centers for Disease Control and Prevention [CDC], 2023). The CDC (2021) asserts that more than 90% of cancers caused by HPV infections could be prevented through the HPV vaccination. The CDC recommends the HPV vaccine series for children ages 11 or 12 years; however, this organization further submits that the HPV series could be initiated as early as 9 years of age through 26 years of age (CDC, 2024). Despite CDC …

Implementing A Turn Team Process To Reduce Hospital-Acquired Pressure Injuries On A Telemetry Unit At A Hospital In The Midwest, Sally Wang

Dissertations

Problem: Pressure injuries (PI) are localized wounds to the skin and soft tissues that typically result from sustained pressure on specific areas of the body (Zaidi & Sharma, 2024). Hospital-acquired pressure injury (HAPI) refers to pressure injuries that develop while a patient is in the hospital (Rondinelli et al., 2018). PI can cause patients to experience pain, decreased feelings of dignity, increased feelings of depression and anxiety, reduced levels of social activity, difficulty sleeping, and impaired cognitive function (Roussou et al., 2023). The Advanced Cardiac Care Unit (ACCU) at Missouri Baptist Medical Center experienced an increase in HAPI cases: …

Grounded Leadership: A Look Into California Community College Mid-Level Leaders, Vicki Hou

Dissertations

Purpose: The purpose of this explanatory mixed-method study was to identify and describe what exemplary California Community College mid-level leaders do to maintain their physical, emotional, intellectual, social, vocational, and spiritual health based on the six dimensions of Rosen’s healthy leader model.Methodology: This study employed a purposive sampling method to select 15 mid-level leaders from two California community college districts. Data collection involved two instruments: the Stay Grounded Survey, administered to all 15 participants, and semi-structured interviews conducted with a subset of five participants. Quantitative data were analyzed using descriptive statistics including mean scores, frequency distributions, and standard deviations. Qualitative …

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 …

Maternal Access For Depression In Rural Environments, Simone Parlier

Dissertations

Significance –As many as 25% of birthing persons experience postpartum depression (PPD) within the first year after childbirth making this one of the most common postpartum disorders. PPD is prevalent, incapacitating, and treatable. The first step is identifying those at risk. Rural birthing persons are understudied, and may have unique predisposing characteristics as well as geographic challenges for optimal detection and treatment of PPD. Purpose -The long-term goal is to improve the health of rural families. Using The Theory of Unpleasant Symptoms, the purpose of this descriptive, cross-sectional research was to describe the prevalence of PPD in rural birthing persons …

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 …

The Correlation Between Depression And Gendered Racism Among Black Women, Charmagne M. King

Dissertations

Black women face unique challenges related to intersecting racial and gender-based discrimination, often referred to as gendered racism. Previous research has indicated this form of oppression may significantly affect mental health, particularly depression. However, few studies have examined how gendered racism interacts with racial identity and demographic factors (e.g., age, marital status, geographical location) to predict depressive symptoms. Using a sample of 164 self-identified Black women, this study investigated the correlational relationship between gendered racism and depression among Black women and examined how gendered racism, racial identity, and key covariates (age, marital status, and geographical location) predict depressive symptomatology. The …

Navigating Emotional Transitions: A Study Of Self-Perception And Emotion In Bio-Childfree Women Entering A Blended Family, Janine Cednick

Dissertations

The transition to a blended family is an emotional and psychological adjustment for bio-childfree individuals. The present qualitative study investigated how self-concept and emotional adjustment of bio-childfree stepmothers change when they become members of their new family. With a phenomenological approach, semi-structured interviews were conducted with 12 female participants who were bio-childfree, in a committed relationship with a partner with children, and had cohabited for one year or more. The study aimed to find out how these women cope in their new role, their emotional adjustment to their transition, and the influences that impact their well-being. Thematic analysis of interviews …

Bridging The Gap: Exploring The Intersection Of Formal Mental Health Services And Informal Social Supports In Bipoc Communities, Patrice D. Patton-Campbell

Dissertations

Despite growing awareness of mental health disparities, BIPOC (Black, Indigenous, and People of Color) communities continue to face significant barriers in accessing culturally responsive mental health care. This dissertation explores the intersection between formal mental health services and informal social supports such as family, religious institutions, and community networks to understand which systems are more trusted, accessible, and effective for BIPOC individuals. Grounded in Urban Liberation Psychology and guided by decolonial and culturally responsive care frameworks, this qualitative study draws from focus groups and interviews with 33 participants, including both community members and service providers from the Chicagoland area and …

Traditional Institutions As Change Agents: Understanding Cultural Norms And Practices Promoting Gender-Based Violence In Nigerian Communities, Titilayo Ogunbambi

Dissertations

Traditional institutions in Nigerian communities hold a strong cultural foundation and significantly influence cultural norms and practices. Due to the increasing need for effective community-based approaches in addressing social and health problems on a global scale, we explore the attitudes and behaviors of traditional institutions as custodians of cultural customs and norms related to gender-based violence (GBV) and examine their potential role in ensuring community safety. By addressing harmful gendered norms and practices, traditional institutions could become key agents of change, promoting meaningful social transformations. This study explores the dynamics cultural norms and practices play in community safety, emphasizing the …

The Premature Loss Of The Black Male And Its Implications On The Black Family System And Community: A Proposed 12-Step Grief Support Group Model, Alicia Smith

Dissertations

Premature deaths, ages 15–44, and loss of Black males through homicide, along with suicide and systemic violence, and incarceration, create lifelong emotional and psychological trauma for those who remain behind in Black family settings and society. U.S. social injustices against Black communities and multigenerational losses and racial harm create specific population-based challenges, such as questioning care, lack of accessibility to competent resources, and Black identity issues, which traditional grief recovery programs struggle to help adequately. Even though approaches such as cognitive-behavioral therapy, complicated grief treatment, present-centered therapy, trauma-focused therapy, including eye movement desensitization and reprocessing (EMDR) therapy, and forgiveness therapy …

The Day You Begin: A Case Study Of Culturally Responsive Pedagogy In Early Childhood Classrooms, Kim Shelton

Dissertations

Culturally responsive pedagogy (CRP) has garnered growing attention in early childhood education due to its potential to cultivate inclusive and equitable learning environments for increasingly diverse student populations. This qualitative case study examines how early childhood educators perceive and implement CRP in classrooms with high concentrations of immigrant and culturally diverse students. Additionally, it explores the perceived impact of these practices on instructional effectiveness, classroom climate, and teacher-student interactions.

Data was collected through semi-structured interviews, classroom observations, and document analysis. Thematic analysis yielded four central findings: (1) teachers’ understandings of CRP varied considerably, with some demonstrating strong intentionality and others …

Leading Through Crisis: San Diego County Schools' Response To The Social Emotional Needs Of All Students, Johana Bielma

Dissertations

The COVID-19 pandemic led to unprecedented school closures, forcing administrators to take decisive action to radically change the educational system. The imperative to switch to remote learning transformed the dynamics of teaching and learning, leading to both immediate and long-term academic and social emotional consequences for all stakeholders. When schools reopened, administrators faced the challenge of reintegrating students into in-person learning while addressing the pandemic’s lasting effects on academics, mental health, and school safety. While academic regression was evident, the extent of students’ emotional struggles was less anticipated. Many students exhibited increased irritability and mental health issues such as depression …

Resiliency Training For Music Therapy Students During Fieldwork Experiences, Crystal Weaver

Dissertations

All music therapy undergraduate and equivalency students in the United States must complete 1,200 hours of fieldwork experience to obtain degree conferment from an accredited and approved higher education program (American Music Therapy Association, 2023b, p. 1). While engaging in fieldwork had several benefits for music therapy students, such as the opportunity to build practical experience and refine skills, the experience also involved several challenges (Forinash, 2019; Tien & Trang, 2020). A challenge not yet thoroughly examined by faculty and staff within higher education music therapy programs was student mental health. To date, researchers had not examined the prevalence of …