Digital Commons Network^™

What’S The Big Fat Deal?: The Experience Of Fat Students In College, Andrea Marie Melrose

Dissertations

Weight-based discrimination is considered the last acceptable form of discrimination in the United States. Fat bias and stigma are present in healthcare, employment, and education. This dissertation study explores the experiences of fat students on college campuses, examining their experiences of anti-fat bias and discrimination. Additionally, this study explores policy and practice implications for improving the experiences of fat college students and supporting body diversity on campus. This dissertation has four overarching research questions that focus on the following topics: fat students’ experiences of weight-based stigma and discrimination in college, the limitations of physical space on college campuses, perceptions of …

A Quantitative Study Of Perceived Fitness And Nutrition Levels Of Secondary Educators In Relation To Their Overall Job Satisfaction Program At A Private Midwestern University, Jessica Arico

Dissertations

The profession of education traditionally embodies an idea of educating children on math, science, social studies, and English along with other elective course areas. In recent decades, however, the burnout rates and mental health of educators have become a subject of media attention and the basis for many new professional development programs. The one element wholly ignored in this space is the physiological wellbeing of educators and the impact physical health has on mental health and job satisfaction. This study set out to provide a baseline for beginning the discussion and future research on the physiological impact on educators and …

Differences In Internalized Weight Stigma And The Treatment Of Clients In Larger Bodies Among Mental Health And Medical Professionals, Alexis Dosal

Dissertations

Weight is a complex interaction of several factors, including genetics, environment, adverse childhood experiences, culture, physiology, and emotional circumstances (Hale, 2019). By solely considering the categories of food consumption and individual activity, the belief of personal responsibility and controllability is perpetuated, which may lead to intentional or unintentional harm within interpersonal interactions and throughout medical services (Nutter et al., 2020). Weight bias refers to “stereotypes, negative attitudes, and discriminatory behavior toward individuals with larger bodies” (Nutter et al., 2020). Weight bias can be displayed as discomfort around those in larger bodies, holding beliefs that fat people are lazy or unattractive, …

If You Don’T Live By The Sea, You Won’T Talk About Sailing: An Interpretative Phenomenological Approach Of The Polish Immigrant Experience In Chicago And The Acculturation Of Racial Beliefs, Monica Zabinski

Dissertations

There has been a steady increase in research and focus on defining and understanding racism and the role it plays in the ongoing inequality and inequity between individuals of White descent and individuals who are Black, indigenous, or people of color (BIPOC). However, little research has focused on what changes with racial beliefs when individuals immigrate between various countries where racism, discrimination, and racial beliefs may appear differently. Our objective was to increase our understanding of how the acculturation process may impact or change racial beliefs over time. Our research sought participants of Polish descent in the Chicagoland area and …

Investigating The Differences Between Neuropsychological And Physiological Markers In A Ptsd-Only Group Among Vietnam Veterans, Ashtan Madsen

Dissertations

Individuals diagnosed with posttraumatic stress disorder (PTSD) have demonstrated extinction-resistant symptoms and long-lasting impacts on the brain’s functional activity (Krystal et al., 2017; Stark et al., 2015). PTSD illustrates a strong relationship with cognitive functioning, and research has found lower parietal and hippocampal volume and deterioration in brain function and structure, resulting in executive dysfunction, attentional deficits, mood dysregulation, and memory difficulties (Krystal et al., 2017; Stark et al., 2015; Weiner et al. 2017). Sleep has been investigated to better understand its contribution to AD pathologies as well as its impact on PTSD treatment and prognosis. Although sleep’s functions are …

Predicting Nurse Faculty Intent To Stay: A Quantitative Study Of Contributing Factors And Their Influence, Erica Frost

Dissertations

The United States faces a shortage of nursing faculty members, impacting the nation's ability to meet the demand for more nurses in the workforce. The purpose of this study was to identify factors that predicted nurse faculty members' intent to stay in academe. Dozens of factors were identified in the literature and grouped using Herzberg's (1966) motivation-hygiene theory of job satisfaction. An online questionnaire was administered to 402 full-time prelicensure baccalaureate nursing faculty in the United States. The survey measured personal, job, and organizational factors including demographics, emotional intelligence, resilience, educational preparation, self-efficacy, mentoring and orientation, interpersonal relationships, and satisfaction …

Predictors Of Chronic Traumatic Encephalopathy In Nfl Players: A Meta Analysis Review, Eisha Vora

Dissertations

Chronic traumatic encephalopathy (CTE) is a progressive neurodegenerative disease that emerges as a result of repetitive mild traumatic brain injury and has been studied within athletes of all sports. Repetitive blows to the brain are associated with many pathological changes and an emergence of tau pathology, all of which can lead to presentation with cognitive dysfunction, behavioral changes, and further motor decline in the later stages. After passing the inclusion criteria, a meta-analysis comprising four articles was computed using Comprehensive Meta-Analysis Version 3. Two hypotheses were examined: (a) the earlier the age of exposure to football, the greater the likelihood …

Trauma Mediating The Severity Of Depressive Symptoms In Veterans With Ptsd, Meghan Curtin

Dissertations

Trauma serves as a risk factor for developing both posttraumatic stress disorder (PTSD) and depression. The purpose of this study was to examine trauma type as a mediator in the relationship between gender and severity of depressive symptoms among veterans with PTSD. The literature shows trauma type plays a role in developing PTSD and depressive symptoms. The first hypothesis was that female veterans who met the diagnostic criteria for PTSD would report higher levels of depressive symptoms than their male counterparts. The second hypothesis was that this gender difference would be partly mediated by levels of interpersonal trauma experience. Self-report …

Apoe Risk Disclosure: A Review Of Positive And Negative Outcome, Stacey Rowcliffe

Dissertations

Two of this century’s most significant healthcare challenges are Alzheimer’s disease and mild cognitive impairment, with 40 million people suffering from the diseases. In fact, a conservative estimate projects that both conditions will double every 20 years until 2050. Alzheimer’s disease involves memory impairment, disorientation, confusion, and various problematic behaviors. Presently, no prevention method or cure has been discovered for Alzheimer’s. Mild cognitive impairment typically includes problems with memory, language, thinking, and judgment beyond those typical of one’s age. Usually, these symptoms do not interfere with daily activities but do not improve and have been linked with a risk of …

Supervisory Impact On Counselor-In-Training Wellness, Erin Brumfield Grima

Dissertations

Counselors being able to engage in self-care practices to establish and maintain their wellness is a well-documented need. The risks of neglecting self-care are also well documented, yet counselors struggle to engage in consistent self-care practices (Baker & Gabriel, 2021; Posluns & Gall, 2020). When demand for counselors is constant (Bureau of Labor Statistics, U.S. Department of Labor, 2020) an examination of how to impact counselor wellness through supervision discussion of self-care is needed. The purpose of the study was to examine supervision discussion of self-care, support of mastery of counselors-in-training’s emotions and any resulting impact on counselor wellness. Data …

A Student Induction Program’S Impact On Young “Techies’” Purpose In Life And Its Effects On Their Well-Being: A Case Study Of Telangana, India, Ankit Shah

Dissertations

India's higher education system aims to develop well-rounded individuals with intellectual curiosity, a spirit of service, and a strong ethical foundation. However, the current state of technical higher education in India is criticized for mono-disciplinarity and rigid boundaries that do not provide an appropriate context for developing socially conscious individuals who make productive contributions to society. To address this growing concern, the Department of Higher Education in India introduced the Student Induction Program (SIP). The primary objective of the SIP is to foster purpose, which is not only meaningful to the students themselves but also to their nation; as such, …

Advocating For Social Change: How A Human Service Nonprofit Organization Makes Sense Of Its Advocacy Successes And Failures, Megan Pontes

Dissertations

Nonprofit organizations (NPOs) are uniquely positioned to play a vital role in social change, and many integrate advocacy in their efforts. This dissertation examined how one human service nonprofit organization working to help the unhoused engaged in advocacy and advocacy evaluation using formal and informal methods. Through an in-depth case study of Think Dignity, a San Diego-based NPO engaged in the day-to-day work of social change, this research revealed how it developed its advocacy efforts, collaborated with partners, and assessed its successes and failures. Informed by the framework of social change leadership, the researcher conducted semi-structured interviews with Think Dignity. …

Interests And Decent Work’S Account Of Well-Being And Job Performance In A Lower Social Class Sample, Benjamin J. Wright

Dissertations

There is a need for more accurate information regarding the work-related experiences of individuals from lower social class backgrounds. The present study seeks to evaluate the degree to which important career-related variables (e.g., interest congruence, decent work) account for differences in subjective well-being (SWB) and job performance (e.g., occupational citizenship behavior [OCB], task performance) for a sample of adults from lower social class backgrounds. A novel approach to evaluating the objective indicators of social class for individual study participants was implemented to collect a sample of 365 participants, 105 of which were included in analysis. A path analysis was conducted …

A Correlational Study Of Work Environment Factors And Organizational Commitment In Southern California Staff Nurses, Rosemary Haggins

Dissertations

The main purpose of this quantitative, correlational study was to examine the association between work environment factors and organizational commitment in staff nurses working in southern California hospitals. Data were generated from 136 of the 205 (66%) purposely selected nurses attending a Sigma Theta Tau research conference.

Recognizing Burden In Unpaid Caregivers Of Patients With End Stage Renal Disease, Joanne Affinito

Dissertations

Aims and objectives. To analyze if an association exists in unpaid caregivers positive aspect of caregiving and self-assessed level of health have on their perceived degree of burden when caring for end stage renal disease patients.

Background. The literature has recognized caregiver burden as having negative consequences such as depression, anxiety or poor perceived health. Many caregivers are unprepared to take on their new role. There is limited research on the positive aspects experienced by caregiving and their perception of self-assessed health.

Method. A sample of 89 caregivers responded to an online survey distributed by The National Kidney Foundation using …

Experiences And Perceptions Of Rural Postpartum Women With Substance Use Disorders Inclusive Of Opioids Regarding Their Care, Debra L. Kramlich

Dissertations

Perinatal opioid use and neonatal withdrawal continue to rise rapidly in the face of the growing epidemic of opioid addiction in the United States, with rural areas more severely impacted. Despite several decades of research and development of practice guidelines, maternal and neonatal outcomes have not improved substantially. This focused ethnography aimed to address that gap by exploring rural women's experiences and perceptions of care to inform development of efficacious, holistic models of care to improve outcomes for these women and their children. Participant observations, oral accounts and formal interviews, and artifact review (i.e., health records, any print and electronic …

Lgbtq+ Adults During Post-Breakup Appraisals: Understanding Adaptive Communication Coping Mechanisms Following The Termination Of A Non-Heterosexual Romantic Relationship, Nur E Makbul

Dissertations

This study highlights the intersections among Lesbian, Gay, Bisexual, Transgender, Queer, and/or Other Non-Heterosexual (LGBTQ+) individuals' and/or communities' experiences with romantic relationships, relationship crises, emotional appraisals, coping mechanisms, and cyber tech practices. It employs a mixed-method approach, including in-depth interviews with LGBTQ+ participants and a digital ethnographic investigation of social media platforms. The theoretical framework and review of literature have been drawn from the queer perspectives of numerous critical cultural theories, and media and communication theories. Interviews with LGBTQ+ participants largely demonstrate three distinct mechanisms of coping, including emotional, behavioral, and psychological that LGBTQ+ individuals use after the termination of …

Exploring Relationships Between Practicing Registered Nurses (Rns) Pharmacology Knowledge And Medication Errors, Coleen Kumar

Dissertations

Medication errors result in significant negative patient outcomes and major costs to the health care system. Registered nurses (RNs) assume a major role in the medication administration process demanding high-level knowledge and skills.

This study aimed to determine if there was a relationship between practicing RNs' pharmacology knowledge and medication error occurrence.

Teaching Professional Accountability In Nursing: A Phenomenological Investigation Of Faculty Experiences, Lorretta C. Krautscheid

Dissertations

Professional nursing organizations and nursing education credentialing agencies describe accountability as an essential attribute underpinning professional practice. Although accountability is foundational to nursing practice, little is known about how nurse educators teach accountability. The purpose of this qualitative research was to understand and describe socially constructed meanings nurse educators attribute to the phenomenon of teaching accountability. This study brought out of concealment the real-world teaching experiences of nurse educators. Participants (n=6) were nurse educators who taught accountability in baccalaureate academic classrooms. Data collection occurred via face-to-face semi-structured interviews. An interpretive phenomenological design was utilized throughout data collection and …

Baccalaureate Nursing Student And Faculty Views Of Effective Teaching, Kelley Noll

Dissertations

This study aimed to determine baccalaureate nursing student and nursing faculty views of effective teaching. Using the Teacher Behavior Checklist (TBC), a psychometrically sound tool, participants were sent an email containing a link to an online survey (Keeley, Smith, & Buskist, 2006). Baccalaureate nursing students (n=353) and nursing faculty (n=26) were sent the email with a response rate of 25.2% (n=89) and 69.2% (n=18) respectively. Participants were asked to rank order the top 10 qualities and associated behaviors they perceived as effective to nursing education.

‘The Magic Of Flowers’: An Explorative Study Into The Ways Floral Decorations Influence The Experience Of Guests In A Food Setting, In Contemporary Ireland, Johanna Banaditsch

Dissertations

This research project explores the influence of floral decorations on the experience of a diner in a food setting in contemporary Ireland by examining what and how dining experiences are designed, where floral decorations are relevant in this context and how they specifically influence people in these settings.

The research was conducted using the philosophical worldview of interpretivism. In order to answer the five sub-research questions and thus achieve the research aim, the research draws on existing literature on hospitality experiences, literature on the influence of flowers and qualitative primary research conducted through semi-structured in-depth interviews with flower providers and …

The Mentoring Experiences Of Mid-Level Leaders In Higher Education As They Relate To Leadership Development, Adam Ek

Dissertations

Purpose: The purpose of this phenomenological research study was to describe the mentoring experiences of mid-level leaders in private non-profit higher education as it relates to their leadership development.

Methodology: This phenomenological study identified and described the mentoring experiences of 15 mid-level leaders in private non-profit higher education in California as they related to leadership development. Respondents were chosen based on specific criteria, snowball sampling, and finally convenience. The researcher collected data and coded the data for themes based upon frequency counts.

Findings: Examination of the qualitative data from the 15 mid-level leaders in Private, Non-Profit Higher Education yielded 10 …

Planned Happenstance: Career Decision Making And Executive Leaders In The California Community College System, Rita Soultanian

Dissertations

Purpose: The purpose of this phenomenological study was to explore how community college leaders responded to unpredictable events and opportunities that affected their career decisions using the five elements of planned happenstance theory (Mitchell et al., 1999). A second purpose was to understand how California community college leaders perceived that career planning enhanced or hindered their career decision-making. A further purpose was to identify recommendations community college leaders believed will advance the career trajectories of future leaders.

Methodology: This study used a qualitative approach to understand the lived experiences of vice presidents of student services to provide insights to inform …

Atrial Fibrillation Management In Hispanic Adults, Tania Borja

Dissertations

Background: Research has found atrial fibrillation (AF) to be the primary or a contributing cause of death on 183,321 death certificates, and an underlying cause of death for 26,535 Americans in 2019. Findings indicate an increased AF diagnosis in White people compared to racial and ethnic minorities, contrasting widespread findings of increased prevalence of cardiovascular disease and ischemic strokes in minorities. Significant disparities—by race and socioeconomic status in disease distribution and access to testing and lifesaving treatments—have been documented, specifically associated with social determinants of health (SDOH); i.e., the conditions in which people are born, grow, live, work, and age. …

Advocacy On Facebook: A Content Analysis Of How Small Los Angeles- Based Npos Use Social Media To Engage Audiences, Wen Chen Denq

Dissertations

This dissertation examined the Facebook activities of seven small nonprofits in Los Angeles to understand their social media use and audience responses. Prior research has distinguished three broader engagement strategies used by Nonprofit Organizations (NPOs), including information provision (awareness-raising), action-related messaging (mobilizing), and community-building efforts (organizing). These strategies can play essential roles in drawing in audiences, but also in moving individual supporters toward greater levels of engagement by increasing donations or becoming more engaged champions for the cause. A qualitative and quantitative analysis of organizational Facebook messages and audience responses was conducted over 3 months. The NPOs included in this …

Evaluation Of The Theory Of Planned Behavior To Determine Phsyical Activity In Saudi Female Adolescents, Muna Alali

Dissertations

The primary purpose of the cross-sectional study was to examine the relationship between self-reported PA and TPB psychosocial factors, including attitude toward PA, subjective norms, perceived behavioral control (PBC), and PA intention among Saudi female adolescents in the Eastern Region, Saudi Arabia.

Exploring The School Nurse's Knowledge, Experiences, And Role In Trauma-Informed Care: Implications For School Nurse Practice, Lesha H. Rouse

Dissertations

School nurses as the only health care professional in schools with the potential to be in daily contact with students are in a critical position to create awareness, influence action, and provide leadership in trauma-informed care (TIC). However, there is a lack of research regarding school nurse TIC knowledge, experiences, and role in school health practice. Research has asserted the pervasiveness of Adverse Childhood Experiences (ACEs) in society as well as, it's potential to cause deleterious life-long health, educational, social, and economic outcomes (Bethell et al., 2017; Felitti et al., 1998; Stevens, 2019). Exploring the school nurse's role in TIC …

Hospice Interdisciplinary Team Processes And Effectiveness, Beth A. Hale

Dissertations

The purpose of this research was to test a causal model of interdisciplinary hospice processes and effectiveness. This research examined the impact of organization and team level structure constructs (organizational culture, team complexity, and team leadership) on hospice interdisciplinary team processes and subsequent influence on perceived team effectiveness. The relationships among perceived team effectiveness, team task satisfaction, and family satisfaction with hospice care were also examined.

The Relationship Between Registered Nurses' Turnover Cognitions, Job Satisfaction, Job Search Behaviors, Selected Nurse Characteristics And Work Engagement, Michelle R. Simpson

Dissertations

Although a significant amount of research has provided insight into predicting future turnover, it has not aided in understanding the impact of alternative outcomes to turnover, such as alternative withdrawal or intentions to reduce job inputs, have on nurses' work attitude as they function within their day-to-day work role. The on-going pressures to improve healthcare quality and decrease costs supports the need to study the alternative withdrawal process—so as to move beyond merely retaining registered nurses to retaining fully engaged registered nurses. Therefore, the primary intent of this study was to consider an alternative outcome to turnover occurring within the …

The Experience Of Accelerated Nursing Program Graduates Utilizing Ethics In Their Nursing Practice, Mary Ann Siciliano Mclaughlin

Dissertations

This study, based on hermeneutic phenomenology, asked: What is the experience of accelerated nursing program graduates utilizing ethics in their nursing practice? Using van Manen's phenomenological method, 10 accelerated nursing program graduates were interviewed to illuminate their lived experience of utilizing ethics in their nursing practice. Through the process of reading and rereading transcripts five essential themes emerged: the nurse serving as a patient advocate, the nurse promoting a dignified death for a patient, the nurse fostering the humane side to patient care, the nurse encouraging virtuous integrity, and the nurse actualizing authentic leadership.