Digital Commons Network^™

The Impact Of Firm Size, Job Embeddedness, And Job Engagement On Turnover In Public Accounting Firms, Amy Cooper

Dissertations

Retention in public accounting firms has been and continues to be a top concern in the accounting profession. The direct and indirect cost of turnover; the decrease in accounting enrollment and graduation; the Great Resignation; and changes to work environments due to the pandemic elevate what was already a serious problem into a critical problem for the accounting profession. The size of public accounting firms is a well-used descriptor when employees talk about where they work. The purpose of this study was to examine the role of the size of firm in predicting an employee’s level of job embeddedness and …

Effects Of The Imposter Phenomenon On First-Generation Students’ Academic And Co-Curricular Engagement, Ethan Sykes

Dissertations

First-generation college students experience many barriers transitioning to college, such as impostorism. Administrators must understand how the imposter phenomenon impacts student engagement, to increase retention. The researcher utilized a mixed-methods approach to explore the prevalence of the imposter phenomenon among community college and private university students. Furthermore, the study examined how impostorism manifested in academic and co-curricular settings. The survey sample consisted of 216 total participants, with 91 who identified as first-generation students. Eight students participated in the interviews. For the purpose of the study, first-generation students were those whose parents did not complete a bachelor’s degree. The researcher utilized …

A Phenomenological Study Of The Shared Governance Experience For Nurses Working In The Pharmaceutical Industry, Adele Mueller

Dissertations

Healthcare has evolved over the past 30 years in response to exciting and tumultuous changes. Challenges encompassed innovative strategies to improve patient safety outcomes while facilitating a shared governance platform that resulted in best practice, enhanced job satisfaction, and improved patient outcomes. Nurses comprise the largest and fastest growing segment of healthcare occupations. A significant number of nurses have successfully transitioned into roles within the pharmaceutical industry to protect vulnerable patients. As a core value of nursing practice, the existence of shared governance or the change in the experience for nurses who had made this transition affects the nursing profession …

Improving Screening And Referral For Hereditary Cancers In New Breast Cancer Patients, Lisa J. Henczel

Dissertations

Breast cancer is a commonly diagnosed cancer in women. Early recognition and identification of those at risk for germline mutations have been difficult at the project site due to patients' lack of knowledge of their family cancer history, which is critical to improving access to the hereditary cancer program. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of Kiran et al.'s family cancer history nursing telephone prompt impacted screening and referral rates to the provincial hereditary cancer program among adult patients recently diagnosed with breast cancer at an urban outpatient cancer clinic located …

The Lived Experience Of Hmong Women In Leadership Roles, Nou Vang

Dissertations

Purpose: The purpose of this qualitative phenomenological study was to explore and understand the lived experiences of Hmong women who have achieved leadership positions.

Methodology: This qualitative phenomenological study explored the lived experience of 12 Hmong women who have ascent to leadership roles through personal, face-to-face, in- depth, open-ended questions. Interviews were recorded, transcribed, and analyzed for emergent themes. Related artifacts from the participants, along with the participant interviews, were collected to triangulate data. Research findings were a result of the correlating themes based on the qualitative data analysis and research question.

Findings: The findings of the study indicated that …

Factors Associated With Newly Graduated Nurses' Intent To Leave Current Position In U.S. Acute Care Hospitals: A Descriptive Research Study Using Secondary Data Analysis, Mary N. Meyer

Dissertations

This study aimed to identify the individual, unit-based, and hospital-based characteristics correlated with new nurse intent to leave their current positions (ITLcp) in U.S. acute care hospitals.

Effects Of Adaptive Expertise On Counseling Self-Efficacy: The Mediating Role Of Adaptive Performance, Jiaying Meyer

Dissertations

Counseling and psychotherapy expertise research have been focused on three major areas, namely, characterization of Master Therapists, performance of Healing Involvement, and application of Deliberate Practice. The constructs of adaptive expertise and adaptive performance have never been investigated in the context of counseling or psychotherapy. Therefore, the purpose of this study is to examine the relevance of adaptive expertise in psychotherapy by studying the relationships between adaptive expertise, adaptive performance, and counseling self-efficacy. A total of 460 psychotherapy practitioners from a variety of disciplines and experiences participated in the study, and they included counseling, psychology, social work, and others with …

Leading With Cultura Y Corazón: Culturally Responsive Leadership And Latina Mid-Level Leaders In The California Community Colleges, Gabriela Lopez

Dissertations

Purpose: The purpose of this ethnographic study was to identify and describe how California community college Latina mid-level leaders are culturally responsive in their leadership strategies, based on Horsford, Grosland, and Gunn’s (2011) culturally relevant leadership framework.

Methodology: This ethnographic study identified and described how Latina mid-level leaders within the California community colleges utilize culturally responsive leadership strategies using Horsford et al.’s (2011) culturally relevant leadership framework. The researcher was part of a thematic team of 6 researchers who developed and vetted a semi-structured interview protocol aligned with the theoretical framework. Sixteen participants were identified and selected using purposeful criterion …

The Efficacy Of An Antenatal Probiotic Intervention To Reduce Residual Group B Streptococcus, Emily M. Malloy

Dissertations

Group B Streptococcus (GBS) is a leading cause of neonatal morbidity and mortality. The current prevention strategy involves universal antenatal screening for GBS and IV intrapartum antibiotic prophylaxis (IAP) for those who test positive. Despite this approach, up to 80% of cases of early onset GBS neonatal disease are in infants born to birth givers who screened negative for GBS, which can be described as residual GBS.

Probiotics are a primary prevention strategy for antenatal GBS. This was a substudy of a randomized, double-blind, placebo-controlled trial. Participants in the parent study were randomized to probiotics verses placebo and the major …

Implementation Of Established Guidelines To Determine The Correlation Of Antipsychotic Use And Fall Rate Occurrence Amongst Inpatient Long-Term Care Residents, Cynthia L. Hardy

Dissertations

The use of psychotropic medications may impact fall rates among senior adults. Despite evidence-based approaches to minimize psychotropic medications use, the project site had a gap in implementing one leading to high fall rates. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of the Center for Assisted Living Guidelines for Reducing the Use of Antipsychotic Medications in Nursing Homes would impact fall rates when compared to current practice among geriatric patients in a long-term care facility in rural New Mexico over four weeks. Neuman's Systems Model provided the theoretical underpinnings for this project.

Community College Executive Leaders And Emotional Intelligence: A Phenomenological Study Exploring How Community College Executive Leaders Utilize Emotional Intelligence (Ei) To Lead Their Organizations, Seblewongel Ayalew

Dissertations

Purpose: This phenomenological research aimed to identify and describe the lived practices of California community college executive leaders who lead their institutions using Emotional Intelligence (EI) through the lens of Goleman’s four EI domains.

Methodology: This study used phenomenological research that identified and explained California community college executive leaders’ lived practices associated with the leaders using EI in the workplace to determine their EI skills and emotional awareness. The community college executive leaders participated in interviews in formal and informal settings to identify and describe their lived experiences.

Findings: Examination of the qualitative data from 15 community college executive leaders …

Exemplary Senior Navy Female Leadership: A Study Of How Navy Female Leaders Use The Grit Characteristics Courage, Conscientiousness, Long-Term Goals, Resilience, And Excellence Versus Perfection To Create Extraordinary Results Within Their Organizations, Cache' Hapner

Dissertations

Purpose: The purpose of this phenomenological study was to identify and describe how exemplary senior Navy female leaders used five principles associated with grit (courage, conscientiousness, long-term goals, resilience, and excellence versus perfection) to accomplish extraordinary results in their organizations.

Methodology: This qualitative study used a phenomenological method to describe how eight senior Navy female leaders use five characteristics of grit to accomplish extraordinary results in their organizations. Respondents were purposively chosen. The researcher collected data through interviews, transcripts, and artifacts that were triangulated and coded for themes using NVivo software.

Findings: Exemplary senior Navy female leaders use …

The Infinite Mindset: A Phenomenological Study Of Exemplary Student Affairs Leaders, Kevin Giang

Dissertations

Purpose: The purpose of this phenomenological study was to explore and describe how exemplary leaders in the field of student affairs perceive the practices of Simon Sinek’s Infinite Mindset Framework are embedded within their organizations to inspire the achievement of extraordinary results. A further purpose of this study was to understand the organizational supports and barriers these exemplary leaders perceive affect the development of an infinite mindset.

Methodology: Interviews were used to explore and describe how exemplary student affairs leaders perceive the five practices of Sinek’s Infinite Mindset are embedded within their organizations. The study seeks to explore and make …

Where Have All The Surgical Nurses Gone? Staffing Shortages In Surgical Departments Post Covid-19 Shutdowns, Phoenix Neal

Dissertations

March 2020 changed the healthcare field entirely. When the COVID-19 pandemic swept through the United States in early 2020, it was recommended that surgical departments nationwide shutdown altogether or at least decrease their workloads to exclusively emergent procedures. This step was taken both to save surgical equipment for more critical patients and to offload those staff members from surgical departments to more critical areas in the hospital systems.

This exploratory study was completed to investigate the impact of COVID-19 surgical department shutdowns on current surgical staffing. This research explored different factors such as health insurance availability, childcare availability, shift change, …

The Lived Experiences Of Icu, Med-Surg, And Er Nurses In The United States Attempting To Breastfeed During The Covid-19 Pandemic, Amy Seay

Dissertations

Breastfeeding is important to promote the health of both mothers and babies (Centers for Disease Control and Prevention [CDC], 2021). Many mothers experience workplace barriers and stress which negatively impact breastfeeding duration (McCardel & Padilla, 2020; Nagel et al., 2022). However, a gap in the literature exists surrounding specific barriers and the impact of stress on U.S. nurses who breastfeed. Specifically, workplace challenges and stress among nurses resulting from the COVID-19 pandemic lack exploration.

This interpretive phenomenological study explored the lived experiences of ICU, Med-Surg, and ER nurses who attempted to breastfeed during the COVID-19 pandemic. Roy’s adaptation model was …

Nursing Faculty Perceptions Of Stress, Coping, And Intent To Leave The Profession In The Ongoing Covid-19 Pandemic: A Quantitative Study, Lynlee Morgan

Dissertations

The COVID-19 pandemic impacted all of society to varying degrees; this impact was especially true in higher education due to an overnight transition to distance learning and incessant pivots to meet new guidelines and overcome obstacles. Nursing faculty were significantly impacted due to the responsibility of producing safe, qualified, competent practitioners to provide care in the clinical setting. The limitations in or exclusions from clinical experiences combined with the fact that faculty were managing personal concerns and had never encountered these unprecedented conditions exacerbated the challenge of preparing new nurses. This study was critical due to the faculty role and …

Exploring Employees’ Perceived Fairness And Effectiveness Of The Performance Appraisal Process And The Influence On Employee Retention, Cherica Buckner

Dissertations

The purpose of this study is to explore employees’ perceived fairness and effectiveness of the performance appraisal process and the influence on employee retention. This study is based on a review of existing literature on performance management strategies. Drawing upon equity theory (Adams, 1963), human capital theory (Becker 1962, 1993), organizational justice theory (Greenberg, 1987), and expectancy theory (Vroom, 1964), the researcher explores talent management concepts to reveal the influence of employees’ perceptions of performance appraisals on employee retention. Collectively the theories form a theoretical framework highlighting the importance of Human Capital Development, including the effectiveness of performance appraisals, effective …

Flourishing In A Non-Traditional Workplace Using Technology-Assisted Imagery, Wendi Lord

Dissertations

There is a new, non-traditional workplace where employees collaborate digitally from various remote locations (Scully-Russ & Torraco, 2020). Despite the transition from office to remote workspaces, professionals still value happiness and dream of flourishing (VanderWeele, 2021). Researchers identified six distinct but correlated dimensions of flourishing including emotional health, physical health, meaning and purpose, character strengths, social connectedness, and financial security (Weziak-Bialowolska et al., 2021). The new workplace is forcing organizations to revamp traditional methods that facilitate well-being as in-person methods become less viable (Scully-Russ & Torraco, 2020). Fortunately, mobile applications effectively deliver training and interventions (Collins et al., 2020). Whether …

Exploring The Use Of Cultural Values In The Evaluation Of Programs With Native American Tribes, Karen Lynn Alexander

Dissertations

This dissertation is a qualitative study that explores the importance of including cultural values in evaluation and whether this would lead to an increase in utilization of evaluation results. It was first wondered whether Native American values are included when evaluations are completed for Indigenous Tribes. A review of evaluations revealed that evaluations in the published literature are including general Native American values, although a document review alone was found to be insufficient as a method to capture the nuances related to value expression. It is suggested that more research is needed in the area of metaevaluation to include culturally …

A Critical Analysis Of Discrepancies In Behavioral Health Program Ratings By Evidence-Based Practice Registers For Behavioral Health, Miranda Jade Lee-Easton

Dissertations

Decision makers in the behavioral health disciplines are under increasing pressure to identify and implement evidence-based practices (EBPs). These decision makers often do not have the time or expertise to assess primary studies of program efficacy or effectiveness. They could benefit from tools to assist them in identifying and implementing EBPs. One tool is an evidence-based practice register (EBPR). Prior studies have documented that when multiple EBPRs rate a given program, they may come to seemingly conflicting program ratings. The prior research concerning the reason for these conflicts is sparse. The purpose of the present study is to understand how …

Teaching And Assessing Cornhole As A Leisure Activity For Young Adults With Developmental Disabilities, Katarina Rotta

Dissertations

Leisure has long been identified as a crucial component of a healthy lifestyle. One population that displays extremely low levels of leisure activity is people with developmental disabilities, which is concerning because previous research has identified a positive correlation between leisure activity and quality of life among such individuals. The purpose of the present project was to teach and assess cornhole as a leisure activity for seven young adults with developmental disabilities. Study 1 assessed points scored with four versions of cornhole and preference for those versions. Study 2 evaluated a procedure intended to teach participants to keep score. A …

Anti-Woman Invective On The Early Modern Stage: Abuse, Degradation, And Resistance, Savannah Xaver

Dissertations

On the early modern stage, gendered epithets like “strumpet,” “mermaid,” “minx,” “hobby horse,” “courtesan,” “drab,” and “whore” are not just markers of misogyny. Instead, these insults harm the male user as well as their female target. My cross-playwright and cross-genre connections show the complex, wide use and impact of anti-woman terms. A wide-ranging study of the plays of Shakespeare and his contemporaries reveals that gendered insults signify masculine mental decline in tragedies as well as comedies and tragicomedies. In tragedy, the increasingly violent language of male slur users – like, for example, the frustrated Othello, who declares, of his wife, …

A Mixed-Methods Investigation Of How Student Goal-Setting For Improved Learner Behaviors Affects Intermediate Elementary Academic Achievement, Meghan Mcnulty

Dissertations

Education in the United States has changed significantly since its onset. Due to these changes, there is an increased need for social-emotional skills for success in school and in life. The study centered on how focusing intermediate elementary school students on improving their behavior could influence their academic achievement. Though there is much literature on social-emotional skills, self-efficacy, student agency, goal-setting, and academic achievement, few researchers have conducted studies to connect these concepts. In this study, students assessed their current behavioral skills using the mySAEBRS (Illuminate Education, n.d.). Using the results, students set improvement goals in one of three behavioral …

The Relationship Among Emotional Intelligence, Coping Strategies, And Occupational Burnout For Child Protective Service Workers, Yvette Longoria

Dissertations

There are low retention rates of child protective service caseworkers and this impacts the quality of care of the families served. The purpose of this study was to examine the relationship between emotional intelligence, coping strategies and occupational burnout for CPS caseworkers. In addition, examining the relationship between education type, education level, and caseload size as it relates to emotional intelligence, coping strategies, and occupational burnout among child protective caseworkers. The theoretical framework utilized was the Transactional Theory of Stress and Coping. A convenience sampling was used to collect participants employed as FBSS or CVS caseworkers at Texas Department of …

Felicidad Aplataná: How Dominican Migrants Living In The Nordic Countries Make Sense Of Their Happiness, Ivanna Lajara

Dissertations

As globalization evolves and the number of migrants and cross-cultural interactions among world citizens increases, understanding various aspects of immigrants’ experiences, including their happiness and subjective well-being will become fundamental to organizations, governments, and societies. However, there are substantial cross-cultural differences in how people understand their happiness, make sense of experiences that influence happiness, and how large-scale social trends, such as globalization, relate to the individual migration perspectives (Uchida and Ogihara, 2012). Research affirms culture as a key factor influencing happiness (Ye et al., 2015) and living in a foreign country may not only impact one’s perspective on life, but …

Assessing And Characterizing Marijuana Use Disorders (Dsm-5) — National Survey On Drug Use And Health, United States, 2020, Alejandro Azofeifa-Ujueta

Dissertations

Despite that marijuana (cannabis) is still considered, under federal law, an illegal Schedule I drug, marijuana is the most commonly used illicit substance in the United States. National trend data has shown that the prevalence of marijuana use has increased over time, particularly among those aged 18 years and older. Some individuals can use marijuana without harm; however, long-term and heavy marijuana users may experience health consequences, including marijuana use disorders (addiction). For the last 20 years, existing national and statelevel epidemiological, surveillance, and research data have analyzed marijuana use disorders (MUD) using previous diagnostic criteria (DSM-IV). There is limited …

Using Visual Imagery To Develop Multiplication Fact Strategies, Gina Kling

Dissertations

The learning of basic facts, or the sums and products of numbers 0–10 and their related differences and quotients, has always been a high priority for elementary school teachers. While memorization of basic facts has been a hallmark of elementary school, current recommendations focus on a more nuanced development of fluency with these facts. Fluency is characterized by the ability to demonstrate flexibility, accuracy, efficiency, and appropriate strategy use. Despite recommendations to focus on strategy use, there is insufficient information on instructional approaches that are effective for developing strategies, particularly for multiplication facts. Using visual imagery with dot patterns has …

Exposure To Videos Of Police Brutality Against Black Americans And Posttraumatic Stress Symptoms Among U.S. Adults, Ingrid Rauk

Dissertations

The purpose of this study was to examine in a diverse sample of U.S. adults the relationship between exposure to videos of police brutality against Black Americans and posttraumatic stress symptoms. Exposure to videos of police brutality against Black Americans is believed to have emotional and psychological effects on the viewer and may be considered an indirect (i.e., vicarious) form of exposure to trauma (Alang et al., 2017; Bor et al., 2018; Bryant-Davis et al., 2017). Prior research has established a positive association between experiences of racial discrimination and trauma symptoms (Kirkins et al., 2018). Previous research on psychological reactions …

Implementation Of Team-Based Learning In The Pre-Clerkship Medical Curriculum: Investigating Essential Elements, Jade Woodcock

Dissertations

Team-based learning (TBL) has been used in undergraduate medical education over the past 20 years. Available evidence suggests that there is a problem with how the core design elements are implemented. It is also unclear the extent to which faculty and students believe TBL supports the goals of undergraduate medical education (UME). The purpose of this research is to identify the essential elements of TBL, how those elements have been used by medical educators over the past 10 years, and identify if faculty and student believe TBL supports the goals of undergraduate medical education at a single medical school where …

Experiences Of Female Muslim International Graduate Students With Children In The U.S.: Strategies To Cope With Academics And Family Life, Nizoramo M. Haitova

Dissertations

The literature on adult students, and in particular, graduate students with children, reveals that female students often struggle to balance their studies and home life due to juggling multiple roles. To date, research on student mothers has primarily focused on domestic students, with few studies examining the experiences of international student mothers, and even fewer studying Muslim international student mothers. The purpose of this study was to understand the lived experiences of female Muslim international graduate students with children in the U.S., as well as to explore the coping strategies they employ in both academia and family life. Thus, the …