Digital Commons Network^™

Therapist Broaching Behavior In Cross-Racial Therapy: Exploring Affective Responses To Racism And Cultural Humility As Predictors, Sarah C. Galvin

Dissertations

No abstract provided.

The Perceived Impact Of The Five Areas Of Spiritual Intelligence Of California Community College Administrators On The Integrated Spiritual Intelligence Scale And Their Ability To Lead, Senorina Saldivar

Dissertations

The Perceived Impact of the Five Domains of Spiritual Intelligence on the California Community College Administrators on the Integrated Spiritual Intelligence Scale and Their Ability to Lead by Senorina S. Saldivar Purpose: The purpose of this mixed method study was to explore and describe the perceived impact and use of the five areas (consciousness, grace, meaning, transcendence and truth) of Integrated Spiritual Intelligence Scale (ISIS) on California Community College CalWORKs Directors/Coordinators’ leadership. Methodology: This mixed-method study explored and described the perceived impact that the five areas of ISIS (consciousness, grace, meaning, transcendence and truth) have on eight California Community College …

Inner Resources (Sense Of Coherence, Hope, And Spiritual Perspective) As Predictors Of Psychological Well-Being In African American Breast Cancer Survivors, Lynette M. Richardson Gibson

Dissertations

No studies have been found on the psychological effects of applying sense of coherence, hope, and spiritual perspective by African American (AA) breast cancer survivors. These variables have each been positively associated with psychological well-being. Although AA women are exposed to major life stressors such as breast cancer, many continue to have high levels of psychological well-being. The reasons for this are unknown.

This descriptive study tested which variables in the Gibson Model of Inner Resources© were significant predictors of levels of psychological well-being in AA breast cancer survivors. One hundred and sixty-two AA breast cancer survivors completed the Abbreviated …

Implementation Of The Massachusetts Policy On Youth Sport-Related Mild Traumatic Brain Injuries: Perceptions Of Key Personnel At Massachusetts Public And Charter Schools, Gretchen A. Kilbourne

Dissertations

The major purpose of this cross-sectional, descriptive, and explanatory survey research was to assess key school personnel's perceptions of barriers to and facilitators of implementation of the Massachusetts (MA) policy on youth sport-related mild traumatic brain injury (mTBI) to guide, inform, and increase awareness of implementation of this policy.

Relevance Of Pain Management Outcomes In Veterans, Cynthia A. Mccormack

Dissertations

Despite well-publicized guidelines, acute pain remains a significant problem for medical inpatients, including veterans. Registered nurse staff plays a key role in inpatient pain management: they assess pain, coordinate and administer pain medication and evaluate its effectiveness. The nursing shortage has prompted study of nurse staffing and nurse education as key structures in those outcomes defined as sensitive to nursing, including pain management. The purpose of this study was to examine the extent to which nurse staffing and nurse education predict five specific pain management outcomes. A cross-sectional design was used to examine the effects of nurse staffing defined as …

Middle Eastern And North African Immigrant Parents Caring For Obese Children: A Phenomenlogical Inquiry, Sadeg Aldolaim

Dissertations

Childhood obesity is one of the most serious public health challenges of the 21st century in the United States and worldwide. Several studies show that children with migrant backgrounds are more likely to be at risk of becoming obese. Obesity is associated with an increased risk of physical diseases and cognitive academic deficits in children and adolescents. The Middle Eastern and North African (MENA) population is one of the fastest-growing immigrant population groups in the United States. However, there are no studies exploring parental involvement in childhood obesity prevention programs among the MENA immigrant population.

The purpose of this qualitative …

Caregiver Burden And Its Relationship To Health-Related Quality Of Life Of Spouses Of Coronary Artery Bypass Patients, Margo A. Halm

Dissertations

With today's aging population and short hospitalizations, patients recovering after coronary artery bypass (CAB) surgery rely on family assistance, usually from their spouse. While caregiving may be meaningful, this experience may be stressful. Very little is known about caregiver burden after CAB surgery. The purpose of this cross-sectional study was to investigate the correlates of caregiver burden in the first year after CAB surgery and its relationship to spousal health-related quality of life (HRQL) outcomes.

Obesity And The University Environment: Assessment Of The Campus And Intervention In The Student Health Services, Tina L. Ortiz

Dissertations

One of the most substantial challenges facing colleges and universities today remains the creation of a healthy campus environment. With more than one-third of college students classified as overweight or obese by body-mass index (BMI) and the known negative health consequences associated with obesity, campuses have a deliberate responsibility to help mitigate this sobering statistic. A significant movement from The American College Health Association (ACHA) to address campus health, Healthy Campus 2020 (HC2020), provides a framework to support campuses in improving the health of their students, staff, and faculty. This project first sought to assess, explore and understand one campus …

Health-Care Seeking Behaviors Of Puerto Ricans With Diabetes Mellitus Who Live In South Florida: An Exploratory Study, Laura N. Gonzalez

Dissertations

Latinos are the fastest growing minority population in the United States (U.S.) and have the worst access to health care of any ethnic group. The chronic disease of diabetes is twice as common in adult Latinos as in non-Latino whites, and the risk of death related to diabetes is twofold. Reasons for this disparity have yet to be clearly identified. This study had two purposes: 1) to explore cultural beliefs regarding health-care seeking behaviors in Puerto Ricans with diabetes who live in South Florida; and 2) to examine Puerto Ricans' perceptions about their health-care providers. The cultural phenomena of interest …

The Relationship Between Equity Funding Levels And Success Of African American Students At California Community Colleges, Yulian Ligioso

Dissertations

Purpose. The purpose of this quantitative study was to determine what relationship exists between equity fund spending and the student success measures of graduation rates, associate degrees and certificates awarded, and transfers completed by African American students in single college community college districts in California.

Methodology. This study employed a quantitative research design using archival data. Correlation and regression analysis was performed to determine the relationship between funding and student success outcomes. The study population was the California community college (CCC) system, and the sample was 49 single college districts.

Findings: As expected, funding was positively correlated with total number …

A Student-Designed Learning Management System: A Mixed-Methods Analysis Of Undergraduate Student Ideas For Improving The Lms, Erin P. Manott Morris

Dissertations

Learning management systems (LMS) are digital tools used to comprehensively deliver education in various settings, including higher education. Using LMSs has been shown to support learner-centered instructional practices and, when used well, to support positive learning outcomes in students. While previous research has examined student use and satisfaction with an LMS, little research has explored student perceptions regarding LMS design. The study evaluated undergraduate students’ perceptions and opinions of an LMS’s design. The study also sought to compare students’ attitudes regarding their LMS during pre-COVID and following the pandemic’s onset. Forty-five students participated in a survey, and three participated in …

Impact Of Immigration Parent-Child Separation Policies On Children’S Attachment Experiences, Daisy Casasnovas

Dissertations

This critical literature review (CRP) project explores the consequences of child-parent separation by deportation laws. Considering the number of Latinx immigrant families immigrating to the United States, this review focused on how the unexpected separation by deportation impacted immigrant families and how these separations affect their children’s development, attachment style, and overall well-being. The review explored the short- and long-term consequences for immigrant children and their families, including children who are U.S.-born and remain in the country without their parents. Results from the review indicate an extensive and significant impact on attachment style and overall developmental impairments. The unexpected separation …

The Molecular Basis Of Diabetic Cardiomyopath, Ahmed Salaheldin Mustafa Ali Sultan

Dissertations

Diabetes mellitus (DM) is a major and worsening global health problem. Type 2 diabetes mellitus (T2DM) accounts for more than 90% of DM and the global epidemic of obesity largely explains the dramatic increase in the incidence and prevalence of T2DM over the past 20 years. Cardiovascular complications are the major cause of morbidity and mortality in diabetic patients. The electrocardiogram (ECG) of diabetic and obese patients is frequently disturbed. The aim of this project was to characterize and clarify the molecular basis of electro-mechanical dysfunction in the hearts of type 2 diabetic and type 2 diabetic/obese rats. Experiments were …

First Responder Coping And Its Impact On Resilience, Ptsd Symptomology, And Hypervigilance, Bianca Bullock

Dissertations

The present study investigated coping strategies utilized by first responders and how those strategies relate to resilience, PTSD symptomology, and hypervigilance. The purpose of this study is to help provide more detailed information as to how first responders’ coping impacts their overall functioning. First responders (N = 181), including law enforcement officers, firefighters, paramedics, and emergency medical technicians, completed online surveys measuring whether engaged or disengaged coping strategies were used to manage stressful situations. Self-perceived resilience, PTSD symptoms, and hypervigilance were also measured. A one-way between-groups multivariate analysis of variance was performed to test the relationships between engaged versus disengaged …

The Impacts Of Problematic Social Media Use On Youths: Evaluation And Treatment Recommendations, Carianne Archer

Dissertations

Youths’ frequency and time spent on social media continues to increase over the years parallel to the growing concern of the status of the mental health of youth. This critical literature review project focuses on the impacts that social media use has on youth (ages 8 to 18 years) and what methods of evaluation and treatment are being used clinically, with recommendations provided to clinicians based on the available literature. The questions that guided this review included: What are the impacts of social media on the self-concept and interpersonal functioning of youths?; What clinical presentations are associated with youths who …

Trauma And Effects Of Being Raised By A Parent With Bipolar I Disorder: A Theoretical Approach Utilizing Internal Family Systems, Daniella Vasquez

Dissertations

Bipolar I disorder (BD) is a somewhat rare mental health disorder that impacts not only the person diagnosed but also their family (Chang et al., 2001; Cook et al., 2005; Wearden et al., 2008). Children of parents with BD may experience complex trauma as inconsistencies in parenting, conflict within the household, and possible neglect or abuse may be present (Chang et al., 2001; Rusner et al., 2009; Wearden et al., 2008). Multiple developmental areas can be impacted for individuals who have endured complex trauma to include attachment, somatic distress, affect regulation, biology, behaviors, cognition, and identity (Cook et al., 2005; …

The Relationship Between Community Policing, Police Profiling And Brutality, And How It Relates To Minority Communities’ Perceptions Of Police, Tamela Ali

Dissertations

Ethnic communities in the United States are at a greater risk of police-related mortality and experiencing racial profiling by the police and are more likely to report negative perceptions of the police than White Americans. Community policing has been proposed as a viable solution to this problem. Residents’ perceptions of the police seem to be predicted by race, where they live, and other factors. Studies also show that the intensity of racial profiling and brutality by the police differs in urban and suburban areas. Therefore, it is difficult to generalize the perceptions of the police across all communities. This study …

Analyzing Fluctuation Of Topics And Public Sentiment Through Social Media Data, Haoyue Liu

Dissertations

Over the past decade years, Internet users were expending rapidly in the world. They form various online social networks through such Internet platforms as Twitter, Facebook and Instagram. These platforms provide a fast way that helps their users receive and disseminate information and express personal opinions in virtual space. When dealing with massive and chaotic social media data, how to accurately determine what events or concepts users are discussing is an interesting and important problem.

This dissertation work mainly consists of two parts. First, this research pays attention to mining the hidden topics and user interest trend by analyzing real-world …

Passive Interpretable Deep Learning From Cell Phone Activity For Optimal Patient Care, Pelin Ayranci

Dissertations

The majority of individuals in need of mental healthcare fail to seek it, and the diagnosis of those who do is driven predominantly by the patient's subjective self-assessment. There is a need for mental illnesses trackers that measure psychological and physiological symptoms and provide alerts and interpretable data for therapeutic interventions. We present a system that complements existing protocols to detect distress in mental health, passively monitor patients, and quickly alert authorized parties on possible mental health distress. We evaluate modeling a person's mental health from the sensors and activity logs of her/his cell phone using logistic regressions, LSTM, and …

Patient Perception Of Intensive Care Unit Discomfort, Essa Hakamy

Dissertations

Background: Discomfort has a significant effect on patient health and well-being; however, the symptoms are often difficult to address in ICU. Most patients in ICU are unable to communicate, making it difficult for physicians and nurses to distinguish between pain and discomfort. For example, artificial airways and assisted ventilation prevent patients from communicating. Patients may also have difficulty communicating due to delirium, fatigue, sedation, or neurological disease. Rationale: Discomfort has a considerable influence on patient health outcomes and well-being if not identified and addressed. Researchers have not explicitly explored discomfort apart from pain, which underscores the importance of studying the …

The Relationship Among Menopausal Knowledge, Stress, And Symptom Management In Southern Rural African American Women: A Developmental Perspective, Susan L. Prather

Dissertations

More than 12.9 million African American women are between the ages of 45 and 54, which is the perimenopausal period. Regardless of the millions of African American women transitioning to menopause yearly, very little information is available about their experiences, and even less is known about how they manage their symptoms.

The purpose of this study was to examine the relationship between menopausal knowledge, stress, and symptom management among rural southern African American women. Researchers have examined menopausal experiences over the last two decades; the majority of health information about menopause is based on studies of middle-toupper-class Caucasian women. Hence, …

Cultural Intelligence Practices Community College Presidents Use To Lead Their Organization, Jennifer Marta

Dissertations

Purpose: The purpose of this qualitative multicase study was to discover and describe the cultural intelligence practices California community college presidents use to lead their organization through the four dimensions of Ang et al. (2007) cultural intelligence (CQ) framework. Lastly, this study will examine the CQ practices of California community college presidents through the four dimensions of Ang et al.’s (2007) CQ framework.

Methodology: This qualitative multicase study was conducted through semistructured interviews of four California community college presidents to discover their use of CQ practices. Artifact collection and review was used to further describe how they use CQ practices …

An Examination Of The Effects Of Workgroup Characteristics On Criminal Case Processing & Case Outcomes, Luis Torres

Dissertations

The court communities and inhabited institutions perspectives posit that courts should be examined through a lens that considers the complex and collaborative process that court actors (e.g., judges, prosecutors, and defense counsels), collectively referred to as the courtroom workgroup, engage in during case processing. However, empirical research infrequently examines such intricacies and devotes little attention to how the characteristics of workgroup members influence courtroom interactions, the efficiency they process cases, and ultimately case decisions. This omission is notable because theory asserts that the dynamics of the workgroup are at least in part driven by the characteristics of its members.

This …

A Crisis Should Not Be Wasted: A Phenomenological Study On How Female Leaders From Military Academic Institutions Find Common Ground During Crisis, Diana Molodilo

Dissertations

Purpose: The purpose of this phenomenological study was to identify and describe the lived experience of female leaders from military academic institutions in finding common ground during crisis situations.

Methodology: This phenomenological study identified and described how female mid-level leaders from Defense Language Institute Foreign Language Center and Naval Postgraduate School found common ground during crisis. The population for this study includes all female leaders from military academic institutions in California, which is estimated at 60 to 100, of which 16 were sampled.

Findings: The findings from this research illustrate that female leaders found common ground when they (a) consistently …

A Phenomenological Exploration Of The Lived Experience Of Military Spouses Of Veterans With Combat-Related Post-Traumatic Stress Disorder, Teresa W. Yambo

Dissertations

A phenomenological study was conducted to explore the essence of the experience of military spouses living with veterans with combat-related Post-traumatic Stress Disorder (PTSD). Husserlian phenomenology was chosen as the theoretical framework because it allowed a deeper understanding of the unfolding o f the spouses' day-to-day experience. A purposive sample of 14 spouses living with veterans with symptoms of PTSD participated in unstructured interviews. Data were analyzed using a modification of Colaizzi's method. Four major themes were identified from data analysis: Recognizing Life is No Longer the Same, Living with Unpredictability, Bearing the Burden, and Creating a New Life. Spouses …

Stress, Bullying, Cortisol, And Depressive Symptoms In 9th Grade Adolescents, Susan G. Williams

Dissertations

Stress and bullying are known contributors to depressive symptoms in adolescents. Prevalence of depressive symptoms in adolescents is estimated to range from 13% to 34% in recent studies. Ninth graders are in a transitional period developmentally, biologically, physically, and psychosocially. Few studies have examined the relationship between stress, bullying, and depressive symptoms from a biobehavioral perspective in 9th graders. The purpose of this study was to examine stress, bullying, and depressive symptoms including a biomarker of stress, salivary cortisol diurnal rhythm, to determine if there is mediation between the individual variables of stressful life events, perceived stress, bullying, and depressive …

Virtual Reality Simulation's Influence On Nursing Students' Anxiety And Communication Skills With Anxious Patients, Tanae A. Traister

Dissertations

The incidence of medical-surgical patients with a secondary anxiety diagnosis is increasing, and nurses' feelings of inadequacy in communicating with anxious patients have hindered the therapeutic nurse-patient relationship, negatively impacting patient outcomes. Simulation methods such as high fidelity simulation and standardized patients have decreased nursing students' anxiety levels in caring for anxious patients. However, they face maintenance costs, availability, and consistency barriers. Full immersion virtual reality simulation has demonstrated
success in nonhealthcare and medical education but is limited in nursing education. Nursing students from an associate and bachelor's degree nursing program participated in a full immersion virtual reality simulation anxious …

Family Rejection Predicting Suicidal Thoughts And Behaviors Among Sexual Minority Males: Indirect Effects Through Internalized Homophobia And The Interpersonal Theory Of Suicide Constructs, Brian Bulla

Dissertations

Past research has identified sexual minority males as presenting with more suicidal thoughts and behaviors in comparison to the general population, possibly due to additional stressors (e.g., family rejection, internalized homophobia) encountered throughout their lives that are specific to minority identities (Meyer, 2003). Extant literature has also examined constructs from the Interpersonal Theory of Suicide (ITS; Joiner, 2005; Van Orden et al., 2008) with mixed support for each (e.g., perceived burdensomeness, thwarted belongingness, capability) predicting suicidal thoughts and behaviors among sexual minority males. The current study, therefore, sought to further existing literature by examining indirect effects of family rejection on …

Measuring Psychological Safety, High-Reliability (Hro) Perception And Safety Reporting Intentions Among Pediatric Nurses, Lauren Pfeifer

Dissertations

The purpose of this study was to explore the relationships between psychological safety, perception of working in a high reliability organization (HRO) and safety event reporting intentions among pediatric nurses working in acute care.

The quality and safety of patient care is dependent upon nurses to report safety events and near-misses in order to address systems' issues and identify improvement opportunities. To encourage feedback and promote reporting, many health care organizations have adopted the high reliability framework and strategies to promote team psychological safety. A dearth of literature exists on how the pediatric nurse perceives their workplace. This study addressed …

A Delphi Study Of The Skills Necessary For A Speech-Language Pathologist Or Occupational Therapist To Be Successful In A Leadership Position, Jessica Miller

Dissertations

Purpose: The purpose of this Delphi study was to identify the skills necessary for a speech-language pathologist or occupational therapist to be successful in a leadership position using an expert panel. In addition, the purpose was to rate the identified skills based on importance and lastly to determine the activities experts recommend to acquire the top-rated skills. Methodology: This study used a three-round Delphi method to collect data from expert leaders in speech-language pathology and occupational therapy. In Round 1, the expert panel was asked to identify the skills necessary to transition from a speech-language pathologist or occupational therapist to …