Digital Commons Network^™

A Screening Tool To Identify Patients At High Risk For Perioperative Neuropathy, Carla M. Ibbotson

Dissertations

This project aimed to evaluate anesthesia provider attitudes surrounding the clinical topic of perioperative peripheral nerve injury. Additionally, the project sought to introduce anesthesia providers to a novel risk assessment device that may help identify patients at high risk for perioperative peripheral nerve injury while assessing its potential utility in anesthesia practice.

Factors That Affect Adequate Analgesia In African Americans With Cancer Pain, Navdeep Singh

Dissertations

Receiving adequate analgesia has been shown to be problematic for African Americans with cancer pain. The vast majority of studies only simply highlights the existing disparities between African Americans and Caucasians in pain management. There is a lack of research focusing on the etiology of these disparities, specifically on what causes prescriptions for inadequate analgesics, especially for African Americans. The purpose of this study was to characterize the adequacy of analgesia received by African Americans with cancer pain and to elucidate what patient characteristics contributed to receiving adequate analgesia.

Forty Years After The Larry P. Decision: School Psychologists’ Perceptions Of The Assessment Of African American Students With Specific Learning Disabilities, Shara Cabreros

Dissertations

Purpose: The purpose of this qualitative study was to identify and describe the assessment models school psychologists use to identify African American students with SLDs in three of the K-12 school districts in Riverside County. A second purpose of this study was to determine how school psychologists within three districts of Riverside County perceive the assessment model used in their school district affects the identification of SLDs in African American students. A third purpose of this study was to determine the assessment model school psychologists in three districts in Riverside County believe most accurately identifies SLDs in African American students. …

Clinicians' Use Of Mhealth Applications In Interventions For Substance Use Disorders, James Daniel Bender

Dissertations

The purpose of the study was to examine how clinicians are identifying, evaluating, and utilizing mHealth apps as treatment adjuncts with their clients who have a substance use disorder. A sample of 93 participants (20 males, 72 females, and 1 not listed) completed measures of demographics and inquiries about their use and evaluation of mHealth apps in their practices. Clinicians who work at mental health centers and private practicing clinicians were recruited. The majority of the sample (71%) reported that they had not utilized mHealth apps with their clients who have a substance use disorder diagnosis. Participants who have attended …

What You Speak Shall Come: Examining Spirituality On Retention Of African American Males Attending A Predominantly White Institution Using A Sequential Explanatory Mixed-Methods Design, Carlous Brian Yates

Dissertations

African American males have faced significant challenges at institutions of higher education over the years (Harper, 2013; Griffith et al., 2019). This study aimed to examine the impact of spirituality on the retention of African American males attending a Predominantly White Institution (PWI) through a sequential explanatory mixed-methods design study.

The participants in the study were African American males (N = 47) with age range 18 to 48 years old all attending a mid-sized university located in the mid-western region of the United States during the Fall 2020 and Spring 2021 semesters. The university is considered a Predominantly White Institution …

Examining Treatment Acceptability Of An Eight-Week Mindfulness-Based Stress Reduction Protocol, Blake William Palmer

Dissertations

The goal of this study is to examine whether levels of perceived stress, experiential avoidance, personality traits including openness to experience and agreeableness, and demographic variables will predict the treatment acceptability (indicated by responses on the Treatment Acceptability and Adherence Scale) of an eight-week Mindfulness-Based Stress Reduction (MBSR) program. This study collected data in the Spring of 2019. The final number of participants in the study was 116 (40 females, 76 males, Mage = 36, age range: 22-69 years). Participants completed measures including the Perceived Stress Scale (PSS), Acceptance and Action Questionnaire-II (AAQ-II), the agreeableness and openness to Experience domains …

Development Of A Scale To Measure School Psychologists' Self-Efficacy For Working With Gifted Populations, Brittany Marie Dodds

Dissertations

School psychologists are specialists in educational assessment, consultation, youth mental health, and social-emotional-behavioral development. As a result of their training, school psychologists are positioned to serve students with exceptionalities, including gifted students. However, research indicates that school psychologists' familiarity with gifted issues is lacking and that information regarding school psychologists' self-efficacy for working with this population is nonexistent. Therefore, the aim of the present study was to create a tool to assess school psychologists' self- efficacy for working with gifted populations. The Dodds Inventory of Gifted Self- Efficacy for School Psychologists (DIGS-SP) was developed and administered to 229 practicing school …

Nurse Residency Program Use In Alabama Hospitals: Exploring The Decision-Making Strategies Of Hospital Administrators, Miranda M. Smith

Dissertations

Current literature supports the creation and implementation of nurse residency programs to support new graduate nurses as they transition into nursing practice. Additionally, nurse residency programs have been shown to increase nurse satisfaction and retention (Crimlisk et al., 2017; Olson-Sitki et al., 2012). Currently, there are only three nurse residency programs in the state of Alabama. The lack of this important post-licensure resource poses a problem for new graduate nurses who are seeking additional assistance and guidance during the transition to professional practice.

This qualitative study examined the decision-making process of hospital leaders in the implementation of the nurse residency …

Postpartum Depression In South Asian American Mothers: An Examination Of Screening Tools And Associated Cultural Factors In Assessment, Heer Panchal

Dissertations

Postpartum depression is a disorder impacting an overwhelming number of women after childbirth with symptoms of depression, anxiety, guilt, and hopelessness. Due to limited research and understanding of postpartum depression in the growing South Asian population in the United States, it is vital to gather data and research on this population to increase understanding of patterns and experiences that occur within the South Asian American population and to incorporate cultural factors into the screening process. The current research’s objectives include discussing the facets of postpartum depression, current tools used to screen for postpartum depression, and helpful interventions to create a …

Challenges Associated With Treatment Of Borderline Personality Disorder In Older Adults And The Impact On Psychosocial Development, Marisa Victory

Dissertations

The continued growth of the global aging population calls for further expansion and development of the appropriate diagnosis and treatment of older individuals living with borderline personality disorder (BDP), yet there is limited information regarding the impact of the disorder in later adulthood. The pivotal work of Erik Erikson, specifically his psychosocial stages of development, is a widely accepted conceptual framework for understanding human development including into older adulthood. During the late adulthood psychosocial stage of development, people experience a multitude of changes in relationships, work status, family, and what they define as meaningful. These changes can have a negative …

The Effect Of Pedagogical Agent Persona On Performance, Self-Efficacy, And Attitudes In Adult Learners In An Online Environment, Justin L. Mathews

Dissertations

Pedagogical agents, virtual avatars that are often included in online training or educational modules, have been studied in a variety of disciplines to determine the extent to which their inclusion in online or multimedia learning environments may influence both cognitive and affective outcomes in learners. The present study examined the effect of a peer-like pedagogical agent providing motivational messaging in an online English language learning environment to determine if the agent will positively affect college students’ performance, self-efficacy, and attitude in comparison to a control group. All participants studied an online, self-paced English grammar module, either with (treatment version) or …

Examining The Psychological Effects Of Adolescent Bullying In Adults, Douglas Caro

Dissertations

Being an adolescent victimized by bullying is not only widespread but all too common in a society that deems it a “normal” rite of passage. However, bullying in schools has received increased attention since school shootings have inundated the media and news headlines the last several years. Some have correlated bullying to the shooters being bullied themselves. Being a victim of bullying has been linked to serious medical and mental health problems, not just in adolescents but across the lifespan. It is common for victims to experience physical problems such as abdominal pain and other gastrointestinal concerns. Mental health problems …

Teacher Biases And Expectations: Impact On Self-Esteem, Self-Efficacy, Delinquent Behavior Among Black Grade School Students, Rhonda Lloyd

Dissertations

Black children and adolescents in today’s society face so many challenges that come about from the hands of authority figures in their life, their environment, the education system, and society as a whole. Through a critical review of literature, the author sought to answer three research questions: (1) What are the indications that teachers may be more biased toward Black students? (2) How do perceived teacher biases and discrimination impact the self-esteem and self-efficacy of Black students? (3) How are teacher bias and the school-to-prison pipeline connected? The literature review exposed a need for a teacher training model, which was …

A Study On How Retired U.S. Army First Sergeants Led Their Troops Throughout Turbulent Times In Afghanistan During Operation Enduring Freedom Or Operation Freedom Sentinel, Enrique Ortega

Dissertations

Purpose: The purpose of this qualitative study was to discover and describe behaviors that retired U.S. Army First Sergeants (1SG) applied to lead their troops through turbulent times using the leadership attributes of moral purpose, concern for the collective interest, resilience, and personal temperament during combat operations.

Methodology: This qualitative study used a phenomenological approach to capture data from 10 retired U.S. Army 1SGs in the South Puget Sound area in Washington State who led their companies in Operation Enduring Freedom (OEF) and Operation Freedom Sentinel (OFS). Data were collected from 10 interviews and 71 artifacts of Disabled Americans Veterans …

The Impact Of Consumer Smart Device Platforms On Illness Uncertainty And Anxiety In Patients With Atrial Fibrillation, Wing Yan Vien Cheung

Dissertations

Atrial fibrillation (AFib) is a common cardiac arrhythmia associated with increased risk for comorbid health conditions. Advancements in consumer technology have enabled patients to monitor hearth rhythm independently, yet, much remains unknown about patient outcomes related to the use of these smart device platforms (SDP). The aim of this study was to examine the iatrogenic and/or remedial effects of SDP use on patient reported outcomes of illness uncertainty, cardiac anxiety, body vigilance, AFib symptoms, symptom burden, and healthcare utilization. The sample included 130 AFib participants (65 in SDP group) recruited through ResearchMatch, American Heart Association support forum, and other online …

Diabetic Education To Reduce Readmission Of Patients With Diabetes, Nicoleta F. Buiciuc

Dissertations

Hospital readmissions by patients with diabetes rise due to known risk factors such as lack of a healthy diet, physical activity, aging and obesity (Sonmez, Kambo, Avtanski, Lutsky, & Poretsky, 2017). Diabetes education and management is key to improving self-care behaviors and reducing hospital readmissions within 30 days (Drinic et al. 2017 & Sullivan & Alexander, 2019). Diabetes self-management involves education on healthy diet, exercise, self-monitoring of blood glucose, avoidance of risk factors and complications (Chai et al., 2018). Hospitalization provides an ideal time to identify barriers to improving a diabetes home regimen and promote DSME (Inpatient Diabetes Management, 2016). …

Grounded Roots Applied To Women Presidents In The California Community Colleges System, Penny Shreve

Dissertations

Purpose: The purpose of this explanatory mixed methods study was to identify and describe what exemplary female presidents in California community colleges do to stay grounded and maintain physical, emotional, intellectual, social, vocational, and spiritual health.

Methodology: This mixed methods study identified and described the perceptions of 16 women presidents in the California Community Colleges system regarding strategies they use to remain grounded in their current positions. Respondents were purposively chosen based on specific criteria. Data were gathered through the Stay Grounded survey from 16 participants and interviews with 5 of the participants. Quantitative data were tabulated to determine mean …

The Political Economy Of American Militarism: The Military- Industrial Complex, Power Elite, And The 2003 Invasion Of Iraq, Randy S. La Prairie

Dissertations

Sociologists have paid little attention to the structural causes of American participation in wars. Consequently, the discipline offers few theoretical perspectives on American war making. Sociological theories that do exist fall under two headings: state-centric and Marxist theories. Both lack prima facie plausibility. In this dissertation, I advance a unique, alternative theoretical framework that I argue offers a more tenable theory of American militarism in the post-World War II period. The elite model of war mobilization, as I refer to it, consists of five interrelated structural causes of American participation in wars: (1) state-capitalist imperialism; (2) elite control of public …

Developing A Diagnostic Tool Of A Community’S Health, Ruth Kurtycz

Dissertations

Where we live can affect nearly every aspect of our lives, including how long those lives will be. Previous studies have demonstrated large health disparities between communities in the United States; since the health of a community can significantly impact its residents, evaluating and predicting community health is of interest to many people. Currently the Federal government collects and publishes data on community-level demographics, housing, crime rates, and disease. State-level and non-governmental agencies track and share community housing prices, school performance, neighborhood safety, and other characteristics. In short, there is a wealth of information but the work being done around …

Examining Complementary Health Approaches And Integrative Health (Chaih) Practices Among Occupational Therapists In The United States: A Mixed Methods Approach, Sarah M. Renner

Dissertations

The use of complementary health approaches and integrative health (CHAIH) is increasing among adults and children in the United States and continues to grow within various health care settings. With Health and Wellness identified as a key practice area for occupational therapists and the American Occupational Therapy Association supporting the use of CHAIH in occupational therapy (OT) practice, practitioners must offer safe, research-driven treatments supporting this movement. Research around CHAIH continues to grow; yet the gaps in the literature make it difficult to determine how CHAIH is being used in OT practice as well as the practitioner’s perspectives on the …

Analysis Of Demand Under Time And Quantity Restriction Frames, Haily K. Traxler

Dissertations

For decades, behavioral economists and behavior analysts have borrowed techniques from one another to investigate human decision making. While there has been little overlap in their work, the union of the two may help to answer important questions about behavior. An emerging behavioral economic topic of interest in the behavior analytic literature is the analysis of how framing affects demand. The purpose of the present studies is to investigate some conditions under which demand is affected by framing and provide a behavior analytic interpretation of those effects. To assess the effects of framing, demand for marketplace items was assessed under …

A Mixed Method Study Investigating A Gap In Ethical Knowledge Training, Supports, And/Or Practices For Current Elementary Administrators, Kristie J. Lehde

Dissertations

Ethical decision making impacts every school leader; 100% of interview participants in this study recognized that they made ethical decisions at least daily. This study was designed to identify if there was a gap in ethical knowledge, trainings, supports and practices and then investigated the knowledge, trainings, supports and practices that were in place to support currently practicing elementary leaders. The researcher sent surveys to elementary principals in the state of Missouri and shared the survey via social media sites such as Facebook and Twitter. The researcher also asked survey participants to participate in a one-on-one interview to gather more …

Exploring Principals’ Experiences With Social Justice Issues In Their Work As School Leaders, Djimtibaye Otalbaye

Dissertations

Social justice has taken on a special importance in education today, although it is not a new concept in terms of human history. Social justice is not a local issue, but exists in all parts of the world (Jean Marie et al., 2014). Differentiation among social environments of schools and increasing elements of diversity and roles of schools to create a socially just structure can be seen as main reasons for these issues (Turhan, 2010). Schools are therefore challenged to address the social conditions and hardships of students by responding to their needs (Avant, 2014).

The purpose of this basic …

A Quantitative Assessment Of Marital Quality Among Couples In Kerala, India, Grace Kochuparambil

Dissertations

The increasing number of divorces and domestic violence in Kerala, India points out the need to assess marital quality among couples in Kerala. The lack of assessment tools in the native language prevents evaluating Malayali couples' marital relationships. The purpose of the proposed study was to examine couples' marital quality in Kerala and validate the translated Marital Adjustment Questionnaire (MAQ) and Marital Quality Scale (MQS), the M-MAQ and the M-MQS, respectively. The instruments were translated into Malayalam through a forward and backward translation. A quantitative survey research design collected data from a criterion[1]based sample of 260 couples in Kerala using …

Uncovering Roots Of Systemic Oppression Within Law Enforcement: A Qualitative Study Exploring Why Police Officers Discriminate Against The Black Community, Alexandra Bouziotis

Dissertations

“Uncovering roots of systemic oppression within law enforcement: A qualitative study exploring why police officers discriminate against the Black community.” Rationale for this study is to uncover behavior and psychological reasons to uncover why police discriminate and oppress the Black community with little consequences for their actions. The dominant explanation for this trend uncovers previous research addressing oppression and the structure of institutions such as law enforcement that have relied heavily on past policies and tactics protecting an institution in the United States that has rarely been challenged. Recent riots and civil unrest against law enforcement institutions and dominant laws …

Social Media, Bullying, And Preadolescent Eating Disorders: Psychoeducation And Prevention Model, Agnes Zalesna

Dissertations

The purpose of this theoretical project was to examine the available research surrounding preadolescent eating disorders with particular focus on prevalence and risk factors. The author proposed that social media and bullying should be considered as specific risk factors for this demographic in light of the increased media device use among children. Next, the author examined cognitive functioning, child development, and learning theories as they relate to the influence of social media an bullying on the development of eating disorders in children as well as current research on protective factors, prevention, programs, and treatment recommendations. Finally, the author proposed a …

The Effects Of Military Leadership And Its Implication On Mental Health Stigma And Treatment Seeking Behaviors Of Veterans In Garrison And Noncombat Deployment Environments, Alexis May Charrys

Dissertations

Military service members are more likely to endure a significant amount of stress and experience multiple traumatic events than civilians due to the nature of their job. Many studies have focused on the traumatic stressors encountered during combat despite the fact that many service members encounter stressors related to serving in the military. A study conducted by Dursa, Reinhard, Barth, and Schniderman (2014) found that 10.9% of nondeployed veterans screened positive for posttraumatic stress disorder (PTSD) with the highest prevalence of PTSD (13.8%) amongst nondeployed soldiers. Military mental health stigma is rampant due to the need to be ready for …

Social-Emotional Supports For African American Males: An Examination Of Strategies And Practices That Inform Persistence For College And Career Readiness, Kamilah Hampton

Dissertations

African American males are faced with many challenges because of the lack of social-emotional supports and current society. African American males experience trauma as a result of their exposure to violence, mistreatment in most environments, and implicit biases in obtaining an education. Social-emotional programming designed specifically for African American males is proven to positively impact their learning outcomes. This study found that the implementation of programming can have a direct impact on African American male’s ability to achieve at high levels. This must be addressed through continuous professional learning and support to challenge and improve a teacher’s instructional practice with …

Respecting The Spectrum: Creating A Gender Inclusive Structured Diagnostic Intake Interview, Natalia Andino-Rivera

Dissertations

Transgender and nonbinary (TNB) people, more than ever, are in need of and actively seeking out services in order to cope with the reality of being transgender in the United States. This includes requiring assistance from local and federal governmental systems that do not provide protections for equal housing, workplace discrimination, and healthcare provisions, much less hate crime investigation and prosecution. In 2011, 75% of transgender people were or had been in therapy in the past, with a further 14% intending to participate in therapy in the future. Recently, the newly elected President Joseph Biden issued an executive order (EO) …

Positive Symptoms Of Schizophrenia And Suicide: A Systematic Review Of Gender, Race/Ethnicity, And Premorbid Iq Variables, Susan Diann Paschall

Dissertations

Schizophrenia is an exceptionally debilitating mental disorder. Its effects permeate all facets of psychosocial functioning and it is associated with premature mortality. As such, suicide is of clinical concern. Positive symptoms such as hallucinations and delusions may influence the risk of suicide among individuals diagnosed with schizophrenia, but additional research is necessary, as the limited literature on this topic is dated and includes heterogeneous results. Early recognition of and intervention for suicide risk factors, such as the presence of positive symptoms of psychosis, may reduce mortality rates for individuals with schizophrenia. The present literature review examined the role of gender, …