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Articles 811 - 840 of 11422
Full-Text Articles in Entire DC Network
Exploring Home Health Nurse Decision Making: Development And Implementation Of The Visit Plan, Elliane Irani
Exploring Home Health Nurse Decision Making: Development And Implementation Of The Visit Plan, Elliane Irani
Dissertations
Demand for home health services is increasing due to the growing aging population, increasing rates of chronic conditions, and advances in health care that support the provision of many health-related services in patients' homes. Home health agencies must adapt care delivery procedures to meet the needs of diverse and complex patients in order to keep them in their homes for as long as possible. However, it is unknown how home health nurses decide on visit patterns and implement their visit plans within the dynamic and unpredictable home health setting. This qualitative descriptive study was guided by an adapted nurse decision-making …
Abriendo Caminos: A Case Study Of An Online Bilingüe Msw Program, Celeste Natividad Sanchez
Abriendo Caminos: A Case Study Of An Online Bilingüe Msw Program, Celeste Natividad Sanchez
Dissertations
Latine students are underrepresented in social work education. This case study focuses on the Online Bilingual MSW (OBMSW) Program, the first bilingual (Spanish and English) and online MSW program in the mainland United States. The purpose of this study was to explore and have a greater understanding of how the OBMSW program is providing an alternative educational pathway specifically for Latine students. Purposeful sampling was used to identify seven interview participants who have had direct involvement in the creation, design, and/or implementation of the OBMSW program. A document review of program documents was also conducted. Data were analyzed using the …
Bipoc Counseling And Health Service Psychology Graduate Students’ Experience Of Racism And Sense Of Belonging: A Conditional Mediation Analysis Of Coping And Social Support, Erica Pinney
Dissertations
This study sought to understand the relationship between experiences of racism within academic settings and sense of belonging to the field of Counseling/Health Service Psychology (C/HSP) for BIPOC graduate students. Further, this study sought to understand the potential mediating role of engagement coping in this relationship, as well as the conditional effect of high, neutral, or low perception of race-related social support from faculty/peers. Two-hundred forty-nine BIPOC C/HSP students responded to survey questions measuring frequency of racial/ethnic microaggressions, sense of belonging to C/HSP, engagement styles of coping with racism (Education/Advocacy and Resistance), and perception of availability of racism-related social support …
Experiences Of School Climate Among Sexual Minority Students Of Color, Brandon Westerman
Experiences Of School Climate Among Sexual Minority Students Of Color, Brandon Westerman
Dissertations
Since the 1980’s educational research regarding sexual minority students has continued to expand. Researchers have found that school climate can have a profound impact on sexual minority students’ outcomes, including their mental health and academic success. However, much of the research on the effects of school climate upon sexual minority students consists of studies that are predominantly composed of White participants, or the researchers do not address other aspects of participant identity. Based on the concept of intersectionality, it is known that an individual’s experiences are shaped by all their identities, not just a singular one. The purpose of this …
Early Childhood Foundations Of Adolescents' Critical Consciousness In Under-Resourced And Minoritized Communities: The Roles Of Prosocial Behavior And Cognitive Self-Regulation In Middle Childhood, Zahra F. Naqi-Hasnain
Early Childhood Foundations Of Adolescents' Critical Consciousness In Under-Resourced And Minoritized Communities: The Roles Of Prosocial Behavior And Cognitive Self-Regulation In Middle Childhood, Zahra F. Naqi-Hasnain
Dissertations
As Black and Latino teens from under-resourced backgrounds remain vulnerable to oppressive forces, critical consciousness has emerged as a developmental asset that involves understanding, reflecting upon, and acting against inequitable social structures. However, scholars have yet to determine how critical consciousness may fit into a developmental framework, leaving unanswered questions regarding the roots of adolescents’ critical consciousness. By integrating sociopolitical and developmental frameworks, this dissertation empirically examined how early environmental factors and individual competencies set the stage for critical consciousness during adolescence, via prosocial and self-regulatory skills during middle childhood. Longitudinal data were drawn from the Chicago School Readiness Project …
Examining How Adolescents From Underrepresented And Minoritzed Backgrounds View And Navigate Their Racial Ethnic Identity: Exploring The Impact Of Dominant Narratives And Counternarratives On Racial Ethnic Identity, Jesus Eduardo Ramos
Dissertations
This study delves into the impact of dominant narratives on the perceptions of Racial Ethnic Identity (REI) among adolescents from underrepresented, minoritized backgrounds and assesses the effects of counternarrative interventions. It explores how racially oppressive messages in education and media shape self-perception and examines the potential of counternarratives in challenging stereotypes, promoting critical thinking, and advancing social justice. Utilizing a qualitative cross-case study design, the research involved 8 participants aged 12-14 who identified as Hispanic/Latino or Black/African. Data collection methods included demographic questionnaires, semi-structured pre- and post-intervention interviews, and reflection logs. The analysis employed constant comparison techniques and data triangulation …
Identifying And Characterizing Cognitive Profiles In Midlife Females: A Latent Profile Analysis, Hannah Hagy
Identifying And Characterizing Cognitive Profiles In Midlife Females: A Latent Profile Analysis, Hannah Hagy
Dissertations
Females are at two-thirds greater risk of developing Alzheimer’s disease (AD) than males. Due to this notable sex difference in cognitive aging and disease burden, there has been an increased focus on understanding the critical role of the menopausal transition (decline in fertility during midlife) as it relates to cognitive functioning across midlife. Thus, the present cross-sectional study used a sample of midlife females at different stages in the menopausal transition (N=202; Age 40-60 years) as part of a larger, multimodal design study, to elucidate distinct cognitive profiles while accounting for education, which were then characterized by other demographic factors, …
Generations After Us (Undergoing Stress): An Exploration Of Interpersonal Violence And Loss On Psychosocial Functioning At The Parent, Child, And Family Level, Kaleigh Valencia Wilkins
Generations After Us (Undergoing Stress): An Exploration Of Interpersonal Violence And Loss On Psychosocial Functioning At The Parent, Child, And Family Level, Kaleigh Valencia Wilkins
Dissertations
Previous studies propose that interpersonal violence and loss, parenting, and attachment each individually contribute to child and family distress. The following studies aimed to further explore these effects across and within various generational groupings. The first study explored exposure to community violence at the parent level and at the child level in an attempt to understand how such stress impacts parents’ perceptions of family functioning in African-American and Latine families. Findings suggested that family functioning is weakened the most when both a parent and adolescent are exposed and when just a parent was exposed. The second study examined differences in …
Napping, Sleep, And Affect In Adolescents: A Daily Diary And Actigraphy Study, Elizabeth Rea
Napping, Sleep, And Affect In Adolescents: A Daily Diary And Actigraphy Study, Elizabeth Rea
Dissertations
Adolescents in the United States do not typically attain enough quality sleep at night due to a combination of biological maturation and academic and social commitments, leading to poor cognitive, mental, and physical health outcomes. Naps may compensate for inadequate sleep; however, little is known about how napping affects nocturnal sleep and mood over time among adolescents who are poor sleepers. The present study used daily diary and actigraphy data collected over 15 days in a sample of evening-chronotype, poor sleeping adolescents (n=99; Mage=15.85 (SD=0.99); 44% Male, 55% Female; 46% White, 30% Black, 12% More than one race, 8% Other, …
Resiliency And Positive Childhood Experiences: Implications For Black Youths' Mental And Behavioral Health And School Engagement, Sharnequa Nashay Hunter
Resiliency And Positive Childhood Experiences: Implications For Black Youths' Mental And Behavioral Health And School Engagement, Sharnequa Nashay Hunter
Dissertations
Two independent studies were conducted to examine the buffering impact of positive childhood experiences on Black youths’ mental and behavioral health and school engagement outcomes. The purpose of Study 1 was to investigate the potential moderating effects of positive childhood experiences on the relationship between adverse childhood experiences and the occurrence of mental or behavioral health conditions (anxiety, depression, ADHD/ADD, and/or a behavioral/conduct problem) and school engagement, using secondary data from the 2020 National Survey of Children’s Health, a survey completed by primary caregivers. The study sample included 2,201 Black youth ages 6-17 across the United States. Logistic regression and …
Understanding Stress, Strengths, And Strategies To Support Immigrant Youth: A Bundled Dissertation, Sarah Jolie
Understanding Stress, Strengths, And Strategies To Support Immigrant Youth: A Bundled Dissertation, Sarah Jolie
Dissertations
In the study of child development and mental health of Latine and immigrant and refugee youth, it is necessary to understand their cultural experiences and stress experiences in the U.S. The present project aims to address culture, stress, and the development of internalizing outcomes among Latine, immigrant, and refugee youth across two important stages of development: middle childhood and adolescence. The first study provides a comprehensive review of Latine children’s immigration experiences, the effects of exposure to multiple stressors, cultural factors, and intervention implications. The second study provides a focused examination of the impact of two culturally relevant stressors among …
“I Really Like The Idea Of Being The Source Of Change”: The Perspectives Of Black And Latine Youth Experiencing Low Income About How Personal Change Occurs In Out-Of-School Group Programs, Kevin Miller
Dissertations
Structured out-of-school programs (OSPs) can be contexts in which youth can be producers of their own positive change (Eccles & Gootman, 2002). However, despite a considerable body of research documenting the benefits of participating in OSPs, there is a lack of knowledge about how youth of color in low-income communities define positive personal change in OSP settings. As a result, many OSPs and interventions designed for youth of color rely on adult practitioners’ or researchers’ perspectives of the change process, which may weaken program impact and fail to holistically meet youths’ developmental needs. This study uses a critical realist scientific …
A Womanist Narrative Ethics Of Survival: An Exploration In African American Meaning Making, Lashaunda Janeice Reese
A Womanist Narrative Ethics Of Survival: An Exploration In African American Meaning Making, Lashaunda Janeice Reese
Dissertations
This project creates a womanist narrative ethics of survival framework using literary analysis, sociological and theological comparisons, and reflections on moral dilemmas in fiction and history. Steeped in the African American woman’s experiential perspective, this framework provides an alternative viewpoint through which to examine and analyze ethical issues arising in the context of marginalized bodies. Integrating the Christian faith, the history of chattel slavery in the United States, and the expanding field of African American literature and literary theory, this work posits that fiction provides a rich platform to work through thick moral dilemmas, affording a concrete ethical framework to …
Asian Americans’ Experiences Of Covid-Related Discrimination: Collective Identity, Critical Consciousness, And Intergroup Solidarity, Han Na Lee
Dissertations
The outbreak of the coronavirus disease (COVID-19) has stirred fear and panic with a surge of anti-Asian hate in the United States. Racial discrimination was exacerbated by labeling COVID19 as “the Chinese virus” and blaming Asians and Asian Americans as the source of the virus. Within the exacerbated xenophobic and racist rhetoric since the COVID outbreak in 2019, racial discrimination was amplified towards anyone who phenotypically presented as “Asian.” It is unclear how various Asian ethnic individuals identify with their Asian American identity while experiencing the intensified discrimination. Specifically, experiencing COVID-related racism and group-based rejection may increase or decrease Asian …
Child-Parent Psychotherapy In Child Welfare, Michelle Saulnier
Child-Parent Psychotherapy In Child Welfare, Michelle Saulnier
Dissertations
Objective: Child-Parent Psychotherapy (CPP) is a therapeutic model that works within the caregiver relationship with children 0 – 6 years old who have experienced trauma or maltreatment. This study utilized a mixed methods design to evaluate how CPP was implemented within a child welfare waiver project in one Midwestern city. This study also looks at various factors impacts on CPP service delivery outcomes and examines how CPP impacts child welfare outcomes within the context of a larger evaluation. Methods: A sequential mixed methods design was completed with descriptive, and correlation statistical analysis completed. In addition, person-time fixed level analysis was …
Comparing Caregiver-Teacher-Adolescent Mental Health Reporting: Examining Changes Over Time And Related Outcomes Among Youth Involved In The Child Welfare System, Jennifer Osborne
Comparing Caregiver-Teacher-Adolescent Mental Health Reporting: Examining Changes Over Time And Related Outcomes Among Youth Involved In The Child Welfare System, Jennifer Osborne
Dissertations
The benefits of psychological assessment are particularly salient for children and youth in the child welfare system, as youth in contact with the system are more likely to experience mental health symptoms, disorders, and comorbidities as compared to youth in the general population. These assessments often utilize multiple reporters, as emerging evidence indicates that utilizing multiple more effectively captures the mental health experiences of children and youth. However, the extant literature has consistently observed only low-to-moderate (i.e., .2-to-.3) agreement across informants, including among dyads in contact with the child welfare system. Several factors are associated with level of agreement across …
Exploring The Incumbent Early Childhood Workforce As Teachers Who Student And Students Who Teach: A Phenomenological Study, Kate Maxine Connor
Exploring The Incumbent Early Childhood Workforce As Teachers Who Student And Students Who Teach: A Phenomenological Study, Kate Maxine Connor
Dissertations
The professionalization efforts within the early childhood workforce continue to push for current workforce members to return to college to earn associate or baccalaureate degrees. Leaders of these efforts have called for higher education institutions to be flexible and supportive. At the same time, there is little research on the experiences of teachers returning to college, particularly those attending community colleges where most early childhood higher education programs exist. This hermeneutic phenomenological study explored the lived experiences of early childhood teachers returning to school to earn their Associate of Applied Science degree in Early Childhood while working in classroom settings. …
Racialization’S Influence On African American Male University Attrition: Is It Culture Shock Or Is There More To The Story, Joseph M. Butler
Racialization’S Influence On African American Male University Attrition: Is It Culture Shock Or Is There More To The Story, Joseph M. Butler
Dissertations
This dissertation investigates the influence of racialization on the attrition rates of African American male students in predominantly white institutions (PWIs). The study examines whether these students experience cultural shock or face more profound systemic challenges. The research explores how African American men navigate and perceive their college environments by employing Critical Race Theory and DuBois' double consciousness. The research utilizes a mixed-methods approach, combining qualitative interviews, demographic surveys, and document analysis to view these students' experiences comprehensively. The study focuses on four religiously affiliated universities, highlighting the intersection of race, identity, and institutional culture and revealing patterns of isolation, …
Navigating Culture And Family In Post-Secondary Education As Nigerian American College Students, Funmilayo Ojikutu
Navigating Culture And Family In Post-Secondary Education As Nigerian American College Students, Funmilayo Ojikutu
Dissertations
The purpose of this dissertation is to examine how Nigerian Americans and their families understand academic success, identity, and family influence. This research study aims to understand these three areas by examining the experiences of five Nigerian American undergraduate students and their respective families. The data for this study was collected through individual interviews, focus groups, and an artifact analysis. Through using the Multidimensional Model of Racial Identity framework, findings demonstrated the importance of balancing identities, community, legacy, and shifts in generational mindsets. The findings in this dissertation offer larger discussions related to differences within the Nigerian community, the impact …
Assessing The Role Of Psychological Self-Sufficiency And Organizational Factors In Achieving Economic Self-Sufficiency Among Low-Income Populations, Alanna Jeeyoung Shin
Assessing The Role Of Psychological Self-Sufficiency And Organizational Factors In Achieving Economic Self-Sufficiency Among Low-Income Populations, Alanna Jeeyoung Shin
Dissertations
Low-income populations in the United States face complex challenges amid persistent high levels of poverty, income inequality, and child poverty (OECD, 2023; OECD, 2024; Smeeding & Thévenot, 2016; U.S. Bureau of Labor Statistics, 2023b). Influenced by neoclassical economic theory and human capital theory, work-first initiatives like Temporary Assistance for Needy Families (TANF) focus on fostering individual change by enhancing employable skills (Kim, 2010). These programs predominantly emphasize personal responsibility as a strategy for reducing poverty. However, multilayered barriers remain that hinder the achievement of economic self-sufficiency (Hong et al., 2014). To challenge the prevailing approach focusing on the individual level, …
Clinical Social Workers, Telemental Health And The Covid-19 Pandemic, Juli Chaffee
Clinical Social Workers, Telemental Health And The Covid-19 Pandemic, Juli Chaffee
Dissertations
As a result of the COVID-19 Pandemic, and due to the shelter in place order that most states required, licensed clinical social workers (CSW’s) were forced to switch from in person services to telemental health services almost overnight. Many did so without previous training, adequate technology, a confidential office, or professional support. While there is a growing body of research regarding the increased use of telemental health in the mental health field during COVID-19, there is minimal research which narrows in what it was like for the CSW’s who made this transition. The purpose of this study was to better …
Middle Class African Americans Diagnosed With Type 2 Diabetes Mellitus Self-Care Practices Related To Their Spirituality, Self-Efficacy, And Health Literacy, Jacqueline G. Moody
Middle Class African Americans Diagnosed With Type 2 Diabetes Mellitus Self-Care Practices Related To Their Spirituality, Self-Efficacy, And Health Literacy, Jacqueline G. Moody
Dissertations
Diabetes mellitus continues to be one of the most commonly diagnosed medical conditions in the United States. More than 25 million children and adults are living with type 1 or type 2 DM (ADA, 2012). Even though 18 million patients have been diagnosed with diabetes, an additional 7 million are unaware they have the disease. An important factor in health outcomes for diabetes is self-care that includes proper glucose levels control. Self-care for diabetes mellitus is important to decrease an individual's risk factors. Self-care consists of the practice of activities that maturing and mature persons initiate and perform, within time …
Hospital-Associated Functional Status Decline In Pulmonary Patients, Amy C. Shay
Hospital-Associated Functional Status Decline In Pulmonary Patients, Amy C. Shay
Dissertations
Chronic obstructive pulmonary disease (COPD) is a significant worldwide cause of chronic illness and mortality and one of the most common admitting diagnoses in the United States. Persons with COPD are at increased risk for deconditioning during hospitalization, which can lead to decreased functional status at discharge. Disease-related factors and elements of the hospital environment make older adults with COPD vulnerable to hospital-associated functional status decline. The purpose of this dissertation was to identify activity factors that contribute to hospital-associated functional status decline in older adults with COPD by promoting functioning during hospitalization. This predictive correlational study is a secondary …
Addressing Gatekeeping Challenges In Counselor Education: A Grounded Theory, Vanessa Pauline Gill
Addressing Gatekeeping Challenges In Counselor Education: A Grounded Theory, Vanessa Pauline Gill
Dissertations
This constructivist grounded theory study explored how counselor educators navigate remediation and gatekeeping challenges in CACREP-accredited programs. Fifteen counselor educators with at least one challenging gatekeeping experience participated in semi-structured interviews conducted via Zoom. All interviews were recorded and transcripts were completed. Data was analyzed using grounded theory methodology and analysis efforts were organized using the MAXQDA 2024 software. Data analysis involving constant comparison methods and memo-writing generated an emerging theory describing counselor educators’ journey from uncertainty to increased confidence in addressing remediation issues. The theory illuminates how experiential learning, reflective practice, and supportive professional relationships inform this developmental process. …
Infertility’S Impact On Couples’ Functioning, Elizabeth Sanders
Infertility’S Impact On Couples’ Functioning, Elizabeth Sanders
Dissertations
Historically, infertility has been a taboo topic of discussion and is often avoided in conversation because of the stigmatization of the diagnosis. According to the World Health Organization (2022), infertility affects 186 million individuals globally. However, there seems to be a gap in the research as it pertains to the psychological well-being and treatment of men and women diagnosed with this condition. While it has become less of a feared topic, it still is not discussed or researched enough, thus further exacerbating the gap in research on mental health and treatment options. The following dissertation completed a critical review of …
Reclaiming Healing Spaces: A Phenomenological Study On The Transformative Power Of Outdoor Therapy From The Lived Experiences Of Black Clinicians Working With Black Clients, Lynn Murphy
Dissertations
This phenomenological study involved assessing the experiences of Black therapists who engaged Black clients in outdoor therapeutic contexts. The study was founded on the existing literature that shows the quality of the therapeutic relationship is pivotal for client retention and the Western standards that have historically favored treatment within indoor environments. To contextualize this research, a comprehensive literature review was commenced, covering topics such as the decolonization of therapy, the historical and present-day relationship between Blacks and the outdoors in the United States, sedentary lifestyles, the psychological benefits of time spent in nature, various types of outdoor therapy, and the …
A Multifactorial Study Of Factors Influencing Self-Health Behaviors In Dementia, Elizabeth Malkin
A Multifactorial Study Of Factors Influencing Self-Health Behaviors In Dementia, Elizabeth Malkin
Dissertations
The global increase in dementia cases presents a significant public health challenge, particularly given the absence of a cure and the rising healthcare burden on individuals and society. This study aims to examine the influence of knowledge, beliefs, and motivation on self-health behaviors to mitigate the risk of dementia among individuals residing in the United States. With the use of an online survey, the study utilized the U.S. normed MCLHB-DRR scale and supplemental questions about knowledge of risk factors and degree of closeness to family members with dementia to determine whether (1) more closely related relatives (first-degree relatives) and those …
Differences Are Not Deficits: Women Introverting While Black Through The Ascent To Executive Leadership In Higher Education, Jeri A. Bingham
Differences Are Not Deficits: Women Introverting While Black Through The Ascent To Executive Leadership In Higher Education, Jeri A. Bingham
Dissertations
Diversity of personality type in the workplace can lead to improved morale and productivity when organizations acknowledge and support the attributes and differences of employee behaviors and characteristics. Black women executives identifying as introverted who lead with their authentic personas and intersected marginalized identities, benefit employers, employees, students, and the institution’s brand and bottom line. Introversion and extroversion, ways to describe diversity of personality type, and each having different connotations in office culture, are relevant to this exploration as literature suggests that the population of both personality types is almost evenly distributed. The implications of judgement and the association to …
Investigating The Neurovascular Correlates Of Cognitive Function In Individuals With Spinal Cord Injury Using Functional Near-Infrared Spectroscopy, Donna Yali Chen
Investigating The Neurovascular Correlates Of Cognitive Function In Individuals With Spinal Cord Injury Using Functional Near-Infrared Spectroscopy, Donna Yali Chen
Dissertations
Individuals with spinal cord injury (SCI) have a 13 times greater risk of cognitive impairment than able-bodied individuals and commonly report symptoms of depression and anxiety. The reports of cognitive impairment in individuals with SCI are independent of concomitant brain injury. Although the direct cause of cognitive impairment in individuals with SCI is unknown, key contributors may include comorbid depression, chronic pain, anxiety, fatigue, brain injury, or cardiovascular dysfunction. Previous studies have focused on SCI at the level of the spinal cord but have under-investigated the supraspinal levels. Due to the lack of neuroimaging studies on SCI rehabilitation, it is …
Data Driven Decision Making For Sustainable Planning And Operations Of Large Scale Networks, Bahareh Kargar
Data Driven Decision Making For Sustainable Planning And Operations Of Large Scale Networks, Bahareh Kargar
Dissertations
This dissertation explores data-driven decision-making networks, focusing on sustainable planning and operations for large-scale systems such as healthcare supply chains and power systems. One significant application in healthcare is the optimization of vaccine supply chains. An agent-based simulation-optimization modeling framework is developed to enhance the efficiency and sustainability of vaccine distribution. First, an agent-based epidemiological model of COVID-19 is extended to capture disease transmission dynamics and forecast the number of susceptible individuals and infections. Then, a sustainable vaccine supply chain considering the impacts of greenhouse gases is developed and integrated with the simulation model to minimize total costs and environmental …