Digital Commons Network^™

Establishment Of Neonatal Sepsis Predictors Utilizing Non-Invasive Monitoring Techniques, Dalton Janssen

Dissertations

Neonatal sepsis remains one of the leading causes of global neonatal mortality. Reactionary approaches for diagnosis and treatment have dominated the tactics in addressing neonatal sepsis but clinical intuition is an untapped resource that could lead to earlier prediction of sepsis onset. Nurses and other staff with specialized training and experience who have served as routine caregivers for a specific patient are able to identify when the patient’s status is altered. This clinical intuition may be substantiated by referencing specific patient trends in non-invasive measures over time. This retrospective, exploratory study examined whether variation in non-invasive monitoring variables could serve …

Investigating The Use And Acceptance Of Information And Communication Technologies By University Faculty In Liberia And Its Implications To Sub-Saharan Africa, Michael K. Gray

Dissertations

This descriptive, non-experimental, correlational quantitative study examines the relationship between components of the Technology Acceptance Model (TAM), the Unified Theory of Acceptance and Use of Technology (UTAUT), and Human Capital Development (HCD) in determining the use of Information and Communication Technology (ICT) among university faculty in sub-Saharan Africa (SSA). With the increasing importance of ICT in educational transformation across developing regions like SSA, understanding the underlying factors that influence ICT acceptance is essential for effective policy and implementation strategies. The researcher surveyed 336 university faculty in Liberia using a questionnaire designed to capture perceptions related to TAM constructs (perceived usefulness …

An Application Of Vocal Pedagogy For Thai Singers, Phitchaya Klimov

Dissertations

Vocal pedagogy incorporates diverse techniques and methodologies that aim to maintain longevity of the voice and to improve vocal performance, range, and tone. While vocal pedagogy has been extensively studied in Western music traditions, its application in the context of Thai singers remains unfamiliar. This dissertation will investigate the application of vocal pedagogy for Thai singers, with a focus on understanding the unique challenges faced by them. It will outline pedagogical approaches to address these challenges and will therefore lead to more authentic performances. “Complete mastery of the voice as an instrument is an idea toward which every singer must …

Perceptive Portraits: A Qualitative Study Exploring The Adolescent Experience Of Connectedness Through Their Words And Photos, Emily Anne Guthrie Strong

Dissertations

The mental health of children and adolescents in the United States has been in a state of crisis for over a decade. Connectedness, defined as the level of closeness individuals have to other individuals, groups, or institutions, has been shown to be a preventative and protective factor in adolescent mental health. The purpose of this qualitative study was to explore how adolescents experienced connectedness and the meaning they ascribed to those experiences. This study was guided by the following questions:

Q1 How do adolescents describe their experience of connectedness both inside and outside of school?

Q2 What meaning do adolescents …

New Graduate Nurse Retention: The Effect Of Financial Literacy On New Graduate Nurse Intent To Stay, Jenna Elizabeth Hluwood

Dissertations

New graduate nurses (NGNs) undergo a range of life changes during their transition from an academic environment to clinical practice. To decrease NGN role strain, burnout and attrition, nurse educators and managers must do their part to limit the effects of transition shock. Therefore, Judy Duchscher’s (2009) theory of transition shock was the theoretical framework for this study. An essential component of transition shock is the responsibility of financial management. With no literature available to detail the financial literacy of NGNs, original research in this area of study was needed. The purpose of this quantitative exploratory study was to determine …

Exploring Moral Distress In Hospital-Based Nurse Case Managers: A Qualitative Descriptive Study, Mary Margaret Leas

Dissertations

Moral distress is a well-known phenomenon among hospital-based bedside nurses that is damaging and dangerous to patients, nurses, the healthcare system, and society. There is a gap in the literature related to the experience of moral distress (MD) among hospital-based nurse case managers. The purpose of this qualitative research study was to understand the experience of MD for the hospital-based nurse case manager and identify triggering events and consequences of MD. The following research questions guided this study:

Q1 What is the experience of MD among hospital-based nurse case managers?

Q1a What do they identify as causes or precursors of …

Teaching Strategies Clinical Educators Use To Develop Undergraduate Students’ Clinical Reasoning Skills, Lisa González

Dissertations

The purpose of this study was to describe the teaching strategies nurse educators used to develop students' clinical judgment in the clinical education setting. A significant gap in clinical education has persisted for years with a need for evidence to guide teaching and learning that emphasizes clinical judgment. Concerns regarding underdeveloped clinical judgment skills in new graduate nurses have led to initiatives and research aimed to increase clinical judgment emphasis in nursing education. The following research questions guided this study:

Q1 What teaching strategies do clinical nurse educators use to develop students’ clinical reasoning and clinical judgment skills in the …

Using Educational Communication Technology To Increase Parent Involvement And Build Parent Capacity At A Title I Elementary School: A Case Study, Mary E. Frankovsky

Dissertations

The purpose of this qualitative case study was to gain insight into parents’ perspectives on how rural Title I elementary school personnel can integrate instructional technology to increase parental involvement. Joyce Epstein’s Parent Involvement Framework (Epstein et al., 2019) on school, family, and community partnerships and Epstein's Overlapping Spheres of Influence (1995) served as theoretical frameworks for this study. The study design included both parent and teacher surveys, parent workshops using Google Classroom during which parent and teacher interviews were conducted. The study revealed affordances and constraints for the digital learning platform used in this study and other communication tools …

Meaning In Occupational Therapy Practice: A Mixed Methods Study Exploring Perceived Meaning And Burnout In Occupational Therapists, Rebecca Lauren Reinhardt

Dissertations

Decreasing burnout and increasing retention of occupational therapists (OTs) is a pressing issue in the field as attrition rates and intention to leave the profession are on the rise. One of the core tenets of occupational therapy (OT) practice is supporting recipients with engaging in meaningful occupations to promote wellbeing. While burnout in the profession has been more widely researched, very little research has explored how OTs perceive meaning in their own practice. The purpose of this mixed methods study was to explore the lived experiences of how OTs perceive meaning and meaning gaps in the profession, as well as …

The Effects Of Childhood Trauma And The Ongoing Coronavirus-19 Pandemic On College Student’S Mental Health, School Performance, And Smartphone Usage, Shane Odiorne

Dissertations

Several individuals who attend post-secondary education have experienced at least one instance of Adverse Childhood Experiences (ACE). Those who experience significant ACEs in their lives are at risk for a number of negative mental health outcomes, such as PTSD, depression, anxiety, or substance abuse problems, among others. Past studies have demonstrated that there is a potential mediating factor that leads to negative mental health stemming from ACEs. One of these mediating factors is psychological wellness, characterized by overall life satisfaction, resiliency, positive relationships, and self-acceptance. During times of uncertainty, the risk for exacerbating problems brought on by past trauma may …

Gender Identity Development In Social Virtual Reality: A Phenomenology, John Michael Sullivan Iii

Dissertations

The purpose of this study was to examine the ways in which trans and gender-diverse individuals engage with social virtual reality (VR), what kinds of experiences they have on social VR platforms, and how their experiences translate into gender identity exploration, expression, and development. Inquiry was driven by two primary research questions: (a) What are the experiences of trans and gender diverse individuals in social VR platforms and (b) How do trans and gender diverse individuals use social VR to develop and to express their gender identities? This study utilized a qualitative and phenomenological methodology that was guided by a …

Emerging Adulthood, Identity Conflict, And Self-Compassion’S Impact On Mental Health Interference Of Collegiate Student-Athletes, Courtney Amber Shields

Dissertations

Prior research identified a strong connection between experiences of being a collegiate student-athlete with mental health-related struggles; however, little research has been conducted into how the competing identities of student and athlete within a heavy identity developmental period (emerging adulthood) might be impacting mental-health interference. The purpose of this quantitative study was to understand how emerging adulthood, student identity, athletic identity, and the conflicting role of student-athlete identity had in mental health interference on training, competition, and willingness to see a sports psychologist within collegiate student-athletes as well as how self-compassion moderated these relationships. The following research questions guided this …

Supporting Cultural Capital In Undergraduate Biology: Instructor Roles And Practices, Lydia Nicole Mayo

Dissertations

Undergraduate biology students must navigate complex academic environments that require more than content mastery alone. Increasing evidence shows that students’ attitudes, beliefs, and values—such as motivation, confidence, and a sense of belonging—are critical to student engagement, persistence, and success, especially among first-generation college students and those from historically marginalized backgrounds. Therefore, the purpose of this dissertation is to use cultural capital theory to explore how instructor practices in college biology classrooms support these non-content resources, framed as three forms of cultural capital: aspirational, navigational, and emotional capital for college biology.

To investigate this phenomenon, the dissertation integrates three complementary studies. …

A Moderation Analysis Of The Relationships Between Burnout, Internalizing Symptoms, And Self-Care, Alexandra Mccorkle Ryan

Dissertations

Amidst growing awareness of burnout among school psychologists, self-care has been suggested as an essential practice for managing the emotionally and psychologically taxing elements of the job. Indeed, self-care has been included in the American Psychological Association’s list of professional competencies for health service psychologists (HSPs) in training. Mitigating burnout is an important objective, however, the current conceptualization of burnout as a problem that can be managed by an individual alone is inaccurate. Rather, burnout is a product of an occupational system in which job demands outweigh job resources. Furthermore, burnout can exacerbate symptoms of anxiety and depression. While self-care …

Academic Self-Efficacy In Nurse Anesthesia Residents, Nathan Seth Jones

Dissertations

Academic self-efficacy is a student’s belief in their ability to accomplish educational goals. The purpose of this study was to determine the predictors of academic self-efficacy in nurse anesthesia residents using the College Academic Self-Efficacy Scale (CASES). Three research questions guided the study:

Q1 What is the academic self-efficacy of current nurse anesthesia residents as measured by the College Academic Self-Efficacy Scale?

Q2 What are the factors that predict academic self-efficacy in nurse anesthesia residents?

Q3 What is the appropriate cut-off score on the College Academic Self-Efficacy Scale for identifying residents with low academic self-efficacy?

A total of 233 completed …

Through Their Eyes: A Photovoice Study Of Mental Health And Well-Being Among Rural-Dwelling Latina Adolescents, Ashley Marie Coburn

Dissertations

Latina adolescents are more prone to depressive symptoms, less likely to receive mental health services, and face higher rates of suicidality compared to their non-White peers. This population becomes more vulnerable to adverse outcomes when their problems are compounded by barriers to mental health care common in rural communities such as limited resources, stigmatization, and systemic inequities related to race/ethnicity, income, and insurance status. Despite Latinx youth representing the fastest growing racial or ethnic group in rural areas across the United States, there is limited research on the distinct factors shaping mental health outcomes for this population. Guided by an …

Integrating Diversity, Equity, And Inclusion Into An Undergraduate Sport And Exercise Science Program: A Holistic Case Study Utilizing Social Justice Education, Genevieve R. Altomare

Dissertations

It has been recommended by many scholars to integrate diversity, equity, and inclusion (DEI) content into higher education curricula across disciplines; however, several institutions have yet to do so. The ongoing discourse surrounding social justice continues to influence the careers of future professionals, especially in the fields of sport and exercise science. Yet, there remains a limited understanding of the perceptions and experiences of students who have participated in a college course centered on DEI topics. Therefore, the purpose of this holistic case study was to provide an in-depth examination of a newly developed DEI course by exploring the authentic …

Reinforcement Learning And Virtual Human Animation: A Novel Approach To Data-Driven Animation, Portraying Dynamic, Flexible Human-Like Behaviours, Vihanga Gamage

Dissertations

Virtual characters require animation capable of portraying dynamic, context-sensitive human-like behaviours. Several approaches to generating such animation have been developed, but each carries limitations. Motion capture can produce high-fidelity animation but is expensive and ill-suited to systems that must respond in real time. Physics-based reinforcement learning (RL) enables flexible, dynamic behaviour portrayal, yet relies on simulation feedback signals that are unavailable for social gestures. Supervised approaches can learn social behaviours from motion capture data but yield agents with limited flexibility and generalisation.

This thesis presents RLAnimate, a model-based, data-driven RL framework for character animation that enables a single agent to …

Examining Associations Between Internalized Racism, Psychological Flexibility, And Well-Being Among Bipoc, Cerella Chandra

Dissertations

Internalized racism has been defined as the adoption of negative stereotypes related to one’s racial/ethnic group and associated with psychological distress. There is little research on the effectiveness of Acceptance and Commitment Therapy (ACT) on diverse populations, but recent intervention studies have indicated that psychological flexibility may counter the negative psychological effects of self-stigma. The purpose of this study was to examine the relationship between internalized racism, psychological flexibility, and psychological distress and life satisfaction among Black, Indigenous, and People of Color (BIPOC). Self-report data was collected using Qualtrics with prospective participants recruited from a large public university in the …

Predictors Of Cyberbullying And Help-Seeking Behaviors In Rural Midwestern Schools: A Multilevel Modeling Analysis, Ashley M. Harrison-Pavlik

Dissertations

Cyberbullying is a significant problem throughout the United States. Many risk factors have been identified for cyberbullying victimization, including experiencing traditional bullying victimization, social media usage, gender, and underrepresented racial/ethnic status, although the results are inconclusive. In response to cyberbullying, youth may choose to engage in or avoid help-seeking behaviors. Individual characteristics such as age, gender, frequency of victimization, race and ethnicity, and student perceptions of school staff can influence whether a youth seeks help. School level variables, including anti-bullying policies and teacher awareness and perceptions of cyberbullying may also impact help-seeking behaviors. However, few studies have empirically assessed their …

Difficulty In American Dramatic Literature, David Turkel

Dissertations

Speaking broadly, this dissertation explores the marginalization of American drama within the field of literary studies. In attempting to account for this marginalization, theater scholars have tended to invoke the genre’s supposed lack of “difficulty,” meaning its failure to pose meaningful interpretive challenges to its readers. However, this dissertation takes an alternative view of the matter, contending that if American drama has indeed been marginalized, it is not because literary studies departments have regarded it as intrinsically “simpler” than other literary genres; in fact, it is theater scholars who have been more likely to read the genre as simple, or …

Rural Secondary Principals’ Perceptions Of Their Role In Transition Planning For Students With Disabilities, Christina Natascha Ruffatti

Dissertations

The purpose of this instrumental case study was to investigate rural secondary principals’ perceptions of their role and challenges experienced in transition planning for students with disabilities. Transition planning for students with disabilities has been federally mandated since the Individuals with Disabilities Education Act (IDEA, 1990), emphasizing positive postsecondary outcomes. However, limited research has existed on principals’ roles, particularly in rural contexts.

Participants included 11 principals from small rural districts across 5 regions in Colorado. Data were collected through semi-structured interviews and analyzed using a hybrid approach of inductive and deductive coding, guided by Kohler et al.’s (2016) Taxonomy for …

Cognitive And Affective Factors Related To Geoscience Academic And Career Choice, Amanda Diane Manzanares

Dissertations

Recruitment and retention continue to be a challenge for Science, Technology, Engineering, and Math (STEM) fields. Research shows that both cognitive and affective factors influence student learning, which can then shape academic and career choice. Therefore, my alternatively formatted dissertation includes three articles examining two STEM disciplines: geosciences and Interdisciplinary Environmental and Sustainability programs adding to prior research and further uncovering specific factors that could predict student educational and professional aspirations.

Regarding cognition, students often begin STEM courses with pre-existing mental frameworks, also referred to as schemas that are formed by their prior experiences. These schemas may conflict with established …

The Big Five, Impulsivity, And Problem Gambling In Online Sports Betting, Jeffrey Vincent Bowling

Dissertations

The rapid expansion of online sports betting in the United States following the repeal of PASPA in 2018 has prompted increased concern regarding problem gambling behaviors specific to this modality. Despite growing accessibility and engagement, relatively little is known about the individual differences that may predict increased risk severity for problem gambling among online sports bettors. This purpose of this study was to examine the relationships among personality traits according to the Big Five, impulsivity, and problem gambling risk severity within a U.S.-based sample of adult online sports bettors. The following research questions were explored in this study:

Q1 Do …

Veterans Of Color At The Crossroads: Unraveling The Intersection Of Military And Racial Identity When Receiving Mental Health Care From White Providers In The Current Sociopolitical Context, Tabitha Alverio

Dissertations

The purpose of this phenomenological study was to explore the lived experiences of post-9/11 veterans of color (VoCs) who have received mental health services from White mental health providers (WMHPs) within the current sociopolitical context. Specifically, this study addressed two research questions: (a) How do VoCs describe their experiences of receiving mental health care from White providers in the current sociopolitical environment? and (b) How can White mental health providers improve their understanding of the identities of VoCs to provide greater quality of care, to improve treatment retention, and ultimately help to achieve better mental health outcomes for VoCs? Twelve …

Response Rates And Response Quality Of Online Course Survey For Deaf College Students: A Mixed-Method Study, Abdulaziz Abdullah M. Alqahtani

Dissertations

The purpose of the current dissertation study was to investigate how different delivery formats (written vs. sign language) of the course survey evaluation affect the response rate, psychometric properties and experiences of deaf and hard of hearing students taking course evaluation of total effectiveness. The following research questions guided this study:

Q1 To what extent do the different delivery formats of the online course evaluation of total effectiveness affect the response rate of DHH college students in KSA? (Quantitative question)

Q2 Do psychometric characteristics of the online course evaluation of total effectiveness differ by the design format of the online …

Teachers’ Perceptions On Success And Effectiveness Of Required Professional Development In A Midwest Middle School, Genevieve Kate Adams

Dissertations

The purpose of this study was to examine how teacher voice could be meaningfully integrated into the structure and development of site based professional development. This participatory action research study investigated teachers’ perceptions of the structure, delivery, and impact of weekly, site-based professional development (PD) at a middle school in Northern Colorado. Grounded in a constructivist theoretical framework, the study sought to elevate teacher voice and promote collaborative reflection on how professional learning could be more relevant, responsive, and empowering. The study explored the following research questions:

Q1 What professional development structures do teaching staff view as beneficial to their …

How Was Rehab? A Follow-Up To A Randomized Effectiveness Control Trial Of A Brief Acceptance And Commitment Therapy Protocol For Inpatient Detoxification Patients, Alexander J. Twohy

Dissertations

Residential treatment for Substance Use Disorders (SUD) is a common treatment modality. However, the literature is sparse on modifiable predictors that affect change during the residential treatment stay. Acceptance and Commitment Therapy (ACT) has been shown to be an effective treatment for SUDs. Weststrate et al. (2023), in a randomized controlled effectiveness trial, compared ACT plus medication management to medication management during detoxification. The addition of ACT increased consumer satisfaction and ACT skills use, while decreasing psychological inflexibility and reducing withdrawal symptoms.

This study explored whether the brief ACT intervention had impacts during participants' subsequent residential stay. Forty out of …

Historically Minoritized Racial Groups At A Midwestern University: Behaviors, Attitudes, And Beliefs Toward Mental Health And Well-Being, Kemmel Palmer

Dissertations

The rising prevalence of mental health concerns among college students, especially those from historically minoritized racial groups, underscores persistent disparities and substantial barriers encountered within Predominantly White Institutions (PWIs). This qualitative inquiry examined the mental health behaviors, attitudes, and beliefs of college students from five historically minoritized racial groups—Black/African American, Latino/Hispanic, Asian Pacific Islander Desi American, Middle Eastern/Middle Eastern American, and Indigenous/Native American—at a midwestern university. Utilizing a phenomenological methodology, the study employed five focus groups comprising 51 participants representing a wide range of academic levels, gender identities, and sociocultural backgrounds.

The findings from this study reveal deeply embedded and …

Parenting For Wellness: Positive Parenting Factors As Predictors Of College Student Physical Health, Mental Health, And Social Connectedness Through The Lens Of Self-Determination Theory, Mary E. Lamkin

Dissertations

Research suggests that the transition to college can impact college student well-being across the domains of physical health, mental health, and social connectedness (Frech, 2012; Pittman & Richmond, 2008; Xiao et al., 2017). As parents are more heavily connected to their college-aged students when compared to years before cell phones and social media, they likely continue to play a significant role in their child’s well-being, even while they are in college (Wartman & Savage, 2008). Therefore, the aim of this dissertation was to investigate positive parenting behaviors as predictors of wellness in college-aged participants using Self Determination Theory (Ryan & …