Digital Commons Network^™

Religious Leadership: Agents Of Social Change, Jacqueline Carter

Dissertations

Historically, churches in the United States acquired respect as institutions that cultivated spiritual maturity and advocated for social equality in Black communities. Religious leaders represent the voice of reason for communities facing complex social problems, then and today. How educational attainment influences religious leaders’ social action strategies and decisions to engage or disengage in social activism is under explored. Additionally, it is unclear what strategies religious leaders use for social advocacy in their communities. Using andragogy and social cognitive theory as theoretical frameworks, the purpose of this phenomenological study was to explore the educational experiences of religious leaders to understand …

Evaluation Of Depression, Anxiety And Stress In Graduate Nursing Students, Rachel Dunston

Dissertations

Mental health issues are growing in the United States. Postgraduate school is widely known to increase the level of psychological difficulties (Dyrbye et al., 2006) experienced by students. There is a need to address mental health care in graduate nursing students. This project was a descriptive observational comparison pre-post-intervention design used to see if online modes of delivery would aid in decreasing mental health issues for nursing graduate students. Participants were provided with access to three podcasts and encouraged to use the Sanvello mobile application provided to all students at this university. The first podcast focused on using the Sanvello …

Impact Of Social Isolation In Hiv-Positive Individuals During A Pandemic, Corina Jane Bakoylis

Dissertations

Problem: The global pandemic of COVID-19 caused concern for immunocompromised individuals. The purpose of this quality improvement initiative was to assess the impact of social isolation on feelings of loneliness, depression, and social isolation experiences in HIV-positive individuals residing in a long-term care facility.

Methods: A mixed-method convergent design with a purposeful sample of HIV-positive adult residents residing in a long-term care facility was utilized. An evaluation of loneliness using the University of California Los Angeles (UCLA) Loneliness Scale (Version 3) and depression using the Patient Health Questionnaire-8 (PHQ-8) were completed. Personal experiences were also assessed with five predetermined open-ended …

Intimate Partner Violence Education For High School Students, Morgan Foster

Dissertations

Problem Adolescents are at risk for experiencing intimate partner violence (IPV). As early as seventh grade, over half of adolescents have reported being in a romantic relationship. Adolescent screening for and education of IPV is minimal, and only the Healthy Relationships Quiz developed by the U.S. Department of Health and Human Services [HHS] screens young adolescents across all aspects of IPV, including psychological and sexual violence. The purpose of this project was to develop an IPV education plan for high school students in a health course.

Methods An educational lesson plan for IPV was created for high school teachers.

Results …

Evaluation Of A Dirfloortime® Program For Autism Spectrum Disorder, Jennifer L. Pipitone

Dissertations

Problem. Parents with children who have neurodevelopmental disorders, such as autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) experience high levels of parenting stress. The prevalence of ASD is on the rise in the United States. As a result, there has been an increase in the use of treatment modalities, in effort to better understand which modalities have the most positive impact on children and their parents. DIRFloortime® is a developmental treatment modality used to help strengthen the parent-child bond and used to decrease parental-child stress. The Autism Parenting Stress Index (APSI) measures the impact of an intervention …

Impact Of Aging Information On The Continuing Education Preferences Of Behavioral Health Clinicians, Nicholas Schmidt

Dissertations

The United States population is aging rapidly and the behavioral health workforce is ill-prepared to meet the concurrent rise in demand for services for older adults. Clinicians specializing in working with older adults make up a very small portion of providers and the majority of service provision falls on general practitioners. The discipline of counseling has emphasized multicultural competencies in training and practice but has not specified standards of competence for work with older adults; little is known about the interests and training preferences of Licensed Professional Counselors (LPCs). This study examined the impact of receiving foundational information about aging …

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 …

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 …

Depression Screening And Management In A Free Primary Care Clinic, Ashley Gagne

Dissertations

Introduction. Depression diagnoses in the United States continue to rise within the primary care setting. At a free primary care clinic in the Southeastern United States, the PHQ-9 screening tool was being used to screen patients for depression, but providers were not regularly addressing positive screenings. Aims. This quality improvement project aimed to evaluate health care staffs' awareness, attitudes and confidence towards depression screening and management and implement best practices in primary care identification and follow up for depression.

Methods. Health care staff at a primary care clinic responded to Revised Depression Attitudes Questionnaire (RDAQ) pre-and post-surveys to measure their …

Closing The English Language Proficiency Gap In Post-Secondary Education In Canada, Priscilla Lothian-Hendrix

Dissertations

The proposed research employed a mixed-method approach to investigate why the linguistic standards of the Canadian Language Benchmark (CLB) (levels 5–8) are deemed satisfactory for English as a second language (ESL) learners at the college level. An examination of the Canadian English Language Proficiency Index Program (CELPIP) identified why an ESL learner with a CLB level of 5–8 requires English support services in post-secondary education to achieve academic success in Canada. The CLB levels of six female participants were analyzed using a questionnaire in reading, writing, listening, and speaking to explore their English levels in articulating the language, pronouncing words, …

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 Impact Of The Transgenerational Cycle Of Prison On Attachment Among Black Individuals, Meagan Scott

Dissertations

This empirical study assessed the impact of incarceration on an individual’s attachment style and explored protective factors that moderate these overall outcomes. The study sought to answer the following questions: (a) Are there differences related to the gender of Black participants and the gender of their incarcerated parent? and (b) Will affective expression and/or sense of community serve as protective factors and mediate the attachment style of Black individuals who have been incarcerated? The sample consisted of 98 adults (45 of whom indicated being a part of the transgenerational cycle of prison) ranging from 18 to 68 years old. Participants …

How Are Women Farmers "Doing" And "Undoing" Gender?: An Exploration Of Women's Gender Practices In Farming, Rebecca J. Tuxhorn

Dissertations

The number of women farmers in the US continues to grow even at a time when the number of men farmers is decreasing. But even as women are experiencing growing representation in this historically men-dominated occupation, they are more likely to operate smaller farm operations, own less land, and earn less than men farmers. Additionally, there are barriers to accessing the full farmer identity due to their invisibility in the largely patriarchal structure of agriculture. In this dissertation, I endeavor to learn more about how women farmers navigate the gendered structure of farming, including barriers to accessing occupation-related resources and …

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 …

Social Support Among Family Caregivers Who Attend Hospice Virtual Group Counseling Sessions: Facilitators And Barriers To Attending These Sessions, Katherine M. Hertzfeld

Dissertations

The National Hospice and Palliative Care organization has identified that a majority of its estimated 1.43 million patients in 2016 were cared for by family members. Studies show that these family caregivers often suffer poor health outcomes if they do not receive enough social support during the grieving process following their family members' death. Attending group counseling sessions can provide social support if the family caregiver is willing to attend. The Transtheoretical Model (TTM) indicates changes in health behavior and can facilitate individuals to attend group counseling sessions. The purpose of this evidence-based practice project is to identify the level …

The Lived Experiences Of African American Counselors: An Exploration Of Their Reactions To Trauma Survivors, Zanovia P. Tucker

Dissertations

Nearly 83% of Americans are exposed to a traumatic event (Benjet et al., 2016). Given this, every counselor will more than likely work with trauma survivors (Trippany et al., 2004). Because of the high percentage of exposure to trauma, mental health professions who service individuals who experience trauma are at risk for secondary trauma (Ivicic & Motta, 2016), vicarious traumatization (Culver et al., 2011), and shared trauma (Hope & Edward, 2013). African American counselors have not been recognized in the counseling literature; thus their work with trauma survivors and their training experiences remain relatively unknown. Most of the research pertaining …

Nursing Perceptions And Attitudes Toward Sex Trafficking: Does Victim Gender Matter?, Sarah Rapoza

Dissertations

Sex trafficking (ST) often goes unrecognized; yet, it is a pervasive issue that disproportionately affects marginalized populations. Sex trafficking involves the act of recruiting, transporting, transferring, harboring, or receiving of persons for the purpose of commercial sex acts. As a result of ST, victims suffer adverse health effects and often present to healthcare facilities while still under control of their traffickers. Few healthcare personnel are aware trafficking is happening in their geographical areas and victims are rarely identified or offered assistance. The majority of studies and interventions related to ST focus on female victims despite evidence that males are also …

Psychological Wellbeing And Sense Of Community Among African Americans: Does Purpose In Life Matter?, Yatesha D. Robinson

Dissertations

This dissertation examined the relationships between sense of community, purpose in life, and psychological wellbeing among African Americans. It investigated whether purpose in life moderated the relationship between sense of community and psychological wellbeing. Although previous studies have linked a sense of community and purpose in life with wellbeing, few studies have examined these relationships among African Americans using a multidimensional model. The data for the current analysis were drawn from the third wave of the National Survey of Midlife Development in the United States study (MIDUS 3), collected between 2013–2014. The sample included 98 African American men (n …

Risk-Taking Behavior Of Alcohol Use Among Young Adults Who Have Aged Out Of Foster Care, Elizabeth Ana Borroto Levine

Dissertations

Risk-taking behaviors such as excessive alcohol use in adolescence may become destructive habits in adulthood and pose major health problems. For aged-out foster care teenagers (AOTs), the behaviors are especially increased. The study purpose was to determine the incidence of alcohol use among AOTs in South Florida and to test four hypothesis measuring the variables of self-perceptions (self-esteem), risk perceptions (costs/benefits), social/environmental perceptions (peer influence), peer group characteristics (peer values), and risk-taking behaviors that would predict alcohol use among AOTs living in South Florida.

An Analysis Of Transformational Leadership In Youth Nonprofit Programs, Danielle Priest

Dissertations

Purpose: The purpose of this mixed-methods study was to identify and describe how nonprofit organization youth leaders perceive the importance of transformational leadership qualities in mentoring youth in leadership programs based on Bass and Riggio’s (2006) four transformational leadership qualities.

Methodology: This mixed-methods study examined the experiences of nonprofit organizations’ youth program leaders and examined the presence of transformational leadership qualities in their approach to providing program leadership to youth programs. An explanatory sequential study was utilized as it allowed the researcher to first analyze quantitative data, then follow with collection of qualitative data.

Findings: The findings showed respondents had …

Raising Cross-Cultural Awareness Among The Undergraduates Through Intentional Design In A Culture Course In The Us—An Exploratory Mixed-Methods Experimental Design, Hua Wang

Dissertations

The cultivation of intercultural competence is a growing trend globally, and integration of intercultural competence into coursework was widely acknowledged as a valid strategy to achieve this goal. The purpose of this study is to examine (1) the effects of the intervention of connecting one’s own culture to affect students' cross-cultural awareness development in American colleges; and (2) students’ perceptions of their own cultural‐awareness changes. Data was collected through pre-and post-questionnaires and semi-structured interviews. This study also compared between-group participants’ posttest ratings on a cross-cultural awareness scale, as well as pre- and post-test ratings within each group. The quantitative and …

Bridging The Gap: A Closer Look At Educational Inequities And Strategies To Support African American Students, Terry Daily-Davis, Lachrisa Crenshaw, Gina M. Jenkins

Dissertations

This autoethnography shares our personal experiences, narratives, and counter-stories as we view the social justice issues of inequities in the education of African American students. Through our journey, we highlighted our personal views and real scenarios as seen through the eyes of a reading specialist, social worker, and college-level administrator. Critical Race Theory in Education (CRT) served as our primary guiding force allowing us to focus on the following tenets: counter-stories, permanence of racism, whiteness as property, interest convergence, and critique of liberalism (Dixson, Anderson & Donnor, 2017). Critical Race Theory (CRT) is the framework in Social Sciences that examines …

Barriers To Post-Secondary Success, Douglas Swanson, Najeana Henderson, Maritza Sloan

Dissertations

This study reviews factors that prior studies have identified or failed to consider as barriers to post-secondary success. The three main areas include academic success for Latinx students after high school, organizational systems and their impact on African-American students’ postsecondary readiness, and what workers think of their high school education with regards to career preparedness.

Five factors are identified as major barriers for Latinx students to continue in a higher education system. A survey of former students from Saint Louis, Missouri, and Dallas, Texas, metroplex area identified 56 Latinx students that participated in an initial survey. This led to a …

Moth To A Flame: An Investigation Of The Personality Traits And Early-Life Trauma Histories Of Women Who Have Survived Adult Relationships With Men With Pathological Narcissism, Michelle D. Roberts

Dissertations

Although emotional and psychological abuse, in addition to physical assault, are now commonly accepted as aspects of Intimate Partner Violence (IPV), narcissistic abuse as a subset of IPV is not widely recognized or understood. Due to the extremely debilitating, chronic mental health effects of narcissistic abuse (Bremner, 2008; Campbell, 2002; Yoon et al., 2009), this study sought to explore the experiences, personalities, early-life (childhood) trauma histories and mental health outcomes of heterosexual women who self-identify as having been in an adult romantic relationship with a man with pathological narcissism. Specifically, this study aimed to identify the nature and frequency of …

Safety Climate And The Use Of Personal Protective Equipment By Petroleum Refinery Workers, Mark Zapp

Dissertations

Purpose: The purpose of this phenomenological study was to explore the impact of peer and supervisor influences of task risks associated with refinery workers’ use of PPE while working in an industrial environment. The study focused on the safety climate model to discover the perceived value workers placed on safety and Fishbein and Ajzen’s theory of planned behavior’s roadmap for understanding their use of PPE.

Methodology: This study used phenomenological qualitative methodology to collect responses from 16 petroleum refinery contractor workers from Los Angeles, California, regarding the influences peers, supervisors, and task risk have on their use of PPE. Respondents …

Perceptions Of Funder-Mandated Performance Metrics On Nonprofit Service Provision, Melissa Iverson

Dissertations

Nonprofit organizations provide essential services to diverse client populations that often address complex and multifaceted personal and social issues. As part of the nonprofit funding process, organizations receive financial support from external sources, such as foundations, government contracts, or corporate giving, and often have to engage in performance evaluation, a process frequently driven by funder priorities or evaluation requirements. As agencies continue to navigate these funder expectations and requirements, understanding nonprofit staff perceptions on the influence of funder-mandated metrics upon service provision becomes more relevant. This qualitative study utilized a grounded theory methodology to explore the perceptions of administrators and …

Baccalaureate Nursing Students' Lived Experiences Of A Leadership Role During Clinical Practicum, Gisela E. Schmidt

Dissertations

Problem

Leadership is an essential component of professional nursing practice used in many aspects of the Registered Nurse (RN) role. Baccalaureate nursing (BN) programs have the responsibility of preparing graduating nursing students with leadership orientation and practice. Excellent professional preparation of RNs starts with their education during nursing school. The fast-paced and high-demand healthcare environment needs RNs who can be accountable for patient care that enables excellent patient outcomes and sound patient-centered care. Taking this into consideration, nursing educators are in a special position to promote nursing education which prepares their students with leadership education and training. The purpose of …

Social Determinants Of Economic Self-Sufficiency (Ess) In Health Profession Opportunity Grants (Hpog): Focusing On The Process Of Health Care Career Pathways, Jang Ho Park

Dissertations

The purpose of this dissertation was to investigate the social determinants of economic self-sufficiency among low-income jobseekers in a federally sponsored healthcare career pathways program. Particularly this dissertation focused on the effects of the process element of self-sufficiency called psychological self-sufficiency, which consist of perceived employment barriers (PEB) and employment hope (EH) (Hong 2013; 2016). Although many studies have evaluated the effectiveness of workforce development programs that focus on economic outcomes, little empirical research has been conducted to examine the psychological prerequisites for achieving economic self-sufficiency. To address this gap in the literature, this dissertation examined potential effect of psychological …

Administrator Stress And Well-Being: Lessons Learned From Retired Administrators, Carrie Bosco

Dissertations

School and district leaders work in stressful jobs and a better understanding is needed about how these conditions affect their personal and professional lives. This study presents the stories of experienced K–12 public school and district administrators contending with and managing administrative stress and its effects on administrators. Through qualitative inquiry and narrative analysis, the learning that comes from experience is explored as a way of understanding administrative practice. Storied examples of stressful situations range from the most serious and traumatic events a school administrator might face to the daily grind of always being “on.” Powerful themes that emerged from …

Dismantling Tools Of The Incompetent: Exploring Cultural Competence Training In Undergraduate Education Policy And Education Studies Programs, Ashley P. Allen

Dissertations

Cultural competence is described as a set of skills, values, and principles that acknowledge, respect, and work toward optimal interactions between the individual and the various cultural and ethnic groups with which an individual might come into contact. Scholars have been critical of cultural competence training because the three-dimensional approach which is its foundation fails to address institutional and systemic racism. I posit that undergraduate programs should provide training, so graduates are culturally competent entering their respective fields. I examined cultural competence training within education policy and studies undergraduate programs because these graduates will work within education at all levels …