Digital Commons Network^™

Situational Safety: Exploring The Relationship Of Environmental Change & Sense Of Belonging For Gsm Students In Academic-Required Internships, Nancy Goldberger

Dissertations

This research focused on recently enrolled undergraduates in programs including an academically required internship that bridges the transition between being a student at an IHE to being a professional in the field. Students who identify as LGBTQIA+ comprise a group referred to as Gender and Sexual Minorities (GSM) (Smalley, et al., 2018). The purpose of this research is to explore differences in the sense of belonging between students who identify as GSM their IHE versus experiences during their internship. The conceptual framework for this study draws on Maslow’s hierarchy of needs (1943), Chickering’s seven vectors of student development (1969), and …

2+2 Doesn't Always Equal 4: A Mixed Methods Approach To U.S.-Born Children Of Immigrants' Cultural Identities And Belonging, Teriin Lee

Dissertations

Within the next generation, one in five adults born in the United States will be a child of immigrants. Despite this, research on children of immigrants is limited. Specifically, the scholarship on this growing demographic limited their experiences to cultural identity, as it pertains to belonging. Simply put, the literature supposes that children of immigrants’ cultural identities define their sense of belonging. Moreover, the literature lacks insight into the lived experiences of children of immigrants, despite the increasing prevalence of this population.

This study aimed to address how children of immigrants experience cultural identity and belonging. A mixed methods research …

Examining Nonprofit Social Service Sector Burnout And Turnover: Trait Mindfulness As A Moderator Of Work-Life Balance And Compassion Fatigue, Melissa L. Brown

Dissertations

Nonprofit burnout and turnover surpass all national industries, specifically in the social services subsector. In contrast to their for-profit counterparts, nonprofit turnover rates remain on the rise. While literature indicates that one of the primary drivers of nonprofit turnover is burnout, more granular research proposes that nonprofit social service employees encounter a distinct form of burnout generated by the exposure to secondary traumatic distress known as compassion fatigue. This study investigated the antecedents of this phenomenon by examining trait mindfulness as a moderator of work-life balance and compassion fatigue among nonprofit social service providers. To sustain a workforce that provides …

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 …

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 …

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 …

Lesbian, Gay, Bisexual, Transgender, Gender Expansive, And Queer+ Client Experiences Discussing Consensual Nonmonogamy In Therapy: An Interpretive Phenomenological Analysis, Evan Wendell Engle-Newman

Dissertations

This dissertation presents the findings from an Interpretive Phenomenological Analysis (IPA) study on how lesbian, gay, bisexual, transgender, gender expansive, and queer+ (LGBTGEQ+) clients experience discussing consensual nonmonogamy (CNM) in therapy. This study explored how five individuals made meaning of their experiences discussing CNM with current or prior therapists. The meaning they made of these experiences were situated in the context of social and cultural factors that influenced their discussions of CNM in therapy.

There were three research questions for this study including one primary question and two guiding sub-questions. The primary question was: what are the experiences of LGBTGEQ+ …

Perceptions Of Department Chairs And Program Directors Of Ethnic Studies In The California State University System: A Convergent Parallel Mixed Methods Study, Christopher Jarrett Cox

Dissertations

The purpose of this dissertation study is to explore the conditions of Ethnic Studies departments and programs in the California State University (CSU) system nine years after the release of the CSU Ethnic Studies Task Force report released in 2016. Using a convergent parallel mixed methods analysis, this dissertation revisits several questions from the original CSU survey to assess the effectiveness of Ethnic Studies units in the CSU. Respondents to the survey included 13 of the 58 recognized department chairs and program directors for Ethnic Studies units among the 23 campuses of the CSU system, and interview participants included 5 …

Implementation Of An Evidence-Based Postpartum Depression Screening Tool In A Level Iv Neonatal Intensive Care Unit, Morgan A. Takacs

Dissertations

Problem: Postpartum depression (PPD) affects up to 40% of mothers with infants admitted to the Neonatal Intensive Care Unit (NICU), yet many remain undiagnosed due to the absence of standardized screening protocols. Early identification and referral to Perinatal Behavioral Health Services (PBHS) is critical to support maternal well-being and improve neonatal outcomes.

Methods: This evidence-based quality improvement project utilized a descriptive and correlational design to evaluate the impact of implementing the Patient Health Questionnaire-8 (PHQ-8) for PPD screening among mothers of infants born ≤ 32 weeks’ gestation in a Level IV NICU. A convenience sample of 29 mothers received the …

Palliative Care Beyond Cancer: The Use Of The P-Cares Tool, Breslin E. Meyer

Dissertations

Emergency Departments (EDs) often lack the necessary resources and protocols to provide comprehensive palliative care, resulting in inadequate pain and symptom management (Stoltenberg et al., 2022). This study investigates the potential transformative impact of a palliative care consultation on patients with advanced disease who screen positive using the validated P-CaRES tool. The PICOT questions: Will patients with end-stage COPD, CHF, and or other chronic conditions benefit from P-CaRES screening in the emergency department over nine weeks and receive more palliative care consultations from their primary care providers?

This project was conducted over 9 weeks, utilizing convenience sampling to select 20 …

The Psychological Impact Of Parenting Child Victims Of Trauma, Stephanie Faulkingham

Dissertations

Abstract

Research indicates that non-offending caregivers of traumatized children (NOC) is a population with an elevated risk for increased levels of depression and anxiety and are an underserved population for mental health services. The purpose of this quality improvement project was to determine if screening caregivers of traumatized children using the Patient Health Questionnaire (PHQ-8) and Generalized Anxiety Disorder (GAD-7) improves identification of depression and anxiety. Participants of this investigation were individuals enrolled in the Children’s Advocacy Services of Greater St. Louis’ 12-week parenting group, TASK (Trauma, Assessment, Skills, and Knowledge). Each participant was asked to complete the PHQ-8 and …

Depression Screening In The Adult Inpatient Oncology Population, Erica Bizub

Dissertations

Routinely screening oncology patients for depression is recommended due to the higher rates of depression in this population as well as the negative impact of untreated depression. The goal of this QI project is to implement a standard depression screening protocol for patients admitted to this hospital, where there is currently no standard screening protocol. There were 110 patients included in this study, and 67 (60.91%) of patients received a PHQ-9 screening. Of the patients who completed the PHQ-9, 21 (19.09%) had a positive screening, which was a score of seven or higher. While there were high rates of provider …

Illuminating Trauma & Resilience In Educational Spaces: Expanding Narratives To Promote Historical And Critical Civic Empathy At Little Rock Central High School National Historic Site, Chakakuan Johnson, Linda Nance, Byron Witherspoon

Dissertations

Abstract

The 1957 desegregation crisis at Little Rock Central High School marked a defining moment in the Civil Rights Movement and continues to symbolize the broader struggle for racial equality. This dissertation examines equity in educational spaces through a four-truth lens that was first articulated by the South African Truth and Reconciliation Commission and explores forensic, personal, social, and healing truth. Using Little Rock Central High School National Historic Site (CHSC) and park interpretation as the focal point, our qualitative research study used reflexive thematic analysis to examine oral interviews, onsite observations, and various documents and artifacts, and to illuminate …

St. Louis, Missouri’S Gayborhood And Washington, Dc’S Black Lives Matter Plaza: Revealing The Healing Potential Of Resistance Stories That Are Grounded In Place, Ryan R. Lindsay, Lotte I. Lent, Ackesha J. Patrick

Dissertations

Oppressed people resist, even when facing severe consequences for doing so. At the core of systemic oppression—genocide, slavery, racism, and sexism—is a drive to control and dehumanize. Resistance, however, can serve as a powerful act of rehumanization. From enslaved individuals fleeing plantations to LGBTQ+ individuals risking arrest to gather in mid-20th-century bars, resistance reclaims power and autonomy under oppressive regimes. This study applies South Africa’s Truth and Reconciliation Commission (TRC) “four truths” framework—comprising forensic, personal, social, and healing truths—to the interpretation of contested heritage sites. We argue that sites commemorating resistance hold transformative potential for individual and community healing. Using …

Culturally Responsive Intimate Partner Violence (Ipv) Service Needs Among African Immigrant Women: Examining The Impact Of Cultural Norms And Psychosocial Barriers On Safety Perceptions And Help-Seeking Behaviors, Titilayo Ogunbambi

Dissertations

Intimate Partner Violence (IPV) remains a pervasive public health and social justice issue globally, with African immigrant women in the United States facing compounded challenges as they navigate cultural, structural, and systemic barriers, including migration-related vulnerabilities and attachment to cultural values that shape their decisions and experiences. Although formal IPV services exist, they often fail to address the lived realities and culturally specific needs of this population, leading to underutilization and barriers in seeking help. This qualitative study examines how cultural norms, psychosocial barriers, and systemic inequities influence safety perceptions and help-seeking behaviors among African immigrant women survivors of IPV. …

Intersecting Inequities: Latinx Access To Mental Health Services, Melissa Thorson

Dissertations

This study examined barriers to mental health service utilization among Latinx populations using data from the 2022 National Survey on Drug Use and Health (NSDUH). Through the theoretical frameworks of Minority Stress Theory and Toxic Stress Theory, the study investigated the relationships between age, language proficiency, socioeconomic status, and mental health service access among different Latinx subgroups. Statistical analyses included chi-square tests, multiple regression, and mediation analyses on a sample of Latinx adults (N = 9,852). Results indicated associations between age and English proficiency (χ² = 145.23, p < .001, Cramer's V = 0.38), with 45% of adults aged 50 and older reporting limited English proficiency. Socioeconomic analysis revealed that 32% of older Latinx adults reported family incomes below $20,000, with insurance status partially mediating the relationship between income and service utilization (indirect effect = 0.15, 95% CI [0.08, 0.23]). differences in utilization rates emerged among Latinx subgroups (F(6, 1243) = 8.76, p < .001, η² = 0.12), with Mexican-origin individuals showing higher utilization (10%) compared to Puerto Rican individuals (2-3%). Age and socioeconomic status demonstrated interaction effects (β = 0.18, p < .01), while language proficiency moderated the relationship between age and service utilization (β = 0.24, p < .001). These findings suggest that barriers to mental health service utilization among Latinx populations are complex and interconnected, requiring multilevel interventions that address linguistic, cultural, and socioeconomic factors simultaneously. Implications for healthcare policy and service delivery are discussed, emphasizing the need for culturally responsive and linguistically appropriate mental health services.

Building Bridges: Union Efforts To Address Stress Among Educational Staff, Theodore Michael Hamilton

Dissertations

This mixed-methods study examines the relationship between administrative support and educator stress and burnout in a post-COVID unionized school district. Grounded in Bronfenbrenner’s Ecological Systems Theory, the Job Demands-Resources (JD-R) model, and the Transactional Model of Stress and Coping, the study surveyed 102 educational professionals and conducted semi-structured interviews with union delegates. Quantitative findings revealed that 75% of staff worked beyond contracted hours, and 63% assumed additional unpaid responsibilities. Lower levels of perceived administrative support were significantly correlated with higher burnout and greater intent to leave the profession. Qualitative thematic analysis identified key stressors, including inconsistent administrative communication, escalating student …

Hire Outcomes: The African American Educator Experience Of Equity And Diversity In Education, Myeshia Whigham

Dissertations

African American educators have remained significantly underrepresented in U.S. public schools, a reality shaped by systemic racism, exclusionary hiring practices, and the dominance of white cultural norms in education (Anderson, 1988; Farinde-Wu et al., 2020; Fenwick, 2022). These barriers include microaggressions, anti-Blackness, and limited institutional support (Campbell, 2022; Crenshaw, 1994; Ingersoll et al., 2019; Ladson-Billings, 2021a). Despite these challenges, African American educators bring and practice culturally relevant pedagogy, an approach that affirms students’ cultural identities and creates a stronger sense of belonging for educators and students of color (Ladson-Billings, 2021a; Love, 2019a; Paris & Alim, 2017). The purpose of this …

Becoming A Beloved Community: A Restorative Reckoning For A Radical Conversion To Transform Discourse In Higher Education, Latasha Tomay Varlack-Butler

Dissertations

This dissertation critically examines the misappropriation of Restorative Justice Discourse (RJD) within three predominantly white institutions (PWIs), analyzing 59 institutional documents through Critical Discourse Analysis, Relational Critical Discourse Analysis, and Rhetorical Criticism (Fairclough, 1995; Vaandering, 2021; van Dijk, 2008). Tribal Colleges and Universities and South African institutions have emerged as exemplars of authentic RJD, countering co-optation within PWIs. The findings demonstrate that RJD as applied in PWIs is framed in ways that attenuate its transformative potential, perpetuating color-evasiveness (Bonilla-Silva, 2017) and obscuring the intersectional experiences of Black, Indigenous, and disabled communities (Crenshaw, 1991; Million, 2009).

Grounded in decolonial praxis (Smith, …

The Integration Struggles Of Myanmar/Burmese-Catholic Youth Refugees In The United States, Nant Thazin Shwe

Dissertations

ABSTRACT

Myanmar, previously known as Burma, generates a significant yearly refugee exodus stemming from ongoing ethnic conflicts, political instability, human rights violations, and the targeted persecution of Christian minority groups. Individuals seek shelter and improved opportunities in other nations. From 2011 to 2023, for example, Burmese refugees represented the largest group among U.S. refugee arrivals, accounting for 18 per cent.

Presently, there is a lack of knowledge about what the Burmese-Catholic youth refugees experiences during their integration journey into the US society. This qualitative study aimed to shed light on how the larger socio-cultural and religious environment intersects with Burmese-Catholic …

Exploring Contributions Of Partnerships Between Employers And Disability Organizations On Recruitment, Hiring, Training, Retention, And Accommodation Of Individuals With Disabilities In Mississippi, Peter Oluwadare Kalejaiye

Dissertations

The Americans with Disabilities Act (ADA) of 1990 provides equal employment opportunities for individuals with disabilities (IWDs) by prohibiting discrimination in employment. However, one out of four IWDs face discrimination in employment in the United States (U.S. Bureau of Labor Statistics, 2023). Additionally, despite establishing the Office of Disability Employment Policy and enacting the Workforce Innovation and Opportunity Act to help integrate IWDs into the workforce, IWDs face barriers to equal and equitable employment (NASEM, 2017). Previous studies recommend partnerships between employers and disability organizations (DOs) to provide employment opportunities and benefits for IWDs through recruitment, hiring, training, retention, and …

Exploration Of Disorienting Dilemmas New Registered Nurses Experience In Clinical Situations, Heidi Ritchie

Dissertations

The transition new graduate registered nurses (RNs) experience is difficult. New graduates feel pressure related to job expectations and high workload responsibilities. As nurses begin working in clinical practice, some experience a disorienting dilemma—a disconnect between what was learned in school and what is experienced in clinical practice. According to Mezirow (1981), this is the first step in a transformative experience. Yet, there is a gap in knowledge regarding disorienting dilemmas new RNs with less than two years of experience encounter.

The purpose of this study was to explore disorienting dilemmas new graduate registered nurses (NGRNs) experience in the clinical …

Useful Measures Of Adult Attachment And Object Relations In Psychotherapy, Matilde A. Torallas Huerta

Dissertations

This is a literature review of objective and projective measures of attachment and object relations in adults, with the objective of reviewing outstanding research to identify the key factors for adult attachment assessment considered within attachment and object relations theories, what measures of adult attachment styles and dysfunction work best, and to provide key themes of assistance in the measurement of attachment and object relations in adult clients in psychotherapy. Theoretical foundations of attachment and object relations theory are reviewed as well as objective and projective instruments grouped by format. The 10 themes found to be useful in the assessment …

Analyzing The Impact Of Motivational Interviewing In A School Counseling Setting With Academically At-Risk High School Students, Brian Linhart

Dissertations

This study investigates the impact of motivational interviewing (MI) on the academic performance and motivation of academically at-risk high school students over an eight-week period. The primary research questions examine whether there is a statistically significant impact of using MI in a school counseling setting on academic performance and internal motivations. Data collection methods included academic performance, the Self-Reported Academic Beliefs, Behavior, and Self-Efficacy questionnaire, and the MI Pre and Post Meeting Questionnaire to assess students’ motivation and engagement. The study employs a quantitative approach using Friedman’s rank sum test and a paired t-test with a Wilcoxon Signed-Rank test, to …

Secondary Traumatic Stress And Post-Traumatic Growth: The Moderating Effects Of Cognitive Flexibility And Compassion Satisfaction On School Personnel, Breanna King

Dissertations

Many students enrolled in the K-12 school system in the United States have experienced at least one traumatic event. School personnel working with students who have experienced trauma are at risk of developing secondary traumatic stress (STS), with symptoms mirroring those of post-traumatic stress disorder. Among educators, STS has been correlated with negative mental health outcomes and intent to leave the profession, further exacerbating educator turnover and shortages across the country. However, some individuals experience positive life changes following indirect trauma exposure, known as post-traumatic growth (PTG). The nature of the relationship between STS and PTG is inconsistent in the …

The Role Of Affordable Housing In Enhancing Tenants' Economic Stability In Connecticut: A Focus On Income, Employment, And Housing Stability, Osaid Zubi

Dissertations

This study examined the role of affordable housing in promoting economic stability among low- and moderate-income households in Connecticut. Focusing on income security, employment opportunities, and housing retention, this research highlighted the significance of affordable housing as a means to alleviate financial strain, support job retention, and foster community resilience. Utilizing a phenomenological approach, the study gathered insights from tenants, policymakers, and developers through conducting interviews and a focus group. Connecticut was chosen as the study site due to its high cost of living and affordable housing shortage, exacerbated by its proximity to New York City. Findings underscore the economic …

Assessing Alexithymia In Law Enforcement: The Role Of Service Tenure And Sex, Elfego J. Gallardo Jr

Dissertations

ABSTRACT

Alexithymia, characterized by difficulties in identifying and expressing emotions, has significant implications for professions requiring emotional intelligence and trauma-informed response. Law enforcement officers routinely navigate high-stress encounters that demand emotional regulation, clear communication, and empathy, yet those with alexithymic traits may struggle in these areas, potentially affecting interactions with victims, suspects, and the community. This study examined the prevalence of alexithymia among front-line police officers in suburban municipal agencies within the Chicago metropolitan area, using the Toronto Alexithymia Scale-20 (TAS-20) as a standardized assessment. The research addressed three questions: (1) What proportion of officers exhibited normative or elevated levels …

Assessing Psychologists’ Clinical Knowledge Of Geriatric Depression: A Validation Study Of The Later Life Depression Knowledge Questionnaire, Abigail J. Laine

Dissertations

Because the US population is rapidly aging, generalist clinicians will increasingly be called upon to provide mental health services to older adults. Unfortunately, most generalist clinicians do not possess the specialized knowledge to provide clinical services to this population and will require training. Professional training efforts are currently hindered by the lack of psychometrically supported scales of clinical disorders specific to aging. Without such scales, it is difficult to evaluate the impact of continuing education programs. The purpose of the present study was to investigate the psychometric properties and scale dimensionality of the Later Life Depression Knowledge Questionnaire (LLD-KQ), a …

M/Other Your Politics, A Praxis For The Next Iterations Of Humanity, Shelley Maddox

Dissertations

In this dissertation, political, educational and feminist theories are intertwined to present m/othering as an educative practice and a revolutionary politics of love. Perspectives grounded in m/othering theories, practices and activism offer transformative visions of the future and connect the power inherent in our daily lives to the larger project of overcoming systems of domination. An invitation to pursue informal, liberatory educational practices in the mundane moments of everyday life, M/other Your Politics reframes power and repositions politics at the site of the interpersonal, offering a hopeful vision for the implementation of love as resistance. Set upon altering consciousness and …

Faculty Motivation For Online Teaching And Learning, Elizabeth Sachiko Haas Greene

Dissertations

The study will examine which factors predict faculty motivation in online learning. Additionally, the study will investigate the relationship between faculty perceptions of online learning and overall online teaching and learning and the relationships that exist between perceptions of administrative support and self-efficacy for online learning. The study's findings will provide insight into how institutions can support faculty teaching in the growing online modality. The overarching method for this study is a nonexperimental quantitative study. This method will collect numerical data that can be used to measure various aspects of behavior, including attitudes (Drew et al., 2014). The study's participants …