Digital Commons Network^™

Understanding The Experiences And Perceptions Of Faculty Supporting Undergraduate Students With Mental Health Challenges, Jenna Ranee Parbati Jamieson

Dissertations

College is a big adjustment for students, and it doesn't come without its challenges, including being in a new place with new responsibilities. This is a stressful time that presents new obstacles and frustrations that can lead to increased stress, anxiety, depression, and mental health challenges that may cause faculty to engage and support undergraduate students with mental health challenges. As students adjust and transition to college, it is vital for university faculty to feel confident and comfortable supporting students from diverse backgrounds with varying levels of distress. By interviewing faculty, a better understanding of their lived experiences and perceptions …

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 …

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 …

Cultivating Belonging: Empowering Hispanic Parents In The U.S. Education System, Kalpana Galagali

Dissertations

This qualitative study explores the experiences of Hispanic families at Bay Area Middle School and the strategies I employed to create a sense of belonging and support for both students and their families. Key strategies included fostering effective communication through Spanish interpreters, celebrating cultural traditions, and organizing inclusive events like the annual cultural fair. Parents expressed gratitude for the personal attention their children received and noted how these initiatives positively impacted their sense of belonging. The findings highlight that cultural integration and community-building efforts significantly enhanced family engagement, transforming perceptions of the school environment from feelings of disconnection to appreciation …

Healing Circulos(Circles): Putting Our Educator's Mask First, Janet Martinez-Angeles

Dissertations

Educators play a pivotal role in supporting students throughout their educational journeys. In addition to academic instruction, they provide vital guidance for students' social, emotional, and personal development. They work tirelessly to help students navigate the complexities of education and life, often while shouldering multiple responsibilities and roles beyond the classroom. This dynamic contributes to high attrition rates and weakens the educational system. Much like the familiar safety instructions on an airplane, where passengers are reminded to put on their oxygen masks before assisting others, educators must be given the space, resources, and support to tend to their well-being before …

Early Care And Education Systems In The United States Of America: Voices Of The Past, Present, And Future, Timothy Harper

Dissertations

This mixed-methods study centers the voices, knowledge, and leadership of Black and Indigenous women working in Early Care and Education (ECE) while tracing how racism, sexism, and classism have shaped the field from colonization to the present day. Twenty in-depth interviews with sixteen Black and Indigenous educators across the United States are paired with secondary analyses of national workforce data to create a multilayered portrait of their professional realities. Grounded in Black feminist thought and Indigenous desire-based inquiry, the analysis surfaces six inter-locking themes: (a) enduring structural barriers that depress wages and limit advancement, (b) the day-to-day resilience that sustains …

Engagement Of Secondary History Social Science Teachers With Professional Development: A Phenomenological Study, Suzanne Paulazzo

Dissertations

Secondary social science teachers tend to feel disengaged and frustrated with their professional development (PD) experiences. They also feel that recommended meaningful practices appear to be time-consuming, require extra hours of preparation, and rely heavily on collaboration. Using phenomenological methodology, the dissertation research investigated secondary social science teachers' perceptions of their roles as educators, their professional growth, and their motivations for engaging in professional development opportunities. Nine male and one female teacher participants from a History-Social-Science Department in an urban public school in Northern California participated in an interview. This study addressed the following research questions: How do teachers perceive …

Teacher Workplace Bullying: Victim And Bystander Perspectives, Abigail R. Smurr

Dissertations

Workplace bullying is a phenomenon that is addressed within a broad context. This study focuses on teacher experiences of bullying. The focus will examine the impacts horizontal and vertical bullying can have on teacher victims and bystanders within K-12th within California. The purpose of this study is to give administrators awareness of these issues from the victim and bystanders’ lens. The study implemented a mixed methods design to give insight to teacher perceptions on the impacts it can have on their teacher efficacy, teacher retention, and their emotional well-being. By looking at how often PK-12th grade teachers experience workplace bullying, …

Resilience In Crisis: How Bipoc Educators Navigated The Challenges Associated With Covid-19, Racial Awakening, And The Move To Online Learning, Jannet Galicia Castrejon

Dissertations

An unprecedented number of BIPOC teachers exited the profession since June 2020 largely due to the challenges posted by the COVID-19 pandemic (Doan et al., 2024). This study aimed to investigate ways these educators coped with the heavy toll of the converging pandemic(s) by asking what, if anything, sustained them? Participants provided individual and group testimonios and shared snapshots of what it was like to teach and exist during this time via the photovoice methodology and reflected on the challenges and sources of support. BIPOC teachers described the following challenges: difficulty connecting with kids, first-hand and vicarious trauma, increased workload, …

Exploring Program Participant And Staff Perspectives On Correctional Education Programs, My Ngoc Nguyen

Dissertations

In this paper, I explored program participant and staff perspectives on correctional education programs. Prior research measured success of correctional education through recidivism, post-employment opportunities, and post-secondary education. However, few research examined the perspectives of staff, program participants, and alumni of such programs to understand factors that aid in important educational experiences within correctional education programs. In this study, I utilized a mixed-methods approach, where I collected close-ended and open-ended survey responses from 10 staff and 5 program participants on their ratings of program principles and characteristics as well as optional follow-up interviews to elaborate on their survey responses. The …

The Effect Of Cognitive Biases And Organizational Constructs On Enterprise Resource Planning Implementation Success In Small And Medium-Sized Enterprises: A Pls-Sem Approach, Michael Davidson

Dissertations

Enterprise Resource Planning (ERP) systems are crucial to enhancing organizational performance, efficiency, and strategic competitiveness in small to medium-sized enterprises (SMEs). ERP adoption in SMEs has been known to fail, with more than 75% of the implementations considered failures. These barriers are compounded by cognitive biases, such as temporal discounting (TD) and optimism bias (OB), which skew the strategic decision-making process. The framework suggested in this paper explains the relationships between top management support (TMS), information quality (IQ), system quality (SQ), user satisfaction (US), optimism bias (OB), and temporal discounting (TD) and their impact on ERP implementation success (EIS) and …

Development And Validation Of The Informal Safety Leadership Measure, Ashley L. Gill

Dissertations

This research develops and validates a measure of the emerging concept of informal safety leadership (ISL), which integrates elements of safety leadership and informal leadership to address a significant gap in organizational safety literature. Despite extensive research on formal safety leadership, there remains limited understanding of how non-managerial employees influence safety practices and culture within organizations. This dissertation develops and validates a comprehensive measure of informal safety leadership through a sequential mixed-methods approach incorporating a pilot study and two additional studies. First, a pilot study employed focus groups with health, safety, and environmental professionals to identify key dimensions of ISL. …

Screening For Bullying In A Middle School Setting, Paige Bernau

Dissertations

Problem: Bullied youth are two and a half times more likely to experience depression and three times more likely to experience anxiety and suicidal ideation than their peers (Li et al., 2024). Schools represent a key access point for mental health support and treatment for youth (Duong et al., 2020). Despite this, schools typically do not have formal bullying screening integrated into student support services.

Methods: This program evaluation used a descriptive, observational design to evaluate a bullying screening program in a suburban middle-school. This program used the California Bullying Victimization Scale (CBVS) to assess for bullying victimization (BV) followed …

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 …

Evaluation Of A Behavioral Response Team To Decrease Use Of Violent Restraint, Katherine Skrade

Dissertations

Abstract Introduction: The purpose of this Quality Improvement project was to evaluate the implementation of the Behavioral Assessment and Response Team (BART) and evaluate its effect on occurrence and duration of violent restraints on non-psychiatric floors in a pediatric hospital. This QI project also aimed to correlate the use of the Broset Violence Checklist (BVC) to the utilization of the BART as a means of predicting patient escalation, as well as to assess the effect of booster education on the BVC and BART on bedside staff confidence in utilization of these resources.

Methods: Data was collected across three time periods: …

Implementing A Standardized Protocol To Screen For Depression In A Gastroenterology Outpatient Clinic, Catherine M. Karle

Dissertations

Problem: There is a lack of mental health screenings for depression taking place in outpatient gastrointestinal (GI) clinics. Outpatient gastrointestinal (GI) offices are not consistently screening patients for depression despite a rise in depression rates and the known adverse impact depression can have on the GI tract.

Methods: This Quality Improvement (QI) study used a descriptive research design guided by the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model. Its purpose was to implement a 10-week PHQ-2/PHQ-8 depression screening protocol at a large midwestern health center's gastroenterology outpatient clinic. The study used purposive sampling, including all GI outpatients aged 18+ with …

Implementation Of Quantitative Blood Loss To Detect Postpartum Hemorrhage After Vaginal Birth, Raven S. Simpson

Dissertations

Problem: In the U.S., postpartum hemorrhage (PPH) is attributed to maternal morbidity and mortality, resulting in long-lasting effects of extended recoveries, surgical interventions, birth-related trauma, interruptions in mother-infant bonding, or death. Performing estimated blood loss (EBL) measurement methods postpartum is subjective and often associated with over- and underestimations of blood volume. The delay in recognition interferes with timely, efficient, and appropriate interventions, yielding a PPH (≥1000ml).

Methods: A quality improvement (QI) project was initiated with a descriptive, pre-implementation/post-implementation focus on a high-risk Labor and Delivery unit to explore the effects of Quantitative Blood Loss (QBL) measurements on the identification of …

Implementation Of A Human Papillomavirus Vaccination Toolkit Postpartum, Emily R. Leone

Dissertations

Problem: Human papillomavirus (HPV) is the most common sexually acquired infection in the world (DeCherney et al., 2018). Even a single dose of the HPV vaccine can provide up to 97% protection against HPV 16 and 18, which are the strains that cause 70% of all cervical cancers (Barnabas et al., 2022). Missouri ranks 35th in the country for HPV vaccination (Office of Disease Prevention and Health Promotion, 2020).

Methods: This quality improvement project implemented an HPV toolkit consisting of: 1) staff nurse education in the form of a written presentation 2) patient and provider education in the form of …

Motivational Interviewing For Weight Loss: A Review Of Evidence-Based Outcomes In Overweight And Obese Adults, Marian Dover

Dissertations

Obesity is a significant clinical problem affecting 41.9% of adults in the United States, with profound implications for individual health and healthcare economics. Standard weight loss interventions, often limited to pharmacological treatments and dietary guidance, frequently fail to achieve sustained adherence and meaningful longterm outcomes. This quality improvement (QI) project evaluated the integration of motivational interviewing (MI), a patient-centered counseling strategy, into routine clinical practice at Innovafusion, a medically supervised weight loss clinic in Aubrey, Texas. The aim was to enhance adherence to lifestyle modifications, promote intrinsic motivation, and improve weight loss outcomes among adults aged 18–65. Using a retrospective …

Screening For Depression And Anxiety In Women With Polycystic Ovarian Syndrome, Nicole M. Bondurant

Dissertations

Background: Polycystic Ovarian Syndrome (PCOS) is a multifaceted endocrine disorder that affects up to 20% of women of reproductive age and is associated with an increased prevalence of psychiatric conditions, particularly depression and anxiety. Despite international guidelines recommending routine screening for these mental health conditions in women with PCOS, consistent implementation in clinical practice remains limited.

Methods: This quality improvement (QI) pilot project aimed to address this gap by developing and implementing a standardized screening protocol for depression and anxiety within a suburban concierge OB-GYN clinic specializing in women’s reproductive and sexual health using validated tools—the Patient Health Questionnaire-8 (PHQ-8) …

Implementation Of Mindfulness-Based Interventions And Weekly Visits To Reduce Loneliness In Older Adults, Victoria E. Cobb

Dissertations

Implementation of Mindfulness-Based Interventions and Weekly Visits to Reduce Loneliness in Older Adults

Abstract:

Problem: Social isolation and loneliness have emerged as a significant public health issue for the older adult population. Loneliness has been linked to both physical and mental health effects. According to current literature, there is no standard intervention to treat loneliness in the older adult population.

Methods: This quality improvement (QI) project utilized a descriptive cohort design and the Visit-A-Bit screening assessment instrument. Undergraduate nursing students implemented mindfulness interventions during weekly visits over an eight-week period at an independent living facility located in the Midwest. Descriptive …

Implementing Behavioral Management And Social Skills Training For Pediatric Patients With Adhd And Their Caregivers, Meagan A. Conwell

Dissertations

Problem: Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder that affects 11.4% of children in the United States. Patients diagnosed with ADHD struggle with focus, hyperactivity, and impulsivity, resulting in executive and emotional dysfunction, poor social skills and quality of relationships, and poor school performance.

The American Academy of Pediatrics guidelines recommend that school-age children diagnosed with ADHD should receive both medication management and behavioral management training (BMT) for the best treatment outcomes. Research over the last decade has found that combining social skills training (SST) with BMT results in even better outcomes for these patients. Less than half of pediatric …

Race-Neutral Pft: Implementing Patient Activation Measure Following Race- Neutral Pulmonary Function Testing, Ann M. Way

Dissertations

Abstract

Background

The introduction of a race-neutral equation to predict normal values on pulmonary function testing (PFT) has led to changes in the diagnosis of pulmonary diseases previously diagnosed using a race specific equation. Minority patients appear to be most likely impacted by this change, potentially impacting how they self-manage their pulmonary health. Patient self-management can be measured and assessed by using the Patient Activation Measure (PAM) tool.

Purpose

The purpose of this project is to assess patient activation levels amongst minority patients with a new or changed pulmonary diagnosis to identify a possible need for interventions to improve patient …

Improving Hpv Vaccination Decision-Making For Adolescents And Their Caregiver, Mary E. Hohman

Dissertations

Abstract

Problem: Human papillomavirus (HPV) is a viral infection associated with the development of certain cancers and is the most common sexually transmitted infection in the United States (U.S.) (Centers for Disease Control and Prevention [CDC], 2023). The CDC (2021) asserts that more than 90% of cancers caused by HPV infections could be prevented through the HPV vaccination. The CDC recommends the HPV vaccine series for children ages 11 or 12 years; however, this organization further submits that the HPV series could be initiated as early as 9 years of age through 26 years of age (CDC, 2024). Despite CDC …

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 …

A Program Evaluation: Insomnia In Adults With Major Depression Disorder With Cognitive Behavioral Therapy For Insomnia (Cbt-I), Taylor E. Wilson

Dissertations

Abstract

Problem: In 2023, Compass Health Network (CHN) data analysts found that 91% of CHN patients in the United States who have died by suicide reported problems with sleep, which was the highest risk factor for suicide. The objective of this program evaluation project is to evaluate CHN CBT-I effectiveness on patients ‘suicidality by improving their insomnia.

Methods: CHN quality improvement (QI) project used a quantitative method pre/post score design. Quantitative aggregate data was collected on the participants who met the inclusion criteria via retrospective and prospective chart review prior to CHN implementing the intervention. CBT-I clinicians collected PHQ-9, Columbia-Suicide …

Evaluation And Expansion Of Posttraumatic Avoidance Assessment: Proposal Of A Novel Measure Of Posttraumatic Positive And Negative Experiential Avoidance For Use In Research And Clinical Practice, Marissa A. Yetter

Dissertations

Avoidance is a well-established mechanism in the development and maintenance of posttraumatic stress disorder (PTSD) and a central treatment target in gold standard evidence-based interventions. While traditionally defined as avoidance of trauma-related distressing thoughts, emotions, and reminders, emerging research highlights the need for a broader conceptualization of posttraumatic avoidance that includes both negative and positive emotional experiences. The current study aimed to explore an expanded conceptualization of clinically relevant posttraumatic avoidance using an experiential avoidance framework, a more generally defined unwillingness to remain in contact with distressing thoughts, feelings, memories, and other internal experiences. A sample of non-treatment seeking U.S.-based …

Screen Foundations: How Pediatric Nurse Practitioners Can Implement ‘Family Media Use Plans’ In Primary Care To Reduce Pediatric Behavior Concerns, Katie Anderson

Dissertations

Abstract for:

Screen Foundations: How Pediatric Nurse Practitioners Can Implement ‘Family Media Use Plans’ in Primary Care to Reduce Pediatric Behavior Concerns

Problem: Parents of children 2-5 years-old increasingly reach out to PCPs for escalating behavior concerns, including when the child doesn’t listen well, is inattentive, having tantrums, meltdowns, hitting, yelling, etc. Referrals to psychiatry and/or play therapy result in long waits, or referrals not accepted. Coincidingly, toddler and preschool aged children continue to exceed daily screen time recommendations. This results in a gap of care for families with young children and externalizing behavior.

Methods: This quality improvement project addressed …

Post-9/11 Navy Service Members’ Barriers To Using Military Educational Benefits, Karen D. Cross

Dissertations

There are studies explaining how many service members are using military educational benefits or the challenges service members incur after they have enrolled in school and are attending classes. There are also studies that report how many service members use military educational benefits. However, studies exploring why some service members, or some Post-9/11 service members in particular, do not use military educational benefits has been limited. The purpose of this study was to discover why many service members in the United States Navy do not or did not take advantage of military educational benefits. This study also sought to find …