Digital Commons Network^™

Exploring The Incumbent Early Childhood Workforce As Teachers Who Student And Students Who Teach: A Phenomenological Study, Kate Maxine Connor

Dissertations

The professionalization efforts within the early childhood workforce continue to push for current workforce members to return to college to earn associate or baccalaureate degrees. Leaders of these efforts have called for higher education institutions to be flexible and supportive. At the same time, there is little research on the experiences of teachers returning to college, particularly those attending community colleges where most early childhood higher education programs exist. This hermeneutic phenomenological study explored the lived experiences of early childhood teachers returning to school to earn their Associate of Applied Science degree in Early Childhood while working in classroom settings. …

Racialization’S Influence On African American Male University Attrition: Is It Culture Shock Or Is There More To The Story, Joseph M. Butler

Dissertations

This dissertation investigates the influence of racialization on the attrition rates of African American male students in predominantly white institutions (PWIs). The study examines whether these students experience cultural shock or face more profound systemic challenges. The research explores how African American men navigate and perceive their college environments by employing Critical Race Theory and DuBois' double consciousness. The research utilizes a mixed-methods approach, combining qualitative interviews, demographic surveys, and document analysis to view these students' experiences comprehensively. The study focuses on four religiously affiliated universities, highlighting the intersection of race, identity, and institutional culture and revealing patterns of isolation, …

Navigating Culture And Family In Post-Secondary Education As Nigerian American College Students, Funmilayo Ojikutu

Dissertations

The purpose of this dissertation is to examine how Nigerian Americans and their families understand academic success, identity, and family influence. This research study aims to understand these three areas by examining the experiences of five Nigerian American undergraduate students and their respective families. The data for this study was collected through individual interviews, focus groups, and an artifact analysis. Through using the Multidimensional Model of Racial Identity framework, findings demonstrated the importance of balancing identities, community, legacy, and shifts in generational mindsets. The findings in this dissertation offer larger discussions related to differences within the Nigerian community, the impact …

Assessing The Role Of Psychological Self-Sufficiency And Organizational Factors In Achieving Economic Self-Sufficiency Among Low-Income Populations, Alanna Jeeyoung Shin

Dissertations

Low-income populations in the United States face complex challenges amid persistent high levels of poverty, income inequality, and child poverty (OECD, 2023; OECD, 2024; Smeeding & Thévenot, 2016; U.S. Bureau of Labor Statistics, 2023b). Influenced by neoclassical economic theory and human capital theory, work-first initiatives like Temporary Assistance for Needy Families (TANF) focus on fostering individual change by enhancing employable skills (Kim, 2010). These programs predominantly emphasize personal responsibility as a strategy for reducing poverty. However, multilayered barriers remain that hinder the achievement of economic self-sufficiency (Hong et al., 2014). To challenge the prevailing approach focusing on the individual level, …

Clinical Social Workers, Telemental Health And The Covid-19 Pandemic, Juli Chaffee

Dissertations

As a result of the COVID-19 Pandemic, and due to the shelter in place order that most states required, licensed clinical social workers (CSW’s) were forced to switch from in person services to telemental health services almost overnight. Many did so without previous training, adequate technology, a confidential office, or professional support. While there is a growing body of research regarding the increased use of telemental health in the mental health field during COVID-19, there is minimal research which narrows in what it was like for the CSW’s who made this transition. The purpose of this study was to better …

Middle Class African Americans Diagnosed With Type 2 Diabetes Mellitus Self-Care Practices Related To Their Spirituality, Self-Efficacy, And Health Literacy, Jacqueline G. Moody

Dissertations

Diabetes mellitus continues to be one of the most commonly diagnosed medical conditions in the United States. More than 25 million children and adults are living with type 1 or type 2 DM (ADA, 2012). Even though 18 million patients have been diagnosed with diabetes, an additional 7 million are unaware they have the disease. An important factor in health outcomes for diabetes is self-care that includes proper glucose levels control. Self-care for diabetes mellitus is important to decrease an individual's risk factors. Self-care consists of the practice of activities that maturing and mature persons initiate and perform, within time …

Hospital-Associated Functional Status Decline In Pulmonary Patients, Amy C. Shay

Dissertations

Chronic obstructive pulmonary disease (COPD) is a significant worldwide cause of chronic illness and mortality and one of the most common admitting diagnoses in the United States. Persons with COPD are at increased risk for deconditioning during hospitalization, which can lead to decreased functional status at discharge. Disease-related factors and elements of the hospital environment make older adults with COPD vulnerable to hospital-associated functional status decline. The purpose of this dissertation was to identify activity factors that contribute to hospital-associated functional status decline in older adults with COPD by promoting functioning during hospitalization. This predictive correlational study is a secondary …

Addressing Gatekeeping Challenges In Counselor Education: A Grounded Theory, Vanessa Pauline Gill

Dissertations

This constructivist grounded theory study explored how counselor educators navigate remediation and gatekeeping challenges in CACREP-accredited programs. Fifteen counselor educators with at least one challenging gatekeeping experience participated in semi-structured interviews conducted via Zoom. All interviews were recorded and transcripts were completed. Data was analyzed using grounded theory methodology and analysis efforts were organized using the MAXQDA 2024 software. Data analysis involving constant comparison methods and memo-writing generated an emerging theory describing counselor educators’ journey from uncertainty to increased confidence in addressing remediation issues. The theory illuminates how experiential learning, reflective practice, and supportive professional relationships inform this developmental process. …

Reclaiming Healing Spaces: A Phenomenological Study On The Transformative Power Of Outdoor Therapy From The Lived Experiences Of Black Clinicians Working With Black Clients, Lynn Murphy

Dissertations

This phenomenological study involved assessing the experiences of Black therapists who engaged Black clients in outdoor therapeutic contexts. The study was founded on the existing literature that shows the quality of the therapeutic relationship is pivotal for client retention and the Western standards that have historically favored treatment within indoor environments. To contextualize this research, a comprehensive literature review was commenced, covering topics such as the decolonization of therapy, the historical and present-day relationship between Blacks and the outdoors in the United States, sedentary lifestyles, the psychological benefits of time spent in nature, various types of outdoor therapy, and the …

Infertility’S Impact On Couples’ Functioning, Elizabeth Sanders

Dissertations

Historically, infertility has been a taboo topic of discussion and is often avoided in conversation because of the stigmatization of the diagnosis. According to the World Health Organization (2022), infertility affects 186 million individuals globally. However, there seems to be a gap in the research as it pertains to the psychological well-being and treatment of men and women diagnosed with this condition. While it has become less of a feared topic, it still is not discussed or researched enough, thus further exacerbating the gap in research on mental health and treatment options. The following dissertation completed a critical review of …

A Multifactorial Study Of Factors Influencing Self-Health Behaviors In Dementia, Elizabeth Malkin

Dissertations

The global increase in dementia cases presents a significant public health challenge, particularly given the absence of a cure and the rising healthcare burden on individuals and society. This study aims to examine the influence of knowledge, beliefs, and motivation on self-health behaviors to mitigate the risk of dementia among individuals residing in the United States. With the use of an online survey, the study utilized the U.S. normed MCLHB-DRR scale and supplemental questions about knowledge of risk factors and degree of closeness to family members with dementia to determine whether (1) more closely related relatives (first-degree relatives) and those …

Differences Are Not Deficits: Women Introverting While Black Through The Ascent To Executive Leadership In Higher Education, Jeri A. Bingham

Dissertations

Diversity of personality type in the workplace can lead to improved morale and productivity when organizations acknowledge and support the attributes and differences of employee behaviors and characteristics. Black women executives identifying as introverted who lead with their authentic personas and intersected marginalized identities, benefit employers, employees, students, and the institution’s brand and bottom line. Introversion and extroversion, ways to describe diversity of personality type, and each having different connotations in office culture, are relevant to this exploration as literature suggests that the population of both personality types is almost evenly distributed. The implications of judgement and the association to …

Investigating The Neurovascular Correlates Of Cognitive Function In Individuals With Spinal Cord Injury Using Functional Near-Infrared Spectroscopy, Donna Yali Chen

Dissertations

Individuals with spinal cord injury (SCI) have a 13 times greater risk of cognitive impairment than able-bodied individuals and commonly report symptoms of depression and anxiety. The reports of cognitive impairment in individuals with SCI are independent of concomitant brain injury. Although the direct cause of cognitive impairment in individuals with SCI is unknown, key contributors may include comorbid depression, chronic pain, anxiety, fatigue, brain injury, or cardiovascular dysfunction. Previous studies have focused on SCI at the level of the spinal cord but have under-investigated the supraspinal levels. Due to the lack of neuroimaging studies on SCI rehabilitation, it is …

Data Driven Decision Making For Sustainable Planning And Operations Of Large Scale Networks, Bahareh Kargar

Dissertations

This dissertation explores data-driven decision-making networks, focusing on sustainable planning and operations for large-scale systems such as healthcare supply chains and power systems. One significant application in healthcare is the optimization of vaccine supply chains. An agent-based simulation-optimization modeling framework is developed to enhance the efficiency and sustainability of vaccine distribution. First, an agent-based epidemiological model of COVID-19 is extended to capture disease transmission dynamics and forecast the number of susceptible individuals and infections. Then, a sustainable vaccine supply chain considering the impacts of greenhouse gases is developed and integrated with the simulation model to minimize total costs and environmental …

A Methodological Framework For Ontology Development, Enrichment, And Application In Natural Language Processing Tasks, Navya Martin Kollapally

Dissertations

Electronic Health Records (EHRs) have been widely used in healthcare to record demographics, vital signs, test results, immunizations, medical imaging reports, differential diagnoses, etc. It is now accepted that non-clinical (e.g., social) factors have a substantial influence on health outcomes. Hence, it is desirable to record these Social and Commercial Determinants of Health (SDoH & CDoH) in an EHR. The "non-text parts" of EHR notes (e.g., data tables) rely on coded terms from underlying ontologies or terminologies to facilitate semantic interoperability. Ontologies help define concepts, the relationships between them, and instances that can be utilized in research.

The first accomplishment …

Caregiver Support For Patients Diagnosed With Dementia, Michelle N. Kabakibi

Dissertations

Background: Current research indicates that caregivers of dementia patients often experience a great deal of stress related to caregiving. Most of these caregivers are informal caregivers without prior knowledge or training in dementia care. Previous studies indicate that informal caregivers often experience stress during this postdiagnosis period due to a lack of high-quality and available information, education, and support services tailored to meet the unique needs of families caring for a dementia patient. Currently published approaches to providing caregivers with information are largely centered on a one-size-fits-all approach.

Purpose: This descriptive qualitative study was conducted to examine the lived experience …

An Autoethnography Of A Social Justice-Minded Teacher In Corrections, Graciela Rubalcaba-Munoz

Dissertations

ABSTRACT The incarceration of women has increased 93% in the last fifty years. This impacts marginalized communities at disproportionate rates. Although the provision of education in corrections became federal law in 1952 as a means to rehabilitate inmates, women’s facilities currently do not receive equitable resources to support education, which puts additional pressure on the educational staff. The legal requirement for education includes county jails, the transitory facilities that house inmates while they await court or transfer to prison. The jail educational system is volatile, making it difficult to engage students when there are constant interruptions, unexpected incidents, lockdowns, and …

Optimistic Biases On E-Cigarette Cessation: Examining Competing Theoretical Models For Young Adults With And Without Chronic Health Conditions, Eleanor Steffens

Dissertations

The dramatic increase in youth nicotine initiation is an ongoing public health concern and heightens risk for morbidity and mortality, especially among young adults with chronic health conditions. Consequently, there is an urgent need for research exploring potential psychological mechanisms for continued e-cigarette use to aid in the development of targeted cessation interventions and combat the re-emerging nicotine epidemic. Utilizing the Population Assessment of Tobacco and Health (PATH) Study, the present study modeled the impact of optimistic biases for e-cigarette use on e-cigarette cessation interest among young adults with and without chronic health conditions (n=1,827). Results showed that, regardless of …

A Fundamental Cause Approach To Intimate Partner Violence In Marginalized Populations, Nicholas S. Metheny

Dissertations

Intimate Partner Violence (IPV) is a serious public health concern that transcends partnership types and societies, affecting approximately one-third of women worldwide. Men in same-sex relationships likely experience violence at similar rates. This dissertation takes a fundamental cause approach to social-ecological and minority stress theories, arguing that structural forces are the root causes of violence in two target populations: women residing in low- and middle-income countries (LMIC) and Indigenous men who have sex with men (MSM) in the United States. Consisting of eight chapters, four of which are empirical studies, this body of work creates new knowledge surrounding how social …

Exploratory Study Of Graduate Nursing Student Grit And Strategies Used By Their Faculty: A Mixed Methods Approach, Leanne T. Burke

Dissertations

Registered Nurse (RN) workforce projections continue to show a shortage of RNs, which will intensify as Baby Boomers age and large numbers of nurses reach retirement (AACN, 2017a). To meet workforce demands, increasing numbers of nurses prepared at the graduate level for advanced roles like nursing faculty, nurse researchers, and primary care providers are critical. With variable attrition rates in master's and doctoral programs, there is a need for research into the uniqueness of these populations. In particular, noncognitive predictors of success, such as grit, may be important. This explanatory sequential mixed methods study assessed grit levels (measured by Grit-S) …

It Can Be Lonely At The Top, But It Doesn’T Have To Be: Workplace Loneliness As Experienced By Senior Leaders And Potential Coping Strategies, Kristen Prince

Dissertations

Workplace loneliness is a topic of growing interest among scholars and practitioners, in part because of the known impacts of loneliness on individuals’ well-being and performance. Recent literature has suggested that senior leaders may be vulnerable to feelings of workplace loneliness but lacks a thorough depiction of how leaders experience and cope with the feelings. This qualitative study explores the lived experiences and perspectives of senior leaders through interviews with 26 leaders and seven close confidants who provide a nuanced understanding of how senior leaders experience workplace loneliness and offer insight on mitigating these feelings. The findings suggest that the …

A Daca Initiative: Transformative Organizational Change At The School Of Medicine, Cynthia Chaidez

Dissertations

The purpose of this revelatory case study is to explore how the DACA Initiative (DI) transformed the School of Medicine (SOM) beyond just changing student demographics. In this research, I specifically explored if, through the DI, SOM organizationally changed enough to be considered transformative change in its efforts to enhance the acceptance and support of DACA medical students. In addition, I looked at the evolution of the financial operations at SOM to support DACA medical students. The research questions that guided this study were: As a result of the DI, did the organizational changes implemented by SOM to accept and …

Resilience And Associated Factors In Pediatric Nurses, Benjamin M. White

Dissertations

The purpose of this dissertation was to explore pediatric nurse resilience and the contextual factors surrounding it, and propose a heuristic framework of pediatric nurse resilience. A convergent mixed-methods approach to secondary analysis was utilized and the resulting findings informed the heuristic framework.

Implementation Of Evidence-Based Hourly Rounding To Improve Fall Rates Of Adult Patients On A Medical-Surgical Nursing Unit, David W. Smith

Dissertations

Patient falls remain a safety concern for all healthcare organizations and despite current evidence-based processes available for implementation there was a gap at the project site in adopting one. Therefore, the purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of the Studer Group's Hourly Rounding tools would impact patient fall rates among adult patients in an urban medical-surgical unit in Florida over thirty-days. Orlando's deliberate nursing process theory was utilized as a theoretical framework for this project. A total of 304 patients were included in the project with the pre-intervention group of n=140 …

Project Poppseed: A Mixed-Methods Exploration Of Parents' Lived Experiences With Anencephaly, Shandeigh N. Berry

Dissertations

One in four women who experience perinatal loss develop intense grief. Adverse outcomes of intense grief include depression, anxiety, posttraumatic stress disorder, substance abuse, suicidal ideation, obesity, hypertension, and diabetes. Congenital anomalies such as anencephaly are the leading cause of perinatal mortality in the United States. The purpose of this study was to identify the impact of common experiential themes on perinatal grief intensity by exploring parents' lived experiences with a pregnancy complicated by anencephaly.

Perceived Factors Impacting Teachers’ Pedagogical Decision-Making Pertaining To The Use Of Pbl In The Classroom: A Dissertation, Amanda Slaughter

Dissertations

There is a consistent body of research evidence citing the potential of Problem-Based Learning (PBL) as a viable instructional tool to raise student engagement with challenging content (Saye & Brush, 2017; Strutchens and Martin, 2017; Wynn, 2015). According to the National Council for the Social Studies, “The primary purpose of social studies is to help young people develop the ability to make informed and reasoned decisions for the public good as citizens of a culturally diverse, democratic society in an interdependent world” (NCSS, accessed 2023, March 1, para. 2). Scholars like Engle (1960) called for instructional strategies that raised the …

An Interpreted Journey Of Professional Growth Among Female Baccalaureate Nursing Students: A Hermeneutic Study Of Mindfulness Practices, Lorraine Santangelo

Dissertations

Nursing literature reveals that stress is a leading factor contributing to nursing student attrition, new nurses leaving the profession, and the reduction of positive formation of professional identity during prelicensure education and transition into professional practice, which jeopardizes the growth and replacement needs of the future nursing workforce. Despite extensive quantitative research suggesting mindfulness practices decreases stress and anxiety among college students, nursing students, and nurses, a paucity of qualitative studies exist to inform on the meaning of this experience from the nursing student perspective. Nursing literature also suggests that stress management techniques, cultivating awareness of personal values, and a …

Impact Of Gamification On Engagement Of Prelicensure Nursing Students: Faculty Perceptions, Elizabeth A. Lucas

Dissertations

The United States is facing a current and worsening nursing workforce shortage which poses a threat to today's healthcare structure. Strategies to combat this shortage by increasing the number of qualified applicants admitted to nursing programs each year have been implemented. In addition to increasing the number of students admitted each year, work must be done to better support those nursing students to make it to graduation. A method that can help is through achieving student engagement which has been linked to improved critical thinking, learning, and grades. One teaching strategy that has the potential to increase student engagement is …

The Lived Experiences Of Clinical Staff Nurses Who Provide Care For Transgender Patients In Florida, Twanna L. Crockam

Dissertations

Historically, transgender patients have experienced challenging interactions with healthcare providers. As a result, many transgender patients refuse to seek medical attention for a broad spectrum of healthcare needs. Although the transgender population has gained attention, a lack of research exists of clinical staff nurses' lived experiences providing care for transgender patients.

The purpose of this qualitative hermeneutic phenomenological inquiry was to uncover and understand the experiences of clinical staff nurses when providing care for transgender patients in Florida. The research question was this: "What is the lived experience of clinical staff nurses who provide care for transgender patients in Florida?"

A Comparison Study Of Vocational Factors Influencing Academic Satisfaction For Marginalized And Majority Students, Sara Driver

Dissertations

Marginalized college students experience increased rates of discrimination resulting in poorer academic outcomes whereas majority students are often afforded more privilege and access to resources allowing them to be more successful (Bardhardt et al., 2017; Milkman et al., 2015; Hanson, 2021). Psychology of Working Theory (PWT; Duffy et al., 2016) posits that experiences of discrimination and marginalization can negatively impact the chances for one to be successful in the world of work. PWT argues that decent work is a desired outcome by marginalized individuals and research confirms that securing future decent work is important to marginalized college students (Ma et …