Digital Commons Network^™

Implementation Of Skin-To-Skin Contact Immediately Post Cesarean Birth: A Quality Improvement Project, Sophia Cooke

Dissertations

Problem: Skin-to-skin contact implemented within the first hour of a newborn’s life improves health outcomes for both mother and infant. One of these health outcomes includes exclusive breastfeeding. The purpose of this quality improve project was to implement an infant securement device within the operating room after cesarean section births to decrease the time to initiate skin-to-skin contact and increase exclusive breastmilk feeding rates at discharge.

Methods: This study utilized a descriptive, observational design and was guided by the Plan-Do-Study-Act framework. A pre-test, post-test design was utilized to compared retrospective and prospective data. The retrospective data was collected to assess …

Evaluation Of The Grief Of Mothers Affected By Perinatal And Traumatic Loss, Landry Crabtree

Dissertations

Problem: The experience of a perinatal loss can be traumatic for mothers, and complicated grief reactions are common for those who have experienced a perinatal loss. An increase in perinatal loss resources is needed in the United States. The purpose of this program evaluation was to assess outcomes of a pilot perinatal loss support program on the grief of women who have experienced a perinatal loss.

Methods: This project was an evaluation of a perinatal loss support program that employed evidence-based strategies in both individual and group therapy sessions. A retrospective design was used, and data on perinatal …

Implementation Of Postnatal Depression Screening: A Pilot Study, Mollie Gulino

Dissertations

Abstract

Background: Postpartum depression (PPD) is a prevalent problem among women during their childbearing years, affecting approximately 1 in 7 women. Alarmingly, about 50% of PPD cases go undiagnosed and untreated, contributing to poor maternal outcomes, including suicide, which is a leading cause of maternal mortality in the United States.

Issue: Despite its prevalence and severe consequences, PPD often goes unrecognized due to inconsistent screening practices. Current guidelines vary by organization and lack consistent, evidence-based criteria.

Objective: This pilot program aimed to implement universal PPD screening with a validated tool at the six-week postpartum follow-up visit. The goal was to …

Implementation Of The Edinburgh Postpartum Depression Screening Tool For Postpartum Depression In A Midwest Primary Care Clinic, Makenzie Garrison

Dissertations

Problem: Postpartum depression is a prevalent health concern in postpartum women. Screening practices to identify postpartum depression are inconsistent. The purpose of this quality initiative is to determine if the implementation of the Edinburgh Postpartum Depression Screening Tool (EPDS) to screen for postpartum depression in the primary care setting increases the detection of postpartum depression in postpartum women from delivery to one year postpartum.

Methods: This quality improvement project utilizes a descriptive, observational design. A retrospective medical record review was utilized as well as a 12-week data collection period. Retrospective medical record reviews were conducted to assess the rate of …

Symptom Burden, Identity Balance, And Emotional Distress In Cancer Survivors, Lynne Bentley

Dissertations

Emotional distress suffuses the experience of cancer survivors and is associated with adverse outcomes. Emotional distress is a response to a circumstance, which threatens the stability of identity. Of the antecedents to emotional distress in cancer patients, symptom burden accounts for the greatest amount of variance. Qualitative studies in populations of cancer survivors have shown that identity affects the experience of emotional distress related to symptom burden. The purpose of this dissertation research was to measure the relationships among symptom burden, identity balance, and emotional distress by testing whether identity balance mediates the relationship between symptom burden and emotional distress …

Unveiling The Path To Lgbtq+ Inclusive And Culturally Competent Healthcare: A Multi-Dimensional Examination Of Trainings, Policies, And Perspectives, Hyunmin Yu

Dissertations

LGBTQ+ individuals encounter enduring discrimination and adverse healthcare encounters within the healthcare system, with profound implications for their health and wellbeing. Policymakers have advocated for the adoption of LGBTQ+ inclusive and culturally competent healthcare, including training for health professionals, to promote health equity among LGBTQ+ populations. However, implementation of these policies within healthcare systems varies, posing structural and individual-level barriers. In this dissertation, I employ an ecological model of LGBTQ+ health disparities and a conceptual model of determinants of health disparities in vulnerable populations within the healthcare system to examine the impact of structural inequities on the implementation of LGBTQ+ …

A Quantitative Content Analysis On Juvenile Crime Rates In Comparison To Student Outcome Data In A Saint Louis Metropolitan High School Setting, Arron Nakia Whitt Sr.

Dissertations

Mental health is one of the most polarizing topics of the 21st Century. Mental health affects those from all economic statuses, races, age ranges, and genders. Since mental health can affect the youth population, the researcher investigated two Saint Louis metropolitan school districts that were listed in provisional accreditation status with the Department of Elementary and Secondary Education (MoDESE).

The purpose of this research was to identify relationships between the graduation rates, dropout rates, and enrollment rates of high school students and compare these data to the crime statistics obtained from the Saint Louis metropolitan juvenile courts. The researcher gathered …

Exploring Student Veterans Barriers, Alexandra Brandriff

Dissertations

The student veteran population in higher education is a unique group of individuals with different skills and life experiences not typically found among traditional students. Through a comprehensive analysis of quantitative and qualitative data, this study explores the complex challenges that student veterans face in higher education. It aims to explore the challenges, barriers, and support programs experienced by student veterans throughout their higher education journey, as well as compare the graduation and retention rates of student veterans and traditional students.

The researcher first gathered and analyzed qualitative data from student veterans’ responses to a survey utilized to gain their …

What Are The Odds? Integrated Stem And Student Conceptual Understanding Of Genetics Dihybrid Inheritance, Jessica Cooper

Dissertations

Integrated Science Technology Engineering Math (STEM) education allows students to build conceptual understanding by connecting material to other content areas and real-world contexts. Strong conceptual understanding allows students to move beyond factual recall and instead synthesize and transfer their knowledge to new applications. In high school biology, students need to develop a strong conceptual understanding of genetic inheritance in the context of dihybrid inheritance. This qualitative case study was designed to understand the influence of an integrated STEM approach on student conceptual understanding of genetic dihybrid inheritance. The situated STEM learning and conceptual change theoretical frameworks guided the research design …

Satellite Campus Enrollment: A Qualitative Investigation Of Enrollment Preferences Of The Post-Traditional Student, Alexis K. Wood

Dissertations

For many, the “American Dream” involves earning a college degree. This degree promises a brighter professional and personal future and an improved overall quality of life. The steps taken to achieve this dream are graduating from high school, heading straight to college, graduating with that bachelor’s degree, and moving forward in the “perfect” career. While this step-by-step process seems natural to most, the reality is that in the fall of 2022, 69.2 percent of high school graduates entered the workforce, opting to pursue that degree much later in life ("College Enrollment," 2023). Researchers refer to this type of student as …

Inpatient Staff Perspective On Verbal De-Escalation Within A High Acuity Population, Giovanna Dezutti

Dissertations

This study explored inpatient staff’s perspective of verbal de-escalation within a high acuity population as well as the factors that make either a positive or negative impact on the effectiveness of verbal de-escalation as used in high acuity impatient settings. This phenomenological study used semi-structured interviews of 5 participants working in this setting. Participants were recruited through snowball sampling, and interviews were conducted via zoom. This study found that participants unanimously agreed that the training they received regarding verbal de-escalation was not sufficient and that employment of certain personality traits and behaviors were more effective than using only the methods …

A Qualitative Study Exploring The Management & Implications Of Power Differentials Experienced By Pre-Licensed Supervisees In Clinical Supervision Settings, Joyti Jariwala

Dissertations

The focus in this qualitative study was to explore how power differentials in supervision create positive and negative experiences between licensed psychologists and pre-licensed doctoral students. The study results provide insight into how supervisees navigate these dynamics during supervision, which typically involves experiential learning environments in which trainees discuss progress, receive feedback, and enhance their skills. The theoretical framework grounding the study was social learning theory, which is based on the idea that individuals learn from modeling, observation, and imitation in a social context (Bandura, 1986). Reflexive thematic analysis was used to recognize similarities in findings gathered via two sets …

Shattering The Mask: Unveiling The Destructive Force Of Misogynoir, Ledominique Hubbard

Dissertations

As a Black woman, my professional journey has been consistently marred by encounters with racism and gender bias. In this research, I employed autoethnography to shed light on my experiences and meticulously examine the challenges of misogynoir I faced while holding pivotal positions, including that of a detested team leader, an ingenious instructional teacher, and an anti-racist assistant principal across three distinct school campuses in two states. My narrative unfolds in various contexts, notably as the sole Black female teacher and team leader within nine elementary schools in a predominantly white, female-staffed rural district. Furthermore, I underscore my role as …

Nursing Student Perceptions Of Presence In A Virtual Learning Environment: A Qualitative Description Study, Jason R. Thrift

Dissertations

Multifaceted approaches to learning are used for educating student nurses. One common teaching modality in nursing education, simulation, provides hands-on experiences in a safe environment to prepare student nurses for professional roles. High quality simulation standards recommend an engaging immersive experience, with physical, emotional, and conceptual fidelity to clinical practice. Presence is the perception of being there in a simulation as if it were real. Studies have reported improved learning outcomes with increased sense of presence. A simulation modality seldom used in nursing education is virtual reality simulation (VRSim) a three dimensional, immersive experience. VR-Sim with head mounted visual and …

National Identity Constructions In United States Foreign Policy Approaches To International Conflict, Frederick W. Tillman Ii

Dissertations

This study observes the role of national identity as a tool of the presidents of the United States in framing foreign policy approaches. Examining application for such phenomena reveals the puzzle of how strategic vs subjective decision-makers are when articulating policy addressing international conflicts. The interplay between the two aspects brings together the multiple traditions of national identity and the Wittkopf-Holsti-Rosenau approach model. Occurring over a longitudinal design, this study cuts across four administrations as they address events during the War in Afghanistan and the conflict regarding Taiwan. By coding and analyzing the statements from Presidents George W. Bush, Barack …

Factors Influencing Outcomes Of Undergraduate Nursing Student's Education, Patricia Jenkins Barnard

Dissertations

In 2021, approximately 509,000 undergraduate nursing students graduated from baccalaureate nursing educational programs. These new registered nurses (RNs) faced the same adversities as prior generations, including feeling unprepared to practice nursing, personal expectations did not match the reality of the situation, and working in an unwelcoming environment exacerbated by COVID-19 changes. During the time of COVID-19 changes in classroom delivery and settings brought these issues to the forefront (Dewart, 2020; IOM, 2010; NLN, 2015). There is a lack of information about nursing education modalities and their efficacy. Preliminary review documented that there was no clear evidence of which teaching modalities …

The Perception Of The Implementation Of Culturally Relevant Pedagogy To Support Black Male Students In Mathematics – A Case Study, Chiquita Granville

Dissertations

Culturally Relevant Pedagogy is a method of education that promotes an inclusive and empowered learning environment by acknowledging and valuing students varied cultural origins. CRP is especially important for tackling the ongoing achievement discrepancies encountered by high school Black Male students in the context of mathematics instruction. This abstract emphasizes the value of culturally sensitive instruction in enhancing black male students' mathematics learning results and experiences.

This research will examine the difficulties faced by Black male students in Mathematics classes, including prejudice, a lack of cultural representation in the curriculum, and a lack of relevance between the subject matter and …

Development And Preliminary Validation Of The Internalized Heterosexist Racism Measure For Sexual Minorities Of Color, Juan Pantoja-Patino

Dissertations

Research on intersectional internalized oppression among sexual minorities of color is scant. One of the reasons as to why such oppression is understudied amongst such population is the lack of psychological measures. At the same time, sexual minorities of color are faced with the negative impact of living in a racist and heterosexist society. Therefore, this study is one of first to develop and preliminarily validate the Internalized Heterosexist Racism Measure (IHRM) that evaluates internalized heterosexist racism in sexual minorities of color. By applying an intersectionality framework, the IHRM was generated from an extensive literature review and then reviewed by …

The Undocu-Competence Of College And University Websites: A Lonestar State Analysis, Karina Castro-Pavon

Dissertations

The purpose of this study was to analyze the websites of Texas public four-year, private four-year, and two-year institutions of higher education (IHEs) to determine the extent to which website content corresponds with the recommendations of undocumented scholars and supporters. The study aimed to investigate whether the website content differs based on various institutional-level characteristics and to identify any relationships between contextual-level factors that may affect the information presented on websites. The study answered the following research questions: (1) To what extent does the information presented on Texas IHEs' institutional websites align with the Institutional Undocu-Competence (IUC) framework? (2) Does …

Exploring The Relationship Between Partner Boundary Flexibility Congruence And Well-Being Outcomes While Work From Home During Covid: The Mediation Of Dyadic Empathy, Huaying Li

Dissertations

This study integrates person-environment fit theory and boundary theory to examine the influence of congruence in work and family boundary management on the well-being of couples working from home during the COVID-19 pandemic. Focusing on the differences in work and family boundary management preferences between spouses, the study assesses the effects on dyadic empathy (empathic concern and perspective-taking), marital satisfaction, and job performance. Utilizing latent congruence modeling with survey data from 222 US employees, the study reveals that congruence (difference) in family flexibility between couples negatively impacts empathic concerns and perspective-taking. Conversely, actual transitions between work and family positively influence …

Factors Impacting The Empirical Identification Of The Bifactor Irt Model Of Rating Data, Wenya Chen

Dissertations

Response data corresponding to educational and psychological instruments may represent different dimensional structures to account for different patterns of the dependencies in the data. One of the dimensional structures that has been increasingly discussed in the literature is the bifactor structure. This structure can effectively separate different sources that influence the responses, which contributes to score validity and provides theoretical insights about the measured trait. Unfortunately, estimating this structure in practice comes with challenges. One such challenge is an empirical identification issue that is seldom discussed in the literature. This issue occurs when an item’s discriminations on the general and …

Savoring And Bereavement; Exploring Whether Savoring Can Be Used As An Interventional Tool For Grieving Older Adults, Ajla Basic

Dissertations

Relational savoring is the idea that savoring can be achieved through focusing on a critical relationship with another person and then extracting the positivity from that relationship (Borelli, et al., 2020). Relational savoring differs from regular savoring because in the former, it is the savoring of memories within a relationship that has attachment, and where the memories themselves have attachment-based content (i.e., protection, support, love) (Borelli, et al., 2020). This proposed study would seek to answer the question of whether relational savoring can act as a protective barrier against psychological distresses a bereaved person may experience by priming and enhancing …

Diagnosing Silent Forgiveness At The Dialogical Limit In Endō Shūsaku’S Novel Silence, Catherine Buescher

Dissertations

I situate this dissertation within the context of the rightly noted deficiencies of dialogue and dialogical hermeneutics, deficiencies that prevent dialogue from effectively addressing the pathological nature of many of today's social issues, e.g., white supremacy, sexual and gender inequality, and climate change. Using the lens and limits of Western dialogical hermeneutics as noted by David Tracy, I conduct a case study of the dialogues of the main characters - Rodrigues, Ferreira, Kichijiro, God—in Endō Shūsaku’s novel Silence, noting the silence active in each of the dialogues at the end of the novel. I then argue that the nature and …

The Impact Of Risk And Trust On Confrontations Of Sexism: The Role Of Goals, Emily H. Budde

Dissertations

Sexism is still persistent in the United States (Swim et al., 2001), especially in the workplace (Fitzgerald, 1993; Loy & Stewart, 1984), leading to many negative outcomes for women. Unfortunately, there is an assumption in America that targets of bias will confront the perpetrator in the moment. However, this is often not the case leading to a disconnect in society at the cost of the target (Gutek & O’Connor, 1995). Looking at targets’ decision-making process and the factors that influence it can provide more context for why targets respond the way they do. I tested whether behaviors following bias (i.e., …

Implementation Of Tai Chi Fall Prevention Program In A Community-Based Setting, Shabnampreet Kaur

Dissertations

The increasing rate of falls among older adults is a health concern that may lead to injuries and reduced quality of life. At the project site there was no systematic process to impact fall rates, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if the translation of Li et al.'s research regarding the Tai Chi fall prevention program would impact the rate of falls among adults 65 years and older. The project was piloted over 12 weeks in a community-based setting in urban New York. Imogene King's goal attainment theory and Kurt …

Reconceiving Virtue: A Mengzian Adaptation Of Eudaimonic Virtue Ethics In Response To Contemporary Criticisms, Gina Elizabeth Lebkuecher

Dissertations

The primary question my dissertation aims to answer is: how might eudaimonic virtue ethics be reimagined to respond to contemporary criticisms from disability scholars, feminists, and empirical psychology? To answer this, I introduce the Eudaimonic View of Virtue, or EV, and propose a Mengzian adaptation of the EV (EV-M) in response to these criticisms. The EV captures the four core claims to which eudaimonic virtue ethical theories are committed: (i) virtues, in the sense of excellent character traits or dispositions, are the foundation of ethics or ethical action (i.e., aretaicism); (ii) virtue is at least partially constitutive of human well-being/flourishing …

The Role Of Affect In Regulating The Influence Of Belief Superiority On Open-Minded Cognition And Information Selection Bias, Whinda Yustisia

Dissertations

Previous studies show that people high in belief superiority tend to hold higher attitude confidence and certainty, increasing information selection bias. However, it remained unclear why and when such an effect occurred. Two studies were conducted to address these questions. Study 1 aimed to examine the effect of belief superiority on information selection bias and its potential mediator: situation-specific open-minded cognition (SOMC). In line with the logic of earned dogmatism hypothesis, I posit that belief superiority induces a sense of entitlement to be close-minded, consequently leading to information selection bias. In study 2, I examined the role of affect (happy/sad) …

Christotechtonics: Dildonic Prostheticity In Theological Formulation, Evan Taylor Marsolek

Dissertations

This dissertation asserts the following claim: Christ is a dildo. This project brings Paul B. Preciado into conversations with contemporary philosophies of religion and interrogates a hegemonic Christian theological political matrix. This project articulates a hermeneutic of christotechtonics, which studies appearance, formation, and utilization of Christ. This project is twofold. It begins with a transdisciplinary exploration that entangles queer and trans theories, religious studies, secular studies, and philosophy of religion to position reading queer and trans theories as forms of counter political theologies. The work then transitions into dildonic prostheticity in theological formulation. The 2019 Vatican document “Male and Female …

Understanding Political Rigidity: Exploring The Epistemic Underpinnings Of Political Ideology, Chad Mitchel Osteen

Dissertations

The ideology as motivated social cognition model conceptualizes conservatism in terms of two unique constructs: political conservatism and psychological conservatism. The former pertains to a predisposition to specific ideological beliefs (e.g., resistance to change), while the latter pertains to the psychological traits that are associated with particular ideologies (e.g., negativity bias). Experimental research demonstrates the mechanistic relationship of epistemic motivations and emergent political behavior. Much of the evidence lies in explicitly ideological outcomes. The current proposal seeks to test the fundamental assumption in this body of work. This is the assumption that increased epistemic motivation should lead to a preference …

Factors Influencing Purpose In Life In Middle-Aged And Older Adults, Kelly Bergstrom

Dissertations

Purpose in life is an important dimension of psychological well-being with associated health benefits. The current study used a path analysis model to examine how perceived cognitive control, health locus of control- self, engagement in physical activity, and engagement in challenging cognitive activities relate to purpose in life longitudinally. Multimorbidity status was also examined as a potential moderator of paths in the model. Participants were middle-aged and older adults who participated in the Midlife in the United States (MIDUS) longitudinal national study (n = 2,481). After controlling for relevant covariates, engagement in physical activity, engagement in challenging cognitive activities, …