Digital Commons Network^™

Exploring The Dimensions Of Lesbian, Gay, And Bisexual Affirmative Clinical Supervision, Lindsey N. Dollar

Dissertations

Graduate programs have continued to improve over time regarding incorporating training on LGB issues into coursework and practicum experiences with less emphasis on supervision. Since supervision is a major training area where therapists learn about clients and themselves, it becomes an important area for also teaching supervisees how to work with minority populations. However, relatively absent from discussions of cultural influences in supervision is a focus on LGB concerns, and missing is the ‘how to’ within the supervisory relationship. This quantitative investigation sought to learn how clinical supervisors with knowledge of LGB issues and people implement LGB-affirmative supervision, and to …

Simulating Strongly Coupled Many-Body Systems With Quantum Algorithms, Manqoba Qedindaba Hlatshwayo

Dissertations

The complexity of the nuclear many-body problem is a severe obstacle to finding a general and accurate numerical approach needed to simulate medium-mass and heavy nuclei. Even with the advent of exascale classical computing, the impediment of exponential growth of the Hilbert space renders the problem intractable for most classical calculations. In the last few years, quantum algorithms have become an attractive alternative for practitioners because quantum computers are more efficient in simulating quantum physics than classical computers. While a fully fault-tolerant universal quantum computer will not be realized soon, this dissertation explores quantum algorithms for simulating nuclear physics suitable …

Risk And Resilience Factors For Black Individuals Who Face Racial Discrimination, Tabitha M. Mpamira

Dissertations

African Americans report extensive experiences of discrimination across a range of individual, institutional, cultural situations, and more than any other marginalized group (RWJF, 2017). The pervasiveness of discrimination keeps Black individuals at risk of severe physiological ills and heightened risk of psychopathology, including onset of depression and racial trauma symptoms (Williams & Mohammed, 2009). This study investigated risk and resilience factors for Black individuals who face racial discrimination in the United States of America by examining whether encounters of discrimination correlated with psychological distress (depression, anxiety) and racial trauma symptoms. Additionally, the study investigated factors (social support, psychological flexibility, and …

The Correlational And Predictive Ability Of Pre-Season Risk Screenings On Hip And Groin Problems In Competitive Male Ice Hockey Players, William Suits

Dissertations

Background

Symptoms and disability due to conditions affecting the hip and groin are common in competitive male ice hockey players and can lead to long-term adverse health consequences. It is common practice for injury risk screenings at the beginning of the competitive season (preseason) to identify those with hip and groin symptoms and disability and guide primary and secondary prevention strategies. Commonly cited risk factors include total hip rotation range of motion (ROM), hip adductor strength, and the ratio of hip adductor to abductor strength. However, there is conflicting research regarding the utility of these preseason risk screenings, and the …

Promoting Equal Interactions In Early Childhood Settings, Daphne Snyder

Dissertations

In the United States, Black, Indigenous, and People of Color (BIPOC) students are more likely to face disciplinary action (e.g., exclusion, suspension, and expulsion from the classroom) for engaging in the same challenging behaviors as their white peers (Badger et al., 2018; Little & Tolbert, 2018; Noguera, 2003). Due to the discrepancy in disciplinary practices, students are at risk of continued negative interactions with their teachers (Decker et al., 2007; Wymer et al., 2020). One way to improve teacher interactions toward BIPOC students is through equity-focused performance feedback regarding praise and reprimand rates (Knochel et al., 2022). The purpose of …

Evaluation Of A Brief Act Intervention For Reducing Depression And Anxiety Symptoms In Sexual And Gender Minority Adults, Allie Mann

Dissertations

Sexual and gender minority individuals (SGM) are at increased risk for psychological disorders compared to the general population. Despite this well-documented disparity in mental health outcomes, there is a stark lack of treatment studies examining SGM mental health. An accumulation of research has demonstrated that the source of this disparity is increased exposure of SGM individuals to stigma-related minority stress. It is necessary to examine psychological pathways that are impacted by stigma and the treatments that can reduce psychological distress in this population. Currently, we do not have the research evidence to answer the questions of if current evidence-based treatments …

Exploring Biotic And Abiotic Constraints On Competition For Signal Space Within Birdsong Communities, Joanna M. Sblendorio

Dissertations

With the acceleration of climate change and the conversion of natural ecosystems to human-dominated landscapes, there is concern for the persistence of biodiversity amid novel biotic and abiotic factors. An important outcome of shifting species distributions and environmental disturbance is the formation of novel assemblages. For animals that vocalize for mate attraction and resource defense, the introduction of new species into communities may alter availability of acoustic space for signaling and affect detection of signals by conspecifics. Thus, to minimize signal overlap, species should partition signal space and thereby inhabit well-defined acoustic niches. Yet mixed evidence exists regarding signal space …

A Rudimental Drumming Vocabulary Applied To The Folk Music Of Argentina, Justin Sherrod

Dissertations

This dissertation examines the methods and approaches used by Argentine percussionist Mr. Sebastian Hoyos to incorporate rudimental drumming into the composition Soy de Salta: Suite para percusión criolla y orquesta. The study demonstrates the steps taken to employ Argentinian folk music content through four folk styles: Baguala, Zamba, Chacarera, and Carnavalito. The bombo legüero, one of Argentina's most well-known and essential folk percussion instruments, plays a supportive and dominant role in Soy de Salta, introducing rudimental components into the music. This original research therefore addresses rudiments, variations of rudiments, and simple and complex writing styles for the snare drum …

Reducing Stress And Burnout In Hospice And Palliative Care Through Education, Marvet Wint

Dissertations

Burnout, a syndrome described as a state of mental and or physical exhaustion, impacts the workforce of hospice and palliative nurses where employees' behaviors and professional efficacy reflect poorly on their work. The prevalence of burnout among hospice nurses led to the development of this project. The Maslach Burnout Inventory (MBI) served as a reference guide for developing the content, which addressed whether a staff education program at this Southeastern United States facility, would affect a change in knowledge among hospice nurses reduce burnout. Knowles's theory of adult learning framed this education program on self-care and stress management. Focus was …

The Effects Of Stepped Care On Burnout For University Counseling Center Clinicians, Madison Estrada

Dissertations

The ability of university counseling centers (UCCs) to meet the increased demand for service by students is becoming an increasing concern. While UCCs are seeing more students than ever, this increased demand has not been met with an increase in resources. As such, UCC clinicians are at a greater risk for developing burnout. However, according to the Demand – Control – Support Model, this risk could be reduced if UCC staff were afforded higher degrees of control over the resources they do have and received adequate support and acknowledgement for the work they accomplish. Through surveying 339 UCC clinicians in …

Missing Value Imputation For Single Omics And Multi-Omics Data, Meng Song

Dissertations

The integration analyses of multi-omics data have the advantages of extending our understanding of biological system across multiple omics layers, unraveling the functional mechanism of complex disease development, and refining the discovery of novel drug targets. However, multi-omics studies often face challenges such as data heterogeneity, missing values problem, interpretability, and imbalance classes. Among these challenges, the missing values problem is a critical issue for large cohort studies as not all samples will get a complete measurement for all the omics layers. To address the problem of missing values in multi-omics data, I focused on the imputation of completely missing …

Neurodiverse Perceptions Of Inclusivity In The Workplace, Shannon Lively

Dissertations

The increase in neurodivergent professionals in the workplace has led to a significant need for researchers to examine neurodiversity inclusion in the workplace. Research has portrayed workplace inclusion as the perception that the individual is a valued member of a workgroup through satisfactory experiences of belongingness and uniqueness. Through semi-structured interviews with 20 neurodivergent professionals, this study examined how they view inclusion, exclusion, and cope with exclusion in the workplace. The neurodivergent participants identified six inclusion and six exclusion categories. Results were largely consistent with previous inclusion research, however, one novel category, flexible accommodations, suggests the importance of considerate accommodations …

Grief And Personal Growth Experiences Of Bereaved Spouses And Adult Child Caregivers Of Individuals With Dementia, Melissa M. Romero

Dissertations

Caregivers of individual's with dementia are usually older spouses or middle aged children who provide long-term care in the home. Researchers have examined variables associated with poor adjustment in bereaved caregivers which include high levels of pre-death depression, high levels of caregiver burden, feeling unprepared for the death, and providing care for a cognitively impaired person. However, relatively little is known about variables that might predict positive adjustment in caregivers after the death of a family member with dementia. The meaning reconstruction theory of bereavement was used as the conceptual framework for this study which explored the relationship between pre-death …

Educating Nurses On Workflow Changes From Electronic Heath Record Adoption, Rhoda Lynn San Jose

Dissertations

Workflow issues related to adoption of the electronic health record (EHR) has led to unsafe workarounds, decreased productivity, inefficient clinical documentation and slow rates of EHR adoption. The problem addressed in this quality improvement project was nurses' lack of knowledge about workflow changes due to EHR adoption. The purpose of this project was to identify changes in workflow and to develop an educational module to communicate the changes. This project was guided by both the ADDIE model (analysis, design, development, implementation, and evaluation) and the diffusion of innovations theory.

An Analysis Of Capital Flow To Construct An Economic Typology In A Comparative Case Study Of Three Ancient Cities: Third Kingdom Of Ur, New Kingdom Of Thebes, And Classical Athens, Darrell Gremillion

Dissertations

This dissertation adds to the literature on Economic Development through the development of a Typology of Economy applicable to the earliest cities. Understanding the evolution of these early economies is a crucial step in understanding the past to assist in the establishment of policies for the future. This is especially important in the light of the environmental and sustainability challenges facing the globe today.

The cities in the comparative case study include the Third Dynasty of Ur in Mesopotamia, the New Kingdom of Thebes in Egypt, and Classical Athens in Greece. These cities are chosen for the case study for …

Losing Face-To-Face Selling In A Digital World: An Empirical Investigation Of Relationship Selling In The Independent Insurance Agency, Casey Bell

Dissertations

Over the past 20 years, our economy has transformed into a service-based economy as opposed to the previous industrial-based economy. The service industry is growing and rapidly becoming one of the primary sectors of the economy. Relationship selling is crucial to the service industry, especially the property and casualty insurance market—because it involves complex, highly intangible services. Even though consumers use the internet before reaching out to an insurance agent, this does not mean relationship selling is unnecessary. With complex products like property and casualty insurance, relationship selling is crucial to grasp what consumers truly need and understand. The purpose …

Predictors Of Nurse Practitioners' End-Of-Life Communication Behaviors With Adults Who Have End-Stage Renal Disease, Joanne V. Payongayong

Dissertations

The scope of end-of-life (EOL) communication is not well known among advanced practice nurses (APNs) who care for adults with end-stage renal disease (ESRD). Guided by the Theory of Planned Behavior, the aims of the study were to examine the independent effects of knowledge, attitude, and perceived behavioral control on APNs' engagement in EOL communication and the mediating and moderating effects of attitude and perceived behavioral control between knowledge and EOL communication. A theoretically derived 17-item survey measuring the concepts of interest was developed and administered to a convenience sample of 127 APNs.

Factors Affecting The Symptom Burden In Chronic Heart Failure, Gary M. Gusick

Dissertations

Heart failure (HF) is a health problem of epidemic proportions and a clinical syndrome that leads to progressively severe symptoms, which contribute significantly to the burden of the disease. Several factors may affect the symptom burden of patients with HF, including physiological, psychological, and spiritual factors. This study was designed to examine the inter-relationship of physiological, psychological, and spiritual factors affecting symptoms for patients with HF.

The aims of this study were to examine symptom burden of heart failure patients related to: (1) the physiological factor of brain natriuretic peptide (BNP); (2) the psychological factor of depression; (3) the spiritual …

Assessing Nursing Student Engagement In Clinical And Simulation Experiences, Karrie E. Osborne

Dissertations

In higher education, researchers have shown that student engagement is related to personal development and learning. The overall purpose of this non-experimental, cross-sectional, correlational study was to examine differences in student engagement across active learning experiences in prelicensure nursing clinical education. The specific active clinical learning experiences that were examined included the traditional clinical experience, clinical post-conference, the simulation experience, and simulation debriefing. In addition, this study explored the relation between student engagement and the contribution of the instructor as well as the relation between nursing student engagement in clinical education and academic burnout. Nursing students completed an online survey …

Technology In Nursing Classrooms: A Qualitative Phenomenological Interpretative Study, Ose G. Martinez

Dissertations

Nursing students have to learn how to critically think and pass a licensure examination to practice their profession. Current students seem to be bored by lecture strategies most commonly applied by seasoned nurse educators. A gap in the literature regarding lived experiences of seasoned nursing faculty members applying technological applications when teaching nursing topics. The purpose of this phenomenological interpretative study was to understand the lived experiences of seasoned nursing educators using technology in nursing classrooms. Seventeen seasoned nurse educators participated in semistructured interviews. The interviews were transcribed and analyzed with the NVIVO 11™ software. During the interpretative analysis, eight …

Advance Care Planning In Advanced Heart Failure: A Relational Exploration Of Autonomy, Tieghan Killackey

Dissertations

Advance care planning (ACP) is the process of understanding and sharing personal values and goals to ensure people with serious illnesses receive healthcare and treatment that is consistent with their goals and preferences. With the increasing number of treatment options available to patients living with advanced heart failure (HF), ACP is regarded as a means of preserving individual autonomy throughout the illness trajectory. Despite significant public awareness campaigns, research and interventions developed to increase participation in ACP, this practice remains severely under-utilized by those who are chronically ill. This gap in practice highlights the need for further exploration of how …

The Relationship Between Transformational Leadership And Attachment Theory Among Field Grade Officers In The U.S. Army, Rebecca Ochs

Dissertations

Purpose: The purpose of this quantitative correlational study was to determine what relationship exists between U.S. Army field grade officers’ self-reported scores on the five domains of the Leadership Practices Inventory (LPI) (Kouzes & Posner, 2002) and their self-reported scores on the Experiences in Close Relationships Scale (ECR) (Brennan et al., 1998). Methodology: This study used a correlational approach to collect quantitative data from U.S. Army field grade officers. Using the LPI, a self-report transformational leadership measurement tool developed by Kouzes and Posner (2002), that measures five domains that include: (a) model the way, (b) inspire a shared vision, (c) …

The Perception Of Army Counselors On The Impact Of Emotional Intelligence Training On Army Non-Commissioned Officer Leadership Decision-Making Effectiveness, Geraldine Turituri

Dissertations

Purpose: The purpose of this qualitative phenomenological study was to describe the perception of Army counselors in the Military Family and Life Counselor (MFLC) program about the impact of emotional intelligence (EI) training on Army non-commissioned officer (NCO) leadership decision-making effectiveness in their supervision of the soldiers they are responsible for. This study also researched the perception of these counselors about the benefits and challenges of incorporating EI leadership preparation with traditional Army training for NCOs.

Methodology: This qualitative phenomenological study explored Army counselors’ perceptions about the need for EI training for Army NCOs to perform as effective decision-makers. Since …

Tobacco Use And Secondhand Smoke Exposure Among Women In Aleta Wondo, Ethiopia: An Exploratory Study Of Knowledge, Attitudes, Beliefs And Behaviors, Anne Berit Petersen

Dissertations

By 2030, sub-Saharan Africa is projected to be the epicenter of the tobacco epidemic. In Ethiopia there is an opportunity to avert an increase in tobacco-induced diseases; however, local data is needed to inform proactive contextualized tobacco control interventions. This cross-sectional community-base study was conducted to assess the knowledge, attitudes, beliefs, and behaviors (KABs) related to tobacco use and secondhand smoke (SHS) exposure of women in the Aleta Wondo region.

Allied Health Faculty Members’ Perspective On Interprofessional Collaborative Practice: A Hermeneutic Phenomenological Study, Prajakta Khare-Ranade, Margaret Newsham Beckley, Mary Geders Falcetti

Dissertations

A framework for interprofessional collaborative practice (IPCP) was developed by the World Health Organization (WHO) (WHO, 2010) in response to the need to address the complicated conditions that exist in today’s health systems. Much of the focus of today’s health service delivery is predicated on the social determinants of health (Barzansky et al., 2019), which refer to the environmental conditions associated with where people are born, live, go to school, work, play, age, and worship that have an impact on health, function, quality of life, and risks (Healthy People 2030, n.d.). IPCP is thought to be the only approach effective …

A Development And Validation Of The Advance Planning Preparedness Scale (Apps), Renee Mcleod-Sordjan

Dissertations

Delayed advance care planning and costs of aggressive life sustaining treatments at end of life significantly contribute to the economic burden of healthcare in the United States. Dying trajectories, in most chronic conditions, have terminal prognostic uncertainties that do not address advance care planning by clinicians in a timely manner. Clinician and nursing barriers include perceptions of inappropriate timing, lack of skills in end-of-life communication and viewing readiness as a behavior rather than a death attitude. The purpose of this study is to develop and validate the measurement of psychological preparedness for ACP to aid in the understanding of readiness …

Up The Bayou Without A Paddle: A Historical Case Study Of Black Catholic Education In New Orleans Post-Katrina, Anisha Morrell

Dissertations

By concentrating on one of the tenets of Critical Race Theory (Harper et al., 2009), counter-narrative, this study focused on: (1) the history of New Orleans prior to the Louisiana Purchase; (2) the inception, history, and advancements of Black Catholic education prior to Brown v. Board of Education; and (3) controversies in Black Catholic education post-Katrina.

By delving into the history of New Orleans, I will assert that The Roman Catholic Archdiocese of New Orleans struggled with whiteness as property and an ardent desire to present a narrative embodied by interest convergence in historically-Black Catholic secondary schools since each school’s …

Effect Of An Education Intervention On Nursing Students' Knowledge Of And Attitudes Toward Caring For Transgender And Gender Nonconforming People, Tanya N. Carmichael

Dissertations

Transgender and gender nonconforming (TGNC) people experience inequities in accessing health care, quality of care, and health outcomes. Rates of stress, depression, suicidal ideation/attempts, smoking, alcohol and substance use, and certain sexually transmitted infections are higher among TGNC people. Barriers to accessing care for TGNC people include social and economic marginalization; fear, stigma, and discrimination; and health care professionals (HCPs) with limited experience and knowledge about caring for TGNC people. Lack of knowledge and biased attitudes toward gender minorities within health care contribute to care that is substandard, delayed or refused outright; non-use of existing evidence-based guidelines for TGNC-related care; …

Topological Data Analysis Of Convolutional Neural Networks Using Depthwise Separable Convolutions, Eliot Courtois

Dissertations

In this dissertation, we present our contribution to a growing body of work combining the fields of Topological Data Analysis (TDA) and machine learning. The object of our analysis is the Convolutional Neural Network, or CNN, a predictive model with a large number of parameters organized using a grid-like geometry. This geometry is engineered to resemble patches of pixels in an image, and thus CNNs are a conventional choice for an image-classifying model.

CNNs belong to a larger class of neural network models, which, starting at a random initialization state, undergo a gradual fitting (or training) process, often a …

High Resolution Intracavity Laser Absorption Spectroscopy Of Transition Metal-Containing Diatomic Molecules, Kristin Bales

Dissertations

Three transition metal-containing diatomic molecules have been studied using intracavity laser spectroscopy. Many of the transitions were recorded using a Fourier-transform spectrometer for detection, allowing collection at Doppler-limited resolution for the gas phase molecules. Several vibrational bands in two electronic transition systems of tantalum fluoride (TaF) have been analyzed, and new molecular constants provided. Transitions involving six electronic states of tungsten sulfide (WS) have been analyzed, with new and updated constants provided, including a deperturbation analysis of three vibrational bands in two of the states. Finally, a fresh perspective on two electronic states of tungsten oxide (WO) included a deperturbation …