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Doctoral Dissertations and Projects

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A Qualitative Analysis Applying Uses And Gratifications Theory To Explore The Types Of Spaces Within Facebook Post Comments Regarding Mental Illness And Suicide, Melissa Rice Dec 2024

A Qualitative Analysis Applying Uses And Gratifications Theory To Explore The Types Of Spaces Within Facebook Post Comments Regarding Mental Illness And Suicide, Melissa Rice

Doctoral Dissertations and Projects

The current study investigated spaces created within Facebook comments on posts related to mental illness and suicide. The uses and gratification theory and Maslow’s hierarchy of needs served as the framework for this qualitative study utilizing content analysis to analyze 14,186 comments from 175 Facebook posts. This study highlights how user comments on specific posts create engagement spaces that turn positive or negative based on Facebook users' need for fulfillment. The findings also suggest that users engage with posts to meet various needs, such as seeking validation and attention, fulfilling a desire to feel valued, connecting with others through shared …


The Impact Of Adverse Childhood Experiences On The Eating Behaviors Of Black American Women, Teshia Stovall Dula Dec 2024

The Impact Of Adverse Childhood Experiences On The Eating Behaviors Of Black American Women, Teshia Stovall Dula

Doctoral Dissertations and Projects

This dissertation explores the impact of behaviorism on understanding adverse childhood experiences (ACEs) and their effects on eating behaviors, particularly emotional overeating, and satiety responsiveness, in Black women. It highlights the importance of addressing ACEs to promote holistic well-being, especially given racial health disparities. The study investigates various factors shaping the behavior of Black women, including individual traits, environments, and behavioral patterns, focusing on an under-researched area. It calls for standardized definitions in this context and advocates for more extensive and diverse sample sizes for future research. Ultimately, the research aims to empower Black women by translating insights into effective …


Senior Nursing Students' Perceptions Of Their Effectiveness In The Utilization Of De-Escalation Techniques: A Phenomenological Study, Chinelo N. Anadu Dec 2024

Senior Nursing Students' Perceptions Of Their Effectiveness In The Utilization Of De-Escalation Techniques: A Phenomenological Study, Chinelo N. Anadu

Doctoral Dissertations and Projects

This qualitative phenomenological study explored senior nursing students’ perceptions of their effectiveness in utilizing de-escalation techniques. The theories that guided this study were Bandura’s self-efficacy theory and Kolb’s experiential learning theory. Self-efficacy is one’s ability to organize, conduct, and successfully perform a task. Bandura’s self-efficacy theory focuses on individuals’ perception of their ability to perform a task, not the action’s result. Kolb’s theory emphasizes that learning is a process, and modifying experiences creates knowledge. The participants for this study were senior nursing students from two medium-sized universities in the mid-Atlantic region of the United States. A sample of 11 senior …


The Effectiveness Of Education Utilizing A Digital Patient Education Platform For Nursing Staff Working In A Military Medical Treatment Facility, Meki Bocage Dec 2024

The Effectiveness Of Education Utilizing A Digital Patient Education Platform For Nursing Staff Working In A Military Medical Treatment Facility, Meki Bocage

Doctoral Dissertations and Projects

Currently, the use of digital health technology has been found to improve patients’ experiences, health outcomes, and quality of care. Furthermore, the Defense Health Agency (DHA) is focused on leveraging cutting-edge technologies to optimize healthcare delivery and improve patient experiences. The purpose of this evidence-based practice process improvement project supports providing educational intervention to nursing staff through videoconferencing or lecture learning opportunities. The project focused on successfully educating nursing staff from at least three MTFs on the use of a patient education platform by the conclusion of the 30-day intervention through individual web-based pre and post questionnaires. Ultimately, 15 registered …


An Action Research Study Of The Spiritual Growth Among Veterans Within The Civilian Context, Long Tuan Nguyen Dec 2024

An Action Research Study Of The Spiritual Growth Among Veterans Within The Civilian Context, Long Tuan Nguyen

Doctoral Dissertations and Projects

Military-civilian transition (MCT) for Veterans has been commonly associated with negative mental health experiences as they had to go through the intercultural changes between the military and civilian life. The purpose for this DMIN action research project was to design, coordinate, and assess a chaplain model of care called Spiritual Growth Lectio (SGL) for recently discharged Veterans. Thirteen Veterans participated in this research project through purposive sampling. The SGL model comprised a pre-test survey, six-week intervention, posttest survey, and focus group interview guided by four research questions. Quantitative data was collected from participants’ pre-test and post-test surveys. Subsequently, qualitative data …


The Impact Of Intergenerational Racial Trauma On High-Achieving African American Women, Andrea L. Tanner Dec 2024

The Impact Of Intergenerational Racial Trauma On High-Achieving African American Women, Andrea L. Tanner

Doctoral Dissertations and Projects

The historical trauma of chattel slavery in the United States created a system of race-based discrimination, exploitation, and oppression still experienced today. Extensive research is required to comprehensively understand and address the intergenerational effects of trauma. The intergenerational transmission of trauma affects future generations, as traumatic memories affect those who have personally experienced conflict and violence. The purpose of this hermeneutic phenomenological study was to describe how high-achieving African American women who are descendants of enslaved Africans experience intergenerational trauma. Conceptually, it is framed by Critical Race Theory, which this study utilized a hermeneutic phenomenological methodology. Qualitative interviews were conducted …


A Crisis In Confidence: A Collective Case Study Approach To School Security Through Teacher Experiences, Ryan J. Stevenson Dec 2024

A Crisis In Confidence: A Collective Case Study Approach To School Security Through Teacher Experiences, Ryan J. Stevenson

Doctoral Dissertations and Projects

The purpose of this collective case study was to understand and discover the set of hard and soft deterrents and how they work to increase the confidence for teachers at middle schools of various socioeconomic levels. The main theory was the risk theory by Sabine Roeser as it refers to how humans operate when faced with risk and uncertainty in their everyday lives. The study was a collective case study with teachers of various experience levels across three sites. The sites were three different middle schools across a northern Virginia suburban county; schools were one of low socioeconomic status, middle …


The Undoing Of Eve: A Biblical-Theological Critique Of John's Portrait Of The Female Image Of God, Melissa A. Fields Dec 2024

The Undoing Of Eve: A Biblical-Theological Critique Of John's Portrait Of The Female Image Of God, Melissa A. Fields

Doctoral Dissertations and Projects

This dissertation offers a fresh exploration of the Gospel of John through a biblical theological lens, tracing the dynamic motif of the female imago Dei and its development within the Johannine narrative. By merging literary analysis with a close examination of the biblical portrayal of femininity, the study sheds light on how the Fourth Evangelist reimagines the female image of God within the context of a new creation, presenting a vision that may reshape the complementarian-egalitarian debate within today’s Christian communities. Applying the “worldview-story” biblical-theological approach, the researcher asserts that John’s positive depiction of femininity suggests a restoration of woman’s …


Examining Educational Experiences Of Healthcare Providers Who Transitioned Into A Different Healthcare Role: A Phenomenological Study, Dustin P. Carnell Dec 2024

Examining Educational Experiences Of Healthcare Providers Who Transitioned Into A Different Healthcare Role: A Phenomenological Study, Dustin P. Carnell

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study was to examine the educational experiences of healthcare practitioners seeking to transition into a different healthcare role. The theory guiding this study is adult learning theory, as this closely aligns with the learning experienced by advanced healthcare practitioners. This study answers the central research question, what are the experiences of healthcare professionals who seek additional education to transition into a different healthcare role? This study consists of an individual interview, focus group, and journal prompts to achieve triangulation and was distributed to healthcare workers across the United States who have transitioned roles in …


The Impact Of 21st-Century Technology Teaching On Socio-Economically Challenged Students In Public High Schools: A Phenomenological Study, Duncan Kenneth Guishard Dec 2024

The Impact Of 21st-Century Technology Teaching On Socio-Economically Challenged Students In Public High Schools: A Phenomenological Study, Duncan Kenneth Guishard

Doctoral Dissertations and Projects

The purpose of this qualitative, transcendental phenomenological study was to understand the lived experiences of 10 teachers who have used 21st-century technology teaching methods in three U.S. public high schools (PHS), North, South, and West in the Mid-Eastern United States. Schlossberg’s transition theory guided this study and was used to address the central research question: What essential elements of 21st-century technology teaching practices do you believe can improve students’ performance and academic success in U.S. public high schools? The three sub-questions helped uncover the teachers’ lived experiences and perspectives using 21st-century technology teaching methods in public high schools. Purposeful sampling …


How Successful Are Female State Lawmakers? A Study Examining The Legislative Success Of Female State Lawmakers In Professional And Non-Professional State Legislatures, Samuel Eugene Keys Dec 2024

How Successful Are Female State Lawmakers? A Study Examining The Legislative Success Of Female State Lawmakers In Professional And Non-Professional State Legislatures, Samuel Eugene Keys

Doctoral Dissertations and Projects

This non-experimental, quantitative study examined the impact of legislative professionalism on female state lawmakers' legislative success regarding women's issues. This study is important in determining if there is a significant difference in the legislative success of female state lawmakers based on the level of legislative professionalism. Additionally, this study is important in determining how much variation in legislative success can be explained by legislative professionalism and other factors. Participants for this study were drawn using a stratified sampling frame of state lawmakers elected to serve from 2003 – 2021 in professional and non-professional state legislatures in the U.S. For this …


The Work-Life Balance Of Higher Education Faculty In Light Of Constant Access To Technology: A Case Study, Giordana Morales-Spier Dec 2024

The Work-Life Balance Of Higher Education Faculty In Light Of Constant Access To Technology: A Case Study, Giordana Morales-Spier

Doctoral Dissertations and Projects

The purpose of this instrumental case study was to explore the perception of constant access to technology for faculty members in the university setting. Constant access to technology was defined as the majority of work tasks taking place in front of the computer, the expectation of quick email responses, and the pressure for continual student interaction, particularly outside of regular business hours. Burnout theory guided this study, which provided views of faculty’s efficiency, stress levels, and personal time. The central research question that guided the study was: How do higher education faculty at CVU guard against burnout while experiencing constant …


Sustaining Hope: Building A Community Chaplaincy Model As A Framework For Spiritual And Emotional Support For Cancer Survivors And Those Affected By Cancer In The Local Church And Community, Johnnie Maddox Quiller Dec 2024

Sustaining Hope: Building A Community Chaplaincy Model As A Framework For Spiritual And Emotional Support For Cancer Survivors And Those Affected By Cancer In The Local Church And Community, Johnnie Maddox Quiller

Doctoral Dissertations and Projects

This doctoral research explores the development of a community chaplaincy model that provides spiritual and emotional support for cancer survivors, caregivers, and those affected by cancer within local churches and communities. By centering on Restoration Worship Center, the study underscores the pivotal role faith communities play in addressing the multidimensional needs: spiritual, emotional, and practical, of those facing cancer. The study outlines a framework for creating a sustainable cancer care ministry through an integrated approach of spiritual guidance, mentorship, leadership training, and practical support. This model offers a blueprint for other churches and faith-based organizations, such as Lotus of Love …


Societal Obstacles In Higher Education That Hinder Adulthood Development In Northern Myanmar: A Phenomenological Study, Sau Nam Dec 2024

Societal Obstacles In Higher Education That Hinder Adulthood Development In Northern Myanmar: A Phenomenological Study, Sau Nam

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the lived experiences of college graduates who faced societal obstacles in higher education in Kachin State, Myanmar. The theory guiding this study was the theory of emerging adulthood in higher education, as it looks at how the psychological environment in which they live influences their psychological characteristics development process. The theory helped to explore the central research question: What are the lived experiences of college graduates who faced societal obstacles in higher education in Kachin State, Myanmar? The study collected data through individual interviews, focus groups, and journal prompts, and the …


Exploring The Impact Of Campus-Based Food Pantry Utilization And Food Security Levels On Sense Of Belonging In Nevada Community College Students: A Quantitative Causal-Comparative Study, Racquel Melson Dec 2024

Exploring The Impact Of Campus-Based Food Pantry Utilization And Food Security Levels On Sense Of Belonging In Nevada Community College Students: A Quantitative Causal-Comparative Study, Racquel Melson

Doctoral Dissertations and Projects

The purpose of this quantitative, nonexperimental, causal-comparative research study was to examine the relationship between community college students’ campus-based food pantry utilization and sense of belonging, based on level of food security. This study was essential in a community college setting, because food insecurity has become prevalent, and the implementation of food pantries has the potential to meet not only physiological needs but also belonging needs. The study consisted of a convenience sample of at least 126 participants from an urban community college in Nevada. Participants were asked via email to anonymously complete a Qualtrics survey made up of two …


End-Of-Life Care Curricula For Respiratory Therapy Students: A Qualitative Study, Ginger Goff Coles Dec 2024

End-Of-Life Care Curricula For Respiratory Therapy Students: A Qualitative Study, Ginger Goff Coles

Doctoral Dissertations and Projects

The purpose of this descriptive case study was to understand the current end-of-life curriculum within didactic, laboratory, and clinical courses for entry-to-practice respiratory therapy students at Respiratory Therapy University (RTU), a pseudonym for the university. The theory guiding this study was Bandura’s (1988) social cognitive theory. This study used the four constructs of observational learning, perceived self-efficacy, expectancies, and behavioral capability to explain and address the problem of limited end-of-life care curricula within an entry-to-practice BSRT program. Data collection occurred through semi-structured interviews with 13 Entry-to-practice BSRT students advancing into their senior year. The findings aligned with existing theoretical and …


Participation As Preparation: A Phenomenological Study Of Black Greek Letter Organization (Bglo) Members In The Workforce, Letasha Carrie Mcfarlane Dec 2024

Participation As Preparation: A Phenomenological Study Of Black Greek Letter Organization (Bglo) Members In The Workforce, Letasha Carrie Mcfarlane

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to explore how membership in a Black Greek Letter Organization (BGLO) impacts the experiences of Black professionals in overcoming obstacles in the modern workforce. This study utilized a qualitative, phenomenological design to capture the lived experiences of 10 BGLO members working in federal military and educational organizations in the United States. Participants were recruited through purposeful sampling, and data were collected via open-ended questionnaires, semi-structured individual interviews, and a focus group. The data were analyzed using thematic analysis, which revealed four major themes: (1) Utilization of Opportunities to Overcome Workplace Challenges, (2) Cultivation …


Experiences Of Midwest Nursing Faculty Decisions To Leave Academia: A Hermeneutic Phenomenological Study, Teresa H. Moorman Dec 2024

Experiences Of Midwest Nursing Faculty Decisions To Leave Academia: A Hermeneutic Phenomenological Study, Teresa H. Moorman

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to explore the lived experiences of Midwest nurses related to their decision to leave academic faculty positions. The theory guiding this study was Herzberg’s motivation-hygiene theory. The motivation-hygiene theory examines the factors that inform the relationship between satisfaction and lack of satisfaction, as well as dissatisfaction and lack of dissatisfaction. Herzberg outlined several motivating factors that influence employees to perform at their best, and several hygiene factors that negatively impact performance. Additionally, Dewey’s experiential learning theory underpinned the study. The lived experience comprises the physical environment, perceptions of the person, and the …


Health Literacy And Advocation Amongst Community Health Workers, Dustin R. King Dec 2024

Health Literacy And Advocation Amongst Community Health Workers, Dustin R. King

Doctoral Dissertations and Projects

Health literacy is an important component of global health maintenance and can be greatly influenced by the DNP. The trigger for the EBP was related to a limited amount of appropriate application of health literacy in South Asian communities and village medical leaders. Health literacy was assessed by distributing short questionnaires to medical professionals such as chemists, doctors, and community health workers. An educational intervention with one specific disease process, hypertension, was then delivered to those who accepted. Upon completion of the teaching, a re-assessment with the same questions was either distributed or reviewed with the participants. Descriptive statistics were …


A Phenomenological Study Exploring The Impact Of Spousal Support On Post-Traumatic Stress Disorder (Ptsd) In South Florida Firefighters, Karla Ramirez Dec 2024

A Phenomenological Study Exploring The Impact Of Spousal Support On Post-Traumatic Stress Disorder (Ptsd) In South Florida Firefighters, Karla Ramirez

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study was to explore the impact of spousal support on firefighters in South Florida who have post-traumatic stress disorder (PTSD). The Theory of Stress and Coping by Richard Lazarus proposed that stress occurs when situations are negatively interpreted, leading to health problems when adequate coping mechanisms are not utilized (Lazarus & Folkman, 1984). The way in which an individual copes or changes the cognitive and behavioral efforts to manage specific external and/or internal demands influences mental and physical outcomes, including PTSD. This qualitative phenomenological design allowed participants to interpret their lived experiences as they …


Virtual Reality Mindfulness For Nursing Stress And Burnout, Rebecca Jean Cantrell Dec 2024

Virtual Reality Mindfulness For Nursing Stress And Burnout, Rebecca Jean Cantrell

Doctoral Dissertations and Projects

Burnout has been a term that has been researched since the 1970’s; however, it has been noted that throughout the past few years there has been increased burnout amongst healthcare workers. Mindfulness has been researched as a tool to decrease burnout and stress. The delivery of mindfulness activity has been completed through different avenues such as in-person and virtual. The purpose of this research project was to evaluate the effectiveness of virtual reality mindfulness experiences and the burnout rates amongst nursing staff in the ambulatory units of a VA Healthcare System. Six nursing staff members volunteered to participate in the …


Examining The Relationship Of Simulation To Nursing Communication Competency: A Quantitative, Causal-Comparative, Retrospective Study, Patresha Pamella Pearson Dec 2024

Examining The Relationship Of Simulation To Nursing Communication Competency: A Quantitative, Causal-Comparative, Retrospective Study, Patresha Pamella Pearson

Doctoral Dissertations and Projects

This quantitative, causal-comparative, retrospective study investigated the impact of simulation-based education on nurse communication competence by evaluating communication skills between two groups of recently graduated and licensed registered nurses while controlling for total experience hours. Though nursing communication competence significantly impacts patient care outcomes, few studies have addressed the impact of simulation on the communication competence of licensed nurses practicing in the clinical setting. The study was conducted in the clinical setting with 78 participants divided between two categorical groups of recently graduated and licensed registered nurses depending on the proportion of simulation-based education received during clinical experience requirements. The …


Disunity Of Pentecostal Pastors Planting Churches In Suburban Areas: Unifying Leaders With The Same Goal, Jamare L. Razor Dec 2024

Disunity Of Pentecostal Pastors Planting Churches In Suburban Areas: Unifying Leaders With The Same Goal, Jamare L. Razor

Doctoral Dissertations and Projects

The problem is that disunity exists among suburban church planting pastors of multidenominational and nondenominational churches in a tri-state region of the United States. Approximately 4,000 churches are planted in America each year and sadly about 3,700 of those churches will close. One reason for this is disunity among pastors that leads to the lack of support needed for church plant success and longevity. This problem must be remedied if the church plants are to succeed. The purpose for this Doctor of Ministry action research project is to identify the causes of the disunity that hinder church plant success in …


College Students’ Perceptions On The Use Of Kahoot To Learn Vocabulary In A Second Language: A Hermeneutic Phenomenological Study, Adriana Hatch Dec 2024

College Students’ Perceptions On The Use Of Kahoot To Learn Vocabulary In A Second Language: A Hermeneutic Phenomenological Study, Adriana Hatch

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to discover college students’ perceptions of their lived experiences as they learn vocabulary in a second language with Kahoot. The self-efficacy theory of motivation (Bandura, 1995) provided the theoretical framework. The central question in this research was What are college students’ perception of their experiences using Kahoot to learn vocabulary in a second language? This study took place at Maleki College in Arizona. The study sought to understand second-language college students’ motivation when learning vocabulary. The data for this study was derive from individual interviews recorded on a computer, two questionnaires, and …


A Mission Simulation Retreat For Senior Youth Leaders To Train Adventist Young Professionals In The South Bahamas Conference, Jamal Doran Franklyn Dec 2024

A Mission Simulation Retreat For Senior Youth Leaders To Train Adventist Young Professionals In The South Bahamas Conference, Jamal Doran Franklyn

Doctoral Dissertations and Projects

The mission simulation retreat SDA action research project trains senior youth leaders of young adult professionals for urban ministry through their vocational orientation. To address the problem of only having a global youth day one-day mission drive, the Mission Simulation Retreat (MSR) equipped young leaders in local SDA churches to simulate mission projects matching their professional careers. By building on the Hebrew culture, the priesthood of all believers, and spiritual gifts, MSR customizes a spiritual gifts database that aligns with vocational careers to provide mission project options by vocational skills. Through focus group presentations, a questionnaire, and a survey, data …


Exploring Family Mealtime Environment, Screens, And Mental Health Among School-Aged Children In Japan, Ami Nishimori Alnouri Dec 2024

Exploring Family Mealtime Environment, Screens, And Mental Health Among School-Aged Children In Japan, Ami Nishimori Alnouri

Doctoral Dissertations and Projects

This qualitative phenomenological study explored the lived experiences of family mealtimes during breakfast and the mental health of school-aged children (6-18 years) in Japan, comparing those who used and did not use screens during breakfast. This study involved two research questions: How did parents of Japanese school-aged (6 to 18 years) children who used screens (electronic devices) at mealtime experience family mealtime during breakfast? How did parents of Japanese school-aged (6 to 18 years) children who did not use screens (electronic devices) at mealtime experience family mealtime during breakfast? In this study, a qualitative phenomenological approach employed semi-structured interviews with …


Created To Be Slaves: Reexamining The Doctrine Of Original Sin, William Daniel Gamble Dec 2024

Created To Be Slaves: Reexamining The Doctrine Of Original Sin, William Daniel Gamble

Doctoral Dissertations and Projects

One of the earliest debates in the church was over the nature of Sin, its transmission to subsequent generations, and its effects upon man’s nature. Two terms, “sin nature” and “original sin,” have become the prevailing terminology, yet there remains debate concerning the meaning or appropriateness of these terms. This discussion will examine and assess the doctrine of Original Sin through the prism of the metaphor of slavery as found and utilized throughout the OT and NT. Ancient Slavery, in its various forms, serves as the background for understanding the idioms and metaphors employed concerning the power and role of …


Exploring Job Demands That Increase Burnout Rates Among Secondary, Public, Interrelated Special Education Teachers: A Hermeneutic Phenomenology, Wendy M. Turner Dec 2024

Exploring Job Demands That Increase Burnout Rates Among Secondary, Public, Interrelated Special Education Teachers: A Hermeneutic Phenomenology, Wendy M. Turner

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenology is to understand the experiences of secondary, interrelated, public-school teachers in Georgia and their job demands and job resources that affect the development of burnout syndrome. There are two theories guiding this study: the burnout theory and the job demands-resources theory. These theories work together to frame understanding and guide the research questions for this phenomenological study. The burnout theory lays the foundation for identifying the characteristics of burnout syndrome while the job demands-resources theory allows us to identify specific characteristics of the job that can increase or decrease the likelihood of special education …


Challenged And Chosen: Discipling Christians With Chronic Conditions Towards Kingdom Identity And Purpose, Allison J. Hampton Dec 2024

Challenged And Chosen: Discipling Christians With Chronic Conditions Towards Kingdom Identity And Purpose, Allison J. Hampton

Doctoral Dissertations and Projects

The purpose for this DMIN action research project was to create an eight-week discipleship program and accompanying workbook to help Christians diagnosed with chronic medical conditions to rediscover their identity in God. Because of the limitations and physical changes that often accompany chronic diagnoses, members of Living Chronic Faith (a faith-first nonprofit organization that serves believers with chronic diagnoses) felt incapable of serving on the same level as their physiotypical counterparts. Marginalized by their faith community and hesitant to engage in their ministry contexts, eleven LCF members participated in this online focus group. This project’s surveys, interviews, journal entries, and …


Readiness For Interprofessional Teamwork Of Graduate Public Health Students At The Time Of Their Graduation, Liliana Morosanu Dec 2024

Readiness For Interprofessional Teamwork Of Graduate Public Health Students At The Time Of Their Graduation, Liliana Morosanu

Doctoral Dissertations and Projects

The purpose of this applied study was to solve the problem of lacking empirical evidence for the contribution of interprofessional education (IPE) towards readiness for teamwork interprofessional practice (T-IPP) of Master of Public Health (MPH) graduates, and to design an IPE evaluation model in response. Current knowledge about T-IPP of MPH graduates is insufficient yet critical for professional practice. It is unclear how academic IPE builds MPH students’ T-IPP skills, and whether other training sources exist. A cross-sectional multimethod design was implemented with a sample of 58 MPH graduates from accredited programs within 12 months from graduation, of whom 12 …