Digital Commons Network^™

A Chaplain-Specific Care Plan For Addressing Moral Injury And Promoting Holistic Well-Being In Nurses That Have Transitioned From Hospital Care To Hospice Care, Franklin Hicks

Doctoral Dissertations and Projects

This thesis project, “A Chaplain-Specific Care Plan for Addressing Moral Injury and Promoting Holistic Well-Being in Nurses That Have Transitioned from Hospital Care to Hospice Care,” addresses the lack of chaplain-led interventions for nurses suffering from moral injury. Many nurses who transitioned from hospital to hospice care reported ongoing moral residue from ethically distressing events in acute settings. The purpose of this project was to evaluate the effectiveness of a spiritually grounded care plan, developed and facilitated by a board-certified chaplain, to address these moral wounds and promote holistic well-being among hospice nurses.

Twelve hospice nurses in West Tennessee participated …

Evaluating Inclusion Rates Of Oral-Systemic Health Connection Coursework In Dental And Medical Professional Programs' Admissions Requirements, Wendy Marie Carry

Doctoral Dissertations and Projects

Oral systemic health connections (OSHC) are bidirectional, life-threatening, and a significant public health concern. Studies have identified over 200 OSHCs; however, the prevalence of foundational OSHC education in dental and medical professional programs remains unknown. This quantitative descriptive comparative pilot study aimed to explore the prevalence of predictor variables, dental and medical professional programs in the United States, and the criterion variable, including an OSHC admissions requirement for the 2025 academic year. The point-in-time count methodology served as the theoretical framework guiding this study and the development of the PiT-PARCI instrument. The proposed testing was replaced with alternative testing based …

Evaluating Mental Health Providers’ Knowledge And Attitudes Towards Stigma Among Teenagers Aged 13 To 19 Years With Mental Illness, Fredrica Murray-Johnson

Doctoral Dissertations and Projects

Limited knowledge and poor attitudes among mental health providers contribute to stigma towards individuals with mental illness, adversely affecting treatment experience and outcomes. This study evaluated the effectiveness of an educational intervention in improving mental health providers’ knowledge and attitudes toward stigma-based practices. The clinical question stated: Among mental health providers, does an educational intervention, compared to standard practice, improve knowledge and attitudes of stigma and promote evidence-based care delivery to teenagers aged 13 to 19 with mental illness within six weeks? The Iowa Model of Evidence-Based Practice (EBP) was used as a framework for implementing this study. The quasi-experimental …

A Qualitative Phenomenological Study Of The Role Of Spiritual Mindfulness Practices In Coping With Divorce Loss In Christian Women, Gale Louise Nicolai

Doctoral Dissertations and Projects

This phenomenological study aims to understand the role of spiritual mindfulness practices in counseling individuals who have experienced divorce. The theory guiding this study is the biopsychosocial-spiritual model, which recognizes the interconnectivity and mutual influence of biological, psychological, social, and spiritual factors. This data will be descriptive, using open-ended interview questions. Data analysis will be thematic. The study participants are women who self-identify as Christian at 1-10 years post-divorce. The independent variable is spiritual mindfulness practices. The dependent variables are women who self-identify as Christian at 1-10 years post-divorce.

The Christian Church’S Inclusion Of Children With Autism Who Experience Parental Incarceration: A Phenomenological Examination Of Christian Ministry Leaders’ Experiences, Julia Frances Vasquez

Doctoral Dissertations and Projects

The United States has the highest incarceration rate worldwide. Parental incarceration increases children’s susceptibility to adverse childhood experiences and often results in the transmission of criminal behavior. Research on children of incarcerated parents and separate findings on the experiences of children with autism reveal that these children endure bitter societal stigma, even within the church. Stigma toward disability erects barriers to much-needed spiritual support. There is a gap in the literature concerning Christian outreach and spiritual community support for children with autism who experience parental incarceration. Understanding effective ministry support for these dually marginalized children and the barriers preventing access …

Exploring Teachers' Perspectives Of Developing Creativity In Students With Attention Deficit Hyperactivity Disorder: A Hermeneutic Phenomenology, Mary C. Strickland

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to interpret the lived experience of teachers developing the creativity of students with ADHD in the southern United States. At this stage in the research, high school students with ADHD were generally defined as students who have been formally diagnosed with attention deficit hyperactivity disorder. The theory guiding this study was Karwowski’s theory of creative growth mindset. The central research question for this study was: What are the lived experiences of teachers developing the creativity of high school students with ADHD? This study was a hermeneutic phenomenology that explored the experiences of …

Passing The Torch: Evaluating Documentation Quality And Its Impact On Nurses’ Perceptions Of Communication Across Va Care Transitions, Shannon Collier Baker

Doctoral Dissertations and Projects

Effective communication during transitions of care is crucial to ensuring patient safety and optimizing outcomes. However, current practices may fall short in supporting clear and comprehensive communication among healthcare providers, particularly during complex care transitions involving Veterans who have received targeted care coordination intervention outside of their primary Patient Aligned Care Team. The absence of standardized tools for handoff documentation exacerbates fragmented communication and ambiguity about the transfer of care management responsibilities, potentially leading to avoidable errors and care coordination failures. This project aimed to investigate nurses' perceptions of the adequacy of communication during the transition of moderate to complex …

Examining Credit Loss Faced By Military-Connected Students: A Causal Comparison Based On High School Mobility And Resilience Factors, Jamie Alicia Cannon Klink

Doctoral Dissertations and Projects

This quantitative, causal-comparative study investigated the number of academic credits lost among military-connected high school students based on their geographic mobility: those who moved zero, one, or more than one time during their high school years, when controlling for the students’ resilience, as measured by the Current Experience Scale. Understanding the impact of geographic mobility on the resilience and academic credits of military-connected high school students is critical, as it exemplifies the unique challenges and obstacles this student population faces. A one-way analysis of covariance was used to test the hypothesis, but assumptions were violated and transformations were unsuccessful. Ultimately, …

Secondary Teacher Burnout: A Phenomenology Study Of The Lived Experiences Of Increased Teacher Workload, Cristina Marie Meador

Doctoral Dissertations and Projects

The purpose of this qualitative, hermeneutic phenomenological study was to understand the impact of increased teacher workload on teacher burnout through the lived experiences of rural high school teachers in a school district in southern West Virginia. The theory guiding this study was Albert Bandura’s social cognitive theory, as it helps understand motivation and behavior in people. The central research question is: How do secondary rural teachers describe their lived experiences with increased workload and its impact on burnout? The methodology used in this study was hermeneutic phenomenology. The study design for this study was qualitative. The sample was 10 …

Where Is God In Times Of Order And Disorder: A Practical Approach To Life Events With God, Chinedu Festus Onuigbo

Doctoral Dissertations and Projects

The purpose of this study was to uncover what six next-generation females in Colorado, USA, encompassing high school through post-college, have experienced as they answer the question, "Where is God in times of order and disorder." Next generation refers to persons currently 25 years and younger. Pew Research (2019) reports, next-generation demographic during the transition from adolescence to adulthood may undergo one or more of the following: fall away from faith, question the existence of God, depression, and identity crisis. This researcher using phenomenology explored his Study Concept, a practical approach to experiencing life events with God using threefold biblical …

Does Spirituality Mediate Or Moderate The Adverse Effects Of Occupational Stressors On Mental Health In Law Enforcement Officers?, Erika D. Keplinger

Doctoral Dissertations and Projects

Law enforcement officers are often exposed to occupational stressors that can negatively affect their mental health and job performance. Spirituality has been thoroughly researched as a restorative method to improve physical and psychological health concerns. There has also been an increase in studies on workplace spirituality. The existing research on workplace spirituality suggests that incorporating spirituality into the workplace increases employee well-being and decreases stress and burnout. Unfortunately, research on police culture often neglects spirituality. There is little research to show how spirituality could mediate or moderate the adverse effects of mental health on law enforcement officers. This quasi-experimental, cross-sectional, …

The Role Of Persuasive Rhetoric In The Dynamic Transformation Of A Mediatized Social Drama: A Thematic Analysis Of The 2023 Maui Wildfire, Chinua Joi Ivey

Doctoral Dissertations and Projects

On August 8, 2023, one of the deadliest wildfires in American history occurred in Maui County, Hawaii. The wildfires’ unprecedented impact on the town of Lahaina caused a tremendous loss of life, cultural artifacts, and property. Many suffered unimaginable conditions to survive the rapidly spreading flames, and thousands were displaced. While this tragedy evolved through the journalistic lens of the news media, reports showcased the dynamic phases of social drama punctuated by persuasive rhetoric. Mediatized hope appeals were leveraged to influence a change in the audience's attitudes, values, beliefs, and behaviors, revealing divergent goals for future expectations. How can mediatized …

Perceptions Of Divine Intervention In Suffering Impact On Meaningful Work Mediated By Posttraumatic Growth, Thomas E. Weil Jr.

Doctoral Dissertations and Projects

Burnout is a costly phenomenon, and creating a comprehensive model of wellness to increase resiliency to burnout is a complex task worth the endeavor (Eckleberry-Hunt et al., 2009). The negative correlation between self-care and burnout is well-known (Shanafelt et al., 2020). Models such as the psychological capital model (Youssef‐Morgan & Luthans, 2015) have provided insight into the relationship. Several findings since the inception of the psychological capital model indicate that other phenomena are involved in increasing resistance to counselor burnout. The positive relationship between meaningful work and counselor burnout resistance is well documented through peer-reviewed literature. Mental health professionals experience …

Motivation And Retention In Music Education: A Phenomenological Study On Socioeconomic Status Impact, Bracy C. Martin Jr.

Doctoral Dissertations and Projects

The retention of middle and high school students in music education programs remains a persistent concern, particularly when disparities in motivation are shaped by socioeconomic status (SES). This hermeneutic phenomenological study investigated how intrinsic and extrinsic motivational factors such as funding, parental involvement, off-campus performance opportunities, and student engagement are influenced by SES and how these influences affect student retention in school music programs. Grounded in Deci and Ryan's Self-Determination Theory and Vroom’s Expectancy Theory, the study examined how motivation and SES intersect to either support or hinder student persistence in music education.

Eight music educators from urban, suburban, and …

The Moral Identity Of School Shooters As Perceived By Impacted Community Members: A Qualitative Study, Danielle Caprice Rand

Doctoral Dissertations and Projects

This qualitative study investigated the moral identity of school shooters as perceived by impacted community members. The existing literature lacks agreement on the root cause of school shootings and has been unable to provide a unified identification of school shooters. Discussed throughout school shooter research was the lack of a moral identity in school shooters. Further, research on moral identity has not covered one specialized group of individuals: school shooters. Moral identity, the mien of an individual’s moral thoughts and behaviors, was researched as a potential predictor of school shootings. This study employed a case study research design and used …

A Qualitative Phenomenological Study On Perceptions Of Pregnancy Bias And Career Advancement In Music Education, Chelsa N. Keathley

Doctoral Dissertations and Projects

This qualitative transcendental phenomenological research followed the perspectives of thirteen music educators across eleven states. The participants included five female secondary band directors, six male secondary band directors, one retired female secondary band director, and one male secondary administrator, along with the personal experiences of six mothers who currently serve as band directors in secondary music education. This study explored perceptions of gender bias within the field, focusing on issues such as the underrepresentation of women in secondary music education, negative societal perceptions regarding women in leadership positions, and the presence of a negative workplace culture. These factors were explored …

Hiring For Leadership Behaviors, Wes Gow

Doctoral Dissertations and Projects

The problem addressed in this research study was low morale and decreased employee engagement within the organization when candidates are assessed for technical acumen at the expense of leadership behaviors. The purpose of this study was to expand the understanding of how hiring managers assess leadership behaviors and the effect that poor leadership behaviors have on organizational morale and employee engagement. A single case study was conducted with 31 hiring managers within the researcher’s present employer, ABC, Inc. (pseudonym name). Data collection included one-on-one interviews, review of existing job interview templates, and follow-on interviews to reflect on recent job interviews. …

Post-War Traumatic Events Of Previously Incarcerated And Homeless Veterans: A Phenomenological Study Of Their Experiences Pauline Anne Leblanc Liberty University A Dissertation Presented In Partial Fulfillment Requirements For The Degree Of Doctor Of Education School Of Behavioral Sciences, Pauline Anne Leblanc

Doctoral Dissertations and Projects

The importance of this phenomenological study explains why veterans' homelessness and incarceration remain a significant problem in American Society. The purpose of the study was to describe the experiences of homeless/incarcerated veterans. The study also examined the lack of needed healthcare services for veteran prisoners and ex-offenders. Incarcerated and homeless veterans are at risk for various adverse outcomes after their release, such as a range of physical, mental, and other psychosocial problems, including moral injury. The study employed a descriptive phenomenological design, utilizing various data collection methods, including a demographic questionnaire and one-on-one interviews, which were audiotaped. Selected and interviewed, …

Mathematics Self-Efficacy And Achievement Among Elementary Students Who Participate In Extended Day Mathematics Programs: A Causal Comparative Study, Maria V. Kerr

Doctoral Dissertations and Projects

The purpose of this quantitative causal-comparative study is to examine whether there is a difference in mathematics self-efficacy and achievement among fourth and fifth-grade students who participate in extended-day mathematics programs versus those who do not. The study utilizes the Mathematics Interest Inventory (MII) and the iReady Mathematics Program to measure these variables. Student performance in mathematics is influenced by various factors, including motivation, interest, and self-efficacy. In response to learning loss from emergency school closures, schools nationwide have implemented extended-day programs to help close the achievement gap. Federal and local governments have allocated over $8 billion to support these …

Elementary Seeds Of The Creation-Order Theodicy In The Early Christian Apologists, Lori A. Peters

Doctoral Dissertations and Projects

The problem of evil and suffering is a significant obstacle for people to consider the truth of Christianity. One way to eliminate this barrier is to provide a theologically sound and biblically accurate theodicy. The Creation-Order Theodicy is one such attempt. The purpose of this paper is to examine if the elements of the Creation-Order Theodicy have their roots in the early teachings of the church through the writings of the early Christian apologists through AD 250. Chapter 1 includes the nature of the problem, a review of existing literature, and the research methodology. Chapter 2 will summarize various modern …

Self-Efficacy And Burnout Of Nursing Faculty: The Mediating Role Of Fear Of Negative Evaluation, Sarah Murray Kelly

Doctoral Dissertations and Projects

The contents of this manuscript include a dissertation of a survey research study using the theoretical models of self-efficacy and burnout. The quantitative study used mediation analysis to explore the relationship between self-efficacy and burnout, with fear of negative evaluation as a mediator. Fear of negative evaluation was measured using the Brief Fear of Negative Evaluation Scale-Revised; self-efficacy was calculated using the General Self-Efficacy Scale; and burnout was measured using the Oldenburg Burnout Inventory. The study drew a sample of 98 academic nurse educators (N = 98) who were evaluated by student evaluations of teaching. The sample included educators who …

A Journeys End: A Phenomenological Approach To End-Term Buyer-Supplier Relationship Performance Management, James M. Capps

Doctoral Dissertations and Projects

The incumbent research study examines the lived work experiences of buyer-side buyer-supplier relationship managers as they seek to optimize supplier performance while navigating the end-term buyer-supplier relationship. While contemporary literature has explored several topics on supplier performance management and end-term, buyer supplier relationships separately, no research has explored detailing the experiences of supplier relationship managers within this phenomenon. Utilizing a qualitative, phenomenological design with hermeneutical analysis, the incumbent study utilizes multi-stage random sampling techniques to recruit sample participants (N=7) in various industries. Research participants were interviewed on their lived experiences navigating end-term buyer-supplier relationships and how they optimized supplier performance …

Parental Internet Mediation: A Phenomenological Study, Jossie Marino-Vega

Doctoral Dissertations and Projects

Parental Internet mediation, which is the strategies parents use to control and supervise online content for children, has been transformed into a critical role due to the mixed outcomes of digital use. Baumrind's parental styles and Bandura's Social frameworks guide this study for its connection with parental mediation and children's learning. This qualitative research aimed to explore and describe how parents mediate and use the Internet concerning kids' development. Eleven mothers were interviewed with at least one student enrolled in kindergarten through 5th grade at an elementary school in Killeen, Texas. The data was analyzed using Moustakas's (1994) modification of …

A Phenomenological Qualitative Study: The Lived Experiences Of Women Diagnosed With Substance Use Disorders And The Stigma Associated With Their Disorder, Emily E. Fitzgerald

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study was to describe the lived experiences of women with the stigma of being diagnosed with substance use disorders within the Northeastern United States. Women diagnosed with substance use disorders who experience significant barriers to recovery were defined as a vulnerable population that experiences significant adversities and hardships navigating stigma and the wellness process. Substance use disorders have been a rising public health issue that affect millions of Americans across the United States, and societal and self-perceived stigma have continued to mitigate recovery efforts and individuals’ access to treatment and healthcare. This study focused …

The Impact Of Resistance Training On Obese Perimenopause African American Women In San Antonio, Letesha Nicole Butler

Doctoral Dissertations and Projects

This quantitative randomized controlled trial investigated the impact of resistance training on body fat in obese African American perimenopausal women in San Antonio, Texas. The study aimed to support the World Health Organization's efforts to combat obesity and address the underrepresentation of African American women in research, a population with over half being overweight or obese. Eleven eligible participants completed an intake survey and had their body fat percentage measured using an InBody 270 before and after the intervention. Participants were divided into two groups: one utilizing weights (e.g., dumbbells, barbells, machines, resistance bands) and the other using body weight …

The Problem Of Stigma: Equipping The Christian Church By Exploring An Integrated Response, Charles Mcgannon

Doctoral Dissertations and Projects

Research has shown stigma to be a significant barrier to help-seeking and effective functioning in every domain of human life. Current research has shown that attempts to enact a solution to this problem have largely failed and, in some cases, have made the problem worse. With an integrated approach incorporating the biblical perspective and supportive scientific insights, effective solutions were explored while helping to connect the Christian and scientific communities toward common goals of removing barriers for help-seekers and reducing stigma and its effects on human lives. For the current qualitative study, 10 leaders within the Christian Church were interviewed …

Centralizing Discipleship Through Small Groups, Roger O. Nelmes

Doctoral Dissertations and Projects

Centralizing Discipleship through Small Groups explores how intentional leadership development and relational disciple-making practices can reframe a megachurch’s approach to spiritual formation. Conducted at Hope City, a dynamic, urban, multisite nondenominational congregation, this mixed-methods action research integrates qualitative interviews, quantitative Likert scale surveys, and a focus group to evaluate the effectiveness of a holistic discipleship framework. Key interventions included a Group Leader Intensive Training (LIT), the implementation of Rooted small groups, and the launch of Intentional Relational Discipleship (IRD) groups, all designed to shift the church’s culture from attractional programming to a missional, relational ethos. Data revealed that small groups, …

Divine Grace In Human Flourishing Amid Suffering, Sutjipto Utomo

Doctoral Dissertations and Projects

Human flourishing is as potent as it is intricate. There is a need in the Christian context for a model of human flourishing among other available models. This current qualitative study seeks to gather insights into human flourishing amid suffering among Methodist clergy in Indonesia. The phenomenological approach delved into the essence of encountering the grace of the Lord and flourishing amid the adversities in their ministry. The purposeful sampling was carried out, and fifteen clergy participated in the semi-structured interviews. Their responses helped with gaining insights into the themes of God’s grace, suffering, and human flourishing amid suffering. The …

An Analysis Of Sport Science Practices And Standards In Collegiate Football, Corey F. Fitzgerald

Doctoral Dissertations and Projects

This dissertation presents the findings of a survey that identifies the sport science practices and standards utilized in National Collegiate Athletic Association (NCAA) football programs. In total a fifty-two item survey instrument was administered that examines seven sections, including (i) demographics, (ii) current sport science practices, (iii) advanced technology, (iv) decision-making processes, (v) health and wellness, (vi) budget and resources, and (vii) comments. All generated numerical data was organized into a statistical analysis program, SPSS Statistics v 29.0.2.0 (© IBM Corporation). Correlations were conducted on data gathered from Likert Scale questions, using Spearman test. Additionally, comprehensive non-numerical subjective data was …

Investigating The Practice Of A Somatic, Mindful Christian Prayer And Breathing Practice On Public Speaking Anxiety, Robyn L. Middleton

Doctoral Dissertations and Projects

This randomized controlled trial investigated the effectiveness of a mindful Christian prayer practice (The Jesus Prayer) combined with slow diaphragmatic breathing on communication anxiety. Participants (N = 80) included university students and members of the general public aged 18-60 who experience public speaking anxiety. Measurements included self-reported speech anxiety and heart rate variability (assessed via the WellHero app). Repeated measures ANOVAs revealed that the mindful prayer practice had no significant effect on participants' self-reported speech anxiety or RMSSD heart rate variability. A statistical trend of lower Baevsky’s Stress Index (another variable WellHero provided) was observed in the intervention group. This …