Digital Commons Network^™

Effect Of Multiple Simulation Exposures On Nursing Students' Critical Thinking In First Direct Patient Care Practice, Dawn Veltre

Doctoral Dissertations and Projects

Critical thinking is a core competency essential for nursing practice, and nursing students must develop these skills to become competent nurses. The purpose of this quantitative quasi-experimental pretest-posttest design is to determine the effect of multiple simulation exposures on nursing students' critical thinking during their first direct patient care practice. A convenience sample of 39 first-year nursing students enrolled in an associate degree nursing program in the western United States participated in this study. Participants completed a demographic survey and the Health Sciences Reasoning Test (HSRT) to measure critical thinking skills before multiple simulation exposures, two exposures, or four exposures …

The Impact Of Church Members On Single Parents In Residential Family Care Systems, Vanessa M. Jackson

Doctoral Dissertations and Projects

This paper discusses the value of grace and its significance for making positive, lasting change. The researcher initially hypothesized that accountability alone was the sole catalyst for transformation (van Manen, 1990; Williams, 2008). The researcher conducted 30-minute interviews of seven single mothers with a minimum of 2 years residence in one or more Residential Family Care (RFC) programs, identifying them with pseudonyms for the purpose of protecting their identities. Each interview transcript was then evaluated for key repeated themes and phrases. While accountability did indeed play a significant role in the women’s change processes, the researcher found that grace, facilitated …

Adverse Childhood Experiences And Adult Nutrition; A Correlational Study, Tabitha Ostrout

Doctoral Dissertations and Projects

There is a wealth of knowledge surrounding adverse childhood experiences and their immediate consequences. In recent years, researchers have expanded the scope of studies to explore the long-term impact of these negative early childhood events. One focus of interest is examining the connection between adverse childhood experiences and adult nutrition. To further contribute to the body of knowledge, a quantitative research study was conducted to determine if there is a correlation between the two variables. Data was collected from 106 participants to analyze the impact that adverse childhood experiences may have on later adult nutrition, as well as to investigate …

Educational Leadership And Advocacy For Change: A Historical Examination Of Georgia State Superintendents’ Reporting And Public Education Reform (1933–1977), Benjamin Isaac Casado

Doctoral Dissertations and Projects

This dissertation examines the role of Georgia’s State Superintendents of Schools in shaping public education from 1933 to 1977, a period marked by profound social, economic, and political change. Focusing on the tenures of Dr. Mauney Douglass Collins, Dr. Claude Lamar Purcell, and Dr. Jack P. Nix, it explores how these leaders utilized the Georgia Department of Education reports to the General Assembly to advocate for legislative reforms and address the evolving educational challenges of their respective eras.

Through a detailed analysis of these reports, this study uncovers the superintendents’ strategies, priorities, and policy recommendations, shedding light on their leadership …

The Both/And Church: A Qualitative Study On The Motives, Processes, And Impacts Of Instrumental Music In Churches Of Christ In The Bible Belt, Samuel Scott Souder

Doctoral Dissertations and Projects

Despite the information available on worship styles of churches in America, perspectives of Churches of Christ who have started using instruments have yet to be explored. Since 1906, Churches of Christ have been one of many distinct religious sects in America. Expressions of this denomination are most often found in the Deep South of the United States — what many religious persons refer to as the “Bible Belt.” Known for their emphasis on weekly communion, baptism as a sacramental part of discipleship, and their embrace of extra-biblical additions to ministry like missionary societies, one spiritual practice sets them apart most …

Nursing Faculty Perspectives On Students With Learning Disabilities: A Transcendental Phenomenological Study, Marlies Aanensen Hébert

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to record the lived experiences of nursing faculty perspectives of students with learning disabilities in all learning environments. The theories that provide the framework for the study are John Dewey’s theory of education and Malcolm Knowles’ theory of adult learning. Both theories establish a foundation for understanding the challenges faced by adult learners with learning disabilities and how to offer effective support. The research question is: What are the lived experiences of nurse educators working with students with learning disabilities in all learning environments? The study employed a snowball sampling method to …

Experiences Of Students Who Have Attended Disciplinary Alternative Schools: A Transcendental Phenomenological Study, Bonnie Marie Cox

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe the school discipline-related experiences in the form of the exclusionary discipline for students who are currently at or who were previously at public alternative education schools in the state of Florida. At this stage in the research, school-discipline related experiences in the form of exclusionary discipline were generally defined as students’ individual experiences that may have contributed to their removal from their general education setting. This study sought to answer what the perceived experiences of current and/or former high school students who have recently attended a public alternative school as …

A Qualitative Inquiry Of People Experiencing Prolonged Unforgiveness In Connection To Christian Psychology, Josephine Agbons Fleming

Doctoral Dissertations and Projects

The purpose of the qualitative study was to explore Christian women's experiences and understanding of prolonged unforgiveness from the perspective of people living with prolonged unforgiveness. Harboring unforgiveness leads to unhappiness, dissatisfaction, and increased bitterness. It also leads to negative emotional experiences and physical and psychological concerns. A previous study encountered a transparent narrative that it is not good to harbor bitterness toward others. Some researchers have explored the outcomes of unforgiveness that involve empirical analysis. Other studies have described the nature of unforgiveness and its effects without explaining what unforgiveness does to people if it is prolonged and strategies …

The Use Of Artificial Intelligence In The Clinical Supervision Of Counselors In Training: A Comparative Quantitative Study, Debra Ann Millman

Doctoral Dissertations and Projects

To address the need to improve the effectiveness of clinical supervision, this study compared the use of artificial intelligence (AI) to evaluate the counseling skills of counselors in training with evaluations completed by counseling professors. Counseling session transcripts obtained from the public domain were evaluated using AI by asking the chatbot to act as if it were a licensed mental health clinical supervisor and evaluate the transcript using the Counseling Competencies Scale Revised rubric. Counseling professors were asked to manually evaluate the sessions using the same rubric. Finally, doctoral students enrolled in a counselor education and supervision program were asked …

Optimizing Ehr Utilization: Implementing An Educational Program To Improve Template Use, Knowledge, And Satisfaction Among Primary Care Providers And Staff, Danielle Alley Lewis

Doctoral Dissertations and Projects

Electronic health record utilization is essential for improving clinical documentation, enhancing patient care, and ensuring regulatory compliance. Despite the benefits, provider reluctance and inconsistent utilization of electronic health records remain significant challenges in many primary care settings. This scholarly project aimed to implement an educational program to increase provider and staff knowledge, satisfaction, and utilization of electronic health record tools and templates within a small primary care office. The project addressed an identified gap in electronic health record adoption where providers continued to rely on paper documentation despite the availability of a fully functional electronic health record system. This inefficiency …

The Cultivation And Harvesting Of Parasocial Relationships For Evangelism: An Exploratory Multiple Case Study Of Pastors’ Use Of Video On Social Media, Larry D. Witzel

Doctoral Dissertations and Projects

The digital transformation of society has resulted in people living much of their lives online. Some believe the command of Jesus to “go into all the world” necessarily includes entering the digital realm for evangelistic purposes, particularly as the effectiveness of traditional evangelistic methods has declined. This research explored the communication techniques used for digital outreach by seven pastors on social media to cultivate parasocial relationships and the calls to action they used to harvest these relationships evangelistically. This qualitative multiple case study analyzed public video communication and other social media, comparing these pastors’ online ministry with the known techniques …

Preservice Teacher Preparedness To Teach In The Inclusive Classroom Setting: A Hermeneutical Phenomenological Study, Jessica Malter

Doctoral Dissertations and Projects

The purpose of this hermeneutical phenomenological study was to understand how teacher preparation programs provided experiences with inclusive practice coursework for novice (no more than three years of experience) special education and general education teachers working with students with disabilities in the inclusive classroom setting at K-12 schools in Southwestern Missouri. The theory guiding this study was the Self-determination Theory (SDT) by Edward Deci and Richard Ryan, as it focused on the social conditions that could allow for or hinder the flourishing of an individual. The central research question guiding this study was: How have teacher preparation programs provided experiences …

Pastoral Counselors And The Implementation Of Eye Movement Desensitization And Reprocessing, Robyn Jarrell

Doctoral Dissertations and Projects

The problem is that since EMDR is not practiced at CCC, it decreases the quality of care and extends the number of counseling sessions. If Christian Counseling Center’s counselors use Eye Movement Desensitization and Reprocessing psychotherapy for trauma clients, then an increase in counseling quality will be demonstrated by decreased sessions. The study also sought to reveal EMDR's value to clients’ counseling sessions, given that CBT is the standard therapeutic approach in pastoral counseling settings. Qualitative methods included journaling, questionnaires, and focus groups. Two pastoral counselors completed the necessary training and adhered to EMDR procedures while treating eleven clients using …

Love Your Neighbor As Yourself: Examining The Lived Experience Of Christians Of Color Engaged In Advocacy, Monique Victoria Barber

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to explore the lived experience of Christians of Color (COC) engaged in advocacy work within the counseling profession. The study was guided by the allies integrative model, which asserts that God is the author of all truth, and that theology and psychology offer ways to understand His truth within human limitations. This framework provided a lens to examine how COC navigate their faith and racialized identity in advocacy. Seven licensed counselors participated in semistructured interviews, and their corresponding narratives were analyzed using thematic coding. Findings highlight the ways in which COC counselors …

Exploring The Administrator's Role In Regulating Personal Devices In The Classroom: A Qualitative Hermeneutic Phenomenology, Hope Faith Heard

Doctoral Dissertations and Projects

The purpose of the phenomenological study is to explore the autonomy of developing school site personal device regulations for K-12 administrators in central Indiana. The study is guided by Ryan and Deci’s self-determination theory (SDT), which contributed positive results that support administrators’ autonomy and competence. The study’s findings have had a profound influence on K-12 education. The theory uncovered informative, reflective writing that administrators conducted, which involved introspective analysis of their decisions and actions, such as student confidence, satisfaction, and ability to learn using their devices. This study has the potential to improve the learning experience for students in the …

Operationalization Of Emotional Connectedness In The U.S. Military, Demetrius N. Booth Sr.

Doctoral Dissertations and Projects

In the dynamic and challenging environment of military operations, the successful completion of missions often hinges on strategic insight, technical skills, and interpersonal relationships among service members. Despite its significance, emotional connectedness (EC) is often an overlooked dimension of military leadership. The existing literature on connectedness shows that leaders who prioritize fostering an environment marked by shared leadership, organizational citizenship behavior, work commitment, perceptions of justice, and perceptions of support gain influence and help establish a climate of trust and innovation. This research assists military leaders in defining EC within a military context and developing a practitioner-centered theoretical framework that …

Lead Pastor Stress: A Quantitative Study Of The Effects On Mental Health, Marriage, Family, And The Church, Sherri Lee Bergeron

Doctoral Dissertations and Projects

The church’s lead pastor has many roles and responsibilities, from teaching the Word of the Lord, baptisms, counseling sessions, and leading a staff. These are not the lead pastor’s only role; the majority also have a family, children, and a spouse at home who also need their attention. A balance must be considered between the ministry, family, and marriage. If this balance is off or the pastor becomes overwhelmed with any or all the three, their mental health may suffer and can cause depression and anxiety if not dealt with appropriately (Christianity Today, 2022). Lead pastors, while in ministry, have …

Exploring The Silent Suffering Of Male Survivors Of Sexual Assault: A Phenomenological Study, Donna Erica Mitchell

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand the obscure traumatic experiences, challenges, and perceptions that confront adult men in North Carolina suffering in silence as a response to their childhood sexual abuse experiences. The theory guiding this study was the hegemonic masculinity theory, which explains how masculinity has been culturized to create patriarchal systems. One central research question and three research sub-questions were answered. The central research question was, what is the lived experience of male survivors of sexual trauma? The research sub-questions were: What are the effects of the abuse experience on the mental and psychological well-being …

Empowering Kansas City Veterans Administration Chaplains: A Spiritual Leadership Toolkit For Nursing Staff Support, Leonard Gicheru

Doctoral Dissertations and Projects

This doctoral research project addresses the critical issue of burnout among nursing staff at the Kansas City Veterans Administration (KCVA). Burnout is often worsened by a lack of spiritual support, thereby negatively impacting both the well-being of nurses and the quality of patient care. This project study aims to mitigate these challenges by implementing a spiritual leadership resource toolkit, tailored to equip KCVA chaplains with creative strategies to provide spiritual care for nurses.

Based on Spiritual Leadership Theory and guided by biblical principles, this project explores how structured spiritual direction can improve the resilience and emotional well-being of nursing staff. …

Addressing Subjective Reasoning Through Renewed Pathways: Church Discipline, Anthony F. Williams

Doctoral Dissertations and Projects

Skyline Baptist Church adopts a subjective approach to the removal of members through its church discipline process. This means that decisions regarding church discipline and the removal of members are not strictly governed by objective doctrine or biblical alignment but are instead influenced by individual circumstances and the specific context of outside influence. This project seeks to establish objective measures grounded in scriptural understanding, promoting biblical alignment and mutual accountability within the congregation. The existing research provides valuable insights that contribute to the broader Christian mission; it aims to cultivate a more united and devoted commitment that reflects the teachings …

An Intrinsic Case Study Examining Strategies Used By Stakeholders To Handle Inappropriate Behaviors And Teach Self-Regulation To Elementary Students With Moderate To Profound Exceptionalities, Holly May Buckner

Doctoral Dissertations and Projects

The purpose of this intrinsic case study was to discover strategies stakeholders use to handle inappropriate behaviors and teach self-regulation to elementary students with moderate to profound exceptionalities. The theory guiding this study was Bandura’s social cognitive theory, which emphasizes self-regulation. The social cognitive theory applies to this study because teaching students how to overcome behavioral impulses facilitates learning. The relationship between self-regulation and the focus of this study was to expose the different techniques for handling inappropriate behaviors and instilling self-discipline and coping skills in elementary-aged children with moderate to profound exceptionalities. This study included 13 stakeholders: three parents …

Holistic Wellness In The Workplace, Tiffany Youngberg

Doctoral Dissertations and Projects

There is a significant disconnect between the eight dimensions of wellness with employees and the workforce. Near the turn of the 20th century, there has been more focus on wellness in the workplace to increase productivity, with more of a push around the 1990s to improve health. Unfortunately, current research still has significant gaps. Most wellness programs focus on physical health, which does not address all wellness needs, as there are eight dimensions of wellness for working-age adults. Even holistic wellness programs are missing some crucial aspects; they focus on limited components of wellness with a heavy focus on physical …

The Moderating Effects Of Perceived Organizational Support And Work-Life Balance On Job Satisfaction And Turnover Intentions, Marvin J. Ramlall

Doctoral Dissertations and Projects

Employees often contemplate departure from their organization because they experience a dissatisfaction that is associated with their jobs. Many of these employees lack adequate support from their organizations. This quantitative non-experimental research examined the moderating effects of perceived organizational support (POS) and work-life balance (WLB) on the relationship between job satisfaction and turnover intentions in frontline female nurses in New York City (NYC). A total of 68 full-time nurses from several NYC hospitals participated in this study. The Minnesota Satisfaction Questionnaire–Short Form (MSQ-SF) was used to examine job satisfaction. The Turnover Intentions Scale (TIS-6) was used to measure turnover intentions. …

Correctional Officer Stress: The Effects Of Supervising Mentally Ill Inmates, Samuel T. Akers

Doctoral Dissertations and Projects

The work of correctional officers goes unnoticed and unappreciated even though the job is one of the most stressful and dangerous in the United States and worldwide (Pittaro, 2017). Correctional officers work with a population that has proven their propensity to commit offenses against others, such as assaults, rapes, and murders. Officers are on constant alert for threatened or realized personal attacks. Witnessing daily violence and mayhem causes work stress and adversity experienced by no other occupation, yet correctional officers’ occupation lacks research concerning stress on officers and how that stress negatively affects inmate supervision (Lambert et al., 2018). Without …

Examining The Relationship Of Neuroticism And The Three Dimensions Of Religious/Spiritual Doubt Through The Mediating Role Of Intolerance Of Uncertainty, Michael E. Mullins

Doctoral Dissertations and Projects

Research on religious/spiritual (r/s) struggles, such as doubt, has increased over the past two decades and is important because of links between these struggles and negative holistic outcomes. The problem is there are Christian adults with r/s doubts that lead to negative outcomes, and there is a lack of research that examines how the personality trait factor of neuroticism and the dispositional factor of intolerance of uncertainty (IU) affect r/s doubt. The aim of this study was to examine the possible mediating influence of IU upon neuroticism and r/s doubt (including the three dimensions of r/s doubt: factual, emotional, and …

Emergency Management Single Points Of Failure, Todd Alan Smith

Doctoral Dissertations and Projects

Disaster management begins and ends at the local level and encompasses every aspect of public administration. Emergency management practices using jurisdictional authority are central to protecting communities during incidents and events. Although contemporary emergency management plans, procedures, and policies are methodically developed over time, a single point of failure may cause preventable issues that result in a measurable loss of time, funding, or opportunity. A single point of failure can be any moment where a process, action, or detail was either overlooked or executed incorrectly and caused emergency management challenges. Fred Fiedler and William Scott’s descriptions of Contingency Theory, a …

A Saddlebag Doctor Of The Mahantongo Valley Of Pennsylvania: The Life And Practice Of Reuben Harris Muth, M.D., 1826-1899, Lawrence K. Knorr

Doctoral Dissertations and Projects

The life and medical practice of Reuben Harris Muth, M.D., a rural saddlebag doctor, is reconstructed from an extant set of physicians’ daybooks, chronicling his professional activity from 1858 until 1898, including patients seen and the fees charged. The daybooks also provided a modicum of hints at other activities in his life, including his farming business and the whereabouts of his wayward son. However, there were no personal letters or diaries available. Thus, other primary sources and local newspaper accounts were utilized to fill out the most likely details and actions of his life, approximating his movements, key decisions, and …

The Relationship Between Parental Engagement And Student Hope In Adolescent Students: A Multiple Linear Regression Analysis, Monique Danielle Ray

Doctoral Dissertations and Projects

This quantitative, predictive, correlational study aims to determine the influence of parental engagement, comprised of its multiple individual factors, on psychological hope in adolescent students. The importance of this study is grounded in the development of national programs such as the Parent Teacher Association (PTA), which seeks to support the family-school relationship as a critical component in student success and in the research literature that strongly links parental engagement to student academic achievement and social outcomes essential to children’s educational attainment. In this study, 112 students were randomly selected from two schools. Parents completed an anonymous, digital version of the …

Lgb Sexual Minorities And Parental Disclosure, Robyn D. Brian

Doctoral Dissertations and Projects

The purpose of this qualitative, collective case study is to explore how sexual minorities are making parental disclosure decisions in the United States. The theories guiding this study are Minority Stress Theory with theorist Illan Meyer, as well as Family Systems Theory with Murray Bowen, as they explain the relationship between sexual minority stress experienced by sexual minorities while looking at how that impacts the entire family unit during the disclosure process. Data was collected with semi-structured interviews and analyzed using thematic analysis. Results found that one’s future plans and next steps in life were the motivating factor for sexual …

The Relationship Of Christian Spirituality And Sustained Recovery From Trauma-Related Substance Addiction, Carol Beatrice Bradley

Doctoral Dissertations and Projects

This dissertation contains information regarding research that has been done on integrating spirituality into addiction recovery and trauma recovery. Research shows a strong relationship between addiction and trauma experiences and that when recovery counselors integrate spirituality into recovery the chances of relapse decrease. There is a need for additional research and education for recovery counselors and the support systems that help people to recover from addiction. This can help lead people to a life with purpose to prevent further addiction, relapse, overdose, and death. There has been some research that shows that integrating Christianity into recovery can help increase the …