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Doctoral Dissertations and Projects

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Missional Metamorphosis: How Identity, Presence, And Praxis Are Reshaping Disciple Making Within Post-Christian Contexts, Justin Thomas Wester Nov 2019

Missional Metamorphosis: How Identity, Presence, And Praxis Are Reshaping Disciple Making Within Post-Christian Contexts, Justin Thomas Wester

Doctoral Dissertations and Projects

The American Church’s current disciple-making paradigm is struggling to engage post-Christian contexts with the gospel of Jesus Christ. Despite American society’s steady trending away from a biblical worldview, dwindling church attendance, and declining religious affiliation, the American Church is still operating under a disciple-making paradigm conducive for the Christendom era. What changes must occur to help churches break away from an antiquated paradigm and embrace a more contextually appropriate expression? This project helps to answer that question by capturing and expressing how changes in ecclesial identity, contextual presence, and corporate praxis are altering disciple-making paradigms within post-Christian contexts. Utilizing quantitative …


Fostering Whole Person Development Through High School Football: A Case Study, Joshua Daniel Cassidy Nov 2019

Fostering Whole Person Development Through High School Football: A Case Study, Joshua Daniel Cassidy

Doctoral Dissertations and Projects

The purpose of this study was to describe how Coach Clark (pseudonym) addressed the development of the whole person during adolescence through high school football at County High School (pseudonym). Whole person development (WPD) during adolescence was generally defined as human development that was meant to involve all the parts (i.e., cognitive, social, spiritual, emotional, and physical) of a person. This study answered the following central research question: How does Coach Clark address the development of the whole person during adolescence through high school football at County High School? The results of this study showed that Coach Clark addressed the …


Noninvasive Ventilation Protocol Development, Janise Pierce Tinsman Nov 2019

Noninvasive Ventilation Protocol Development, Janise Pierce Tinsman

Doctoral Dissertations and Projects

Endotracheal intubation results in many serious complications including regurgitation, vocal cord paralysis, and death. Noninvasive ventilation using bi-level positive airway pressure has been shown to provide the necessary support without intubation and is also associated with better outcomes if trialed prior to endotracheal intubation. A noninvasive ventilation protocol was applied in a rural acute care facility. Results: The average length of stay for acute respiratory failure decreased from 5.32 to 4.44 days, while intubations fell from 41.9% to zero, and mortality fell from 9.7% to zero during the pilot period. Five cases met criteria for noninvasive ventilation, and three received …


Attorneys' Experiences With Continuing Legal Education Delivered Online: A Holistic Single Case Study, Kimberly Ann Thomas Nov 2019

Attorneys' Experiences With Continuing Legal Education Delivered Online: A Holistic Single Case Study, Kimberly Ann Thomas

Doctoral Dissertations and Projects

The purpose of this qualitative holistic single case study was to describe how practicing attorneys in North Carolina experience continuing legal education (CLE) courses delivered online. The theories guiding the study are Knowles’ adult learning theory and Siemens’ connectivist theory, as they address how adults learn and how the use of technology connects learning. The central research question is as follows: How do practicing attorneys in North Carolina experience online CLE courses? This question leads to three sub-questions: What meaning do practicing attorneys ascribe to CLE? What benefits and concerns do attorneys identify with CLE delivered online? How do attorneys …


Declining Church Attendance: Five Reasons Why Millennials Have Stopped Attending Church, Charles Eugene Sumpter Nov 2019

Declining Church Attendance: Five Reasons Why Millennials Have Stopped Attending Church, Charles Eugene Sumpter

Doctoral Dissertations and Projects

During the past decade, every denomination has recorded a decline in church attendance despite a continual increase in the US population. Research organizations including the Barna Group, Pew Research, and the Hartford Institute of Religion Research conducted an untold number of surveys providing statistics that ascertain reasons for declining church attendance and why people are leaving the church. Failure to address the issue of declining attendance will lead to more church failures and an increased number of people with no church affiliation. This research document will review data from the Barna Group, Pew Research, and the Hartford Institute of Religion …


A Phenomenological Investigation Of Elementary School Counselors' Training Applicability With Students' Social-Emotional Wellbeing, Vanessa Camiel Costello Nov 2019

A Phenomenological Investigation Of Elementary School Counselors' Training Applicability With Students' Social-Emotional Wellbeing, Vanessa Camiel Costello

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to investigate the self-perceived preparedness of elementary school counselors’ to foster and promote students’ social-emotional wellbeing. The American School Counselor Association (ASCA, 2016) stipulates in its National Model that school counselors are to assist students in their social-emotional wellbeing through their school counselors’ competencies. This study sought to fill the gap in the literature regarding elementary school counselors’ experiences in utilizing their training to foster and promote students’social-emotional wellbeing. The central question guiding this study is, “how do elementary school counselors describe their training applicability to foster and promote students’ social-emotional wellbeing?” …


Back To The Basics With Environmental Hygiene, Shanna D. Stowe Oct 2019

Back To The Basics With Environmental Hygiene, Shanna D. Stowe

Doctoral Dissertations and Projects

Environmental hygiene is fundamental in preventing the transmission of pathogens that can cause health care-associated infections (HAIs). Inanimate surfaces within the patient’s environment are defined as high-touch surfaces and include areas such as bedrails, tray tables, call lights, telephones, any equipment that is attached to the patient, and the computer on wheels. HAIs develop during hospitalization and occur within 48 to 72 hours of admission or within 10 days after hospital discharge (CDC, 2014; Collins, 2008). HAIs increase the morbidity, mortality, and hospital expenditures; and critically ill patients are at greater risk for HAIs because of their compromised immune systems, …


Aristotle And Habituation: Is Virtue Really Attainable Without God's Help, Roy Michael Mattson Oct 2019

Aristotle And Habituation: Is Virtue Really Attainable Without God's Help, Roy Michael Mattson

Doctoral Dissertations and Projects

We are by nature moral beings who desire virtue. This fact is borne out by innumerable studies. Aristotle’s Nicomachean Ethics and Eudemian Ethics remain among the most influential works on ethics and human moral psychology. Aristotle claims that human beings can develop good character traits and achieve virtue with the appropriate upbringing (what Aristotle called habituation). Much of what Aristotle says about character traits, virtue, and habituation is accepted today and inspires character education. Yet recent results in experimental psychology challenge the notion of character traits and virtue as understood by Aristotle. The challenge is the abundance of evidence showing …


Development And Implementation Of Selected Spiritual Disciplines For The Worship Team Leaders Of Monte Vista Baptist Church, Clifton Edwin Kosier Oct 2019

Development And Implementation Of Selected Spiritual Disciplines For The Worship Team Leaders Of Monte Vista Baptist Church, Clifton Edwin Kosier

Doctoral Dissertations and Projects

One of the foremost doxological problems of the twenty-first century is complacency in worship. Deficient spiritual development of the follower of Christ is rampant among Christians; many believers, suffering from this, have moved away from the purpose of man - to have a love relationship. This relationship has been replaced with a task-oriented spirit. No longer do we leave worship ready to make a difference for the Kingdom of God, but Christians come to complete a task and remove it from a long list of “to dos” in their busy world. Corporate worship has become habitual while lacking spiritual meaning. …


An Examination Of The Relationship Between Academic Entitlement And Education Financing Among Undergraduate Students, Nicola Ifill-Fraser Oct 2019

An Examination Of The Relationship Between Academic Entitlement And Education Financing Among Undergraduate Students, Nicola Ifill-Fraser

Doctoral Dissertations and Projects

Academic entitlement among students is a growing problem and concern for universities. Students with a sense of entitlement towards their education believe that positive academic outcomes are owed to them and should be awarded, not based on mastery of educational content, but on non-academic aspects of education, such as attending class, participating in class, or paying tuition fees. Additionally, academically entitled students have unrealistic expectations about the role of instructors and demanding attitudes and behaviors toward faculty. The factors precipitating these actions and behaviors appear to be multi-facted and remain unclear. To add to the growing body of literature on …


An Analysis Of Marketing And Microenterprise: Does Marketing Have An Impact On These Unique Organizations?, Bruce Alan Morgan Oct 2019

An Analysis Of Marketing And Microenterprise: Does Marketing Have An Impact On These Unique Organizations?, Bruce Alan Morgan

Doctoral Dissertations and Projects

This research study was a qualitative, multiple case study on how the implementation of good marketing techniques impacts the sustainability of microenterprises. This is a replicative extension study of prior research that revealed a theme of “promotional activities” correlating to microenterprise sustainability beyond two years (Haynes, 2017). This research extended the prior study by significantly increasing the number of participants (from six to forty), providing heterogeneity regarding lines of business, expanding to a new geography (the Upstate of South Carolina), focusing exquisitely on marketing techniques (as defined by the classical Marketing Mix), and defining sustainability by using both an accepted …


Using Teamstepps® To Improve Interprofessional Collaboration In The Outpatient Psychiatric Care Setting, Amy Michele Wadsworth Oct 2019

Using Teamstepps® To Improve Interprofessional Collaboration In The Outpatient Psychiatric Care Setting, Amy Michele Wadsworth

Doctoral Dissertations and Projects

The AACN has identified in their QSEN competencies that collaborative teamwork and patient-centered care are two qualities that skilled nurses must exhibit to provide high-quality care. The IOM has made a call to action that healthcare professionals must exhibit patient-centered care in interdisciplinary team settings to achieve high-quality care. At a community resource program in the mid-Atlantic region, a recent qualitative job satisfaction survey revealed that employees identified issues with interprofessional collaboration and a lack of teamwork at the facility. Using the Iowa Model, this EBP project involves the use of a cohort study with a pretest-posttest design, where the …


Body Appreciation, Self-Esteem, And Social Media Engagement, Stephanie A. Belton Oct 2019

Body Appreciation, Self-Esteem, And Social Media Engagement, Stephanie A. Belton

Doctoral Dissertations and Projects

Dissatisfaction with one’s body and low self-esteem are significant issues that many women experience throughout their lives. Researchers have substantiated the relationship between self-esteem and body appreciation, with limited and conflicting correlations reported between body appreciation and engagement with social media. Accordingly, further research was needed to develop a more comprehensive understanding of the ways that self-esteem and engagement with social media may affect body appreciation. The purpose of this study was to evaluate the relationship between women’s self-reported social media engagement, body appreciation, and self-esteem. This study was guided by three research questions and results were interpreted through the …


Impact Of Combat Experience On Adult Learning For Students Enrolled At Liberty University In Spring 2019, Stephany Dawn Pracht Oct 2019

Impact Of Combat Experience On Adult Learning For Students Enrolled At Liberty University In Spring 2019, Stephany Dawn Pracht

Doctoral Dissertations and Projects

This dissertation joins an active conversation in the behavioral sciences regarding the challenges of assimilating the adult experienced trauma into the adult education setting. This quantitative study employed a nonexperimental, causal-comparative research design to explore the perceptions of current and former combat-experienced military students about their academic experiences. By exploring the needs in higher education that are concerning and prevalent among those who have experienced active combat, this paper discusses the effects of the combat experience on current and former military members as they seek to acclimate to the academic world. This study was guided by Malcolm Knowles’s idea that …


Perception Of Nonprofit Employees And Board Governance On The Internal Control Of Contributions: A Qualitative Study, Holly Andrea Caldwell Oct 2019

Perception Of Nonprofit Employees And Board Governance On The Internal Control Of Contributions: A Qualitative Study, Holly Andrea Caldwell

Doctoral Dissertations and Projects

This research contributes to the very limited number of qualitative studies on the development and implementation of internal controls in nonprofit organizations. The study explored the understanding of perceptions regarding internal controls in cash contributions from nonprofit organizational employees, Executive Directors/CEOs, and board members. This embedded single-case study consists of eight nonprofit organizations located in the Commonwealth of Virginia of the United States. Eleven themes of board governance, communication, contributions, development of policies and procedures, efficiency, fiduciary duty, leadership, resource availability, separation of duties, training, and trust were identified through interviews, review of policies and procedures for cash receipts and …


Pastoral Counseling And The African American Churches Of Metro Atlanta: Breaking The Stigma Associated With Asking For Help, Lasonja Chanta Richardson Oct 2019

Pastoral Counseling And The African American Churches Of Metro Atlanta: Breaking The Stigma Associated With Asking For Help, Lasonja Chanta Richardson

Doctoral Dissertations and Projects

A stigma exists in the African American Christian community that seeking counseling services displays a lack of faith and therefore is unspiritual; however, as a new generation emerges with more liberal views on counseling and the role of the church, an opportunity to define pastoral counseling as an acceptable practice is emerging. The current lack of pastoral counseling in the African American church is negatively affecting the spiritual health of the church but offering counseling services will increase spiritual maturity. African American churches must re-evaluate their stance on pastoral counseling and begin to emphasize pastoral counseling as not only acceptable, …


Psychometric Analysis Of The Medical Terminology 350 Final Test Using Item Analysis And Kr20, Kristen Nicole Bowers Oct 2019

Psychometric Analysis Of The Medical Terminology 350 Final Test Using Item Analysis And Kr20, Kristen Nicole Bowers

Doctoral Dissertations and Projects

Meaningful quantitative research studies require the use of instruments that have acceptable validity and reliability. The purpose of this study was to determine the reliability and validity of the Medical Terminology 350 Final Test (MT350) in a population of secondary health science students. The MT350 is an assessment instrument that measures participants’ recall of medical terminology meanings and is currently being used to assess learning in health science education. A review of literature has revealed a lack of psychometric analysis of the commonly used MT350. Past practice has suggested instruction that uses mnemonics can favorably influence medical vocabulary retention, but …


The Benefits Of Early Referral To Palliative Care For End Stage Renal Disease (Esrd) On Dialysis, Omolola Akinmadelo Oct 2019

The Benefits Of Early Referral To Palliative Care For End Stage Renal Disease (Esrd) On Dialysis, Omolola Akinmadelo

Doctoral Dissertations and Projects

Palliative care provides outstanding holistic nursing for the management of undesirable symptoms and suffering related to chronic illness disease processes such as end stage renal disease. When palliative care services are initiated early in course of a chronic illness, they improve the quality of care and life and reduce stress for patients and their families. While palliative care is slowly being recognized as the most effective means of improving quality of life and care in the management of chronic illness, most health care staff and providers are not aware of the full benefits of palliative care in the management of …


An Investigation Of Veterinary Sales Professionals' Perceptions Of Self-Directed Learning: A Multiple Case Study, Agostino Salvatore Scicchitano Oct 2019

An Investigation Of Veterinary Sales Professionals' Perceptions Of Self-Directed Learning: A Multiple Case Study, Agostino Salvatore Scicchitano

Doctoral Dissertations and Projects

The purpose of this multiple case study was to investigate sales professionals’ perceptions of self-directed learning within their current positions. The veterinary industry is a highly knowledge-intensive entity that values professional identity, sense of self, compassion, competence, and the human-animal bond; the veterinary sales professional plays an important role in this industry. However, with sales training waning after the first three years of a sales professional’s employment, self-directed learning becomes an important tool for the veterinary sales professional. Yet, there are no studies that provide an in-depth understanding of the role of self-directed learning in veterinary sales. The following central …


Differences In Parent Involvement Perceptions: A Quantitative Study Of Soldiers With Children In Elementary School, Tabatha Ware Oct 2019

Differences In Parent Involvement Perceptions: A Quantitative Study Of Soldiers With Children In Elementary School, Tabatha Ware

Doctoral Dissertations and Projects

This study examined perceptions of effective parent involvement for military parents with children in elementary school. Schools can cater to the needs of military parents by offering activities that parents prefer when consideration is given to rank and the grade level of the child. The population included soldiers stationed at an Army post in the southeastern part the United States. The target population was military parents with children in kindergarten through fifth grade. The sample population included the military parents with children enrolled in elementary schools near the Army installation. A causal-comparative research design was used to compare mean scores …


Improving Patient Satisfaction With Quietness At Night: An Integrative Review, Victoria Rondez Squier Oct 2019

Improving Patient Satisfaction With Quietness At Night: An Integrative Review, Victoria Rondez Squier

Doctoral Dissertations and Projects

Despite the efforts to improve the environment of care in hospital settings by noise reducing interventions, building redesigns, and quiet hours, research maintains patients continue to report noise is problematic across all specialties in acute care settings. Patient satisfaction correlates to their perception of quality care and hospitals are economically impacted by their feedback on hospital rating surveys. Stagnant Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey results across the country indicate “Quiet at Night” is in need of attention to be prioritized, as it continues to be the lowest scoring line item on hospital rating surveys since …


Centeringpregnancy: Perceptions Of Providers And Staff In A Private Ob Practice, Allison F. Mills Sep 2019

Centeringpregnancy: Perceptions Of Providers And Staff In A Private Ob Practice, Allison F. Mills

Doctoral Dissertations and Projects

Traditional prenatal care has been the stalwart of care in the United States since the 1920s; however, a new model of care is emerging: group-style prenatal care. This model of care has been well-documented within literature as having notable maternal and fetal outcomes, including increased patient satisfaction, decreased preterm birth rates, increased breastfeeding rates, and increased patient compliance, to name only a few. With such remarkable outcomes, it begs the question of why the group prenatal care model is not more widely utilized. This project aimed to determine if increasing the knowledge of healthcare providers in a private obstetrics practice …


Exploring The Reflective Experiences Of Disadvantaged Children In 4-H: A Phenomenological Study, Cherise Marcella Mbaye Sep 2019

Exploring The Reflective Experiences Of Disadvantaged Children In 4-H: A Phenomenological Study, Cherise Marcella Mbaye

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to understand how adults, who grew up as disadvantaged children, were influenced by their experiences in a 4-H program located in rural southern Virginia. The research question central to the study was, “How do adults who grew up as disadvantaged children describe their experiences in a local 4-H program within rural southern Virginia?” The theory guiding this study was Markus and Nurius’ (1986) “possible selves” theory (p. 954). I collected data from 11 participants via interviews, focus groups, and replicas of artifacts. Post data collection, I used preset and in vivo coding …


Significance Of Capnography In Pediatric Post Anesthesia Care, Deborah Renee Whitley Sep 2019

Significance Of Capnography In Pediatric Post Anesthesia Care, Deborah Renee Whitley

Doctoral Dissertations and Projects

Updated clinical guidelines and professional practice standards for pediatric post-anesthesia care call for the use of capnography until the patient is awake. The purpose of this project was to champion the implementation of capnography in the pediatric post-anesthesia care unit at the project site. Monitoring capnography in addition to pulse oximetry for all pediatric post-anesthesia patients until awake was the practice change implemented. Capnography led to an increase in the number of appropriate respiratory-related nursing care interventions provided, earlier response to changes in respiratory status, and a decrease in the pediatric post-anesthesia care unit length of stay. The implications for …


Shingrix Education For Providers, Lindsey Hanks Buzzeo Sep 2019

Shingrix Education For Providers, Lindsey Hanks Buzzeo

Doctoral Dissertations and Projects

Shingles is a prevalent disease within the overall population, and incidence in North America continues to increase. Shingles is commonly found in older adults 60 years of age and older and can recur two or three times. Shingrix was released in 2017 as a recombinant vaccine for prevention of shingles. Despite its benefits, this vaccine has not been recommended by many prescribing providers. Research has shown that an effective education program improves attitudes and misconceptions related to vaccines and can increase prescribing rates. An education program was created to share with prescribing providers to improve overall knowledge and recommendation rates …


Sepsis Education Utilizing ‘Sepsis Alert’ Checklist To Support The Adherence Of Early Management Bundle In The Emergency Department, Jean Jun Sep 2019

Sepsis Education Utilizing ‘Sepsis Alert’ Checklist To Support The Adherence Of Early Management Bundle In The Emergency Department, Jean Jun

Doctoral Dissertations and Projects

Early recognition and timely management of sepsis is a priority within hospitals due to its direct impact on patients’ outcomes. It is critical for healthcare providers to be educated and aware of the signs and symptoms of sepsis. The emergency department (ED) is the forefront of the hospital where majority of patients with sepsis are assessed and either discharged or admitted into the hospital. Therefore, it is critical for ED nurses to be educated in the early signs of sepsis and follow evidence-based practice guidelines when managing these patients. The project leader implemented a sepsis education intervention aimed at clinical …


Depression In Black Men: One Church’S Solution, Dwayne T. Baskin Sep 2019

Depression In Black Men: One Church’S Solution, Dwayne T. Baskin

Doctoral Dissertations and Projects

This dissertation examines the Black Church’s influence on Pentecostal African-American men who are depressed, and how the church may assist these men to heal from the wounds of despair through a Pentecostal experience. While many Pentecostal African-American men have matriculated through the ranks of leadership, establishing successful businesses, churches, ministries, and organizational denominations; they are teetering on the edge of an emotional and spiritual breakdown. Researchers have found that African-American men are understudied and underdiagnosed as it pertains to depression. Eight African-American Pentecostal men were interviewed and given questionnaires to examine how depression affected them while maintaining leadership roles in …


Psychological And Behavioral Outcomes Identified In The Strong Black Woman, Nelina Renee Moffett Sep 2019

Psychological And Behavioral Outcomes Identified In The Strong Black Woman, Nelina Renee Moffett

Doctoral Dissertations and Projects

The purpose of this qualitative was to explore psychological and behavioral outcomes identified by Black women who identify as Strong Black Women (SBW) using grounded theory. The following chapters emphasized the realities of psychological and behavioral responses of SBW as it related to interactions with their social environment. As part of this study, fifteen participants responded to semi-structured open-ended interviews, which was coded based on reoccurring themes, pattern recognition, and content analysis. Results identified prevalent themes specific to this population of strong Black women. The introduction of loneliness as an underexplored psychological theme resulted from participant interviews. Behavioral themes introduced …


A Case Study On The Implementation Of Additional Daily Physical Activity Beyond The State-Required Guidelines, Frances Eugenia Phipps Aug 2019

A Case Study On The Implementation Of Additional Daily Physical Activity Beyond The State-Required Guidelines, Frances Eugenia Phipps

Doctoral Dissertations and Projects

The purpose of this qualitative case study was to provide an in-depth understanding of teachers’, principals’ and educational stakeholders’ viewpoints of students in 3rd, 4th and 5th grades pertaining to the incorporation of additional daily physical activity into the school day above the state-mandated 30 minutes in an elementary school in rural Western North Carolina. Research questions included: How does additional daily physical activity implemented in the school day influence student cognitive development? Why has additional daily physical activity time been incorporated into the school day? How does extended play benefit students beyond cognitive impact? Personal semi-constructed interviews with 11 …


A Correlational Study On The Relationship Between Pupil Control Ideology, Color-Blind Racial Attitudes, And Teacher Efficacy Among Urban Teachers, Kyria Parker-Hart Aug 2019

A Correlational Study On The Relationship Between Pupil Control Ideology, Color-Blind Racial Attitudes, And Teacher Efficacy Among Urban Teachers, Kyria Parker-Hart

Doctoral Dissertations and Projects

Teacher efficacy describes teachers’ beliefs in their ability to impact student achievement, regardless of external factors. The present study’s purpose was to determine factors that influence teacher efficacy such as color-blindness and pupil control ideology. The goals were to determine the following: If there was a relationship between color-blind beliefs and teacher efficacy, do color-blind racial attitudes moderate the relationship between pupil control ideology and teachers’ sense of efficacy, and can beliefs about student behavior and color-blindness predict levels of teacher efficacy? The Teachers’ Sense of Efficacy Scale, Pupil Control Ideology Scale, and the Color-Blind Racial Attitudes Scale were used …