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Countermovement Jump Force Plate Metrics As Neuromuscular Indicators For Seasonal Micro-Adaptations And Hitting Performance Variability In Professional Baseball, Brandon Russell Pentheny
Countermovement Jump Force Plate Metrics As Neuromuscular Indicators For Seasonal Micro-Adaptations And Hitting Performance Variability In Professional Baseball, Brandon Russell Pentheny
Doctoral Dissertations and Projects
This dissertation explored the use of countermovement jump (CMJ) force plate metrics as indicators of neuromuscular status and their relationship to hitting performance variability across a competitive season in professional baseball. Although there is an increase in the integration of sports science and performance analytics in professional sports, a significant gap remains in longitudinal, in-season monitoring models that connect neuromuscular adaptations to hitting-specific outputs, such as bat velocity and ball exit velocity (BEV). This study examined lower-body force production as measured by uniaxial bilateral force plates and how they interact with hitting output task demands over time. Using a longitudinal …
Training Christian Men To Effectively Lead Their Families While Deployed To Guantanamo Bay, Cuba Using An 8-Step Family Leadership Deployment Plan, Lucas Arthur Baker
Training Christian Men To Effectively Lead Their Families While Deployed To Guantanamo Bay, Cuba Using An 8-Step Family Leadership Deployment Plan, Lucas Arthur Baker
Doctoral Dissertations and Projects
This thesis project examined the result of the author’s 8-Step Family Leadership Deployment Plan on the effective leadership of ten Christian husbands and fathers deployed to Guantanamo Bay, Cuba. The project’s goals were to mitigate family stress during separation and warfighter reintegration, to prevent role reversal within the family, and to prevent a pause in the headship and leadership roles of husbands and fathers. The project extrapolated eight principles from Ephesians 5:22–6:4 and was designed to fill an identified resource gap within the United States Military, particularly at Guantanamo Bay, Cuba. It guided participants in creating their own personalized family …
Mental Illness And The Role Of The Church, Shelle Mathis
Mental Illness And The Role Of The Church, Shelle Mathis
Doctoral Dissertations and Projects
Mental illness remains a growing concern in society, prompting increased focus on the church’s role in offering support. The purpose of this qualitative phenomenological study was to explore the beliefs, attitudes, and perceptions of pastors and congregants regarding mental illness and the stigmas associated with it. Sixteen adult participants, ages 31 to 65, from churches in Elyria and Lorain, Ohio, were interviewed through semi-structured questions. Thematic analysis revealed five key themes: stigma, overspiritualization, education and training, collaboration with mental health professionals, and resource accessibility and advocacy needs. Pastors with lived experience of mental illness expressed greater empathy and recognized the …
Exploring Student Perceptions Of Higher-Education Social Media Presence: A Qualitative Descriptive Study Through The Lens Of The Theory Of Interactive Media Effects, Bobby Mikel
Doctoral Dissertations and Projects
As higher-education institutions (HEIs) compete for prospective students in an increasingly saturated digital environment, effective communication on social media has become both essential and challenging. Guided by the cybernetic communication tradition and the theory of interactive media effects (TIME), this qualitative descriptive study explored how students perceived and engaged with social media content produced by HEIs. The study utilized a qualitative survey to explore students’ perceptions of social media content produced by an HEI in the southeastern United States. Additionally, a content analysis of social media posts was conducted to examine how the HEI engages with students. Findings revealed that …
Teacher Burnout In Education: A Phenomenological Study On The Mediating Role Of Psychological Safety Through Organizational Leadership, Darin G. Palmer
Teacher Burnout In Education: A Phenomenological Study On The Mediating Role Of Psychological Safety Through Organizational Leadership, Darin G. Palmer
Doctoral Dissertations and Projects
The purpose of this transcendental phenomenological study was to describe the lack of psychological safety that increases burnout for secondary education teachers at schools in the Southeastern United States. Ryan and Deci’s self-determination theory guided this study, aiming to provide valuable insights into how secondary education teachers’ sense of autonomy, competence, and relatedness within their work environment influences their experiences of burnout. The central research question of this study was: What are the burnout experiences of secondary education teachers in a low psychological safety environment? The methodology for this study included a transcendental study design utilized to sample 10 participants …
A Phenomenological Exploration Of Respiratory Therapists’ Perceptions On Potential Degree Requirements, John Wayne Lindsey Jr.
A Phenomenological Exploration Of Respiratory Therapists’ Perceptions On Potential Degree Requirements, John Wayne Lindsey Jr.
Doctoral Dissertations and Projects
The purpose of this phenomenological study was to explore the lived experiences of respiratory therapists (RTs) regarding the proposed transition from an associate’s degree (ASRT) to a bachelor’s degree (BSRT) as the minimum entry-level credential for the respiratory therapy profession. The respiratory therapy profession faces significant educational challenges due to the increasingly advanced requirements for evidence-based practice (EBP) and teamwork across multiple healthcare disciplines. The theoretical framework for this study was based on three interrelated theories: Kolb’s Experiential Learning Theory, Knowles’ Adult Learning Theory, and Benner’s Novice to Expert Model. Together, these theories established solid groundwork for exploring how RTs …
Exploring Professors’ Lived Experiences Of Interacting With Artificial Intelligence In The Classroom: A Phenomenological Study, Joshua A. Baltzell
Exploring Professors’ Lived Experiences Of Interacting With Artificial Intelligence In The Classroom: A Phenomenological Study, Joshua A. Baltzell
Doctoral Dissertations and Projects
The purpose of this hermeneutic phenomenological study was to explore the lived experiences of higher education professors’ interactions with AI in their teaching practices. This study was guided by Ajzen’s theory of planned behavior, which provided a contextual understanding of the concepts that influence higher education professors’ perceptions of AI in their classrooms. A qualitative hermeneutical phenomenological design was employed, utilizing a combination of criterion and snowball sampling. There were 13 participants recruited from higher education institutions from around the United States. Semi-structured individual interviews, a letter-writing exercise, and a qualitative survey were used to collect data from participants. Thematic …
Factors Shaping Policy For Cybersecurity Resilience In Critical Infrastructure (Ci) Organizations: Proposing An Adaptive Cyber Resilience Policy Model (Acrpm), Raymond Pythias Friedman
Factors Shaping Policy For Cybersecurity Resilience In Critical Infrastructure (Ci) Organizations: Proposing An Adaptive Cyber Resilience Policy Model (Acrpm), Raymond Pythias Friedman
Doctoral Dissertations and Projects
This study examines the factors that influence cybersecurity resilience in private critical infrastructure (CI) organizations, with a focus on governance structures, internal controls, employee attitudes, and cybersecurity capabilities. Although the empirical focus is on private-sector entities, the findings bear significant implications for public policy, given the societal reliance on CI sectors such as energy, telecommunications, and water. Employing a convergent mixed-methods design, the study synthesizes quantitative survey data from cybersecurity professionals with qualitative case studies of CI organizations.
The analysis reveals that internal controls and employee attitudes are the most salient predictors of organizational resilience. Governance exerts an indirect influence …
Black Men’S Experiences Of Intergenerational Trauma And Identity Development: A Phenomenological Study, Richard N. Tabb
Black Men’S Experiences Of Intergenerational Trauma And Identity Development: A Phenomenological Study, Richard N. Tabb
Doctoral Dissertations and Projects
This qualitative phenomenological study explored how Black men exposed to intergenerational trauma describe their experiences of identity development. Grounded in Vivian Rakoff’s Intergenerational Trauma Theory and William Cross’s Nigrescence Theory, the study employed a transcendental phenomenological design to examine how trauma is transmitted across generations and its implications for Black male identity. This research addresses a critical gap in the mental health field, particularly regarding the historical roots of trauma and their impact on contemporary counseling practices. Findings revealed that the enduring legacy of historical trauma rooted in slavery, systemic racism, and ongoing forms of oppression continues to profoundly shape …
Mental Well-Being, Belonging, And Chronic Absenteeism: A Correlational Study, Crystal D. Woodall
Mental Well-Being, Belonging, And Chronic Absenteeism: A Correlational Study, Crystal D. Woodall
Doctoral Dissertations and Projects
Chronic absenteeism (CA) is an overwhelming issue facing schools in the United States. A lack of a student’s sense of belonging or signs of emotional symptoms are often red flags that can forecast future absenteeism problems with students. CA has been found to have a positive correlation with a student’s sense of belonging and emotional symptoms. Some CA interventions are geared toward increasing a student’s sense of belonging at school and or improvements in overall mental well-being. The purpose of this predictive correlational study was to examine the relationship between students’ self-reported levels of peer relationship problems and emotional symptoms, …
Mental Illness In African American Women: A Transcendental Phenomenology On Self-Efficacy And The Treatment-Seeking Behavior Of Secondary And Post-Secondary Educators, Sasha N. Gordon
Doctoral Dissertations and Projects
This transcendental phenomenological research shows the influence of mental health treatment on the self-efficacy of African American women who are secondary or post-secondary educators in Northern Illinois. For African American women educators, taking care of their mental well- being and being aware of mental health conditions are crucial. Sharing personal stories and experiences can help reduce the stigma surrounding mental health. Promoting awareness and understanding of mental health issues are vital in our communities, and access to resources and support are necessary. Using self-identity theory can aid in comprehending motivations and behaviors, leading to greater satisfaction and fulfillment and the …
A Qualitative Intrinsic Case Study For A Christian Marriage Mentorship Program In Kentucky, Victoria Barbour
A Qualitative Intrinsic Case Study For A Christian Marriage Mentorship Program In Kentucky, Victoria Barbour
Doctoral Dissertations and Projects
The purpose of this intrinsic qualitative case study was to explore the marriage mentorship program of Glory Carriers Church (pseudonym) a non-denominational Christian ministry in central Kentucky to be a larger model for other churches that may also have or want to build their marriage mentorship program. The theories guiding this study are social constructivism therapy, the wraparound model, solution focused therapy, emotion focused therapy and last, the Gottman Method: Sound relationship house. The central research question asked, “What programs does Glory Carriers Church provide for married couples?” with Sub-question 1 that asked, “How does this program provide wraparound support …
Exploring The Intersection Of Spiritual Principles And Mental Health Counseling: Mitigating The Risks Of Spiritual Bypass Through Critical Analysis, Norma Y. Galván-Téllez
Exploring The Intersection Of Spiritual Principles And Mental Health Counseling: Mitigating The Risks Of Spiritual Bypass Through Critical Analysis, Norma Y. Galván-Téllez
Doctoral Dissertations and Projects
This phenomenological research's objective was to show how spiritual bypass (SB) phenomenon occurs in individuals in the context of trauma avoidance. The research focused on investigating the underlying dynamics of how religion and spirituality may be used to bypass emotional healing and how specific religious and spiritual practices can be joined into mental health counseling (MHC) to enrich therapeutic outcomes. By investigating these frameworks, the research attempted to offer new discoveries into the challenging dynamics between SB and effects of mental health interventions. The theoretical groundwork of this study was transpersonal psychology, developed by Stanislav Grof—an area of psychology that …
Understanding The Influence Of Declining Nursing Motivation On Hospital Performance: A Qualitative Mixed Method Case Study, Kisena J. Leverette
Understanding The Influence Of Declining Nursing Motivation On Hospital Performance: A Qualitative Mixed Method Case Study, Kisena J. Leverette
Doctoral Dissertations and Projects
This qualitative single-case study examined how a decline in nursing motivation affects nurse retention and organizational performance in a large urban hospital in Cincinnati, Ohio. The data were collected through in-depth interviews with nurse managers and anonymous surveys administered to registered nurses, resulting in a total of 20 participants. There were three emergent themes discovered from the findings from the interview transcripts and survey responses. Supportive leadership, intrinsic and extrinsic factors, safe staffing and workplace management were the primary emergent themes for this research. This research revealed that open communication, fair compensation, and proactive support from leadership are imperative. Additionally, …
Mental Health Impacts On African Refugees, Michelle Mailhiot
Mental Health Impacts On African Refugees, Michelle Mailhiot
Doctoral Dissertations and Projects
This qualitative study explores the mental health impacts of African refugee women traveling with children under the age of 18 during migration to Europe through Morocco, a key yet under examined transit country. The purpose of this qualitative phenomenological case study was to examine the lived experiences of distress, coping, and barriers to mental health support. Twenty participants were recruited through local NGOs and community networks in Morocco, and data were collected through semi-structured interviews. Thematic analysis was employed to identify recurring patterns across participants’ narratives including hunger, homelessness, and exploitation intensifying psychological strain, particularly in relation to caregiving responsibilities …
The Study Of The Inevitability Of Adopting Effective Project Management Strategies In Cutting Project Costs And Time Overruns, Fatima Okei
Doctoral Dissertations and Projects
The inevitability of adopting effective project management strategies in cutting project costs and time overruns is the focus of this qualitative single-case study, which investigated the persistent challenges of costs and time overruns in government road maintenance projects in Nigeria. Based on constructivist paradigm and employing a flexible, case study design, data were collected through interviews with 15 experienced professionals and surveys from 10 stakeholders involved in road maintenance in Nigeria. Thematic analysis of the data revealed five major themes: leadership actions, stakeholder behavior, organizational culture, project management strategies, and external constraints. Findings underscored the critical role of transformational leadership, …
Retrospective Adult Bullying Role Trend Analysis With Correlational Investigation Between The Victim Role And Stigma-Based Demographic Information, Shilowe A. Ensminger
Retrospective Adult Bullying Role Trend Analysis With Correlational Investigation Between The Victim Role And Stigma-Based Demographic Information, Shilowe A. Ensminger
Doctoral Dissertations and Projects
A longstanding social construct that has negatively impacted large numbers of individuals throughout generations is bullying. Despite anti-bullying programs and policies, current literature indicates that bullying is an ongoing concern throughout schools and in the workplace. The consequences of bullying have been shown to impact the mental and physical health of those involved with potentially severe outcomes. Current literature focuses on analysis of childhood bullying experiences, leaving a gap in the research investigating adult reflective bullying trends. The purpose of this quantitative, non-experimental survey, and causal-comparative study was to address this gap by recruiting adult participants for a reflective analysis …
Millennials, Work Motivation, And Leadership Transition, Ngozi Maduagwu
Millennials, Work Motivation, And Leadership Transition, Ngozi Maduagwu
Doctoral Dissertations and Projects
The workforce has evolved and this path was accelerated by the aftermath of the global COVID pandemic starting 2019. Traditionalist and Baby Boomer employees have been rapidly transitioning out of the workforce, which has created a need to find motivated workers and leaders to fill vacated positions. Millennials have been surveyed for their potential to fill these leadership vacuums, yet the research suggested that they present differently from other generational cohorts in terms of their motivation to work and their motivation to lead in the workplace. The purpose of this mixed methods study was to determine whether any relationship could …
Separating The Wheat From The Chaff: A Quantitative Pilot Study Of Biblical Christian Spirituality As A Regulator Of Dark Triad Personality Traits, Patricia L. Elston
Separating The Wheat From The Chaff: A Quantitative Pilot Study Of Biblical Christian Spirituality As A Regulator Of Dark Triad Personality Traits, Patricia L. Elston
Doctoral Dissertations and Projects
A review of the psychological literature on Christianity as a regulator of Dark Triad personality traits over the last 25 years revealed just a handful of quantitative and qualitative studies that relied exclusively upon long-standardized constructs drawn from cultural Christian ideology. Such constructs remain in direct contrast to biblical tenets to opine that Christianity has no important impact upon the development and persistence of highly aversive Dark Triad social attributes. The current quantitative pilot study was conducted in a small sample (n=26) of adult male and female born-again members of an international Evangelical Christian motorcycle ministry whose primary recruitment is …
The Positive Influence Of Minority Male Educators: A Phenomenological Study On Their Role And Necessity In Education, Mark V. Sanders
The Positive Influence Of Minority Male Educators: A Phenomenological Study On Their Role And Necessity In Education, Mark V. Sanders
Doctoral Dissertations and Projects
This phenomenological study examined the perceptions and experiences of minority male students in their educational journeys, focusing on the influence of teacher familiarity and cultural awareness. Teacher familiarity referred to shared cultural backgrounds, lived experiences, and relational accessibility that fostered meaningful connections between students and educators. Cultural awareness was examined in relation to minority male educators, who comprised less than 3% of the national educator workforce. Guided by Tinto’s Student Retention Theory, the study explored how academic and social integration influenced student retention and success. The central research question was: What were the experiences of minority male college students regarding …
Ancient Astronaut Theory And Christian Belief Among Evangelical Millennials: A Quantitative Exploratory Cross-Sectional Study, Richard Barry Bazzell
Ancient Astronaut Theory And Christian Belief Among Evangelical Millennials: A Quantitative Exploratory Cross-Sectional Study, Richard Barry Bazzell
Doctoral Dissertations and Projects
The purpose of this quantitative, exploratory, non-experimental, cross-sectional study was to explore the possible influence of the Ancient Astronaut Theory upon Evangelical Christian millennials in the aspects of their biblical worldview, belief in the triune God, and Christian praxis. The researcher structured the study upon four pillars: (a) Evangelical millennials, (b) Evangelical theology, (c) Lev Vygotsky’s social constructivism, and (d) Eric Von Däniken’s Ancient Astronaut Theory. The study population was Evangelical millennials in the state of Texas. The study’s instrumentation was a researcher-designed 5-point Likert scale survey titled Ancient Astronaut Theory–Evangelical Christian Millennials (AAT–ECM). Because the respondents were fewer in …
Exploring The Impact Education Level Has On Academic Resiliency Scores For Law Enforcement Recruit Students Enrolled In A Full Time 28-Week Training Program, Ericka Sadowski
Doctoral Dissertations and Projects
This study examined the impact of education level on resilience among law enforcement recruits in a 28-week training program in Central Florida. Resilience is essential for recruits to manage the stresses of training, and understanding its relationship to education can improve recruitment and training practices. A total of 210 recruits participated, with data collected using the Academic Resilience Scale (ARS). Surveys were distributed through encrypted emails to ensure confidentiality and accuracy. Descriptive statistics summarized demographics and resilience scores, while the Shapiro-Wilk test and Levene’s test confirmed normality and homogeneity of variances. With assumptions met, a one-way ANOVA compared resilience scores …
A Phenomenological Study On The Influence Of Teacher Perceptions On Play-Based Learning, Courtney Simpson
A Phenomenological Study On The Influence Of Teacher Perceptions On Play-Based Learning, Courtney Simpson
Doctoral Dissertations and Projects
The purpose of this phenomenological study was to describe the lived experiences of implementing play-based learning for teachers at early childhood settings in Georgia. The theory guiding this study was Jon Dewey’s theory of experiential learning, as it addressed the significance of children learning through play. The Central Research Question was: What are the experiences of teachers implementing play-based learning in early childhood settings in Georgia? A qualitative methodology approach utilizing transcendental phenomenology was taken to describe the lived experiences of 13 teachers implementing play-based learning. The setting included early learning centers and schools in Georgia. A combination of snowball …
From Transactional To Transformational: Cultivating A Theologically Robust Learning Experience For Upper School Senior Bible Classes, Linus Nguyen
Doctoral Dissertations and Projects
The problem at Holy Ground Christian Academy is that its approach to senior-level Bible classes is transactional rather than transformational for life and godliness. With parents feeling pressured to find effective educational options for their children and teachers facing growing demands from administrative duties, education urgently needs a new vision. Parents want their children to succeed and leave a lasting impact on society, while educators seek purpose in their careers. Modern educational trends push schools toward a utilitarian, transactional approach to learning, and private Christian college-preparatory schools are no exception. Within the Christian college-preparatory setting, Bible classes often struggle with …
Divine Intervention: The Effects Of Repairing Attachment Insecurities With God On Ptsd Symptomology In Adult Survivors Of Childhood Trauma, Erica M. Duckworth
Divine Intervention: The Effects Of Repairing Attachment Insecurities With God On Ptsd Symptomology In Adult Survivors Of Childhood Trauma, Erica M. Duckworth
Doctoral Dissertations and Projects
Childhood trauma occurs when an individual under the age of 18 survives a perceived life-threatening event. To circumvent future danger, numerous developmental changes occur in response to fear, manifesting in a multitude of symptoms. A culmination of symptoms results in Posttraumatic Stress Disorder (PTSD), a debilitating condition that arises from the hypervigilance of the brain and body to environmental stimuli. A recurring state of fear can lead to isolation, negatively affecting social interactions. Expectations of relationships, also known as attachment styles, reflect the bonds created between a child and a parent or caregiver. The quality of this foundational relationship can …
Relational Satisfaction In Middle-Aged Married Adults In The United States: A Phenomenological Study, Rebecca S. Trouse
Relational Satisfaction In Middle-Aged Married Adults In The United States: A Phenomenological Study, Rebecca S. Trouse
Doctoral Dissertations and Projects
Relational satisfaction is an essential component of marriage that impacts longevity, stability, and well-being. Currently, there is an alarming surge in divorces among middle-aged and late-aged married adults in the United States, often related to mid-life relational satisfaction. The purpose of this phenomenological study was to better understand relational satisfaction in middle-aged married adults in the United States. The study’s research questions explored how middle-aged married adults in the United States described their lived experiences of relational satisfaction in marriage and how they and their spouses contributed to relational satisfaction in their marriages. Four married couples (i.e., eight adults) participated …
Analyzing Discipline Rates For Students In Grades 6-12 With Emotional Disturbances: A Comparative Study Of Four Years Before And After The Covid-19 Pandemic., Maegan N. Ramsey
Analyzing Discipline Rates For Students In Grades 6-12 With Emotional Disturbances: A Comparative Study Of Four Years Before And After The Covid-19 Pandemic., Maegan N. Ramsey
Doctoral Dissertations and Projects
This dissertation investigated the trends in discipline rates for students in grades 6-12 with emotional disturbances. It compared data from the four years prior to the COVID-19 pandemic (2016-2019) to the four years following its onset (2021-2024). Emotional disturbances can significantly affect students' behavior, often leading to higher rates of disciplinary actions within school settings. However, the impact of COVID-19 on these students, particularly in terms of remote learning, school closures, and shifts in behavioral norms, has yet to be fully explored. Using archival data from multiple middle and high schools, this study examined variations in suspensions and other disciplinary …
Examining The Relationships Among The Cognitive, Emotional, Social, And Physical Domains Of Listening-Related Fatigue For U.S. Adults Between The Ages Of 30 And 50 With Hearing Loss, Nichole Marie Wooton
Examining The Relationships Among The Cognitive, Emotional, Social, And Physical Domains Of Listening-Related Fatigue For U.S. Adults Between The Ages Of 30 And 50 With Hearing Loss, Nichole Marie Wooton
Doctoral Dissertations and Projects
Adults with hearing loss (AHL) frequently report high levels of listening-related fatigue (LrF). This has mainly been attributed to the increased biopsychosocial demands involved in communication efforts for those with hearing loss (HL). Such fatigue can be measured objectively using the Vanderbilt Fatigue Scale for Adults (VFS-A-40) (Hornsby et al., 2021a). This quantitative survey study explored the relationships among gender, type of HL, and socioeconomic status (SES) and their complex connections among the four domains as defined by the VFS-A-40: cognitive, emotional, social, and physical. Using an online survey method, this research employed a strictly quantitative design to examine differences …
Racism In The American Education System: A Hermeneutical Phenomenology Of The Lived Experiences Of Black And White K-12 Educators, Jude Eliassaint
Racism In The American Education System: A Hermeneutical Phenomenology Of The Lived Experiences Of Black And White K-12 Educators, Jude Eliassaint
Doctoral Dissertations and Projects
The purpose of this hermeneutical phenomenological study was to understand the lived experiences of Black and White K-12 educators with educational racism and its influence on their well-being, self-efficacy, and cross-racial empathy in American schools. Albert Bandura's social cognitive theory was used to frame this study theoretically, as social cognitive theory focuses on providing a path for a more equalitarian pedagogical system for societal and global betterment. Data collection, conducted through semi-structured interviews, focus groups, and a qualitative questionnaire, involved 12 Black and White educators recruited through purposeful sampling from a Southern state school district. A thematic analysis was conducted …
The Lived Psychosocial Experiences Of Nursing Students Transitioning From In-Person Learning To Virtual Learning: A Transcendental Phenomenological Study, Lesley I. Gerald-Koram
The Lived Psychosocial Experiences Of Nursing Students Transitioning From In-Person Learning To Virtual Learning: A Transcendental Phenomenological Study, Lesley I. Gerald-Koram
Doctoral Dissertations and Projects
The purpose of this transcendental phenomenological study was to explore and understand the lived psychosocial experiences of nursing students who transitioned from in-person learning to virtual learning at the onset of the COVID-19 pandemic in the northeast region. The study comprised of 15 participants who were enrolled in accredited nursing programs across New York, who experienced the abrupt shift in learning platforms during a global crisis. The abrupt shift significantly affected the emotional, academic, and professional development of the nursing students. This research was rooted in the growing concern of nursing student mental health, academic engagement, and preparation for clinical …