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Doctoral Dissertations and Projects

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Revising An Order Set To Standardize The Workflow For The Outpatient Intravenous Diuretic Therapy Clinic In The Cardiac Cath Lab Holding Area, Mackenzie Trent Rasnake Jul 2022

Revising An Order Set To Standardize The Workflow For The Outpatient Intravenous Diuretic Therapy Clinic In The Cardiac Cath Lab Holding Area, Mackenzie Trent Rasnake

Doctoral Dissertations and Projects

Heart failure (HF) is the leading cause of hospital admissions and readmissions. This produces costly hospital bills and detrimental effects on healthcare systems (Babar et al., 2020). It has been shown that intravenous (IV) diuretic therapy in the outpatient setting will reduce HF-related hospital readmissions (Abougergi et al., 2021). Outpatient IV diuretic therapy clinics are crucial for this reason. Revising an order set for the outpatient IV diuretic therapy clinic in the Cardiac Cath Lab holding area will reduce patient length of stay, improve nurse-provider communication, and increase patient and nurse satisfaction. Utilizing the Secure Chat feature within the electronic …


Using Elements Of Professional Military Education To Develop Cognitive Interoperability Among Multinational Military Officers: A Case Study, Steven Dale Rosson Jul 2022

Using Elements Of Professional Military Education To Develop Cognitive Interoperability Among Multinational Military Officers: A Case Study, Steven Dale Rosson

Doctoral Dissertations and Projects

The purpose of this qualitative non-experimental single-case study was to develop an in-depth understanding of the complex social phenomena of a military staff planning exercise for multinational military officers completing their intermediate level education at a U.S. military service college. Given the critical nature of military interoperability in future warfare, the professional military education domain must determine the most effective means of educating officers to succeed in their future tasks, which requires the development of cognitive interoperability. This study examined the “how” and “why” of a multinational staff planning exercise by researching the central question; How does the use of …


The Effectiveness Of A Chart Audit And Education Intervention To Improve Rts Referral Rates And Confidence In Emergency Nurses Delivering Care To Patients Experiencing Perinatal Loss, Rachel Kathleen Tillas Jul 2022

The Effectiveness Of A Chart Audit And Education Intervention To Improve Rts Referral Rates And Confidence In Emergency Nurses Delivering Care To Patients Experiencing Perinatal Loss, Rachel Kathleen Tillas

Doctoral Dissertations and Projects

Perinatal loss is a significant event in a woman’s life that can have both physical and psychological impacts. Women with perinatal loss often seek care in emergency settings. Research shows that nurses working in emergency settings lack confidence in caring for this patient population, and women who seek care for perinatal loss in the emergency department are dissatisfied with their care. Resolve through sharing (RTS) is an evidence-based approach to bereavement care that offers resources and training to organizations and healthcare professionals. RTS can help bridge the education gap among emergency nurses caring for patients experiencing perinatal loss, be used …


The Difference In Post-Secondary Sexual Self-Efficacy And Sexual Self-Concept Outcomes Among Transitioning Youth With Autism Spectrum Disorder, Tatum Marie Williams Jul 2022

The Difference In Post-Secondary Sexual Self-Efficacy And Sexual Self-Concept Outcomes Among Transitioning Youth With Autism Spectrum Disorder, Tatum Marie Williams

Doctoral Dissertations and Projects

This dissertation adds to the progressive conversation in education regarding sexuality and neurodiversity. This study aimed to determine if there are differences in post-secondary sexual self-efficacy and sexual self-concept outcomes among transitioning youth with level one and two autism spectrum disorder. It explored the relationship of the components of sexual self-efficacy and sexual self-concept outcomes from the perspective of transitioning youth with autism. As advocates for the disability community continue to push reform for inclusiveness, it is vital that all areas of independent living, including sexual health, are not excluded. This study added to the understanding of autism, the specific …


The Chaplain As Part Of The Ministry Leadership Team, George Washington Willett Iii Jul 2022

The Chaplain As Part Of The Ministry Leadership Team, George Washington Willett Iii

Doctoral Dissertations and Projects

The chaplain is part of the ministry leadership team. The project aims to address the lack of a chaplain on the church ministry team, and the benefits chaplaincy adds to the ministry. Greater Faith Church lost the senior pastor to sudden death, leaving the founding bishop to serve as senior pastor. The leadership transition has caused the bishop to do most of the ministry work as the pastor. However, church ministry work is not only accomplished by the pastor. Church ministry is team leadership using all the gifts of the church. The study utilizes research methods within the church context …


The Effect Of Trauma-Informed Care Education On Improving Knowledge And Confidence Of Clinicians Caring For Women In A Labor And Delivery Setting, Claire Annaliese Wycoff Jul 2022

The Effect Of Trauma-Informed Care Education On Improving Knowledge And Confidence Of Clinicians Caring For Women In A Labor And Delivery Setting, Claire Annaliese Wycoff

Doctoral Dissertations and Projects

The birthing process can be profoundly emotionally, mentally, and physically strenuous for women. Many women feel a loss of sense of control during their labor and birth experience. While trauma during the birthing process can happen to anyone, women with a history of sexual trauma are more likely to experience retraumatization during birth. Health care workers have the ability to exacerbate the patient’s trauma or promote healing through the care they provide. The lack of provider and nurse education in trauma-informed care is related to women’s experiences of secondary trauma during labor and childbirth and can cause prolonged complications for …


Discipleship On The Role And Responsibility Of A Youth Minister, Warren Douglas Choice Jul 2022

Discipleship On The Role And Responsibility Of A Youth Minister, Warren Douglas Choice

Doctoral Dissertations and Projects

The thesis project is designed to equip the congregation at Cary’s Baptist Church to understand the role and responsibility of a youth minister. Cary’s Baptist Church is an older congregation located in Yorktown, Virginia. The congregation was established in the 1800’s and has served the community by sharing the gospel of Jesus Christ and serving individuals who live in the Yorktown community. Throughout the years of serving the community, the congregation has been effective in evangelism and open for youth to be a part of the congregation. However, there has been a decline in youth attendance and involvement in the …


The Relationship Between Pbis When Practiced With Fidelity And Students With Disabilities’ Academic Achievement Outcomes As Measured On The Georgia Milestones Assessment In Grades Three Through Seven, Tammy A. Hatton Jul 2022

The Relationship Between Pbis When Practiced With Fidelity And Students With Disabilities’ Academic Achievement Outcomes As Measured On The Georgia Milestones Assessment In Grades Three Through Seven, Tammy A. Hatton

Doctoral Dissertations and Projects

PBIS was designed to be a framework, not a curriculum or one size fits all plan, to address the behavioral and academic needs of students with disabilities. PBIS has deep roots in behaviorism theory mirroring many aspects of Applied Behavior Analysis. The PBIS framework embraces concepts from E. L. Thorndike’s, Law of Effect and B. F. Skinner’s, Operant Conditioning to teach the behaviors necessary to ensure high-quality, uninterrupted classroom instruction. This research study is important to any school system or administration that have students with disabilities and face classroom behavioral issues that interfere with classroom instruction. The purpose of this …


The Educational Goal Achievement Among Diné (Navajo) And Their Resiliency, Lawanda Nodestine-Henry Jul 2022

The Educational Goal Achievement Among Diné (Navajo) And Their Resiliency, Lawanda Nodestine-Henry

Doctoral Dissertations and Projects

This phenomenological study aims to examine Navajo life experiences, which foster resilience and contribute to educational achievement. Resilience contributes to educational achievement and ongoing success in higher education. Chapter one is an introduction to the study and the significance of the study. This chapter discusses the limitations of Navajo academic achievements, including poverty and difficulties with no electricity and running water. Chapter two provides an overview of the theoretical framework of the study and the contextual challenges. It discusses the contributing factors that complicate educational success historical trauma, ongoing trauma, the generation gap, and the achievement gap. Despite the adverse …


Addressing Factors That Lead To Job Dissatisfaction Among U.S. Hospital Nurses And Poor Health Outcomes In Patients: An Integrative Review, Folayan J. Morehead Jul 2022

Addressing Factors That Lead To Job Dissatisfaction Among U.S. Hospital Nurses And Poor Health Outcomes In Patients: An Integrative Review, Folayan J. Morehead

Doctoral Dissertations and Projects

The purpose of this integrative review is to identify factors that lead to job dissatisfaction among nurses working in U.S. hospitals and learn how patients experience poorer health outcomes as a result. Many factors including inadequate staffing, workplace bullying, violence, low pay, and hostile working conditions within hospital systems influence nurses’ intent to leave and affect the care quality provided to patients. In turn, the poorer care delivery leads to unsafe working conditions and thus poorer health outcomes in patients. Along with job dissatisfaction, nurses often feel the effects of moral distress and burnout which lessens their resilience. Nurses comprise …


Religiosity: Does It Attenuate Or Exacerbate The Relationship Between Past Childhood Sexual Abuse And Depression, Anxiety And Stress?, Karmen Lashawn Payne Jun 2022

Religiosity: Does It Attenuate Or Exacerbate The Relationship Between Past Childhood Sexual Abuse And Depression, Anxiety And Stress?, Karmen Lashawn Payne

Doctoral Dissertations and Projects

Individuals who experience childhood sexual abuse (CSA) suffer a global injury. In addition to the impact sexual abuse has on their mental, emotional, sexual, and physical well-being, victims of CSA also experience spiritual pain. The sequelae of pain that follow CSA may lead nonbelievers and Christians to approach churches for desperately needed help. Churches may influence the experience of those seeking help. However, the degree to which ministries are helpful is conditional on their knowledge of and preparation for working with adult victims of past CSA. Past negative sexual experiences may also harm self-cognitions, potentially influencing survivors’ ability to approach …


Teachers' Experiences In Implementing Technology-Rich Curriculum For Student Achievement: A Phenomenological Study, Dorrothe Jean Jun 2022

Teachers' Experiences In Implementing Technology-Rich Curriculum For Student Achievement: A Phenomenological Study, Dorrothe Jean

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe how premillennial teachers at East Orange Public School (EOPS, a pseudonym) respond to technology-rich curriculum. Twelve elementary school premillennial teachers will participate in the study focused on one central research question and three sub-questions: (a) What is the lived experience of elementary teachers implementing technology-rich mathematics curriculum? (b)How do elementary school teachers perceive their preparedness for teaching in a classroom where technology-rich math curriculum has been implemented? (c)How do elementary school teachers describe their transitions from a premillennial curriculum to a millennial curriculum where it has been implemented? (d) How do …


The Lack Of Communication In Leadership, Wendy Webb Hicks Jun 2022

The Lack Of Communication In Leadership, Wendy Webb Hicks

Doctoral Dissertations and Projects

This qualitative research study explored why there is a lack of communication in leadership within the financial services industry in federal agencies in the southeastern region of the United States. The general problem to be addressed is a lack of communication in leadership resulting in ineffective lower-level management. This case study finds solutions to what is causing the lack of communication and how ineffective management can improve. The research questions aid in exploring the existing gap in the existing problem and guide the investigation. The case study consisted of interviews from 12 participants employed in the financial services industry. Several …


A Phenomenological Study Of Experiences Of Veteran High School Special Education Teachers Who Remain In The Profession, Harold Alexander Russell Jun 2022

A Phenomenological Study Of Experiences Of Veteran High School Special Education Teachers Who Remain In The Profession, Harold Alexander Russell

Doctoral Dissertations and Projects

This transcendental phenomenological study aimed to understand the experiences influencing veteran high school special education teachers in an urban setting to remain in the teaching profession. The central phenomenon under investigation was defined as the events and incidents that influence the decision-making process of special education high school teachers who remain in the special education profession for more than 4 years. The study’s central research question asked, How do high school special education teachers with more than 4 years of service describe their teaching experiences that influence their decision to remain in special education? The study used a qualitative phenomenological …


A Phenomenological Study Of One-To-One Paraeducators' Self-Efficacy In Self-Contained Special Education Programs, Deborah Schloemer-Frazer Jun 2022

A Phenomenological Study Of One-To-One Paraeducators' Self-Efficacy In Self-Contained Special Education Programs, Deborah Schloemer-Frazer

Doctoral Dissertations and Projects

The purpose of this qualitative transcendental phenomenological study was to describe the lived experiences and self-efficacy of one-to-one paraeducators assisting high school students with disabilities in self-contained classrooms. The theory guiding this study is Bandura's social cognitive theory, which describes self-efficacy. Self-efficacy is a person's belief in their ability to complete a designated task (Bandura, 1997a). Bandura purports that there are four elements that contribute to one's self-efficacy: performance outcomes, vicarious experience, verbal persuasion, and physiological and affective state (Bandura, 1997b). In this phenomenological study, eleven one-to-one paraeducators within one school district in western Washington participated in interviews, focus groups, …


Lmx, Leadership Style, And Retention In Southeastern Pennsylvania Social Services Organizations, David William Schlosser Jun 2022

Lmx, Leadership Style, And Retention In Southeastern Pennsylvania Social Services Organizations, David William Schlosser

Doctoral Dissertations and Projects

Organizations deal with employee retention (e.g., retaining employees, stemming attrition, mitigating intent to leave an organization) in a number of ways. Examining the relationship one has with his/her manager, and the leadership style of one’s manager, are valuable factors in retaining employees. LMX (leader-member exchange) is the quality of relationship between leaders/managers and members/employees and is based on trust and reciprocity between parties. Passive leaders avoid management issues and only act when they have no other choices. Transactional leaders are exchange-based individuals that provide rewards (e.g., compensation) in exchange for work completed by employees. Transformational leaders go beyond this and …


Gender Differences In Views Of Vice: A Comparative Phenomenology Of Prostitution And Human Sex Trafficking, Sean Jeremy Mcknight Jun 2022

Gender Differences In Views Of Vice: A Comparative Phenomenology Of Prostitution And Human Sex Trafficking, Sean Jeremy Mcknight

Doctoral Dissertations and Projects

This study explored the topic of human trafficking with a focus on the perspectives of local law enforcement officers located in California, Florida, New York, Ohio, South Carolina, Texas, and Virginia. The purpose of this phenomenological study was to examine officers’ perceptions relating to the under-identification of sex trafficking victims and the victim-centered approach to human trafficking. The problems addressed in this study are that the identification of victims of human trafficking has not been effective, under-identification has long been a problem, and victims are undercounted. The theory guiding this study is Leon Festinger’s theory of cognitive dissonance, as officers …


Prepared To Succeed: A Systematic Grounded Theory Examining The Nature, Development, And Perceived Benefits Of Homeschool Teacher Self-Efficacy In Wisconsin, Joshua D. Andrew Jun 2022

Prepared To Succeed: A Systematic Grounded Theory Examining The Nature, Development, And Perceived Benefits Of Homeschool Teacher Self-Efficacy In Wisconsin, Joshua D. Andrew

Doctoral Dissertations and Projects

The purpose of this systematic grounded theory study was to define and explain the development of homeschool teacher self-efficacy and its significance for homeschooling parents in Wisconsin. Bandura’s self-efficacy theory served as the initial theoretical framework for this study, as it defined four general sources of self-efficacy development: enactive mastery experiences, vicarious experiences through social models, social persuasion, and the regulation of physical and emotional states. Through surveys, open-ended interviews, focus groups, and artifacts received from 10 homeschooling parents, this study attempted to define how homeschooling parents perceive homeschool teacher self-efficacy, to what homeschooling parents attribute the development of homeschool …


Effect Of Supervisor Bias On Performance Motivation During Incentive-Based Performance Reviews, Jessica Lace Burrell Jun 2022

Effect Of Supervisor Bias On Performance Motivation During Incentive-Based Performance Reviews, Jessica Lace Burrell

Doctoral Dissertations and Projects

The effectiveness of performance appraisals concerning employee motivation and organizational outcomes has had a prominent presence in research over the years due to concerns about how failed appraisal processes hinder performance improvement, human resource functions, and corporate objectives. How employees perceive the review process plays a significant role in whether or not the method will deliver the intended motivators, such as feedback and job satisfaction. This study will focus on how perceptions of bias influence an employee’s drive to perform in the future among Certified Nursing Assistants (CNAs) within three Promedica skilled nursing facilities in Pittsburgh, Pennsylvania.


Disability And Employability: Challenging Stereotypes Through Information And Education, Claire Gallagher Mcelvaney Jun 2022

Disability And Employability: Challenging Stereotypes Through Information And Education, Claire Gallagher Mcelvaney

Doctoral Dissertations and Projects

Individuals with disabilities (IWDs) have had an alarmingly low employment rate despite introduction of the Americans with Disabilities Act and other legislation meant to enable workplace inclusion. This low employment rate seemed illogical as employed IWDs have often demonstrated extremely high work engagement and organizational loyalty. Prior research indicated that organizations were willing to hire IWDs but were concerned regarding potential costs and training issues. Because lifelong unemployment has often resulted in segregation and depression for those with disabilities, this research sought to determine if educational intervention, i.e. a presentation designed to address some of the myths regarding costs and …


Preemptive Church-Based Marital Education And Counseling As An Intervention To Increase Marital Satisfaction And Reduce Divorce Rates, Shane C. Kreller Jun 2022

Preemptive Church-Based Marital Education And Counseling As An Intervention To Increase Marital Satisfaction And Reduce Divorce Rates, Shane C. Kreller

Doctoral Dissertations and Projects

Marriage is a fundamental component of the Christian experience; it is an institution that ideally bonds two believers in a lifelong relationship through which they can grow spiritually and emotionally, support one another, and often create and raise the next generation within the warmth and nurturing of a united family. Unfortunately, marital dissatisfaction and divorce—common phenomena in the United States—can have a wide range of negative consequences not only for spouses but also for their children, parents, and friends. This Doctor of Ministry thesis examines how the author’s local church ministry, River of Life Fellowship Ministries, deals with issues of …


Diversity As An Influence On Talent Management And Competitive Advantage: The Absence Of Female African American Executive Leadership In The Insurance Industry, Lateisha Tamarra Rainey Jun 2022

Diversity As An Influence On Talent Management And Competitive Advantage: The Absence Of Female African American Executive Leadership In The Insurance Industry, Lateisha Tamarra Rainey

Doctoral Dissertations and Projects

The purpose of this qualitative research case study was to examine the extent of which the significance of diversity has on the representation of African American females in top-executive leadership positions. Furthermore, to comprehend why African American females are unfairly represented and disparaged in C-suite level positions. The purpose of this research was to study the influence that diversity may have on the insurance industry’s talent management and competitive advantage. To what degree do biases whether conscious or unconscious affect promotional opportunities, recruitment, selection, and hiring practices of African American females pursuing elevation to higher level positions within the insurance …


Experiences Of College Professors With Students With Identified Disabilities And Ada Compliance In Face-To-Face Courses At A State College In Florida: A Case Study, Rafael Sanchez Jun 2022

Experiences Of College Professors With Students With Identified Disabilities And Ada Compliance In Face-To-Face Courses At A State College In Florida: A Case Study, Rafael Sanchez

Doctoral Dissertations and Projects

This qualitative case study’s purpose was to understand college professors’ experiences regarding students with identified disabilities and compliance with the Americans with Disabilities Act 1990 (ADA) in their face-to-face courses at a multicampus state college in Florida. The leading theory guiding this study was the adult learning process: andragogy complemented by the disability theory. These theories provided a foundational understanding of how college professors teach adult learners with identified disabilities. The study explored the following research question: How did college professors describe their teaching experiences with students with disabilities and ADA compliance in their face-to-face courses? The sample comprised fifteen …


Teacher Beliefs In Title I Schools Compared To Teacher Beliefs In Nontitle I Schools, Tammy Rene Nolan Jun 2022

Teacher Beliefs In Title I Schools Compared To Teacher Beliefs In Nontitle I Schools, Tammy Rene Nolan

Doctoral Dissertations and Projects

The purpose of this multiple case study was to discover and compare teacher beliefs of elementary teachers in Title I schools to elementary teachers in Non-title I schools. Two theories guided this study, Kegan’s Constructive Development Theory (CDT) and Bandura’s Theory of Self-Efficacy. Together the two theories provided a framework for how adults think and form beliefs that influence their decisions and behaviors. This qualitative research sought to answer the following questions: What do elementary teachers in Title I schools believe about themselves as teachers, compared to what elementary teachers in Nontitle I schools believe about themselves as teachers? What …


Predicting K-12 Teacher Self-Efficacy From Neuroscience Literacy Factors, Tobey Lewis Nichols Jun 2022

Predicting K-12 Teacher Self-Efficacy From Neuroscience Literacy Factors, Tobey Lewis Nichols

Doctoral Dissertations and Projects

The purpose of this quantitative correlational study was to explore how K-12 teachers’ self-efficacy correlates to their neuroscience literacy factors--a combination of scientific concept of learning and memory and belief in neuromyths. What teachers know about learning, memory, and the brain influences their instructional strategies and achieving academic goals. The better understanding a teacher has of learning, memory and the brain, the higher efficacy teachers’ have to execute the necessary actions to achieve desired teaching goals. A sample of 110 K-12 certified teachers were recruited from a large school district in East Tennessee to participate in this present study. Data …


The Grit To Not Quit - An Examination Of The Relationship Between Grit And Teacher Retention, Alexia W. Bultman Jun 2022

The Grit To Not Quit - An Examination Of The Relationship Between Grit And Teacher Retention, Alexia W. Bultman

Doctoral Dissertations and Projects

The purpose of this quantitative study was to determine the level of grit that best predict years in teaching. The study sought to answer the research question, How accurately can years of teaching experience be predicted from the linear combination of grit score (meaning the consistency of interest and perseverance of effort), age, gender, level of education, grade level taught, and subjects taught? Teachers (N = 468) of preschool-12th grade in a large suburban Atlanta school district responded to survey questions from the Grit-S Scale questionnaire along with demographic questions. Multiple linear regression was conducted to analyze the data. The …


Effectiveness Of Telemental Health Services In Rural Communities, Elizabeth Vebangsi Jun 2022

Effectiveness Of Telemental Health Services In Rural Communities, Elizabeth Vebangsi

Doctoral Dissertations and Projects

Telemental health has been recognized as a technique to improve access to care delivered to Rural communities and those willing to use telehealth services have increased tremendously since its introduction. Literature evaluates patients’ satisfaction with telemental health services and their acceptance to improve care delivery in rural communities. The literature review identified three major themes: improved care, increased use of telemental health services, and reduced cost and timesaving. Even though some studies uncovered issues from technology, poor connectivity, and delay in audio-visual transmission, the potential of mental health services continues to enhance care delivery to rural communities.


Cold War Economic Ideology And Us Aid To Taiwan, 1950-1965, Wayne Robert Hugar Jun 2022

Cold War Economic Ideology And Us Aid To Taiwan, 1950-1965, Wayne Robert Hugar

Doctoral Dissertations and Projects

This project examines the puzzle of the ideological contradiction for why the United States justified giving large amounts of economic aid intended to develop capitalism and private sector free enterprise for the authoritarian Republic of China (ROC) government’s socialist style public sector economy on the island of Taiwan during the cold war period 1950-1965. The $1.4 billion in US foreign economic aid to the Chinese Nationalist led ROC government in Taiwan during this 15-year period was a seemingly disproportionate amount compared to its small size and type of authoritarian regime compared to other aid recipients. This project appraises the extent …


Leadership Failures That Lead To Poor Organizational Performance, Brahaspattie Annie Singh Jun 2022

Leadership Failures That Lead To Poor Organizational Performance, Brahaspattie Annie Singh

Doctoral Dissertations and Projects

Our world continues to change rapidly because of globalization and internationalism thus has become more multicultural and diverse that strong and effective leadership was needed in the workforce. The real estate industry has changed as well and continues to change because of multiculturalism. The effects of COVID-19 placed burdensome restrictions and regulations both from the state and city levels that firms must follow in order to function internally and externally to market properties. The effects of COVID-19 will forever change the way business is done as usual, where the general business practice must include a constant of new critical change …


Integration Of Non-Traditional Students: Comparing Traditional And Non-Traditional Students' Sense Of Belong, Michelle Leeann Walbeck Jun 2022

Integration Of Non-Traditional Students: Comparing Traditional And Non-Traditional Students' Sense Of Belong, Michelle Leeann Walbeck

Doctoral Dissertations and Projects

With an ever-increasing number of non-traditional students enrolling each year, the importance of ensuring their academic success falls primarily on the higher education institutions (HEIs). Each institution has its recipe for success and mostly consists of a student success office to assist when non-traditional students begin to show signs of markers for being at-risk. The reactive approach of waiting for students to show signs of struggle is missing the larger picture. The researcher utilized quantitative correlative and predictive correlative studies to determine if a direct correlation existed between non-traditional students’ perceived sense of belonging, which is at the core of …