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Lean Implementation Difference Between Lean Maturity, Psychological Well-Being, And Employee Engagement Of Nurses In A Hospital Setting, Kevin E. Smith Jun 2024

Lean Implementation Difference Between Lean Maturity, Psychological Well-Being, And Employee Engagement Of Nurses In A Hospital Setting, Kevin E. Smith

Doctoral Dissertations and Projects

This quantitative study examined the differences of Lean implementation in three settings; (a hospital in a health system where Lean is implemented throughout the system, a hospital that has implemented Lean in a health system that has not implemented Lean, a hospital that has not implemented Lean in a health system that has not implemented Lean) between LM, PWB, and EE among nurses in a hospital setting. The theoretical construct of the job demands-resources model is used to base the study. Three survey instruments (Psychological Well-Being Scale, Utrecht Work Engagement Scale, Lean Healthcare Implementation Self-Assessment Instrument) were self-administered by registered …


Needs-Supportive Teaching And Its Impact On Standardized Test Scores In Southwest Missouri Schools, Ed Barlow Jun 2024

Needs-Supportive Teaching And Its Impact On Standardized Test Scores In Southwest Missouri Schools, Ed Barlow

Doctoral Dissertations and Projects

Despite the theoretical proposition that needs-supportive teaching practices, guided by self-determination theory (SDT), can positively influence student academic outcomes, research examining the relationship between teachers' self-reported needs-supportive behaviors and objective measures of student performance, such as standardized test scores, is scarce. This study investigated the correlation between teachers' needs-supportive practices, as assessed by the Teacher as Social Context Questionnaire (TASCQ), and their students' academic achievement based on standardized test results. The sample consisted of 31 K-12 teachers from various grade levels in public schools located in Southwest Missouri. Participants completed the TASCQ, which measures needs-supportive teaching in terms of autonomy …


Beyond Galilee: The Shift In Focus Of The Ministry Of Jesus Culminating At Caesarea Philippi, Kathryn Erin Dreesen Jun 2024

Beyond Galilee: The Shift In Focus Of The Ministry Of Jesus Culminating At Caesarea Philippi, Kathryn Erin Dreesen

Doctoral Dissertations and Projects

A study of the travels of Christ leads to new insights about his ministry and ministry foci at different times in his life. By segmenting the life of Christ into three major portions – public ministry, private ministry, and mixed-focus ministry – the reasons behind Christ’s different attitudes toward crowds and miracles and his different emphases in his sermons become clearer. Portions of the Gospels are better understood with this segmentation. The locations that Jesus traveled to and stayed in also play a part in understanding his motives. At times, Jesus was keen to show himself to the crowds, doing …


The Influence Of Working Memory And Anxiety In Adolescents, Donna M. Ward Jun 2024

The Influence Of Working Memory And Anxiety In Adolescents, Donna M. Ward

Doctoral Dissertations and Projects

Literature supports a reliable link between lower working memory (WM) performance and higher anxiety, and both anxiety and WM are reported as comorbid with neurodevelopmental disorders (NDDs). This study sought to understand to what extent WM deficits and anxiety exists in adolescent NDD and non-NDD groups. Participants (N = 11,400; ages 9-10) were obtained from the Adolescent Brain Cognitive Development (ABCD) study archived dataset, with the approval of the NIMH approval. Participants in the dataset were recruited from 21 sites across the U.S. A Mann-Whitney U test, comparing the NDD (N=2756) and non-NDD (N=8644) groups was statistically significant, noting a …


Reform In School Discipline: A Social Constructivist Approach That Leverages School Counselor Involvement, Kerbie Marc Jun 2024

Reform In School Discipline: A Social Constructivist Approach That Leverages School Counselor Involvement, Kerbie Marc

Doctoral Dissertations and Projects

The following quantitative descriptive research delves into the dynamics of school discipline at a middle school in the metro Atlanta area with a focus on understanding the interaction between student gender, race, school support received (504, SST, SPED), and the gender, race, and age of staff members in discipline referrals. By examining archival discipline data from a nine-year period (2014-2023), the study takes a social constructivist approach to address whether there is a statistical difference in the frequency of discipline referrals based on student race, gender, and school support while also examining whether there is a difference in the frequency …


Comparing The Academic Self-Efficacy Of English Language Learners Taking College Prep Esl, English Composition I, Or English Composition Ii Courses At A U.S. Community College: A Quantitative Causal-Comparative Study, Shada Aweina Jun 2024

Comparing The Academic Self-Efficacy Of English Language Learners Taking College Prep Esl, English Composition I, Or English Composition Ii Courses At A U.S. Community College: A Quantitative Causal-Comparative Study, Shada Aweina

Doctoral Dissertations and Projects

This quantitative, causal-comparative study investigated the academic self-efficacy of English language learner college students. The main objective was to determine whether there were differences in academic self-efficacy among English language learners enrolled in different English course levels: college prep ESL, college English composition I, and college English composition II. The study aimed to understand how confident English language learners feel about their abilities to perform various academic behaviors at different English course levels and how they perceive their ability to transfer and utilize language and academic skills within different levels of English courses. Using the College Academic Self-Efficacy Scale, data …


The Persistence Of African American Doctoral Students And Graduates From Or In Stem Programs: A Transcendental Phenomenology Study, Tanisha Johnson Smith Jun 2024

The Persistence Of African American Doctoral Students And Graduates From Or In Stem Programs: A Transcendental Phenomenology Study, Tanisha Johnson Smith

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe the persistence efforts for African American doctoral science, technology, engineering, and mathematics (STEM) students or graduates. The theory guiding this study is Tinto's theory of student departure with a focus on the model of student persistence as it lays the foundation for how students persist to degree completion. The following questions guided this study: What lived experiences have helped African American current doctoral students or graduates persist in a STEM program? What challenges have African American graduate or current doctoral students experienced while completing a STEM degree program? What strategies …


A Phenomenological Study On The Experiences Of Secondary Teachers And Teacher Retention In Low-Income Schools, Kaila Morris Segres Jun 2024

A Phenomenological Study On The Experiences Of Secondary Teachers And Teacher Retention In Low-Income Schools, Kaila Morris Segres

Doctoral Dissertations and Projects

This qualitative, hermeneutic phenomenological study aimed to understand retention for secondary teachers at high-needs schools. Drawing upon Bandura's cognitive theory, this study examined how self-efficacy and motivation are crucial to secondary teacher retention. Through in-depth interviews with teachers, the research aimed to understand their perspectives and experiences regarding the factors influencing their decision to stay or leave. The study took place at Black River High School. It consisted of purposive sampling, which is a concise approach to generating suitable and practical information from specific kinds of people with minimal resources. The findings shed light on the dynamics between organizational and …


Evidence-Based Practices For Military-Connected Students With Disruptive Behaviors Receiving Response To Intervention/Section 504 Services: School Counselors' Attitudes And Theoretical Orientation, Eddie Benitez Jun 2024

Evidence-Based Practices For Military-Connected Students With Disruptive Behaviors Receiving Response To Intervention/Section 504 Services: School Counselors' Attitudes And Theoretical Orientation, Eddie Benitez

Doctoral Dissertations and Projects

This cross-sectional quantitative study compares primary and secondary counselors’ attitudes and theoretical orientation for evidence-based practices for military-connected students with disruptive behaviors receiving Response to Intervention and Section 504 services in Texas. This study is paramount for military-connected students with disruptive behaviors in closing gaps in academic performance, social-emotional skills, social justice, and multiculturalism in education. Military-connected students with disruptive behaviors confront the risk of not receiving evidence-based interventions through school services due to school counselors’ practices and theoretical approach. The researcher used a quantitative cross-sectional method and three analyses: Pearson r correlation, Multivariate analysis of variance (MANOVA), ANOVA, and …


Examining The Cues To Action Of Christian Parents And/Or Guardians Who Are Hesitant To Vaccinate Pediatric Populations, Marcia S. Jackson Jun 2024

Examining The Cues To Action Of Christian Parents And/Or Guardians Who Are Hesitant To Vaccinate Pediatric Populations, Marcia S. Jackson

Doctoral Dissertations and Projects

As a result of skepticism related to vaccine administration, many newborns and children are without their standardized and recommended vaccinations due to parent and/or guardian beliefs. It is the parent and/or guardian who holds the power to vaccinate their children. Vaccine administration is one of the most successful achievements of public health intervention in the 20th century. The purpose of this study is to use a descriptive case study analysis approach to assess parents' and/or guardians' concerns, attitudes, beliefs, and intentions towards immunizations for their children (from birth to 18 years of age). Understanding the "why" and "how" concerns raised …


Innovation And Technology: The Era Of Autonomous Cars And Their Outcomes In Law Enforcement, Gabrielle Banish Jun 2024

Innovation And Technology: The Era Of Autonomous Cars And Their Outcomes In Law Enforcement, Gabrielle Banish

Doctoral Dissertations and Projects

The purpose of this research study is to explore the cybersecurity of Autonomous Vehicles (AVs), including the technological challenges, barriers, and impacts on society. This research study provides a framework for law enforcement agencies to understand the scope of security of AVs and develop relevant policies and strategies to enhance the security of these vehicles. AVs are a relatively nascent concept in the automotive industry, and thus, there is limited knowledge about cybersecurity. In the upcoming years, there will probably be a considerable increase in the number of semi-autonomous vehicles on many US and European roads. Some experts even predict …


Voices Unveiled: Exploring Americans' Perspectives On Social Media Censorship And Advocacy For Reform Through A Qualitative Lens, Vail Forbeck Jun 2024

Voices Unveiled: Exploring Americans' Perspectives On Social Media Censorship And Advocacy For Reform Through A Qualitative Lens, Vail Forbeck

Doctoral Dissertations and Projects

This qualitative study explored social media users’ perceived experience of censorship on social media communication platforms to better understand the effects of censorship on users. The study relied on a qualitative questionnaire with open-ended questions to collect initial data from 115 participants in the United States. Of the questionnaire respondents, 12 participated in an in-depth interview. The questionnaires and interview answers gathered information about users’ perceived experiences of censorship on social media platforms to determine whether there is a need for changes in current social media practices and policies. The study found that Black males between the ages of 25 …


Best Practices Associated With Medical Device Regulatory Strategy Success: A Case Study, Jonathan P. Ward Jun 2024

Best Practices Associated With Medical Device Regulatory Strategy Success: A Case Study, Jonathan P. Ward

Doctoral Dissertations and Projects

In the evolving medical device industry, understanding how to achieve effective regulatory strategies is crucial. This study explored the foundations of regulatory strategy success in the United States, using qualitative insights from regulatory affairs professionals and industry investors. It identified operational, leadership, product design, and external factors essential for developing and implementing successful regulatory strategies. Key findings highlighted the importance of financial planning, agile regualtory process management, strategic knowledge integration, and proactive engagement with regulatory authorities. The study also pointed to the role of business ecosystems in supporting regulatory outcomes, suggesting a strategic planning approach that aligns product design with …


The Perceptions Of Elementary Teachers In An Inclusive Classroom Environment Related To Their Teacher Preparatory Programs: A Phenomenological Study, Jevauwn D. Smith Jun 2024

The Perceptions Of Elementary Teachers In An Inclusive Classroom Environment Related To Their Teacher Preparatory Programs: A Phenomenological Study, Jevauwn D. Smith

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe elementary general education teachers’ perceptions of teaching in an inclusive classroom environment related to their teacher preparatory programs while teaching in a public school setting in a rural southeastern state. The theory guiding this study was Bandura’s self-efficacy theory, which describes how an individual will approach a task based on their level of competence and readiness. The central research question was: How do general education teachers describe their level of preparedness for inclusive education based on their teacher preparatory programs? This study used a transcendental phenomenological design to gain insight …


Revenue Cycle Management, Mary Scalf Jun 2024

Revenue Cycle Management, Mary Scalf

Doctoral Dissertations and Projects

The healthcare industry continues to navigate through legislative changes requiring a change from the fee-for-service model to a value-based model. Healthcare is required to balance quality care of the patient and financial viability. The general problem to be addressed is the inefficient adoption of a revenue integrity program within the revenue cycle management process resulting in a revenue deficit for healthcare providers. The purpose of this qualitative case study was to add to the body of knowledge exploring the possible inefficient insurance denial management process within non-profit hospital-owned physician practices resulting in revenue deficits for the provider clinics. The study …


The Singing Instrumentalist: A Sound-Before-Sight Approach In Instrumental Instruction, Tammy Joy Bartz Jun 2024

The Singing Instrumentalist: A Sound-Before-Sight Approach In Instrumental Instruction, Tammy Joy Bartz

Doctoral Dissertations and Projects

The purpose of this quantitative experimental study was to examine the impact of two differing instructional strategies in beginning band instruction. One approach followed a traditional method, emphasizing technical proficiency and note-reading skills, while the other adopted a sound-before-sight approach where aural and oral skills were nurtured before introducing notation. The experimental study involved fourth and fifth-grade beginning band students from a rural elementary school in the Midwest. All participants were randomly divided into either the experimental or control group. The control group (n = 21) received instruction using a traditional note-reading approach, whereas the experimental group (n = 22) …


Impact Of Preceptorship And Mentoring On New Nurse Resilience, Dianna Marie Lundrigan Garza Jun 2024

Impact Of Preceptorship And Mentoring On New Nurse Resilience, Dianna Marie Lundrigan Garza

Doctoral Dissertations and Projects

Healthcare organizations continue to have difficulties retaining healthcare staff. Administrations spend significant amounts of time and money to incentivize new nurses to join their organizations with mixed results for both acute and long-term care units. Preceptorship or mentorship has been identified as having an impact on increasing positivity and resilience in new nurses. This paper examined prior research to identify trends and patterns in findings regarding this topic. Research of databases was conducted to identify common topics regarding resilience and retention of new nurses. Data supported having preceptors who receive training in teaching methods, communication, and support of new nurses. …


Meals For All: An Examination Of The Effects Of Free School Meals On Middle Class Households, Ryan Elizabeth Comerford Jun 2024

Meals For All: An Examination Of The Effects Of Free School Meals On Middle Class Households, Ryan Elizabeth Comerford

Doctoral Dissertations and Projects

Universal meal programs were created to mitigate childhood food insecurity in low-income communities. It is well known that poverty and food insecurity go hand-in-hand and are often the basis for much academic research within the realm of childhood food insecurity. This study investigates the impact of universal meal programs on food insecurity from a different perspective, that of the middle class. As an under-researched area, the hope is to draw attention to the needs of communities that are often forgotten and may not qualify for social programs, in an effort to reform existing federal policy regarding Universal Meal programs. Utilizing …


Mass Incarceration: Racial Disparities Within The U.S. Criminal Justice System, Crystal Nichole Pugh Jun 2024

Mass Incarceration: Racial Disparities Within The U.S. Criminal Justice System, Crystal Nichole Pugh

Doctoral Dissertations and Projects

The United States incarceration rate has remained steady at over two million people incarcerated within their criminal justice facilities. Among the U.S. criminal justice system incarcerated populations, African Americans are disproportionately represented contributing to its overwhelming numbers and overcrowded facilities nationwide. Studies have shown racial disparities experienced within the correctional system have been credited as a direct result of decision-making at various points throughout the criminal justice process. Previous and even current research on racial disparities within the criminal justice system have attributed much of its data to disproportionate minority contacts in the juvenile population and a heavy police presence …


A Small Light For The Road: The Lived Experience Of Mhpss Trainers In Northern Iraq, Sarah Mathis Nowery Jun 2024

A Small Light For The Road: The Lived Experience Of Mhpss Trainers In Northern Iraq, Sarah Mathis Nowery

Doctoral Dissertations and Projects

This purpose of this phenomenological study was to describe the lived experience of mental health and psychosocial support (MHPSS) trainers of lay workers and paraprofessionals in Northern Iraq. One central research question, followed by three subquestions, was used to frame this study: What are the lived experiences of MHPSS trainers for lay workers and paraprofessionals in Northern Iraq? How do participants describe the challenges they faced providing training to lay workers and paraprofessionals in Northern Iraq? How do participants describe their students’ greatest needs? How do participants describe the tools, trainings, and techniques they identify as helpful? The wicked problem …


Pastoral Prose And Civic Engagement: Crafting The Call To The Public Square, Christopher Ian Thoma Jun 2024

Pastoral Prose And Civic Engagement: Crafting The Call To The Public Square, Christopher Ian Thoma

Doctoral Dissertations and Projects

This thesis explores the relationship between creative writing techniques employed by pastors and congregational engagement in the public square. The central thesis posits that if pastors incorporate creative writing methods in extended weekly communications with congregants, then the necessary factors for engagement in the public square will be fostered, leading to attitudinal shifts demonstrated by increased congregational interest or participation in civil affairs. Through an extensive literature review, the thesis fairly examines historical and contemporary views of church and state, the Two Kingdoms doctrine, concepts relative to public square participation, Christianity’s waning cultural influence, communication science, developmental theory, literature familiarity, …


The Pause: Impacting Moral Distress In Our Caregivers, An Integrative Review, Bethany Corinne Furman Jun 2024

The Pause: Impacting Moral Distress In Our Caregivers, An Integrative Review, Bethany Corinne Furman

Doctoral Dissertations and Projects

Moral distress is endemic to healthcare in the emerging post-covid era. Moral distress is defined as the knowledge of the correct or ethical action but the repeated inability to act in that manner. First studied in nursing, it has been found in nearly every facet of healthcare and is strongly associated with clinician burnout, intent to leave position, and behaviors that can in turn compromise patient safety. Intensive care unit (ICU) nurses experience moral distress at higher rates than other subspecialties. Prevention of and recovery from moral distress is complex, but various forms of debriefing have long been suggested to …


Predicting Performance On A Social Studies Assessment: A Correlational Study, David G. Hamilton Jun 2024

Predicting Performance On A Social Studies Assessment: A Correlational Study, David G. Hamilton

Doctoral Dissertations and Projects

This study seeks to determine the predictive relationship between the performance on a middle school Civics practice assessment and performance on the State of Florida Civics assessment. In the current public-school environment across the United States, using high-stakes assessments to measure student performance is the norm. This quantitative correlation study strives to determine if locally developed benchmark assessments accurately predict student achievement on school high-stakes social studies state-mandated assessments. Using post hoc data from 355 middle school students ranging from 12 to 14 years old from a suburban Central Florida charter school who were administered a computer-based Civics practice end-of-course …


A Missed Opportunity: The Relationship Between Language, Cognition, And Poverty In Early Childhood Among Bilingual Children, Saskia Barboza Jun 2024

A Missed Opportunity: The Relationship Between Language, Cognition, And Poverty In Early Childhood Among Bilingual Children, Saskia Barboza

Doctoral Dissertations and Projects

Human development is a continuous process with critical periods, and early childhood is part of that process, with internal changes prompted by external factors. An essential part of human development is language acquisition and cognitive skills which are shaped by heredity, brain structure, personal differences, social interaction, and socioeconomic background. In recent decades the exposure to multiple languages at home has been growing, causing differences between the language status (bilingual or monolingual) and the executive functions of developing children. Some previous studies have pointed out cognitive differences in bilingual children, while others have not. The present study observed three variables …


Building Bridges: Connecting The Disconnected To God And Others After Counseling, Jonathan W. Terry Jun 2024

Building Bridges: Connecting The Disconnected To God And Others After Counseling, Jonathan W. Terry

Doctoral Dissertations and Projects

Previous research reveals that building bridges is not a new concept, but most of these topics do not involve the combination of relationships and counseling. Building Bridges is a metaphor for building healthy relationships. All participants were willing volunteers and were ensured anonymity. Twenty-three participants signed up for the workshop, and nineteen received a certificate of completion. The inspection report questionnaire and self-reflection homework assignment were used to introduce some vital tools for spiritual journaling, self-accountability, and self-assessment for each participant. The problem at FBC-GA is the relational disconnection caused by shame, guilt, and unresolved hurt that remains an inward …


America’S Favorite Fighting Frenchman: Marquis De Lafayette In American Pop Culture, Joshua Neiderhiser May 2024

America’S Favorite Fighting Frenchman: Marquis De Lafayette In American Pop Culture, Joshua Neiderhiser

Doctoral Dissertations and Projects

Popular culture has become as engrained within American society as the proverbial grandma’s apple pie. Due to the explosion of the internet, popular culture has become easier to find and share. For the historian this has created a cornucopia of research opportunities but has also created a massive problem: popular culture often comingles fact, fiction, and myth, making it more difficult for the historian to decipher the truth. The Marquis de Lafayette has been as affected by this as any other. His character and his legacy have been misrepresented in American popular culture. There has been a distinct divide between …


The Impact Of Adverse Childhood Experience (Ace) On Victims' Self-Perception And Moral Character Development In Adulthood, Josephine Afua Owusu May 2024

The Impact Of Adverse Childhood Experience (Ace) On Victims' Self-Perception And Moral Character Development In Adulthood, Josephine Afua Owusu

Doctoral Dissertations and Projects

Adversity experienced in childhood is known to have debilitating consequences that permeate subsequent life experiences and predict adulthood wellbeing. The intensity and nature of this impact vary, however. Empirical and practical knowledge also point to the significant role of self-perception in determining one’s view of others, character development, and life experiences. Research has suggested associations between childhood adversities and self-perception, although this knowledge is scanty and inconsistent, with similarly minimal evidence on their correlation with character development. This study set out to examine how adverse childhood experiences (ACEs) influence victims’ self-perception and character development in adulthood. It employed a mixed …


Exploring Black Business Owners' Experience In Public Procurement Contracts, Khamillia Harris May 2024

Exploring Black Business Owners' Experience In Public Procurement Contracts, Khamillia Harris

Doctoral Dissertations and Projects

Black businesses are on the rise in the United States, and most are formed with the goal of achieving greater economic stability and positive impact on their communities. However, Black business owners often lack sufficient opportunities and access to essential resources (i.e., capital), which negatively affects their business stability efforts (Bento & Hwang, 2022). Black business owners can access procurement contracts as a unique way to access capital to grow and sustain their businesses (Chepkoit, 2018; Shelton & Minniti, 2018), yet they received 1.67% of public funds compared to 15.64% awarded to other non-minority small businesses (Choi et al., 2022; …


The Impact Of Reporting Patient Safety Events: An Integrative Review, Catherine M. Amitrano May 2024

The Impact Of Reporting Patient Safety Events: An Integrative Review, Catherine M. Amitrano

Doctoral Dissertations and Projects

Since the 1999 Institute of Medicine landmark report, To Err is Human, leading organizations such as the Agency for Healthcare Research and Quality have been working with healthcare leaders to reduce patient harm. A problem in healthcare is errors continue to occur at alarming rates. The COVID-19 pandemic impacted patient safety efforts and organizations are trying to get to pre-pandemic patient safety progress. The purpose of this integrative review was to review and evaluate individual research studies on patient safety event reporting and summarize what is known about the topic in terms of how patient safety event reporting impacts patient …


The Experience Of Nursing Faculty In Uganda Integrating Technology In The Classroom: A Phenomenology Study, Catherine Nankanja May 2024

The Experience Of Nursing Faculty In Uganda Integrating Technology In The Classroom: A Phenomenology Study, Catherine Nankanja

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to understand the lived experiences of nursing faculty in integrating digital technology in the classroom in Uganda. Technology penetration in Uganda, a developing country, is still minimal and as a result little is known about impact of digital technology integration in the nursing education. This study was guided by this central research question: What is the experience of nursing faculty in Uganda in integrating digital technology in the classroom? There were four other sub-questions. The study was founded on the connectivism learning theory, which emphasizes leveraging digital technology in education. However, to …