Digital Commons Network^™

Non-Suicidal Self-Injurious Behavior In Higher Education: Examining Its Prevalence And Correlates, Kacie N. Lancaster

Electronic Theses and Dissertations

The prevalence of non-suicidal self-injurious behavior (NSSIB) among college students has notably escalated despite advancements in mental health treatment. NSSIB is defined as intentional destruction of body tissue without suicidal intent. There is a growing need to understand NSSIB in the context of college students who experience unique stressors that influence their mental health. This study (1) determined the prevalence of non-suicidal self-injurious behavior among an undergraduate college student sample, (2) examined the relationship between NSSIB and sociodemographic variables (age, gender, ethnicity, socioeconomic status), (3) examined the relationship between NSSIB and the variables of psychiatric comorbidity, history of trauma, and …

Implementation Of Houdini Guidelines Nurse-Driven Protocol To Lower Catheter-Associated Urinary Tract Infections And Foley Utilization Days, Tammie N. Collins

Electronic Theses and Dissertations

Catheter-associated urinary tract infections are a common issue in healthcare settings. These issues contribute to hospital-acquired infections and can lead to complications and increased healthcare costs. The quality project evaluated the impact of the HOUDINI guidelines nursedriven protocol to reduce infection rates and Foley utilization days. A structured guideline for Foley catheter safe removal was implemented using a quantitative method. Catheter-associated urinary tract infection rates and Foley utilization days pre- and postintervention were tracked. Data were collected using the electronic health records, infection control data sheets, and the HOUDINI checklists. A baseline assessment of catheter-associated urinary tract infections rates was …

Proactive Semantic Suppression As A Form Of Linguistic Control In Bilinguals, Anna V. Chen

Electronic Theses and Dissertations

Current literature is divided on the topic of the bilingual advantage, or the question of whether bilingualism confers a distinct advantage in executive control, specifically in cognitive processes like inhibitory control and task-switching (Bialystok et al., 2005; Paap & Greenberg, 2013). This study seeks to provide more insight into underlying mechanisms of cognitive control in bilinguals compared to monolinguals by investigating proactive linguistic control, the bilingual ability to activate one linguistic system while suppressing irrelevant semantic information in the other (Declerck & Koch, 2023; Rainey et al., 2021). The Stroop task, a widely used test for executive functioning, was employed …

Sacred Connections In Cartoonish Places: Exploring The Implications Of Teotl In Avatar: The Last Airbender (2008), Makenzie P. Morrison

Electronic Theses and Dissertations

Taking Avatar: The Last Airbender (2008) seriously, Sacred Connections in Cartoonish Places explores the animated children’s series and how it is understood through the monistic Nahua (Aztec) concept of teotl. Relying on James Maffie’s text Aztec Philosophy: Understanding a World in Motion (2014), this thesis determines that Avatar: The Last Airbender benefits from monistic analysis. This analysis results in a breakdown of the show into four body chapters. These chapters respectively explore Aang’s role as a monistic representative, the differences between the physical and spirit worlds presented in the show, the kind of relationships that appear in the series, and …

A Family Matter: An Analysis Of Adult Children’S Conflict Communication, Abby Boyd

Electronic Theses and Dissertations

This study examines the relationship of parental conflict styles, family type, stress levels, and parent-child closeness on adult children’s conflict communication. Using Rahim’s conflict management framework and family communication patterns (FCP) theory, this research examined how family dynamics shape conflict behaviors of adult children, specifically within two parent and divorced/separated families. The survey gathered approximately 315 family experiences covering six family types. Separated/divorced and two-parent family types had sufficient numbers to further analyze the differences between these two types.

The findings indicated a significant positive relationship between parental and adult children’s conflict styles, as well as notable differences in conflict …

It Starts With Trust: How Mid-Level Student Affairs Supervisor Trust Behaviors Impact Entry-Level Staff Leave Intention, Latonya Monique Robinson

Electronic Theses and Dissertations

This dissertation examines the impact of how higher education student affairs mid-level managers (supervisors) develop and maintain trust with directly supervised entry-level staff (employees). Intervention in complex student development-oriented activities, student crises, and political protests has increased since the 1930s at higher education institutions throughout the United States. Entry-level or frontline student affairs staff manage these challenges most frequently. Yet these professionals often leave their positions within 3 years. Studies have highlighted inconsistent supervision as one of three reasons entry-level staff vacated their roles. Although many researchers have investigated why these staff members exited the field, less knowledge exists about …

An Examination Of How Professional Relationships And Professional Development Influence The Lived Experiences Of African American Women Serving As Superintendents In Texas, Tiffany L. Linwood

Electronic Theses and Dissertations

This qualitative research study investigated the effects of professional relationships and professional development on the experiences of 11 African American women superintendents in Texas, a historically underrepresented minority in educational leadership. It explored the challenges these women have had in advancing to and excelling in superintendent positions, emphasizing the need for mentoring, networking, and ongoing professional development. Despite the variety of students, educational leadership, especially at the superintendent level, is primarily White and male. This study used qualitative approaches, particularly semistructured interviews, to explore the perspectives of African American women superintendents about how professional relationships and growth impact their careers. …

School Leaders’ Role In Supporting Teacher Well-Being, Olena V. Stuart

Electronic Theses and Dissertations

Teacher well-being is a crucial component of thriving and successful schools and impacts multiple domains of education. A multitude of research shows the teaching profession is not easy and teachers continue to face daily challenges in their work, leading to increased stress, low morale, lack of commitment, and departure from the teaching profession. Teacher well-being continues to suffer due to the many challenges teachers face. While knowledge exists on what factors affect teacher well-being, there is insufficient research about how to support and enhance teacher well-being. The purpose of this qualitative single holistic case study was to explore the practices …

Why Teachers Stay: A Multiple Case Study Of Retention In Small To Midsized Schools, Karen Shaw Ewton

Electronic Theses and Dissertations

Teacher retention presents a critical challenge for small to midsized school districts, often compounded by limited resources and unique community dynamics. Using Herzberg’s twofactor theory, this qualitative study explored factors influencing teacher retention in districts with retention rates exceeding 85%. Semistructured interviews with nine teachers examined the impact of hygiene factors, such as administrative support and compensation, and motivators, like autonomy and professional growth. Thematic analysis revealed that administrative support and equitable workloads prevent dissatisfaction, while motivators such as meaningful relationships, recognition, and relevant professional development drive commitment. Professional development emerged as both a motivator and a hygiene factor based …

An Exploration Of The Influence Of Occupational Mentorship On The Success Of Black Female Executive Leaders In Educational Sales, Bashelia H. Ward

Electronic Theses and Dissertations

The dearth of Black women in executive-level leadership roles within U.S. business organizations persists due to numerous barriers such as tokenism; racial fatigue; stereotypes; a lack of identity; and the intersection of race, gender, and social injustices impeding their upward mobility in the educational sales industry. Despite recognizing the potential for change through tools and programs, the absence of robust occupational mentorship emerges as a pivotal barrier hindering the transformation of Black women’s roles in these educational sales environments. The sample size for this hermeneutical qualitative study was seven Black women in the K–12 educational sales industry. Data collection methods …

The Effects Of Loving-Kindness Meditation (Lkm) On Relationship Satisfaction In Couple Therapy, Ruimeng Gao

Electronic Theses and Dissertations

This thesis explores the integration of loving-kindness meditation (LKM) into couple therapy sessions and its impact on relationship satisfaction. Meditation, historically rooted in religious practices, has increasingly been adopted in Western therapeutic contexts due to its demonstrated benefits for mental health and interpersonal well-being. Although mindfulness-based interventions have gained popularity in psychotherapy, research specifically examining the use of LKM in couple therapy remains limited. This study investigates whether incorporating LKM into therapy sessions enhances relationship satisfaction compared to standard therapy alone. Couples were randomly assigned to either a control group, which received standard therapy, or an experimental group, which practiced …

A Qualitative Study Exploring Senior Leaders’ Experiences And Perceptions In Addressing Workplace Sexual Harassment In The U.S. Federal Government: A Systems Perspective, Karen Jane Dean

Electronic Theses and Dissertations

Sexual harassment (SH) is a prevalent, costly, and often unreported problem in the U.S. Federal Government. Despite decades of research from multiple perspectives and recommendations to address SH, the problem persists and remains complex. While some researchers and U.S. Government agencies have called upon leaders to commit to eliminating workplace SH, others have suggested using an integrated conflict management system (ICMS) to manage the complexity, nuances, and conflicts. Even though there is a call for leadership to address SH, there is limited documentation in the literature about leaders’ experiences and perceptions in addressing the problem. Therefore, this qualitative study was …

The Relationship Between Stress, Burnout, Attendance, And Methods Of Self-Care Among Teachers, Jennifer M. Sturm

Electronic Theses and Dissertations

Teachers exposed to prolonged stress have been documented at higher risk for poor physical and mental health, including high blood pressure, anxiety, and depression. To ameliorate the effects of prolonged stress, teachers have employed a variety of coping strategies, and some sought medical care. To date, little research exists regarding absenteeism and medication usage among teachers. This study sought to determine the relationship between stress, burnout, and medication usage in relation to absenteeism. This study also sought to determine the role of thriving in the above relationships. An internet-based survey was distributed to U.S. teachers via social media and email. …

Enhancing Use Of Long-Acting Injectable Antipsychotics Via Evidence-Based Protocols In Outpatient Psychiatry, Lunette Walker

Electronic Theses and Dissertations

This quality improvement project aimed to improve continuity of care for individuals with schizophrenia and bipolar I disorder by implementing an evidence-based protocol to increase the use of long-acting injectable (LAI) antipsychotics in an outpatient psychiatric setting. Guided by the Iowa Model and Jean Watson's Theory of Human Caring, the intervention focused on the early identification of individuals at risk of relapse, the adoption of standardized protocols, education for both patients and caregivers and structured staff training. The protocol, adapted from the Taiwanese Society of Biological Psychiatry and Neuropsychopharmacology (TSBPN), provided clear criteria for LAI initiation and follow-up care. Outcomes …

The Influence Of Smartphone Usage On Students’ Academic Performance, Sense Of Belonging, And Self-Efficacy, Zachary Ross Weinstein

Electronic Theses and Dissertations

Since the COVID-19 pandemic ended, U.S. postsecondary students' smartphone usage has increased. Smartphone usage has become more embedded into campuses and affects the lives of students pursuing postsecondary education. This study sought to explore whether three specific measures of smartphone usage can predict students' academic performance, self-efficacy, and sense of belonging. These measures included daily average screen time, daily average social screen time, and problematic smartphone usage.

First-time freshman (FTF) participants (n = 154) were sampled from four institutions of higher education in the Southeastern region of the United States. This study followed a cross-sectional design to distribute a survey …

Differences In Performance In Mental Rotation And Short-Term Free Recall In Gender Minorities, Katheryne Renee Wood

Electronic Theses and Dissertations

The study examined mental rotation, short-term free recall, state anxiety, and gender expression through masculinity and femininity. This study addressed gaps in literature examining gender differences in gender minority groups by investigating gender differences in two tasks: mental rotation and short-term recall. Participants are categorized into four gender groups: cisgender men, cisgender women, non-binary, and binary transgender. In accordance with previous literature, it was hypothesized that men would outperform women in mental rotation, women would outperform men in short-term free recall performance, and that non-binary individuals would operate separately from other groups. Anxiety was recorded as a possible covariate, but …

Medical Professionals' Perceptions Of Healthcare Artificial Intelligence, Falon M. Costigan

Electronic Theses and Dissertations

This study examined whether medical professionals across different levels of expertise show differences in their perceptions of healthcare artificial intelligence (AI). Specifically, the researcher hypothesized that participants with more expertise and experience would have greater negative perceptions associated with AI in healthcare compared to participants with a lower expertise level. Participants completed a questionnaire evaluating their perceptions of healthcare AI across four components: long-term negative consequences of AI, need for AI safeguards, positive perceptions of AI, and AI control. Participants also completed demographic questions evaluating participants' age, sex, ethnicity, years working in a healthcare setting, medical …

Material Memory, Rebecca S. Talbot

Electronic Theses and Dissertations

Material Memory is an exhibition showcasing a curated collection of ceramic and quilted sculptures and prints. With works on pedestals, suspended quilts, and framed prints, this exhibit embodies the physical and emotional landscapes of home. The use of household objects to construct the artworks conveys themes of family memories trapped in domestic clutter.

Preeclampsia: Implementation Of The American College Of Obstetricians And Gynecologists Standardized Protocol, Sheila Ann Harwell

Electronic Theses and Dissertations

Preeclampsia is a significant medical condition that affects the perinatal population, posing risks to both the mother and fetus. Complications associated with preeclampsia include stroke, seizure, placental abruption (premature separation of the placenta from the uterus), fetal growth restriction (impaired growth due to reduced blood flow through the placenta), premature birth, and low-birth-weight infants with associated developmental issues. Because there is no cure for preeclampsia, the current management involves the timely administration of intravenous antihypertensives to reduce the risk of stroke and seizure. The gap in practice identified was the obstetrical department’s lacking a standardized protocol, compared to adopting the …

Opening Doors: Employer Perspectives On Hiring Individuals With Disabilities, Jacqunettia L. Willis

Electronic Theses and Dissertations

Abstract

This qualitative instrumental case study explored the perceptions of rural Florida employers regarding hiring individuals with disabilities (IWDs). Through in-depth interviews with nine microbusiness owners, this study identified key themes related to employers' experiences, perceived barriers, and potential solutions to increase employment opportunities for IWDs. Findings revealed that while employers expressed openness to hiring IWDs, most had limited or no direct experience due to a lack of relevant applicants limited knowledge of existing policies and incentives. A recurring theme was the perception that IWDs could be valuable employees if given appropriate support and accommodations. However, barriers included concerns over …

Barriers To Female Advancement In Health Sciences Education: A Qualitative Study Examining The Effect Of Culture And Values On Leader Selection, Christie C. Moreno

Electronic Theses and Dissertations

Leadership in the 21st century has been broadly defined as a process of influence toward achieving shared goals. However, despite research affirming the leadership capabilities of both men and women, persistent gender disparities in executive leadership remain across sectors, particularly within academic health professions education. This qualitative phenomenological study explored the lived experiences of women in executive leadership roles at graduate health sciences centers in Texas. The purpose was to understand the barriers to advancement, the role of organizational culture and values, and the environmental and individual factors influencing leadership trajectories. Prior studies have identified that women often ascend to …

Improving Timely Administration Of Venous Thromboembolism Prophylaxis Within A Medical Surgical Unit, Valerie Escamilla

Electronic Theses and Dissertations

Hospital-acquired venous thromboembolisms are a highly preventable condition. Despite the availability of multiple evidence-based guidelines, there continues to be suboptimal use of timely venous thromboembolism prophylaxis. The purpose of this doctoral nursing quality improvement project was to determine if the implementation of an Agency for Healthcare Research and Quality Hospital-Associated Venous Thromboembolism Prevention Guideline would impact the rate of timely administration of venous thromboembolism prophylaxis as compared to current practice in hospitalized adult patients admitted to a medical-surgical unit over 4 weeks. The organization measures the rate of timely administration of prophylaxis by monitoring the VTE-1 metric. All medical-surgical units …

Women Overcoming Barriers In Stem: How Mentors, Allies, And Sponsors Assist Career Trajectories In Higher Education, Leila Marie Romeo

Electronic Theses and Dissertations

This study focused on the personal narratives of women in STEM in both public and private higher education institutions within various roles. Specifically, the researcher aimed to determine the following: (a) if mentors/allies influence the career trajectories of women in STEM in higher education institutions and (b) if mentors/allies aid in the support of women in STEM in higher education institutions. The researcher used semistructured interviews with a narrative analysis to determine areas of struggle for the sample within their careers and how mentors, allies, and sponsors were present throughout their careers to help the women overcome these challenges. Data …

A Narrative Inquiry Regarding The Influence Of University Leadership On The Success Of First-Generation College Students With Financial Need, Jordan Westley Jones Sr.

Electronic Theses and Dissertations

First-generation college students experience unique challenges related to their journey in higher education. These challenges include a lack of knowledge of college resources, adapting to college expectations, and integration into college social systems. Additionally, when factoring in the financial challenges that present at a higher rate with first-generation college students, this population is faced with significant barriers that limit their ability to be successful in college without the support of leadership to help them be successful. Leadership influences the success of students in college through the development of strategic initiatives, programs, and services that address the needs of their students. …

Student Veterans And Uniformed Military Students In Online Undergraduate Degree Programs: A Phenomenological Study On The Transition From Military To University Student Life, Misty Leigh Tom

Electronic Theses and Dissertations

The transition from military to university student life for student veterans and uniformed military students is complicated and burdensome due to the vast differences between military and university student lifestyles. This unique population typically comprises nontraditional-aged students pursuing online degree programs, which come with challenges complicated by military experiences. Higher education institutions have historically provided support for in-person learning environments with traditional-aged college students. The gap in the literature has an evident and critical missing perspective: the experiences of student veterans and uniformed military students enrolled in online undergraduate degree programs. The purpose of this transcendental phenomenological qualitative research study …

Encouraging Job Satisfaction And Teacher Well-Being Through Leadership, Julie K. Ricks

Electronic Theses and Dissertations

Abstract

While U.S. schools are constantly hiring teachers, more are choosing to leave the profession. The increase in the exodus of teachers is particularly linked to the lack of teachers’ job satisfaction and well-being. The purpose of this study was to examine how leaders create favorable working conditions to encourage teacher well-being and job satisfaction, as perceived by teachers in rural Texas schools. The exploratory qualitative case study was framed in transformational leadership theory and explored a focus on the connection between leadership practices and teacher job satisfaction and well-being. The study utilized data from semistructured interviews with school administrators …

The Influence Of Leadership Behaviors On School-Based Speech-Language Pathologists' Perception Of Burnout, Emily A. Lambert

Electronic Theses and Dissertations

Current research on burnout and attrition of school-based speech-language pathologists (SLPs) focused on the reason for attrition, which has remained relatively consistent across time. Despite identifying the factors contributing to attrition, minimal research has focused on how SLPs can prevent burnout or how to improve SLP retention rates in schools. Self-determination theory, fulfillment of competence, autonomy, and relatedness increase intrinsic motivation. The purpose of this phenomenological study was to identify how SLPs employed in Texas school districts described the factors contributing to their resilience in remaining employed in the schools. Fifteen SLPs participated in semistructured interviews about their perception of …

Impact Of A Transplant Nurse Navigator In The Dialysis Setting, Judith D. Pozzerle

Electronic Theses and Dissertations

Patients with kidney disease have better patient outcomes and quality of life with a kidney transplant. However, the transplant process is complicated with inherent inequalities and biases and patients frequently fail to initiate a referral for transplant evaluation. The Centers for Medicare and Medicaid have now placed financial incentives to improve the number of patients transplanted. The only way to increase the number of patients transplanted is to start with a referral for evaluation. Studies have been done highlighting the barriers, but there is a lack of studies implementing strategies to improve these numbers. Utilizing Kotter’s change theory and describing …

Bridging The Gap Between Muslim Students And School Leadership In The United States, Sahar Khawaja

Electronic Theses and Dissertations

Entering the third decade of the 21st century, the political landscape in the United States presents a challenging environment for Muslims, mirroring the global trend of oppression and discrimination faced by this community (Neptune, 2021). Despite being the fastest-growing demographic in the nation (Lipka, 2017), Muslim Americans increasingly encounter discrimination. By actively addressing and dismantling these stereotypes, educators can cultivate an inclusive environment where the needs of Muslim students are understood and respected. Understanding the stories and experiences of these students is vital for school leaders, as it enables the creation of an environment where every student feels a genuine …

Value-Based Healthcare Reimagined: A Mixed-Methods Study On Behavioral Health Clinicians' Perspectives, Amanda L. Strickland

Electronic Theses and Dissertations

This study explores how behavioral health clinicians perceive Value-Based Healthcare (VBHC), a model designed by Porter and Teisberg (2006) to improve outcomes relative to costs. While widely promoted in healthcare reform, VBHC poses unique challenges when applied to behavioral health settings. Using an explanatory mixed-methods design, this study first assessed clinicians’ awareness of VBHC through a survey of 23 licensed clinicians at a Community Mental Health Center (CMHC) in Colorado. Quantitative findings revealed that one-third of participants were aware of VBHC with awareness differing by role prompting further exploration in a qualitative phase. Semi-structured interviews with eight clinicians provided deeper …