Digital Commons Network^™

The Implications, Magnitude, And Development Of Traumatic Brain Injury For Individuals Undergoing Treatment For Opioid Use Disorder, Hannah G. Mitchell

Electronic Theses and Dissertations

There is an established bidirectional relation between substance use and traumatic brain injuries (TBIs). Despite the high rate of prescribing opioids for pain management following a TBI and the epidemic of opioid use disorder (OUD) in the United States, scarce research has specifically analyzed the association between TBI and OUD. In a series of three interrelated manuscripts, the present study will first examine the prevalence and features of TBIs among persons seeking treatment for OUD. Next, the present study will evaluate the association between TBI and indicators of risky health behaviors and OUD severity, including the risk of overdose and …

Exploring Knowledge And Perceptions Of Nursing Students: A Quantitative Study On Sexual Assault And Sex Trafficking Awareness, Isabella Marino

Electronic Theses and Dissertations

This study aims to explore nursing students' knowledge and perceptions of identifying and treating victims of sexual assault and sex trafficking. Survey data was collected from second to fifth semester nursing students in Eastern Tennessee. The study aims to identify students' perceptions of medical personnel's ability to identify and treat sexual assault and sex trafficking victims, examine whether adherence to myths affects knowledge and confidence levels, determine students' confidence in identifying and treating victims, and evaluate whether demographic characteristics affect identification and treatment. Results will help improve our approach towards these issues.

The Experiences Of Questbridge Scholars At Elite Universities, Karla J. Leybold

Electronic Theses and Dissertations

In this dissertation, I examined the experiences of QuestBridge Scholars attending three different elite universities that enroll more students from the top income quintile than from the lowest three income quintiles combined. The universities attended by participants in this study are among the few that are both need-blind and that fully meet students’ demonstrated financial need through grant and scholarship aid. Additionally, these universities have acceptance rates of no more than 10%. The QuestBridge organization’s mission is to match high-achieving, low-income students with elite institutions.

Data from participants were collected through an audio and video recorded interview using a semi-structured …

A Phenomenological Study Of The Experiences Of Undergraduate Students Who Participated In The Ronald E. Mcnair Postbaccalaureate Achievement Program, Alexandria C. Craft

Electronic Theses and Dissertations

The purpose of this qualitative study was to explore the lived experiences of former McNair Program participants at a regional postsecondary institution in northeast Tennessee. More specifically, the study examined how past participants of a McNair Program perceived their program experiences related to their post-undergraduate educational endeavors and career pursuits. Although research has been conducted on McNair Programs, no research has been conducted on the lived experiences of individuals who participated in a McNair Program in northeast Tennessee within the last two decades, and little to no research has been conducted to identify the program components that former participants believe …

Investigating Self-Perception Of Speech And Motivation For Return To Intervention For Post Cochlear Implantation In Young Adults, Madison Henry

Electronic Theses and Dissertations

Introduction: Cochlear Implants (CI) are designed to address severe to profound hearing loss. When implantation occurs after language develops, it is referred to as post-lingual (PL) implantation. Currently, no interventions have been identified to address the communication challenges that young adults with PL-CIs may face after they complete post-CI rehabilitation services. This study analyzes if an individualized intervention plan is beneficial for a person with PL-CIs when experiencing changing communication demands in the transition to college or the workforce. Methodology: Baseline assessments were conducted; the results of which allowed for the establishment of four co-constructed goals. These goals were targeted …

Beyond The Screen: Understanding College Students’ Perspectives On Cyberstalking, Gabrielle Jackson

Electronic Theses and Dissertations

Previous research regarding the victimization of college students is primarily geared toward physical or sexual encounters. There is a limited scope of research regarding the online victimization of college students, specifically those involved in Greek life organizations. Furthermore, there is a misinterpretation of the definition of cyberstalking among college students, as many students are unaware that they have been personally victimized (Cass, 2011). This study seeks to examine college students’ perceptions of online victimization and how they may vary. The different student impressions and the prevalence of online victimization were examined using self-reported data from students enrolled in a university …

Evaluating A Current Athlete Assessment Program, David Fish

Electronic Theses and Dissertations

The primary purpose of this dissertation is to evaluate the effectiveness of a questionnaire designed to assess coaches’ perceptions of an athlete monitoring program. There are four reasons for this examination of perceptions: 1) it may serve as a check for understanding of how the coach takes in the information presented to them, 2) identify any gaps in the knowledge of the coach which the sport scientist may help to fill, 3) can serve to open a dialog with the coach for ways in which the information may be better tailored to help them improve their decision-making, and 4) the …

Endo/Exo, Delaney Rogers

Electronic Theses and Dissertations

The artist, Delaney Shae Rogers, discusses her Master of Fine Arts exhibition, Endo / Exo, held at the Tipton Gallery in downtown Johnson City, TN. The exhibition dates are from March 25th through April 5th, 2024, with a public reception held April 5th, 2024. The author provides insight into the concept behind the work in the exhibition and shares how the making process and specific materials impact the work. This body of work explores coping with grief, anxiety, and the state of the world through the process of making and communicating otherwise difficult topics through visually digestible symbolic language.

Healthcare Providers’ Screening And Counseling For Tobacco Use Among Youth In The United States: Prevalence, Practices, And Providers’ Perspectives, Adeola Omolade Ayo

Electronic Theses and Dissertations

Youth tobacco use is a public health concern in the United States (U.S.) with about 2.8 million middle and high school youth reporting current tobacco use in 2023. Healthcare providers (HCPs) can play a crucial role in addressing youth tobacco use through screening and counseling, yet rates of these interventions are suboptimal. Tennessee has a high prevalence of youth tobacco use and not much is known about these interventions in Northeast Tennessee. This study has several objectives: 1) conduct a scoping review of available evidence on screening and counseling for youth tobacco use and identify related gaps; 2) assess youth …

From Silence To Interpretation: West Lawn Cemetery In Johnson, Tennessee And The Case For Cemeteries As Public History Sites, Julia Underkoffler

Electronic Theses and Dissertations

The preservation needs and historical significance located within West Lawn Cemetery in Johnson City, Tennessee, a historically African American Cemetery, show the potential cemeteries have as an impactful public history site. Similar to sites like historic houses, museums, and battlefields; cemeteries offer another insight into the past through interpretation and preservation. A cemetery's ethical and practical uses as a public history site can pose complex challenges. This thesis aims to provide a compelling argument for cemeteries as repositories of irreplaceable history, providing a space for their spot in the field of public history. Although little scholarly literature is given on …

Influence Of Medication Assisted Treatment Weaning On Neonatal Abstinence Syndrome And Outcomes Among Infants Born To Women With Opioid Use Disorder, Rakesh Adelli

Electronic Theses and Dissertations

Neonatal abstinence syndrome (NAS) is a drug withdrawal syndrome exhibited by infants born to mothers with opioid use disorder (OUD). The American College of Obstetricians and Gynecologists and other professional societies endorse opioid agonist pharmacotherapy (MATs) as the optimal treatment for OUD during pregnancy. This study focuses on impact of weaning of MAT drugs on the incidence of NAS and neonatal birth outcomes among babies born to women with opioid exposure.

The study population included eighty-six pregnant women with OUD, divided in to weaning and non-weaning groups based on their choice to wean the MATs during pregnancy. Univariate analysis was …

Exploring Spatiotemporal Patterns In Hazardous Hydrologic Events: Assessment, Communication, And Mitigation Through Geospatial Technologies, Emmanuel Afriyie

Electronic Theses and Dissertations

Tennessee has a long history of meteorological hazards that have caused property damage and loss of life. Given climate change and variability, it is imperative to look at trends to ascertain changes spatiotemporally. Space-time cubes, a novel geographic tool, were used to analyze historical heavy precipitation (1-, 2-, and 5-year returns), floods, and flash flood data in Tennessee counties to assess the trends, identify emerging hotspots/cold spots and display changes over space and time. For all return periods, trends analysis revealed that heavy precipitation events are increasing in several counties across the state, with middle Tennessee identified as a hotspot. …

The Association Between Prenatal Care And Postpartum Depression: Current State And Future Directions, Esther Adebayo-Abikoye

Electronic Theses and Dissertations

Background

Postpartum depression (PPD) is a major public health challenge and associated with poor maternal and infant health outcomes. Quality prenatal care decreases adverse outcomes in pregnancy and may reduce PPD risk factors. This study critically reviews the evidence about the role of prenatal care practices in reducing PPD prevalence across population groups and examines the association between prenatal care timing and counseling content with PPD prevalence.

Methods

A scoping review was completed across eight databases to synthesize evidence about prenatal care and PPD across different contextual settings. National data from the Pregnancy Risk Assessment Monitoring System (PRAMS) was used …

Establishing “The Fossil Record”: A Database Of Vertebrate Paleontological Sites Across The State Of Tennessee, Sarah Mclaurine

Electronic Theses and Dissertations

Fossil localities across the state of Tennessee and the data related to those sites were compiled from Tennessee Division of Geology Bulletin 84, titled “Tennessee’s Prehistoric Vertebrates,” and stored in a Microsoft Access geodatabase housed by the Department of Collections at the East Tennessee State University Museum of Natural History located at the Gray Fossil Site. Included in the database are forms to enter new site localities, view information about those already entered, view and add data to a master faunal list for the state, view sites repository information and store and add documents that are key-word searchable from the …

Radon Environmental Health Literacy In Northeast Tennessee, Kawther Al Ksir

Electronic Theses and Dissertations

This dissertation explored the multifaceted issue of radon exposure and its connection to lung cancer, focusing on knowledge gaps and proposing mitigation strategies. Despite extensive research, inconsistencies persist in understanding the health impacts, public awareness, and effective mitigation of radon, particularly in regions like Tennessee that are disproportionately burdened by high radon levels. This work addresses this gap by integrating findings from three distinct studies: a scoping review, a cross-sectional survey, and a policy analysis.

The review examined national literature about residential radon exposure, revealing variations in exposure levels and conflicting evidence regarding the risk of lung cancer. The cross-sectional …

Ìlànà Òrí-Òkè Àtiyanrìn: T(H)Reading Sands And Mountains, Akintayo Akintobi

Electronic Theses and Dissertations

The artist presents his Master of Fine Arts exhibition, entitled Ìlànà Òrí-òkè Àtiyanrìn: T(h)reading Sands and Mountains. The exhibit was mounted in Tipton Gallery in downtown Johnson City, TN, from February 1 to February 9, 2024. The exhibition consisted of 13 artworks, including mixed media paintings, fibers, sculptures, and installations. In this thesis, Akintobi discusses his life experiences growing up in Nigeria and traveling to the United States for his MFA, and how these experiences have affected his art over the past three years.

Through the exhibition, the artist delves into the intersection and variances of cultural perspectives, exploring …

Teacher Attrition: A Quantitative Analysis Of Driving Factors And Potential Solutions Among Highly Qualified K-12 U.S. Public School Teachers, Shari Donch

Electronic Theses and Dissertations

A comprehensive analysis is necessary to determine the cause of and solutions for the rate of K12 teacher attrition in the United States. Researchers have sought to understand the root causes of attrition or the institutional factors that influence teachers to voluntarily change professions. The most frequently identified factors include the personal characteristics of these teachers, freedom of curriculum development, teacher autonomy, and resources such as salaries. Evidence shows that this attrition among highly qualified teachers is detrimental to the quality of education, particularly in terms of student outcomes, and substantiates that effective initiatives surrounding remediation of these factors are …

Cabinet-Level School Administrators Intragroup And Intergroup Identity And Positive Leader-Member Exchange Dynamics: A Single Case Study, Larry R. Berger

Electronic Theses and Dissertations

This qualitative case study explored the challenges faced by the cabinet-level administration of a South Texas K-12 public school district in navigating intragroup and intergroup identity dynamics, impacting leader-member exchange, follower obligation, organizational behavior, and citizenship. Poor integration led to silo mentalities due to a lack of communication skills and social identity awareness among leadership. The study explored the influence of leaders’ attitudes and behaviors on intergroup and intragroup identities by examining how positive leader-member exchange practices affected collective organizational behaviors. Employing the framework of social identity theory, this study contributed to understanding specific leadership domains and the effective motivation …

College And Career Readiness Effects On Minority Male College Retention, Naquiyah Lashawn Hodges

Electronic Theses and Dissertations

Abstract

The continuously low college retention and low degree attainment of African American and Hispanic men is a generational and decades-long hindrance to the elevation of these marginalized communities in the United States and the state of Texas. In Texas, the last 3 years’ worth of data has proven college-readiness rates of African American and Hispanic college students were significantly lower by large margins than White students in English language arts, math, and both subjects by large margins. Consistent low college retention rates of minority men produce a need to conduct further research of how this phenomenon affects minority men …

Lost In The Identification Process: Where Are Gifted Blacks And Other Minorities In Gifted And Talented Education?, Tiffany M. Chenier

Electronic Theses and Dissertations

Abstract

The underrepresentation of African American and Hispanic students in gifted and talented (GT) education has persisted for decades, prompting a need for deeper investigation into the policies and procedures governing GT identification. The aim of this research was to investigate whether variations in practices for GT identification and the definition of giftedness, contribute to this underrepresentation. This qualitative case study used predetermined criteria outlined in the Texas State Plan for the Education of Gifted and Talented Students to examine the contents of each district’s GT identification plan available in electronic or downloadable form using document analysis. I also used …

Predictors Of Sexual Behaviors Of Launching Adults In A Post-Roe World, Brandon Hunter Gardenhire

Electronic Theses and Dissertations

Recent changes in abortion law created a need to study how these changes may affect the most at risk and sexually active community: launching adults. This study investigated if abortion attitude and political identity predict risky sexual behavior of launching adults, even in the presence of the reliable predictor of sexual attitudes. Forty-one unmarried launching adults (18-25) were recruited through snowballing and convenience sampling. Results revealed that abortion attitude was a significant predictor of risky sexual behavior (F(1,39) = 5.25, p < .05, ß = .462, R² = .119), but not while in the presence of sexual attitudes. There …

Comparative Analysis Of Acceptance And Commitment Therapy’S Effectiveness In An Intensive Outpatient Program Setting, Efrain Frank Ellin Iii

Electronic Theses and Dissertations

This thesis presents a comparative analysis of acceptance and commitment therapy (ACT) and treatment as usual (TAU) within an intensive outpatient program setting, evaluating their effectiveness in enhancing various dimensions of psychological well-being. Guided by two main research questions, the study investigates whether ACT demonstrates greater or equal effectiveness compared to TAU and if it provides more immediate effects on psychological well-being within three weeks. Utilizing a quasi-experimental design, the research incorporates a comprehensive array of measurement tools to assess outcomes related to anxiety, depression, stress, psychological flexibility, cognitive flexibility, emotion regulation, mindfulness self-efficacy, and life satisfaction among participants. The …

Factors Influencing Student Persistence Through Undergraduate Degree Completion: A Case Study Of The Social Engagement Of Black Students At A Private Historically Black College And University., Kayla Siddell

Electronic Theses and Dissertations

This qualitative exploratory single-case study examined the social engagement strategies utilized by one HBCU and the influences of these strategies on Black undergraduate students' sense of belonging and social engagement, which have been found to support and improve student persistence. Previous research on Black undergraduate students' social engagement and persistence has been primarily conducted at predominately White institutions (PWIs), with few studies explicitly focusing on social engagement and persistence at HBCUs. The site selected for this study was an HBCU under the pseudonym Fillmore State University (FSU). A qualitative exploratory case study was utilized as this methodology allowed the researcher …

Implementation Of Bedside Shift Report On A Medical Surgical Unit In A Private Acute Care Hospital In Jamaica, Lisa M. Henry

Electronic Theses and Dissertations

This project aimed to address the critical issue of patient safety by improving the quality of patient handoffs in a small private hospital in Jamaica. Guided by the Iowa model and Rogers’ diffusion of innovations theory, the pilot study focused on implementing evidence-based practices and fostering a culture of critical thinking among nurses. The study assessed the impact of an educational intervention on handoff quality and nurse satisfaction using a quasiexperimental pre- and posttest design. The Agency for Healthcare Research and Quality bedside shift report checklist measured accuracy and completeness, revealing a baseline accuracy of 46% preintervention, significantly improving to …

Assessing Nurses' Knowledge Of The Prevention Of Pressure Injuries, Olive Kaine Tariah

Electronic Theses and Dissertations

Abstract Pressure injuries are rated as the third most costly health problem, with deaths of about 60,000 in the United States due to complications annually and with a high mortality rate from complications. Incidences of pressure injury differ in various clinical settings, although the incidence rate ranges from 4% to 38% in hospitalization and mortality. Secondary complications among older individuals are approximately 68%. Pressure ulcers are injuries caused by unrelieved pressure, shear, friction, or a combination of all these to the skin or underlying tissues. Pressure ulcers develop from a prolonged tissue compression between a bony prominence and an external …

An Exploration Of The Role Of Alternative Certification Programs In Teacher Preparedness, Bianca Dugas

Electronic Theses and Dissertations

Alternative certification programs (ACPs) recently gained popularity due to their brevity and appeal to second-career candidates. However, research shows that alternatively certified teachers often need more pedagogical skills than traditionally certified teachers, leading to the possibility of experiencing challenges their first year as an educator. To address this problem, the role of ACPs in teacher preparation was investigated to identify ways to close the gaps and provide ongoing support to alternatively certified teachers. The purpose of this study was to explore the preparedness of teachers based on their experiences in their ACPs. The study was framed within Malcolm Knowles’s adult …

The Influence Of The Principalship In Retaining Novice Teachers, Casey Whittle

Electronic Theses and Dissertations

Abstract

The purpose of the qualitative descriptive study was to understand novice teachers’ perspectives of principal behaviors that keep them employed in a North Texas school district. A purposive sample of 12 novice secondary teachers and six secondary principals participated in semistructured interviews. The individual interviews were recorded and transcribed. In vivo coding and structural coding were used to analyze the data. The findings of the study confirmed that participants in the study believed certain behaviors of secondary principals influenced novice teacher retention. Novice teacher participants expressed a need to trust their principal and fit into the principal’s vision and …

Exploring A Potential Preparedness Gap Between Undergraduate Ministry Programs And Real-Life Ministry In The Southern Baptist Convention, Barton D. Morrison

Electronic Theses and Dissertations

Abstract The aim of this multicase study dissertation research was to examine the experiences, perceptions, and feelings of pastors in the Southern Baptist Convention who completed their undergraduate degrees from a Southern Baptist Convention higher education institution. Participants of the study had 3–10 years of full-time church ministry experience in local Southern Baptist Convention affiliated churches and had not yet attended graduate school or seminary. These qualifiers were placed on the selection process to allow the discovery of a possible gap between the pastor’s higher education experience and the practical ministry training required for their first local church ministry. Two …

Resiliency, Mindset, And Academic Performance: A College Athlete's Perspective, Trisha C. Giacomazzi

Electronic Theses and Dissertations

The problem addressed in this qualitative case study was the low graduation rates self-reported by the National Association of Intercollegiate Athletics institutions when compared to the general student population at a small Christian university in the Southern United States. In this study, I sought to acquire a deeper understanding of the degree to which an athlete’s mindset and psychological resilience influenced their perseverance and academic achievement on their path toward graduation. Utilizing semistructured interviews as the primary data collection method, I used purposive, convenience, and snowball selection methods to enlist a total of 10 participants from a pool of 52 …

Balancing Wellness And Leadership: Exploring Black Women Administrators’ Subjective Well-Being, Resilience, And Radical Self-Care In Higher Education, Lashae Grottis

Electronic Theses and Dissertations

Leaders in higher education experience high and unrealistic demands for their skills, time, and energy, causing stress, competing priorities, burnout, compromised health, and attrition. However, unlike other racial and gender groups, Black women higher education administrators experienced these challenges more intensely. As a result of chronic stress associated with being undervalued and overworked, discriminatory and unwelcoming workplaces, and intersectional biases, Black women leaders are leaving higher education workplaces. Despite the link between gendered racism and unwellness, little is known about the problem from a positive leadership perspective. This study addressed the lack of knowledge of the wellness strategies Black women …