Digital Commons Network^™

Factors That Impact Prevention Therapy For A Person(S) Living With Hiv In A Conservative, West Texas City, Madison E. Reyna

Electronic Theses and Dissertations

Human Immunodeficiency Virus (HIV) is well known for being a sexually transmitted virus that will result in Acquired Immunodeficiency Syndrome (AIDS) if left untreated. Some individuals are unaware of the other risk factors that can result in the transmission of HIV. The transmission of HIV can occur through the spread of HIV-positive blood, oral, anal, and vaginal sex without a condom or protection, sharing injection drug equipment, and perinatal transmission (Centers for Disease Control and Prevention, 2022). Despite advances in Antiretroviral treatments (ART) for HIV, there are still factors that are preventing individuals living with HIV/AIDS to maintain or suppresses …

Longitudinal Insights Into Student Behaviors And Program Impact: A Multi-Year Analysis Of Post-Program Surveys Pre- And Post-Covid-19, Brendan Bernard Charles Harmon

Electronic Theses and Dissertations

Substance use is arguably the most pertinent concern for college students. The prolonged use of substances has consequences that may impact many aspects of one’s life. As a result of decades worth of research, multiple evidence-based interventions have been created to help aid college students. One of these interventions includes BASICS, Brief Alcohol Screening and Intervention for College Students. This study examined experiences of the BASICS program participants with special attention to the impact of COVID-19. It used a convenience sample of 44 after-program survey respondents from 2015 to 2022 at a faith-based private university in Texas. This study found …

Exploring The Upward Transfer Advising Experience Of First-Generation Latinx Community College Students, Lizette Avalos-Morales

Electronic Theses and Dissertations

The purpose of this qualitative study was to investigate the student experience of Latinx first-generation community college students who graduated from a community college and transferred to a 4-year university. The research examined if intrusive advising served as a mechanism to aid academic persistence despite the challenges of first-generation Latinx students. Eleven first-generation community college students who graduated from a Hispanic Serving Institution in southwest Kansas were interviewed. The thematic analysis conducted led to five themes emerging. The themes included family, meaningful relationships, belonging, independence, and embracing uncertainty. The theme of family was separated into two subthemes: family support and …

The Effect Of Nondiagnostic Information On Internal Auditor Skepticism: Capturing The Dilution Effect, Joseph Anthony Giordano

Electronic Theses and Dissertations

Internal auditors assigned to assess internal controls over financial reporting incorporate irrelevant information into their judgment, showing decreased skepticism when irrelevant information contradicts preconceived stereotypes of management, known as the dilution effect and attributed to the representativeness heuristic. Irrelevant information consistent with preconceived stereotypes does not decrease skepticism. In this experiment practicing internal auditors are provided an irrelevant description of the Chief Information Officer portrayed as either gregarious or introverted then subsequently receive relevant internal controls information. When the Chief Information Officer is described as gregarious, counter to common stereotypes, internal auditors assess risk as less likely to occur compared …

Venous Leg Ulcers: An Analysis Of Nursing Knowledge, Shelia Moore-Miller

Electronic Theses and Dissertations

This project evaluated the knowledge level of wound center nursing staff on venous leg ulcer etiology and treatments after an educational intervention. To determine the effectiveness of the educational intervention, participants completed a pretest and posttest evaluation. Venous leg ulcers (VLUs) are chronic lower extremity ulcers affecting older Americans. VLUs are painful and negatively affect activities of daily living. Inadequate VLU treatment can become an infectious process that can ultimately threaten limb existence. A quantitative, quasi-experimental study was conducted over three weeks in a hospital-based wound care center in central Florida. The theoretical framework applied to this project is Lydia …

“We’Re Dealing With An Inhumane Lack Of Resources”: Provider Perspectives On Palliative And End-Of-Life Care For Adults Experiencing Homelessness, M. Pilar Ingle

Electronic Theses and Dissertations

Although palliative and end-of-life (PEOL) care offer many benefits to individuals with life-limiting illness, unhoused individuals face barriers in accessing these forms of care. Despite calls over the last several decades to improve PEOL services for unhoused individuals, this population remains underprioritized in efforts to improve access to healthcare. A richer understanding of these inequities as they relate to the specific social and political contexts within a state, such as Colorado, may offer more direct guidance on opportunities to improve policy and care provision.

The purpose of this study was to explore healthcare and social service provider-identified approaches and challenges …

Sense Of Community And (Third) Place Among Young Adults In Permanent Supportive Housing: A Mixed-Methods Inquiry, Danielle Maude Littman

Electronic Theses and Dissertations

Unhoused young people have often endured co-occurring experiences of marginalization, including long-term abuse and neglect from systems which have failed to support them. Permanent Supportive Housing (PSH) is a formal intervention which seeks to offer stability and support to young people. This three-manuscript dissertation uses community-engaged mixed methods to understand sense of community, sense of place, and third places among young adults in PSH in Grand Junction, Colorado.

The first manuscript used longitudinal mixed methods to understand how PSH residents’ (N = 27) sense of community shifts over 1.5 years of living in PSH. We found that residents’ sense …

Guaranteed Income As A Structural Social Work Response To Homelessness In The United States, Katherine Hoops Calhoun

Electronic Theses and Dissertations

The number of projects exploring guaranteed income, or unconditional direct cash transfers, in the United States has exploded in recent years (Mayors for a Guaranteed Income, 2022a). Between June 2021 and June 2022, the number of city mayors engaged with the group Mayors for Guaranteed Income grew from 11 to 82 (Mayors for a Guaranteed Income, 2022b) and as of Winter 2023, there were over 90 guaranteed income demonstrations and projects in the United States (Guaranteed Income Community of Practice, 2023). Guaranteed income refers to direct cash transfers, often to targeted populations, that are unconditional, consistent, predictable, and flexible (Castro …

Universal Basic Income (Ubi): A Cure-All Or Band-Aid?, Madison Beckner

Electronic Theses and Dissertations

With the triple crisis of capitalism looming and, in the U.S., a poorly performing welfare state, Universal Basic Income (UBI) has returned to popular attention. To assess whether this is warranted and, more importantly, to provide answer on the extent to which a UBI can or should be considered a cure-all, this work, first, examines the historical development of UBI proposals including those stemming from European Social Democrats and Libertarians. Next, pilot programs at the local, state, and national level are critically examined for their methodologies and empirical results. Turning, then, to theory on de-commodification, unpaid labor, and the equality-jobs …

How Practices Drive Persistence: The Transformational Consumption Journey Of Native Americans In Higher Education, Gwen Locklear Almodovar

Electronic Theses and Dissertations

In an academic environment where many higher education institutions tout their diversity and inclusion statistics, there is a decline in the enrollment of Native American students and a decrease in Native American scholars. The President of the United States, in an October 2021 briefing and with the issuance of an executive order named The White House Initiative on Advancing Educational Equity, Excellence, and Economic Opportunity for Native Americans and Strengthening Tribal Colleges and Universities, saw the immediate urgency to understand the systematic causes and implement evidence-based strategies that will improve and increase student enrollment and academic advancement. This research takes …

Fte2: An Exploration Of Full-Time Employed, Full-Time Enrolled Undergraduate Student Perceptions Regarding The Impact Of Support Systems On Their Ability To Persist, Victoria Lauren Mccord

Electronic Theses and Dissertations

Full-time enrolled students participating in full-time employment is a growing trend on college campuses. This dissertation serves to explore the perceptions of full-time employed, full-time enrolled graduate students’ perceptions on the impact of their support systems on their ability to persist. The proposed study utilizes Laura Perna’s Conceptual Model for College Access and Choice (2006), along with Cabrera, Nora, and Castenada’s Integrated Model for Student Retention (1993) to the following research questions: (1) What factors, support systems or resources do students utilize? (2) What formal or informal support systems and/or resources aid in student persistence, if any? This dissertation addresses …

It’S Just A Way Of Life: A Symbolic-Interactionist Approach To Inequalities In The Contemporary American South, Angela Rankin

Electronic Theses and Dissertations

The contemporary American South is characterized by significant inequalities that are deeply- embedded into the social fabric of the region. These inequalities are dictated by cultural and social dynamics that have shaped the Southern region over time; however, they are reinforced daily through the individual agency of Southern social actors. This thesis aims to analyze Southern inequalities through a symbolic-interactionist focused lens and data collected from semi-structured, qualitative interviews conducted with over 70 White Southerners in two places within the American South- Oxford, MS, and Memphis, TN. In this thesis, I argue that White Southern actors actively use their individual …

Buscando Perdón: Validation And Considerations For A Spanish Translation Of The Forgiveness Reconciliation Inventory, Mario David Sobrino

Electronic Theses and Dissertations

With influences from both cultural norms and commonly held spiritual beliefs, members of the Latinx population are vulnerable to enabling unhealthy interpersonal relationships that primarily benefit others while potentially harming their own wellness. A Spanish translation (called the Inventario del Perdón y Reconciliación [IPR]) for the Forgiveness and Reconciliation Inventory (FRI) was created to identify its validity and reliability as a potential clinical resource for Spanish speaking mental health counseling clients dealing with the emotional difficulties of forgiveness and unjust cultural expectations within their relationships. Factor analysis on the IPR reported comparable yet slightly reduced psychometric properties to the FRI. …

Higher Education’S Effect On Retention: Exploring The Experiences Of Cps Caseworkers, Alisa S. Wright

Electronic Theses and Dissertations

This qualitative research study was an exploration of Child Protective Services (CPS) frontline caseworkers' experiences. The problem investigated was the high number of caseworkers who lacked the knowledge and skills necessary to do their job and the constant turnover of workers within the agency. Although previous researchers have explored many factors that cause caseworker turnover, the research has not focused much on the caseworkers’ perspective. Therefore, this qualitative study explored CPS caseworkers’ opinions and experiences using virtual semistructured interviews. The study specifically focused on the impact that education and training has on job performance and turnover. The study population was …

Perceptions Of Organizational Politics And Interpersonal Relationships In Black Women's Organizations And Sororities, Mitzi S. Willis

Electronic Theses and Dissertations

Although much research has addressed the relationships between leaders and followers, none has focused on these relationships between Black women—specifically, in the context of Black women’s social service organizations and sororities—and the impact the leader’s chosen style of leadership has on the followers’ use of voice. Self silencing is a prominent response to the power dynamic in many leader–follower relationships. The purpose of this study was to describe the interactions between leaders and followers in Black women’s social service organizations and sororities and identify the influence leadership style has on follower engagement. This study extends the application of silencing the …

The Health And Health Care Needs And Experiences Of Mexican Heritage Individuals In A Nonmetro Location: An Ethnonursing Study, Karla Adu

Electronic Theses and Dissertations

Introduction: The population of Mexican heritage individuals has grown significantly in nonmetro, emerging communities. The purpose of this study was to explore the health and health care needs and experiences of this population in the Midwest. Methods: Leininger’s Culture Care Theory and Ethnonursing Research Methods were used as the guiding theory and methodology for the qualitative study. Interviews were conducted with 27 informants. Recordings were transcribed and analyzed according to Leininger’s phases of data analysis. Results: Three themes emerged from the data: 1. living a better life in a nonmetro community with and for family, 2. barriers to understanding …

Examining The Impact Of The Covid-19 Pandemic On Violent Crime In The City Of Pittsburgh, Brittany Urban

Electronic Theses and Dissertations

The goal of this research is to examine patterns of Part I crimes [including Part I Person/Violent: Homicide, Rape, Aggravated Assault, and Robbery, and Part I Property: Burglary, Larceny-Theft, Motor Vehicle Theft, and Arson, as defined by the Federal Bureau of Investigation (FBI) Uniform Crime Reporting (UCR) Standards] in The City of Pittsburgh, framing the COVID-19 pandemic as a major stressor that Robert Agnew’s General Strain Theory suggests may lead to increased opportunity for crime, due to the perceived unjustness of the associated lockdown orders and potential incentive for criminal coping (Agnew 1992). This descriptive analysis is based primarily upon …

Examining Effective And Realized Healthcare Access In The West South Central Division., Katherine Cameron

Electronic Theses and Dissertations

This study explores realized and effective access domains outlined by Andersen’s Behavioral Model of Health Services Use. Exploring other domains of access is critical to understanding how the healthcare system functions (Kirby & Yabroff, 2020). This study evaluates rural-urban and racial/ethnic differences in access to care using two underresearched domains of healthcare access. It also allows for exploring access disparities within rural communities amongst minority populations. This dissertation is divided into five chapters. Chapter One provides an overview of health disparities and inequities and a brief overview of the study. Chapter Two details a high-level history of racism and its …

Stigma Described By Attempt Survivors With Diverse Gender And Sexual Identities In Their Suicide Stories: A Hermeneutic Phenomenological Dissertation., Sara Williams

Electronic Theses and Dissertations

Suicide is a profoundly impactful issue across societies. Gender and sexually diverse (GSD) populations exhibit rates of suicidal ideation and behavior far greater than those of cisgender heterosexual populations. Stigma impacts health outcomes among GSD populations through stress exposure and response processes. Compound stigma is experienced when individuals occupy positions in multiple stigmatized identity groups and can have multiplicative effects on adverse outcomes. Further, opportunities for positive social support and resilience building may be limited due to the narrow convergence of stigmatized identity groups. Stigma among GSD suicide attempt survivors (GSDAS) is an important phenomenon to explore in order to …

A Comparison Of The Mental Health Of Police Officers And Correctional Officers In Rural Appalachia, Sierra Thomas

Electronic Theses and Dissertations

The purpose of this study was to explore perceptions of mental health among police officers and correctional officers within rural Appalachia. The main goal of this research was to better understand how the occupational demands of working in the criminal justice field can impact one’s mental health over time. Several research questions were explored, including the prevalence of various mental health problems, associated stressors, the structure of support among officers, and the perceptions of mental health treatment services. Data were gathered through semi-structured interviews with 21 police and correctional officers located in rural Appalachia. Results provided a better understanding of …

Understanding The Role Of Faculty Advising In Graduate Allied Healthcare Profession Programs As Practitioners Transition To Professor, Lillie Marie Barnett Thomas

Electronic Theses and Dissertations

Individuals in allied healthcare professions continue to see growth in all areas, including clinical practice and higher education. Leaders at the university level, alongside leadership within allied healthcare accreditation bodies for disciplines like athletic training, occupational therapy, physical therapy, and speech-language pathology, maintain the need to grow the professions through master’s and doctoral degree programs. With the growth, many working practitioners move from clinical practice to academia with little to no experience or understanding of higher education and all the responsibilities of the job. This quantitative research study used a purposive sampling of allied healthcare professionals across the United States …

Influence Of Restorative Practices On The Middle-School Classroom, As Reported By Teachers: A Qualitative Case Study, Julia Y. Andrews

Electronic Theses and Dissertations

The purpose of this qualitative case study was to examine middle school teachers’ perceptions of the influence that restorative practices have on the middle school classroom environment. For the purpose of this study, seven middle school teachers were selected who have implemented restorative practices in their middle school classrooms to provide feedback. Findings suggest that overall restorative practices have a positive influence on the classroom. The findings from this study can be used with teachers, administrators, counselors, parents, and school and district support staff to help create a positive campus culture between students and adults in middle school classrooms. The …

The Correlation Between Transformational Leadership And Mental Health Clinician Burnout, Rebekah E. Shutter

Electronic Theses and Dissertations

Mental health clinicians working in a hospital setting are at a high risk of experiencing burnout due to the stressful demands of their caseloads, compassion fatigue, limited resources, and unsupportive leadership. While there is ample research regarding the cause and effect of burnout on clinicians there is a gap in the literature when it comes to the impact leadership has on mental heath clinician burnout. The purpose of this quantitative, correlational study is to determine if and to what extent there is a correlation between Transformational Leadership and mental health clinician burnout. Participants for this study consisted of 200 mental …

Experience Is The Best Teacher: Exploring Clinical Supervisors’ Experiences Who Receive Exclusively Administrative Supervision From Non-Licensed/Non-Clinically Trained Superiors, Monica Pattillo

Electronic Theses and Dissertations

The goals of clinical supervision are to ensure that the supervisee is using skills appropriately and properly handling a client caseload, all while being mentored by an experienced professional, known as a clinical supervisor. However, little is known about the support clinical supervisors receive in their roles. If the support is inadequate, there is a potential to impact the welfare of the clients. Additionally, there are very few researchers that have looked at clinical supervisors’ experiences when receiving their own supervision. In order to add to the body of literature on clinical supervision, this study explored clinical supervisors’ experiences when …

Determinants Of Reproductive Freedom Among Israeli Women Ages 18-50: A Mixed Methods Study, Abby Kra-Friedman

Electronic Theses and Dissertations

Introduction: Reproductive freedom is a social determinant of health (SDOH) that reduces health disparities and increases health equity. Through the National Health Insurance Plan, Israeli women can access a range of contraceptive methods. Scant data on Israeli women limits development of policies and interventions to meet international benchmarks for reproductive freedom. The purpose of this dissertation study is to synthesize current international multidisciplinary literature using the capability approach for reproductive freedom, explore determinants of reproductive freedom among Israeli women ages 18-50 using Nussbaum's capability approach, and make recommendations for nursing research, practice, and theory.

Methodology: Using Whittemore and …

Cultural Care Needs Of Spanish Speaking Parents With Limited English Proficiency Whose Children Are Hospitalized: An Ethnonursing Study, Jennifer Stephen

Electronic Theses and Dissertations

Purpose: Parents’ inability to speak English proficiently is associated with communication barriers in the care process of their children, social determinants of health, and poor child health outcomes. Research exploring perspectives of Spanish speaking parents with limited English proficiency (SSP-LEP) whose children are hospitalized in the context of culture is lacking in the literature. The purpose of this study was to explore the cultural experiences, values, and beliefs of SSP-LEP, of Mexican origin, whose children were hospitalized and understand nurses’ role in providing culturally congruent care.

Design and Methods: Leininger’s qualitative, ethnonursing method was used for this study. The Theory …

Emergency Care For Youth Who Experience Suicidality And Identify As Lesbian Gay Bisexual Transgender Queer/Questioning (Lgbtq+): An Interpretive Phenomenology, Theresa Schultz

Electronic Theses and Dissertations

Purpose: Suicide is a leading cause of death in children; youth who identify as LGBTQ+ are at an exponentially higher risk of suicide. The purpose of this study was to explore the lived experiences of young adults who identify as LGBTQ+ and sought emergency care for suicidality when they were adolescents.

Methods: Heideggerian hermeneutics phenomenology is the research method used in this study. Youth, ages 18-25 years, who identify as LGBTQ+ and sought emergency treatment for suicidality when they were adolescents (13-17 years) were recruited to participate;fifteen youth enrolled. Individuals ranged in age from 20 to 25 years. Participants described …

“I Hear You”: Exploring The Lived Experience Of Counselors’ Empathic Response To Clients When Conducting Telephonic Counseling During Covid-19, Michael Sickels

Electronic Theses and Dissertations

Dissertation supervised by Dr. Debra Hyatt-Burkhart

This study sought to unearth the lived experience of counselors empathically responding to clients via telephonic counseling during COVID-19. The term empathic response refers to as attending to the emotional and mental state of another person in a way that is attuned with the feelings and meanings of the individual’s experience. There are few studies that have assessed the merits of telephonic counseling, and even fewer that have examined counselors’ empathic response to clients through this medium.

To uncover the lived experience of the target population, the participants of the study were purposefully selected …

The A-Word: Destigmatizing Abortion In American Culture., Kathryn Lafferty Danner

Electronic Theses and Dissertations

This dissertation uses an interdisciplinary perspective and explores the topic of abortion through legal, medical, philosophical, and cultural perspectives, providing alternative ways to talk about abortion. In some states, especially since the overturning of Roe, abortion has become almost impossible to access, particularly in the South and Midwest. Abortion as a medical procedure is highly stigmatized and although it is a common procedure, it is taboo to discuss in American culture. Exploring how different media work to destigmatize abortion in the United States can lead to a deeper, more nuanced understanding of an overly politicized topic. The introduction is a …

“…You Can't Unknow It, It's A New Reality": A Case Study Exploring A Social Justice Public Health Intervention's Impact On Critical Consciousness Development In Youth., Monique Williams

Electronic Theses and Dissertations

Even though public health purports to be rooted in social justice, it is not clear how social justice frameworks are integrated in public health research and intervention. The discipline focuses on groups/populations on the margins, without integrating the social and political factors that cause marginalization into the intervention. Seeing communities, and individuals, as assets and experts in their own experiences is key to population-level health improvement. Particularly for public health youth intervention, how youth are labeled and engaged in social change is critical to their healthy development. While public health lags in practically applying asset-based approaches to youth intervention, research …