Digital Commons Network^™

An Intersectional Perspective On The Role Of Workplace Policy Among Employed Female Caregivers During The Coronavirus Pandemic, Jessica King Mclaughlin

Electronic Theses and Dissertations

Providing care for an older adult while working can be challenging, often leading to caregiver burden. The socioenvironmental context of the coronavirus pandemic creates additional complications for working caregivers. Women, who are the majority of informal caregivers, face unique stressors in the workplace (McKinsey & Company, 2019; Carnevale et al., 2018). Prior to and during the coronavirus pandemic, workplace policies have offered the potential of support, yet more information is needed on how working female informal caregivers of older adults of diverse identities receive, interpret, and experience these policies amidst the context of the pandemic. This study uses a phenomenological …

Exploring The Relationship Between Historical Redlining And Place-Based Reproductive Health Inequities: A Qualitative Gis Approach, Kristi L. Roybal

Electronic Theses and Dissertations

Individual-level risk factors and characteristics do not fully explain racial, ethnic, and socioeconomic inequities in preterm birth in the United States, and evidence suggests that medical advancements, increased access to prenatal care, and high per-capita spending on health care have done little to reduce these inequities. Health inequities research has shifted its attention from individual-level factors that influence health outcomes to the social determinants of health. Neighborhoods, considered an important upstream social determinant of health, can influence health outcomes through their social, service, and physical environments, and have been consistently linked to birth outcomes. Despite increased attention to neighborhood influences …

The Infinity Mirror: Learning To Lead Through Action-Oriented Inquiry, Robert D. Evans

Electronic Theses and Dissertations

This dissertation-in-practice is a reflective self-study exploring the lived experience of the current researcher as a leader of Lesson Study (LS) over 2 years. Drawing on the concepts of perspective and engagement articulated by Wenger-Trayner and Wenger- Trayner (2016) in their Learning in Landscapes of Practice conceptual framework, the study is organized around the primary critical question: How has my perspective on what it means to be a teacher leader been transformed through my engagement with LS in the context of a US community of educational practice? Working within the paradigm of first person action-oriented inquiry, the method of self-study …

Understanding And Supporting Asian American Youth’S Mental Health Within Cultural And Family Contexts, In Young Park

Electronic Theses and Dissertations

Mental health problems are a major health issue among East Asian American (EAA) youth. Although previous research has explored the risk and protective factors associated with mental health problems of EAA youth, many studies have employed Eurocentric perspectives, thereby excluding their unique cultural backgrounds, beliefs, and values. To better understand mental health needs and support these youth, further research that identifies different factors associated with mental health problems in their cultural context and assesses evidence-supported and culturally responsive interventions is needed.

This three-manuscript dissertation is presented in three papers. The first manuscript presents an integrative conceptual framework that uses two …

Puerto Ricans And Asthma: Looking Through The Lens Of Historical Trauma, Lisa Colón

Electronic Theses and Dissertations

This study utilized an explorative phenomenological qualitative design to begin understanding the many ways Puerto Ricans experience asthma. Further is sought to understand the asthma experience broadly and within the context of the hurricanes that devastated Puerto Rico in 2017 including the governments’ responses to that devastation. Another core goal of this study was the conceptual and empirical application of the theoretical framework of historical trauma to Puerto Ricans. I conducted 12 semi structured interviews with collaborators who expressed a range of asthma experiences. My collaborators represented a mixture of those who lived through the hurricanes in Puerto Rico and …

The Intersection Of Traumatic Brain Injury And Homelessness, Stephanie A. Chassman

Electronic Theses and Dissertations

The rates of TBI are significantly higher among individuals experiencing homelessness compared to the general population. Up to half of individuals experiencing homelessness may have a TBI. Accurate prevalence rates of TBI among individuals experiencing homelessness are difficult to obtain due to different methods of sampling participants and differing definitions of TBI; therefore, estimates may be underrepresented. Despite past research that has examined the relationship between TBI and homelessness, there are specific gaps in knowledge such as correlates and risk factors of TBI among individuals experiencing homelessness. This three-manuscript dissertation attempts to address these gaps in knowledge.

The first manuscript …

Developing, Refining, And Testing The Intersectional Model Of Service Use: A Transgender And Nonbinary-Specific Model Of Healthcare Access, Jarrod Call

Electronic Theses and Dissertations

Transgender and nonbinary (TNB) people are more likely to experience negative health outcomes than cisgender (i.e., not TNB) people, but less likely to access healthcare services due to the systemic forces of transphobia and cisgenderism. Despite this, there are few theoretical models of healthcare access specifically designed for TNB people. This three-paper dissertation addresses this gap by developing, refining, and testing the Intersectional Model of Service Use (IMSU), a population-specific framework for researching TNB healthcare access. Manuscript one describes how the initial IMSU was developed from an integrative review of currently available TNB healthcare access literature. This initial IMSU was …

Restorative Justice & A Dean Of Students: An Auto-Criticism Of The Role Of Care In School Discipline In A Poverty Impacted Public High School, Alicia D. Vasquez

Electronic Theses and Dissertations

This qualitative study is an auto-criticism, an approach that allows researchers to study themselves. This emergent methodology is derived from educational criticism and connoisseurship, which fits under the broader category of arts-based research. School discipline is a programmatic component of any secondary school’s educational framework and directly effects student engagement and academic achievement. An analysis of the dean role in relation to school discipline is central to this study. The main research question is what are the lived experiences of a dean who incorporates restorative justice practices in a poverty impacted public high school?

The author spent two years as …

Do Policies Matter? An Exploratory, Qualitative Study Of The Lived Experiences On Campus Of Transgender And Non-Binary Education Employees, Sarah Clay

Electronic Theses and Dissertations

The student population of American colleges and universities is becoming increasingly diverse. Though the racial and ethnic makeup of a campus population has been given the most attention in diversity and inclusion efforts, there has been a growing focus on LGBTQ issues in recent decades. As a result, institutions of higher learning have been working to develop responsive policies and programs that aim to promote LGBTQ inclusion amongst faculty, staff, and students.

However, the current socio-political climate in the United States is becoming intensely antagonistic toward gender non-conforming people. With gender identity being such a socially and politically divisive issue, …

The Ability Of Mississippi School Personnel To Recognize And Act On Internalizing Disorders In Students, Madison Varner

Electronic Theses and Dissertations

Childhood internalizing disorders traditionally do not garner much attention in academic settings; however, previous research has found that 1 in 4 public school students in Mississippi experiences some form of an internalizing disorder. These disorders strongly affect both behavior (e.g. bullying, school attendance, and social performance) and academic performance (e.g. literacy, mathematical learning). Under several existing pieces of legislature, public schools should already be providing treatment for these disorders; however, few schools have any provisions for the numerous students silently struggling. The primary objective of this study was to investigate teachers’ understanding of internalizing disorders and their frequency in school …

The Relationship Between Ethnicity, Immigrant Generation, & Delinquency: Examining Youth In Child Protective Services., Erin Leigh Geist

Electronic Theses and Dissertations

Although minority youth are overrepresented in the makeup of the welfare and juvenile justice system, there is a lack of research that examines dually-involved youth. In recent years, there has been an escalation in the number of Hispanic youth that have become involved in the child welfare system, including youth that identify as Hispanic immigrants. This study uses nationally representative data of children receiving welfare services to examine the relationship between ethnicity, immigrant generation, and delinquency. The results of binomial regression models illustrated that there was no effect of Hispanic ethnicity or immigrant generation on delinquency. However, the analysis provided …

Examining Culture In Rural High-Poverty Schools, Kassandra E. Champion

Electronic Theses and Dissertations

This study utilized quantitative survey methods to evaluate how rural schools are affected by students living in poverty. There are many attributes to a school’s culture. Successful leadership, high-quality teachers, and active students are three of the biggest factors. Schools located within a 265-mile radius from Newell, SD with a school population of less than 600 comprised the population for this study. This area encompassed schools in five states. Schools were contacted, surveyed, and assessed based on quantitative statements and open-ended questions. Considering that a school is dynamic, the high school teachers from four different subjects were all assessed. 58% …

Interrogating Whiteness In Graduate Education Culture: A Phenomenological Exploration Of Southeast Asian American Graduate Student Experiences, Lesley Nina Sisaket

Electronic Theses and Dissertations

The purpose of this transcendental phenomenological study is to understand the role that whiteness has in shaping the graduate education experiences of Southeast Asian American students in the United States. This study explores two research questions. 1) How do Southeast Asian American graduate students describe their graduate education? 2) How do Southeast Asian American graduate students describe concepts of whiteness, if any, throughout their graduate education? According to the experiences from six selfidentifying Southeast Asian American students, their graduate education experiences were described to be racially taxing, unchallenging, and isolating experiences. These findings stemmed from their graduate education experiences, which …

Making The Most Of Program Evaluation Data: Understanding Human Services Professionals’ Well-Being Through Qualitative Secondary Analysis, Elizabeth Ann Deaton Wacker

Electronic Theses and Dissertations

Qualitative secondary analysis (QSA) allows researchers to explore new research questions and ensure that participants’ voices are heard to the greatest extent possible, without the burdens of additional data collection. However, this approach is rarely used outside of the health sciences, and little guidance exists in the literature about how to conduct QSA. This study is a secondary analysis of qualitative program evaluation data related to the well-being of human services professionals from two fields: child welfare and early care and education (ECE). It explores these professionals’ well-being, as well as the methodological issues of how well-being has been addressed …

Loneliness, Interpersonal Goals, Life Satisfaction, And Subjective Well-Being In Older Adults, Francesca C. Ezeokonkwo

Electronic Theses and Dissertations

Background: Loneliness is detrimental to health and is linked to numerous physiological and psychological problems. People across the age spectrum can be affected by loneliness at one point or another in their lives; however, older adults are disproportionally affected.

Aims: This study investigated the effect of interpersonal goals (compassionate and self-image goals), life satisfaction, and subjective well-being on loneliness in older adults and the influence of demographics and social support. The Ecosystem-Egosystem Theory of Social Motivation served as the theoretical framework.

Design and Method: This descriptive cross-sectional correlational study used the 2016 Health and Retirement Study. Participants were 65 years …

Examining The Interaction Of Adverse Childhood Events, Dental Issues, Asthma And Autism, Cathy Koetting

Electronic Theses and Dissertations

Dissertation supervised by Dr. Rebecca Kronk

Purpose: Adverse childhood events (ACEs) have a profound and long-term effect on the health outcomes of many children and adults. However, few studies have focused on specific ACEs and health outcomes in children with autism spectrum disorder (ASD). The aim of the study was to investigate if ASD moderated the relationship between ACEs and specific health outcomes in children who had been the subject of a child welfare system report.

Design and Methods: Using the second National Survey of Child and Adolescent Well-Being (NSCAW II), a secondary analysis was performed on a sample of …

Charting The Unknown: Examining The Prevalence And Correlates Of Seconday Traumatic Stress In Kentucky Probation And Parole Officers., Amanda Marie Roberts

Electronic Theses and Dissertations

The purpose of this dissertation was to discern the prevalence and magnitude of both exposure to traumatic events and Secondary Traumatic Stress (STS); as well as potential correlates of STS in a group of Probation and Parole officers in the state of Kentucky Department of Corrections (KY DOC). Participants (N=302) completed a written survey which asked them to indicate demographic variables (age, gender, and ethnicity), as well as several important occupational variables, namely years of experience in the KY DOC, caseload volume, prison work experience, and whether or not they are responsible for a sexual offender caseload. Participants were also …

Exploring The Promotion Of Youth Voice And Activism By Youth Development Workers In Community-Based Programs., Rebecka M. Bloomer

Electronic Theses and Dissertations

Youth-adult partnerships (Y-APs) and youth voice promotion are best practices within the youth development sector, but youth development workers receive little training or guidance in employing these concepts. A scarcity of research explores the relationships between organizational supports, as demonstrated by training, supervision, evaluation, and worker engagement in promoting youth voice. The two studies within this dissertation investigated the social processes of how and why youth development workers promoted youth voice. Program participants were primarily youth of color living in areas of high multidimensional poverty. They also explored how and why organizational factors impacted the promotion of youth voice within …

Exploring Service Provider Perspectives On Facilitators And Barriers To Needle Exchange Program Participation By Females Who Inject Drugs., Tammi Alvey Thomas

Electronic Theses and Dissertations

As the opioid epidemic lingers on across the country, many areas have set up harm reduction strategies such as needle exchange programs (NEPs) to combat the long-term consequences of injection drug use (IDU). Males and females face a plethora of health issues associated with injection drug use such as human immunodeficiency virus (HIV) and hepatitis C. While males comprise the largest portion of the injection drug use population, most research is gender neutral, which makes it difficult to discern issues specifically related to females inhibiting our ability to design interventions and procedures targeted to address their needs. Females require varying …

Exploring The Contextual Factors And Decision-Making Process Of Risky Sexual Behavior Among Homeless Adults In Louisville, Kentucky., Sarah C. Van Heiden

Electronic Theses and Dissertations

Homelessness is a complex public health issue; individuals who experience homelessness are said to engage in risky sexual behaviors at an increased rate and experience a higher prevalence of sexually transmitted infection (STI). While the sexual behaviors of homeless adolescents are commonly studied, little is known about the sexual behaviors of the growing population of older adults, or how they make decisions to engage in sex. Three aims guided this research: 1) to describe the sexual behaviors and sexual decision-making process of homeless older adults, 2) to examine how homeless older adults evaluate the outcomes associated with engaging in risky …

Evaluation Of Risk And Protective Factors Of Substance Use In The National Association Of Intercollegiate Athletics., Richard D Weaver Jr.

Electronic Theses and Dissertations

The NCAA and NAIA have conducted prevalence studies of substance use in their organizations but little research into risk and protective factors that influence usage. Substance use is associated with an array of consequences including negative academic impacts, criminal charges, health risks, and mental health. As the most reported substances used by student-athletes the study focused on alcohol, marijuana, and nicotine. This study specifically examined several risk and protective factors impacting substance use. This study utilized a secondary data analysis of information gathered from the NAIA Substance Use and Abuse Study conducted in 2020 with student-athletes (N=2489). Descriptive statistics, parametric …

Stress And Anxiety Experience Of Dental Hygiene Students, Kristen Ford

Electronic Theses and Dissertations

The ETSU dental hygiene program is very competitive and rigorous for those admitted. Student dental hygienists may experience higher levels of anxiety and more stressors while completing their course work and clinical hours than they have previously experienced in general education and prerequisite courses. These increased number of stressors and higher levels of anxiety may have negative impacts on students’ academic performance and success in clinical learning environments. A better understanding of the actual need for a stress reduction and anxiety management curriculum will facilitate creating and implementing this type of curriculum. A total of 44 current ETSU dental hygiene …

The Efficacy Of A Rapid Rehousing Program Serving Adults Experiencing Homelessness In West Central Texas, Unique Jackson

Electronic Theses and Dissertations

This thesis discusses the dynamics of homelessness and examines one agency (Abilene Hope Haven) that aims to help homeless individuals receive permanent housing. This study explores the characteristics that influence the likelihood of placement in permanent housing within 12 months at Abilene Hope Haven. The different types of supportive housing programs and their roles in helping homeless individuals will be discussed. Secondary data gathered from the Homeless Management Information System were entered into the Statistical Package for Social Sciences, and then a logistical regression analysis was created to explain the relationships between the different characteristics and permanency placement. A key …

Secondary Traumatic Stress In School Psychology Practicum And Internship Students, John Phillip Burnett

Electronic Theses and Dissertations

School psychology practicum and internship students increasingly engaged in activities in which they assisted children and clients who were survivors of various traumatic experiences. It has become apparent that the psychological effects of secondary traumatic stress (STS) extend beyond those directly affected and impact those in a variety of helping professions. Despite research that examined STS in various helping professions, gaps currently exist that describe STS in school psychology. In reported research, similar helping professionals engaged in school psychology service activities, which resulted in elevated STS symptoms and other adverse outcomes (Ravi et al., 2021). This study posited that school …

Decreasing Unintentional Pregnancies For Tennesseans, Paula M. Todd

Electronic Theses and Dissertations

In 2018, 49% of all pregnancies in the United States were unintended, with women with a lower- income status being five times more likely to experience an unplanned pregnancy. Tennessee has a high rate of unintended pregnancies, particularly among the uninsured, low-income, and rural teen populations; some 22% of these unintended pregnancies end in abortion. Oral or transdermal contraceptives that are affordable and accessible for women of childbearing age can reduce unintentional pregnancies. The addressed gap in clinical practice was that contraceptives are not currently available over the counter in Tennessee pharmacies without a prescription, which necessitates a costly medical …

The Cultural Worldview Of Women Trafficked For Sex In The U.S: An Ethnonursing Study Exploring Health And Well-Being Beliefs, Values And Practices From An Emic Perspective, Christine Lepianka

Electronic Theses and Dissertations

Introduction: Women who have been trafficked for sex in the United State report that the health care they receive is not consistently helpful or tailored to their unique needs. The purpose and domain of inquiry (DOI) for this study was to discover, understand, and describe health and well-being beliefs, values, and practices of U.S. born women who have been trafficked for sex in the United States, in order to provide culturally congruent nursing care. Method: Leininger’s Culture Care Theory (CCT), ethnonursing research method (ERM), and enablers guided the researcher as she explored the DOI. Interviews were conducted with 11 key …

Different Strokes: A Critical Race Discourse Analysis Of The Experiences Of Four Black Women Rowing For A Predominantly White Institution (Pwi), Carol Schoenecker

Electronic Theses and Dissertations

Collegiate athletics has the remarkable ability to serve as a catalyst for positive and widespread social change and identity formation. For Black women, the formation of identity comes with the added intersections of race and gender in addition to sport. Collegiate rowing is one of the most heavily scholarshipped sports coming out of the passing of Title IX legislation in 1972 and requires no previous rowing experience for participation (Garran, 2012). Despite the opportunity for rowing to serve as an access point for innumerable young athletes to obtain financial and social support through a pathway to higher education, there remains …

Concurrent Reporting Of Adverse Childhood Experiences Among Perspectives Of Adolescents And Caregivers., Katie J. Berghuis

Electronic Theses and Dissertations

The consequences of Adverse Childhood Experience (ACE) events in youth have predominantly been studied through retrospective studies that assess adults’ first 18 years of life or caregiver report of ACEs in youth. Reliance on only caregiver report to discern ACEs is a limitation amongst prior studies as research has found that caregivers tend to underestimate ACEs among their children, and there is even a greater discrepancy of reporting between caregivers and youth 12 years and older. Therefore, this study investigated concurrent reporting of self-report ACE scores in adolescents – defined in this study as 12 to 20 years old – …

Git (Gender-Informed Trauma) In Black N Blue Boys / Broken Men: How Concepts Of Gender Restrict The Black Male Actor’S Creative Process And The Methods He Can Use For Creative Freedom., Tyler Tate

Electronic Theses and Dissertations

This study examines how the black male actor’s creative process can be affected by historical and cultural constructions of masculinity connected to race, sexuality, and physical movement. My research on black men’s experience with gender identity finds that social and cultural forces lead black men to reproduce behaviors that mirror a prescribed masculine ideal through physical movement. This prescribed masculine behavior is typically coded in terms of stiffness or lack of expression. This study explores how self-imposed restrictions reiterated by social standards of masculine behavior limit the creative freedom in the black male actor’s creative process. Specifically, black male actors’ …

Examining Predictors Of Attitudes And Knowledge Of Registered Nurses And Nursing Students In Tennessee Toward Pregnant And Perinatal Women With A Substance Use Disorder, Jessica Patrylo

Electronic Theses and Dissertations

Substance use disorders (SUDs) among pregnant and perinatal women continue to be a national public health crisis. Furthermore, nursing students and perinatal nurses have historically negative and punitive attitudes toward this vulnerable population of women. As nurses are primary care providers for pregnant and perinatal women, this is troublesome as perinatal patients express feeling stigmatized by nurses whom they should be able to trust. This contributes to the reluctance of women to seek needed medical and prenatal care. Tennessee was the first state to criminalize drug use in pregnancy and has higher neonatal abstinence syndrome (NAS) rates, which were more …