Digital Commons Network^™

Teachers’ Perceptions Of The Work Environment And Job Satisfaction Before And After Covid-19, Carla Sexton

Electronic Theses and Dissertations

This phenomenological, qualitative study examined teachers’ perceptions of the work environment and job satisfaction before and after COVID-19. The findings may support school leaders by providing insight into what keeps teachers fulfilled in their careers, aiding in the retention of teachers in the district. Purposeful sampling was used to identify general education teachers who taught in one school district before and after COVID-19. Twelve interviews were conducted using open-ended questions and semi-structured questions to gain a better understanding of teachers’ experiences and perceptions. Each interview was transcribed and coded by the researcher. The results of the interviews led to the …

An Auto-Criticism Exploration Of An International Transracial Adoption, Jessica M. Morganfield

Electronic Theses and Dissertations

This qualitative dissertation explores the lived experience of international transracial adoption through the combined methodologies of auto-criticism and journaling. Using a first-person, insider-led approach, this study addresses four central research questions: (1) What experiences emerge when an adult adoptee reflects on their childhood as an international transracial adoptee? (2) How do identity development, cultural socialization, and experiences of racial and adoptive microaggressions intersect and influence an individual? (3) How does auto-criticism uniquely describe the international transracial adoptee experience? and (4) How might journaling serve as a research tool for data collection and analysis?

Daily journaling over a 30-day period functioned …

The Embodiment And Experiences Of Gender Euphoria Among Transgender And Nonbinary Communities: A Mixed Methods Inquiry, Brendon T. Holloway

Electronic Theses and Dissertations

Gender euphoria is a critical aspect of embodiment for transgender and nonbinary (TNB) people that has long been overshadowed in academic research by deficit narratives and gender dysphoria. While gender dysphoria is the distress an individual may experience related to their gender, gender euphoria encapsulates the positive emotions a TNB person may experience because of positive gendered experiences. Despite community documentations of gender euphoria since the 1970s, academic research on gender euphoria has only recently begun to emerge. This three-paper dissertation advances this body of scholarship by exploring how gender euphoria is conceptualized, experienced, and embodied in TNB communities. Utilizing …

Cultivating Resilience In The Anthropocene: Evaluating A Gssw Ecological Justice Curriculum, Windy Selig

Electronic Theses and Dissertations

This Dissertation in Practice evaluated the University of Denver’s Graduate School of Social Work (GSSW) Ecological Justice Pathway to examine how resilience is conceptualized and cultivated within the curriculum. Grounded in a constructivist paradigm and guided by an ecological justice framework, this evaluation explored the pedagogical and curricular strategies designed to prepare social work students for the emotional, ethical, and professional demands of practicing in the Anthropocene—a time marked by ecological degradation, climate crisis, and compounding social inequities.

Through qualitative methods, including faculty interviews and curriculum document analysis, the evaluation identified both explicit and implicit components that foster student resilience. …

God Who Crafts: An Appalachian Theology Of Making And Community, Gwendolen Jackson

Electronic Theses and Dissertations

Appalachia has been the subject of much speculation and often disparagement since it first became distinct as a part of the United States in approximately the 1860s, but it is more than just its reputation. This dissertation discusses the history and modern myth of Appalachia, and then it considers Appalachia on its own terms through what the people who live there have said about it and about their own lives.

This work focuses on the continued prominence of craft and its place in the spiritual lives of mountain people as it examines interviews that I conducted with mountain crafters. I …

Use Of Mindfulness To Promote The Spiritual And Religious Competencies Of Master’S Level Counseling Students., Luisa Nayhouse

Electronic Theses and Dissertations

This research aimed to evaluate the effectiveness of a two-and-a-half hour training session for master's students in counselor education. The training focused on using mindfulness to enhance spiritual and religious counseling competencies. Utilizing a pre-and post-test design, the quantitative study employed mindfulness to train master's students with the aim of building and fostering spiritual and religious competencies in counseling. Historically, there has been a lack of research on the benefits of such specific mindfulness training related to this subject matter.

The study targeted master's level counselor students, with potential applicability to related fields such as psychology and social work. This …

“Nothing Can Prepare You For It”: An Interpretative Phenomenological Analysis Of The Lived Experiences, Well-Being, And Relational Connections Of First-Time Mothers Navigating Intensive Mothering Ideals And Expectations., Mona A. Dajani

Electronic Theses and Dissertations

Becoming a mother is a life-changing experience that alters how mothers view and experience their emotional, familial, occupational, and relational worlds. As mothering stories tend to be underrepresented and largely absent from the field of social work, this qualitative study utilized Interpretative Phenomenological Analysis (IPA) to center the voices of eleven first-time mothers navigating a culture of intensive mothering ideals and expectations. As a result, the main research questions of this study are: 1) What are the lived experiences of mothers navigating a culture with deep-rooted intensive mothering expectations and ideals? 2) How is well-being experienced and described in the …

Predicting Confidence In Performing Mental Health Actions Among Allied Professionals., Jean Marie Zelenko

Electronic Theses and Dissertations

One in five young people before the age of 25 exhibit onset of symptoms of an emotional or behavioral disorder (Kessler et al., 2005). Up to 80% of depressed youth do not receive services (Kataoka, 2002) and less than 50% of the time youth seek help for suicidal ideation and/or self-harm (Michelmore & Hindley, 2012). This high prevalence of mental health distress and low frequency of help-seeking among youth require examination of factors influencing youths’ likelihood of seeking help. One factor that increases the likelihood of help-seeking is encouragement from others to seek mental health services (Cusack et al., 2004). …

Predicting Resilience Among Treatment-Referred Youth With A History Of Trauma Exposure: An Exploration Of Risk And Protective Factors., Prabathi Mandara Gunathilake

Electronic Theses and Dissertations

While many children and adolescents experience negative outcomes following exposure to traumatic events, some demonstrate remarkable resilience. Understanding the factors that contribute to this positive adaptation is essential for developing effective interventions. Using secondary data from 199 treatment-referred youth (ages 5 to 18) with histories of maltreatment, refugee experiences, or military-related trauma, collected between 2016 and 2021 by the Metro Louisville’s Center for Promotion of Recovery and Resilience (CPRR) program, this study examined predictors of resilience in trauma-exposed youth and how resilience is conceptualized across different informant perspectives. Hierarchical multiple regression analyses revealed distinct predictive patterns: for youth, personal strengths …

Knowledge And Perceptions About Feeding And Growth In Infants And Young Children Among Early Interventionists, Kayla Chambers

Electronic Theses and Dissertations

Nutrition plays a vital role in early childhood, where rapid growth and development occur. This study investigates Early Interventionists’ (EIs) nutrition knowledge and perceptions of nutrition-related concerns in children receiving services through the Tennessee Early Intervention System (TEIS). An electronic survey was distributed to EIs in Tennessee to assess their nutrition knowledge and perceptions and to identify nutrition concerns. Findings revealed that most EIs have never received any nutrition education, despite being asked for nutrition guidance by families and being open to nutrition-related training. The EIs reported seeing nutrition concerns such as growth delays, food refusal, and picky eating, but …

Peer-Led Support Groups For People With Early Onset Parkinson's Disease, Linnea Tabaka

Electronic Theses and Dissertations

Introduction: Early onset Parkinson’s Disease (EOPD) is a diagnosis of Parkinson’s Disease when diagnosed between the ages of 21 and 50. This population faces unique challenges due to family, social, and career demands that correlate with the age of diagnosis. Support groups have been utilized frequently for people with traditional PD and their caregivers but may not meet the unique needs people with EOPD face. This study explores the existing benefits of a peer-led support group (group led by members of the group) for persons with EOPD. Methodology: This is a qualitative case study of an established support …

The Moderating Role Of Social Support For Lgbtq People In South Central Appalachia: Present Yet Unimpactful?, Paige Henry

Electronic Theses and Dissertations

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) minority stress theory states that LGBTQ people experience stressors specific to their identity that result in negative mental health outcomes. Social support has been shown to protect against these negative outcomes, but South Central Appalachia is known to be high stigma and low resource for this population. The present study examined the potential moderating impact of four sources of social support (family, friends, partners, and pets) on the relationship between minority stress experiences and psychological distress for LGBTQ people living in South Central Appalachia. Participants included 116 LGBTQ adults living in South Central …

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 …

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 …

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 …

Voices From The Field: Mental Health Therapists' Perceptions Of Collaboration With Child Protective Services Workers, Tamara P. Fields

Electronic Theses and Dissertations

The child welfare system in the United States requires collaboration across various agencies in the provision of services. Although collaboration between mental health therapists and state agencies is fundamental when the goal is to provide quality care and achieve positive outcomes for families involved with Child Protective Services (CPS), the system is characterized as complicated and fragmented. Using Bronstein’s 2003 model of interprofessional collaboration to understand the dynamics of collaboration between mental health therapists and CPS workers in Texas, this qualitative descriptive research study described mental health therapists’ perceptions of collaborating with CPS workers in delivering therapy services to CPS-involved …

Advisor Satisfaction To Support Online Student Retention, Erica K. Whiddon

Electronic Theses and Dissertations

In this dissertation, the researcher explored the relationship between satisfaction with academic advising and online student retention. Online student retention is a critical issue in the context of increasing competition for students in higher education institutions. The specific problem was that online students have lower retention rates, and the reasons students typically select online degree programs are also the reasons they drop out of their degree programs. The purpose was to identify whether students’ reported satisfaction with their advisors mediated the relationship between the existence of external personal life factors and retention. A quantitative nonexperimental causal-comparative and correlational research design …

The Underrepresentation Of African American Male Educators In K-12 Education, Nisa Lewis Johnson

Electronic Theses and Dissertations

The American education system has struggled with a significant teacher shortage for years. Alongside this shortage is the underrepresentation of African American male teachers. Despite the increasing diversity of the student population, African American men make up less than 2% of teachers nationwide (Aftunion, 2020). This disparity denies all kids access to diverse perspectives in the classroom and limits the presence of role models for students of color. Research studies have shown that African American students who have African American teachers show improvement in their grades, standardized test scores, attendance records, and graduation rates (Breazeale, 2023). This study aimed to …

Framed By Education: Labeling, Stigma, And The Behavioral Pathways Of Alternative School Students, Abigail Dempsey

Electronic Theses and Dissertations

Alternative education has emerged as a critical part of the education system, addressing the needs of students who face academic, behavioral, or personal challenges. However, concerns persist about their long-term effectiveness and the stigma associated with alternative school placements. This study examines how stigma tied to alternative school placements impacts delinquency outcomes among adolescents, utilizing labeling theory as a conceptual framework. Drawing on longitudinal data from the Pathways to Desistance dataset, this research explores the relationships between school placement, self-perception of success, and delinquent behaviors. It also serves to investigate whether labeling of an alternative school placement creates a self-fulfilling …

Mental Health Literacy: What’S The Value Of Youth Engagement In Intervention Development?, Teresa Johnson

Electronic Theses and Dissertations

Background: One in five youth experience a mental health challenge each year (CDC, 2021). Mental Health Literacy (MHL) is vital for addressing this crisis as it involves the knowledge, attitudes, and skills necessary to promote mental well-being, understand mental health conditions, and seek appropriate help. MHL interventions for adolescents have been developed; however, recent reviews indicate research is needed in school settings with community input. Youth Participatory Action Research (YPAR) places youth as co-researchers in intervention development. This methodology aligns with Bartholomew’s Intervention Mapping (IM) framework, which ensures interventions are theoretically grounded. Utilizing these two frameworks, this study aimed to …

Examining Stress, Stress, Potentially Traumatic Events, Posttraumatic Stress Disorder, And Emotional Support Among Individuals With Skin Disease Symptoms, Taylor A. Strange

Electronic Theses and Dissertations

This study investigated the complex interplay between psychological stress, trauma-related experiences, and skin disease symptoms, alongside the potential moderating role of emotional social support. While the worsening effect of stress on skin conditions is well-documented, the specific association between trauma and dermatological symptoms, and its contribution to inflammatory responses, warrants further exploration. The stress-buffering hypothesis posits that perceived emotional support can mitigate the negative impact of stress on quality of life in chronic health conditions. This hypothesis has found support across various chronic physical and psychological ailments, yet its applicability to dermatological conditions remains less established. Our study pursued two …

Gatekeeper, Keep Thyself: How Impairment Impacts The Integration Of Counselor Wellness Competencies, Curtis Lee Taylor

Electronic Theses and Dissertations

This quantitative study examined counselor educators’ beliefs regarding the importance of Counselor Wellness Competencies (CWCs) and how effectively they teach them to their counselors-in-training (CIT). This study focused on significant relationships between the importance and effective teaching, self-care, and burnout. Counselor educators who place higher importance on the CWCs reported having higher self-efficacy in teaching them. The findings suggest that counselor educators with more self-care behaviors experienced less burnout and were better able to show congruence between the importance and effective teaching of the CWCs. The conclusion of this report explores limitations and directions for future research.

How Do Expert Forensic Evaluators Do It? A Qualitative Study Exploring Forensic Evaluators’ Lived Experiences Conducting Psychosexual Evaluations Of Sex Offenders With Suspected Autism, Jessica K. Gazzola

Electronic Theses and Dissertations

This qualitative inquiry utilized semi-structured interviews with eight expert forensic evaluators to explore their lived experiences engaging in psychosexual evaluations of sex offenders with a suspected diagnosis of autism. The purpose of this study was to identify current best practices, principles, and challenges faced by forensic evaluators when assessing sex offenders with a suspected diagnosis of autism. The results provide a variety of autism-specific screening tools and assessments used by forensic evaluators in their psychosexual evaluation process. Four emergent themes were developed using a descriptive phenomenological approach and social constructivist framework. These themes encompass forensic evaluators’ role in conducting psychosexual …

Wounded And Healing: Licensed Counselors’ Experience With Personal Suicide Loss And The Impact On Clinical Practice, Supervision, And Self-Disclosure, Shannon Strohl

Electronic Theses and Dissertations

This study sought to explore the lived experiences of licensed counselors who experienced personal suicide loss and the impact of their loss on their professional lives. Of particular interest was the impact of the loss on countertransference, professional direction and choices, and self-disclosure with clients and other professionals in the field (e.g., supervisors, professors, and colleagues). The concept of the wounded healer, as described by Zerubavel and Wright (2012), served as the theoretical framework used to understand the participants’ stories. Previous studies have examined the wounded healer among psychologists; however, few studies explored the experience of licensed counselors as wounded …

A Quantitative Evaluation Of An Innovative Family Treatment Court Program For Families With Co-Occurring Child Maltreatment And Substance Use., Ashley Rose Logsdon

Electronic Theses and Dissertations

Substance use is linked to out-of-home care in over 40% of child welfare cases. This dissertation evaluated the experience of families with co-occurring child maltreatment and substance use in Family Recovery Court (FRC), an innovative family treatment court involving the judicial system, child welfare system, and behavioral health. Study One used a quasi-experimental propensity score match design, using administrative data and the North Carolina Family Assessment Scale for 68 families. The FRC group experienced better safety (substantiated repeat maltreatment), permanency (reunification), and well-being outcomes. The percentage of the FRC group who achieved reunification (81.2%) was significantly higher than that of …

Self-Rated Interprofessionalism Between Allied Health Professionals, Courtney Andrews

Electronic Theses and Dissertations

Preventable deaths due to medical errors are a significant cause of death in the United States. Decreased communication and collaboration has been cited as a potential reason for these preventable medical errors. Interprofessional practice (IPP) is a service delivery method where medical professionals from different disciplines intentionally work together in order to provide collaborated and collective care for patients. Interprofessional education (IPE) training programs are becoming more common in healthcare education, and have been cited as one way to improve IPP among healthcare providers. However, gaps exist in the literature regarding how to best structure and implement these programs so …

Educator Perceptions Of Career And Technical Education Courses And The Involvement In Career And Technical Student Organizations On Student Attendance, Robert Satterfield

Electronic Theses and Dissertations

The purpose of this study was to investigate the perceptions of secondary teachers, administrators, and educational supervisors of the implications of Career and Technical Education courses and the involvement in Career and Technical Student Organizations on student attendance. Data for this study were collected quantitatively by utilizing Microsoft Forms to administer the survey to potential participants. The survey administered for this study contained 13 Likert scale questions and two open-ended questions. Once data were collected SPSS Version 25 was used to analyze the data from the survey. After data analysis, it was concluded that all 13 of the Likert scale …

Does Self-Care Moderate The Association Between Adverse Childhood Experiences, Trauma Symptoms, And Parental Reflective Functioning?, Vinaya Thomas

Electronic Theses and Dissertations

Unresolved adverse and traumatic experiences in parents can amplify the risk of perpetuating intergenerational transmission of trauma. Parents’ positive and adaptive practices such as self-care might act as a protective factor against this ripple effect. This study investigated whether self-care moderated the relationship between parental ACEs, post-traumatic stress symptoms, and parental reflective functioning in mothers who are experiencing high psychosocial stress (n = 59) residing in rural Appalachia. Within our sample, there was no statistically significant linear relationship between our predictors, ACE score and PTSD symptoms, and our outcome of interest, maternal pre-mentalizing. We did not find empirical support for …

Implementation Of A Transition-Of-Care Model For Adult Ischemic Stroke Survivors, Megan Akacsos

Electronic Theses and Dissertations

The lasting physical and cognitive deficits associated with the complexities of newly acquired

disabilities resulting from an acute ischemic stroke (AIS) may lead to hospital readmissions. The

participating healthcare facility on the U.S. West Coast reported a hospital readmission rate for

AIS survivors of 24.29% within 30 days of discharge. This doctoral nursing project aimed to

determine if implementing the Comprehensive Post-Acute Stroke Services (COMPASS) model

would reduce 30-day readmission rates compared to no standardized transition-of-care model in

adult AIS survivors over 30 days. Implementing the COMPASS model in this patient population

was expected to better educate and support stroke …

Foster Youth Experiencing Homelessness In Texas: An Analysis Of Risk And Protective Factors That Impact Housing Stability, Monique Willoughby

Electronic Theses and Dissertations

While research on youth homelessness continues to grow, not much is known about the differences that exist between states. To address specific concerns effectively, a more nuanced and granular approach to assessment is needed. Specifically, Texas youth who are transitioning from foster and other systems of care into young adulthood and more independent living will need tailored support to adequately address their needs. This study is a step in that direction. Through identification of risks factors that predict homelessness for these youth, social workers, counselors, case managers, and other human services providers and advocates can better assess, plan, and intervene …