Digital Commons Network^™

Is Conventional Colonoscopy More Effective Than Computed Tomography Colonography In The Screening Of Colorectal Cancer Among Young African American Adults?, Abena Abrafi Nimako

Electronic Theses and Dissertations

Healthcare journalist Brenda Goodman’s article on CNN Health on October 10, 2022, about a new study examining the effectiveness of colonoscopies, essentially concluded that the efficacy of conventional colonoscopy is in question. This research sought to establish whether conventional colonoscopy is more effective than computed tomography (CT) colonography in screening colorectal cancer among young African American adults. The researcher employed a literature review and a case-control research design to gather data on the subject. Data were collected from literature, the SEER database, the CDC, and the American Cancer Society websites. The study sample consisted of African Americans between the ages …

Do Metrics Improve When Continuity Of Care Nurses Follow Chronic Disease Patients In The Ambulatory Setting?, Lura Cynthia Lunsford

Electronic Theses and Dissertations

Navigating the complex, fragmented U.S. healthcare system presents patient challenges that result in increased utilization and consequent increases in the cost of care. This program evaluation was conducted to determine the impact of ambulatory assigned continuity of care nurses (COCN) on patient outcomes in terms of length of stay, return visits to the emergency department, and readmissions to the hospital within 30 days of discharge. Between June 1, 2020, and May 31, 2022, there were 26,912 admissions with general risk scores between 1 and 100. Undersampling technique was conducted to create a 1:2 balance of 3,502 patients admitted with an …

Exploring Habits Of Well-Being Rooted In Resiliency Among Ministry Leaders Having Experienced A Leadership Transition Of Senior Pastor In The Church: A Case Study, Eric D. Willis

Electronic Theses and Dissertations

This qualitative phenomenological single case study sought to understand potential influence of well-being and resilience of ministry leaders where an unplanned leadership transition had occurred. With an interest in personal well-being of ministry leaders, the researcher was curious how those who remained on church staff endured a 2-year period between the departure of one senior pastor and the hiring of a new senior pastor. Much of the existing research on church leadership transitions focused on the negative factors associated with failures. Generally, there is a lack of understanding of the positive influences of well-being and resiliency. The researcher sought to …

Police Officers’ Perspectives On The Death Of George Floyd By Minneapolis Police Officers: A Descriptive Study, Janet Henderson

Electronic Theses and Dissertations

On May 25, 2020, four Minneapolis police officers reported to the location where an African American man had been accused of trying to use a counterfeit $20 bill in a convenience store. After being taken outside of the store, the man, George Floyd, was eventually placed in the back of a police patrol car, after he was handcuffed. Saying he was claustrophobic and resisting arrest, Mr. Floyd was removed from the patrol car, and placed on the ground on his stomach. One of the patrol officers, the most senior officer present, and a field training officer, placed his knee on …

Unit-Based Onboarding Program For New Graduates On A Medical-Surgical Unit, Racquel A. Brewster

Electronic Theses and Dissertations

Nurse turnover is prevalent among new graduate nurses. Many new graduate nurses feel unsupported by their peers, lack self-confidence, or feel overburdened due to the workload assigned to them. New graduate nurses with support systems are more likely to stay with an organization. Research suggests the creation of a supportive environment for new graduate nurses to help increase nurse retention in this demographic. A unit-based transition onboarding program was launched to create a supportive environment to help retain new graduate nurses on a medical-surgical unit. New graduate nurses with at least 1 to 3 years of experience completed a Likert-type …

Conceptions Of Rurality: Examining Beliefs And Their Impact On Teacher Efficacy In A Small Appalachian School, Lori Wickham

Electronic Theses and Dissertations

The current literature documents the historical peripheralization of rural communities and the deficit narratives often imposed upon their schools, students and families. Research further suggests this history of peripheralization is often internalized by those identifying with these communities and that this internalization of deficit orientations may be impacting perceptions of possibility in educational practice. This mixed-methods study investigates more thoroughly if and how these core-periphery dynamics manifest in a small Appalachian school by examining possible connections between educators’ beliefs regarding rurality and their sense of teacher and collective efficacy. The research was guided by the following question:

How do rural …

Examining School Nurses' Knowledge And Confidence Related To Their Intention To Screen For And Report Child Sexual Abuse: A Descriptive Cross-Sectional Study, Suzanne Ackers

Electronic Theses and Dissertations

Background: Child sexual abuse (CSA) in a preventable national public health problem that results in adverse health consequences. Research suggests many victims are currently attending school. Screening for early detection of health issues is integral to school nurse (SN) practice but there is little evidence that screening for CSA is occurring in schools despite recommendations that it should be. Lack of confidence and knowledge related to screening for suspected CSA contribute to a SN’s missed opportunity for early intervention.

Purpose: To describe SNs knowledge and self-efficacy associated with screening for and reporting CSA in school settings.

Methods: A descriptive cross-sectional …

The Significance Of A Minority Professional Development Internship Program: A Case Study Evaluation On African American/Black Males Career Trajectory At A Predominately White Institution, Marla Bradford

Electronic Theses and Dissertations

This qualitative study aimed to investigate the significance of the Minority Professional Development Internship Program at a Predominately White Institution (PWI) of higher learning in southwestern Pennsylvania. The program was developed because many PWIs struggle to attract, recruit, and retain African Americans/Black and historically marginalized community members to lead their institutions in curriculum development, mentoring, recruitment, and governance (Reyes & Rios, 2005). Other research studies on African American/Black administrators’ lack of representation at PWIs attributed systemic barriers impeding their recruitment and advancement (Jones, 2007; Perna et al., 2007). Furthermore, Levin et al. (2013) suggest minimal progress in hiring African American/Black …

Spatial Structure Formation By The Post-Transcriptional Gene Regulator Rsme In Pseudomonas Fluorescens Pf0-1, Anton Evans

Electronic Theses and Dissertations

Microorganisms are often found in microbial communities we call biofilms. Organisms living in these crowded environments have significant evolutionary pressure to retain access to the resources necessary to sustain life. My research uses the bacterium Pseudomonas fluorescens Pf0-1 to study how organisms evolve strategies to solve this crowding problem as aging colonies repeatedly generate mutant patches. These mutants expand the reach of the colony resulting in decreased local density as they push themselves up to the resource rich surface. These spatial structures result from social interactions between the mutant and the parental cells mediated through extracellular secretions, resulting in the …

Molecular Detection And Characterization Of Rickettsia Sp. In Hard Ticks Collected In Nacogdoches, Texas, Haley Nicole Standifird

Electronic Theses and Dissertations

The number of cases of tick-borne diseases is increasing in the United States. Many efforts to control ticks have been made and are continuously being developed. These methods include surveillance of ticks and detection of the tick-borne pathogens.This study examined hard ticks in Nacogdoches, Texas, to test for the presence of Rickettsia sp. 47 ticks were collected from vegetation by flagging and their species, sex, and developmental stage were determined using available keys. Individual ticks were processed for nucleic acid extraction and molecular detection of Rickettsia sp. using PCR-based methods. The citrate cynthease gene, 17kDa gene, and outer membrane protein …

Development Of Air-Jetting System For Bioprinting Of Alginate Micro-Droplets, Nathan Lingenfelter

Electronic Theses and Dissertations

Transplantation of organoids has been demonstrated to be a promising cure to many diseases including Type-1 diabetes. However, achieving consistent and robust derivations of mature organoids from human pluripotent stem cells (hPSCs) is challenging. Cellular mechano-transduction, where mechanical stimuli is sensed and converted to biochemical signaling, has been proposed to overcome this challenge. This pathway relies on encapsulating hPSCs in a small volume of a biomaterial such as alginate, which has been widely used as cell encapsulation materials due to its biocompatibility and selective permeability. In this project, we focused on developing an air-jetting based technique to generate small and …

Maladjustment Among Victims Of Bullying, Jack Bryant

Electronic Theses and Dissertations

Bullying has garnered attention from educators, social scientists, and the public at large for nearly 50 years, but the dilemma persists. We have seen that bullying is a high-risk factor for psychological adjustment across the lifespan. The current study has surveyed college students to ascertain their perceptions of adjustment in adult life. The study has added to the existing literature in addressing the role of reduced perceived control in the maladjustment of bully victims. A novel contribution was made by comparing the strength of this potential mediator to another documented correlate of poor adjustment among bullying victims, thwarted belonging.

Choosing Sides: Military Behavior In Severely Polarized Democracies, Timothy W. Ford

Electronic Theses and Dissertations

Why does severe polarization result in military intervention in some cases but not others? I argue that the organizational culture unique to a particular military plays a critical role in influencing behavioral outcomes in severely polarized democracies. When faced with sovereign power disputes that arise as a result of severe polarization, military organizations are most likely to develop new strategies of action from the dominant practices, norms, and ideas of military leaders. Severe polarization presents a unique threat to civil-military relations and provides the type of unsettled social periods in which cultural ideologies express an observable influence on military behavior. …

An Existential Punchline: How Humor Functions In A Young Adult Friendship Facing Advanced Cancer, Megan E. Solberg

Electronic Theses and Dissertations

Young adults (i.e., age 18-39) only comprise 4% of the total cancer population, yet cancers in this group are commonly found at more advanced stages due to situational factors influencing delayed diagnosis including access to healthcare, quality health insurance and competing life demands that may hinder prioritization of healthcare. Young adults with cancer also face unique challenges including higher rates of psychological distress, which may contribute to increased risk of social disconnection in response to cancer. Research suggests that humor may be a helpful coping approach and communication mechanism for mitigating distress and discussing difficult topics. Grounded within the frameworks …

A Phenomenological Inquiry Into Healthcare Professionals Who Are Experts In Cannabinoid Therapy And The Endocannabinoid System (Ecs), Courtney Collins

Electronic Theses and Dissertations

Cannabis is a prevalent alternative treatment for many symptoms and conditions given its medicinal qualities and few side effects. As legalization for both medical and recreational purposes continue to develop quickly across the United States of America, there is serious discrepancy between legalization and clinical research. Clinical data is difficult since the U.S. federal government still classifies cannabis as a Drug Enforcement Agency (DEA) Schedule I drug with no clearly established medical value. This lag in evidence-base data has affected cannabinoid therapy and endocannabinoid system education (ECS) for healthcare professionals. There are gaps in medical school and continuing medical education …

Hemodynamic Assessment Of Y-Incision Aortic Root Enlargement Using Computational Simulations, Astitwa Ghimire

Electronic Theses and Dissertations

The Yang procedure is a new aortic root enlargement technique used to enlarge the aortic annulus by multiple valve sizes. The procedure prevents patient prosthesis mismatch and establishes a viable platform for future valve-in-valve implantation. This study used the Yang procedure to investigate the hemodynamics in the aortic root and bioprosthetic valve regions after aortic root enlargement. Results indicate the velocity magnitude at the sinus regions of a patient who underwent the Yang procedure was slower, indicating risks of flow stasis and thrombosis. Simulation results denote computational models can be created for optimization of surgical procedures.

Teaching On The Möbius: Exploring The Inner And Outer Landscapes Of Teacher Practice, Barth A. Quenzer

Electronic Theses and Dissertations

The practice of teaching takes on renewed significance in today’s changing educational landscape. In the quest for transformative teaching and learning, there are both familiar and unfamiliar paths to be traversed. While significant contributions are being made by culturally responsive pedagogies, less is understood about the inner life of teachers as they navigate the outer systems of their practice. To address this area of research opportunity, the author used the conceptual framework of humanizing pedagogy and deep pedagogy to explore the inner and outer landscapes of teacher practice. As a method of inquiry, educational criticism afforded a qualitative approach for …

Exploring The Intersectional Higher Education Experiences Of Latinx Students, Miguel A. Trujillo

Electronic Theses and Dissertations

The intersectional experiences of Latinx students in higher education have largely gone underexplored in the literature, particularly when it comes to Latino men. The current literature treats the experiences of the Latinx community as a monolith, when there are multiple potentially impactful intersectional aspects of identity that could influence our lived experiences, such as generational status, documentation status, country of origin, and gender. This three-manuscript dissertation addresses these gaps in the literature by both conducting research that is more descriptive of our respective within-group community and by focusing on the impact that gender may play in the experiences of Latinx …

Do-It-Together: Informal Transformative Sustainability Education, Derek Brannon

Electronic Theses and Dissertations

The Climate Crisis is an urgent and inescapable reality students are thrust into. Learners must be prepared adequately for their futures, not only for their sakes but also because collective and transformative change is required. Transformative sustainability education provides one pathway to this transformation and focuses on radically altering students’ perceptions about the world and their agency in effecting change on ecological issues. The field of transformative sustainability education is emergent and thus is still fragmented, leaving gaps in the literature. Little research has been conducted on how informal and nonformal university spaces can be used to create transformative experiences …

International Doctoral Student Experiences In Educational Administration Programs In The United States: A Phenomenological Study, Ping Robert

Electronic Theses and Dissertations

Background: In recent years, more international students are enrolling in Educational Administration (EA) programs in the United States. While EA programs wish to recruit and retain international students, more research is needed on supporting international graduate students in graduate education programs and EA programs specifically. Purpose: The present phenomenological study aims to understand the experience of international doctoral students in U.S. EA programs. The present research was guided by the question: “What is the essence of international postgraduate student experiences in EA programs in the United States?” Methodology: The present study used hermeneutic phenomenology to describe and interpret data from …

The Gender And Race Intersectional Disproportionality-Tool (Grid-T): An Exploration Of Practitioners’ Access To And Use Of High-Quality Data For Special Education Placement, Audrey J. Ford

Electronic Theses and Dissertations

Disproportionality in special education (SPED) is upheld by systems and individuals, policies, and practices that both reflect and shape the local communities within which it exists. Even with many proposed solutions for disproportionality, it persists. This two-manuscript dissertation explores two characteristics that make disproportionality difficult to solve (e.g., inconsistent findings and persistence) and proposes a tool to inform data-based decision making in interventions for disproportionality in SPED.

Manuscript One (M1) includes a literature review and development of the Gender and Race Intersectionality Disproportionality- Tool (GRID-T). Based on the findings of the literature review about inconsistence and persistence, I crafted three …

The Struggle Is Real: Constructing Liberative Meaning Making That Facilitates Black Student’S Authentic Identity Formation And Navigation Through Predominately White Institutions, Felicia Marie George

Electronic Theses and Dissertations

This dissertation focuses on how Black students’ use of navigational capital reflects a quest for complex subjectivity that facilitates authentic identity formation and navigation through a private, predominantly white, four-year, R1 institution (PWI’s). A qualitative study that used portraiture methodology was conducted to collect stories of the lived experience and perceptions of two Black senior undergraduate students who attended a PWI. Their stories provided the foundation for constructing liberative meaning making (LMM), an ethic of praxis that uses a hermeneutics of listening to heighten students’ awareness of and living from interiority. The concept engages De La Torre’s theory of liberative …

Risk And Promotive Factors For Perinatal Mental Health Problems: Adverse And Benevolent Childhood Experiences And Contemporaneous Support And Stress, Jillian S. Merrick

Electronic Theses and Dissertations

Despite a growing body of research on childhood risk and promotive factors for perinatal mental health, as well as extensive research on adulthood risk and promotive factors for these problems, little research considers childhood and adulthood experiences alongside one another. The current study addressed this gap by examining childhood experiences, both adverse and benevolent, alongside contemporaneous sociodemographic stress and social support as predictors of depression and PTSD symptoms during pregnancy and at 3-4 months postnatal.

Participants were 175 ethnically-diverse women (M = 28.07 years, SD = 5.68, range = 18-40; 38.9% White, 25.7% Latina, 16.6% Black, 12.0% biracial/multiracial, 6.8% …

Childhood Maltreatment And Romantic Relationship Functioning During Pregnancy: Women’S Narrative Coherence About Partners And Couples’ Conflict Communication And Recovery, Laura M. River

Electronic Theses and Dissertations

Childhood maltreatment (CM) is associated with difficulties in romantic relationships in adulthood, including conflict, less support, and difficulties in communication. However, little is known about the impact of CM on romantic relationship functioning in the context of pregnancy, during which time romantic relationships are highly influential for family well-being. Additionally, very limited research has been conducted on fathers’ relationship experiences after a history of CM. In a set of two papers, this dissertation examined the effects of CM on 1) pregnant women’s narrative coherence about their romantic partners and 2) couples’ (pregnant women and babies’ fathers) observed conflict communication and …

Development And Application Of A Microfluidic Platform For Quantifying Intra-Tumoral Compressive Stress., Zachary P. Fowler

Electronic Theses and Dissertations

Cancer progression is linked to the emergence of aberrant mechanical signaling in the tumor microenvironment. Modulation of extrinsic signals, such as ECM stiffness and composition, have been thoroughly explored. However, the development of solid stresses within the tumor remains poorly understood. To address this, we have developed a microfluidic platform that generates deformable alginate microbeads that allow for the quantification of compressive stresses generated within a growing glioblastoma (GBM) tumorsphere. PDMS microfluidic devices were fabricated via SU-8 mold with channels ranging from 10µm-40µm in diameter. Fluorescently labeled sodium alginate underwent a cross-linking reaction within the device to generate monodisperse beads …

Investigation Of Possible Inflammatory Response After Ultrasound And Microbubble Procedure In The Spinal Cord., Jenna Wilkerson

Electronic Theses and Dissertations

The purpose of this experiment is to explore the inflammatory effects of focused ultrasound paired with intravenously delivered microbubbles when used in the lumbar spinal cord. There are currently very few pharmaceuticals that can successfully enter the blood spinal cord barrier (BSCB). This technique used at the lumbar enlargement might allow targeted treatment of pathologies involving the spinal cord.

To test the possible inflammatory response of this technique, an animal experiment was performed. 15 animals were given a T12 laminectomy and allowed to fully recover. Once recovered, all animals received FUS+MB at L2 and were euthanized in groups of five …

Exploring The Lived Experiences Of Dysphoric Milk Ejection Reflex During Postpartum Breastfeeding: A Phenomenological Study, Stephanie Herr, Jessica Devido, Richard Zoucha, Jill Demirci

Electronic Theses and Dissertations

This study sought to explore the lived experiences of Dysphoric Milk Ejection Reflex (D-MER) during postpartum breastfeeding. A phenomenological method based on Giorgi’s phenomenological underpinnings was used. The setting for this study was virtual interviews in a secure online platform. The sample consisted of 13 participants, self-identifying as experiencing D-MER. Semi-structured interviews, with thematic analysis of transcription were conducted. Four major themes were identified: 1) Breastfeeding concessions and toleration; 2) Something does not feel “normal”; 3) I remember a feeling like this before 4) This is real, and recognition is validating. Conclusions were that women of this study value the …

The Emotional Intelligence And Conflict Management Relationship In Black Women Leaders, Tina Raylyn Jackson

Electronic Theses and Dissertations

This study examined the relationship between emotional intelligence and conflict management styles in Black women leaders in the United States. The lack of literature surrounding Black women leaders' emotional intelligence or conflict management styles presented an opportunity to offer quantitative data connected to these constructs. A cross-sectional survey design was used to administer three surveys the Situational Test of Emotional Management- B, the Kraybill Conflict Style Inventory, and a modified version the Multidimensional Inventory of Black of Identity, that focused on Black female identity. Data from 124 participants were analyzed to learn if identity mediated the relationship between emotional intelligence …

A Study Of The Perceptions Of Professional Development Programs For K-12 Teachers In Transition, Kimberly S. Alfred

Electronic Theses and Dissertations

The global pandemic of 2020–2021 forced many K-12 schools across the world to require the ability to teach both in a traditional setting and also in a virtual environment. While many leaders thought the transition from traditional to virtual instruction would be easy, it actually proved to be more difficult than first imagined. The purpose of this qualitative descriptive study was to explore how K-12 traditional teachers in Texas describe their professional development experience after moving from a traditional setting to a virtual environment and then back again, pre- and postpandemic. Three research questions guided this study: (a) How do …

Understanding Barriers That Exist To Campus Administrators’ Support For Special Education Programs And How Principals Use Special Education Needs Coordinators As Change Agents, Kevin L. Lanxon

Electronic Theses and Dissertations

Several barriers exist that impact campus administrators’ use of special education needs coordinators (SENCOs) as change agents. Using grounded theory, this study aimed to understand the barriers that exist for campus administrators regarding their ability to support special education programs and how principals use SENCOs as change agents. The study was conducted on a secondary campus with participants engaging in participatory action research (PAR) within a professional learning community. Data was collected using a triangulation of PAR forms, interviews, and reflective journals. While the study focused on understanding the barriers that impact administrators utilizing their SENCOs as campus leaders, the …