Digital Commons Network^™

Implementing A Screening Tool For Social Determinants Of Health In A Rural Primary Care Clinic, Kimberly S. Roberts

Electronic Theses and Dissertations

Abstract The environment and conditions in which people are born, live, learn, work, play, worship, and age are social determinants of health (SDOH). Specifically, SDOH are categorized into five domains: (a) economic stability, (b) education access and quality, (c) health care access and quality, (d) neighborhood and built environment, and (e) social and context communities. Inequities in these domains are associated with health disparities that lead to poorer health and quality of life. The aim of this quality improvement project was to implement the Protocol for Responding to and Assessing Patient Assets, Risks, and Experiences (PRAPARE) to screen patients’ SDOH …

For-Profit Business Leaders’ Perceptions Of Technology And Conflict Resolution In The Workplace, Sherry Hamilton Latten

Electronic Theses and Dissertations

This dissertation explored for-profit business leaders’ experiences with technology and conflict resolution. With the rise of technology in communications in the workplace and the risk of miscommunications leading to negative impacts on organizational and individual performance, understanding leader experiences is vital to organizational success. The purpose of this basic qualitative study was to understand for-profit business leaders’ (1) perceptions of technology and conflict resolution in the virtual workplace and (2) perceptions of their leadership styles and the impact on conflict resolution in the virtual workplace. Prior literature regarding the impact of technology on communications revealed mixed results with some studies …

Impact Of Trauma On Truancy, Teri J. Hargrave

Electronic Theses and Dissertations

Truancy has been a rising problem in the United States for several decades. Adverse childhood experiences have also been gaining recognition as a public health concern. The problem to be addressed in this study was the effect of trauma on truancy on parents whose children had been referred to the juvenile office. This study was a quantitative study using three self-reported surveys. The surveys include the Adverse Childhood Experiences survey, posttraumatic stress survey, and a school attendance survey. The sample was 60 parents of youth who had been referred to the juvenile office during fall 2021 to spring 2022 school …

Strategies Teachers Implement That Support Mixed-Race Students In Schools In Rural Southeast Texas, Tara Michelle Marshall

Electronic Theses and Dissertations

The purpose of this qualitative case study was to describe strategies middle-school teachers implement that support mixed-race students in rural southeast Texas schools. This study is framed conceptually utilizing culturally responsive pedagogy and social emotional learning. Seven middle-school teachers were interviewed and provided artifacts to support the interviews. The primary findings identified strategies for teachers to examine their biases, intentionally plan social emotional lessons, remain open-minded and nonjudgmental, and engage in authentic professional development. Using equitable language, learning cultural norms, and being transparent to build trust with students are strategies teachers were implementing regarding equity. Supporting student organizations and identifying …

Portraits Of Leadership In Higher Education: Directors Of Centers For Teaching And Learning Leadership Styles And Dei Practices At Four-Year Universities In The U.S., Angela K. Johnson

Electronic Theses and Dissertations

This study aimed to examine Directors of Centers for Teaching and Learning DEI practices and understanding of leadership style within their 4-year universities in the United States. Information indicates that student enrollment of students identifying as members of historically marginalized groups is increasing and that persistent descriptions of experiences related to educational barriers negatively impact learning experiences. Integrating this information into this narrative life span study and considerations of the components of leadership identity development provided themes regarding the critical practices among higher education institutional leaders. The study presented findings that described the impact of the life span factor on …

Abusive Supervision Within The Military Ranks: A Qualitative Examination Of Positive Emotion-Focused Coping Strategies, Demetrius Mcdew

Electronic Theses and Dissertations

In this study, the researcher examined abusive supervision coping by military members. Based on social exchange theory and the power and influence theory, the researcher investigated whether veterans perceived emotional coping (avoidance, support seeking, and reframing) as strategies that mitigated stress caused by abusive supervision while they were serving in their respective military departments. Past studies have not accounted for junior officers or enlisted members; therefore, the researcher studied this lower ranking tier of personnel and discovered that the hierarchy of the military system affected their reporting of and receiving assistance in dealing with abusive supervision. Therefore, affected service members …

Leading For Sustainability In School-Community Partnerships, Kimberly Renee Benavides

Electronic Theses and Dissertations

Schools receive support in the form of partnerships with organizations such as businesses, churches, and non-profits for many reasons, and such partnerships are beneficial to students and the school community. The purpose of this participatory qualitative study was to determine behaviors of elementary school principals that result in the sustainability of school-community partnerships beyond the initial year of implementation. Elementary school principals in an urban public school district in North Texas were interviewed along with leaders from their corresponding community partners to determine the role of the principal in school-community partnership work. Through an in-depth analysis of interview transcripts, the …

Reducing Inpatient Falls And Falls With Injury, Constance Leigh Cannon

Electronic Theses and Dissertations

Patient falls are a costly problem for many inpatient hospitals and are exacerbated by poor training of nursing and ancillary staff. The researcher sought to determine if there was a difference in inpatient falls and falls with injury after a hospital facility in the Southwestern United States revised its fall prevention policy, reorganized its fall prevention committee, and provided new interventions for nurses assessing patients for fall risk. In this quantitative, retrospective, comparative project, the researcher reviewed data from 2017–2020 related to the facility’s fall prevention program, including its new interventions and efforts to involve patients in their safety and …

Examining The Relationship Between Burnout And Mindfulness In Government Employees: A Closer Look At Mindfulness In Positive Psychology, Simona C. Davis

Electronic Theses and Dissertations

Burnout has been an ongoing problem that negatively impacts organizations, their leaders, and employees. While burnout is a highly researched topic, there is less information on burnout and mindfulness in government employees in the United States. According to research, mindfulness, a state of being conscious or aware, has shown to improve well-being and reduce stress and burnout in employees. Previous studies showed that burnout is a common problem that can lead to negative mental, emotional, and physical outcomes. The goal of this quantitative correlational study was to determine to what extent a relationship exists between mindfulness and burnout among government …

Exploring Teachers' Perceptions On The Fidelity Of Implementing Teaching Strategies Gold, Shucrea Yamina Victor-Cameron

Electronic Theses and Dissertations

The purpose of this qualitative case study was to assess the fidelity of implementation of the school readiness/kindergarten preparedness program and the training being used, called the Teaching Strategies GOLD®, through the perceptions of preschool teachers from a Head Start program in southeastern Florida. This study addressed the crisis with the school readiness outcomes in the state of Florida. Specifically, children are entering school underprepared for kindergarten. The Florida Kindergarten Readiness Screener data revealed failing test scores at the selected study site during the 2017–2018, 2018–2019, 2019–2020, 2020–2021, and 2021– 2022 school years. Implementing and measuring the efficacy of this …

Elementary Principals’ Instructional Leadership Role In International Schools: The Challenges And Perceptions Of Student Grouping, Hafida Belkacem Becker

Electronic Theses and Dissertations

Globally, elementary principals have similar responsibilities and duties. Some of their obligations include clerical tasks, other managerial assignments, and instructional leadership duties. All of these jobs require attention and can be time consuming. The researcher aimed to understand the perceptions which challenge elementary principals’ beliefs about student grouping strategies and the impact on reading achievement within a network of 35 schools located around the world. Principals at these schools have the challenge of creating student groups with limited numbers of students and a wide range of abilities. At most of the schools in this network, there are only enough enrolled …

An Exodus Of Black Excellence: Black School Leaders And Their Search For Home, Nickolas H. B. Dawkins

Electronic Theses and Dissertations

This study explores the racialized experiences of Black public-school principals who have served in and prematurely exited the school principal position. By implementing a phenomenological and qualitative approach this study seeks to understand the lived experiences of Black school principals that have resigned from an educational organization and/or principal position in American public schools. The study examines historical factors that contribute to Black school principals leaving educational spaces and utilizes online surveys, multiple rounds of one-on-one interviews, and coding to analyze and identify forces at play in the racialized experiences of Black school principals who exit their positions. Findings suggest …

Creating Safe Schools: An Exploratory Study Of Educator Perspective On Student Behavior And Restorative Practices In Schools Implementation, Rachel Danielle Vargas

Electronic Theses and Dissertations

Restorative practices in schools (RPS) is an Integrated Student Support process that many U.S. K-12 schools utilize to combat student behavior and racial disparities against students. Initial research suggests that RPS is a successful tool to drop suspension rates, create safe school environments, and help students stay engaged in school. However, there is not sufficient empirical evidence to support a successful implementation model, leading to mixed results and opinions about the effectiveness of RPS. The purpose of this study was to explore the program processes of RPS and determine effective implementation strategies that lead to successful student outcomes. Data were …

Response To Intervention: Understanding Secondary Teachers’ Perceptions, Sheridan L. Henley

Electronic Theses and Dissertations

The researcher conducted this qualitative descriptive case study at one high school in Texas that described secondary teachers’ perceptions of implementing response to intervention (RTI). The purpose of the study was to better understand and define secondary teachers’ perceptions and experiences, including the campus leadership’s role, in an RTI implementation. The study served to understand teachers’ role in implementing RTI at the secondary level. This qualitative descriptive study focused on the secondary teachers’ perceptions of the benefits, challenges and barriers, level of teacher responsibility, and the role that leadership plays in an RTI implementation. The case study focused on applying …

Development Of Anti-Inflammatory Theranostic Nanocolloids Using Quality By Design Approaches, Michele Herneisey

Electronic Theses and Dissertations

Nanocolloids are attractive delivery vehicles for drugs with poor aqueous solubility. Despite this, relatively few nanocolloid products exist on the market. Currently, there is a lack of standardization in the pre-clinical, academic setting regarding nanocolloid development and quality control testing. Adaptation of quality by design (QbD) methods used in the pharmaceutical industry to nanocolloid development is a desirable approach that can improve nanocolloid product and process understanding, resulting in an increased number of marketable products.

The central hypothesis of this work is that QbD approaches can be utilized to optimize theranostic (therapeutic and diagnostic) nanocolloid stability, drug loading, and imaging …

A Bioaffinity Self-Assembling Gel For Localized Delivery Of Immunotherapeutics, Ngoc Pham

Electronic Theses and Dissertations

Renal cell carcinoma (RCC) is a type of cancer in which malignant cells develop in the kidney tubules. Immune checkpoint inhibitors (ICI), including anti-PD-1 antibodies (aPD1), as monotherapies or in combination settings have advanced to the front-line treatment for patients diagnosed with RCC. Systemic infusion of ICI may render subtherapeutic concentrations in the lesions and increase risks of immune-related adverse events. To overcome these limitations, locoregional drug delivery has gained substantial interests as a modality in immuno-oncology. However, conventional intratumoral injections may be ineffective because the high interstitial fluid pressure in tumors resists drug retention and results in rapid local …

Sex-Specific Effects Of Chaperone And Glial Defenses On Experimental Lewy Body Disease, Tarun Bhatia

Electronic Theses and Dissertations

Lewy body disorders are a group of neurodegenerative conditions characterized by the pathological misfolding and aggregation of the abundant protein, α-synuclein. The most common Lewy body disorders are Parkinson’s disease and dementia with Lewy bodies. Apart from ageing, male sex is a major risk factor for Lewy body disorders, as men are at ~1.5-fold higher risk for these diseases than women. Yet, preclinical studies on Lewy body disorders rarely examine sex as a biological variable, and the mechanisms underlying sex-skewedness in disease risk remain undetermined.

Here, we developed a sex-stratified model of Lewy body disorders by exposing primary neurons harvested …

Design And Synthesis Of Fused Pyrimidines As Multi-Targeted Potential Anticancer Agents, Nian Tong

Electronic Theses and Dissertations

Dissertation supervised by Dr. Aleem Gangjee

Targeted cancer chemotherapy represents agents that inhibit cancer cell growth by interfering with specific processes that are required for tumor growth. The crucial aim of the treatment administered to cancer patients should be to improve the quality of life and inhibit the progression of the disease. The current failure of conventional cancer chemotherapy is attributed to both toxicities and the development of resistance. There is an unmet need for new cancer therapies of tumor-targeted agents (that work without harming normal cells or tissues) with a low propensity to develop resistance. Multi-targeted single agents with …

Aerodynamics And Turbulent Wake-Flow Characteristics Of Owls During Flapping Flight, Krishnamoorthy Krishnan

Electronic Theses and Dissertations

Owls exhibit unique flight capabilities in the low Reynolds number flow regime which is prone to complex viscous flow phenomena. They possess unique feather features and flexible wing structures which are postulated to help them fly nearly silently and stably at low speeds in a complex flow setting. Understanding the aerodynamics of owls could pave the way to enhance the future designs of small flying vehicles. Though it has been a focus of research over multiple decades, no conclusive agreement has been attained on the aerodynamic mechanisms associated with owl flight. Particularly, the aerodynamics of flapping owl flight is severely …

Loggerhead Shrike Detectability And Occurrence In Coastal South Carolina Urban Areas, Michelle Krauser

Electronic Theses and Dissertations

Grassland birds, such as the loggerhead shrike (Lanius ludovicianus), are threatened by extensive land-use change, including urbanization. Loggerhead shrikes have been declining since the early 1900s and are rare or extirpated in portions of their former range. Obtaining reliable population estimates of loggerhead shrikes is important to identify demographic trends and ensure conservation decisions are based on an accurate assessment of their current status. Imperfect detection, or the inability to detect every shrike during a survey, can result in biased population estimates. Estimating detection probability is labor-intensive and requires assumptions that are difficult to satisfy in most field studies. Understanding …

Enzootic Trends Of Crassostrea Virginica And Perkinsus Marinus In North Inlet Estuary, South Carolina, Nico Martin D'Amico

Electronic Theses and Dissertations

The Eastern oyster (Crassostrea virginica) co-occurs with the protozoan parasite Perkinsus marinus (the causative agent for "Dermo") in US Atlantic and Gulf of Mexico estuaries. Oyster host functions as an ecological engineer and agent for benthic-pelagic coupling are compromised when P. marinus infections are common in populations (prevalence) and high in individuals (intensity). P. marinus infections in oysters from North Inlet estuary, South Carolina were quantified in relation to shell height (60-76 mm, ≥76 mm), sex (functional female, male, indeterminate), water temperature, and salinity. Three fringing reefs on a longitudinal transect from the inlet mouth into the watershed were sampled …

Quantifying Population-Level Effects Of Warm-Water Catch-And-Release Mortality On Muskellunge (Esox Masquinongy) In The James River, Virginia, Cory J. Bauerlien

Electronic Theses and Dissertations

Catch-and-release (C&R) has become a popular practice in many fisheries, both as a management strategy and as an angler ethic. The practice has been used to both increase the abundance and size structure of fish populations but relies heavily on the assumption that released fish survive the encounter. The Muskellunge (Esox masquinongy) is a large-bodied, coolwater predatory game fish that is highly prized by many anglers. Many Muskellunge fisheries have transitioned to almost exclusively C&R angling. Muskellunge fisheries have increased in both number and popularity, particularly in southern and mid-Atlantic rivers. However, there is little information on population characteristics for …

Winter Use Of Winyah Bay, Sc By The Spiny Dogfish (Squalus Acanthias), And Their Movements South Of Cape Hatteras, Nc, Meredith L. Langford

Electronic Theses and Dissertations

South of Cape Hatteras, NC, little is known about the coastal distribution and movement of the Spiny Dogfish, Squalus acanthias. Between January 2018 and March 2020 this study conducted winter demersal longline sampling in Winyah Bay, SC to investigate habitat use by Spiny Dogfish. In addition to monitoring Winyah Bay use through catch-and-release, 13 individuals were outfitted with implanted Vemco™ acoustic transmitters to monitor large scale movements along the U.S. East Coast. Across three sampling seasons 84 female Spiny Dogfish were captured within lower Winyah Bay. No males were observed over the course of the study. The mean fork length …

How And Why School Counselors Use Twitter: A Phenomenological Study, Danielle R. Schultz

Electronic Theses and Dissertations

School counselors are often isolated in their role because of the unique nature of their job. Lack of connection, lack of relevant professional development, role ambiguity, high stress, high student-to-school counselor ratios, and lack of professional connections are all contributors to school counselor burnout. School counselors use Twitter, a social media tool, for a variety of purposes. This qualitative phenomenological study explored the lived experience of school counselors who use Twitter to illuminate how and why school counselors use Twitter. This study found that school counselors see the purpose of their Twitter use as professional advocacy, professional connection, and validation. …

Evaluating Threats To The Water Quality Of Little Buffalo Creek And Sarver Run Through Water Quality Analysis And Backpack Electrofishing Surveys, Riley Williams

Electronic Theses and Dissertations

Currently, 64.8% and 52.2% of Little Buffalo Creek and Sarver Run stream kilometers are impaired, respectively. Impairment sources to Little Buffalo Creek include agriculture, riparian deforestation, on-site wastewater, and urban runoff. Impairment sources to Sarver Run are unknown. Our goal was to understand sources of impairment through water quality analysis and fish surveys. Water samples were collected monthly and analyzed for cation and anion concentrations. Mass ratio analysis comparing Br/SO₄ and Mg/Li, Ca/Mg and Ca/Sr, Mg/Na and SO₄/Cl, and SO_4/Cl and Mg/Li suggests that mine drainage and conventional oil and gas may be impacting water …

Steps Toward The Total Synthesis Of The Chrysosporazine Family, Katie Kaczynski

Electronic Theses and Dissertations

Cancer is one of the leading causes of death worldwide, with 19.3 million new cancer cases and 10 million deaths in 2020 alone. In the United States, cancer was the second leading cause of death after heart disease. One of the reasons that cancer is so frequently terminal is that cancerous cells frequently develop multidrug resistance (MDR) to frontline chemotherapeutical treatments, resulting in cancers cannot be treated and are inevitably fatal. This makes the discovery of ways to combat MDR so important in the treatment of cancer. The chrysosporazines are a family of recently discovered (2019) natural products that have …

A Review Of Current Methods In Avian Dietary Analysis And Their Integrated Application To Characterize The Trophic Niche Of Louisiana Waterthrush (Parkesia Motacilla)., Brandon Hoenig

Electronic Theses and Dissertations

Characterizing a species’ dietary composition presents an avenue to understand many facets of its ecological niche and can provide essential information for the species’ long-term conservation. To date, the vast majority of diet studies have relied on direct identification of prey during foraging observations or from diet samples to characterize the dietary habits of birds. However, advancements in laboratory-based approaches have revolutionized the field of trophic ecology by allowing researchers to indirectly infer dietary habits with higher resolution across greater time scales. Here, I apply two of these laboratory-based techniques, namely DNA metabarcoding and stable isotope analysis, to characterize the …

Exploration Of Young Children And Families Use Of Technology In A Rural School District, Kim Dickert-Wallace

Electronic Theses and Dissertations

This dissertation explores the use of mobile technology with young children ages 2 to 5 in a small rural school district in southwestern Pennsylvania. Grounded in an understanding that family-child relationships are central to children’s development and school readiness, this study seeks to understand the ways families engage with children around technology use, how young children use technology, and how these habits compare to national data. The data also led to ways the school district might support families and young children using mobile technology in developmentally appropriate ways. Thirteen families that live in the Mountain Valley School district completed the …

Exploring Moral Permissibility Of Nurse Participation In Limited Resuscitation, Felicia Stokes

Electronic Theses and Dissertations

This dissertation offers a novel approach to support nurses when they face conflict between clinicians and families or alternate decision-makers over potentially inappropriate end-of-life goals of care. This dissertation will provide a normative analysis of the moral permissibility of limited resuscitation, with arguments supported by analyses of families’ and nurses’ perspectives and actions in the EoL decision-making process. Limited resuscitation is a cardiopulmonary resuscitation effort where full pharmacologic and mechanical intervention is not used, or the length of the resuscitative effort is shortened. It is typically associated with deception because it is performed without the knowledge of patients and families. …

Long-Term Health Outcomes For Adult Women Who Experienced Sexual Assault, Jodie Flynn

Electronic Theses and Dissertations

The purpose of this study is to understand the impact of sexual assault pre- and post-sexual assault on health, health care experience, and health-related quality of life in adult women. Research identifying quality of life as a health outcome post-sexual assault is limited. No long-term studies to evaluate differences in health-related quality of life pre-and post-sexual assault have been conducted. In addition, only a few studies have investigated mental health changes over time. An exploration into self-perceived general health pre-and post-sexual assault and overall current quality of life needs to be conducted to determine improvements in health care services for …