Digital Commons Network^™

Ai In The Workplace: Understanding The Path Between Ai Adoption Intensity And Ai-Induced Job Insecurity, Joanna J. Frieske

Graduate Theses, Dissertations, and Problem Reports (ETD)

Artificial Intelligence (AI) is becoming more embedded in organizational workflows and is reshaping work environments, changing how we work, make decisions, stay engaged, perform, and learn. While AI adoption is associated with a wide range of benefits, it also presents negative aspects that may affect employee experiences and influence the future of work. Drawing on extant literature and on the Job Demands–Resources (JD-R) model, Conservation of Resources (COR) theory, and the Technology–Organization–Environment (TOE) framework, this research proposes a model in which psychological safety mediates the relationship between AI adoption intensity and job insecurity, while procedural justice and AI self-efficacy act …

Impact Of Occupational Therapy Within The Rosenbaum Family House: How Program Development Supports Health And Well-Being For Caregivers And Care Recipients, Zaccardi P. Muniz

Graduate Theses, Dissertations, and Problem Reports (ETD)

Healthcare hospitality houses (HHH) are designed to accommodate patients and caregivers receiving medical treatment far from home. The Rosenbaum Family House (RFH) acts as the HHH adjacent to J.W. Ruby Memorial Hospital in Morgantown, West Virginia. The RFH offers amenities that meet the basic needs of guests; However, there is an opportunity for occupational therapy-based program development to help further assist caregivers and care recipients both inside and outside the RFH. During the doctoral capstone experience (DCE), a three-phase project was developed to support the health and well-being of guests and WVUMedicine clients through group programming, resource guide development, and …

How Do Reading Specialists Shape Their Identities As Literacy Leaders? An Exploration Of Competence, Performance, And Recognition Within Communities Of Practice, Christina Glance Petrone

Graduate Theses, Dissertations, and Problem Reports (ETD)

This qualitative multiple-case study explored how reading specialists enact literacy leadership within elementary schools in West Virginia. Although reading specialists are increasingly expected to support schoolwide literacy improvement, leadership responsibilities are not always explicitly defined within their roles. Guided by a communities of practice framework and an identity model, this study examined how reading specialists develop and demonstrate literacy leadership through their daily interactions with teachers, administrators, and other school personnel. Data sources included participant questionnaires and semi-structured interviews with participants, their principals, and colleagues from their school. Participants in this study included three reading specialists (interventionists) working in K-5 …

Self-Leadership And Perceptions Of Artificial Intelligence: A Single-Case Study, Patrik Garren

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this single-case qualitative project is to uncover how self-leadership’s behavioral and cognitive strategies influence perceptions of Artificial Intelligence (AI) and AI adoption. While existing literature acknowledges that there is an association between self-leadership, technology’s perceived usefulness and ease of use, as well as comfort with AI preparedness and its professional impact, there is limited research on how self-leadership shapes perceptions of AI and AI adoption in real-life contexts. To fill this gap in contemporary literature, this project analyzes qualitative semi-structured interviews with 25 healthcare professionals involved in the implementation of ‘AI Model 1’ at their mid-sized United …

Closing Racial And Ethnic Disparity Gaps In Pediatric Asthma Follow Up Care - A Quality Improvement Initiative, Ayodele Ayeko

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

Closing racial and ethnic disparity gaps in pediatric asthma follow up care - A quality improvement initiative

Ayodele Ayeko

Introduction/Background: Inadequate management of asthma significantly contributes to poor asthma control, poor quality of life (QOL), and high hospitalization rates among pediatric patients. The Global Initiative for Asthma (GINA) guidelines offer recommendations designed to enhance asthma control and improve the quality of life for those affected (2015), including recommendations for close follow up care. At WVU Medicine Children’s Hospital (WVUMCH), insufficient asthma control has been associated with lower clinic follow-up rates and an increase in hospitalization. Although educational initiatives …

The Professional Backgrounds And Experiences Of Higher Education Trustees And Its Influence On Decision Making, Jade J. Irving

Graduate Theses, Dissertations, and Problem Reports (ETD)

There are many complex decisions that must be made among the board of governors within institutions of higher education. Recent headlines on the decisions of trustees regarding campus closures and consolidations, program cuts, and presidential appointments have put a spotlight on the individuals responsible for making such decisions. This study examined how trustees of public 4-year institutions in the state of West Virginia perceive the value of their professional backgrounds and experiences in fulfilling their governance responsibilities. Using an explanatory sequential design, this study investigated how trustees’ professional experiences shape their decision-making processes through the theoretical lenses of sensemaking theory …

A Learning History Of Online Portfolio Development In Kinesiology: Academic Innovation From Pilot To Powerhouse, Lyndsay M. Burneisen Phd

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study examines the phased development of an online kinesiology education program, tracing its evolution from inception to institutionalization through Rogers’ Diffusion of Innovations (DOI) theory. Using a learning history methodology, this research synthesizes document analysis, stakeholder interviews, and focus groups, and historical program data to explore how strategic leadership, faculty engagement, student support, and technological advancements influenced the program’s growth and sustainability. The research is structured around three critical phases: inception, maturation, and institutionalization, highlighting key adaptations in curriculum design, administrative structures, and quality assurance. Findings reveal a transition from a decentralized, experimental model to a structured, integrated online …

Keep It Quiet: A Quality Improvement Initiative To Reduce Noise In The Operating Room During Anesthesia Induction, Ghislaine Fasseu Kameni

Graduate Theses, Dissertations, and Problem Reports (ETD)

Problem: Excessive noise during the critical phase of anesthesia induction in operating rooms (OR) can significantly impact anesthesia providers' ability to focus, potentially compromising patient safety and quality of care.

Objectives: This project aimed to reduce anesthesia providers' perception of distraction caused by noise during induction by implementing educational interventions and visual cues. The objectives included educating anesthesia and surgical staff on the impact of noise, introducing visual reminders to minimize distractions, and evaluating the effectiveness of these strategies through survey data collection.

Methods: A quality improvement initiative was conducted in the OR department of a nearby hospital. Certified registered …

Improving Timely Palliative Care Consultation In The Micu: A Nurse-Driven Quality Improvement Initiative, Sandy Louise Gray

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

Improving Timely Palliative Care Consultation in the MICU: A Nurse-Driven Quality Improvement Initiative

Sandy L Gray

Background: Early palliative care in intensive care units improves outcomes and reduces costs, yet referrals are often delayed. At J.W. Ruby Memorial Hospital’s medical intensive care unit (MICU), baseline median time to consultation was 112 hours (mean=246), exceeding recommended benchmarks and highlighting the need for a standardized process.

Purpose: This quality improvement project evaluated a nurse-driven screening tool to improve timeliness and consistency of palliative care consultations in the MICU.

Intervention: The tool was embedded in the electronic health record (EHR) …

The Experiences Of Women College Presidents While Leading Through An Institutional Crisis: The Perceived Successes And Failures Of Crisis Communication Strategies, Madison Marie Speck

Graduate Theses, Dissertations, and Problem Reports (ETD)

This multi-site case study explored the uncommonly discussed yet organic intersection between the study of crisis communication and the study of crisis leadership and in turn, what it means in the context of a college presidency. This study has a unique focus on women presidents at small, private colleges and the ways in which they communicate with various stakeholders during a crisis environment. The research is guided by Boin’s Model of Crisis Leadership which guides and assesses crisis leadership performance; however this study introduces nuances to the framework that are suggested as a result of the findings; most of which …

An Inquiry Into The Accessibility Of Campus Recreation For College Students With Disabilities, Kayla B. Abrahamson

Graduate Theses, Dissertations, and Problem Reports (ETD)

University recreation centers are identified as the main sources of physical activity for college students. However, an estimated 68% of college students with disabilities (SWD) use their campus recreational facilities less than five times per year (Yoh et al., 2008). Structural and programmatic accessibility barriers may account for low facility use and corresponding low physical activity levels among college SWD. An accessibility assessment of facilities and programming is warranted to identify priority areas for barrier removal. This collective case study evaluates the accessibility of three campus recreation facilities at 4-year public universities in the southeast U.S. Adopting a mixed-method approach, …

Standardizing Nasogastric Tube Securement: A Quality Improvement Initiative, Shannon Lee Thompkins

Graduate Theses, Dissertations, and Problem Reports (ETD)

Problem: At a large academic medical center located in the northeastern United States, nasogastric tubes (NGT) were traditionally secured with tape. The institutional policy was nonspecific with no written procedure. The inconsistent use of nasal bridle securement devices (NBSD) and predominant use of tape has the potential to lead to a high rate of NGT dislodgement.

Background: NGT complication and dislodgement rates range from 2%-36% (Gimenes et al., 2019). Stabler et al. (2018) report 29%-63% NGT dislodgement rates in critically ill patients. Patients with intracranial hemorrhage dislodge NGTs in 25% of patients (Rahman et al., 2022)

Available Knowledge: Based on …

Relationships Among The Concepts Of Organizational Theory And Nurse Burnout Before And After Covid-19, Bridget M. Webb

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Nurse burnout is a global health priority that has been compounded by Coronavirus 2019 (COVID-19). Organizational theory states that nurse burnout is directly impacted by operant mechanisms (nurse characteristics, nurse specialization) and hospital-wide models. The purpose of this study is to determine the relationship between hospital wide models (evidence-based care, team-based care, discharge planning, care coordination), operant mechanisms (nurse characteristics, nurse specialization), and outcomes (nurse burnout) before and after COVID-19.

Research Question: The specific aim of this study is to determine the relationship between hospital wide models (evidence-based care, team-based care, discharge planning, care coordination) and operant mechanisms (nurse …

The Transmission Of Saga At West Virginia University, James Froemel

Graduate Theses, Dissertations, and Problem Reports (ETD)

Changes in the higher education landscape continue to bring new regulations which enforce standardization and similarities in organizational behavior. Because of these pressures, institutional identities and differentiations are more dependent on the unique way students experience an institution rather than the structure of the organization. Through focus groups and interviews, this phenomenological study seeks to understand the ways in which the traditional undergraduate experience impacts the transmission of organizational saga at West Virginia University. To do so, it examines stories told by students through thematic analysis to connect student experiences with symbols of the university. Focusing on these connections and …

“Building The Roots”: A Delphi Study Examining The Aims Of A Multicultural Competency Graduate Course In Sport And Exercise Psychology, Matthew Paul Gonzalez

Graduate Theses, Dissertations, and Problem Reports (ETD)

Historically, opportunities to develop cultural competency in sport and exercise psychology graduate programs have been limited (Lee, 2015). Recently, major sport psychology organizations across the world have started to require cultural competency in their credentialing requirements. While this represents progress, these requirements can be met with a single course, which falls below the ideal of integrated cultural competency education (Martens et al., 2000). The present study investigated how to maximize the quality of a single course by coming to agreement on a proposed set of impactful and feasible learning outcomes and assessments in that proposed single course related to cultural …

The Everyday Work-Lives Of Public Librarians In A Diverse Us City, Mariam Jalalifard

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation is situated within the context of the author's personal experience as a librarian of color and educator, exploring the dissonance between the perceived value of their role and their own understanding of its worth. The study aims to bring to light the processes that shape the experiences of female librarians, particularly those who are women of color. The research is informed by Institutional Ethnography (IE) and Narrative Analysis, which focus on the everyday lived experiences of people as the research problematic, and progress through layers to uncover how external power structures influence daily life. Five active female and …

An Anesthesia-Based Quality Improvement Initiative To Decrease Opioid Administration Via Esmolol Administration, Fredrick J. Hanna

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Laryngoscopy and endotracheal intubation are routine procedures that occur within the surgical setting. Fentanyl is currently administered for attenuating the hemodynamic response to intubation. Opioid-sparing alternatives have been identified with aims of improving patient outcomes, such as esmolol. Purpose: The project’s purpose was designed to improve anesthesia provider familiarity, perception, and consideration of esmolol as a non-narcotic alternative for attenuating the hemodynamic response to intubation and prompt an increase of esmolol administration within this setting. Interventions: Surveys were conducted before and after an educational in-service, offered to anesthesia providers, demonstrating esmolol as an efficacious alternative to fentanyl. Additionally, an …

Implementation Of An Amiodarone Infusion Nurse Practice Guideline To Reduce The Incidence Of Phlebitis: A Quality Improvement Project, Kristen N. Cottrill

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Patients have an increased risk of developing phlebitis when amiodarone is delivered through a peripheral intravenous catheter. In a 32-bed cardiac surgery step-down unit, patients experienced phlebitis at a rate of 28.57% despite following manufacturer recommendations. Individual interventions targeted at amiodarone-related phlebitis have presented mixed results, however, when an amiodarone infusion practice guideline was established, the rate and severity of phlebitis consistently decreased across studies. Purpose: This project aimed to implement an evidence-based amiodarone infusion guideline to reduce phlebitis development or severity in cardiac-surgery step-down patients without a central venous catheter who received a peripheral intravenous infusion of amiodarone. …

Global Engagement Model For Land-Grant Universities, A Grounded Theory., Lorena Ivonne Ballester

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this study is to examine how land-grant universities engage with the public in the era of globalization; to explain the institutionalization of engagement processes accounting for the global context; and, to integrate this analysis into a Global Engagement Model for Land-Grant Universities (GEM) implementing a grounded theory research methodology.

GEM’s foundation is both theoretical and empirical. Applying the intensity sampling method, the universities selected for the empirical base were: The University of California, Davis, Michigan State University, and The Pennsylvania State University. Rather than an exact representation of individual universities’ engagement models, the model is the researcher’s …

Mismatch And Burnout: An Exploration Of Burnout And Work Passion Amongst Academic Affairs Professionals Through An Organizational Lens, Alexa Elizabeth Cecil

Graduate Theses, Dissertations, and Problem Reports (ETD)

Though the concept of burnout is well developed, there is less research on burnout in higher education, especially on specific staff populations, and loss of work passion. The current study aimed to understand burnout and work passion for academic affairs professionals who work with undergraduate students on academic probation and students conditionally admitted to the institution, including impacts, how these experiences have been navigated, and organizational supports that help alleviate these outcomes. Utilizing a sequential mixed methods research design, the study collected survey responses from identified professionals working with these student populations at a specific institution type. Demographic and t-test …

Perceptions Of Integrated Mental And Behavioral Health In Pediatric Specialty Care Settings: A Mixed-Methods Study, Desireé Nicole Williford

Graduate Theses, Dissertations, and Problem Reports (ETD)

Pediatric patients are at an increased risk of experiencing mental and behavioral health concerns, which have direct associations with HRQOL, physiological health, and likelihood that youth will engage in health promoting behavior. Researchers and practitioners have increased their awareness of these concerns and identified strategies for improving the mental and behavioral health of these youth, specifically via implementing organizational efforts (i.e., task forces) and guidelines around integrating psychosocial screening and other services into routine practice. Despite this, there are several identified barriers to families receiving mental/behavioral health care in these settings. These barriers exist at all levels, including at the …

After The Protests: A Campus Racial Climate Case Study Of The Perception And Curricular Responses For Institutional Reforms, Following The Black Students’ Demands For Interventions At The University Of Missouri-Columbia, Bruce E. Mitchell Ii

Graduate Theses, Dissertations, and Problem Reports (ETD)

This qualitative method single case study explores the phenomenon of a racially tense campus climate at the University of Missouri Columbia, a Predominantly White Midwestern Institution. At the forefront of the media regarding student and athlete protests, leading to the resignation of senior level administrators, African American students put forth eight demands to their administrators. Included, was the creation and implementation of a required racial awareness and inclusion curriculum. The study explores the perceptions of the institutional response to an exceptional campus racial climate issue and the process of formulating and participating in a diversity training course and a semester …

Exploring The Perceptions Of Produce Processors Operating In Non-Profit Commercial Kitchens In West Virginia, Megan Christine Govindan

Graduate Theses, Dissertations, and Problem Reports (ETD)

According to the Centers for Disease Control and Prevention, 48 million people get sick, 128,000 are hospitalized and 3,000 die each year from foodborne illness. The Food Safety Modernization Act (FSMA) shifted the focus of the Food and Drug Administration from response, to prevention of foodborne illness. The FSMA identified seven rules related to food safety prevention measures, including inspection and compliance, response and enhanced partnerships to ensure food safety along the food system, and employee-training compliance measures. Increasing access to healthy, local foods has economic, public health, and environmental benefits. Farm to Institution policies are becoming more popular nationally, …

Making Implementation Last: Understanding The Sustainability Of An Evidence-Based Treatment, Carrie Beth Jackson

Graduate Theses, Dissertations, and Problem Reports (ETD)

Although advances have been made in facilitating the implementation of evidence-based treatments, little is known about the most effective way to sustain their use over long periods of time. Prior systematic reviews and research have suggested that organizational characteristics and training methods may be strategies that support sustainability, yet this has remained relatively unstudied in the field of behavioral health. The current study examined the sustainability of Parent-Child Interaction Therapy following a statewide implementation trial testing three training methods. Participants included 100 clinicians and 50 administrators from 50 organizations across Pennsylvania. Multi-level path analysis was utilized to examine the role …

Evaluation Of The Impact Of An Educational Intervention Aimed At Improving Tuberculosis Infection Control Knowledge Among Health Care Workers In A Military Treatment Facility: A Quality Improvement Project, Allen C. Potter

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Florida (FL) is one of the top five states in the nation for Tuberculosis (TB) infections. A majority of new infections can be found in the minority populations which represents 78% of all TB infections in the state. A combination of TB rates in FL, Orlando located 60 miles away and a transient population who frequently deploys worldwide to austere locations may result in an increased risk of acquiring TB. Literature suggests Health Care Providers (HCPs) obtain training regarding TB Infection Control (TB-IC). The Patrick AFB Military Treatment Facility (MTF) lacked a TB Infection Control (TB-IC) plan. Objective: The …

An Educational Intervention For Skin Cancer Prevention With Hospital Staff: A Pilot Project For System Change, Amy Fran Bruce

Graduate Theses, Dissertations, and Problem Reports (ETD)

PURPOSE: The purpose of this project was to design, implement, and evaluate an educational intervention provided to health care professionals using the Sun Smart U Curriculum created by the Skin Cancer Foundation (2017).

METHODS: Using a pretest-posttest design with a convenience sample (N=40), this intervention targeted the health professionals and staff from a residential/acute care facility caring for pre-adolescent, adolescent, and adult populations. Aims of this project included: (1) the staff’s baseline level of knowledge regarding sun protective behaviors using the Sun Smart U Curriculum, (2) the staff’s level of knowledge regarding sun protective behaviors post educational intervention …

Morphological And Functional Evidence Of Sexual Dimorphism In The Retrochiasmatic Area Population Of Nk3r-Containing Neurons In Sheep, Justin A. Lopez

Graduate Theses, Dissertations, and Problem Reports (ETD)

Neurokinin B (NKB) and kisspeptin are critical for fertility and potent stimulators of gonadotropin-releasing hormone (GnRH) and luteinizing hormone (LH) secretion in sheep. We previously demonstrated that administration of NKB receptor (NK3R) agonist, senktide, within the retrochiasmatic area (RCh) resulted in surge-like release of LH and increased expression of kisspeptin neurons in the arcuate nucleus (ARC) of female lambs. We concluded that NKB-responsive neurons in the RCh stimulate GnRH secretion by inducing kisspeptin release from neurons in the ARC.

We have demonstrated morphological and functional evidence of sexual dimorphism in NKB-NK3R signaling in ovine RCh. RCh senktide administration resulted in …

Predictors Of Perceived Multicultural Competence Among Neuropsychological Trainees, Hannah K. Greenbaum

Graduate Theses, Dissertations, and Problem Reports (ETD)

Multicultural competence is necessary to provide psychological services to an increasingly diverse population (Sue, 2001). It is established that multicultural competence is important for training in psychology (Bodin et al., 2014; Diaz-Santos & Hill, 2016). Despite increased interest in recent years, multicultural competence in neuropsychology has not progressed in parallel with the focus of multiculturalism in psychology broadly (Rivera Mindt, Byrd, Saez, & Manly, 2010). Little is known about multicultural assessment, and it is not yet known what factors in training contribute to perceived multicultural competence in neuropsychological trainees (Elbulok-Charape, Rabin, Spadaccini, & Barr, 2014). The primary purpose of this …

West Virginia University’S Changing Mission In The 21st Century, Katlin Swisher

Graduate Theses, Dissertations, and Problem Reports (ETD)

In the midst of the ongoing shifts of the perception of higher education and the public’s question of the role and value of public universities, West Virginia University has simultaneously experienced institutional change through five different presidential administrations in a decade. As seen through WVU’s historical context as the state of West Virginia’s land-grant, flagship, research university, the institution has and continues to face many administrative, policy, and contextual changes as it strives to meet its strategic goals and operationalize its mission. Through document analysis and interviews with key officials, this qualitative, multi-case study seeks to understand how WVU’s mission …

Towards A Framework For Smart Manufacturing Adoption In Small And Medium-Sized Enterprises, Sameer Mittal

Graduate Theses, Dissertations, and Problem Reports (ETD)

Smart Manufacturing (SM) paradigm adoption can scale production with demand without compromising on the time for order fulfillment. A smart manufacturing system (SMS) is vertically and horizontally connected, and thus it can minimize the chances of miscommunication. Employees in an SME are aware of the operational requirements and their responsibilities. The machine schedules are prepared based on the tasks a machine must perform. Predictive maintenance reduces the downtime of machines. Design software optimizes the product design. Production feasibility is checked with the help of simulation. The concepts of product life cycle management are considered for waste reduction. Employee safety, and …